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OncoMatch/Clinical Trials/NCT04521764

A Vaccine (MV-s-NAP) for the Treatment of Patients With Invasive Metastatic Breast Cancer

Is NCT04521764 recruiting? Yes, currently enrolling (May 2026). This Phase 1 trial studies Oncolytic Measles Virus Encoding Helicobacter pylori Neutrophil-activating Protein for anatomic stage iv breast cancer ajcc v8.

Phase 1RecruitingMayo ClinicNCT04521764Data as of May 2026

Treatment: Oncolytic Measles Virus Encoding Helicobacter pylori Neutrophil-activating ProteinThis phase I trial investigates the side effects and best dose of using a modified measles virus, MV-s-NAP, in treating patients with invasive breast cancer that has spread to other places in the body (metastatic). Both the unmodified vaccination measles virus (MV-Edm) and this modified virus (MV-s-NAP) have been shown to multiply in and destroy breast cancer cells in the test tube and in research mice. MV-s-NAP has been altered by having an extra gene (piece of deoxyribonucleic acid \[DNA\]) so that virus can make a protein called helicobacter pylori neutrophil activating protein (NAP) which is normally expressed in inflammatory reactions. Monitoring blood, urine, tissue, and throat swab samples, and using imaging tests may help to determine whether MV-s-NAP has any impact on the amount of disease present in metastatic breast cancer patients.

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Extracted eligibility criteria

Cancer type

Breast Carcinoma

Biomarker criteria

Allowed: HER2 (ERBB2) negative

Allowed: HER2 (ERBB2) negative

Allowed: HER2 (ERBB2) positive

Allowed: ESR1 negative

Allowed: ESR1 positive

Allowed: PR (PGR) negative

Allowed: PR (PGR) positive

Disease stage

Required: Stage IV

Metastatic disease required

Performance status

ECOG 0–2(Ambulatory, capable of self-care)

Prior therapy

Must have received: cytotoxic chemotherapy — advanced disease

Patients with ER/PR positive, HER2 negative breast cancer must have progressed through at least one prior cytotoxic regimen for advanced disease and no longer be candidates for standard endocrine therapy or combination of endocrine therapy with other agents such as CDK4/6 inhibitors

Must have received: HER2-targeted therapy (trastuzumab, pertuzumab)

Patients with HER2 positive breast cancer irrespective of ER/PR status must have received or no longer be candidates for HER2 directed therapy with trastuzumab or pertuzumab

Must have received: cytotoxic chemotherapy — advanced disease

Patients with ER/PR/HER2 negative breast cancer must have progressed through at least one prior cytotoxic regimen for advanced disease

Cannot have received: chemotherapy

Chemotherapy <= 3 weeks prior to registration

Cannot have received: immunotherapy

Immunotherapy <= 4 weeks prior to registration

Cannot have received: HER2-targeted therapy

HER2 directed therapy <= 3 weeks prior to registration

Cannot have received: targeted therapy (CDK4/6 inhibitors, everolimus)

Targeted therapy <= 2 weeks prior to registration (e.g., CDK4/6 inhibitors, everolimus)

Cannot have received: investigational agent

Investigational agent <= 4 weeks prior to registration

Cannot have received: viral or gene therapy

Any viral or gene therapy prior to registration

Lab requirements

Blood counts

ANC >= 1500/uL; Platelets >= 100,000/uL; Hemoglobin >= 9.0 g/dL

Kidney function

Creatinine <= 1.5 x ULN

Liver function

Total bilirubin <= institutional upper limit of normal; AST <= 2 x upper limit of normal (ULN)

ANC >= 1500/uL (<= 7 days prior to registration); Platelets (PLT >= 100,000/uL) (<= 7 days prior to registration); Total bilirubin <= institutional upper limit of normal (<= 7 days prior to registration); Aspartate aminotransferase (AST) <= 2 x upper limit of normal (ULN) (<= 7 days prior to registration); Creatinine <= 1.5 x ULN (<= 7 days prior to registration); Hemoglobin >= 9.0 g/dL (<= 7 days prior to registration)

Structured fields extracted by AI. May contain errors — verify against the official protocol.

US trial sites

  • Mayo Clinic in Rochester · Rochester, Minnesota

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