MedPath

Trial of Therapeutic Cancer Vaccine OSE2101 in Patients With Non-Small Cell Lung Cancer and Secondary Resistance to Immune Checkpoint Inhibitor

Phase 3
Recruiting
Conditions
Patients With Non-Small Cell Lung Cancer
Interventions
Drug: OSE2101
Drug: Docetaxel
Device: NGS HLAA2 assay
Registration Number
NCT06472245
Lead Sponsor
OSE Immunotherapeutics
Brief Summary

Multicenter, randomized (2:1), open-label phase 3 study in HLA-A2 positive patients with squamous and non-squamous metastatic NSCLC with ICI secondary resistance.

Patients will be randomized into 2 arms (randomization 2:1): experimental Arm A with OSE2101 monotherapy or control Arm B SoC with docetaxel monotherapy. Stratification factors will be histology (squamous versus non squamous) and ECOG Performance Status (0 versus 1).

Detailed Description

Not available

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
363
Inclusion Criteria
  1. Male or female, aged ≥ 18 years
  2. Patients expressing HLA-A2 phenotype in blood by pre-screening central laboratory
  3. Patients with histologically or cytologically squamous or non-squamous documented NSCLC, metastatic stage at study entry, not eligible for definite surgery or radiation, without EGFR, ALK and ROS1 gene alterations eligible for targeted therapy; other sensitizing mutations known to be immunosensitive are eligible in case of lack of local access to targeted therapy (i.e.; KRAS G12C and BRAF mutations) after Sponsor's agreement
  4. Patients with secondary resistance to ICI;

Other inclusion and exclusion criteria will apply per protocol.

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Exclusion Criteria

Not provided

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Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Arm A: OSE2101NGS HLAA2 assayUnit dose: 1 mL corresponding to a total of 5 mg of the combination of peptides Mode/Route: Subcutaneous injection Regimen: One injection every three weeks for six cycles, then every eight weeks for the remainder of year one and, finally every twelve weeks until the end of second year.
Arm B: DocetaxelNGS HLAA2 assayUnit dose: 75 mg/m2 Mode/Route: Intravenous infusion over 1 hour Regimen: One infusion every three weeks.
Arm A: OSE2101OSE2101Unit dose: 1 mL corresponding to a total of 5 mg of the combination of peptides Mode/Route: Subcutaneous injection Regimen: One injection every three weeks for six cycles, then every eight weeks for the remainder of year one and, finally every twelve weeks until the end of second year.
GenDx CDx TedopiNGS HLAA2 assaySystem of qualitative companion diagnostic devices, consisting of a polymerase chain reaction (PCR) assay Amp-HLA-A-CDx Tedopi, a DNA library preparation assay, LFK-CDx Tedopi and the software NGSengine-CDx Tedopi.
Arm B: DocetaxelDocetaxelUnit dose: 75 mg/m2 Mode/Route: Intravenous infusion over 1 hour Regimen: One infusion every three weeks.
Primary Outcome Measures
NameTimeMethod
OS defined as time from randomization to deathFrom randomization date through study completion, an average of 3 years

OS defined as time from randomization to death of any cause, censored until the data analysis cut-off date

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (55)

Centre Hospitalier Le Mans

🇫🇷

Le Mans, France

Centre Hospitalier Départemental Vendée

🇫🇷

La Roche-sur-Yon, France

HC Marbella

🇪🇸

Marbella, Malaga, Spain

Clínica Mi Tres Torres

🇪🇸

Barcelona, Spain

Hospital Universitari Dexeus

🇪🇸

Barcelona, Spain

Hospital Universitario Reina Sofía

🇪🇸

Córdoba, Spain

Hospital Universitari de Girona Dr. Josep Trueta

🇪🇸

Girona, Spain

Centre Hospitalier Universitaire De Nantes - Hôpital Nord Laennec

🇫🇷

Nantes, France

Unidade Local de Saúde de Santa Maria, E. P. E. - Hospital Pulido Valente

🇵🇹

Lisboa, Portugal

Centrul de Oncologie Sf Nectarie

🇷🇴

Craiova, Dolj, Romania

Biocruces Bizkaia Instituto de Investigación Sanitaria

🇪🇸

Barakaldo, Biscay, Spain

Hospital Universitario Lucus Augusti

🇪🇸

Lugo, Spain

Hospital Universitario Ramón y Cajal

🇪🇸

Madrid, Spain

Hospital Universitario La Paz

🇪🇸

Madrid, Spain

Hospital Regional Universitario de Málaga - Hospital General

🇪🇸

Málaga, Spain

Hôpital Michallon

🇫🇷

La Tronche, Rhône, France

New York Cancer & Blood Specialists - Babylon Medical Oncology

🇺🇸

Babylon, New York, United States

New York Cancer & Blood Specialists - Eastchester Cancer Care Center

🇺🇸

Bronx, New York, United States

New York Cancer & Blood Specialists - New Hyde Park

🇺🇸

New Hyde Park, New York, United States

New York Cancer & Blood Specialists - Central Park Medical Oncology

🇺🇸

New York, New York, United States

New York Cancer & Blood Specialists - Patchogue Medical Oncology

🇺🇸

Patchogue, New York, United States

New York Cancer & Blood Specialists - Port Jefferson Station Medical Oncology

🇺🇸

Port Jefferson Station, New York, United States

New York Cancer & Blood Specialists - Riverhead Medical Oncology

🇺🇸

Riverhead, New York, United States

New York Cancer & Blood Specialists - Research Headquarters

🇺🇸

Shirley, New York, United States

Algemeen Ziekenhuis Klina

🇧🇪

Brasschaat, Antwerpen, Belgium

Algemeen Ziekenhuis Maria Middelares

🇧🇪

Gent, Oost-Vlaaderen, Belgium

Centre Hospitalier Universitaire Université Catholique de Louvain Namur - Site Sainte-Elisabeth

🇧🇪

Namur, Wallonia, Belgium

Algemeen Ziekenhuis Groeninge - Campus Kennedylaan

🇧🇪

Kortrijk, West-Vlaanderen, Belgium

Hôpital d'Instruction des Armées Sainte-Anne

🇫🇷

Toulon Cedex 9, Alpes-de-Haute-Provence, France

Nouvel Hôpital Civil

🇫🇷

Strasbourg cedex, Alsace, France

Institut Paoli-Calmettes

🇫🇷

Marseille cedex 9, Bouches-du-Rhône, France

Centre Hospitalier Régional et Universitaire de Besançon - Hôpital Jean-Minjoz

🇫🇷

Besançon Cedex, Doubs, France

Centre Hospitalier Regional Universitaire Brest - Hopital de la Cavale Blanche

🇫🇷

Brest, Finistère, France

Hôpital Emile Muller

🇫🇷

Mulhouse, Grand Est, France

Centre Hospitalier Universitaire Dupuytren 1

🇫🇷

Limoges, Haute-Vienne, France

Hôpital Arnaud de Villeneuve

🇫🇷

Montpellier, Hérault, France

Hôpital Avicenne

🇫🇷

Bobigny, Ile-de-France, France

Centre Hospitalier Intercommunal de Créteil

🇫🇷

Créteil, Ile-De-France, France

Hôpital Pontchaillou

🇫🇷

Rennes cedex 9, Ille-et-Vilaine, France

Institut de Cancérologie de l'Ouest - Saint-Herblain - Site René Gauducheau

🇫🇷

Saint-Herblain, Loire-Atlantique, France

Centre Hospitalier (Ch) De Cholet

🇫🇷

Cholet, Maine-et-Loire, France

Hôpital Larrey

🇫🇷

Toulouse cedex 9, Midi-pyrenees, France

Centre Hospitalier de la Côte Basque

🇫🇷

Bayonne, Pyrénées-Atlantiques, France

The Christie NHS Foundation Trust

🇬🇧

Manchester, England, United Kingdom

The Royal Marsden NHS Foundation Trust

🇬🇧

Sutton, England, United Kingdom

Georgetown Lombardi Comprehensive Cancer Center

🇺🇸

Washington, District of Columbia, United States

Alliance for Multispecialty Research (AMR) - Kansas City Oncology

🇺🇸

Merriam, Kansas, United States

NHO Revive Research Institute LLC

🇺🇸

Lincoln, Nebraska, United States

Optum Medical Care - Carmel/Brewster Campus

🇺🇸

Brewster, New York, United States

Optum Medical Care - Fishkill Westage Campus

🇺🇸

Fishkill, New York, United States

Optum Hematology Oncology - Lake Success

🇺🇸

Lake Success, New York, United States

Optum Medical Care - Mount Kisco Campus 90

🇺🇸

Mount Kisco, New York, United States

Optum Medical Care - Poughkeepsie

🇺🇸

Poughkeepsie, New York, United States

Brooklyn Radiation Oncology

🇺🇸

Richmond Hill, New York, United States

Bon Secours Hematology and Oncology

🇺🇸

Greenville, South Carolina, United States

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