Evaluating GLSI-100 immunotherapy for HER2 positive breast cancer
Official title: A Randomized, Multicenter, Placebo-controlled, Phase 3 Study to Evaluate the Efficacy and Safety of HER2/Neu Peptide GLSI-100 (GP2 + GM-CSF) in HER2/Neu Positive Subjects With Residual Disease or High-Risk PCR After Both Neoadjuvant and Postoperative Adjuvant Trastuzumab-based Therapy (FLAMINGO-01)
Run by Greenwich LifeSciences, Inc. · NCT05232916 · Data updated 2026-11-12
This study is testing a new immunotherapy called GLSI-100 to see if it can help prevent breast cancer from coming back in patients who are at high risk and have HER2 positive breast cancer.
Quick facts
| Phase | Phase 3 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years to 100 Years |
| Sex | All |
| Enrollment | 2250 (estimated) |
| Sponsor | Greenwich LifeSciences, Inc. Industry-sponsored |
| Drugs / interventions | trastuzumab, chemotherapy, immunotherapy |
| Locations | 179 sites (Mobile, Alabama and 178 other locations) |
| Status | Recruiting |
| Started | December 16, 2022 |
| Main results expected | December 2031 |
| Study ends | December 2031 |
| Registry record updated | August 6, 2026 |
| Trial ID | NCT05232916 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are HLA-A*02 positive individuals with a confirmed diagnosis of HER2/neu positive breast cancer who have completed standard therapies and have residual disease.
✕Probably not a fit
Patients without HER2/neu positive breast cancer or those who do not meet the HLA-A*02 positive criteria may not benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This Phase 3 study investigates the efficacy and safety of GLSI-100, an immunotherapy, in patients with HER2/neu positive breast cancer who are at high risk for recurrence. Participants will receive a series of intradermal injections of GLSI-100 or a placebo after completing standard neoadjuvant and adjuvant therapies. The study includes a randomized, double-blinded, placebo-controlled design and also features an open-label arm for non-HLA-A*02 positive subjects. The goal is to assess the treatment's impact on disease recurrence in this high-risk population.
Why it matters
Potential benefit: If successful, this treatment could significantly reduce the risk of breast cancer recurrence in patients with HER2/neu positive tumors.
How similar studies have gone: Other studies have shown promise with immunotherapy approaches in similar patient populations, indicating potential for success in this novel application.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Histologically confirmed diagnosis of HER2/neu positive primary breast cancer for all tumors biopsied at diagnosis (multifocal, multicentric, or synchronous contralateral disease) * Completion of both neoadjuvant and adjuvant trastuzumab-based standard of care breast cancer therapy * Stage I, II, or III at presentation with pathologic evidence of residual invasive carcinoma in the breast or axillary lymph nodes (residual disease) at surgery following completion of neoadjuvant therapy -OR- Stage III at presentation with pathologic complete response (pCR) at surgery following completion of neoadjuvant therapy * The subject can begin study therapy within one year of completion of adjuvant trastuzumab-based therapy and any other standard therapies, but, study therapy can be administered concurrently with endocrine therapy. * No clinical evidence of residual or persistent breast cancer per treating physician assessment * ECOG 0-2 * Adequate organ function * Negative pregnancy test or evidence of post-menopausal status * If of childbearing potential, willing to use a form of highly effective contraception * Subject must both reside in and have been treated for their cancer in the country in which the clinical site is located. Exclusion Criteria: * Stage IV cancer or metastatic breast cancer at any time * Inflammatory breast cancer * Receiving other investigational agents * Receiving chemotherapy * Requiring long-term systemic treatment with corticosteroids or other immunosuppressive therapy * History of immunodeficiency or active autoimmune disease * A history of serious allergic reactions, including anaphylaxis, to human granulocyte-macrophage colony-stimulating factors such as sargramostim, yeast-derived products, or any component of the investigational product * Other malignancies except adequately treated in situ carcinoma of the cervix or basal cell or squamous cell carcinoma of the skin * Active infection * Known HIV infection with a detectable viral load within 6 months of the anticipated start of treatment. Note: Subjects on effective antiretroviral therapy with an undetectable viral load within 6 months of the anticipated start of treatment are eligible for this trial.
Where it's running
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City of Hope - Cancer Center Phoenix
Goodyear, Arizona, United States Recruiting -
Tucson Medical Center HealthCare
Tucson, Arizona, United States Recruiting -
City of Hope - Duarte Cancer Center
Duarte, California, United States Recruiting -
Providence St. Jude Medical Center - Virginia K. Crosson Cancer Center
Fullerton, California, United States Recruiting -
City of Hope - Orange County Lennar Foundation Cancer Center
Irvine, California, United States Recruiting -
University of California San Diego - Moores Cancer Center
La Jolla, California, United States Recruiting
Show 44 more locations
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Stanford Medicine Cancer Center - Stanford Women's Cancer Center
Palo Alto, California, United States Recruiting -
University of California San Francisco - Helen Diller Family Comprehensive Cancer Center
San Francisco, California, United States Recruiting -
University of California Los Angeles - Hematology / Oncology Parkside
Santa Monica, California, United States Recruiting -
PIH Health Hospital - Whittier Hospital
Whittier, California, United States Recruiting -
Rocky Mountain Cancer Centers
Denver, Colorado, United States Recruiting -
Yale Cancer Center - Smilow Cancer Hospital
New Haven, Connecticut, United States Recruiting -
Johns Hopkins Medicine - Kimmel Cancer Center-Sibley Memorial Hospital
Washington D.C., District of Columbia, United States Recruiting -
University of Miami - Sylvester Comprehensive Cancer Center
Miami, Florida, United States Recruiting -
Moffitt Cancer Center
Tampa, Florida, United States Recruiting -
City of Hope - Cancer Center Atlanta
Newnan, Georgia, United States Recruiting -
Northwestern University - Northwestern Memorial Hospital
Chicago, Illinois, United States Recruiting -
City of Hope - Cancer Center Chicago
Zion, Illinois, United States Recruiting -
Maryland Oncology Hematology
Annapolis, Maryland, United States Recruiting -
Massachusetts General Hospital Cancer Center
Boston, Massachusetts, United States Recruiting -
Minnesota Oncology
Maple Grove, Minnesota, United States Recruiting -
Siteman Cancer Center - Washington University Medical Campus
St Louis, Missouri, United States Recruiting -
Nebraska Cancer Specialists
Omaha, Nebraska, United States Recruiting -
Nebraska Medicine - University of Nebraska Medical Center
Omaha, Nebraska, United States Recruiting -
Comprehensive Cancer Centers of Nevada
Henderson, Nevada, United States Recruiting -
New York Oncology Hematology
Albany, New York, United States Recruiting -
New York-Presbyterian - Columbia University Irving Medical Center
New York, New York, United States Recruiting -
Stony Brook University Cancer Center
Stony Brook, New York, United States Recruiting -
Oncology Hematology Care
Cincinnati, Ohio, United States Recruiting -
Compass Oncology - Northwest Cancer Specialists
Tigard, Oregon, United States Recruiting -
Redeemer Health - Holy Redeemer Hospital
Meadowbrook, Pennsylvania, United States Recruiting -
Sidney Kimmel Comprehensive Cancer Center - Thomas Jefferson University Hospital
Philadelphia, Pennsylvania, United States Recruiting -
Texas Oncology - Austin
Austin, Texas, United States Recruiting -
Texas Oncology - Dallas Presbyterian Hospital
Dallas, Texas, United States Recruiting -
Texas Oncology - Baylor Charles A. Sammons Cancer Center
Dallas, Texas, United States Recruiting -
The University of Texas Southwestern Medical Center
Dallas, Texas, United States Recruiting -
Baylor College of Medicine - Dan L. Duncan Comprehensive Cancer Center
Houston, Texas, United States Recruiting -
The University of Texas Health Sciences Center at San Antonio - Mays Cancer Center
San Antonio, Texas, United States Recruiting -
Texas Oncology - San Antonio Medical Center
San Antonio, Texas, United States Recruiting -
Texas Oncology - Gulf Coast
Sugar Land, Texas, United States Recruiting -
Texas Oncology - Tyler
Tyler, Texas, United States Recruiting -
University of Utah - Huntsman Cancer Institute
Salt Lake City, Utah, United States Recruiting -
Virginia Cancer Specialists
Fairfax, Virginia, United States Recruiting -
UZ Leuven
Leuven, Belgium Recruiting -
Sainte-Catherine - Institut du Cancer Avignon-Provence (ICAP)
Avignon, France Recruiting -
Clinique Pasteur-Lanroze
Brest, France Recruiting -
Centre François Baclesse (CLCC)
Caen, France Recruiting -
Pôle Santé Léonard De Vinci
Chambray-lès-Tours, France Recruiting -
Centre Hospitalier de Cholet
Cholet, France Recruiting -
Centre Hospitalier Alpes Leman
Contamine-sur-Arve, France Recruiting
+129 more sites. See ClinicalTrials.gov for the full list.
Study contacts
- Principal investigator: Mothaffar F Rimawi, MD — Baylor College of Medicine
- Study coordinator: Jaye L Thompson, Ph.D.
- Email: Jaye.Thompson@GreenwichLifeSciences.com
- Phone: (832) 791-2542
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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Entinostat with Pyrotinib and Endocrine Therapy in HER2-positive, HR-positive Advanced Breast Cancer after Trastuzumab Failure
This study tests whether adding entinostat to pyrotinib and hormone therapy is safe and helps patients with advanced HR+/HER2+ breast cancer who progressed after trastuzumab.
-
Dendritic Cell Vaccine with HER2-targeted Therapy or Nivolumab for Breast Cancer with Leptomeningeal Metastasis
This trial tests a dendritic cell vaccine added to trastuzumab for Her2-positive disease or to nivolumab for Her2-negative disease to see if it can be given safely to people with breast cancer that has spread to the leptomeninges.
-
Brain metastases from breast cancer: see how trastuzumab deruxtecan in CSF relates to effect
This study tests whether levels of trastuzumab deruxtecan in cerebrospinal fluid relate to how well it works for adults with breast cancer that has spread to the brain.
-
Trastuzumab Deruxtecan plus ivonescimab for HR+ HER2-low advanced breast cancer
This study tests whether combining Trastuzumab Deruxtecan with ivonescimab can help people with HR-positive, HER2-low metastatic breast cancer after prior CDK4/6 inhibitor therapy.
-
Pyrotinib and Trastuzumab with Dalpiciclib vs with Docetaxel in advanced HER2-positive breast cancer
This study tests whether an oral regimen of pyrotinib + subcutaneous trastuzumab + dalpiciclib works as well as the standard IV regimen with docetaxel in people with advanced HER2-positive breast cancer who have limited prior treatment.
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Tucatinib with trastuzumab and capecitabine for HER2‑positive metastatic breast cancer in routine care
This project will see if tucatinib combined with trastuzumab and capecitabine works and is safe for people with HER2‑positive metastatic breast cancer who have had at least two prior anti‑HER2 treatments.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.