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Triple Negative Breast CancerPhase 1/2NCT06631092

Personalised Neoantigen-targeting Cancer Vaccine NECVAX-NEO1 in Neoadjuvant Triple-negative Breast Cancer

A Phase 1/2 study testing Oral DNA Vaccine in people with Triple Negative Breast Cancer, run by NEC Bio B.V at 2 sites in Germany.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
Search all trials

Trial summary

Phase I/II, multicenter, open-label, single-arm trial in triple-negative breast cancer patients under first-line neoadjuvant therapy with approved standard of care anti-PD-1 monoclonal antibody (PD-1 inhibitor), epirubicin/cyclophosphamide chemotherapy, and nab-paclitaxel therapy (cohort 1) or SoC… Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Triple Negative Breast Cancer
What is being tested?
Oral DNA Vaccine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
28 participants
Where
2 sitesGermany
Study dates
20 Nov 2024to 31 Dec 2029
Phase
Phase 1/2
Are there results?
Not yet: the study is under way

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

  • Patients able to understand and follow instructions during the trial.
  • Patients able and willing to give written informed consent, signed and dated.
  • Female and male patients.
  • Patients aged at least 18 years old at the time of ICF signature.
  • cT2-4 N0 or any N-positive (stage II-III) triple-negative breast cancer patients diagnosed as candidates for neoadjuvant anti-PD1 monoclonal antibody and anthracycline/taxane based chemotherapy
  • Patients with tumor accessible for biopsy and surgery and showing at least 30% of tumoral cells on the biopsy.
Show all 18Show fewer
  • Patients with adequate bone marrow function at Screening, confirmed at Baseline, including:
  • ANC ≥ 1.5 × 109/L; patients with documented benign cyclical neutropenia are eligible if white blood cell count is ≥ 1.5 × 109/L, with ANC ≥ 1.0 × 109/L, leukocytes ≥ 4.0 × 109/L, and lymphocytes ≥ 0.6 × 109/L;
  • platelets ≥ 100 × 109/L;
  • hemoglobin ≥ 9 g/dL (may have been transfused);
  • International Normalized Ratio (INR) < 1.5×Upper Limit of Normal (ULN); patients treated with vitamin K antagonist are eligible if INR < 3.
  • Patients with adequate hepatic function at Screening, confirmed at Baseline, defined by
  • total bilirubin level ≤1.5×ULN; patients with documented Gilbert disease are allowed if total bilirubin ≤3×ULN;
  • aspartate aminotransferase (AST) level ≤2.5×ULN, and alanine aminotransferase (ALT) level ≤2.5×ULN, or, for patients with documented metastatic disease to the liver, AST and ALT levels ≤5×ULN.
  • Patients with adequate renal function at Screening, confirmed at Baseline, defined by eGFR ≥ 30 mL/min using 2021 CKD-EPI creatinine equation.
  • Patients must be able to undergo MRI/Ultrasound imaging procedures for tumor follow-up.
  • Patients with Eastern Cooperative Oncology Group (ECOG) performance status ≤ 2.
  • Life expectancy of at least 12 months according to the Investigator's judgement.

Who cannot join

  • Medical and surgical history, and diseases
  • Patients with a history of any disease, metabolic dysfunction, physical examination finding, or clinical laboratory finding that, based on the Investigator's judgement, provides a reasonable suspicion of a disease or condition that contraindicates the use of the IMP or that might affect the interpretation of the trial results or render the patient at high risk for treatment complications.
  • Patients with CTCAE v 5.0 Grade 3 or higher not having resolved to Grade 1 within 6 weeks before Baseline.
  • Patients with any significant co-morbidity which, according to the Investigator's judgement, makes patient compliance to trial conditions unlikely.
  • Patients with previous malignant disease (other than the tumor disease for this trial) within the last five (5) years (except adequately treated non-melanoma skin cancers and carcinoma in situ of skin, bladder, cervix, colon/rectum, breast, or prostate) unless a complete remission without further recurrence was achieved at least two (2) years prior to Screening, and the patient is deemed to have been cured with no additional therapy required or anticipated to be required.
  • Patients who underwent prior organ transplantation, including allogeneic stem cell transplantation.
Show all 56Show fewer
  • Patients with congenital or any other immunodeficiency syndromes, or any active autoimmune disease that might deteriorate when receiving an immunostimulatory agent, except for:
  • Patients with vitiligo, psoriasis, alopecia not requiring immunosuppressive treatment, are eligible.
  • Administration of steroids through a route known to result in a minimal systemic exposure (topical, intranasal, intro-ocular, or inhalation), is acceptable.
  • Patients with history of uncontrolled intercurrent illness, including but not limited to uncontrolled hypertension (high blood pressure defined as BPD>=140 mmHg or BPS >=90 mmHg despite of combination therapy with diuretic/CCB/ACE or ARB).
  • Patients with a known prior hypersensitivity or contraindications to any of the IMPs or any component in its formulations or any other drug scheduled or likely to be given during the trial, including known severe hypersensitivity reactions to monoclonal antibodies (NCI CTCAE v5.0 Grade ≥ 3).
  • Patients with severe acute or chronic medical conditions, including
  • Immune colitis
  • Inflammatory bowel disease
  • History of severe vomiting or diarrhea not having resolved to Grade 1 at Baseline
  • Immune pneumonitis
  • Pulmonary fibrosis
  • Psychiatric conditions including recent (within the last year) or active suicidal ideation or behavior
  • Laboratory abnormalities that may increase the risk associated with trial participation or trial treatment administration or may interfere with the interpretation of trial results and, in the judgement of the Investigator, would make the patient inappropriate for entry into this trial.
  • Patients with a history of small intestine resection surgery or other major gastrointestinal surgery
  • Patients with active infection requiring systemic therapy with antibiotics (at both Screening and Baseline).
  • Patients with a known history of human immunodeficiency virus (HIV) or known acquired immunodeficiency syndrome or multi-drug resistant gram-negative bacteria.
  • Patients with hepatitis B virus (HBV) or hepatitis C virus (HCV) infection at Screening (positive HBV surface antigen or HCV RNA if anti-HCV antibody Screening test positive).
  • Patients with increased anesthesiological risk (e.g. known or predicted difficult airway) if general anesthetic is required .
  • Patients with increased bleeding risk (e.g. coagulopathies) and patients on anticoagulants.
  • Women who are pregnant or breastfeeding, or women of childbearing potential (defined as any woman who is not surgically sterile with a hysterectomy and/or bilateral oophorectomy or ≥ 12 months of amenorrhea and at least 50 years of age) not willing to use highly effective methods of birth control. Highly effective birth control is defined as follows:
  • combined (estrogen and progestogen containing) hormonal contraception associated with inhibition of ovulation 1: • oral
  • intravaginal
  • transdermal
  • progestogen-only hormonal contraception associated with inhibition of ovulation 1: • oral
  • injectable
  • implantable 2
  • intrauterine device (IUD) 2
  • intrauterine hormone-releasing system (IUS) 2
  • bilateral tubal occlusion 2
  • vasectomised partner 2,3
  • sexual abstinence 4
  • NOTES:
  • Hormonal contraception may be susceptible to interaction with the IMP, which may reduce the efficacy of the contraception method (see section 4.3)
  • Contraception methods that in the context of this guidance are considered to have low user dependency.
  • Vasectomised partner is a highly effective birth control method provided that partner is the sole sexual partner of the WOCBP trial participant and that the vasectomised partner has received medical assessment of the surgical success.
  • In the context of this guidance sexual abstinence is considered a highly effective method only if defined as refraining from heterosexual intercourse during the entire period of risk associated with the study treatments. The reliability of sexual abstinence needs to be evaluated in relation to the duration of the clinical trial and the preferred and usual lifestyle of the subject.
  • Males of child-bearing potential are to use a highly effective method of birth control to avoid pregnancy with any partner during the study and until the end of the Follow-up period (EoT) or 30 calendar days after the last dose of IMP.
  • 17. Patients with a known history of drug/substance abuse.
  • Prior and concomitant medication
  • 18. Patients who received any live vaccines within 30 days prior to trial treatment.
  • 19. Patients participating Treatment in any other clinical trial within 30 days before Screening.
  • 20. Patients receiving any other treatment that, in the opinion of the Investigator, might interfere with the trial
  • 21. Patients with a current drug or substance abuse.
  • 22. Patients with chronic concurrent therapy within 2 weeks before the trial treatment or expected therapy during the trial treatment period with:
  • Corticosteroids (except systemic corticosteroids up to 10 mg prednisolone or equivalent daily dose).
  • Immunosuppressive agents.
  • Antibiotics. Any other anticancer therapy or concurrent anticancer treatment except the neoadjuvant chemotherapy / anti-PD1 checkpoint inhibitor standard of care background therapy as per study protocol.
  • Other 23. Patients unable to understand the Protocol requirements, instructions and trial-related restrictions, the nature, scope, and possible consequences of the trial.
  • 24. Patients who are unlikely to comply with the Protocol requirements, instructions and trial-related restrictions, e.g., uncooperative attitude, inability to return for follow-up visits, and improbability of completing the trial.
  • 25. Patients with legal incapacity or limited legal capacity. 26. Patients with any condition which results in an undue risk for the patient during the trial participation according to the Investigator.

Trial locations and contacts

2 sites in 1 country. Contact the study team or a site near you to ask about taking part.

Germany2 sites, 2 recruiting
  • University Clinic Erlangen

    Erlangen

    NEC Bio Therapeutics, 0049 950499 ext. 50, info@nec-bio.com

    Recruiting
  • National Center for Tumor Diseases Heidelberg

    Heidelberg

    NEC Bio Therapeutics, 0049 950499 ext. 50, info@nec-bio.com

    Recruiting

Other trials in Germany

About this study

Official title: An Open-label, Phase I/II Multicenter Clinical Trial of NECVAX-NEO1 as add-on to First-line Neoadjuvant Anti-PD-1 Monoclonal Antibody Therapy in Patients With Triple-negative Breast Cancer

Phase I/II, multicenter, open-label, single-arm trial in triple-negative breast cancer patients under first-line neoadjuvant therapy with approved standard of care anti-PD-1 monoclonal antibody (PD-1 inhibitor), epirubicin/cyclophosphamide chemotherapy, and nab-paclitaxel therapy (cohort 1) or SoC carboplatin/paclitaxel and epirubicin/cyclophosphamide or doxorubicin/cyclophosphamide chemotherapy (cohort 2). NECVAX-NEO1 treatment in addition to standard of care anti-PD1 monoclonal antibody therapy can be prolonged after breast cancer surgery for another 24 weeks, according to the investigator's decision taking into consideration the study patient's health status.

Read the detailed description

Phase I/II, multicenter, open-label, single-arm trial in triple-negative breast cancer patients under first-line neoadjuvant therapy with approved standard of care anti-PD-1 monoclonal antibody (PD-1 inhibitor), epirubicin/cyclophosphamide chemotherapy, and nab-paclitaxel therapy or SoC carboplatin/paclitaxel and epirubicin/cyclophosphamide or doxorubicin/cyclophosphamide chemotherapy. Optionally, NECVAX-NEO1 treatment in addition to standard of care anti-PD1 monoclonal antibody therapy can be prolonged after breast cancer surgery for another 24 weeks, according to the investigator's decision taking into consideration the study patient's health status.

Personalized NECVAX-NEO1 constructs containing an eukaryotic expression plasmid encoding a series of selected neoantigen epitopes will be manufactured for administration as a patient-specific investigational medicinal product (IMP). The IMP will be administered and as an add-on therapy to the standard of care PD-1 inhibitor therapy.

The trial will consist of mainly:

Cohort 1 (n=8)

  • A Screening and Induction period of up to 12 weeks, including the neoantigen selection and manufacturing phase, and first-line treatment with PD-1 inhibitor therapy with epirubicin 90 mg/m2/cyclophosphamide 600 mg/m2 every 3 weeks combined with pembrolizumab 200 mg as standard of care treatment,
  • A Treatment period of up to 12 weeks with prime and booster administrations of NECVAX-NEO1 in addition to continuation of PD-1 inhibitor pembrolizumab 200 mg every 3 weeks and nab-paclitaxel 125 mg/m2 once a week for 12 weeks up to planned tumor surgery,
  • An optional prolongation of booster administration of NECVAX-NEO1 in addition to continuation of PD-1 inhibitor up to 24 weeks, and
  • A Follow-up period of 4 weeks, with an End of Treatment (EoT) visit at Week 16 or at Week 40 (in case of the optional treatment prolongation).
  • A long-term safety follow-up period (observation period) after EoT for up to 24 months.

Cohort 2 (n=20)

  • A Screening and Induction period of up to 12 weeks, including the neoantigen selection and manufacturing phase, and first-line treatment with PD-1 inhibitor therapy with paclitaxel 80 mg/m2 once weekly/carboplatin on an area under the concentration-time curve of 5 mg per milliliter per minute once weekly over 12 weeks combined with pembrolizumab 200 mg as standard of care treatment,
  • A Treatment period of up to 12 weeks with prime and booster administrations of NECVAX-NEO1 in addition to continuation of PD-1 inhibitor pembrolizumab 200 mg every 3 weeks and epirubicin 90 mg/m2/cyclophosphamide 600 mg/m2 or doxorubicin 60 mg/m2/cyclophosphamide 600 mg/m2 for 12 weeks up to planned tumor surgery,
  • An optional prolongation of booster administration of NECVAX-NEO1 in addition to continuation of PD-1 inhibitor up to 24 weeks, and
  • A Follow-up period of 4 weeks, with an End of Treatment (EoT) visit at Week 16 or at Week 40 (in case of the optional treatment prolongation).
  • A long-term safety follow-up period (observation period) after EoT for up to 24 months.
Being tested
Oral DNA Vaccine
Medical subject headings
Triple Negative Breast Neoplasms

What participants receive

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

  • Oral DNA VaccineBiological

    Bacteria-based orally administered personalised neoantigen-targeting cancer vaccine

Study groups in NCT06631092
Study groupRoleWhat they receive
NECVAX-NEO1ExperimentalPersonalised neoantigen-targeting oral DNA cancer vaccine
Receives: Biological: Oral DNA Vaccine

What is being measured

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

  1. Adverse Events

    AEs listed including system organ class, preferred term, severity, causality and other possibly relevant information. Frequency tables (including both patient and event counts) by System Organ Class (SOC) and preferred term (in number and percentage)

    Measured: Up to 36 weeks plus 24 months

  2. Serious Adverse Events

    SAEs listed including system organ class, preferred term, severity, causality and other possibly relevant information. Frequency tables (including both patient and event counts) by System Organ Class (SOC) and preferred term (in number and percentage)

    Measured: Up to 36 weeks plus 24 months

  3. Change from Baseline in Laboratory Parameters

    Laboratory defined units

    Measured: Up to 36 weeks plus 24 months

  4. Change from Baseline in Electrocardiograms

    ECG QT interval

    Measured: Up to 36 weeks plus 24 months

Secondary outcomes (5)
  1. Antitumor activity

    Changes in ctDNA

    Measured: Up to 36 weeks

  2. Event-free survival

    Time from first dose of NECVAX-NEO1 to any of the following events: progression of disease that precludes surgery, local or distant recurrence, or death due to any cause up to the end of the safety follow-up at 24 months

    Measured: Up to 36 weeks plus 24 months

  3. Invasive disease-free survival

    Time from first dose of NECVAX-NEO1 until local or distant recurrence or death due to any cause up to the end of the safety follow-up at 24 month

    Measured: Up to 36 weeks plus 24 months

  4. Residual cancer burden

    RCB index

    Measured: At week 12

  5. Pathological complete response

    Absence of residual invasive cancer

    Measured: At week 12

Timeline

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

  1. First posted8 Oct 2024
  2. Study start20 Nov 2024
  3. Primary completion31 Dec 2027 (estimated)
  4. Study completion31 Dec 2029 (estimated)

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
28 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06631092
Sponsor's protocol ID
NECVAX-NEO1-05-DE
Other IDs
2024-512520-11-00
Status last verified
May 2026
First submitted
2 Oct 2024
Last updated
26 May 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A Phase 1/2 study testing Oral DNA Vaccine in people with Triple Negative Breast Cancer, run by NEC Bio B.V at 2 sites in Germany.

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 18 inclusion and 56 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: looking for participants now, as of the sponsor's last update on 26 May 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 2 sites in Germany. 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?

This study is still under way. Results are not available in the source record yet.

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

Contact Heinz Lubenau, Dr (0049 621 950499 ext. 50, info@nec-bio.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Adverse Events (time frame: Up to 36 weeks plus 24 months). The study lists 4 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 26 May 2026.

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