STEMVAC Vaccine for Breast Cancer

RC
Overseen ByResearch Coordinator(s)
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)
Prior Safety DataThis treatment has passed at least one previous human trial

What You Need to Know Before You Apply

What is the purpose of this trial?

This phase II trial evaluates whether a multi-antigen vaccine called STEMVAC improves disease-free survival after surgery in patients with triple-negative breast cancer (TNBC) and moderate or extensive residual cancer burden. TNBC has an aggressive clinical course and poorer disease-free survival compared to other subtypes. While patients who have no remaining tumor in the breast or lymph nodes after surgery have excellent long-term outcomes, patients with moderate or extensive residual cancer burden remain at high risk for early disease return and poorer prognosis. STEMVAC is designed to target proteins that tumor cells use when they become more aggressive and start to spread, and it is believed to work by boosting the immune system to recognize and destroy the invader tumor cells that are causing the disease. Giving STEMVAC after surgery may improve disease-free survival rates in TNBC patients with moderate or extensive residual cancer burden.

Who Is on the Research Team?

NH

Natasha Hunter, MD

Principal Investigator

Fred Hutch/University of Washington Cancer Consortium

Are You a Good Fit for This Trial?

This trial is for adults with triple-negative breast cancer who still have moderate or extensive cancer left after standard chemotherapy and surgery. Participants must be in good general health, not pregnant or breastfeeding, and cannot have certain heart conditions, autoimmune diseases needing treatment, or active infections like HIV or hepatitis.

Inclusion Criteria

Residual cancer burden (RCB) index 2 or 3 as calculated per routine anatomic pathology clinical standards
I am planning to receive standard follow-up therapy after my main treatment.
My breast cancer is triple-negative.
See 18 more

Exclusion Criteria

I have had major surgery within the last 4 weeks.
Pregnant or breastfeeding
I have an autoimmune disease that needs ongoing medication.
See 6 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Patients receive STEMVAC with GM-CSF or GM-CSF alone intradermally every 3 weeks for 3 doses, followed by booster vaccines at 9 weeks and 18 weeks after the third dose

18 weeks
5 visits (in-person)

Follow-up

Participants are monitored for safety and effectiveness after treatment, with follow-up visits every 6 months for 3 years

3 years
Biannual visits

What Are the Treatments Tested in This Trial?

Interventions

  • CD105/Yb-1/SOX2/CDH3/MDM2-polyepitope Plasmid DNA Vaccine
  • Recombinant Granulocyte-Macrophage Colony-Stimulating Factor

Trial Overview

The study tests a new vaccine called STEMVAC (with GM-CSF) given after surgery to see if it helps prevent the return of triple-negative breast cancer. All participants will also receive standard follow-up care. The trial randomly assigns patients to groups.

How Is the Trial Designed?

2

Treatment groups

Experimental Treatment

Active Control

Group I: Arm A (STEMVAC, GM-CSF)Experimental Treatment3 Interventions
Group II: Arm B (GM-CSF)Active Control2 Interventions

Find a Clinic Near You

Who Is Running the Clinical Trial?

University of Washington

Lead Sponsor

Trials
1,858
Recruited
2,023,000+

United States Department of Defense

Collaborator

Trials
940
Recruited
339,000+