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NCT04095689: INTEGRAL

Docetaxel Chemotherapy and Pembrolizumab Plus Interleukin-12 Gene Therapy in Triple Negative Breast Cancer

Terminated Phase 2 Results posted Last updated 23 January 2026
What this trial tests

Phase 2 trial testing Docetaxel in Triple Negative Breast Cancer in 8 participants. Terminated before completion.

Timeline
12 May 2021
Primary endpoint
3 June 2024
3 June 2024

Quick facts

Lead sponsorThe Methodist Hospital Research Institute
PhasePhase 2
StatusTerminated
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment8
Start date12 May 2021
Primary completion3 June 2024
Estimated completion3 June 2024
Sites1 location across United States

Drugs / interventions tested

Conditions studied

Sponsor

The Methodist Hospital Research Institute

Who can join

18 and older, female only, with Triple Negative Breast Cancer or Anthracycline-refractory TNBC. 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.

Pathological Complete Response (pCR) Rate of Docetaxel Chemotherapy and Pembrolizumab Plus IL-12 Gene Therapy Primary · 18 weeks

To determine the pCR rate of docetaxel chemotherapy and pembrolizumab plus IL-12 gene therapy in patients with TNBC per RECIST v1.1 assessed by CT Scan or MRI. CR: Disappearance of all target lesions. PR: at least a 30% decrease in the sum of the longest diameter of target lesions, using the baseline sum longest diameter as a reference. SD: Neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD, using the smallest sum longest diameter as a reference. PD: At least a greater than or equal to 20% increase in the sum of the longest dimensions of the target lesions

GroupValue95% CI
Experimental1
Number of Participants With Treatment-related Adverse Events Secondary · 18 weeks

To determine the number of participants with treatment-related adverse events, as assessed by the National Cancer Institute Common Terminology Criteria for Adverse Events v5.0

GroupValue95% CI
Experimental8

Adverse events — posted to ClinicalTrials.gov

Time frame: At the time of informed consent through 90 days after last treatment dose, approximately 26 weeks (28 Days through screening + 4 - 21 day cycles + 90 days after last treatment dose on cycle 4 day 1). Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Experimental
Serious: 6/8 (75%)
Deaths: 2/8

Serious adverse events (8 terms)

ReactionSystemExperimental
Ferbile NeutropeniaBlood and lymphatic system disorders
SepsisInfections and infestations
Hepatic Biliary disorders, other (Hepatic Toxicity)Hepatobiliary disorders
FatigueGeneral disorders
Aspartate aminotransferase increased (Transaminitis)Investigations
DyspneaRespiratory, thoracic and mediastinal disorders
ThromboembolismVascular disorders
Right Breast HematomaVascular disorders
Other adverse events (31 terms — click to expand)

ReactionSystemExperimental
FatigueGeneral disorders
FeverGeneral disorders
Bone PainMusculoskeletal and connective tissue disorders
ChillsGeneral disorders
ConstipationGastrointestinal disorders
DiarrheaGastrointestinal disorders
Mucositis oralGastrointestinal disorders
Peripheral Sensory NeuropathyNervous system disorders
Alanine aminotransferase increasedInvestigations
Aspartate aminotransferase increasedInvestigations
HeadacheNervous system disorders
DyspneaRespiratory, thoracic and mediastinal disorders
Edema LimbsGeneral disorders
TachycardiaCardiac disorders
Gastroesophageal reflux diseaseGastrointestinal disorders
ArthralgiaMusculoskeletal and connective tissue disorders
Nail DiscolorationSkin and subcutaneous tissue disorders
HyponatremiaMetabolism and nutrition disorders
HypotensionVascular disorders
Breast Infection (Left)Infections and infestations
DysgeusiaNervous system disorders
NauseaGastrointestinal disorders
Ocular MigraineNervous system disorders
PancytopeniaBlood and lymphatic system disorders
Right Axillary PainMusculoskeletal and connective tissue disorders
Right Leg DiscolorationSkin and subcutaneous tissue disorders
Dry SkinSkin and subcutaneous tissue disorders
Skin InfectionInfections and infestations
Upper Respiratory InfectionInfections and infestations
Urinary tract infectionInfections and infestations
VomitingGastrointestinal disorders

Most-reported serious reactions: Ferbile Neutropenia, Sepsis, Hepatic Biliary disorders, other (Hepatic Toxicity), Fatigue, Aspartate aminotransferase increased (Transaminitis), Dyspnea, Thromboembolism, Right Breast Hematoma.

Data from ClinicalTrials.gov NCT04095689 adverse events section.

Sponsor's own description

The purpose of this research study is to test the safety and effectiveness of docetaxel chemotherapy and pembrolizumab plus adenoviral-mediated interleukin-12 (ADV/IL-12) gene therapy in patients with anthracycline-refractory, triple negative breast cancer (TNBC).

Publications & conference data

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

  1. Recent advances in therapeutic strategies for triple-negative breast cancer.
    Li Y, Zhang H, Merkher Y, Chen L, et al · · 2022 · cited 643× · PMID 36038913 · DOI 10.1186/s13045-022-01341-0
  2. Advancements in clinical aspects of targeted therapy and immunotherapy in breast cancer.
    Ye F, Dewanjee S, Li Y, Jha NK, et al · · 2023 · cited 361× · PMID 37415164 · DOI 10.1186/s12943-023-01805-y
  3. Type I interferon-mediated tumor immunity and its role in immunotherapy.
    Yu R, Zhu B, Chen D. · · 2022 · cited 229× · PMID 35292881 · DOI 10.1007/s00018-022-04219-z
  4. 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
  5. Harnessing natural killer cells for cancer immunotherapy: dispatching the first responders.
    Maskalenko NA, Zhigarev D, Campbell KS. · · 2022 · cited 174× · PMID 35314852 · DOI 10.1038/s41573-022-00413-7
  6. Viral vector-based gene therapies in the clinic.
    Zhao Z, Anselmo AC, Mitragotri S. · · 2022 · cited 171× · PMID 35079633 · DOI 10.1002/btm2.10258
  7. Inflammatory Cytokines in Cancer: Comprehensive Understanding and Clinical Progress in Gene Therapy.
    Lan T, Chen L, Wei X. · · 2021 · cited 160× · PMID 33429846 · DOI 10.3390/cells10010100
  8. Current Advances of Nitric Oxide in Cancer and Anticancer Therapeutics.
    Mintz J, Vedenko A, Rosete O, Shah K, et al · · 2021 · cited 103× · PMID 33513777 · DOI 10.3390/vaccines9020094

Verify or expand the search:

Other trials of Docetaxel

Trials testing the same drug.

Other recruiting trials for Triple Negative Breast Cancer

Currently open trials in the same condition.

Other The Methodist Hospital Research Institute trials

Trials by the same sponsor.

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