The goal of this supplement award is to provide supplemental support for the sample processing and polypeptide vaccine (NSC 804336) manufacture for patients enrolled in NCI protocol #10146. This is a CTEP sponsored protocol with the primary objective to evaluate the clinical response to nab-paclitaxel + MEDI4736 (durvalumab) + neoantigen vaccine (Arm 1) vs. nab-paclitaxel + MEDI4736 (durvalumab) (Arm 2) in patients with metastatic triple negative breast cancer (TNBC). The primary endpoint is progression-free survival (PFS) which is defined as time from the initiation of Part B to progression or death. The secondary objective is to evaluate the safety of nab-paclitaxel + MEDI4736 (durvalumab) + neoantigen vaccine vs. nab-paclitaxel + MEDI4736 (durvalumab) in patients with metastatic TNBC. Safety will be assessed by clinical evaluation (CTCAE v. 5.0). Other secondary endpoints include clinical response (RECIST FOLQLFDO EHQHILW UDWH &5 35 RU 6' DW PRQWKV DQG RYHUDOO VXUYLYDO 26 Washington University will oversee the design, production and release of the investigational neoantigen vaccine agent (NSC 804336) to clinical sites for administration to patients enrolled in the NCI protocol #10146.

Public Health Relevance

Washington University will oversee the design, production and release of the investigational neoantigen vaccine agent (NSC 804336) to clinical sites for administration to patients enrolled in the NCI protocol #10146. This CTEP trial, ?Randomized phase 2 clinical trial of nab-paclitaxel + MEDI4736 (durvalumab) + neoantigen vaccine vs. nab-paclitaxel + MEDI4736 (durvalumab) in patients with metastatic triple negative breast cancer?, is designed to evaluate the efficacy and safety for the synthetic polypeptide neoantigen vaccine strategy in combination with a checkpoint blockade therapy and chemotherapy versus checkpoint blockade therapy and chemotherapy alone.

Agency
National Institute of Health (NIH)
Institute
National Cancer Institute (NCI)
Type
Research Project with Complex Structure Cooperative Agreement (UM1)
Project #
3UM1CA186704-05S1
Application #
9830184
Study Section
Special Emphasis Panel (ZCA1)
Program Officer
Ivy, S Percy
Project Start
2014-04-04
Project End
2021-02-28
Budget Start
2019-03-01
Budget End
2021-02-28
Support Year
5
Fiscal Year
2019
Total Cost
Indirect Cost
Name
Duke University
Department
Internal Medicine/Medicine
Type
Schools of Medicine
DUNS #
044387793
City
Durham
State
NC
Country
United States
Zip Code
27705
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