ClinicalTrials.gg
CompletedNCT03493945Updated Sep 30, 2025Results posted

Phase I/II Study of Immunotherapy Combination BN-Brachyury Vaccine, M7824, N-803 and Epacadostat (QuEST1)

A Phase 1/2 interventional study of M7824 and N-803 in Metastatic Castration-resistant Prostate Cancer, Prostate Cancer and Prostate Neoplasm, sponsored by National Cancer Institute (NCI). Completed at 1 site in United States. Open to participants aged 18 Years to 120 Years. Per ClinicalTrials.gov, last updated 2025-09-30.

Sponsored by National Cancer Institute (NCI) · Phase 1/2, Interventional, and Treatment

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Phase
Phase 1/2
Study type
Interventional
Enrollment
59
Allocation
Randomized
Ages
18 Years to 120 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-14

Among 202 studies in Prostatic Neoplasms by National Cancer Institute (NCI) — 26 open to participants now, 43 under way, none of them phase 3. Prostatic Neoplasms · National Cancer Institute (NCI).

Enrollment
57th of 166
59 · median 41
Started
2018
with 7 others
Phase 1/2
16 of 202
3 open now
Registered
162nd of 202
by date

Among the 202 studies in Prostatic Neoplasms by National Cancer Institute (NCI), this one is the 57th largest by enrollment of the 166 interventional ones that give a count, is one of 8 that started in 2018, is one of 16 in phase 1/2, and was the 162nd registered.

Prostatic Neoplasms

7,047 studies on the registry are indexed under Prostatic Neoplasms; 1,579 are open to participants now.

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Open to participants now

26 of the 202 studies in Prostatic Neoplasms by National Cancer Institute (NCI) are open now, in 2 countries. Recruiting first, the newest first:

21 more — sign in →

By country, each count listing its studies:

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Who these studies take

Of the 1,228 Prostatic Neoplasms studies recruiting now, 927 (75%) set no upper age limit and 76 (6%) stop at 75 or younger; 67 take children under 18; 82 take healthy volunteers.

This study: 18 Years to 120 Years · all sexes · no healthy volunteers.

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02

Study summary

Background:

Immunotherapy drugs help the body to fight cancer. Scientists think that combining some of these drugs will make them work better than when used alone. This may be true for many types of cancer, including castration-resistant prostate cancer (CRPC).

Objective:

To test if any of the combinations of drugs below have anti-prostate cancer activity and to test if they are safe.

  1. Bavarian-Nordic (BN)-brachyury, bintrafusp alfa (M7824).
  2. Bavarian-Nordic (BN)-brachyury, bintrafusp alfa (M7824) + Anktiva (N-803).
  3. Bavarian-Nordic (BN)-brachyury, bintrafusp alfa (M7824) + Anktiva (N-803) + Epacadostat.

Eligibility:

People ages 18 and older with CRPC or another metastatic cancer

Design:

Participants will be screened with:

  • Medical history
  • Physical exam
  • Computed tomography (CT) or magnetic resonance imaging (MRI) scans
  • Possible bone imaging
  • Blood, urine, and heart tests
  • Possible tumor biopsy

Participants will be treated with a 2-, 3- or 4-drug combinations of the following study drugs in 2-week cycles:

  • Participants will receive M7824 by intravenous (IV) once every 2 weeks.
  • Participants will receive N-803 by injection once every 2 weeks. They will record any skin changes at the injection site in a diary.
  • Participants will receive BN-brachyury as 4 injections to different limbs. They will get the first 3 doses 2 weeks apart. Then they will get doses every 4 weeks for 6 months, then every 3 months for 2 years, then every 6 months.
  • Participants will take Epacadostat orally every 12 hours. They will keep a pill diary.

Participants will have physical exams and blood and urine tests at the start of each cycle. They may have scans every 12 weeks.

Participants will continue treatment until their disease gets worse or they cannot tolerate the side effects.

Participants will have a follow-up visit 4-5 weeks after they stop treatment. They will have a physical exam and blood tests. They may be asked to return for scans every 3 months.

Read the detailed description

Background:

  • Programmed cell death protein 1 (PD-1)/programmed death ligand 1 (PD-L1) signaling appears to be a major inhibitor of activated T cell anti-tumor immune responses. The rapid, deep and durable responses seen in various malignancies with PD-1/PD-L1 targeted agents demonstrate that blockade of this axis is key to facilitating immune responses within the tumor microenvironment (TME).
  • Prostate cancer is poorly recognized by T cells. Lack of an immune response is one explanation for the lower response rates (\<15%) observed with anti-PD-1/PD-L1 therapies for prostate cancer.
  • Increasing response rates will likely require therapeutic nullification of multiple immune deficits by combining immunotherapies that generate tumor-specific T cells (vaccine), dampen the inhibitory milieu of the TME, and enhance T and natural killer (NK) cell activity within the TME.
  • A quick efficacy seeking trial, utilizing sequential arms offers a means to identify signals of activity for combinations of immunotherapy, added sequentially, in castration resistant prostate cancer (CRPC) participants.
  • Bavarian Nordic (BN)-Brachyury is a novel recombinant vector-based therapeutic cancer vaccine designed to induce an enhanced immune response against brachyury, which is overexpressed in many solid tumor types, including prostate adenocarcinoma. BN-Brachyury collectively refers to the priming doses (modified vaccinia Ankara (MVA)-BN-Brachyury) and the boost doses (fowlpox virus (FPV)-Brachyury) of the vaccine platform.
  • bintrafusp alfa (M7824) is a bifunctional fusion protein consisting of an anti-programmed death ligand 1 (PD-L1) antibody and the extracellular domain of transforming growth factor beta (TGF- beta) receptor type 2, a TGF-beta trap. M7824 can also mediate antibody-dependent cellular cytotoxicity in vitro.
  • Anktiva (N-803) is an interleukin 15 (IL-15)/IL-15R alpha superagonist complex that can enhance NK cell mediated antibody-dependent cell-mediated cytotoxicity (ADCC) and T-cell cytotoxicity.
  • Synergistic anti-tumor effects have been observed in vitro when combining M7824 and N-803, and in vivo when combining these agents with tumor vaccine in animal models.
  • Indoleamine 2,3-dioxygenase 1 (IDO1) is overexpressed in many solid tumors and can contribute to immune escape by tumor cells. INCB024360 (Epacadostat) is an IDO1 inhibitor under investigation in combination with different immunotherapies in treatment of various malignancies.
  • In treating of CRPC, we hypothesize that these agents and their effects will be complementary. Tumor-specific T cells generated by vaccine may become more functional in a TME following treatment with M7824 and Epacadostat. N-803 can further enhance the activity of antigen-specific T cells as well as NK cells.

Objective:

-To determine if there is clinical benefit to any of a set of 3 possible treatments for participants with CRPC:

  • BN-Brachyury + M7824
  • BN-Brachyury + M7824 + N-803
  • BN-Brachyury + M7824 + N-803 + Epacadostat

Eligibility:

  • Adults with histologically proven CRPC, or metastatic solid tumor of any type for which there is no standard treatment or standard treatment has failed.
  • Adequate organ function as defined by liver, kidney, and hematologic laboratory testing.
  • Participants with acquired immune defects, active systemic autoimmune disease, history of organ transplant, history of chronic infections, or history of active inflammatory bowel disease are excluded.

Design:

Open label Phase I/II trial with following randomization during the expansion.

Phase I: Cohort 1, Arm 1.1

-Up to 18 participants with any solid tumor will be enrolled in dose escalation Cohort 1 for treatment in Arm 1.1 (flat dose of M7824 + different dose levels of N-803).

Phase IIA: expansion with sequential enrollment into Cohort 2A, Arms 2.1A, 2.2A and 2.3 A

  • Concurrently with the enrollment to Arm 1.1, 13 participants with CRPC will start enrollment in Cohort 2A for treatment in Arm 2.1A (M7824 + BN-Brachyury).
  • When safe dosing of N-803 is identified during Phase I, 13 participants have enrolled in arm 2.1A and the first 6 participants, treated in Arm 2.1A, have met safety requirements, 13 participants with CRPC will start enrollment in Cohort 2A for treatment in Arm 2.2A (M7824 + BN-Brachyury + N-803).
  • When 13 participants have enrolled in Arm 2.2A and the first 6 participants, treated in Arm 2.2A, have met safety requirements, 13 participants with CRPC will start enrollment in Cohort 2A for treatment in Arm 2.3A (M7824 + BN-Brachyury + N-803 + Epacadostat).

Phase IIB: expansion with randomized enrollment into Cohorts 2D and 2R, Arms 2.1B, 2.2B. and 2.3B

  • Each Arm in Cohorts 2D and 2R: 2.1B, 2.2B and 2.3B will be open for additional enrollment (25 evaluable participants total) when the initial 13 participants have accrued, safety requirements are meet and a positive signal (defined as Objective Response by Response Evaluation Criteria in Solid Tumors (RECIST) 1.1 or sustained prostate-specific antigen (PSA) decrease >= 30% sustained for > 21 days) in >= 2 participants is shown.
  • If only one arm is open for additional enrollment, participants will be directly assigned to this arm. If 2 arms are open for additional enrollment, participants will be randomized between these 2 open arms. If 3 arms are open for additional enrollment, participants will be randomized among these 3 open arms.

If there are >= 6 of 25 participants with a positive signal of activity in any expansion arm, that arm will be considered of interest for future studies.

03

Conditions studied

  • Metastatic Castration-resistant Prostate Cancer
  • Prostate Cancer
  • Prostate Neoplasm
  • Advanced Solid Tumor
  • Solid Tumor
  • Non-metastatic Castration-resistant Prostate Cancer

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Keywords

  • Immunotherapy
  • Combined Treatment
  • PD-1/PD-L1
  • Tumor-Specific T Cells
  • Novel Cancer Vaccine
04

Who can participate

Ages eligible
18 Years to 120 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

Participants must have or cytologically confirmed any solid tumor (Cohort 1) or castration-resistant prostate cancer (CRPC), Cohorts 2A, 2D and 2R).

For the Cohort 1, eligible participants must have a histologically, cytologically or radiographically proven or locally advanced solid tumor of any type, for which there is no curative standard therapy or standard therapy has failed.

Castrate testosterone level (less than 50ng/dl or 1.7nmol/L). (Participants with a other than prostate cancer are excluded from this criterion).

Radiological confirmation of metastatic disease, or

Progressive disease at study entry defined as one or more of the following criteria occurring in the setting of castrate levels of testosterone:

--Radiographic progression defined as any new or enlarging bone lesions or growing lymph node disease, consistent with prostate cancer

OR

--prostate-specific antigen (PSA) progression defined by sequence of rising values separated by greater than 1 week (2 separate increasing values over a minimum of 1 ng/ml (Prostate Cancer Clinical Trials Working Group 3 (PCWG3) PSA eligibility criteria). If participants had been on flutamide, PSA progression is documented 4 weeks or more after withdrawal. For participants on bicalutamide or nilutamide disease progression is documented 6 or more weeks after withdrawal. The requirement for a 4-6 week withdrawal period following discontinuation of flutamide, nilutamide or bicalutamide only applies to participants who have been on these drugs for at least the prior 6 months. For all other participants they must stop bicalutamide, nilutamide or flutamide the day prior to enrollment.

Asymptomatic or mildly symptomatic form prostate cancer; no use of regularly scheduled opiate analgesics for prostate cancer-related pain. (Participants with a malignancy other than prostate cancer are excluded from this criterion).

Participants must agree to continuation of androgen deprivation therapy (ADT) with a gonadotropin-releasing hormone analogue/antagonist or bilateral orchiectomy. (Participants with a malignancy other than prostate cancer are excluded from this criterion). Participants may also continue oral androgen receptor antagonist/anti-androgen therapy (e.g. enzalutamide or abiraterone) unless enrolling to Arm 2.3A or 2.3B due to concerns regarding Cytochrome P450 (CYP)mediated drug-drug interactions epacadostat.

Participants must have had the following prior therapy:

Testosterone lowering therapy for castration-resistant prostate cancer (CRPC)

In addition to continuation of androgen deprivation therapy (ADT) (unless status post bilateral orchiectomy) eligible patients must have received and had PSA or radiographic progression on enzalutamide (or other oral androgen receptor antagonist e.g. darolutamide or apalutamdide) or abiraterone acetate.

Participants who have tumors known to be microsatellite instability high/mismatch repair deficient or tumor mutational burden high must have received prior pembrolizumab.

Participants with known pathogenic homologous recombination repair mutations for which there is evidence of benefit with poly (adenosine diphosphate-ribose) polymerase (PARP) inhibitors (e.g. BReast CAncer gene 1 (BRCA1). BReast CAncer gene 2 (BRCA2), ataxia-telangiectasia mutated (ATM) must have received prior PARP inhibitor.

Age greater than or equal to 18 years.

(ECOG) performance status less than or equal to 1

Participants must have adequate organ and marrow function as defined below:

  • greater than or equal to 1000/mcL
  • greater than or equal to 100,000/mcL
  • greater than or equal to 9.0 g/dL
  • Total within normal institutional limits; in participants with Gilbert's, less than or equal to 3.0 mg/dL
  • (AST) serum glutamic-oxaloacetic transaminase (SGOT)/alanine aminotransferase (ALT) serum glutamic-pyruvic transaminase (SGPT) less than or equal to 2.5X . For subjects with liver involvement in their tumor, AST less than or equal to 3.5. X upper limit of normal (ULN), ALT less than or equal to 3.5 X ULN, and bilirubin less than or equal to 3.0 is acceptable
  • Creatinine within 1.5X upper limit of normal institutional limits

The effects of Bavarian Nordic (BN)-Brachyury, bintrafusp alfa (M7824), Anktiva (N-803), and Epacadostat on the developing human fetus are unknown. For this reason, men and women must agree to use adequate (hormonal or barrier method of birth control; abstinence) prior to study entry, during the study and maintain such contraception until 4 months following the last dose of any study agent. Should a woman become pregnant or suspect she is pregnant while she or her partner is participating in this study, she should inform her partner s treating physician immediately.

Ability of subject to understand and the willingness to sign a written document.

Participants with successfully treated virus (HCV) are eligible if HCV viral load is undetectable.

Exclusion criteria

EXCLUSION CRITERIA:

Participants who are as follows:

  • positivity due to the potential for decreased tolerance, and potential to be at risk for severe side effects with immunotherapies. These concerns are relevant to all drugs, as drug-drug interactions among antiretrovirals and immunotherapies are yet uncharacterized.
  • Chronic administration (defined as daily or every other day for continued use greater than 14 days) of systemic or other immune suppressive drugs, within 28 days before treatment on study. Nasal, or inhaled steroid, topical steroid creams and eye drops for small body areas are allowed. Physiologic doses of steroids are permitted, e.g., a participant taking hydrocortisone for adrenal insufficiency or a patient recently on abiraterone (administered with 10 mg of prednisone daily) who is tapering off of prednisone is allowed to continue that taper.
  • Participants who have undergone peripheral stem cell transplantation, or solid organ transplantation requiring immunosuppression

    • Active disease, except participants with type 1 diabetes mellitus, vitiligo, psoriasis, hypo- or hyperthyroid disease not requiring current immunosuppression, or with other endocrine disorders on replacement hormones or are not excluded if the condition is well controlled.

Prostate cancer participants with a history of brain/, since these participants have a very poor prognosis, and immunotherapy may take time to lead to beneficial clinical effects. Participants with brain or enrolling to arm 1.1 are eligible if they are status post definitive radiotherapy or surgery, and are asymptomatic

History of allergic reactions attributed to compounds of similar chemical or biologic composition to study agents to be used in the cohort the subject will be enrolled into.

Known allergy to eggs, egg products, aminoglycoside antibiotics (for example, gentamicin or tobramycin).

Any condition which, in the opinion of the investigator, would prevent full participation in this trial (including the long-term follow-up), or would interfere with the evaluation of the trial endpoints.

Participants with prior drug, chemotherapy, immunotherapy or any prior radiotherapy (except for palliative bone directed therapy) within the past 28 days prior to enrollment, except if the investigator has assessed that all residual treatment-related toxicities have resolved or are minimal and feel the participant is otherwise suitable for enrollment.

Uncontrolled intercurrent acute or chronic illness including, but not limited to, ongoing or active infection, symptomatic congestive heart failure (> Class I), hepatic disease, unstable angina pectoris, serious cardiac arrhythmia, requiring medication, uncontrolled hypertension (Systolic blood pressure (SBP) >170/ diastolic blood pressure (DBP)>105) or psychiatric illness/social situations within 12 months that would limit compliance with study requirements.

Use of herbal products that may decrease PSA levels (e.g., saw palmetto)

Participants who have had cytotoxic chemotherapy for castration-resistant prostate cancer within the past 3 months. (Participants who have had docetaxel for metastatic castration sensitive per Chemohormonal Therapy Versus Androgen Ablation Randomized Trial for Extensive Disease in Prostate Cancer (CHAARTED) data may enroll as long as they did not have progressive disease while on docetaxel and are 3 months removed from treatment, with all treatment related toxicities resolving to at least grade 1.)

Participants who have undergone major surgery within 4 weeks of enrollment. A will not preclude a participant from starting study.

Participants with a history of (HBV) are excluded due to potential risk for viral reactivation and resulting liver injury in persons with latent HBV

Subjects unwilling to accept blood products or blood transfusions as medically indicated. As there is a risk of severe bleeding with M7824, participants must be willing to receive blood transfusions if medically necessary for their own safety

For participants enrolling in Arm 2.3A and for participants who may be randomized to Arm 2.3B, the following additional exclusion criteria will apply:

  • Subjects receiving Monoamine Oxidase Inhibitors (MAOIs) or a drug which has significant MAOI activity (meperidine, linezolid, methylene blue) within the 21 days before initiation of study therapy are excluded.
  • Since epacadostats metabolism may be altered by drugs that inhibit uridine diphosphate (UDP)-glucuronosyltransferase, UGT1A9 (see Appendix D), Participants receiving such drugs within 21 days of initiation of study therapy are excluded.
  • Participants receiving agents that are substrates of Cytochrome P450 1A2 (CYP1A2), cytochrome P450 2C8 (CYP2C8), and cytochrome P450 2C19 (CYP2C19) or affected by organic anion transporting polypeptide 1B1 (OATP1B1) or organic anion transporting polypeptide 1B3 (OATP1B3) within 21 days of initiation of study therapy or 5 half-lives of the agent (whichever is shorter) are excluded. Participants receiving medications that are substrates of these enzymes/transporters but are not listed in the appendix or participants receiving substrates of CYP2B6 and will be evaluated on a case-by-case basis prior to enrollment. Participants who consume caffeine are eligible but must agree to moderate consumption.
  • Subjects receiving coumarin-based anticoagulants (e. Coumadin) are excluded.
  • Subjects having any history of Serotonin Syndrome (SS) after receiving serotonergic drugs are excluded.

    --Participants with a corrected for heart rate by Fridericia's formula (QTcF) interval > 480 milliseconds at the screening are excluded. In the event that a single QTcF is > 480 milliseconds, the subject may enroll if the average QTcF for the 3 (ECG's) is \< 480 milliseconds. For subjects with an intraventricular conduction delay (QRS interval > 120 milliseconds), the corrected JT interval, (JTc) interval may be used in place of the QTc. The JTc must be \< 340 milliseconds if JTc is used in place of the QTc. QTc prolongation due to pacemaker may enroll if the JTc is normal.

  • Subjects with left bundle branch block are excluded.
  • Pregnant women are excluded from this study because investigational agents used in this study (BN-Brachyury, M7824, N-803, and/or Epacadostat) could have teratogenic or abortifacient effects. Because there is an unknown but potential risk for adverse events in nursing infants secondary to treatment of the mother with these investigational agents, breastfeeding should be discontinued if the mother is treated with either of them.
Terms in these criteria, in plain language(27)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Histologically or cytologically confirmed

The diagnosis was confirmed by looking at a sample under a microscope: tissue from a biopsy or surgery (histology), or cells from a fluid or needle sample (cytology).

Your pathology report is the document that shows this.

Metastases

Cancer that has spread from where it began to other parts of the body. “Metastatic” cancer is cancer that has spread this way.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

ECOG performance status

A scale of how much an illness limits everyday activity. For people being assessed to join a study, scores run from 0 (fully active) to 4; lower is more active.

0
Fully active, no restrictions.
1
Limited in strenuous activity, but walking and able to do light work, such as housework or office work.
2
Walking and able to look after yourself, but unable to work; up and about more than half of waking hours.
3
Able to look after yourself only in part; in bed or a chair more than half of waking hours.
4
Unable to look after yourself at all; in bed or a chair all day.

Studies most often ask for 0–1 or 0–2. Your doctor gives the score; the WHO scale uses the same steps. The full scale also has 5, which records death.

Absolute neutrophil count (ANC)

The number of neutrophils, white blood cells that help fight infection, in a given amount of blood. Too few raises the risk of infection.

It is a count, not a percentage of the white cells. Limits are written in units that mean the same: ≥ 1.5 × 10⁹/L is ≥ 1,500 per mm³ (µL). Each lab has its own reference range.

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

Allogeneic and autologous transplant

Stem cell (bone marrow) transplants. Allogeneic uses cells from a donor; autologous uses your own cells, collected earlier and given back.

Autoimmune disease

A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.

Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.

Leptomeningeal disease

Cancer that has spread to the leptomeninges, the thin layers covering the brain and spinal cord, and the fluid between them. It is not the same as brain metastases.

Criteria often treat it separately, and many studies leave it out even where treated brain metastases are allowed.

Brain metastases

Cancer deposits in the brain from a cancer that started elsewhere in the body (CNS metastases include the spinal cord).

Studies differ: some leave out any brain metastases, some accept ones treated and stable for some weeks. Check what this study allows.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

NYHA class (heart failure)

The New York Heart Association’s four classes of how much heart failure limits physical activity.

I
No limits: ordinary activity causes no undue tiredness or breathlessness.
II
Slight limits: comfortable at rest, ordinary activity causes symptoms.
III
Marked limits: comfortable at rest, less than ordinary activity causes symptoms.
IV
Symptoms even at rest; any activity makes them worse.

Studies set their own limit — many outside heart failure leave out class III–IV, while heart failure studies may ask for a particular class. Check the class this study names.

Biopsy and archival tissue

A biopsy takes a small piece of tissue to examine. “Archival tissue” is a sample already taken, for example at diagnosis, and kept by the hospital.

Whether a stored sample will do depends on when it was taken, how much there is and what the study needs. Ask whether the study accepts your stored sample or needs a new biopsy.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

CYP3A (CYP3A4) inhibitors and inducers

CYP3A is a group of enzymes, mainly CYP3A4, in the liver and gut that break down many medicines. Some medicines, supplements and foods (grapefruit, St John’s wort) slow them down or speed them up, which changes how much of a study drug stays in the body.

Studies list them so they can be avoided or switched; bring a list of everything you take, including supplements.

QT and QTc

On an ECG, the QT interval is the time the heart’s lower chambers take to activate electrically and recover in each beat. QTc is that time adjusted for heart rate (QTcF by Fridericia’s formula, QTcB by Bazett’s). Some medicines lengthen it, and a long QTc can raise the risk of a dangerous heart rhythm.

The study may name a correction formula and a limit in milliseconds, often around 450–480.

ECG (electrocardiogram)

A recording of the heart’s electrical activity, taken with stickers on the chest, arms and legs. It takes a few minutes and does not hurt.

05

Study design

Phase
Phase 1 / Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Sequential assignment
Masking
None (open label)
Enrollment
59 participants (actual)

Study arms

  • Experimental
    Arm 1.1 Bintrafusp alfa (M7824) + Anktiva (N-803)

    Bintrafusp alfa (M7824) + Anktiva (N-803)

    Biological: M7824 · Drug: N-803 · Drug: Acetaminophen · Drug: Ibuprofen · Drug: Naproxen · Other: Benadryl · Diagnostic Test: EKG · Diagnostic Test: Bone scan · Diagnostic Test: CT chest, abdomen and pelvis · Diagnostic Test: MRI

  • Experimental
    Arm 2.1A Bintrafusp alfa (M7824) + Bavarian Nordic (BN)-Brachyury during phase IIA

    Bintrafusp alfa (M7824) + Bavarian Nordic (BN)-Brachyury during phase IIA

    Biological: M7824 · Biological: MVA-BN-Brachyury · Biological: FPV-Brachyury · Drug: Acetaminophen · Drug: Ibuprofen · Drug: Naproxen · Other: Benadryl · Diagnostic Test: EKG · Diagnostic Test: Bone scan · Diagnostic Test: CT chest, abdomen and pelvis · Diagnostic Test: MRI

  • Experimental
    Arm 2.1B Bintrafusp alfa (M7824) + Bavarian Nordic (BN)-Brachyury during phase IIB

    Bintrafusp alfa (M7824) + Bavarian Nordic (BN)-Brachyury during phase IIB

    Biological: M7824 · Biological: MVA-BN-Brachyury · Biological: FPV-Brachyury · Drug: Acetaminophen · Drug: Ibuprofen · Drug: Naproxen · Other: Benadryl · Diagnostic Test: EKG · Diagnostic Test: Bone scan · Diagnostic Test: CT chest, abdomen and pelvis · Diagnostic Test: MRI

  • Experimental
    Arm 2.2A Bintrafusp alfa (M7824) + Bavarian Nordic (BN)-Brachyury + Anktiva (N-803) during phase IIA

    Bintrafusp alfa (M7824) + Bavarian Nordic (BN)-Brachyury + Anktiva (N-803) during phase IIA

    Biological: M7824 · Drug: N-803 · Biological: MVA-BN-Brachyury · Biological: FPV-Brachyury · Drug: Acetaminophen · Drug: Ibuprofen · Drug: Naproxen · Other: Benadryl · Diagnostic Test: EKG · Diagnostic Test: Bone scan · Diagnostic Test: CT chest, abdomen and pelvis · Diagnostic Test: MRI

  • Experimental
    Arm 2.2B Bintrafusp alfa (M7824) + Bavarian Nordic (BN)-Brachyury + Anktiva (N-803) during phase IIB

    Bintrafusp alfa (M7824) + Bavarian Nordic (BN)-Brachyury + Anktiva (N-803) during phase IIB

    Biological: M7824 · Drug: N-803 · Biological: MVA-BN-Brachyury · Biological: FPV-Brachyury · Drug: Acetaminophen · Drug: Ibuprofen · Drug: Naproxen · Other: Benadryl · Diagnostic Test: EKG · Diagnostic Test: Bone scan · Diagnostic Test: CT chest, abdomen and pelvis · Diagnostic Test: MRI

  • Experimental
    Arm 2.3A M7824 + BN-Brachyury + Anktiva (N-803) + Epacadostat during phase IIA

    Bintrafusp alfa (M7824) + Bavarian Nordic (BN)-Brachyury + Anktiva (N-803) + Epacadostat during phase IIA

    Biological: M7824 · Drug: N-803 · Biological: MVA-BN-Brachyury · Biological: FPV-Brachyury · Drug: Epacadostat · Drug: Acetaminophen · Drug: Ibuprofen · Drug: Naproxen · Other: Benadryl · Diagnostic Test: EKG · Diagnostic Test: Bone scan · Diagnostic Test: CT chest, abdomen and pelvis · Diagnostic Test: MRI

  • Experimental
    Arm 2.3B M7824 + BN-Brachyury + Anktiva (N-803) + Epacadostat during phase IIB

    Bintrafusp alfa (M7824) + Bavarian Nordic (BN)-Brachyury + Anktiva (N-803) + Epacadostat during phase IIB

    Biological: M7824 · Drug: N-803 · Biological: MVA-BN-Brachyury · Biological: FPV-Brachyury · Drug: Epacadostat · Drug: Acetaminophen · Drug: Ibuprofen · Drug: Naproxen · Other: Benadryl · Diagnostic Test: EKG · Diagnostic Test: Bone scan · Diagnostic Test: CT chest, abdomen and pelvis · Diagnostic Test: MRI

Interventions

  • BiologicalM7824

    1,200 mg intravenous (IV) once every 2 weeks.

    Also known as: Bintrafusp alfa

  • DrugN-803

    8-15 mcg/kg subcutaneous every 2 weeks.

    Also known as: Anktiva

  • MVA-BN-Brachyury will be administered subcutaneously (2 doses 2 weeks apart).

    Also known as: modified vaccinia Ankara Bavarian Nordic Brachyury

  • BiologicalFPV-Brachyury

    FPV-Brachyury will be given 2 weeks after second dose of modified vaccinia Ankara (MVA)-Bavarian Nordic (BN)-Brachyury, then every 4 weeks until 6 months, then every 3 months for 2 years, then every 6 months.

    Also known as: Fowlpox Virus Brachyury

  • 600 mg orally twice daily (1200 MG total).

    Also known as: IDO1

  • Antipyretic medication, orally, prior to infusion, up to 650mg.

    Also known as: Tylenol, Ofirmev, FeverAll

  • Antipyretic medication, orally, prior to infusion, up to 600mg.

    Also known as: Advil, Advil Migraine

  • Antipyretic medication, orally, prior to infusion, up to 500mg.

    Also known as: Aleve, Naprosyn, Anaprox DS

  • OtherBenadryl

    50mg orally prior to infusion.

    Also known as: Diphenhydramine

  • Diagnostic testEKG

    Baseline and principal investigator discretion.

    Also known as: Electrocardiogram

  • Diagnostic testBone scan

    Restaging every 12 weeks.

    Also known as: Bone scintigraphy

  • Diagnostic testCT chest, abdomen and pelvis

    Every 12 weeks after start of therapy.

    Also known as: Computed tomography chest, abdomen and pelvis

  • Diagnostic testMRI

    If clinically indicated.

    Also known as: Magnetic resonance imaging

06

What researchers measure

Primary outcomes

  1. Clinical Benefit With Any of a Set of 3 Possible Treatments for Participants With Metastatic Castration-resistant Prostate Cancer (mCRPC) Reported With an 80% Confidence Interval

    Objective clinical response and/or prostate-specific antigen (PSA) decline of \>=30% sustained for a minimum of 21 days. Any of these is considered 'clinical benefit.' Objective response was assessed by the response evaluation criteria in solid tumors (RECIST) 1.1. Complete response (CR) is disappearance of all non-target lesions and normalization of tumor marker level. Partial response (PR) is at least a 30% decrease in the sum of the diameters of target lesions. Stable disease (SD) is neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD. Progressive disease (PD) is at least a 20% increase in the sum of the diameters of target lesions. Three treatments evaluated are: Phase II Bavarian Nordic (BN) Brachyury + Bintrafusp alfa (M7824), Phase II Bavarian Nordic (BN) Brachyury + Bintrafusp alfa (M7824) + Anktiva (N-803), and Phase II Bavarian Nordic (BN) Brachyury + Bintrafusp alfa (M7824) + Anktiva (N-803) + Epacadostat.

    Time frame: From enrollment up to 49 weeks

  2. Clinical Benefit(Objective Response if Measurable Disease by Response Evaluation Criteria in Solid Tumors v1.1)With Any of 3 Possible Treatments for Participants With Metastatic Castration-resistant Prostate Cancer Reported With a 95% Confidence Interval

    Objective response was assessed by the response evaluation criteria in solid tumors (RECIST) 1.1. Complete response (CR) is disappearance of all non-target lesions and normalization of tumor marker level. Partial response (PR) is at least a 30% decrease in the sum of the diameters of target lesions. Stable disease (SD) is neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD. Progressive disease (PD) is at least a 20% increase in the sum of the diameters of target lesions. Three treatments evaluated are: Phase II Bavarian Nordic (BN) Brachyury + Bintrafusp alfa (M7824), Phase II Bavarian Nordic (BN) Brachyury + Bintrafusp alfa (M7824) + Anktiva (N-803), and Phase II Bavarian Nordic (BN) Brachyury + Bintrafusp alfa (M7824) + Anktiva (N-803) + Epacadostat.

    Time frame: From enrollment up to 49 weeks

  3. Phase I/II: Number of Participants With Grades 3, 4, and/or 5 Serious and/or Non-serious Dose-limiting Toxicities (DLT)

    A DLT is defined as any of the following adverse events (AE) possibly related to study drugs that occur within 21 days of the start of treatment. Adverse events were assessed by the Common Terminology Criteria for Adverse Events (CTCAE) v5.0. Grade 3 is moderate. Grade 4 is life-threatening, and Grade 5 is death related to AE. A DLT is any grade ≥ 4 hematologic toxicity or grade 3 thrombocytopenia with associated bleeding; any grade ≥ 3 non-hematologic toxicity, except for any of the following: transient (≤ 48 hour) grade 3 fatigue, local reactions, flu-like symptoms, fever, headache, or nausea, emesis, and diarrhea; or CTCAE Grade 3 skin toxicity lasting less than five days. A non-serious AE is any untoward medical occurrence. A serious AE is an adverse event or suspected adverse reaction that results in death, a life-threatening adverse drug experience, hospitalization, disruption of the ability to conduct normal life functions, or congenital anomaly/birth defect.

    Time frame: Within 21 days of the start of treatment

Secondary outcomes

  1. 6-month Progression Free Survival (PFS) Probability

    6-month progression free survival was measured from the on-study date until progression or death without progression in participants and reported with a 95% confidence interval. Progression was assessed by the Response Evaluation Criteria in Solid Tumors (RECIST) v1.1 and is defined as at least a 20% increase in the sum of the diameters of target lesions, taking as reference the smallest sum on study (this includes the baseline sum if that is the smallest on study). The appearance of one or more new lesions is also considered progressions.

    Time frame: 6-months

  2. Number of Participants With Grades 1, 2, 3, and 4 Non-serious Adverse Events Related to Treatment Treated With Combinations and Bintrafusp Alfa (M7824) + Anktiva (N-803)

    Number of participants with grades 1, 2, 3, and 4 non-serious adverse events related to treatment treated with combinations and Bintrafusp alfa (M7824) + Anktiva (N-803).

    Time frame: 3 weeks dose-limiting toxicity (DLT) period

  3. Number of Participants With Grades 3, 4, and/or 5 Serious Adverse Events Related to Treatment Treated With Combinations and Bintrafusp Alfa (M7824) + Anktiva (N-803)

    Number of participants with grades 3 4, and/or 5 serious adverse events related to treatment treated with combinations and Bintrafusp alfa (M7824) + Anktiva (N-803).

    Time frame: 3 weeks dose-limiting toxicity (DLT) period

Other outcomes

  1. Number of Participants With Serious and/or Non-serious Adverse Events Assessed by the Common Terminology Criteria for Adverse Events (CTCAE v5.0)

    Here is the number of participants with serious and/or non-serious adverse events assessed by the Common Terminology Criteria for Adverse Events (CTCAE v5.0). A non-serious adverse event is any untoward medical occurrence. A serious adverse event is an adverse event or suspected adverse reaction that results in death, a life-threatening adverse drug experience, hospitalization, disruption of the ability to conduct normal life functions, congenital anomaly/birth defect or important medical events that jeopardize the patient or subject and may require medical or surgical intervention to prevent one of the previous outcomes mentioned.

    Time frame: Adverse Events were monitored/assessed from the first study intervention, up to 49 weeks.

07

Results

Posted Jun 8, 2025

Participant flow

Phase I Dose Escalation
Participant flow — Phase I Dose Escalation
MilestonePhase (Ph) I Dose Escalation, Cohort 1, Arm 1.1, Dose Level (DL) 1Phase I Dose Escalation, Cohort 1, Arm 1.1 Dose Level 2Phase I Dose Escalation, Cohort 1: Enrolled But Not TreatedPhase IIA Dose Expansion (Dose Exp.), Cohort 2, Arm 2.1APhase IIA Dose Expansion, Cohort 2, Arm 2.2APhase IIB, Dose Expansion, Cohort 2, Arm 2.2BPhase IIA Dose Expansion, Cohort 2A, Arm 2.3A
Started41010000
Completed4900000
Not completed0110000
Withdrew: Ineligible0010000
Withdrew: New therapy0100000
Phase II Dose Expansion
Participant flow — Phase II Dose Expansion
MilestonePhase (Ph) I Dose Escalation, Cohort 1, Arm 1.1, Dose Level (DL) 1Phase I Dose Escalation, Cohort 1, Arm 1.1 Dose Level 2Phase I Dose Escalation, Cohort 1: Enrolled But Not TreatedPhase IIA Dose Expansion (Dose Exp.), Cohort 2, Arm 2.1APhase IIA Dose Expansion, Cohort 2, Arm 2.2APhase IIB, Dose Expansion, Cohort 2, Arm 2.2BPhase IIA Dose Expansion, Cohort 2A, Arm 2.3A
Started4901313126
Follow up period completed25071176
Disease progression on study1207891
Completed4901012116
Not completed0003110
Withdrew: Refused further treatment0000110
Withdrew: Switched to alternative therapy0003000

Outcome measures

PrimaryClinical Benefit With Any of a Set of 3 Possible Treatments for Participants With Metastatic Castration-resistant Prostate Cancer (mCRPC) Reported With an 80% Confidence Interval

Objective clinical response and/or prostate-specific antigen (PSA) decline of \>=30% sustained for a minimum of 21 days. Any of these is considered 'clinical benefit.' Objective response was assessed by the response evaluation criteria in solid tumors (RECIST) 1.1. Complete response (CR) is disappearance of all non-target lesions and normalization of tumor marker level. Partial response (PR) is at least a 30% decrease in the sum of the diameters of target lesions. Stable disease (SD) is neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD. Progressive disease (PD) is at least a 20% increase in the sum of the diameters of target lesions. Three treatments evaluated are: Phase II Bavarian Nordic (BN) Brachyury + Bintrafusp alfa (M7824), Phase II Bavarian Nordic (BN) Brachyury + Bintrafusp alfa (M7824) + Anktiva (N-803), and Phase II Bavarian Nordic (BN) Brachyury + Bintrafusp alfa (M7824) + Anktiva (N-803) + Epacadostat.

Time frame:
From enrollment up to 49 weeks
Reported as:
Number · Proportion of participants
Clinical Benefit With Any of a Set of 3 Possible Treatments for Participants With Metastatic Castration-resistant Prostate Cancer (mCRPC) Reported With an 80% Confidence Interval
Proportion of participantsPhase IIA Dose Expansion (Dose Exp.), Cohort 2, Arm 2.1AAll Participants in Phase IIA Dose Expansion and Phase IIB Dose ExpansionPhase IIA Dose Expansion, Cohort 2A, Arm 2.3A
Clinical Benefit With Any of a Set of 3 Possible Treatments for Participants With Metastatic Castration-resistant Prostate Cancer (mCRPC) Reported With an 80% Confidence Interval.076 (0.0081 to 0.268)0.292 (0.170 to 0.442)0 (0.000 to 0.319)
PrimaryClinical Benefit(Objective Response if Measurable Disease by Response Evaluation Criteria in Solid Tumors v1.1)With Any of 3 Possible Treatments for Participants With Metastatic Castration-resistant Prostate Cancer Reported With a 95% Confidence Interval

Objective response was assessed by the response evaluation criteria in solid tumors (RECIST) 1.1. Complete response (CR) is disappearance of all non-target lesions and normalization of tumor marker level. Partial response (PR) is at least a 30% decrease in the sum of the diameters of target lesions. Stable disease (SD) is neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD. Progressive disease (PD) is at least a 20% increase in the sum of the diameters of target lesions. Three treatments evaluated are: Phase II Bavarian Nordic (BN) Brachyury + Bintrafusp alfa (M7824), Phase II Bavarian Nordic (BN) Brachyury + Bintrafusp alfa (M7824) + Anktiva (N-803), and Phase II Bavarian Nordic (BN) Brachyury + Bintrafusp alfa (M7824) + Anktiva (N-803) + Epacadostat.

Time frame:
From enrollment up to 49 weeks
Reported as:
Number · Proportion of participants
Clinical Benefit(Objective Response if Measurable Disease by Response Evaluation Criteria in Solid Tumors v1.1)With Any of 3 Possible Treatments for Participants With Metastatic Castration-resistant Prostate Cancer Reported With a 95% Confidence Interval
Proportion of participantsPhase IIA Dose Expansion (Dose Exp.), Cohort 2, Arm 2.1AAll Participants in Phase IIA Dose Expansion and Phase IIB Dose ExpansionPhase IIA Dose Expansion, Cohort 2A, Arm 2.3A
Complete Response0 (0.000 to 0.708)0 (0.000 to 0.459)0 (0.000 to 0.975)
Partial Response0 (0.000 to 0.708)0.33 (0.0433 to 0.777)0 (0.000 to 0.975)
Stable Disease0.33 (0.0084 to 0.906)0 (0.000 to 0.459)0 (0.000 to 0.975)
Progressive Disease0.67 (0.0943 to 0.9916)0.67 (0.223 to 0.957)1 (0.025 to 1.000)
PrimaryPhase I/II: Number of Participants With Grades 3, 4, and/or 5 Serious and/or Non-serious Dose-limiting Toxicities (DLT)

A DLT is defined as any of the following adverse events (AE) possibly related to study drugs that occur within 21 days of the start of treatment. Adverse events were assessed by the Common Terminology Criteria for Adverse Events (CTCAE) v5.0. Grade 3 is moderate. Grade 4 is life-threatening, and Grade 5 is death related to AE. A DLT is any grade ≥ 4 hematologic toxicity or grade 3 thrombocytopenia with associated bleeding; any grade ≥ 3 non-hematologic toxicity, except for any of the following: transient (≤ 48 hour) grade 3 fatigue, local reactions, flu-like symptoms, fever, headache, or nausea, emesis, and diarrhea; or CTCAE Grade 3 skin toxicity lasting less than five days. A non-serious AE is any untoward medical occurrence. A serious AE is an adverse event or suspected adverse reaction that results in death, a life-threatening adverse drug experience, hospitalization, disruption of the ability to conduct normal life functions, or congenital anomaly/birth defect.

Time frame:
Within 21 days of the start of treatment
Reported as:
Count of participants · Participants
Phase I/II: Number of Participants With Grades 3, 4, and/or 5 Serious and/or Non-serious Dose-limiting Toxicities (DLT)
ParticipantsPhase (Ph) I Dose Escalation, Cohort 1, Arm 1.1, Dose Level (DL) 1Phase I Dose Escalation, Cohort 1, Arm 1.1 Dose Level 2Phase IIA Dose Expansion (Dose Exp.), Cohort 2, Arm 2.1APhase IIA Dose Expansion, Cohort 2, Arm 2.2APhase IIB, Dose Expansion, Cohort 2, Arm 2.2BPhase IIA Dose Expansion, Cohort 2A, Arm 2.3A
Grade 3000000
Grade 4000000
Grade 5000000
Secondary6-month Progression Free Survival (PFS) Probability

6-month progression free survival was measured from the on-study date until progression or death without progression in participants and reported with a 95% confidence interval. Progression was assessed by the Response Evaluation Criteria in Solid Tumors (RECIST) v1.1 and is defined as at least a 20% increase in the sum of the diameters of target lesions, taking as reference the smallest sum on study (this includes the baseline sum if that is the smallest on study). The appearance of one or more new lesions is also considered progressions.

Time frame:
6-months
Reported as:
Median · proportion probability
6-month Progression Free Survival (PFS) Probability
proportion probabilityPhase IIA Dose Expansion (Dose Exp.), Cohort 2, Arm 2.1APhase IIA Dose Expansion, Cohort 2A, Arm 2.3AAll Participants in Phase IIA Dose Expansion and Phase IIB, Dose Expansion
6-month Progression Free Survival (PFS) Probability0.354 (0.152 to 0.822)0.348 (0.196 to 0.617)NA (NA to NA)
SecondaryNumber of Participants With Grades 1, 2, 3, and 4 Non-serious Adverse Events Related to Treatment Treated With Combinations and Bintrafusp Alfa (M7824) + Anktiva (N-803)

Number of participants with grades 1, 2, 3, and 4 non-serious adverse events related to treatment treated with combinations and Bintrafusp alfa (M7824) + Anktiva (N-803).

Time frame:
3 weeks dose-limiting toxicity (DLT) period
Reported as:
Count of participants · Participants
Number of Participants With Grades 1, 2, 3, and 4 Non-serious Adverse Events Related to Treatment Treated With Combinations and Bintrafusp Alfa (M7824) + Anktiva (N-803)
ParticipantsPhase (Ph) I Dose Escalation, Cohort 1, Arm 1.1, Dose Level (DL) 1Phase I Dose Escalation, Cohort 1, Arm 1.1 Dose Level 2Phase IIA Dose Expansion (Dose Exp.), Cohort 2, Arm 2.1APhase IIA Dose Expansion, Cohort 2, Arm 2.2APhase IIB, Dose Expansion, Cohort 2, Arm 2.2BPhase IIA Dose Expansion, Cohort 2A, Arm 2.3A
Grade 1 Anorexia possibly related to Bavarian-Nordic (BN)-brachyury000400
Grade 1 Arthralgia possibly related to Bavarian-Nordic (BN)-brachyury001000
Grade 1 Aspartate aminotransferase increased possibly related to Bavarian-Nordic (BN)-brachyury000100
Grade 1 Bloating possibly related to Bavarian-Nordic (BN)-brachyury001000
Grade 1 Blood and lymphatic system disorders possibly related to Bavarian-Nordic (BN)-brachyury001000
Grade 1 Chills possibly related to Bavarian-Nordic (BN)-brachyury000300
Grade 1 Diarrhea possibly related to Bavarian-Nordic (BN)-brachyury001000
Grade 1 Dizziness possibly related to Bavarian-Nordic (BN)-brachyury000101
Grade 1 Endocrine disorders - Other specify possibly related to Bavarian-Nordic (BN)-brachyury000200
Grade 1 Fatigue possibly related to Bavarian-Nordic (BN)-brachyury003401
Grade 1 Fever possibly related to Bavarian-Nordic (BN)-brachyury000500
Grade 1 Flatulence possibly related to Bavarian-Nordic (BN)-brachyury001000
Grade 1 Flu-like symptoms possibly related to Bavarian-Nordic (BN)-brachyury001602
Grade 1 Headache possibly related to Bavarian-Nordic (BN)-brachyury001100
Grade 1 Hematuria possibly related to Bavarian-Nordic (BN)-brachyury000100
Grade 1 Hyperhidrosis possibly related to Bavarian-Nordic (BN)-brachyury000100
Grade 1 Injection site reaction possibly related to Bavarian-Nordic (BN)-brachyury000100
Grade 1 Insomnia possibly related to Bavarian-Nordic (BN)-brachyury000001
Grade 1 Malaise possibly related to Bavarian-Nordic (BN)-brachyury000100
Grade 1 Myalgia possibly related to Bavarian-Nordic (BN)-brachyury000100
Grade 1 Nausea possibly related to Bavarian-Nordic (BN)-brachyury001200
Grade 1 Pruritus possibly related to Bavarian-Nordic (BN)-brachyury000100
Grade 1 Skin and subcutaneous tissue disorders possibly related to Bavarian-Nordic (BN)-brachyury001000
Grade 1 Vertigo possibly related to Bavarian-Nordic (BN)-brachyury000100
Grade 1 Vomiting possibly related to Bavarian-Nordic (BN)-brachyury001000
Grade 1 Chills probably related to Bavarian-Nordic (BN)-brachyury001000
Grade 1 Dizziness probably related to Bavarian-Nordic (BN)-brachyury001000
Grade 1 Fatigue probably related to Bavarian-Nordic (BN)-brachyury002000
Grade 1 Fever probably related to Bavarian-Nordic (BN)-brachyury002000
Grade 1 Flu-like symptoms probably related to Bavarian-Nordic (BN)-brachyury002000
Grade 1 Headache probably related to Bavarian-Nordic (BN)-brachyury001000
Grade 1 Hyperthyroidism probably related to Bavarian-Nordic (BN)-brachyury000100
Grade 1 Injection site reaction probably related to Bavarian-Nordic (BN)-brachyury005000
Grade 1 Malaise probably related to Bavarian-Nordic (BN)-brachyury001000
Grade 1 Nausea probably related to Bavarian-Nordic (BN)-brachyury002000
Grade 1 Pain probably related to Bavarian-Nordic (BN)-brachyury001000
Grade 1 Chills definitely related to Bavarian-Nordic (BN)-brachyury002000
Grade 1 Fever definitely related to Bavarian-Nordic (BN)-brachyury001000
Grade 1 Injection site reaction definitely related to Bavarian-Nordic (BN)-brachyury009702
Grade 1 Pruritus definitely related to Bavarian-Nordic (BN)-brachyury001000
Grade 1 Skin and subcutaneous tissue disorders definitely related to Bavarian-Nordic (BN)-brachyury001000
Grade 2 Alanine aminotransferase increased possibly related to Bavarian-Nordic (BN)-brachyury000100
Grade 2 Dehydration possibly related to Bavarian-Nordic (BN)-brachyury000100
Grade 2 Endocrine disorders - Other specify possibly related to Bavarian-Nordic (BN)-brachyury000201
Grade 2 Fatigue possibly related to Bavarian-Nordic (BN)-brachyury001001
Grade 2 Fever possibly related to Bavarian-Nordic (BN)-brachyury000100
Grade 2 Flu-like symptoms possibly related to Bavarian-Nordic (BN)-brachyury000100
Grade 2 Chills probably related to Bavarian-Nordic (BN)-brachyury001000
Grade 2 Hyperhidrosis probably related to Bavarian-Nordic (BN)-brachyury001000
Grade 2 Injection site reaction probably related to Bavarian-Nordic (BN)-brachyury001000
Grade 2 Lipase increased probably related to Bavarian-Nordic (BN)-brachyury000001
Grade 2 Injection site reaction definitely related to Bavarian-Nordic (BN)-brachyury002100
Grade 1 Abdominal pain possibly related to Anktiva (N803)000001
Grade 1 Anorexia possibly related to Anktiva (N803)000001
Grade 1 Fatigue possibly related to Anktiva (N803)0000002
Grade 1 Insomnia possibly related to Anktiva (N803)000001
Grade 1 Mucositis oral possibly related to Anktiva (N803)000001
Grade 1 Pruritus possibly related to Anktiva (N803)000002
Grade 1 Rash maculo-papular possibly related to Anktiva (N803)000001
Grade 1 Weight loss possibly related to Anktiva (N803)000001
Grade 1 Pruritus probably related to Anktiva (N803)000001
Grade 1 Rash maculo-papular probably related to Anktiva (N803)000004
Grade 1 Hemoglobinuria definitely related to Anktiva (N803)000001
Grade 2 Anorexia possibly related to Anktiva (N803)000001
Grade 2 Fatigue possibly related to Anktiva (N803)000001
Grade 2 Mucositis oral possibly related to Anktiva (N803)000001
Grade 2 Rash maculo-papular possibly related to Anktiva (N803)000001
Grade 2 Weight loss possibly related to Anktiva (N803)000001
Grade 2 Pruritus probably related to Anktiva (N803)000001
Grade 2 Rash maculo-papular probably related to Anktiva (N803)000003
Grade 3 Rash maculo-papular possibly related to Anktiva (N803)000001
Grade 3 Pruritus probably related to Anktiva (N803)000001
Grade 3 Rash maculo-papular probably related to Anktiva (N803)000001
Grade 1 Abdominal pain possibly related to Epacadostat000001
Grade 1 Anorexia possibly related to Epacadostat000001
Grade 1 Fatigue possibly related to Epacadostat000002
Grade 1 Insomnia possibly related to Epacadostat000001
Grade 1 Mucositis oral possibly related to Epacadostat000001
Grade 1 Pruritus possibly related to Epacadostat000002
Grade 1 Rash maculo-papular possibly related to Epacadostat000001
Grade 1 Weight loss possibly related to Epacadostat000001
Grade 1 Pruritus probably related to Epacadostat000001
Grade 1 Rash maculo-papular probably related to Epacadostat000004
Grade 1 Hemoglobinuria definitely related to Epacadostat000001
Grade 2 Anorexia possibly related to Epacadostat000001
Grade 2 Fatigue possibly related to Epacadostat000001
Grade 2 Mucositis oral possibly related to Epacadostat000001
Grade 2 Weight loss possibly related to Epacadostat000001
Grade 2 Pruritus probably related to Epacadostat000001
Grade 2 Rash maculo-papular probably related to Epacadostat000003
Grade 2 Rash maculo-papular possibly related to Epacadostat000001
Grade 3 Pruritus probably related to Epacadostat000001
Grade 3 Rash maculo-papular probably related to Epacadostat000001
Grade 1 Abdominal pain possibly related to M7824010000
Grade 1 Alanine aminotransferase increased possibly related to M7824000100
Grade 1 Anal hemorrhage possibly related to M7824001000
Grade 1 Anorexia possibly related to M7824020100
Grade 1 Aspartate aminotransferase increased possibly related to M7824000100
Grade 1 Bloating possibly related to M7824001000
Grade 1 Blood and lymphatic system disorders - Other specify possibly related to M7824000100
Grade 1 Chills possibly related to M7824210000
Grade 1 Dry mouth possibly related to M7824001200
Grade 1 Dry skin possibly related to M7824000100
Grade 1 Endocrine disorders - Other specify possibly related to M7824000200
Grade 1 Eosinophilia possibly related to M7824000100
Grade 1 Epistaxis possibly related to M7824010301
Grade 1 Eye disorders - Other specify possibly related to M7824000100
Grade 1 Fatigue possibly related to M7824136300
Grade 1 Fever possibly related to M7824010000
Grade 1 Flatulence possibly related to M7824001000
Grade 1 Flu-like symptoms possibly related to M7824001000
Grade 1 Gastrointestinal disorders - Other specify possibly related to M7824003200
Grade 1 Generalized muscle weakness possibly related to M7824100000
Grade 1 Headache possibly related to M7824010000
Grade 1 Hematuria possibly related to M7824013101
Grade 1 Hemolysis possibly related to M7824010001
Grade 1 Hemorrhoidal hemorrhage possibly related to M7824001100
Grade 1 Hoarseness possibly related to M7824001000
Grade 1 Hypothyroidism possibly related to M7824001000
Grade 1 Insomnia possibly related to M7824000001
Grade 1 Malaise possibly related to M7824011000
Grade 1 Mucositis oral possibly related to M7824000001
Grade 1 Nausea possibly related to M7824021000
Grade 1 Pain possibly related to M7824010000
Grade 1 Pruritus possibly related to M7824020302
Grade 1 Rash maculo-papular possibly related to M7824012301
Grade 1 Sinus tachycardia possibly related to M7824001000
Grade 1 Skin and subcutaneous tissue disorders - Other specify possibly related to M7824011100
Grade 1 Thyroid stimulating hormone possibly related to M7824010000
Grade 1 Alanine aminotransferase increased probably related to M7824000100
Grade 1 Alkaline phosphatase increased probably related to M7824000100
Grade 1 Aspartate aminotransferase increased probably related to M7824000100
Grade 1 Cystitis noninfective probably related to M7824001000
Grade 1 Dry skin probably related to M7824001000
Grade 1 Endocrine disorders - Other specify probably related to M7824001100
Grade 1 Enterocolitis probably related to M7824020000
Grade 1 Eosinophilia probably related to M7824000100
Grade 1 Fatigue probably related to M7824000100
Grade 1 Gastrointestinal disorders - Other specify probably related to M7824000001
Grade 1 General disorders and administration site conditions probably related to M7824000200
Grade 1 Gingival pain probably related to M7824010000
Grade 1 Hematuria probably related to M7824001100
Grade 1 Hyperthyroidism probably related to M7824001101
Grade 1 Hypotension probably related to M7824100000
Grade 1 Hypothyroidism probably related to M7824000101
Grade 1 Lipase increased probably related to M7824000301
Grade 1 Metabolism and nutrition disorders - Other specify probably related to M7824000100
Grade 1 Neoplasms benign, malignant and unspecified incl cysts and polyps probably related to M7824010000
Grade 1 Oral hemorrhage probably related to M7824002001
Grade 1 Pruritus probably related to M7824001100
Grade 1 Rash acneiform probably related to M7824010000
Grade 1 Rash maculo-papular probably related to M7824130500
Grade 1 Serum amylase probably related to M7824000200
Grade 1 Skin and subcutaneous tissue disorders - Other specify probably related to M7824001100
Grade 1 Thyroid stimulating hormone increased probably related to M7824010000
Grade 1 Bullous dermatitis definitely related to M7824010000
Grade 1 Hyperkeratosis definitely related to M7824001000
Grade 1 Hypothyroidism definitely related to M7824000100
Grade 1 Infusion related reaction definitely related to M7824100100
Grade 1 Injection site reaction definitely related to M7824020000
Grade 1 Paresthesia definitely related to M7824000100
Grade 1 Periorbital edema probably related to M7824000100
Grade 1 Skin and subcutaneous tissue disorders - Other specify definitely related to M7824001000
Grade 2 Alanine aminotransferase increased possibly related to M7824000100
Grade 2 Anal hemorrhage possibly related to M7824001000
Grade 2 Anemia possibly related to M7824020101
Grade 2 Diarrhea possibly related to M7824010000
Grade 2 Dry mouth possibly related to M7824000100
Grade 2 Endocrine disorders - Other specify possibly related to M7824000201
Grade 2 Eye disorders possibly related to M7824000100
Grade 2 Fatigue possibly related to M7824031100
Grade 2 Fever possibly related to M7824010000
Grade 2 General disorders and administration site conditions-Other specify possibly related to M7824000001
Grade 2 Hematuria possibly related to M7824000102
Grade 2 Hypotension possibly related to M7824001000
Grade 2 Joint range of motion decreased possibly related to M7824000100
Grade 2 Lipase increased possibly related to M7824001000
Grade 2 Lymphocyte count decreased possibly related to M7824010000
Grade 2 Mucositis oral possibly related to M7824000001
Grade 2 Musculoskeletal and connective tissue disorder Other specify possibly related to M7824000100
Grade 2 Nausea possibly related to M7824100000
Grade 2 Pain possibly related to M7824010000
Grade 2 Proteinuria possibly related to M7824010000
Grade 2 Pruritus possibly related to M7824000001
Grade 2 Rash maculo-papular possibly related to M7824000001
Grade 2 Skin and subcutaneous tissue disorders Other specify possibly related to M7824000100
Grade 2 Small intestine ulcer possibly related to M7824000100
Grade 2 Vomiting possibly related to M7824200000
Grade 2 Anemia probably related to M7824001000
Grade 2 Bullous dermatitis probably related to M7824010000
Grade 2 Dry mouth probably related to M7824000001
Grade 2 Endocrine disorders - Other specify probably related to M7824000100
Grade 2 Eye disorders probably related to M7824000100
Grade 2 Hyperthyroidism probably related to M7824000100
Grade 2 Hypothyroidism probably related to M7824011200
Grade 2 Infusion related reaction probably related to M7824001000
Grade 2 Lipase increased probably related to M7824000401
Grade 2 Proctitis probably related to M7824001000
Grade 2 Rash maculo-papular probably related to M7824010200
Grade 2 Serum amylase probably related to M7824000100
Grade 2 Skin and subcutaneous tissue disorders - Other specify probably related to M7824000001
Grade 2 Urticaria probably related to M7824000100
Grade 2 Arthritis definitely related to M7824010000
Grade 2 Infusion related reaction definitely related to M7824000102
Grade 2 Pruritus definitely related to M7824010000
Grade 2 Skin and subcutaneous tissue disorders Other specify definitely related to M7824000001
Grade 3 Anemia possibly related to M7824000001
Grade 3 Blood and lymphatic system disorders Other specify possibly related to M7824000100
Grade 3 Gastrointestinal disorders Other specify possibly related to M7824001000
Grade 3 Rash maculopapular possibly related to M7824000001
Grade 3 Eosinophilia probably related to M7824000100
Grade 3 Lipase increased probably related to M7824000001
Grade 3 Pancreatitis probably related to M7824001000
Grade 1 Alanine aminotransferase increased possibly related to research000100
Grade 1 Aspartate aminotransferase increased possibly related to research000100
Grade 1 Dizziness possibly related to research000101
Grade 1 Dry skin possibly related to research000100
Grade 1 Endocrine disorders Other specify possibly related to research000200
Grade 1 Eosinophilia possibly related to research000100
Grade 1 Eye disorders Other specify possibly related to research000100
Grade 1 Fever possibly related to research000500
Grade 1 Hemolysis possibly related to research000001
Grade 1 Hyperhidrosis possibly related to research000100
Grade 1 Injection site reaction possibly related to research000100
Grade 1 Insomnia possibly related to research000001
Grade 1 Malaise possibly related to research000100
Grade 1 Mucositis oral possibly related to research000001
Grade 1 Myalgia possibly related to research000100
Grade 1 Vertigo possibly related to research000100
Grade 1 Weight loss possibly related to research000001
Grade 1 Anal hemorrhage possibly related to research001000
Grade 1 Arthralgia possibly related to research001000
Grade 1 Bloating possibly related to research001000
Grade 1 Blood and lymphatic system disorders Other specify possibly related to research001100
Grade 1 Diarrhea possibly related to research001000
Grade 1 Dry mouth possibly related to research001200
Grade 1 Flatulence possibly related to research001000
Grade 1 Flu-like symptoms possibly related to research001602
Grade 1 Hemorrhoidal hemorrhage possibly related to research001100
Grade 1 Hoarseness possibly related to research001000
Grade 1 Hypothyroidism possibly related to research001000
Grade 1 Sinus tachycardia possibly related to research001000
Grade 1 Vomiting possibly related to research001000
Grade 1 Pain possibly related to research010000
Grade 1 Thyroid stimulating hormone possibly related to research010000
Grade 1 Alanine aminotransferase increased probably related to research000100
Grade 1 Alkaline phosphatase increased probably related to research000100
Grade 1 Aspartate aminotransferase increased probably related to research000100
Grade 1 Eosinophilia probably related to research000100
Grade 1 Gastrointestinal disorders Other specify probably related to research000001
Grade 1 Hypothyroidism probably related to research000101
Grade 1 Lipase increased probably related to research000301
Grade 1 Metabolism and nutrition disorders Other specify probably related to research000100
Grade 1 Periorbital edema probably related to research000100
Grade 1 Serum amylase probably related to research000200
Grade 1 Cystitis noninfective probably related to research001000
Grade 1 Dry skin probably related to research001000
Grade 1 Endocrine disorders Other specify probably related to research001100
Grade 1 Hematuria probably related to research001100
Grade 1 Oral hemorrhage probably related to research002001
Grade 1 Gastrointestinal disorders Other specify possibly related to research003200
Grade 1 Abdominal pain possibly related to research010001
Grade 1 Epistaxis possibly related to research010301
Grade 1 Anorexia possibly related to research010501
Grade 1 Diarrhea probably related to research010000
Grade 1 General disorders& administration site conditions Other specify probably related to research010200
Grade 1 Generalized edema probably related to research010000
Grade 1 Gingival pain probably related to research010000
Grade 1 Hyperhidrosis probably related to research010000
Grade 1 Myalgia probably related to research010000
Grade 1 Neoplasms benign, malignant and unspecified Other specify probably related to research010000
Grade 1 Rash acneiform probably related to research010000
Grade 1 Thyroid stimulating hormone probably related to research010000
Grade 1 Vomiting probably related to research010000
Grade 1 Malaise probably related to research011000
Grade 1 Enterocolitis probably related to research020000
Grade 1 Anorexia probably related to research030001
Grade 1 Headache probably related to research031000
Grade 1 Nausea probably related to research032100
Grade 1 Fatigue possibly related to research034302
Grade 1 Chills possibly related to research100300
Grade 1 Generalized muscle weakness possibly related to research100000
Grade 1 Dizziness probably related to research101000
Grade 1 Pain probably related to research101000
Grade 1 Skin and subcutaneous tissue disorders Other specify probably related to research101100
Grade 1 Fatigue probably related to research102100
Grade 1 Flu-like symptoms probably related to research122200
Grade 1 Rash maculo-papular probably related to research130504
Grade 1 Injection site reaction probably related to research175200
Grade 1 Hypotension probably related to research200000
Grade 1 Pruritus probably related to research211201
Grade 1 Fever probably related to research252000
Grade 1 Chills probably related to research381000
Grade 1 Hyperthyroidism probably related to research001201
Grade 1 Flu-like symptoms definitely related to research000100
Grade 1 Hemoglobinuria definitely related to research000001
Grade 1 Hypothyroidism definitely related to research000100
Grade 1 Paresthesia definitely related to research000100
Grade 1 Hyperkeratosis definitely related to research001000
Grade 1 Skin and subcutaneous tissue disorders Other specify definitely related to research002000
Grade 1 Bullous dermatitis definitely related to research010000
Grade 1 Hemolysis definitely related to research010000
Grade 1 Fever definitely related to research011100
Grade 1 Nausea possibly related to research011300
Grade 1 Headache possibly related to research011100
Grade 1 Skin and subcutaneous tissue disorders Other specify possibly related to research011100
Grade 1 Rash maculo-papular possibly related to research012301
Grade 1 Hematuria possibly related to research013101
Grade 1 Pruritus possibly related to research020202
Grade 1 Chills definitely related to research022000
Grade 1 Infusion related reaction definitely related to research100100
Grade 1 Edema limbs definitely related to research100000
Grade 1 Skin induration definitely related to research100000
Grade 1 Pain definitely related to research100000
Grade 1 Pruritus definitely related to research101100
Grade 1 Injection site reaction definitely related to research4991006
Grade 2 Weight loss possibly related to research000001
Grade 2 Alanine aminotransferase increased possibly related to research000100
Grade 2 Anorexia possibly related to research000001
Grade 1 Dehydration possibly related to research000100
Grade 2 Endocrine disorders - Other specify possibly related to research000101
Grade 2 Eye disorders Other specify possibly related to research000100
Grade 2 Hypotension possibly related to research001000
Grade 2 Lipase increased possibly related to research001000
Grade 2 Anal hemorrhage possibly related to research001000
Grade 2 Diarrhea possibly related to research010000
Grade 2 Headache possibly related to research010000
Grade 2 Neutrophil count decreased010000
Grade 2 Pain possibly related to research010000
Grade 2 Proteinuria possibly related to research010000
Grade 2 Sinusitis possibly related to research010000
Grade 2 Fatigue possibly related to research011101
Grade 2 Lymphocyte count decreased possibly related to research030000
Grade 2 Anemia possibly related to research030101
Grade 2 Alkaline phosphatase increased possibly related to research100000
Grade 2 Vomiting possibly related to research200000
Grade 2 Nausea possibly related to research200000
Grade 2 Eye disorders Other specify probably related to research000100
Grade 2 Fever possibly related to research000100
Grade 2 Flu-like symptoms possibly related to research000100
Grade 2 General disorders& administration site conditions Other specify possibly related to research000001
Grade 2 Hematuria possibly related to research000102
Grade 2 Joint range of motion decreased possibly related to research000100
Grade 2 Mucositis oral possibly related to research000001
Grade 2 Musculoskeletal and connective tissue disorder Other specify possibly related to research000100
Grade 2 Rash maculo-papular possibly related to research000001
Grade 2 Skin and subcutaneous tissue disorders Other specify possibly related to research000100
Grade 2 Hyperthyroidism probably related to research000100
Grade 2 Lipase increased probably related to research000401
Grade 2 Pruritus probably related to research000001
Grade 2 Serum amylase probably related to research000100
Grade 2 Skin and subcutaneous tissue disorders Other, specify, probably related to research000001
Grade 2 Urticaria probably related to research000100
Grade 2 Dry mouth probably related to research000001
Grade 2 Endocrine disorders other specify probably related to research000200
Grade 2 Hematuria probably related to research001000
Grade 2 Chills probably related to research001000
Grade 2 Infusion related reaction probably related to research001000
Grade 2 Proctitis probably related to research001000
Grade 2 Hyperhidrosis probably related to research001000
Grade 2 Anemia probably related to research001000
Grade 2 Bullous dermatitis probably related to research010000
Grade 2 Dehydration probably related to research010000
Grade 2 Hyponatremia probably related to research010000
Grade 2 Nausea probably related to research010000
Grade 2 Rash maculo-papular probably related to research010203
Grade 2 Hypothyroidism probably related to research011200
Grade 2 Injection site reaction probably related to research011101
Grade 2 Fatigue probably related to research020000
Grade 2 Fever probably related to research110000
Grade 2 Infusion related reaction definitely related to research000102
Grade 2 Skin and subcutaneous tissue disorders Other specify definitely related to research000001
Grade 2 Arthritis definitely related to research010000
Grade 2 Injection site reaction definitely related to research023703
Grade 2 Pruritus definitely related to research120000
Grade 3 Anemia possibly related to research000001
Grade 3 Blood and lymphatic system disorders Other specify possibly related to research000100
Grade 3 Gastrointestinal disorders possibly related to research001000
Grade 3 Eosinophilia probably related to research000100
Grade 3 Lipase increased probably related to research000001
Grade 3 Pruritus probably related to research000001
Grade 3 Rash maculo-papular possibly related to research000001
Grade 3 Rash maculo-papular probably related to research000001
Grade 3 Pancreatitis probably related to research001000
Grade 2 Small intestine ulcer possibly related to research000100
Grade 2 injection site reaction definitely related to M7824001000
SecondaryNumber of Participants With Grades 3, 4, and/or 5 Serious Adverse Events Related to Treatment Treated With Combinations and Bintrafusp Alfa (M7824) + Anktiva (N-803)

Number of participants with grades 3 4, and/or 5 serious adverse events related to treatment treated with combinations and Bintrafusp alfa (M7824) + Anktiva (N-803).

Time frame:
3 weeks dose-limiting toxicity (DLT) period
Reported as:
Count of participants · Participants
Number of Participants With Grades 3, 4, and/or 5 Serious Adverse Events Related to Treatment Treated With Combinations and Bintrafusp Alfa (M7824) + Anktiva (N-803)
ParticipantsPhase (Ph) I Dose Escalation, Cohort 1, Arm 1.1, Dose Level (DL) 1Phase I Dose Escalation, Cohort 1, Arm 1.1 Dose Level 2Phase IIA Dose Expansion (Dose Exp.), Cohort 2, Arm 2.1APhase IIA Dose Expansion, Cohort 2, Arm 2.2APhase IIB, Dose Expansion, Cohort 2, Arm 2.2BPhase IIA Dose Expansion, Cohort 2A, Arm 2.3A
Grade 3 Metabolism and nutrition disorders - Other, specify possibly related to research000100
Grade 3 Metabolism and nutrition disorders - Other, specify possibly related to M7824000100
Grade 3 Tumor hemorrhage possibly related to research010000
Grade 3 Tumor hemorrhage possibly related to M7824010000
Grade 3 Endocrine disorders - Other specify probably related to research001000
Grade 3 Endocrine disorders - Other specify probably related to M7824001000
Grade 3 Enterocolitis probably related to research010000
Grade 3 Enterocolitis probably related to M7824010000
Grade 3 Tumor hemorrhage probably related to research001000
Grade 3 Tumor hemorrhage probably related to M7824001000
Grade 4 Blood and lymphatic system disorders - Other specify possibly related to research000100
Grade 4 Blood and lymphatic system disorders - Other specify possibly related to M7824000100
Grade 4 Blood and lymphatic system disorders - Other specify possibly related to Anktiva (N-803)000100
Grade 5 related to research and/or any study treatment000000
Other pre-specifiedNumber of Participants With Serious and/or Non-serious Adverse Events Assessed by the Common Terminology Criteria for Adverse Events (CTCAE v5.0)

Here is the number of participants with serious and/or non-serious adverse events assessed by the Common Terminology Criteria for Adverse Events (CTCAE v5.0). A non-serious adverse event is any untoward medical occurrence. A serious adverse event is an adverse event or suspected adverse reaction that results in death, a life-threatening adverse drug experience, hospitalization, disruption of the ability to conduct normal life functions, congenital anomaly/birth defect or important medical events that jeopardize the patient or subject and may require medical or surgical intervention to prevent one of the previous outcomes mentioned.

Time frame:
Adverse Events were monitored/assessed from the first study intervention, up to 49 weeks.
Reported as:
Count of participants · Participants
Number of Participants With Serious and/or Non-serious Adverse Events Assessed by the Common Terminology Criteria for Adverse Events (CTCAE v5.0)
ParticipantsPhase (Ph) I Dose Escalation, Cohort 1, Arm 1.1, Dose Level (DL) 1Phase I Dose Escalation, Cohort 1, Arm 1.1 Dose Level 2Phase IIA Dose Expansion (Dose Exp.), Cohort 2, Arm 2.1APhase IIA Dose Expansion, Cohort 2, Arm 2.2APhase IIB, Dose Expansion, Cohort 2, Arm 2.2BPhase IIA Dose Expansion, Cohort 2A, Arm 2.3A
Number of Participants With Serious and/or Non-serious Adverse Events Assessed by the Common Terminology Criteria for Adverse Events (CTCAE v5.0)4101313126

Adverse events

Collected over Adverse Events were monitored/assessed from the first study intervention, up to 49 weeks.. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Phase (Ph) I Dose Escalation, Cohort 1, Arm 1.1, Dose Level (DL) 11/4 (25%)3/4 (75%)4/4 (100%)
Phase I Dose Escalation, Cohort 1, Arm 1.1 Dose Level 22/10 (20%)5/10 (50%)10/10 (100%)
Phase IIA Dose Expansion (Dose Exp.), Cohort 2, Arm 2.1A1/13 (7.7%)8/13 (61.5%)13/13 (100%)
Phase IIA Dose Expansion, Cohort 2, Arm 2.2A0/13 (0%)5/13 (38.5%)13/13 (100%)
Phase IIB, Dose Expansion, Cohort 2, Arm 2.2B0/12 (0%)3/12 (25%)12/12 (100%)
Phase IIA Dose Expansion, Cohort 2A, Arm 2.3A0/6 (0%)2/6 (33.3%)6/6 (100%)
Most frequent serious events
Showing 10 of 44
Most frequent serious events
EventPhase (Ph) I Dose Escalation, Cohort 1, Arm 1.1, Dose Level (DL) 1Phase I Dose Escalation, Cohort 1, Arm 1.1 Dose Level 2Phase IIA Dose Expansion (Dose Exp.), Cohort 2, Arm 2.1APhase IIA Dose Expansion, Cohort 2, Arm 2.2APhase IIB, Dose Expansion, Cohort 2, Arm 2.2BPhase IIA Dose Expansion, Cohort 2A, Arm 2.3A
Abdominal painGastrointestinal disorders1/40/100/130/130/120/6
ConstipationGastrointestinal disorders1/40/100/130/130/120/6
Muscle weakness upper limbMusculoskeletal and connective tissue disorders1/40/100/130/130/120/6
NauseaGastrointestinal disorders1/40/100/130/130/120/6
Pleural effusionRespiratory, thoracic and mediastinal disorders1/40/100/130/130/120/6
Urinary tract infectionInfections and infestations1/40/100/131/130/120/6
VomitingGastrointestinal disorders1/40/100/130/130/120/6
Tumor hemorrhageNeoplasms benign, malignant and unspecified (incl cysts and polyps)0/42/101/130/130/120/6
Gastrointestinal disorders - Other, specify: colitisGastrointestinal disorders0/40/100/130/130/121/6
General disorders and administration site conditions - Other, specify: Mucosal bleedingGeneral disorders0/40/100/130/130/121/6
Most frequent other events
Showing 10 of 263
Most frequent other events
EventPhase (Ph) I Dose Escalation, Cohort 1, Arm 1.1, Dose Level (DL) 1Phase I Dose Escalation, Cohort 1, Arm 1.1 Dose Level 2Phase IIA Dose Expansion (Dose Exp.), Cohort 2, Arm 2.1APhase IIA Dose Expansion, Cohort 2, Arm 2.2APhase IIB, Dose Expansion, Cohort 2, Arm 2.2BPhase IIA Dose Expansion, Cohort 2A, Arm 2.3A
Injection site reactionGeneral disorders4/410/1011/1313/1312/126/6
AnemiaBlood and lymphatic system disorders2/49/103/134/134/122/6
ChillsGeneral disorders3/49/103/134/131/120/6
Rash maculo-papularSkin and subcutaneous tissue disorders1/43/102/136/132/125/6
HeadacheNervous system disorders0/48/102/131/132/120/6
PruritusSkin and subcutaneous tissue disorders3/44/103/136/130/124/6
FeverGeneral disorders2/47/103/136/130/120/6
Flu like symptomsGeneral disorders1/42/104/139/138/123/6
PainGeneral disorders1/44/109/137/131/123/6
AnorexiaMetabolism and nutrition disorders1/45/101/138/135/122/6

Baseline characteristics

Data collected for one participant who was enrolled and not treated is reported here.

Age, Categorical
Age, Categorical(Participants)Phase (Ph) I Dose Escalation, Cohort 1, Arm 1.1, Dose Level (DL) 1Phase I Dose Escalation, Cohort 1, Arm 1.1 Dose Level 2Phase I Dose Escalation, Cohort 1: Enrolled But Not TreatedPhase IIA Dose Expansion (Dose Exp.), Cohort 2, Arm 2.1APhase IIA Dose Expansion, Cohort 2, Arm 2.2APhase IIB, Dose Expansion, Cohort 2, Arm 2.2BPhase IIA Dose Expansion, Cohort 2A, Arm 2.3ATotal
<=18 years00000000
Between 18 and 65 years391566131
>=65 years110876528
Age, Continuous
Age, Continuous(years)Phase (Ph) I Dose Escalation, Cohort 1, Arm 1.1, Dose Level (DL) 1Phase I Dose Escalation, Cohort 1, Arm 1.1 Dose Level 2Phase I Dose Escalation, Cohort 1: Enrolled But Not TreatedPhase IIA Dose Expansion (Dose Exp.), Cohort 2, Arm 2.1APhase IIA Dose Expansion, Cohort 2, Arm 2.2APhase IIB, Dose Expansion, Cohort 2, Arm 2.2BPhase IIA Dose Expansion, Cohort 2A, Arm 2.3ATotal
Mean54.23 ± 12.5652.34 ± 12.0550.5 ± 067.81 ± 9.2365.69 ± 6.8166.57 ± 6.9775.47 ± 8.4464.03 ± 11.19
Sex: Female, Male
Sex: Female, Male(Participants)Phase (Ph) I Dose Escalation, Cohort 1, Arm 1.1, Dose Level (DL) 1Phase I Dose Escalation, Cohort 1, Arm 1.1 Dose Level 2Phase I Dose Escalation, Cohort 1: Enrolled But Not TreatedPhase IIA Dose Expansion (Dose Exp.), Cohort 2, Arm 2.1APhase IIA Dose Expansion, Cohort 2, Arm 2.2APhase IIB, Dose Expansion, Cohort 2, Arm 2.2BPhase IIA Dose Expansion, Cohort 2A, Arm 2.3ATotal
Female34100008
Male160131312651
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Phase (Ph) I Dose Escalation, Cohort 1, Arm 1.1, Dose Level (DL) 1Phase I Dose Escalation, Cohort 1, Arm 1.1 Dose Level 2Phase I Dose Escalation, Cohort 1: Enrolled But Not TreatedPhase IIA Dose Expansion (Dose Exp.), Cohort 2, Arm 2.1APhase IIA Dose Expansion, Cohort 2, Arm 2.2APhase IIB, Dose Expansion, Cohort 2, Arm 2.2BPhase IIA Dose Expansion, Cohort 2A, Arm 2.3ATotal
Hispanic or Latino12012006
Not Hispanic or Latino37112912650
Unknown or Not Reported01002003
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Phase (Ph) I Dose Escalation, Cohort 1, Arm 1.1, Dose Level (DL) 1Phase I Dose Escalation, Cohort 1, Arm 1.1 Dose Level 2Phase I Dose Escalation, Cohort 1: Enrolled But Not TreatedPhase IIA Dose Expansion (Dose Exp.), Cohort 2, Arm 2.1APhase IIA Dose Expansion, Cohort 2, Arm 2.2APhase IIB, Dose Expansion, Cohort 2, Arm 2.2BPhase IIA Dose Expansion, Cohort 2A, Arm 2.3ATotal
American Indian or Alaska Native00010001
Asian10001002
Native Hawaiian or Other Pacific Islander00000000
Black or African American000415010
White391887642
More than one race00000000
Unknown or Not Reported01003004
Region of Enrollment
Region of Enrollment(participants)Phase (Ph) I Dose Escalation, Cohort 1, Arm 1.1, Dose Level (DL) 1Phase I Dose Escalation, Cohort 1, Arm 1.1 Dose Level 2Phase I Dose Escalation, Cohort 1: Enrolled But Not TreatedPhase IIA Dose Expansion (Dose Exp.), Cohort 2, Arm 2.1APhase IIA Dose Expansion, Cohort 2, Arm 2.2APhase IIB, Dose Expansion, Cohort 2, Arm 2.2BPhase IIA Dose Expansion, Cohort 2A, Arm 2.3ATotal
United States4101131312659
08

Study locations

1 site
  • National Institutes of Health Clinical Center
    Bethesda, Maryland 20892, United States
09

References and documents

Publications

  • Redman JM, Madan RA, Donahue RN, Toney NJ, Karzai F, Strauss J, Palena C, Horn LA, Del Rivero J, Marte JL, Cordes L, Lynch MT, Meyer TJ, Cam M, Soon-Shiong P, Schlom J, Gulley JL. Durable responses to triplet immunotherapy targeting TGF-beta, PD-L1, and tumor antigen, with an IL-15 receptor superagonist in mismatch repair proficient castration-resistant prostate cancer. J Immunother Cancer. 2026 Jul 24;14(7):e015336. doi: 10.1136/jitc-2026-015336. PubMed 42498485 ↗
  • Fabian KP, Padget MR, Fujii R, Schlom J, Hodge JW. Differential combination immunotherapy requirements for inflamed (warm) tumors versus T cell excluded (cool) tumors: engage, expand, enable, and evolve. J Immunother Cancer. 2021 Feb;9(2):e001691. doi: 10.1136/jitc-2020-001691. PubMed 33602696 ↗
  • Redman JM, Steinberg SM, Gulley JL. Quick efficacy seeking trial (QuEST1): a novel combination immunotherapy study designed for rapid clinical signal assessment metastatic castration-resistant prostate cancer. J Immunother Cancer. 2018 Sep 18;6(1):91. doi: 10.1186/s40425-018-0409-8. PubMed 30227893 ↗

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: Yes — All individual participant data (IPD) recorded in the medical record will be shared with intramural investigators upon request. In addition, all large-scale genomic sequencing data will be shared with subscribers to the database of Genotypes and Phenotypes (dbGaP).

Supporting information: Study protocol, Statistical analysis plan, Informed consent form

Time frame: Clinical data available during the study and indefinitely. Genomic data are available once genomic data are uploaded per protocol Genomic Data Sharing (GDS) plan for as long as database is active.

Access criteria: Clinical data will be made available via subscription to Biomedical Translational Research Information System (BTRIS) and with the permission of the study principal investigator (PI). Genomic data are made available via the database of Genotypes and Phenotypes (dbGaP) through requests to the data custodians.

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from May 2018 to primary completion in Oct 2024, 77 months.

Results were first posted in Jun 2025, 8 months after primary completion.

Of 114 non-industry phase 1/2 interventional studies under Prostatic Neoplasms, half reached primary completion within 65 months of starting (the median), counting those still running; a quarter within 28 and three quarters within 85. This study's 77 months is above that.

Counting every sponsor, half of 211 studies reached it within 61 months; a quarter within 30 and three quarters within 85.

How these figures are worked out, and which studies are left out of them.

Registered
Apr 10, 2018
First posted
Apr 11, 2018
StartActual
May 1, 2018
Primary completionActual
Oct 8, 2024
CompletionActual
Oct 8, 2024
Results first posted
Jun 8, 2025
Last update
Sep 30, 2025
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Sep 30, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03493945
Responsible party
James Gulley, M.D. (Principal Investigator, National Cancer Institute (NCI)) — Principal investigator
First posted
Apr 11, 2018
Start date
May 1, 2018
Primary completion
Oct 8, 2024
Completion
Oct 8, 2024
Results posted
Jun 8, 2025
Last update
Sep 30, 2025

Study contacts

James L Gulley, M.D.
principal investigator · National Cancer Institute (NCI)

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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Studies of the drugs tested here: Nogapendekin alfa inbakicept · Epacadostat

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