Safety and Tolerability of a Modified Vaccinia Ankara (MVA)-Based Vaccine Modified to Express Brachyury and T-cell Costimulatory Molecules (MVA-Brachyury-TRICOM)
CompletedPhase 1Results postedLast updated 26 January 2021
What this trial tests
Phase 1 trial testing MVA-brachyury- TRICOM in Lung Cancer in 38 participants. Completed in 28 February 2018.
Adults 18 to 100, any sex, with Lung Cancer or Breast Cancer. Patients with the condition only — healthy volunteers not accepted.
Results — posted to ClinicalTrials.gov
Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.
Number of Participants With Serious and Non-serious Adverse Events Assessed by the Common Terminology Criteria for Adverse Events (CTCAE v4.0)Primary· Date treatment consent signed to date off study, approximately 9 months and 6 days for DL1, 17 months and 3 days for DL2, and 23 months and 13 days for DL3.
Here is the count of participants with serious and non-serious adverse events assessed by the Common Terminology Criteria for Adverse Events (CTCAE v4.0). A non-serious adverse event is any untoward medical occurrence. A serious adverse event is an adverse event or suspected adverse reaction that results in death, a life-threatening adverse drug experience, hospitalization, disruption of the ability to conduct normal life functions, congenital anomaly/birth defect or important medical events that jeopardize the patient or subject and may require medical or surgical intervention to prevent one
Group
Value
95% CI
Dose Level 1 - 1 Injection - Total Dose 2 x 10^8 IU
3
Dose Level 2 - 2 Injections - Total Dose 4 x 10^8 IU
14
Dose Level 3 - 4 Injections - Total Dose 8 x 10^8 IU
17
Number of Participants With Dose-Limiting Toxicities (DLT)Primary· 28 days following the first injection of vaccine.
Dose-limiting toxicity (DLT) will be defined as any one of the following: Any grade ≥ 3 hematologic toxicity or grade ≥ 3 non-hematologic toxicity that is possibly, probably, or definitely related to study drug, except transient (≤ 48 hour) grade 3 fatigue, local reactions, flu-like symptoms, fever, headache, and laboratory abnormalities that are not associated with organ pathology. Also any ≥ grade 2 allergic and ≥ grade 2 autoimmune reaction(s) (except endocrine-related immune toxicity) will be defined as a DLT. Any grade 3 autoimmune endocrine-related toxicity that has not resolved clinical
Group
Value
95% CI
Dose Level 1 - 1 Injection - Total Dose 2 x 10^8 IU
0
Dose Level 2 - 2 Injections - Total Dose 4 x 10^8 IU
0
Dose Level 3 - 4 Injections - Total Dose 8 x 10^8 IU
0
Maximum Tolerated Dose (MTD)Primary· First 28 days of treatment.
The MTD will be the dose level at which no greater than 1/6 patients have a dose-limiting toxicity (DLT), and the next higher dose level has at least 2 patients with a DLT.
Group
Value
95% CI
All Participants
NA
Number of Participants With Grade 3 or Greater Adverse Events Possibly Related to VaccinePrimary· Date treatment consent signed to date off study, approximately 9 months and 6 days for DL1, 17 months and 3 days for DL2, and 23 months and 13 days for DL3.
Number of participants with Grade 3 or greater adverse events possibly related to vaccine assessed by the Common Terminology Criteria for Adverse Events (CTCAE v4.0). Grade 3 is severe or medically significant but not immediately life-threatening. Grade 4 is life threatening consequences, and Grade 5 is death related to adverse event.
Group
Value
95% CI
Dose Level 1 - 1 Injection - Total Dose 2 x 10^8 IU
0
Dose Level 2 - 2 Injections - Total Dose 4 x 10^8 IU
1
Dose Level 3 - 4 Injections - Total Dose 8 x 10^8 IU
0
Number of Participants With Brachyury-Specific T-cell Responses Developed After 1, 2, and 3 VaccinationsSecondary· Baseline (pre-vaccination), approximately day 29 (after 1 vaccination), approximately day 57 (after 2 vaccinations), and approximately day 85 (after 3 vaccinations)
A fluorescence activated cell sorting (FACS)-based assay for cluster of differentiation 4 (CD4) or cluster of differentiation 8 (CD8) T-cells expressing the cytokines interferon (IFN) gamma, interleukin 2 (IL2), and tumor necrosis factor (TNF) alpha, and/or cluster of differentiation 107a (CD107a) (a marker for lytic potential) was used to determine the numbers of participants showing development or enhancement of the level of brachyury-specific T-cells after vaccination.
CD107a + CD4 T-cell response (d29 vs pre)
Group
Value
95% CI
Dose Level 1 - 1 Injection - Total Dose 2 x 10^8 IU
0
Dose Level 2 - 2 Injections - Total Dose 4 x 10^8 IU
4
Dose Level 3 - 4 Injections - Total Dose 8 x 10^8 IU
0
IFN gamma + CD4 T-cell response (d29 vs pre)
Group
Value
95% CI
Dose Level 1 - 1 Injection - Total Dose 2 x 10^8 IU
1
Dose Level 2 - 2 Injections - Total Dose 4 x 10^8 IU
2
Dose Level 3 - 4 Injections - Total Dose 8 x 10^8 IU
1
IL2 + CD4 T-cell response (d29 vs pre)
Group
Value
95% CI
Dose Level 1 - 1 Injection - Total Dose 2 x 10^8 IU
1
Dose Level 2 - 2 Injections - Total Dose 4 x 10^8 IU
1
Dose Level 3 - 4 Injections - Total Dose 8 x 10^8 IU
0
TNF alpha + CD4 T-cell response (d29 vs pre)
Group
Value
95% CI
Dose Level 1 - 1 Injection - Total Dose 2 x 10^8 IU
0
Dose Level 2 - 2 Injections - Total Dose 4 x 10^8 IU
4
Dose Level 3 - 4 Injections - Total Dose 8 x 10^8 IU
0
CD107a + CD8 T-cell response (d29 vs pre)
Group
Value
95% CI
Dose Level 1 - 1 Injection - Total Dose 2 x 10^8 IU
1
Dose Level 2 - 2 Injections - Total Dose 4 x 10^8 IU
1
Dose Level 3 - 4 Injections - Total Dose 8 x 10^8 IU
0
IFN gamma + CD8 T-cell response (d29 vs pre)
Group
Value
95% CI
Dose Level 1 - 1 Injection - Total Dose 2 x 10^8 IU
0
Dose Level 2 - 2 Injections - Total Dose 4 x 10^8 IU
6
Dose Level 3 - 4 Injections - Total Dose 8 x 10^8 IU
0
IL2 + CD8 T-cell response (d29 vs pre)
Group
Value
95% CI
Dose Level 1 - 1 Injection - Total Dose 2 x 10^8 IU
0
Dose Level 2 - 2 Injections - Total Dose 4 x 10^8 IU
0
Dose Level 3 - 4 Injections - Total Dose 8 x 10^8 IU
0
TNF alpha + CD8 T-cell response (d29 vs pre)
Group
Value
95% CI
Dose Level 1 - 1 Injection - Total Dose 2 x 10^8 IU
1
Dose Level 2 - 2 Injections - Total Dose 4 x 10^8 IU
4
Dose Level 3 - 4 Injections - Total Dose 8 x 10^8 IU
0
Percentage of Total Peripheral Blood Mononuclear Cells (PBMCs) in Peripheral Blood Before Vaccination, and After 1 and 3 VaccinationsSecondary· Pre (Baseline), and approximately D29 (Post 1 vaccination) and D85 (post 3 vaccinations)
Blood samples collected were analyzed by multicolor flow cytometry in PBMCs for cluster of differentiation 4 (CD4), cluster of differentiation 8 (CD8), Natural Killer (NK), Natural Killer T (NKT), conventional dendritic cell (cDC), plasmacytoid dendritic cell (pDC), myeloid-derived suppressor cell (MDSC) and Tregs. Changes in levels PBMC subsets was a descriptive result with median and interquartile range reported. No formal statistical analysis by dose level was performed given the small sample size.
CD4 Pre
Group
Value
95% CI
Dose Level 1 - 1 Injection - Total Dose 2 x 10^8 IU
24.31
14.78 – 38.24
Dose Level 2 - 2 Injections - Total Dose 4 x 10^8 IU
32.64
27.63 – 40.74
Dose Level 3 - 4 Injections - Total Dose 8 x 10^8 IU
32.89
22.61 – 37.37
CD4 D29
Group
Value
95% CI
Dose Level 1 - 1 Injection - Total Dose 2 x 10^8 IU
23.68
13.15 – 36.09
Dose Level 2 - 2 Injections - Total Dose 4 x 10^8 IU
34.99
23.61 – 39.35
Dose Level 3 - 4 Injections - Total Dose 8 x 10^8 IU
29.86
20.99 – 36.08
CD4 D85
Group
Value
95% CI
Dose Level 1 - 1 Injection - Total Dose 2 x 10^8 IU
27.70
13.09 – 39.84
Dose Level 2 - 2 Injections - Total Dose 4 x 10^8 IU
30.35
25.55 – 36.67
Dose Level 3 - 4 Injections - Total Dose 8 x 10^8 IU
29.87
25.77 – 36.65
CD8 Pre
Group
Value
95% CI
Dose Level 1 - 1 Injection - Total Dose 2 x 10^8 IU
7.51
4.90 – 14.31
Dose Level 2 - 2 Injections - Total Dose 4 x 10^8 IU
16.85
10.20 – 23.58
Dose Level 3 - 4 Injections - Total Dose 8 x 10^8 IU
12.27
9.28 – 16.34
CD8 D29
Group
Value
95% CI
Dose Level 1 - 1 Injection - Total Dose 2 x 10^8 IU
7.83
3.73 – 13.43
Dose Level 2 - 2 Injections - Total Dose 4 x 10^8 IU
16.28
9.55 – 24.45
Dose Level 3 - 4 Injections - Total Dose 8 x 10^8 IU
10.96
9.18 – 17.43
CD8 D85
Group
Value
95% CI
Dose Level 1 - 1 Injection - Total Dose 2 x 10^8 IU
10.92
5.71 – 13.99
Dose Level 2 - 2 Injections - Total Dose 4 x 10^8 IU
17.17
12.29 – 26.14
Dose Level 3 - 4 Injections - Total Dose 8 x 10^8 IU
13.99
11.78 – 20.43
Treg Pre
Group
Value
95% CI
Dose Level 1 - 1 Injection - Total Dose 2 x 10^8 IU
2.19
1.00 – 2.41
Dose Level 2 - 2 Injections - Total Dose 4 x 10^8 IU
1.50
1.21 – 1.93
Dose Level 3 - 4 Injections - Total Dose 8 x 10^8 IU
1.07
0.77 – 1.53
Treg D29
Group
Value
95% CI
Dose Level 1 - 1 Injection - Total Dose 2 x 10^8 IU
1.71
1.23 – 1.98
Dose Level 2 - 2 Injections - Total Dose 4 x 10^8 IU
1.40
1.20 – 1.78
Dose Level 3 - 4 Injections - Total Dose 8 x 10^8 IU
1.34
0.88 – 1.65
Number of Participants With Positive Anti-Brachyury AntibodiesSecondary· Pre (Baseline), and approximately D29 (Post 1 vaccination), D57 (post 2 vaccinations) and D85 (post 3 vaccinations)
A positive brachyury antibody titer consisted of an absorbance to brachyury protein that was twice that obtained with the negative control protein Bovine serum albumin (BSA). A positive titer after vaccination may be indicative of an immune response to the vaccine.
Anti-Brachyury Antibodies Pre
Group
Value
95% CI
Dose Level 1 - 1 Injection - Total Dose 2 x 10^8 IU
0
Dose Level 2 - 2 Injections - Total Dose 4 x 10^8 IU
1
Dose Level 3 - 4 Injections - Total Dose 8 x 10^8 IU
2
Anti-Brachyury Antibodies D29
Group
Value
95% CI
Dose Level 1 - 1 Injection - Total Dose 2 x 10^8 IU
0
Dose Level 2 - 2 Injections - Total Dose 4 x 10^8 IU
1
Dose Level 3 - 4 Injections - Total Dose 8 x 10^8 IU
3
Anti-Brachyury Antibodies D57
Group
Value
95% CI
Dose Level 1 - 1 Injection - Total Dose 2 x 10^8 IU
0
Dose Level 2 - 2 Injections - Total Dose 4 x 10^8 IU
1
Dose Level 3 - 4 Injections - Total Dose 8 x 10^8 IU
5
Anti-Brachyury Antibodies D85
Group
Value
95% CI
Dose Level 1 - 1 Injection - Total Dose 2 x 10^8 IU
0
Dose Level 2 - 2 Injections - Total Dose 4 x 10^8 IU
1
Dose Level 3 - 4 Injections - Total Dose 8 x 10^8 IU
4
Changes in Serum Cytokines Soluble CD27 (sCD27) and Soluble FactorsSecondary· Pre (Baseline), and approximately D29 (Post 1 vaccination), and D85 (post 3 vaccinations)
Serum levels of Soluble CD27 (sCD27) were determined by enzyme-linked immunosorbent assay (ELISA) pre and post vaccination. Changes in levels of serum cytokines and soluble factors was a descriptive result with median and interquartile range reported. No formal statistical analysis by dose level was performed given the small sample size.
sCD27 Pre
Group
Value
95% CI
Dose Level 1 - 1 Injection - Total Dose 2 x 10^8 IU
20.53
1.20 – 51.33
Dose Level 2 - 2 Injections - Total Dose 4 x 10^8 IU
19.34
11.24 – 23.57
Dose Level 3 - 4 Injections - Total Dose 8 x 10^8 IU
12.10
7.42 – 18.88
sCD27 D29
Group
Value
95% CI
Dose Level 1 - 1 Injection - Total Dose 2 x 10^8 IU
25.65
16.30 – 47.38
Dose Level 2 - 2 Injections - Total Dose 4 x 10^8 IU
18.40
8.02 – 27.10
Dose Level 3 - 4 Injections - Total Dose 8 x 10^8 IU
15.12
11.95 – 25.82
sCD27 D85
Group
Value
95% CI
Dose Level 1 - 1 Injection - Total Dose 2 x 10^8 IU
22.35
19.03 – 24.15
Dose Level 2 - 2 Injections - Total Dose 4 x 10^8 IU
14.50
9.06 – 25.38
Dose Level 3 - 4 Injections - Total Dose 8 x 10^8 IU
16.33
12.10 – 25.99
Changes in Serum Cytokines Soluble CD40 Ligand (sCD40L) and Soluble FactorsSecondary· Pre (Baseline), and approximately D29 (Post 1 vaccination), and D85 (post 3 vaccinations)
Serum levels of sCD40L, were determined by enzyme-linked immunosorbent assay (ELISA) pre and post vaccination. Changes in levels of serum cytokines and soluble factors was a descriptive result with median and interquartile range reported. No formal statistical analysis by dose level was performed given the small sample size.
sCD40L Pre
Group
Value
95% CI
Dose Level 1 - 1 Injection - Total Dose 2 x 10^8 IU
4.76
1.55 – 20.34
Dose Level 2 - 2 Injections - Total Dose 4 x 10^8 IU
17.52
11.98 – 22.03
Dose Level 3 - 4 Injections - Total Dose 8 x 10^8 IU
18.94
14.63 – 26.29
sCD40L D29
Group
Value
95% CI
Dose Level 1 - 1 Injection - Total Dose 2 x 10^8 IU
17.11
1.00 – 19.79
Dose Level 2 - 2 Injections - Total Dose 4 x 10^8 IU
17.81
14.92 – 20.27
Dose Level 3 - 4 Injections - Total Dose 8 x 10^8 IU
16.05
11.25 – 19.85
sCD40L D85
Group
Value
95% CI
Dose Level 1 - 1 Injection - Total Dose 2 x 10^8 IU
10.33
1.40 – 18.35
Dose Level 2 - 2 Injections - Total Dose 4 x 10^8 IU
17.54
9.77 – 20.32
Dose Level 3 - 4 Injections - Total Dose 8 x 10^8 IU
17.90
14.03 – 21.75
Changes in the Ratio of Serums Soluble CD27 (sCD27):Soluble CD40 Ligand (sCD40L)Secondary· Pre (Baseline), and approximately D29 (Post 1 vaccination), and D85 (post 3 vaccinations)
Serum levels of sCD27, sCD40L, and the ratio of sCD27:sCD40L were determined by enzyme-linked immunosorbent assay (ELISA) pre and post vaccination. Changes in levels of serum cytokines and soluble factors was a descriptive result with median and interquartile range reported. No formal statistical analysis by dose level was performed given the small sample size.
sCD27:sCD40L Pre
Group
Value
95% CI
Dose Level 1 - 1 Injection - Total Dose 2 x 10^8 IU
4.31
0.06 – 33.06
Dose Level 2 - 2 Injections - Total Dose 4 x 10^8 IU
1.02
0.56 – 1.94
Dose Level 3 - 4 Injections - Total Dose 8 x 10^8 IU
0.64
0.35 – 1.28
sCD27:sCD40L D29
Group
Value
95% CI
Dose Level 1 - 1 Injection - Total Dose 2 x 10^8 IU
1.50
0.82 – 47.38
Dose Level 2 - 2 Injections - Total Dose 4 x 10^8 IU
1.25
0.42 – 2.06
Dose Level 3 - 4 Injections - Total Dose 8 x 10^8 IU
0.82
0.59 – 2.13
sCD27:sCD40L D85
Group
Value
95% CI
Dose Level 1 - 1 Injection - Total Dose 2 x 10^8 IU
1.84
1.22 – 17.28
Dose Level 2 - 2 Injections - Total Dose 4 x 10^8 IU
1.05
0.53 – 2.71
Dose Level 3 - 4 Injections - Total Dose 8 x 10^8 IU
0.89
0.69 – 1.47
Changes in Serum Cytokines Interleukin 2 (IL2), Interleukin 4 (IL4), Interleukin 10 (IL10), and Interferon Gamma (IFNg)Secondary· Pre (Baseline), and approximately D29 (Post 1 vaccination), and D85 (post 3 vaccinations)
Serum levels of IL-2, IL-4, IL-10, and IFNg were determined by enzyme-linked immunosorbent assay (ELISA) pre and post vaccination. Changes in levels of serum cytokines and soluble factors was a descriptive result with median and interquartile range reported. No formal statistical analysis by dose level was performed given the small sample size.
IL-2 Pre
Group
Value
95% CI
Dose Level 1 - 1 Injection - Total Dose 2 x 10^8 IU
0.00
0.00 – 0.00
Dose Level 2 - 2 Injections - Total Dose 4 x 10^8 IU
0.00
0.00 – 0.00
Dose Level 3 - 4 Injections - Total Dose 8 x 10^8 IU
0.00
0.00 – 0.00
IL-2 D29
Group
Value
95% CI
Dose Level 1 - 1 Injection - Total Dose 2 x 10^8 IU
0.00
0.00 – 0.00
Dose Level 2 - 2 Injections - Total Dose 4 x 10^8 IU
0.00
0.00 – 0.00
Dose Level 3 - 4 Injections - Total Dose 8 x 10^8 IU
0.00
0.00 – 0.00
IL-2 D85
Group
Value
95% CI
Dose Level 1 - 1 Injection - Total Dose 2 x 10^8 IU
0.00
0.00 – 0.00
Dose Level 2 - 2 Injections - Total Dose 4 x 10^8 IU
0.00
0.00 – 0.00
Dose Level 3 - 4 Injections - Total Dose 8 x 10^8 IU
0.00
0.00 – 0.00
IL-10 Pre
Group
Value
95% CI
Dose Level 1 - 1 Injection - Total Dose 2 x 10^8 IU
0.00
0.00 – 0.00
Dose Level 2 - 2 Injections - Total Dose 4 x 10^8 IU
0.00
0.00 – 0.00
Dose Level 3 - 4 Injections - Total Dose 8 x 10^8 IU
0.00
0.00 – 0.00
IL-10 D29
Group
Value
95% CI
Dose Level 1 - 1 Injection - Total Dose 2 x 10^8 IU
0.00
0.00 – 0.00
Dose Level 2 - 2 Injections - Total Dose 4 x 10^8 IU
0.00
0.00 – 0.00
Dose Level 3 - 4 Injections - Total Dose 8 x 10^8 IU
0.00
0.00 – 0.00
IL-10 D85
Group
Value
95% CI
Dose Level 1 - 1 Injection - Total Dose 2 x 10^8 IU
0.00
0.00 – 0.00
Dose Level 2 - 2 Injections - Total Dose 4 x 10^8 IU
0.00
0.00 – 0.00
Dose Level 3 - 4 Injections - Total Dose 8 x 10^8 IU
0.00
0.00 – 0.00
IL-4 Pre
Group
Value
95% CI
Dose Level 1 - 1 Injection - Total Dose 2 x 10^8 IU
0.00
0.00 – 0.00
Dose Level 2 - 2 Injections - Total Dose 4 x 10^8 IU
0.00
0.00 – 0.00
Dose Level 3 - 4 Injections - Total Dose 8 x 10^8 IU
0.00
0.00 – 0.00
IL-4 D29
Group
Value
95% CI
Dose Level 1 - 1 Injection - Total Dose 2 x 10^8 IU
0.00
0.00 – 0.00
Dose Level 2 - 2 Injections - Total Dose 4 x 10^8 IU
0.00
0.00 – 0.00
Dose Level 3 - 4 Injections - Total Dose 8 x 10^8 IU
0.00
0.00 – 0.00
Adverse events — posted to ClinicalTrials.gov
Time frame: Date treatment consent signed to date off study, approximately 9 months and 6 days for DL1, 17 months and 3 days for DL2, and 23 months and 13 days for DL3..
Reporting threshold: 0%.
Adverse-event reports describe events observed during the trial — not all are caused by the drug.
Dose Level 1 - 1 Injection - Total Dose 2 x 10^8 IU
Serious: 2/3 (67%)
Deaths: 0/3
Dose Level 2 - 2 Injections - Total Dose 4 x 10^8 IU
Serious: 4/17 (24%)
Deaths: 1/17
Dose Level 3 - 4 Injections - Total Dose 8 x 10^8 IU
Serious: 2/18 (11%)
Deaths: 1/18
Serious adverse events (8 terms)
Reaction
System
Dose Level 1 - 1 Injection…
Dose Level 2 - 2 Injection…
Dose Level 3 - 4 Injection…
Colonic obstruction
Gastrointestinal disorders
—
—
—
Hip fracture
Injury, poisoning and procedural complications
—
—
—
Abdominal pain
Gastrointestinal disorders
—
—
—
Colitis
Gastrointestinal disorders
—
—
—
Hyponatremia
Metabolism and nutrition disorders
—
—
—
Lung infection
Infections and infestations
—
—
—
Pain
General disorders
—
—
—
Sepsis
Infections and infestations
—
—
—
Other adverse events (53 terms — click to expand)
Reaction
System
Dose Level 1 - 1 Injection…
Dose Level 2 - 2 Injection…
Dose Level 3 - 4 Injection…
Injection site reaction
General disorders
—
—
—
Flu like symptoms
General disorders
—
—
—
Fever
General disorders
—
—
—
Alkaline phosphatase increased
Investigations
—
—
—
Cough
Respiratory, thoracic and mediastinal disorders
—
—
—
Headache
Nervous system disorders
—
—
—
Platelet count decreased
Investigations
—
—
—
Creatinine increased
Investigations
—
—
—
Alanine aminotransferase increased
Investigations
—
—
—
Blood bilirubin increased
Investigations
—
—
—
Dyspnea
Respiratory, thoracic and mediastinal disorders
—
—
—
Fatigue
General disorders
—
—
—
Lymphocyte count decreased
Investigations
—
—
—
Pain
General disorders
—
—
—
Pain in extremity
Musculoskeletal and connective tissue disorders
—
—
—
Aspartate aminotransferase increased
Investigations
—
—
—
Hyponatremia
Metabolism and nutrition disorders
—
—
—
Anemia
Blood and lymphatic system disorders
—
—
—
Diarrhea
Gastrointestinal disorders
—
—
—
Rash acneiform
Skin and subcutaneous tissue disorders
—
—
—
Abdominal pain
Gastrointestinal disorders
—
—
—
Anorexia
Metabolism and nutrition disorders
—
—
—
Blurred vision
Eye disorders
—
—
—
Confusion
Psychiatric disorders
—
—
—
Constipation
Gastrointestinal disorders
—
—
—
Dizziness
Nervous system disorders
—
—
—
Edema limbs
General disorders
—
—
—
Epistaxis
Respiratory, thoracic and mediastinal disorders
—
—
—
Hypercalcemia
Metabolism and nutrition disorders
—
—
—
Hyperkalemia
Metabolism and nutrition disorders
—
—
—
Hypermagnesemia
Metabolism and nutrition disorders
—
—
—
Hypokalemia
Metabolism and nutrition disorders
—
—
—
Hypothyroidism
Endocrine disorders
—
—
—
Laryngitis
Infections and infestations
—
—
—
Nausea
Gastrointestinal disorders
—
—
—
Non-cardiac chest pain
Musculoskeletal and connective tissue disorders
—
—
—
Pruritus
Skin and subcutaneous tissue disorders
—
—
—
Urinary tract infection
Infections and infestations
—
—
—
Atrial fibrillation
Cardiac disorders
—
—
—
Blood and lymphatic system disorders - Other, elevated neutrophil count
Background:
\- This cancer vaccine was developed to help teach the body's immune system to attack and destroy cancer cells. It teaches immune cells to target the Brachyury protein. This protein is present in some tumor cells, and it can help tumor cells spread to other parts of the body. Researchers want to see whether the new Brachyury protein vaccine can help treat people with advanced carcinomas.
Objective:
\- To test the safety and effectiveness of giving the modified vaccinia Ankara (MVA)-brachyury-B7-1, ICAM-1 (Intercellular Adhesion Molecule 1), and LFA-3 (lymphocyte function-associated antigen 3) TRICOM vaccine to people with cancer.
Eligibility:
\- Adults ages 18 and over whose type of cancer has not responded to standard therapies who do not have a history of autoimmune diseases and are capable of taking care of themselves.
Design:
* Participants will be screened with a medical history and physical exam. They will have blood and urine tests. They may have a computed tomography (CT) scan, a positron emission tomography (PET) scan, and a brain magnetic resonance imaging (MRI) scan. They may have a bone scan. They will have an electrocardiogram (ECG) to test heart rhythm.
* Participants will have visits about every 4 weeks. They will have a physical exam and blood and urine tests. They will be injected with the vaccine under the skin into the upper thigh or around the armpits.
* CT scans or MRI scans will be done at visit 1, after 3 months on study, and again 3 months later if still on the study. Another ECG will be done at their last vaccine visit.
* When participants stop the vaccine, they will return for visits until they recover from any side effects. They will have tests including physical exam, blood tests, scans, and x-rays.
* Participants will be asked to enroll in another study for long-term follow-up.
Publications & conference data
8 peer-reviewed publications reference this trial (live from Europe PMC):
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NCT07437950 — Comparing Different Treatment Lengths for Venetoclax in Older People With Newly Diagnosed Acute Myeloid Leukemia (A Myel
· Phase 2
· not yet recruiting
Publications: Europe PMC API search by NCT ID, retrieved 10 June 2026
Drug + disease cross-links: matched in real time against Drug Landscape's normalised drug + company + condition tables
Sponsor: as reported to ClinicalTrials.gov by National Cancer Institute (NCI)
Last refreshed: 26 January 2021
Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT02179515.