NCT04432207

Brief 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).

Trial Health

60
Monitor

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
24

participants targeted

Target at P25-P50 for phase_1

Timeline
Completed

Started Nov 2020

Longer than P75 for phase_1

Geographic Reach
2 countries

6 active sites

Status
terminated

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

May 10, 2020

Completed
1 month until next milestone

First Posted

Study publicly available on registry

June 16, 2020

Completed
6 months until next milestone

Study Start

First participant enrolled

November 30, 2020

Completed
3.9 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

October 8, 2024

Completed
1 month until next milestone

Study Completion

Last participant's last visit for all outcomes

November 7, 2024

Completed
Last Updated

March 25, 2026

Status Verified

March 1, 2026

Enrollment Period

3.9 years

First QC Date

May 10, 2020

Last Update Submit

March 22, 2026

Conditions

Outcome Measures

Primary Outcomes (3)

  • 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.

    Baseline to Day 29

  • 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.

    Baseline to Day 43

  • 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.

    Baseline to documented progressive disease (Approximately 15 months)

Secondary Outcomes (4)

  • Overall response rate (ORR) (Dose Escalation)

    Baseline to documented progressive disease (Approximately 15 Months)

  • Progression free survival (PFS) (Dose Escalation/Expansion)

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

  • Overall survival (OS) (Dose Escalation/Expansion)

    Baseline to death from any cause (Approximately 15 Months)

  • Duration of response (DOR) (Dose Escalation/Expansion)

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

Other Outcomes (2)

  • Exploratory Outcome: Humoral immunogenicity of IMU-201 (Dose Escalation/Expansion)

    Baseline to documented progressive disease (Approximately 15 Months)

  • Exploratory Outcome: Cellular immunogenicity of IMU-201 (Dose Escalation/Expansion)

    Baseline to documented progressive disease (Approximately 15 Months)

Study Arms (13)

Dose Escalation: Monotherapy Cohort 1

EXPERIMENTAL

10 μg/dose IMU-201 as a 0.5 mL PD1-Vaxx injection Progressed on/after ICI, TPS/TC ≥50% or IC ≥10%

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

Dose Escalation: Monotherapy Cohort 2

EXPERIMENTAL

50 μg/dose IMU-201 as a 0.5 mL PD1-Vaxx injection Progressed on/after ICI, TPS/TC ≥50% or IC ≥10%

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

Dose Escalation: Monotherapy Cohort 3

EXPERIMENTAL

100 μg/dose IMU-201 as a 0.5 mL PD1-Vaxx injection Progressed on/after ICI, TPS/TC ≥50% or IC ≥10%

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

Dose Expansion Monotherapy

EXPERIMENTAL

mOBD (TBD) dose IMU-201 as a 0.5 mL PD1-Vaxx injection Progressed on/after ICI, TPS/TC ≥50% or IC ≥10%

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

Dose Escalation Arm 1: Combination with atezolizumab Cohort 1

EXPERIMENTAL

10 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%

Biological: IMU-201 (administered as PD1-Vaxx) - Regimen 2Drug: Atezolizumab

Dose Escalation Arm 1: Combination with atezolizumab Cohort 2

EXPERIMENTAL

50 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%

Biological: IMU-201 (administered as PD1-Vaxx) - Regimen 2Drug: Atezolizumab

Dose Escalation Arm 1: Combination with atezolizumab Cohort 3

EXPERIMENTAL

Cohort 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%

Biological: IMU-201 (administered as PD1-Vaxx) - Regimen 2Drug: Atezolizumab

Dose Escalation Arm 2: Combination with atezolizumab and chemotherapy Cohort 1

EXPERIMENTAL

10 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

Biological: IMU-201 (administered as PD1-Vaxx) - Regimen 3Drug: AtezolizumabDrug: Standard of care chemotherapy

Dose Escalation Arm 2: Combination with atezolizumab and chemotherapy Cohort 2

EXPERIMENTAL

50 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

Biological: IMU-201 (administered as PD1-Vaxx) - Regimen 3Drug: AtezolizumabDrug: Standard of care chemotherapy

Dose Escalation Arm 2: Combination with atezolizumab and chemotherapy Cohort 3

EXPERIMENTAL

100 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

Biological: IMU-201 (administered as PD1-Vaxx) - Regimen 3Drug: AtezolizumabDrug: Standard of care chemotherapy

Dose Expansion Arm 1: Combination with atezolizumab

EXPERIMENTAL

cOBD (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%

Biological: IMU-201 (administered as PD1-Vaxx) - Regimen 2Drug: Atezolizumab

Dose Expansion Arm 2: Combination with atezolizumab

EXPERIMENTAL

cOBD (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%

Biological: IMU-201 (administered as PD1-Vaxx) - Regimen 2Drug: Atezolizumab

Dose Expansion Arm 3: Combination with atezolizumab and chemotherapy

EXPERIMENTAL

cOBD (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

Biological: IMU-201 (administered as PD1-Vaxx) - Regimen 3Drug: AtezolizumabDrug: Standard of care chemotherapy

Interventions

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.

Also known as: PD1-Vaxx, APi2568
Dose Escalation: Monotherapy Cohort 1Dose Escalation: Monotherapy Cohort 2Dose Escalation: Monotherapy Cohort 3Dose Expansion Monotherapy

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.

Also known as: PD1-Vaxx, APi2568
Dose Escalation Arm 1: Combination with atezolizumab Cohort 1Dose Escalation Arm 1: Combination with atezolizumab Cohort 2Dose Escalation Arm 1: Combination with atezolizumab Cohort 3Dose Expansion Arm 1: Combination with atezolizumabDose Expansion Arm 2: Combination with atezolizumab

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.

Also known as: PD1-Vaxx, APi2568
Dose Escalation Arm 2: Combination with atezolizumab and chemotherapy Cohort 1Dose Escalation Arm 2: Combination with atezolizumab and chemotherapy Cohort 2Dose Escalation Arm 2: Combination with atezolizumab and chemotherapy Cohort 3Dose Expansion Arm 3: Combination with atezolizumab and chemotherapy

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

Also known as: TECENTRIQ
Dose Escalation Arm 1: Combination with atezolizumab Cohort 1Dose Escalation Arm 1: Combination with atezolizumab Cohort 2Dose Escalation Arm 1: Combination with atezolizumab Cohort 3Dose Escalation Arm 2: Combination with atezolizumab and chemotherapy Cohort 1Dose Escalation Arm 2: Combination with atezolizumab and chemotherapy Cohort 2Dose Escalation Arm 2: Combination with atezolizumab and chemotherapy Cohort 3Dose Expansion Arm 1: Combination with atezolizumabDose Expansion Arm 2: Combination with atezolizumabDose Expansion Arm 3: Combination with atezolizumab and chemotherapy

Chemotherapy to be administered according to the prescribing information.

Dose Escalation Arm 2: Combination with atezolizumab and chemotherapy Cohort 1Dose Escalation Arm 2: Combination with atezolizumab and chemotherapy Cohort 2Dose Escalation Arm 2: Combination with atezolizumab and chemotherapy Cohort 3Dose Expansion Arm 3: Combination with atezolizumab and chemotherapy

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • 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:
  • 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%
  • +6 more criteria

You may not qualify if:

  • 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;
  • 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.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (6)

Mayo Clinic

Phoenix, Arizona, 85054, United States

Location

Hackensack University Medical Center

Hackensack, New Jersey, 07601, United States

Location

Ohio State University Medical Center

Columbus, Ohio, 43210, United States

Location

Chris O'Brien Lifehouse

Camperdown, New South Wales, 2050, Australia

Location

Macquarie University

Macquarie, New South Wales, 2109, Australia

Location

Cabrini Malvern Hospital

Melbourne, Victoria, 3000, Australia

Location

Related Links

MeSH Terms

Conditions

Carcinoma, Non-Small-Cell LungAdenocarcinoma of Lung

Interventions

atezolizumab

Condition Hierarchy (Ancestors)

Carcinoma, BronchogenicBronchial NeoplasmsLung NeoplasmsRespiratory Tract NeoplasmsThoracic NeoplasmsNeoplasms by SiteNeoplasmsLung DiseasesRespiratory Tract DiseasesAdenocarcinomaCarcinomaNeoplasms, Glandular and EpithelialNeoplasms by Histologic Type

Study Design

Study Type
interventional
Phase
phase 1
Allocation
NON RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
SEQUENTIAL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

May 10, 2020

First Posted

June 16, 2020

Study Start

November 30, 2020

Primary Completion

October 8, 2024

Study Completion

November 7, 2024

Last Updated

March 25, 2026

Record last verified: 2026-03

Locations