Last reviewed · How we verify

NCT02981303

Study of Imprime PGG and Pembrolizumab in Advanced Melanoma and Triple Negative Breast Cancer

Completed Phase 2 Results posted Last updated 9 July 2024
What this trial tests

Phase 2 trial testing Imprime PGG in Advanced Melanoma in 64 participants. Completed in 31 December 2020.

Timeline
22 February 2017
Primary endpoint
31 December 2020
31 December 2020

Quick facts

Lead sponsorHiberCell, Inc.
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationnon randomized
Designparallel
Maskingnone
Primary purposetreatment
Enrollment64
Start date22 February 2017
Primary completion31 December 2020
Estimated completion31 December 2020
Sites10 locations across United States

Drugs / interventions tested

Conditions studied

Sponsor

HiberCell, Inc. — full company profile →

Who can join

18 and older, any sex, with Advanced Melanoma or Triple-Negative 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.

The Primary Efficacy Endpoint Was ORR, Defined as the Proportion of Subjects Demonstrating CR or PR Based on RECIST v1.1 Criteria. Primary · From the start of study treatment until the first PD based on RECIST v1.1 or start of new cancer therapy, whichever occurred earlier, up to 24 months.

The best response was defined as the best response recorded from the start of study treatment until the first PD based on RECIST v1.1 or start of new cancer therapy, whichever occurred earlier. Response assessment occurred every 6 weeks after the first dose of study drug.

GroupValue95% CI
Melanoma1
Triple Negative Breast Cancer1
Melanoma0
Triple Negative Breast Cancer5
Melanoma8
Triple Negative Breast Cancer17
Melanoma10
Triple Negative Breast Cancer19
Time to Response (TTR) Using RECIST v1.1 Criteria Secondary · TTR was defined as time from the date of the first dose to the first response, up to 24 months.

For the subset of subjects with a confirmed CR or PR (RECIST v1.1), TTR was defined as time from the date of the first dose to the first response (the CR/PR prior to the confirmation).

GroupValue95% CI
Melanoma9.669.66 – 9.66
Triple Negative Breast Cancer2.861.25 – 5.39
Complete Response Rate (CRR) Secondary · The time from the date of the first dose to the first response (CR), up to 24 months.

Complete response rate (CRR) using RECIST v1.1 criteria

GroupValue95% CI
Melanoma5.30.1 – 26.0
Triple Negative Breast Cancer2.40.1 – 12.6
Duration of Overall Response (DoR) Using RECIST v1.1 Criteria Secondary · time from the first documented evidence of CR or PR (the response prior to the confirmation) until the time of documented PD (based on radiological assessments per RECIST v1.1) or death due to any cause, whichever occurred earlier.

For the subset of subjects with a confirmed CR or PR (RECIST v1.1), DoR was defined as the time from the first documented evidence of CR or PR (the response prior to the confirmation) until the time of documented PD (based on radiological assessments per RECIST v1.1) or death due to any cause, whichever occurred earlier.

GroupValue95% CI
Melanoma12.68
Triple Negative Breast Cancer15.244.11 – 20.96
Progression-Free Survival (PFS) Per RECISTv1.1 Secondary · time from the date of the first dose until the first PD or death due to any cause, whichever occurred first.

Progression free survival was defined as the time from the date of the first dose until the first PD or death due to any cause, whichever occurred first.

GroupValue95% CI
Melanoma1.761.31 – 2.79
Triple Negative Breast Cancer2.351.35 – 3.98
Overall Survival (OS) Secondary · Time from date of study day 1 until date of death due to any cause.

Overall survival was defined as the time from the date of the first dose until the date of death due to any causes.

GroupValue95% CI
Melanoma8.803.61 – 15.67
Triple Negative Breast Cancer16.3611.10 – 19.22
Progression Free Survival Based on irRECIST Secondary · time from the date of the first dose until the first PD or death due to any cause, whichever occurred first.

Progression free survival was defined as the time from the date of the first dose until the first PD or death due to any cause, whichever occurred first.

GroupValue95% CI
Melanoma1.761.31 – 2.99
Triple Negative Breast Cancer2.861.81 – 4.11
ORR Based on irRECIST Secondary · the best response recorded from the start of study treatment until PD (PD per RECIST v1.1 or PD confirmed by irRECIST, whichever was later) or start of new anticancer therapy, whichever occurred earlier; up to 24 months.

The best response based on irRECIST was the best response recorded from the start of study treatment until PD (PD per RECIST v1.1 or PD confirmed by irRECIST, whichever was later) or start of new anticancer therapy, whichever occurred earlier.

GroupValue95% CI
Melanoma1
Triple Negative Breast Cancer1
Melanoma0
Triple Negative Breast Cancer6
Melanoma8
Triple Negative Breast Cancer17
Melanoma2
Triple Negative Breast Cancer0
Summary of Overall Response Rate in Subgroup of TNBC Subjects Who Had Received Prior Hormone Therapy Secondary · The time from the date of the first dose to the first response (CR), up to 24 months.

proportion of subjects demonstrating complete response (CR) or partial response (PR) based on RECIST v1.1 thru end of study

GroupValue95% CI
Triple Negative Breast Cancer5

Adverse events — posted to ClinicalTrials.gov

Time frame: From first dose of study drug through 30 days post last dose of study drug, up to 25 months.. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Melanoma
Serious: 3/20 (15%)
Deaths: 1/20
Triple Negative Breast Cancer
Serious: 9/44 (20%)
Deaths: 2/44

Serious adverse events (17 terms)

ReactionSystemMelanomaTriple Negative Breast Can…
PancreatitisGastrointestinal disorders
Femur FractureInjury, poisoning and procedural complications
Infusion Related ReactionsInjury, poisoning and procedural complications
Pulmonary EmbolismRespiratory, thoracic and mediastinal disorders
HypotensionVascular disorders
Candida InfectionInfections and infestations
CellulitisInfections and infestations
PneumoniaInfections and infestations
DyspnoeaRespiratory, thoracic and mediastinal disorders
Pleural EffusionRespiratory, thoracic and mediastinal disorders
Acute myocardial infarctionCardiac disorders
MyocarditisCardiac disorders
HyperglycaemiaMetabolism and nutrition disorders
Back painMusculoskeletal and connective tissue disorders
Mental status changePsychiatric disorders
HypertensionVascular disorders
Haemorrhage intracranialNervous system disorders
Other adverse events (55 terms — click to expand)

ReactionSystemMelanomaTriple Negative Breast Can…
NauseaGastrointestinal disorders
Back painMusculoskeletal and connective tissue disorders
FatigueGeneral disorders
ArthralgiaMusculoskeletal and connective tissue disorders
ChillsGeneral disorders
DiarrhoeaGastrointestinal disorders
PyrexiaGeneral disorders
HeadacheNervous system disorders
VomitingGastrointestinal disorders
ConstipationGastrointestinal disorders
Pain in extremityMusculoskeletal and connective tissue disorders
MyalgiaMusculoskeletal and connective tissue disorders
CoughRespiratory, thoracic and mediastinal disorders
Infusion related reactionInjury, poisoning and procedural complications
PruritusSkin and subcutaneous tissue disorders
DyspnoeaRespiratory, thoracic and mediastinal disorders
Aspartate aminotransferase increasedInvestigations
Decreased appetiteMetabolism and nutrition disorders
Alanine aminotransferase increasedInvestigations
Abdominal painGastrointestinal disorders
DizzinessNervous system disorders
DyspepsiaGastrointestinal disorders
Dry MouthGastrointestinal disorders
Blood bilirubin increasedInvestigations
Blood alkaline phosphatase increasedInvestigations
InsomniaPsychiatric disorders
HypotensionVascular disorders
Chest discomfortGeneral disorders
Oedema peripheralGeneral disorders
PainGeneral disorders
Musculoskeletal chest painMusculoskeletal and connective tissue disorders
Urinary tract infectionInfections and infestations
HypomagnesaemiaMetabolism and nutrition disorders
Vision blurredEye disorders
Muscle spasmsMusculoskeletal and connective tissue disorders
AnaemiaBlood and lymphatic system disorders
Abdominal distensionGastrointestinal disorders
Gastrooesophageal reflux diseaseGastrointestinal disorders
Neck painMusculoskeletal and connective tissue disorders
Pleural effusionRespiratory, thoracic and mediastinal disorders

Most-reported serious reactions: Pancreatitis, Femur Fracture, Infusion Related Reactions, Pulmonary Embolism, Hypotension, Candida Infection, Cellulitis, Pneumonia.

Data from ClinicalTrials.gov NCT02981303 adverse events section.

Sponsor's own description

Objective: To determine the Overall Response Rate (ORR) to Imprime PGG + pembrolizumab in subjects with advanced melanoma or metastatic TNBC Safety: To characterize the safety of Imprime PGG + pembrolizumab given in combination Hypothesis: Restore (for melanoma) or enhance (for TNBC) sensitivity to checkpoint inhibitors (CPI) by appropriate and effective stimulation of the subject's innate and adaptive immune systems in those subjects who have failed 1st line therapy The study will incorporate Simon's optimal 2-stage design with sample size fixed at 12 subjects each in Stage 1 for advanced melanoma and for Triple Negative Breast Cancer (TNBC) subjects. The safety criterion of ≤ 4 (or ≤ 33%) subjects with Grade 3/4 adverse events in Cycle 1 within either tumor type must be met in order to proceed to Stage 2. The starting dose is 4 mg/kg for Imprime PGG. In the event there are a total of \> 4 (or \> 33%) of subjects with Grade 3/4 adverse events in Cycle 1, the dose of Imprime PGG will be reduced to 2 mg/kg, and Stage 1 will be repeated at a dose of 2 mg/kg with an additional cohort of n=12 subjects. For the dose that meets the safety criterion in Stage 1, at least 1 response in melanoma subjects and 2 responses in TNBC subjects amongst the 12 subjects within each tumor type must be observed in order to proceed to Stage 2. Stage 2 will enroll an additional 17 subjects with melanoma, and 30 subjects with TNBC. For the dose that meets the Stage 1 safety criterion, success will be declared if at least 4 amongst the total of up to 29 subjects with melanoma, and 13 amongst the total of up to 42 subjects with TNBC achieve an objective response.

Publications & conference data

8 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Altered metabolism in cancer: insights into energy pathways and therapeutic targets.
    Tufail M, Jiang CH, Li N. · · 2024 · cited 265× · PMID 39294640 · DOI 10.1186/s12943-024-02119-3
  2. Practical classification of triple-negative breast cancer: intratumoral heterogeneity, mechanisms of drug resistance, and novel therapies.
    Marra A, Trapani D, Viale G, Criscitiello C, et al · · 2020 · cited 209× · PMID 33088912 · DOI 10.1038/s41523-020-00197-2
  3. Recent advances in targeted strategies for triple-negative breast cancer.
    Zhu S, Wu Y, Song B, Yi M, et al · · 2023 · cited 200× · PMID 37641116 · DOI 10.1186/s13045-023-01497-3
  4. Immune Infiltrates in Breast Cancer: Recent Updates and Clinical Implications.
    Dieci MV, Miglietta F, Guarneri V. · · 2021 · cited 168× · PMID 33498711 · DOI 10.3390/cells10020223
  5. Modulation of the tumor microenvironment and mechanism of immunotherapy-based drug resistance in breast cancer.
    Kundu M, Butti R, Panda VK, Malhotra D, et al · · 2024 · cited 121× · PMID 38715072 · DOI 10.1186/s12943-024-01990-4
  6. β-Glucan Metabolic and Immunomodulatory Properties and Potential for Clinical Application.
    Murphy EJ, Rezoagli E, Major I, Rowan NJ, et al · · 2020 · cited 121× · PMID 33322069 · DOI 10.3390/jof6040356
  7. The clinical promise of immunotherapy in triple-negative breast cancer.
    Vikas P, Borcherding N, Zhang W. · · 2018 · cited 111× · PMID 30573992 · DOI 10.2147/cmar.s185176
  8. Efficacy and predictive factors of immune checkpoint inhibitors in metastatic breast cancer: a systematic review and meta-analysis.
    Zou Y, Zou X, Zheng S, Tang H, et al · · 2020 · cited 103× · PMID 32874208 · DOI 10.1177/1758835920940928

Verify or expand the search:

Other trials of Imprime PGG

Trials testing the same drug.

Other recruiting trials for Advanced Melanoma

Currently open trials in the same condition.

Other HiberCell, Inc. trials

Trials by the same sponsor.

Verify against primary sources

Data sources for this page

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/NCT02981303.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing