Clinical trial Recruiting at 154 sites Phase 3 Interventional Ages 18 to 100

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

PhasePhase 3
Study typeInterventional
Ages18 Years to 100 Years
SexAll
Enrollment2250 (estimated)
SponsorGreenwich LifeSciences, Inc.
Industry-sponsored
Drugs / interventionstrastuzumab, chemotherapy, immunotherapy
Locations179 sites (Mobile, Alabama and 178 other locations)
StatusRecruiting
StartedDecember 16, 2022
Main results expectedDecember 2031
Study endsDecember 2031
Registry record updatedAugust 6, 2026
Trial IDNCT05232916 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

  • 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
  • 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

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.