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临床试验/EUCTR2010-021196-85-NL
EUCTR2010-021196-85-NL进行中(未招募)1 期

A Randomized, Double-blind, Phase 3 Efficacy Trial of PROSTVAC-V/F ± GM-CSF in Men With Asymptomatic or Minimally Symptomatic Metastatic, Castrate-Resistant Prostate Cancer - PROSPECT

BN ImmunoTherapeutics, Inc.0 个研究点目标入组 1,297 人开始时间: 2012年12月14日最近更新:
适应症
相关药物

试验速览

阶段
1 期
状态
进行中(未招募)
发起方
入组人数
1,297

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional clinical trial of medicinal product

入排标准

性别
Male

入选标准

  • 1. Signed Informed Consent
  • 2. Men, =18 years of age with documented asymptomatic or minimally
  • symptomatic metastatic castration-resistant prostate cancer.
  • 3. Castrate testosterone level < 50 ng/dl
  • 4. Documented progressive disease post surgical castration or during
  • androgen suppression therapy or during complete androgen blockade
  • therapy and withdrawal. Documented by either criterion a (Radiological
  • progression), OR criterion b (PSA progression).
  • a. Radiological progression defined as any new/enlarging bone
  • mestatases or new/enlarging lymph node disease, consistent with
  • prostate cancer.
  • b. PSA progression defined by sequence of rising values separated by >
  • 1 week (2 separate increasing values) over a threshold minimum of 2.0
  • ng/ml. (PCWG2 PSA eligibility criteria).
  • 5. Chemotherapy naïve. No prior chemotherapy for metastatic prostate cancer. Neo-adjuvant or adjuvant chemotherapy for primary prostate
  • cancer is permissible if >3 years prior.
  • 6. Vaccinia-experienced (previous smallpox vaccination).
  • 7. ECOG Performance Score of 0 or 1.
  • 8. Life expectancy = 1 year.
  • 9. Bone Marrow function:
  • - Absolute neutrophil count = 1,500/mm3
  • - Hemoglobin = 10 g/dL
  • - Platelet count = 100,000/mm3
  • 10. Hepatic Function:
  • - AST and ALT = 2.5 times upper limit of normal (ULN)
  • - Bilirubin = 1.5 times ULN
  • 11. Renal Function:
  • - Creatinine = 2.0 times ULN
  • 12. Currently using a GnRH agonist or antagonist (unless surgically
  • Are the trial subjects under 18? no
  • Number of subjects for this age range: 0
  • F.1.2 Adults (18-64 years) yes
  • F.1.2.1 Number of subjects for this age range 300
  • F.1.3 Elderly (>=65 years) yes
  • F.1.3.1 Number of subjects for this age range 900

排除标准

  • 1. Cancer-related pain requiring scheduled opioid narcotics for control
  • (as needed. = 2x per week is allowed).
  • 2. Metastasis to organ systems other than lymph nodes and/or bone.
  • 3. LDH = 2 times ULN.
  • 4. Alkaline phosphatase = 2 times ULN.
  • 5. Estimated PSA doubling time of <1 month as established within 6
  • months of the anticipated first dose of vaccine or placebo. A minimum of
  • 3 PSA level determinations, at least 2 weeks apart (over a 6 month time period), are required for assessment.
  • 6. Concurrent or prior Provenge (sipuleucel-T) immunotherapy for
  • prostate cancer
  • 7. Receipt of an investigational agent within 30 days (or 60 days for an
  • antibody-based therapy) of the first planned dose of PROSTVAC-V/F.
  • There is no exclusion to previous experimental therapy provided
  • dosing/treatment is completed at least 30 days prior to the first planned
  • dose of vaccine unless otherwise noted.
  • 8. History of prior malignancies other than prostate cancer within the
  • past 3 years, excluding successfully resected basal or squamous cell
  • carcinoma of the skin
  • 9. Congestive heart failure (NYHA Class II, III, or IV), unstable angina,
  • ventricular or hemodynamically significant atrial arrhythmia, or
  • cardiovascular disease such as stroke or myocardial infarction (current
  • or within the past 6 months).
  • 10. Confirmed positive for HIV, hepatitis B, and /or hepatitis C.
  • 11. Prior solid organ or bone marrow transplant
  • 12. Immunodeficiency or splenectomy
  • 13. Chronic immunosuppressive therapy within 30 days of screening.
  • 14. Inflammatory eye disease requiring steroid treatment.
  • 15. Chronic administration (defined as daily or every other day for
  • continued use > 14 days) of systemic corticosteroids within 28 days of
  • the first planned dose of PROSTVAC-V/F. Use of inhaled steroids, nasal
  • sprays, and topical creams for small body areas is allowed.
  • 16. History of or active autoimmune disease (e.g. autoimmune
  • neutropenia, thrombocytopenia, or hemolytic anemia, systemic lupus
  • erythematosis, Sjogren's syndrome, scleroderma, myasthenia gravis,
  • Goodpasture's syndrome, Addison's disease, Hashimoto's thyroiditis, or
  • Graves disease). Persons with vitiligo are not excluded. Diabetics are not
  • excluded if the condition is well controlled.
  • 17. Known allergy to eggs, egg products, aminoglycoside antibiotics (for example, gentamicin or tobramycin), or GM-CSF. Subjects with a known or suspected allergy to radiological contrast agents are eligible, but this must be noted in the subject's medical history and in the chart notes.
  • 18. History of atopic dermatitis or active skin condition (acute, chronic,
  • exfoliative) that disrupts the epidermis.
  • 19. Previous adverse reactions to smallpox vaccination.
  • 20. Unable to avoid close contact or household contact with the
  • following high-risk individuals for three weeks after the Day 1
  • vaccination or until the vaccination site heals completely: (a) children =
  • 3 years of age, (b) pregnant or nursing women, (c) individuals with prior
  • or concurrent extensive eczema or other eczemoid skin disorders, or (d)
  • immunocompromised individuals, such as those with HIV.
  • 21. Any condition which, in the opinion of the investigator, would
  • prevent full participation in this trial (including the Long-Term Follow-
  • Up), or would interfere with the evaluation of the trial endpoints
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研究者

发起方
BN ImmunoTherapeutics, Inc.

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