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IMP321

Phase 2

Adenocarcinoma Breast Stage IV | Monoclonal antibody | Oncology |Immutep Limited|Last Updated: Oct 5, 2021

Success Probability

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Trial Design

RandomizedDouble-BlindACTIVE_CONTROLLEDDMC
Total Trials1
Total Enrollment242

FDA Designations

No designations recorded

Clinical trial landscape

IMP321 · 5 trials · 6 indications

Phase 2 1Phase 1 4
NCT02614833IMP321 (Eftilagimod Alpha) as Adjunctive to a Standard Chemotherapy Paclitaxel Metastatic Breast CarcinomaAdenocarcinoma Breast Stage IV
COMPLETED242 Analytics
PHASE2COMPLETED
IMP321 (Eftilagimod Alpha) as Adjunctive to a Standard Chemotherapy Paclitaxel Metastatic Breast Carcinoma
Adenocarcinoma Breast Stage IVUnlock trial analytics

Study Endpoints

Primary Endpoints

Stage 1 to determine the recommended phase two dose for the randomised phase
Up to 12 months
Assessment of Progression-Free Survival (PFS)
Up to 37 month
To assess the recommended phase 2 dose
From the time of inform consent form signature until 30 days after end of treatment
To asses frequency of adverse events
From the time of inform consent form signature until 30 days after end of treatment
To asses severity of adverse events
From the time of inform consent form signature until 30 days after end of treatment
To asses duration of adverse events
From the time of inform consent form signature until 30 days after end of treatment
Evaluate clinical and laboratory safety and tolerability profiles
6 months
Determine pharmacodynamic parameters
6 months
Determine pharmacokinetic and pharmacodynamic parameters
3 months
To evaluate clinical and laboratory safety and tolerability profiles
6 weeks

Secondary Endpoints

Assessment of the safety and tolerability of IMP321 as compared to placebo
Up to 19 months
Assessment of the overall survival (OS)
Up to 48 month
Stage 1: Evaluation of the pharmacokinetic e.g. Peak Plasma Concentration [Cmax]
Up to 12 months
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Study Design & Arms

AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Paclitaxel + IMP321 at the RPTDEXPERIMENTALThe chemo-immunotherapy phase consists of 6 cycles of 4 weeks. Patient will receive weekly paclitaxel at Days 1, 8 and 15 with adjunctive treatment of study agent, either IMP321, on Days 2 and 16 of each 4-week cycle. After completion of the 6-cycle chemo-immunotherapy phase, responding or stable patients will receive study agent (IMP321) every 4 weeks during the maintenance phase for an additional period of up to 12 injections
Comparator: Paclitaxel + PlaceboACTIVE_COMPARATORThe chemo-immunotherapy phase consists of 6 cycles of 4 weeks. Patient will receive weekly paclitaxel at Days 1, 8 and 15 with adjunctive treatment of study agent, placebo, on Days 2 and 16 of each 4-week cycle. After completion of the 6-cycle chemo-immunotherapy phase, responding or stable patients will receive study agent (placebo) every 4 weeks during the maintenance phase for an additional period of up to 12 injections
IMP321 dose escalationEXPERIMENTALIMP321 administered fortnightly in addition to SOC pembrolizumab.
AEXPERIMENTALIMP321
BEXPERIMENTAL -

Interventions

NameTypeDescription
IMP321 (eftilagimod alpha)BIOLOGICALIn the placebo-controlled, double-blind randomisation stage, paclitaxel + IMP321 at the RPTD will be compared to paclitaxel + placebo
PlaceboDRUGIn the placebo-controlled, double-blind randomisation stage, paclitaxel + placebo will be compared to paclitaxel + IMP321 at the RPTD
PaclitaxelDRUGPaclitaxel will be given in both treatment arms (classified as Non IMP)
PembrolizumabDRUGAdministered according to the approved label.
IMP321BIOLOGICALThis study is an open label, non-randomized, fixed dose-escalation phase I study, performed in ambulatory setting with patients receiving as a first line chemotherapy for metastatic breast carcinoma the standard 6 cycles of paclitaxel (80 mg/m² at D1, D8 and D15 of every 4-week cycle). Three IMP321 dose levels (250 µg, 1,250 µg and 6,250 µg) will be evaluated in three cohorts of 8 patients. At any given dose level the patients will be administered one dose every two weeks for a total of 24 weeks (12 s.c. injections in total), separated by 13-day intervals free of IMP321 administration. The repeated single doses will be administered on D2 and D16 of the 4-week cycles, on the day which follows chemotherapy.
salineBIOLOGICALsaline injected alone in step 1 or mixed with Aggripal in step 2
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Eligibility Criteria

Age Range18 Years to N/A
SexFEMALE
Healthy VolunteersNo
Study Sites29

Inclusion Criteria: 1. Able to give written informed consent and to comply with the protocol 2. Metastatic oestrogen receptor positive and/or progesterone receptor positive breast adenocarcinoma, histologically proven by biopsy of the primary tumour and/or metastasis 3. Female of age 18 years or ab...

Countries:BelgiumFranceGermanyHungaryNetherlandsPolandUnited KingdomAustralia
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Frequently asked questions about IMP321

What is IMP321 used for?

IMP321 is an investigational monoclonal antibody being studied in oncology. It has been evaluated in clinical trials for metastatic breast cancer, stage IV renal cell carcinoma, stage IV melanoma, and as an adjuvant in healthy volunteers. It is not approved and remains in clinical development.

Who makes IMP321?

IMP321 is being developed by Immutep Limited, a biopharmaceutical company listed on the stock exchange under the ticker IMMP. The company has sponsored clinical trials of IMP321 in various cancer indications.

What phase is IMP321 in?

IMP321 is in Phase 2 clinical development. It has completed Phase 1 trials in metastatic breast cancer, metastatic renal cell carcinoma, melanoma, and healthy volunteers. The drug is investigational and not yet approved by regulatory authorities.

What clinical trials is IMP321 in?

IMP321 has been studied in several completed clinical trials, including NCT00349934 in metastatic breast cancer, NCT00351949 in stage IV renal cell carcinoma, NCT00354263 in healthy volunteers, and NCT02676869 in stage IV melanoma. These trials were Phase 1 studies.

Is IMP321 the same as eftilagimod alpha?

Yes, IMP321 is also known as eftilagimod alpha. One clinical trial, NCT02676869, refers to IMP321 as eftilagimod alpha in its title. This alternative name is used in research publications and trial registries.

How does IMP321 work?

IMP321 is a monoclonal antibody that targets the LAG-3 protein, a molecule involved in regulating immune responses. By binding to LAG-3, it aims to modulate the immune system's activity against cancer cells. This mechanism is being explored in oncology clinical trials.