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Clinical Trials/NCT02410369
NCT02410369UnknownPhase 2

Phase II Study of S-588410 as Maintenance Monotherapy After Adjuvant Chemotherapy in Patients With Completely Resected Non-small- Cell Lung Cancer

Tokyo University1 site in 1 country60 target enrollmentStarted: March 2015Last updated:
Conditions
Interventions
Drugs

Trial Snapshot

Phase
Phase 2
Sponsor
Enrollment
60
Locations
1
Primary Endpoint
Relapse-free Survival Time as a Measure of Efficacy

Study Overview

Brief Summary

In this clinical study, the investigators evaluate the efficacy and safety of S-588410 in patients who underwent an adjuvant chemotherapy after the complete resection of non-small-cell lung cancer.

Detailed Description

In this phase II trial, the investigators evaluate the efficacy and safety of S-588410 containing oncoantigens-derived HLA-A*2402-restricted epitope peptides in patients with HLA-A*2402 who underwent an adjuvant chemotherapy after the complete resection of non-small-cell lung cancer.

Study Design

Study Type
Interventional
Allocation
Randomized
Intervention Model
Parallel
Primary Purpose
Treatment
Masking
Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)

Eligibility Criteria

Ages
20 Years to — (Adult, Older Adult)
Sex
All
Accepts Healthy Volunteers
No

Inclusion Criteria

  • Patients who received platinum-based adjuvant chemotherapy after the complete resection of lung cancer.
  • Pathologically determined non-small-cell lung cancer excepting the large cell neuroendocrine carcinoma and mixed type.
  • Patients with HLA-A*24:
  • Neither recurrence nor metastasis of non-small-cell lung cancer demonstrated by imaging tests within 6 weeks prior to the registration.
  • Possible to receive S-588410 within 12 weeks after the last adjuvant chemotherapy.
  • ECOG performance status 0 or 1 within 2 weeks prior to the registration.
  • Age over 20 years at time of consent acquisition.
  • The written informed consent provided by the patient.

Exclusion Criteria

  • Other malignant diseases requiring treatment, excepting the cured cancer in-situ.
  • Concurrent treatment with anticancer drug, steroids, immunosuppressive agent, radiotherapy, immunotherapy, hyperthermia, or surgery.
  • Active and uncontrolled infectious disease.
  • Severe hepatic dysfunction, kidney dysfunction, cardiac disease, pulmonary disease, hematological disorder, or metabolic disease.
  • Coronary artery stenting within 6 months prior to registration.
  • Autoimmune disease.
  • HIV infection.
  • Registration within 4 weeks after the last adjuvant chemotherapy.
  • Laboratory values defined in the protocol within 2 weeks prior to registration.
  • Residual uncontrolled adverse events by adjuvant chemotherapy.
  • Eosinophilia within 28 days prior to registration. Past or active eosinophilic pneumonia or interstitial pneumonitis.
  • Past history of severe allergic reaction against drug, vaccine and biological agents.
  • Female patient in nursing or pregnancy.
  • Refusal of pregnancy conception.
  • Treated with the same peptide vaccines as S-
  • Treated with another investigational drug within 28 days prior to registration or the period of 5 times of the drug half-life.
  • Decision of non-enrollment of the patients by principal investigator or physician-in-charge from the view point of patient's safety.

Arms & Interventions

S-588410

Active Comparator

Subjects with HLA-A*2402 in the investigational arm will receive the subcutaneous administration of S-588410.

Intervention: S-588410 (Drug)

Placebo

Placebo Comparator

Subjects with HLA-A*2402 in the placebo arm will receive the subcutaneous administration of placebo.

Intervention: Placebo (Drug)

Outcomes

Primary Outcomes

Relapse-free Survival Time as a Measure of Efficacy

Time Frame: 2 years

Secondary Outcomes

  • Grade and Incidence of Adverse Events as a Measure of Safety and Tolerability(4 years)
  • Association between Relapse-free Survival Time and Induction of Cytotoxic T Lymphocytes Specific for Peptides(2 years)
  • Overall Survival Time as a Measure of Efficacy(4 years)
  • Relapse-free Survival Rate after Randomization as a Measure of Efficacy(1 and 2 years)
  • Association between Overall Survival Time as a Measure of Efficacy and Gene Variation detected by Genomics Methods in Lymphocytes as a Predictive Biomarker(4 years)
  • Overall Survival Rate after Randomization as a Measure of Efficacy(1 and 2 years)

Investigators

Sponsor
Tokyo University
Sponsor Class
Other
Responsible Party
Principal Investigator
Principal Investigator

Yataro Daigo

Project Professor

Tokyo University

Study Sites (1)

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