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Breast CancerPhase 3STRIDENCT00925548

STRIDE - STimulating Immune Response In aDvanced brEast Cancer

A Phase 3 study testing Tecemotide (L-BLP25) and Hormonal Treatment, cyclophosphamide and sodium chloride (NaCl) in people with Breast Cancer, run by EMD Serono at 29 sites in 12 countries.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

EMD Serono has decided to permanently terminate the trial EMR 200038-010 (STRIDE) in the indication of breast cancer following the clinical hold on the investigational new drug application for tecemotide (L-BLP25). Read more about this study

Who is it for?
Ages 18 years and older, women only
Conditions the study is for
Breast Cancer
What is being tested?
Tecemotide (L-BLP25) and Hormonal Treatment, cyclophosphamide and sodium chloride (NaCl)
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
16 participants
Where
29 sitesin 12 countries
Study dates
Sep 2009to Aug 2010
Phase
Phase 3
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • Women only
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Postmenopausal women as defined in the protocol
  • Estrogen receptor (ER)-positive and/or progesterone receptor (PgR)-positive, histologically or cytologically confirmed primary carcinoma of the breast
  • Expressing at least one of the following five human leukocyte antigen (HLA) haplotypes, as centrally assessed by HLA genotyping from whole blood: HLA-A2, -A3, -A11, -B7, or -B35
  • Locally advanced, recurrent, or metastatic breast cancer (Subject must have at least one lesion not located in bone)
  • Measurable disease by Response Evaluation Criteria in Solid Tumors (RECIST), and inoperable
  • Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1
  • Adequate hematologic, hepatic, and renal function within two weeks prior to initiation of therapy, as defined by the protocol
  • Other protocol-defined inclusion criteria may apply

Who cannot join

  • Disease Status
  • PD either during hormonal therapy for early breast cancer (adjuvant therapy) or within 48 months from the initiation of such therapy
  • Human epidermal growth factor receptor 2-positive (HER2+) breast cancer as defined in the protocol
  • Autoimmune disease that in the opinion of the investigator could compromise the safety of the subject in this study (Exception will be granted for well-controlled Type I diabetes mellitus)
  • Recognized immunodeficiency disease, including cellular immunodeficiencies, hypogammaglobulinemia or dysgammaglobulinemia; hereditary or congenital immunodeficiencies
  • Past or current history of malignant neoplasm other than breast cancer (BRCA), except for curatively treated non-melanoma skin cancer, in situ carcinoma of the cervix, or other cancer curatively treated and with no evidence of disease for at least five years
Show all 26Show fewer
  • Known active Hepatitis B infection or carrier state and/or Hepatitis C infection, known Human Immunodeficiency Virus infection, or any other infectious process that in the opinion of the investigator could compromise the subject's ability to mount an immune response or could expose her to the likelihood of more and/or severe side effects
  • Pre-therapies
  • Receipt of immunotherapy (for example [e.g.], interferons; tumor necrosis factor; interleukins; growth factors granulocyte macrophage-colony stimulating factor [GM-CSF], granulocyte-colony stimulating factor [G-CSF], macrophage-colony stimulating factor [M-CSF], or monoclonal antibodies), or chemotherapy, within four weeks (28 days) prior to randomization. Note: Subjects who have received monoclonal antibodies for imaging are eligible
  • Prior receipt of investigational systemic drugs (including off-label use of approved products) or any kind of systemic treatment (chemotherapy, or immunotherapy), with the exception of hormonal therapy (HT) when given for a period not exceeding 4 weeks (28 days) prior to randomization, for treatment of inoperable, locally advanced, recurrent, or metastatic breast cancer
  • Prior radiotherapy to the site of cancer, if only one site will be used for evaluation of tumor response
  • Prior use of bisphosphonates or concurrent use while on study treatment is allowed
  • Physiological Function
  • Central nervous system disease or brain metastases, as documented by computed tomography (CT) or magnetic resonance imaging (MRI)
  • Medical or psychiatric conditions that would interfere with the ability to provide informed consent, communicate side effects, or comply with protocol requirements
  • Clinically significant cardiac disease, e.g., cardiac failure of New York Heart Association (NYHA) classes III-IV; uncontrolled angina pectoris, uncontrolled arrhythmia, uncontrolled hypertension, or myocardial infarction in the previous six months, as confirmed by an electrocardiogram (ECG)
  • Splenectomy
  • Standard Criteria
  • Need for concurrent treatment with a non-permitted therapy (e.g., concurrent chemotherapy, radiotherapy, systemic immunosuppressive drugs, use of herbal medicines or botanical formulations intended to treat cancer) while on protocol therapy. Palliative radiation to painful bone lesions is allowed
  • Participation in another clinical study within 30 days prior to randomization
  • Known hypersensitivity to the study drugs
  • Known alcohol or drug abuse
  • Legal incapacity or limited legal capacity
  • Signs and symptoms suggestive of transmissible spongiform encephalopathy, or family members who suffer(ed) from such.
  • Subject who could be regarded as "vulnerable" according to International Conference on Harmonisation (ICH) Good Clinical Practice (GCP) guidelines (e.g., the subject's willingness to volunteer in a clinical trial may be unduly influenced by the expectation, whether justified or not, of benefits associated with participation, or of a retaliatory response from senior members of a hierarchy in case of refusal to participate, plus persons kept in detention; persons in nursing homes; subjects in emergency situations; homeless persons; and nomads)
  • Any other reason that, in the opinion of the investigator, precludes the subject from participating in this study

Trial locations and contacts

29 sites in 12 countries.

29 sites in 12 countries

Germany10 sites
  • Research Site

    Chemnitz

  • Research Site

    Darmstadt

  • Research Site

    Frankfurt am Main

  • Research Site

    Hamburg

  • Research Site

    Kiel

  • Research Site

    Lübeck

  • Research Site

    München

  • Research Site

    Rostock

  • Research Site

    Tübingen

  • Research Site

    Wiesbaden

Other trials in Germany

Slovakia4 sites
  • Research Site

    Bratislava

  • Research Site

    Nitra

  • Research Site

    Poprad

  • Research Site

    Trnava

Other trials in Slovakia

Russia3 sites
  • Research Site

    Obninsk

  • Research Site

    Saint Petersburg

  • Research Site

    Tula

Other trials in Russia

Austria2 sites
  • Research Site

    Innsbruck

  • Research Site

    Salzburg

Other trials in Austria

Czechia2 sites
  • Research Site

    Pardubice

  • Research Site

    Prague

Other trials in Czechia

South Korea2 sites
  • Research Site

    Gyeonggi-do

  • Research Site

    Seoul

Other trials in South Korea

United States1 site
  • Research Site

    Hickory, North Carolina

Other trials in United States

Australia1 site
  • Research Site

    Bedford Park, SA

Other trials in Australia

Belgium1 site
  • Research Site

    Leuven

Other trials in Belgium

Israel1 site
  • Research Site

    Beer Yaakov

Other trials in Israel

Poland1 site
  • Research Site

    Opole

Other trials in Poland

South Africa1 site
  • Research Site

    Johannesburg

Other trials in South Africa

About this study

Official title: A Randomized, Double-blind, Controlled Phase III Study of Stimuvax® (L-BLP25 or BLP25 Liposome Vaccine) in Combination With Hormonal Treatment Versus Hormonal Treatment Alone for First-line Therapy of Post-menopausal Women With Estrogen Receptor (ER)-Positive and/or Progesterone Receptor (PgR)-Positive, Inoperable Locally Advanced, Recurrent, or Metastatic Breast Cancer

EMD Serono has decided to permanently terminate the trial EMR 200038-010 (STRIDE) in the indication of breast cancer following the clinical hold on the investigational new drug application for tecemotide (L-BLP25).

Read the detailed description

The purpose of the study is to determine whether the addition of the experimental mucinous glycoprotein 1 (MUC1) antigen-specific cancer immunotherapy tecemotide (L-BLP25) to hormonal treatment is effective in prolonging progression-free survival in postmenopausal women with endocrine-sensitive inoperable locally advanced, recurrent or metastatic breast cancer.

Conditions
Breast Cancer
Being tested
Tecemotide (L-BLP25) and Hormonal Treatment, Placebo of tecemotide (L-BLP25) and Hormonal Treatment, cyclophosphamide, sodium chloride (NaCl)
Keywords
Phase III trial, randomized, cancer vaccine, MUC1, BLP25, advanced breast cancer, postmenopausal breast cancer, immunotherapy of breast cancer, Inoperable locally advanced, recurrent, or metastatic endocrine-sensitive Breast Cancer
Medical subject headings
Breast Neoplasms, Recurrence

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Tecemotide (L-BLP25) and Hormonal TreatmentBiological

    Investigational Arm:

    Pretreatment (Single Dose) 300 mg/m^2 of intravenous cyclophosphamide in investigational arm to a maximum of 600 milligrams (mg).

    Primary treatment phase:

    Hormonal treatment plus 8 consecutive weekly subcutaneous vaccinations with tecemotide (L-BLP25) 1000 micrograms (actual delivered dose was 930 micrograms)* (Week 1 to 8).

    Maintenance treatment phase:

    Hormonal treatment plus vaccinations with tecemotide (L-BLP25) 1000 micrograms (actual delivered dose was 930 micrograms)* at six-week intervals beginning at Week 14 and continued until Progressive Disease (PD).

    *calculated as mass of lipopeptide (antigen)

  • Placebo of tecemotide (L-BLP25) and Hormonal TreatmentBiological

    Control Arm:

    Pretreatment (Single Dose) NaCl 9 g/L infusion as a substitute for cyclophosphamide.

    Primary treatment phase:

    Hormonal therapy plus 8 consecutive weekly subcutaneous placebo doses (Week 1 to 8).

    Maintenance treatment phase:

    Hormonal therapy plus placebo doses at six-week intervals beginning at Week 14 and continued until Progressive Disease (PD).

  • cyclophosphamideDrug

    300 mg/m^2 (to a maximum of 600 mg) of intravenous cyclophosphamide.

  • sodium chloride (NaCl)Drug

    NaCl 9 g/L infusion

Study groups in NCT00925548
Study groupRoleWhat they receive
Investigational ArmExperimentalInvestigational Arm: * Pretreatment (Single Dose): 300 milligrams per square meter (mg/m^2) up to a maximum dose of 600 mg of intravenous cyclophosphamide * tecemotide (L-BLP25) plus Hormonal Therapy (Standard Dose)
Receives: Biological: Tecemotide (L-BLP25) and Hormonal Treatment; Drug: cyclophosphamide
Control ArmActive comparatorControl Arm: * Pretreatment (Single Dose): sodium chloride (NaCl) 9 grams per liter (g/L) infusion * Placebo plus Hormonal Therapy (Standard Dose)
Receives: Biological: Placebo of tecemotide (L-BLP25) and Hormonal Treatment; Drug: sodium chloride (NaCl)

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Progression-Free Survival (PFS)

    PFS was defined as the duration from randomization to first observation of progressive disease (PD) as confirmed by the independent radiological review or death.

    Measured: Time from randomization to disease progression, death or last tumor assessment, reported between day of first participant randomized i.e. 30 Sep 2009, until end of trial i.e. 27 Aug 2010

Secondary outcomes (10)
  1. Overall Survival (OS) Time

    OS time was defined as the time from randomization to death. Participants without event were to be censored at the last date known to be alive or at the clinical cut-off date, whichever was earlier.

    Measured: Time from randomization to death or last day known to be alive reported between day of first participant randomized i.e. 30 Sep 2009, until end of trial i.e. 27 Aug 2010

  2. Percentage of Participants With Objective Tumor Response

    Percentage of participants with objective tumor response was to be reported. An objective response (OR) was defined as a participant having a best overall response of either confirmed complete response (CR) or confirmed partial response (PR) according to Response Evaluation Criteria in Solid Tumors Version 1.0 (RECIST 1.0) as assessed by independent radiological review.

    Measured: Randomization until the date of first documented progression, until end of trial i.e. 27 Aug 2010

  3. Duration of Response

    Duration of response is defined as the time from the first assessment of CR or PR until the date of the first occurrence of PD, or until the date of death.

    Measured: Time from first assessment of CR or PR until PD, death or last tumor assessment, reported between day of first participant randomized i.e. 30 Sep 2009, until end of trial i.e. 27 Aug 2010

  4. Percentage of Participants With Clinical Benefit

    Clinical Benefit is defined as having achieved at least disease stabilization; that is participants with confirmed CR, PR, or stable disease (SD,) lasting for at least 22 weeks.

    Measured: Randomization until the date of first documented progression assessed up to end of trial i.e. 27 Aug 2010

  5. Time to Progression (TTP)

    TTP is defined as the time from date of randomization to the date of radiological diagnosis of PD (censoring for death without progression).

    Measured: Time from randomization to PD, reported between day of first participant randomized i.e. 30 Sep 2009, until end of trial i.e. 27 Aug 2010

  6. Time to Chemotherapy

    Time to chemotherapy is defined as the time from date of randomization to the start date of chemotherapy.

    Measured: Time from randomization to start of chemotherapy, reported between day of first participant randomized i.e. 30 Sep 2009, until end of trial i.e. 27 Aug 2010

  7. Functional Assessment of Cancer Therapy-Breast (FACT-B) Questionnaire

    FACT-B questionnaire consists of 36 questions; 7 in physical well-being (PWB); 7 in social well-being (SWB); 6 in emotional well-being (EWB); 7 in functional well-being (FWB); 9 in breast cancer subscale (BCS). Trial outcome Index (TOI) was calculated by the sum of the physical well-being (PWB), functional well-being (FWB), and breast cancer scale (BCS) subscales of FACT-B. Total score of subscores or TOI is calculated from each score of question. Higher score means better and lower score means worthier. Score range; 0-28 in PWB; 0-28 in SWB; 0-24 in EWB; 0-28 in FWB; 0-36 in BCS; 0-92 in TOI.

    Measured: Baseline, Week 9, 20, 32, 44 and end of trial visit

  8. European Questionnaire-5 Dimensions (EQ-5D) Questionnaire

    EQ-5D questionnaire is a measure of health status that provides a simple descriptive profile and a single index value. The optional part of the questionnaire was not applied. EQ-5D defines health in terms of mobility, self-care, usual activities, pain/discomfort and anxiety/depression. The 5 items are combined to generate health profiles. These profiles were to be converted to a continuous single index score using a one to one matching. The lowest possible score is -0.59 and the highest is 1.00. Higher scores on the EQ-5D represent a better quality of life (QoL) and lower scores on the EQ-5D represent a worst QoL.

    Measured: Baseline, Week 9, 20, 32, 44 and end of trial visit

  9. Number of Participant Utilizing Healthcare Resources

    Healthcare Resource Utilization (HRU) parameters included direct medical resources (e.g., nonscheduled procedures, unplanned hospitalization, outpatient visits), nonmedical resources (e.g., travel, paid and unpaid assistance), and occupational resources (e.g., occupational changes and concerns).

    Measured: Randomization up to end of trial visit

  10. Serum Carcinoma Antigen (CA) 15-3 Levels

    CA 15-3 is a serum marker for breast cancer which is a possible measure for immune response.

    Measured: Baseline, Week 5, 9, 20, 32, 44 and end of trial visit

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted22 Jun 2009 (estimated)
  2. Study startSep 2009
  3. Primary completionAug 2010
  4. Study completionAug 2010

Why it stopped: See termination reason in the below Purpose statement

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
16 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00925548
Sponsor's protocol ID
EMR 200038-010
Other IDs
2008-005544-17, 2008
Acronym
STRIDE
Status last verified
Jul 2014
First submitted
17 Jun 2009
Last updated
24 Jul 2014
Data monitoring committee
Yes

Publications

  • Gorodetska I, Samusieva A, Lahuta T, Ponomarova O, Socha O, Kozeretska I. Exploring New Frontiers: Alternative Breast Cancer Treatments Through Glycocalyx Research. Breast J. 2025 May 22;2025:9952727. doi: 10.1155/tbj/9952727. eCollection 2025.

    PubMed 40443562

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Tecemotide (L-BLP25) and Hormonal Treatment, cyclophosphamide and sodium chloride (NaCl) in people with Breast Cancer, run by EMD Serono at 29 sites in 12 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 8 inclusion and 26 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: stopped early, as of the sponsor's last update on 24 Jul 2014. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 29 sites in Germany, Slovakia, Russia, Austria, Czechia and 7 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 24 Jul 2014). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Progression-Free Survival (PFS) (time frame: Time from randomization to disease progression, death or last tumor assessment, reported between day of first participant randomized i.e. 30 Sep 2009, until end of trial i.e. 27 Aug 2010). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT00925548, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 24 Jul 2014.

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