Overview

Reversing Therapy Resistance With Epigenetic-Immune Modification

Status:
Terminated
Trial end date:
2019-06-08
Target enrollment:
Participant gender:
Summary
The investigators propose a randomized two arm trial, using Simon's 2-stage design, in ER+ patients with therapy resistant breast cancer to test the optimal sequence and dosing of epigenetic immune priming in hormone therapy resistance breast cancer. A third arm (Arm C) will include ER-negative patients who will follow the concurrent priming, but exclude tamoxifen. The two arms all include vorinostat, tamoxifen, and pembrolizumab to evaluate - Sequential priming - begin pembrolizumab in Cycle 1 (Arm B and Arm C) and, - Concurrent priming with maximal dosing of both epigenetic and immune modulators- begin pembrolizumab on day 1 in Cycle 2 (Arm A)
Phase:
Phase 2
Details
Lead Sponsor:
Pamela Munster
University of California, San Francisco
Collaborators:
Avon Foundation
Merck Sharp & Dohme Corp.
Treatments:
Hormones
Pembrolizumab
Tamoxifen
Vorinostat