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Triple Negative Breast NeoplasmsPhase 1/2NCT03310957

Safety and Efficacy of SGN-LIV1A Plus Pembrolizumab for Patients With Locally-Advanced or Metastatic Triple-Negative Breast Cancer

A Phase 1/2 study testing ladiratuzumab vedotin and Pembrolizumab in people with Triple Negative Breast Neoplasms, run by Seagen Inc. at 50 sites in 4 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

This trial studies ladiratuzumab vedotin (LV) with pembrolizumab in patients with triple-negative breast cancer. It will find out what side effects happen when participants get these two drugs. A side effect is anything the drugs do besides treating cancer. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Triple Negative Breast Neoplasms
What is being tested?
ladiratuzumab vedotin and Pembrolizumab
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
185 participants
Where
50 sitesin 4 countries
Study dates
27 Feb 2018to 30 Sep 2024
Phase
Phase 1/2
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
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Metastatic or locally-advanced, histologically documented TNBC (absence of HER2, ER, and PR expression)
  • Part D only: Tumor tissue PD-L1 Combined Positive Score <10 expression.
  • Have not previously received cytotoxic therapy for the treatment of unresectable locally-advanced breast cancer or metastatic breast cancer
  • At least 6 months since prior treatment with curative intent and recurrence
  • At least 1 tumor 10mm in diameter or greater OR lymph node of at least 15 mm in short axis
  • Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1
  • Able to provide biopsy tissue for biomarker analysis
  • Meet baseline laboratory data criteria

Who cannot join

  • Prior immune-oncology therapy
  • Pre-existing neuropathy of at least Grade 2
  • History of carcinomatous meningitis or active central nervous system (CNS) metastases. Patients are eligible if CNS metastases are adequately treated and patients have neurologically returned to baseline (except for residual signs or symptoms related to the CNS treatment) for at least 4 weeks prior to enrollment. Patients must be off corticosteroids.
  • Received prior radiotherapy within 2 weeks of start of study treatment or have not adequately recovered from prior radiotherapy
  • Active autoimmune disease requiring systemic treatment within the past 2 years
  • History of interstitial lung disease
  • Current pneumonitis or history of pneumonitis requiring steroids

Trial locations and contacts

50 sites in 4 countries.

50 sites in 4 countries

United States26 sites
  • New Mexico Cancer Center

    Albuquerque, New Mexico, 87131

  • Piedmont Cancer Institute

    Atlanta, Georgia, 30309

  • Winship Cancer Institute / Emory University School of Medicine

    Atlanta, Georgia, 30322

  • Rocky Mountain Cancer Centers - Aurora

    Aurora, Colorado, 80012

  • University of Maryland

    Baltimore, Maryland, 21201

  • University of Alabama at Birmingham

    Birmingham, Alabama, 35249

  • University of Virginia

    Charlottesville, Virginia, 22903

  • Texas Oncology - DFW

    Dallas, Texas, 75246

  • Summit Medical Group

    Florham Park, New Jersey, 07932

  • Ingalls Cancer Care / Ingalls Memorial Hospital

    Harvey, Illinois, 60426

  • Texas Oncology - Houston Memorial City

    Houston, Texas, 77024

  • Saint Luke's Cancer Institute LLC

    Kansas City, Missouri, 64111

  • Cedars Sinai Medical Center / Samuel Oschin Comprehensive Cancer Institute

    Los Angeles, California, 90048

  • Cardinal Bernardin Cancer Center / Loyola University Medical Center

    Maywood, Illinois, 60153

  • Miami Cancer Institute at Baptist Health, Inc.

    Miami, Florida, 33176

  • Allina Health Cancer Institute

    Minneapolis, Minnesota, 55407

  • Weill Cornell Medicine

    New York, New York, 10065

  • Helen F. Graham Cancer Center / Christiana Care Health Systems

    Newark, Delaware, 19713

  • The Whittingham Cancer Center / Norwalk Hospital

    Norwalk, Connecticut, 06856

  • Chao Family Comprehensive Cancer Center University of California Irvine

    Orange, California, 92868

  • University of California Irvine - Newport

    Orange, California, 92868

  • AdventHealth Cancer Institute

    Orlando, Florida, 32804

  • University of Pittsburgh Medical Center (UPMC)/Hillman Cancer Center

    Pittsburgh, Pennsylvania, 15232

  • Texas Oncology - San Antonio Medical Center Northeast

    San Antonio, Texas, 78212

  • Fred Hutchinson Cancer Center / Seattle Cancer Care Alliance / University of Washington

    Seattle, Washington, 98109-1023

  • H. Lee Moffitt Cancer Center and Research Institute

    Tampa, Florida, 33612

Other trials in United States

Spain10 sites
  • Complejo Hospitalario Universitario La Coruna

    A Coruña, Other, 15006

  • Hospital del Mar

    Barcelona, Other, 08003

  • Hospital Universitari Vall d'Hebron

    Barcelona, Other, 08035

  • Complejo Hospitalario de Jaen

    Jaén, Other, 23007

  • L'Institut Catala d'Oncologia

    L'Hospitalet de Llobregat, Other, 08907

  • MD Anderson Cancer Center - Madrid

    Madrid, Other, 28033

  • Hospital Ruber Internacional

    Madrid, Other, 28034

  • Hospital Universitario 12 de Octubre

    Madrid, Other, 28041

  • HM Centro Integral Oncologico Clara Campal

    Madrid, Other, 28050

  • Hospital Universitario Quironsalud Madrid

    Pozuelo de Alarcón, Other, 28223

Other trials in Spain

Germany8 sites
  • Gynakologisches Zentrum Bonn Friedensplatz

    Bonn, Other, 53111

  • Marien Hospital Bottrop

    Bottrop, Other, 46236

  • Stadtisches Klinikum Dessau

    Dessau, Other, 06847

  • Universitatsklinikum Erlangen

    Erlangen, Other, 91054

  • Kliniken Essen-Mitte - Evang. Huyssens-Stiftung

    Essen, Other, 45136

  • Klinikum Rechts der Isar der Technischen Universitaet Muenchen

    München, Other, 81675

  • Klinikum der Universitat Munchen

    München, 80337

  • Rotkreuzklinikum Munich

    Munich, Other, 80637

Other trials in Germany

South Korea6 sites
  • Pusan National University Hospital

    Busan, Other, 49201

  • CHA Bundang Medical Center

    Seongnam, Other, 13496

  • Korea Cancer Center Hospital

    Seoul, Other, 01802

  • Seoul National University Hospital

    Seoul, Other, 03080

  • Severance Hospital, Yonsei University Health System

    Seoul, Other, 03722

  • Samsung Medical Center

    Seoul, Other, 06351

Other trials in South Korea

About this study

Official title: Single Arm, Open Label Phase 1b/2 Study of SGN-LIV1A in Combination With Pembrolizumab for First-Line Treatment of Patients With Unresectable Locally-Advanced or Metastatic Triple-Negative Breast Cancer

This trial studies ladiratuzumab vedotin (LV) with pembrolizumab in patients with triple-negative breast cancer. It will find out what side effects happen when participants get these two drugs. A side effect is anything the drugs do besides treating cancer. Pembrolizumab is a drug that can be used to treat triple-negative breast cancer. The trial will also find out if these drugs work to treat this type of cancer. Participants in this study have metastatic breast cancer. This means the cancer has spread to other parts of the body.

Read the detailed description

The primary goal of this study is to evaluate the combination of LV, which targets LIV-1- expressing tumor cells, with the checkpoint inhibitor pembrolizumab for patients with unresectable locally-advanced or metastatic triple-negative breast cancer. These two drugs act through distinct and possibly complementary modes of action.

This is a single-arm, open-label, multicenter trial. Patients given LV and pembrolizumab during dose escalation will be monitored for frequency of dose-limiting toxicities to determine a recommended doses for expansion cohorts. In addition to safety measures, objective response rate, progression-free survival, overall survival, and other efficacy outcomes will be assessed.

Being tested
ladiratuzumab vedotin, Pembrolizumab
Keywords
Breast cancer, Breast carcinoma, Triple negative breast cancer, Locally-advanced breast cancer, Metastatic breast cancer, Tumors, breast, Breast tumors, pembrolizumab, LIV-1 protein, human, Ladiratuzumab vedotin, hLIV22-vcMMAE, Seattle Genetics
Medical subject headings
Triple Negative Breast Neoplasms, Breast Neoplasms

What participants receive

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

  • ladiratuzumab vedotinDrug

    Also called LV, SGN-LIV1A

    Given into the vein (IV; intravenously)

  • PembrolizumabDrug

    Also called KEYTRUDA®

    IV infusion every 3 weeks

Study groups in NCT03310957
Study groupRoleWhat they receive
LV + pembrolizumabExperimentalLV + pembrolizumab
Receives: Drug: ladiratuzumab vedotin; Drug: Pembrolizumab

What is being measured

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

  1. Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)

    An adverse event (AE) was any untoward medical occurrence in a study participant administered a medicinal product and which did not necessarily have a causal relationship with the study treatment. SAEs was defined as any untoward medical occurrence that, at any dose, meets one or more of the criteria: death, life-threatening, required inpatient hospitalization or prolongation of existing hospitalization, resulted in persistent or significant disability/incapacity, congenital anomaly or birth defect and other medically significant events. TEAEs were defined as newly occurring (not present at baseline) or worsened after first dose of investigational product within 30 days after last dose date or within 90 days for SAE. AEs included SAEs and all non-SAEs.

    Measured: From start of study treatment up to 30 days and up to 90 days post last dose for AEs and SAEs respectively (maximum exposure to any study treatment = 27 months; follow-up: AEs = maximum up to 28 months; SAEs = maximum up to 30 months)

  2. Number of Participants With Treatment Related TEAEs and SAEs

    An AE was any untoward medical occurrence in a study participant administered a medicinal product and which did not necessarily have a causal relationship with the study treatment. SAEs was defined as any untoward medical occurrence that, at any dose, meets one or more of the criteria: death, life-threatening, required inpatient hospitalization or prolongation of existing hospitalization, resulted in persistent or significant disability/incapacity, congenital anomaly or birth defect and other medically significant events. AEs included SAEs and all non-SAEs. A treatment-related AE was any untoward medical occurrence attributed to the study drug in a participant who received study drug. AEs were defined as treatment emergent if they were newly occurring or worsened following study treatment. Relatedness to study drug was assessed by the investigator.

    Measured: From start of study treatment up to 30 days and up to 90 days post last dose for AEs and SAEs respectively (maximum exposure to any study treatment = 27 months; follow-up: AEs = maximum up to 28 months; SAEs = maximum up to 30 months)

  3. Number of Participants With AEs of Grade <3 and Grade >=3 Per National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) v 4.03

    An AE was any untoward medical occurrence in a study participant administered a medicinal product and which did not necessarily have a causal relationship with the study treatment. AEs severities were graded using the NCI CTCAE v4.03; where Grade 1= mild AE, Grade 2= moderate AE, Grade 3= severe AE, and Grade 4= life-threatening consequences; urgent intervention indicated, Grade 5= indicated death related to AE.

    Measured: From start of study treatment up to 30 days for AEs (maximum exposure to any study treatment = 27 months; follow-up: AEs = maximum up to 28 months)

  4. Number of Participants With Maximum Post-Baseline Laboratory Toxicity Grade (0 to 4) in Any Hematology Parameter

    In this outcome measure, number of participants with maximum post-baseline laboratory toxicity grade in any hematology parameter are reported. As per NCI-CTCAE v4.03: Grade 1= mild, Grade 2= moderate, Grade 3= severe, and Grade 4= life-threatening consequences; urgent intervention indicated; Grade 0 = within normal limits. Baseline was defined as most recent non-missing lab result before first dose. Hematology parameters evaluated: hemoglobin, leukocytes, lymphocytes, neutrophils and platelets.

    Measured: Post-baseline up to 30 days after last dose (maximum exposure to any study intervention was 27 months; follow-up = maximum up to 28 months)

  5. Number of Participants With Maximum Post-Baseline Laboratory Toxicity Grade (0 to 4) in Any Serum Chemistry Parameter

    In this outcome measure, number of participants with maximum post-baseline laboratory toxicity grade in any serum chemistry parameters are reported. As per NCI-CTCAE v4.03: Grade 1= mild, Grade 2= moderate, Grade 3= severe, and Grade 4= life-threatening consequences; urgent intervention indicated; Grade 0 = within normal limits. Baseline was defined as most recent non-missing lab result before first dose. Serum chemistry parameters evaluated: alanine aminotransferase, albumin, alkaline phosphatase, amylase, aspartate aminotransferase, bilirubin, calcium corrected for albumin, calcium- ionized, creatinine, gamma glutamyl transferase, glucose, lipase, phosphate, potassium, sodium and urate. In this outcome measure, only those grades as rows are reported which had at least one participant for at least 1 reporting group.

    Measured: Post-baseline up to 30 days after last dose (maximum exposure to any study intervention was 27 months; follow-up = maximum up to 28 months)

  6. Number of Participants With Dose Limiting Toxicities (DLT): Part A and Part C

    DLT : hematologic and/or non-hematologic AE specified in protocol that is considered related to SGN-LIV or the combination and cannot be attributed to pembrolizumab alone including: any clinically significant, non-hematologic AE>= Grade 3 according to NCI CTCAE v4.03, Grade 3 febrile neutropenia, Grade 4 thrombocytopenia or Grade 3 thrombocytopenia associated with clinically significant bleeding that required medical intervention, Grade 4 anemia unrelated to underlying disease, discontinuation during Cycle 1 due to treatment-related toxicity/ inability to receive all 3 doses of SGN-LIV (Days 1, 8, and 15) as participant not met dosing criteria (Part C only)prolonged delay (>2 weeks) in initiating Cycle 2 due to treatment-related toxicity and Grade 5 event (death).

    Measured: Cycle 1 (up to 21 days)

  7. ORR as Determined by the Investigator According to Response Evaluation Criteria in Solid Tumors (RECIST) Version (v)1.1

    ORR was defined as the percentage of participants with confirmed complete response (CR) or partial response (PR) according to RECIST v1.1. CR: disappearance of all target lesions. Any pathological lymph nodes must have reduction in short axis to <10 mm. PR: >=30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. Kaplan Meier method was used for analysis.

    Measured: From start of study treatment up to date of confirmed CR or PR (maximum up to 30 months)

Secondary outcomes (4)
  1. Duration of Response (DOR) Per RECIST v1.1

    DOR = time from first documentation of objective response (subsequently confirmed) per investigator to first documentation of disease progression, or death due to any cause, whichever came first. CR: disappearance of all target lesions. Any pathological lymph nodes (reduction in short axis to <10 mm). PR: >=30% decrease in sum of diameters of target lesions, taking reference baseline sum diameters. Progression: at least a 20% increase in sum of diameters of target lesions, reference smallest sum on study (includes baseline sum if that is smallest on study). In addition to relative increase of 20%, sum must also demonstrate an absolute increase of at least 0.5 cm. Appearance of one or more new lesions. Kaplan-Meier method used for DOR evaluation. DOR was only calculated for subgroup of participants who achieved a confirmed CR or PR.

    Measured: From the date of first CR or PR until the date of the first documentation of progression or death, or censoring date, whichever came first (maximum up to 30 months)

  2. Disease Control Rate (DCR)

    DCR was defined as percentage of participants with CR, PR, or stable disease (SD) per RECIST v1.1. CR: disappearance of all target lesions. Any pathological lymph nodes must have reduction in short axis to <10 mm. PR: >=30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. SD: neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for progression, taking as reference the smallest sum diameters while on study. Progression: at least a 20% increase in the sum of diameters of target lesions, taking as reference smallest sum on study (this includes baseline sum if that is the smallest on study). In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 0.5 cm. Appearance of one or more new lesions. Clopper-Pearson method was used for 95% confidence interval.

    Measured: From start of study treatment up to date of CR or PR or SD (maximum up to 30 months)

  3. Progression-Free Survival (PFS)

    PFS was defined as the time from start of study treatment to first documentation of disease progression based upon the disease assessment per RECISTv1.1 or clinical progression, or to death due to any cause, whichever came first. Progression: at least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on study (this includes the baseline sum if that is the smallest on study). In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 0.5 cm. The appearance of one or more new lesions. Kaplan-Meier method was used for PFS evaluation.

    Measured: From start of study treatment until the date of the first documentation of progression or death, or censoring date, whichever came first (maximum up to 30 months)

  4. Overall Survival (OS)

    OS was defined as the time from start of study treatment to date of death due to any cause. In the absence of confirmation of death, OS was censored at the last date the participant was known to be alive. Kaplan-Meier method was used for OS evaluation.

    Measured: From start of study treatment until the date of death, or censoring date, whichever came first (maximum up to 30 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 Oct 2017
  2. Study start27 Feb 2018
  3. Primary completion30 Sep 2024
  4. Study completion30 Sep 2024

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 1/2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
185 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03310957
Sponsor's protocol ID
SGNLVA-002
Other IDs
KEYNOTE 721, 2017-002289-35, MK-3475-721, 2017
Status last verified
Dec 2025
First submitted
11 Oct 2017
Last updated
12 Dec 2025
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A Phase 1/2 study testing ladiratuzumab vedotin and Pembrolizumab in people with Triple Negative Breast Neoplasms, run by Seagen Inc. at 50 sites in 4 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 7 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 12 Dec 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 50 sites in United States, Spain, Germany, South Korea. 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 combined 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.

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

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 12 Dec 2025). 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?

Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs) (time frame: From start of study treatment up to 30 days and up to 90 days post last dose for AEs and SAEs respectively (maximum exposure to any study treatment = 27 months; follow-up: AEs = maximum up to 28 months; SAEs = maximum up to 30 months)). The study lists 7 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 12 Dec 2025.

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