ChordomaPhase 1NCT04246671
TAEK-VAC-HerBy Vaccine for Brachyury and HER2 Expressing Cancer
A Phase 1 study testing TAEK-VAC-HerBy in people with Chordoma and HER2-positive Breast Cancer, run by Bavarian Nordic at 9 sites in United States.
Trial summary
A Phase 1 open label trial of intravenous administration of TAEK-VAC-HerBy vaccine in patients with advanced brachyury and/or HER2- expressing cancer. The study will be completed in 2 stages. In Stage 1 patients will be enrolled and treated according to a 3+3 dose escalation scheme. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Chordoma, HER2-positive Breast Cancer
- What is being tested?
- TAEK-VAC-HerBy
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 37 participants
- Where
- 9 sitesUnited States
- Study dates
- 10 Aug 2020to 11 Dec 2024
- Phase
- Phase 1
- Are there results?
- None posted in the registry
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
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- General inclusion criteria, apply to all cohorts:
- Men and women ≥18 years old.
- Patients must have histologically documented malignant tumor which is unresectable locally advanced or metastatic.
- ECOG performance status 0 or 1
- Patients must have normal organ and bone marrow function as defined in the protocol.
- Normal left ventricular ejection fraction (LVEF) ≥50%.
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- Troponin I within normal limits.
- A maximum cumulative dose of prior doxorubicin ≤360 mg/m2 or epirubicin ≤720 mg/m2
- Any approved cancer therapy (except HER2 antibodies) must be completed at least 3 weeks or 5 half-lives for small molecule inhibitors, whichever is shorter, prior to the first planned dose of TVH vaccine.
- HER-2 positive cancer: Patients are required to be on active treatment with HER2 antibodies (trastuzumab) prior to and during study treatment.
- Chordoma patients with progressive extracranial chordoma (base of skull is permitted) not amenable for surgical resection with curative intent, nor for radiation therapy will be enrolled.
- Patients must have recovered (Grade 1 or baseline) from any clinically significant toxicity associated with prior therapy.
- Patients must have measurable disease by computed tomography (CT) or magnetic resonance imaging (MRI) per RECIST 1.1.
Who cannot join
- Known metastatic disease to the central nervous system, unless previously treated and responded with a minimum stable disease over 2 CT scans separated at least 4 weeks from each other, and more than 6 weeks since the last dose of dexamethasone.
- History of allergy or untoward reaction to prior vaccination with vaccinia virus, aminoglycoside antibiotics, ciprofloxacin, or egg products.
- Subjects should have no known evidence of being immunocompromised.
- Chronic administration (defined as >5 consecutive days of >15 mg of prednisone (or equivalent) per day) of systemic corticosteroids within 14 days of the first planned dose of TAEK-VAC-HerBy vaccine. Use of inhaled steroids, nasal sprays, eye drops, and topical creams is allowed. Steroids premedication for CT scans is allowed.
- Clinically significant cardiomyopathy, coronary disease, congestive heart failure (NYHA class III or IV) or reduced as per institutional standards LVEF, poorly controlled hypertension (systolic >180 mm Hg or diastolic >100 mm Hg) or cerebrovascular accident within 1 year.
- Known history of, or any evidence of active, non-infectious pneumonitis or primary pulmonary fibrosis.
Trial locations and contacts
9 sites in 1 country.
9 sites in 1 country
United States9 sites
Georgia Cancer Center Augusta University
Augusta, Georgia, 30912
Massachusetts General Hospital
Boston, Massachusetts, 02114
Mayo Clinic - Jacksonville
Jacksonville, Florida, 32224
Providence Cancer Institute
Portland, Oregon, 97213
Mayo Clinic - Rochester
Rochester, Minnesota, 55905
Providence Saint John's Health Center
Santa Monica, California, 90404
Mayo Clinic - Phoenix
Scottsdale, Arizona, 85054
University of Washington
Seattle, Washington, 98109
H. Lee Moffitt Cancer Center
Tampa, Florida, 33612
About this study
Official title: Phase 1 Trial of Intravenous Administration of TAEK-VAC-HerBy Vaccine Alone and in Combination With HER2 Antibodies in Patients With Advanced Cancer.
A Phase 1 open label trial of intravenous administration of TAEK-VAC-HerBy vaccine in patients with advanced brachyury and/or HER2- expressing cancer. The study will be completed in 2 stages. In Stage 1 patients will be enrolled and treated according to a 3+3 dose escalation scheme. Up to 4 dose levels will be explored to determine the recommended dose of TAEK-VAC-HerBy for Stage 2 of the trial. Stage 2 will enroll either chordoma patients for treatment with TAEK-VAC-HerBy alone, or HER2- positive breast cancer patients for combination treatment of TAEK-VAC-HerBy vaccine and therapeutic HER2 antibodies (trastuzumab). Patients in both stages will receive TAEK-VAC-HerBy intravenously, every three weeks, three administrations in total.
- Conditions
- Chordoma, HER2-positive Breast Cancer
- Being tested
- TAEK-VAC-HerBy
- Keywords
- Brachyury, HER2-expessing cancer
- Medical subject headings
- Chordoma
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
TAEK-VAC-HerByBiological
TAEK-VAC-HerBy will be administered intravenously every three weeks with three administrations in total at the dose defined in stage 1. During stage 2, it may also be administered concurrently with a HER2 antibody(ies) (trastuzumab, pertuzumab).
| Study group | Role | What they receive |
|---|---|---|
| Stage 1 dose escalation: TAEK-VAC-HerBy (1x10E7 Inf.U) | Experimental | TAEK-VAC-HerBy will be administered intravenously every three weeks with three administrations in total at the dose level 1x10E7 Inf.U. Receives: Biological: TAEK-VAC-HerBy |
| Stage 1 dose escalation: TAEK-VAC-HerBy (1x10E8 Inf.U) | Experimental | TAEK-VAC-HerBy will be administered intravenously every three weeks with three administrations in total at the dose level 1x10E8 Inf.U. Receives: Biological: TAEK-VAC-HerBy |
| Stage 1 dose escalation: TAEK-VAC-HerBy (1x10E9 Inf.U) | Experimental | TAEK-VAC-HerBy will be administered intravenously every three weeks with three administrations in total at the dose level 1x10E9 Inf.U. Receives: Biological: TAEK-VAC-HerBy |
| Stage 1 dose escalation: TAEK-VAC-HerBy (1x10E10 Inf.U) | Experimental | TAEK-VAC-HerBy will be administered intravenously every three weeks with three administrations in total at the dose level 1x10E10 Inf.U. Receives: Biological: TAEK-VAC-HerBy |
| Stage 2: Chordoma Cancer Cohort | Experimental | TAEK-VAC-HerBy will be administered intravenously every three weeks with three administrations in total at the dose level defined in stage 1. Receives: Biological: TAEK-VAC-HerBy |
| Stage 2: HER2-positive Breast Cancer Cohort (Trastuzumab + TAEK-VAC-HerBy) | Experimental | TAEK-VAC-HerBy will be administered intravenously to patients who are on stable dose of trastuzumab, every three weeks with three administrations in total at the dose defined in stage 1. Receives: Biological: TAEK-VAC-HerBy |
What is being measured
The primary outcome is the main question the study is designed to answer.
Patients with Dose Limiting Toxicity (DLT)
Frequency of patients with DLTs
Measured: DLT evaluation period is 30 days after the last vaccine dose
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted29 Jan 2020
- Study start10 Aug 2020
- Primary completion17 Feb 2024
- Study completion11 Dec 2024
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for ChordomaStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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 1
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Sequential
- Masking
- None (open label)
- Enrolment
- 37 participants (actual)
Sponsor and investigators
- Lead sponsor
- Bavarian Nordic
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Mary (Nora) L Disis, MD, Principal investigator, University of Washington Medicine Seattle
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04246671
- Sponsor's protocol ID
- TAEK-VAC-HerBy-001
- Status last verified
- Feb 2025
- First submitted
- 24 Jan 2020
- Last updated
- 3 Mar 2025
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
Publications
Wedekind MF, Widemann BC, Cote G. Chordoma: Current status, problems, and future directions. Curr Probl Cancer. 2021 Aug;45(4):100771. doi: 10.1016/j.currproblcancer.2021.100771. Epub 2021 Jul 1.
PubMed 34266694
Study at a glance
From the registry record, last updated by the sponsor on 3 Mar 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Phase 1 Trial of Intravenous Administration of TAEK-VAC-HerBy Vaccine Alone and in Combination With HER2 Antibodies in Patients With Advanced Cancer.
- ClinicalTrials.gov ID
- NCT04246671
- Acronym / sponsor ID
- TAEK-VAC-HerBy-001
- Conditions
- Chordoma, HER2-positive Breast Cancer
- Keywords
- Brachyury, HER2-expessing cancer
- Phase
- Phase 1
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 37 participants (actual)
- Lead sponsor
- Bavarian NordicIndustry (pharma, biotech, devices)
- Study start
- 10 Aug 2020 (actual)
- Primary completion
- 17 Feb 2024 (actual)
- Study completion
- 11 Dec 2024 (actual)
- First posted
- 29 Jan 2020 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
A Phase 1 open label trial of intravenous administration of TAEK-VAC-HerBy vaccine in patients with advanced brachyury and/or HER2- expressing cancer. The study will be completed in 2 stages. In Stage 1 patients will be enrolled and treated according to a 3+3 dose escalation scheme. Up to 4 dose levels will be explored to determine the recommended dose of TAEK-VAC-HerBy for Stage 2 of the trial. Stage 2 will enroll either chordoma patients for treatment with TAEK-VAC-HerBy alone, or HER2- positive breast cancer patients for combination treatment of TAEK-VAC-HerBy vaccine and therapeutic HER2 antibodies (trastuzumab). Patients in both stages will receive TAEK-VAC-HerBy intravenously, every three weeks, three administrations in total.
Study design
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Sequential
- Masking
- None (open label)
- Number of arms
- 6
| Arm | Type | Receives |
|---|---|---|
| Stage 1 dose escalation: TAEK-VAC-HerBy (1x10E7 Inf.U) | Experimental | Biological: TAEK-VAC-HerByTAEK-VAC-HerBy will be administered intravenously every three weeks with three administrations in total at the dose level 1x10E7 Inf.U. |
| Stage 1 dose escalation: TAEK-VAC-HerBy (1x10E8 Inf.U) | Experimental | Biological: TAEK-VAC-HerByTAEK-VAC-HerBy will be administered intravenously every three weeks with three administrations in total at the dose level 1x10E8 Inf.U. |
| Stage 1 dose escalation: TAEK-VAC-HerBy (1x10E9 Inf.U) | Experimental | Biological: TAEK-VAC-HerByTAEK-VAC-HerBy will be administered intravenously every three weeks with three administrations in total at the dose level 1x10E9 Inf.U. |
| Stage 1 dose escalation: TAEK-VAC-HerBy (1x10E10 Inf.U) | Experimental | Biological: TAEK-VAC-HerByTAEK-VAC-HerBy will be administered intravenously every three weeks with three administrations in total at the dose level 1x10E10 Inf.U. |
| Stage 2: Chordoma Cancer Cohort | Experimental | Biological: TAEK-VAC-HerByTAEK-VAC-HerBy will be administered intravenously every three weeks with three administrations in total at the dose level defined in stage 1. |
| Stage 2: HER2-positive Breast Cancer Cohort (Trastuzumab + TAEK-VAC-HerBy) | Experimental | Biological: TAEK-VAC-HerByTAEK-VAC-HerBy will be administered intravenously to patients who are on stable dose of trastuzumab, every three weeks with three administrations in total at the dose defined in stage 1. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (13 listed)
- Men and women ≥18 years old.
- Patients must have histologically documented malignant tumor which is unresectable locally advanced or metastatic.
- ECOG performance status 0 or 1
- Patients must have normal organ and bone marrow function as defined in the protocol.
- Normal left ventricular ejection fraction (LVEF) ≥50%.
Key exclusion criteria (6 listed)
- Known metastatic disease to the central nervous system, unless previously treated and responded with a minimum stable disease over 2 CT scans separated at least 4 weeks from each other, and more than 6 weeks since the last dose of dexamethasone.
- History of allergy or untoward reaction to prior vaccination with vaccinia virus, aminoglycoside antibiotics, ciprofloxacin, or egg products.
- Subjects should have no known evidence of being immunocompromised.
- Chronic administration (defined as >5 consecutive days of >15 mg of prednisone (or equivalent) per day) of systemic corticosteroids within 14 days of the first planned dose of TAEK-VAC-HerBy vaccine. Use of inhaled steroids, nasal sprays, eye drops, and topical creams is allowed. Steroids premedication for CT scans is allowed.
- Clinically significant cardiomyopathy, coronary disease, congestive heart failure (NYHA class III or IV) or reduced as per institutional standards LVEF, poorly controlled hypertension (systolic >180 mm Hg or diastolic >100 mm Hg) or cerebrovascular accident within 1 year.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| TAEK-VAC-HerByTAEK-VAC-HerBy will be administered intravenously every three weeks with three administrations in total at the dose defined in stage 1. During stage 2, it may also be administered concurrently with a HER2 antibody(ies) (trastuzumab, pertuzumab). | Biological | Stage 1 dose escalation: TAEK-VAC-HerBy (1x10E10 Inf.U), Stage 1 dose escalation: TAEK-VAC-HerBy (1x10E7 Inf.U), Stage 1 dose escalation: TAEK-VAC-HerBy (1x10E8 Inf.U), Stage 1 dose escalation: TAEK-VAC-HerBy (1x10E9 Inf.U), Stage 2: Chordoma Cancer Cohort, Stage 2: HER2-positive Breast Cancer Cohort (Trastuzumab + TAEK-VAC-HerBy) |
Primary outcome
Patients with Dose Limiting Toxicity (DLT)
Time frame: DLT evaluation period is 30 days after the last vaccine dose
Frequency of patients with DLTs
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 3 Mar 2025.
- Derived from this study: PubMed 34266694Wedekind MF, Widemann BC, Cote G. Chordoma: Current status, problems, and future directions. Curr Probl Cancer. 2021 Aug;45(4):100771. doi: 10.1016/j.currproblcancer.2021.100771. Epub 2021 Jul 1.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Mary (Nora) L Disis, MD principal investigator
University of Washington Medicine Seattle
9 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 1 study testing TAEK-VAC-HerBy in people with Chordoma and HER2-positive Breast Cancer, run by Bavarian Nordic at 9 sites in United States.
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 13 inclusion and 6 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: finished, as of the sponsor's last update on 3 Mar 2025. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 9 sites in United States. 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 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
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?
Patients with Dose Limiting Toxicity (DLT) (time frame: DLT evaluation period is 30 days after the last vaccine dose). 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 NCT04246671, 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 3 Mar 2025.