Evidence map›Paper›PMID 40830709›Full record

Trial reportInvestigational new drugs2025

Phase 1/2, open-label study of oral bacterial supplementation (EDP1503) plus pembrolizumab in participants with advanced or metastatic microsatellite-stable colorectal cancer, triple-negative breast cancer, and checkpoint inhibitor-relapsed tumors.

Judy S Wang, Edward R Arrowsmith, J Thaddeus Beck, Jennifer Friedmann, Rahima Jamal, Duncan McHale, Humphrey Gardner, Michael J Chisamore, Susanna V Ulahannan

Registry-linked trialAbstract readClinical Trial, Phase IClinical Trial, Phase IIMulticenter Study
In one paragraph

Trial report in Investigational new drugs, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03775850 (A Phase I Open-label Study of EDP1503 Alone and in Combination With Pembrolizumab in Patients With Advanced Metastatic Colorectal Carcinoma, Triple-negative Breast Cancer, and Checkpoint Inhibitor Relapsed Tumors), which is not on this map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03775850 phase1completednot on this map

A Phase I Open-label Study of EDP1503 Alone and in Combination With Pembrolizumab in Patients With Advanced Metastatic Colorectal Carcinoma, Triple-negative Breast Cancer, and Checkpoint Inhibitor Relapsed Tumors

TypeinterventionalSponsorEvelo Biosciences, Inc.Ran2018 to 2021Enrolled69ConditionsColorectal Cancer Metastatic, Triple Negative Breast Cancer, Non Small Cell Lung Cancer, Bladder CancerArmsEDP1503, Pembrolizumab
3 · Its place in the literature

Who cites it

9 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Judy S WangFlorida Cancer Specialists/Sarah Cannon Research Institute, 600 North Cattlemen Road, Suite 200, Sarasota, FL, 34232, USA. jswang@flcancer.com.ORCID 0000-0003-4789-4913
Edward R ArrowsmithTennessee Oncology, 1032 McCallie Avenue, Suite 200, Chattanooga, TN, 37403, USA.
J Thaddeus BeckDepartment of Medical Oncology and Hematology, Highlands Oncology Group, 3901 Parkway Circle, Springdale, AR, 72762, USA.
Jennifer FriedmannJewish General Hospital, 3755 Côte-Sainte-Catherine Road, Montreal, QC, H3T1E2, Canada.
Rahima JamalCentre Hospitalier de l'Université de Montréal (CHUM), Centre de Recherche du CHUM, 1000 St-Denis St, Pavilion R, Suite R04.540, Montreal, QC, H2X0A9, Canada.
Duncan McHaleWeatherden Ltd, 81-87 High Holborn, London, WC1V 6DF, UK.
Humphrey GardnerWeatherden Ltd, 81-87 High Holborn, London, WC1V 6DF, UK.
Michael J ChisamoreMerck & Co., Inc., 126 E Lincoln Ave, Rahway, NJ, 07065, USA.
Susanna V UlahannanThe University of Oklahoma Health Sciences Center/Sarah Cannon Research Institute, 800 N.E. 10th Street, SCC 4500, Oklahoma City, OK, 73104, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We report a phase 1/2 study evaluating EDP1503 (capsule containing Bifidobacterium animalis lactis) ± pembrolizumab in participants with microsatellite-stable colorectal cancer (MSS CRC), triple-negative breast cancer (TNBC), or other tumor types that relapsed after responding to immunotherapy (KEYNOTE-939/EDP1503-101; NCT03775850). Participants (≥ 18 years) had confirmed advanced/metastatic tumors and progressive disease (PD), were intolerant/nonresponsive to recommended treatment, and had measurable disease (RECIST v1.1). Cohorts were: MSS CRC (Cohort A), metastatic/locally advanced TNBC (Cohort B), and PD following partial response/stable disease for ≥ 6 months during anti‒PD-(L)1 therapy (≥ 8 months during anti‒PD-(L)1 therapy plus chemotherapy for non-small-cell lung cancer) (Cohort C). Participants received oral EDP1503 (2 or 4 capsules twice daily [BID]) for 2 weeks, then EDP1503 (2 or 4 capsules BID) plus intravenous pembrolizumab 200 mg every 3 weeks until PD, participant withdrawal, investigator decision, intolerable toxicity, or completion of 35 cycles. Primary endpoints were safety/tolerability, objective response rate (RECIST v1.1), and immune-response rate. Secondary endpoints included duration of clinical benefit, progression-free survival (PFS), and overall survival (OS). Of 69 participants, objective responses were observed in 3 (2 in Cohort B and 1 in Cohort C with partial responses received 4 capsules BID). For participants receiving 4 capsules BID, median duration of clinical benefit (95% CI) was 8.7 months (5.5 months‒not evaluable), median PFS was 1.8 (1.7‒1.9) months, and median OS was 7.8 (2.5‒13.5) months. Grade ≥ 3 adverse events occurred in 28 participants (40.6%), with no new safety signals. EDP1503 plus pembrolizumab had manageable safety but limited clinical activity.Trial registration: KEYNOTE-939, EDP1503-101 trial: ClinicalTrials.gov NCT03775850.

Indexed as

Antibodies, Monoclonal, HumanizedAntineoplastic Combined Chemotherapy ProtocolsColorectal NeoplasmsImmune Checkpoint InhibitorsTriple Negative Breast NeoplasmsAdministration, OralAdultAgedAged, 80 and overFemaleHumansMaleMiddle AgedNeoplasm Recurrence, LocalAntibodies, Monoclonal, HumanizedImmune Checkpoint InhibitorspembrolizumabBacterial supplementationImmunotherapyMicrobiomeOncology

Identifiers

PMID40830709
PMCPMC12515240

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.