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Non Small Cell Lung CancerPhase 1NCT04432207

A Study of IMU-201 (PD1-Vaxx), a B-Cell Immunotherapy, in Adults With Non-Small Cell Lung Cancer

A Phase 1 study testing IMU-201 (administered as PD1-Vaxx) - Regimen 1, IMU-201 (administered as PD1-Vaxx) - Regimen 2 and IMU-201 (administered as PD1-Vaxx) - Regimen 3 in people with Non Small Cell Lung Cancer and Non Small Cell Lung Cancer Stage IIIB, run by Imugene Limited at 6 sites in 2 countries.

Terminated

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

Official record
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Trial summary

An Open Label, Multi-Center, Dose Escalation/Expansion, Phase 1/1b Study of IMU 201 (PD1-Vaxx), a B-Cell Immunotherapy as monotherapy or in combination with atezolizumab with or without chemotherapy, in Adults with Non-Small Cell Lung Cancer (IMPrinter). Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
IMU-201 (administered as PD1-Vaxx) - Regimen 1, IMU-201 (administered as PD1-Vaxx) - Regimen 2 and IMU-201 (administered as PD1-Vaxx) - Regimen 3
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
24 participants
Where
6 sitesin 2 countries
Study dates
30 Nov 2020to 7 Nov 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

  • Age ≥ 18 years with histologically confirmed non-small-cell lung cancer (NSCLC) tumor stage IIIb not eligible for definitive treatment or stage IV
  • Prior treatment criterion for Monotherapy dose escalation and expansion: progressed on/after prior PD-1/PD-L1 containing regimen
  • Prior treatment criteria for Combination dose escalation arms:
  • IMU-201 + atezolizumab, patients naïve to prior treatment or progressed on/after prior PD-1/PD-L1 containing regimen
  • IMU-201 + atezolizumab + chemotherapy, patient naïve to prior treatment naive
  • Prior treatment criteria for Combination dose expansion arms:
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  • IMU-201 + atezolizumab, progressed on/after prior PD-1/PD-L1 containing regimen
  • IMU-201 + atezolizumab, patients naïve to prior treatment
  • IMU-201 + atezolizumab + chemotherapy, patients naïve to prior treatment
  • PD-L1 expression criteria (testing by 22C3, SP142, or SP263) for Monotherapy dose escalation and expansion: TPS/TC ≥ 50% or IC ≥ 10%. Patients with PD-L1 TPS/TC<50% or IC<10% expression may be included with agreement of Sponsor
  • PD-L1 expression criteria for Combination dose escalation arms:
  • IMU-201 + atezolizumab, TPS/TC ≥ 50% or IC ≥ 10%
  • IMU-201 + atezolizumab + chemotherapy, independent of PD-L1 expression
  • PD-L1 expression criteria for Combination dose expansion arms:
  • IMU-201 + atezolizumab, TPS/TC ≥ 50% or IC ≥ 10%
  • IMU-201 + atezolizumab, TPS/TC ≥ 50% or IC ≥ 10%
  • IMU-201 + atezolizumab + chemotherapy, independent of PD-L1 expression
  • Life expectancy of at least 12 weeks in the opinion of the Investigator
  • Zubrod/ECOG score performance status 0-1
  • At least one measurable lesion as defined by RECIST 1.1 criteria.
  • Adequate hematologic, liver, and renal function

Who cannot join

  • Prior therapy for advanced NSCLC within 3 weeks prior to Day 1;
  • Continuous systemic treatment with either corticosteroids (> 10 mg daily prednisone equivalents) or other immunosuppressive medications within 2 weeks prior to first dose of study treatment.;
  • Any previous grade 3 or higher toxicity to a PD-1 inhibitor or PD-L1 inhibitor;
  • Has a history of (non-infectious) pneumonitis/interstitial lung disease that required treatment with immunosuppressive agents or has current pneumonitis/interstitial lung disease;
  • Known brain metastases requiring steroid treatment, or signs and symptoms indicating suspected brain metastases;
  • Current or previous history of auto-immune disease;
Show all 15Show fewer
  • NSCLC expressing epidermal growth factor receptor (EGFR), anaplastic lymphoma kinase (ALK), B-Raf proto-oncogene (BRAF) or ROS proto-oncogene 1 (ROS1) mutations who have not received appropriate therapies targeting these mutations and progress (if treatments are not available, patients who have NOT received appropriate therapies may be enrolled);
  • Prior organ transplant;
  • Concurrent active malignancy except for adequately controlled limited basal cell carcinoma of the skin;
  • History of uncontrolled seizures, central nervous disorders, or psychiatric disability judged by the Investigator to be clinically significant and precluding informed consent, participation in the study, or adversely affecting compliance to study drugs;
  • Active infection requiring intravenous antibiotics;
  • Known history of human immunodeficiency virus (HIV) infection or Hepatitis B (defined as Hepatitis B surface antigen [HBsAg] reactive) or known active Hepatitis C virus (defined as HCV Ribonucleic acid (RNA) [qualitative] is detected) infection;
  • Major surgery within 4 weeks prior to study entry. Minor surgery (excluding diagnostic biopsy) within 1 week prior to study entry;
  • Any vaccination within 2 weeks prior to starting study treatment;
  • Treatment with any investigational drug or participation in another investigational study within 3 weeks prior to first IMU-201 dose.

Trial locations and contacts

6 sites in 2 countries.

6 sites in 2 countries

United States3 sites
  • Ohio State University Medical Center

    Columbus, Ohio, 43210

  • Hackensack University Medical Center

    Hackensack, New Jersey, 07601

  • Mayo Clinic

    Phoenix, Arizona, 85054

Other trials in United States

Australia3 sites
  • Chris O'Brien Lifehouse

    Camperdown, New South Wales, 2050

  • Macquarie University

    Macquarie, New South Wales, 2109

  • Cabrini Malvern Hospital

    Melbourne, Victoria, 3000

Other trials in Australia

About this study

Official title: An Open Label, Multi-Center, Dose Escalation/Expansion, Phase 1/1b Study of IMU-201, a B-Cell Immunotherapy as Monotherapy or in Combination With Atezolizumab With or Without Chemotherapy, in Adults With Non- Small Cell Lung Cancer (IMPrinter)

An Open Label, Multi-Center, Dose Escalation/Expansion, Phase 1/1b Study of IMU 201 (PD1-Vaxx), a B-Cell Immunotherapy as monotherapy or in combination with atezolizumab with or without chemotherapy, in Adults with Non-Small Cell Lung Cancer (IMPrinter).

Read the detailed description

Investigational Medicinal Product, IMU-201, consists of drug substance, APi2568, which is a B-cell epitope (amino acids 92-110 from PD-1) linked to a promiscuous T-cell epitope (amino acid residues 288-302 from measles virus fusion protein) via a 4-amino acid linker (Gly-Pro-Ser-Leu), and combined with Water for Injection (WFI) forms the drug product, IMU-201, which becomes PD1-Vaxx when emulsified with excipient Montanide ISA 720 VG.

It is hypothesized that a polyclonal induced B-cell antibody response will be more effective or as effective with improved safety over current monoclonal antibody therapy.

This phase 1/1b study is an open-label dose escalation/dose expansion study designed to assess the safety, tolerability, immunogenicity and efficacy of IMU-201 (PD1-Vaxx). Phase 1 monotherapy dose-escalation of IMU-201 (PD1-Vaxx), will enroll approximately 9-18 patients and establish the optimal monotherapy biological dose (mBOD). Once established, the dose cohort will be expanded to enroll additional 10 patients at the mBOD dose level. Phase 1b, a combination dose-escalation of IMU-201 (PD1-Vaxx) with atezolizumab and with or without chemotherapy, will enroll approximately 18-36 patients and establish the optimal combotherapy biological dose (cBOD). Once established, the dose cohort will be expanded to enroll additional 30 patients at the cBOD dose level.

Being tested
IMU-201 (administered as PD1-Vaxx) - Regimen 1, IMU-201 (administered as PD1-Vaxx) - Regimen 2, IMU-201 (administered as PD1-Vaxx) - Regimen 3, Atezolizumab, Standard of care chemotherapy
Medical subject headings
Carcinoma, Non-Small-Cell Lung, Adenocarcinoma of Lung

What participants receive

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

  • IMU-201 (administered as PD1-Vaxx) - Regimen 1Biological

    Also called PD1-Vaxx, APi2568

    IMU-201 consists of APi2568 (lyophilized IMU-201) dissolved in WFI and emulsified with the adjuvant (Montanide ISA 720 VG) to produce PD1-Vaxx. IMU-201 will be administered as PD1-Vaxx intramuscularly into the deltoid region of the upper arm on Days 1, 15, 29, 64 and thereafter every 63 days until discontinuation from study.

  • IMU-201 (administered as PD1-Vaxx) - Regimen 2Biological

    Also called PD1-Vaxx, APi2568

    IMU-201 consists of APi2568 (lyophilized IMU-201) dissolved in WFI and emulsified with the adjuvant (Montanide ISA 720 VG) to produce PD1-Vaxx. IMU-201 will be administered as PD1-Vaxx intramuscularly into the deltoid region of the upper arm on Days 1, 15, 29, 57 and thereafter every subsequent 63 days until discontinuation from study.

  • IMU-201 (administered as PD1-Vaxx) - Regimen 3Biological

    Also called PD1-Vaxx, APi2568

    IMU-201 consists of APi2568 (lyophilized IMU-201) dissolved in WFI and emulsified with the adjuvant (Montanide ISA 720 VG) to produce PD1-Vaxx. IMU-201 will be administered as PD1-Vaxx intramuscularly into the deltoid region of the upper arm on Days 1, 15, 29, 57 and thereafter every 56 or 63 days until discontinuation from study.

  • AtezolizumabDrug

    Also called TECENTRIQ

    Atezolizumab will be administered every 2 weeks (Q2W) starting Day 15 until discontinuation from study.

  • Standard of care chemotherapyDrug

    Chemotherapy to be administered according to the prescribing information.

Study groups in NCT04432207
Study groupRoleWhat they receive
Dose Escalation: Monotherapy Cohort 1Experimental10 μg/dose IMU-201 as a 0.5 mL PD1-Vaxx injection Progressed on/after ICI, TPS/TC ≥50% or IC ≥10%
Receives: Biological: IMU-201 (administered as PD1-Vaxx) - Regimen 1
Dose Escalation: Monotherapy Cohort 2Experimental50 μg/dose IMU-201 as a 0.5 mL PD1-Vaxx injection Progressed on/after ICI, TPS/TC ≥50% or IC ≥10%
Receives: Biological: IMU-201 (administered as PD1-Vaxx) - Regimen 1
Dose Escalation: Monotherapy Cohort 3Experimental100 μg/dose IMU-201 as a 0.5 mL PD1-Vaxx injection Progressed on/after ICI, TPS/TC ≥50% or IC ≥10%
Receives: Biological: IMU-201 (administered as PD1-Vaxx) - Regimen 1
Dose Expansion MonotherapyExperimentalmOBD (TBD) dose IMU-201 as a 0.5 mL PD1-Vaxx injection Progressed on/after ICI, TPS/TC ≥50% or IC ≥10%
Receives: Biological: IMU-201 (administered as PD1-Vaxx) - Regimen 1
Dose Escalation Arm 1: Combination with atezolizumab Cohort 1Experimental10 μg/dose IMU-201 as a 0.5 mL PD1-Vaxx injection with atezolizumab 840 mg Naïve to ICI or Progressed on/after ICI, TPS/TC ≥50% or IC ≥10%
Receives: Biological: IMU-201 (administered as PD1-Vaxx) - Regimen 2; Drug: Atezolizumab
Dose Escalation Arm 1: Combination with atezolizumab Cohort 2Experimental50 μg/dose IMU-201 as a 0.5 mL PD1-Vaxx injection with atezolizumab 840 mg Naïve to ICI or Progressed on/after ICI, TPS/TC ≥50% or IC ≥10%
Receives: Biological: IMU-201 (administered as PD1-Vaxx) - Regimen 2; Drug: Atezolizumab
Dose Escalation Arm 1: Combination with atezolizumab Cohort 3ExperimentalCohort 3: 100 μg/dose IMU-201 as a 0.5 mL PD1-Vaxx injection with atezolizumab 840 mg Naïve to ICI or Progressed on/after ICI, TPS/TC ≥50% or IC ≥10%
Receives: Biological: IMU-201 (administered as PD1-Vaxx) - Regimen 2; Drug: Atezolizumab
Dose Escalation Arm 2: Combination with atezolizumab and chemotherapy Cohort 1Experimental10 μg/dose IMU-201 as a 0.5 mL PD1-Vaxx injection with atezolizumab 840 mg and SOC chemotherapy Naïve to ICI, Any PD-L1 Level
Receives: Biological: IMU-201 (administered as PD1-Vaxx) - Regimen 3; Drug: Atezolizumab; Drug: Standard of care chemotherapy
Dose Escalation Arm 2: Combination with atezolizumab and chemotherapy Cohort 2Experimental50 μg/dose IMU-201 as a 0.5 mL PD1-Vaxx injection with atezolizumab 840 mg and SOC chemotherapy Naïve to ICI, Any PD-L1 Level
Receives: Biological: IMU-201 (administered as PD1-Vaxx) - Regimen 3; Drug: Atezolizumab; Drug: Standard of care chemotherapy
Dose Escalation Arm 2: Combination with atezolizumab and chemotherapy Cohort 3Experimental100 μg/dose IMU-201 as a 0.5 mL PD1-Vaxx injection with atezolizumab 840 mg and SOC chemotherapy Naïve to ICI, Any PD-L1 Level
Receives: Biological: IMU-201 (administered as PD1-Vaxx) - Regimen 3; Drug: Atezolizumab; Drug: Standard of care chemotherapy
Dose Expansion Arm 1: Combination with atezolizumabExperimentalcOBD (TBD) dose IMU-201 as a 0.5 mL PD1-Vaxx injection with atezolizumab 840 mg Progressed on/after ICI, TPS/TC ≥50% or IC ≥10%
Receives: Biological: IMU-201 (administered as PD1-Vaxx) - Regimen 2; Drug: Atezolizumab
Dose Expansion Arm 2: Combination with atezolizumabExperimentalcOBD (TBD) dose IMU-201 as a 0.5 mL PD1-Vaxx injection with atezolizumab 840 mg Naïve to ICI, TPS/TC ≥50% or IC ≥10%
Receives: Biological: IMU-201 (administered as PD1-Vaxx) - Regimen 2; Drug: Atezolizumab
Dose Expansion Arm 3: Combination with atezolizumab and chemotherapyExperimentalcOBD (TBD) dose IMU-201 as a 05 mL PD1-Vaxx injection with atezolizumab 840 mg and SOC chemotherapy Naïve to ICI, Any PD-L1 Level
Receives: Biological: IMU-201 (administered as PD1-Vaxx) - Regimen 3; Drug: Atezolizumab; Drug: Standard of care chemotherapy

What is being measured

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

  1. Safety and tolerability of IMU-201 graded per terminology criteria for adverse events (CTCAE) version 5.00 (Dose Escalation)

    Safety and Tolerability Measures include: Frequency of adverse events (AEs) graded per terminology criteria for adverse events (CTCAE) version 5.00.

    Measured: Baseline to Day 29

  2. Identify Optimal Biological Dose (OBD) with safety/tolerability graded per terminology criteria for adverse events (CTCAE) version 5.00 and Immuogenicity (Dose Escalation).

    Safety and Tolerability Measures: Adverse events (AEs); dose-limiting toxicities (DLTs) graded per terminology criteria for adverse events (CTCAE) version 5.00. Immunogenicity data for IMU-201 includes PD-1 specific antibody (IgG) titers.

    Measured: Baseline to Day 43

  3. Overall response rate (ORR) (Dose Expansion)

    Efficacy of IMU-201 will be evaluated by overall response rate at OBD of IMU-201 measured as the proportion of participants with a best overall response of complete or partial response.

    Measured: Baseline to documented progressive disease (Approximately 15 months)

Secondary outcomes (4)
  1. Overall response rate (ORR) (Dose Escalation)

    Efficacy of IMU-201 will be evaluated by overall response rate at OBD of IMU-201 measured as the proportion of participants with a best overall response of complete or partial response.

    Measured: Baseline to documented progressive disease (Approximately 15 Months)

  2. Progression free survival (PFS) (Dose Escalation/Expansion)

    Efficacy of IMU-201 will be evaluated by progression free survival at OBD of IMU-201.

    Measured: Baseline to documented progressive disease or death due to any cause (Approximately 15 Months)

  3. Overall survival (OS) (Dose Escalation/Expansion)

    Efficacy of IMU-201 will be evaluated by overall survival at OBD of IMU-201.

    Measured: Baseline to death from any cause (Approximately 15 Months)

  4. Duration of response (DOR) (Dose Escalation/Expansion)

    Efficacy of IMU-201 will be evaluated by duration of response at OBD of IMU-201.

    Measured: From date of earliest CR or PR until the date of first documented progression or death from any cause (Approximately 15 Months)

Timeline

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

  1. First posted16 Jun 2020
  2. Study start30 Nov 2020
  3. Primary completion8 Oct 2024
  4. Study completion7 Nov 2024

Why it stopped: Portfolio prioritization

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 1
Primary purpose
Treatment
Allocation
Non-randomised
Intervention model
Sequential
Masking
None (open label)
Enrolment
24 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04432207
Sponsor's protocol ID
IMU.201.101
Status last verified
Mar 2026
First submitted
10 May 2020
Last updated
25 Mar 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing IMU-201 (administered as PD1-Vaxx) - Regimen 1, IMU-201 (administered as PD1-Vaxx) - Regimen 2 and IMU-201 (administered as PD1-Vaxx) - Regimen 3 in people with Non Small Cell Lung Cancer and Non Small Cell Lung Cancer Stage IIIB, run by Imugene Limited at 6 sites in 2 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 21 inclusion and 15 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 25 Mar 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 6 sites in United States, Australia. 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 was stopped early (reason given: Portfolio prioritization). Results are not available in the source record.

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?

Safety and tolerability of IMU-201 graded per terminology criteria for adverse events (CTCAE) version 5.00 (Dose Escalation) (time frame: Baseline to Day 29). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 25 Mar 2026.

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