Phase II Multicenter Trial of Peptide Vaccination Therapy Using Novel Cancer Testis Antigens for Locally Advanced, Recurrent, or Metastatic Esophageal Squamous Cell Carcinoma
Overview
- Phase
- Phase 2
- Intervention
- Not specified
- Conditions
- Esophageal Cancer
- Sponsor
- University of Yamanashi
- Enrollment
- 60
- Locations
- 1
- Primary Endpoint
- Overall survival after the 1st vaccination
- Last Updated
- 16 years ago
Overview
Brief Summary
The purpose of this study is to evaluate overall survival and immunological monitoring for peptide vaccination therapy using novel cancer testis antigens for locally advanced, recurrent, or metastatic esophageal squamous cell carcinoma (ESCC).
Detailed Description
The phase I vaccination study using peptides derived from TTK, LY6K, and IMP-3 for locally advanced, recurrent or metastatic esophageal squamous cell carcinoma (ESCC) who had failed for the standard therapy indicated that the vaccine treatment were well tolerated and feasible, and that antigen-specific T cell responses were strongly induced by the vaccination with some objective clinical responses. Thus, we are currently initiating the randomized phase II clinical vaccination study for the same cohort with ESCC to evaluate the survival benefit of the cancer vaccination.
Investigators
Eligibility Criteria
Inclusion Criteria
- •DISEASE CHARACTERISTICS
- •Locally advanced, recurrent or metastatic esophageal squamous cell carcinoma who had failed for the standard therapy
- •PATIENTS CHARACTERISTICS
- •ECOG performance status 0-2
- •Age≧ 20≦ 80years
- •WBC≥ 2,000/mm³ Platelet count ≥ 75,000/mm³ Total bilirubin ≤ 2.0 x the institutional normal upper limits AST, ALT, ALP ≤ 2.5 x the institutional normal upper limits Creatinine ≤ 1.5 x the institutional normal upper limits
- •No therapy 4 weeks prior to the initiation of the trial
- •Able and willing to give valid written informed consent
Exclusion Criteria
- •Pregnancy (women of childbearing potential: Refusal or inability to use effective means of contraception)
- •Breastfeeding
- •Serious bleeding disorder
- •Serious infections requiring antibiotics
- •Concomitant treatment with steroids or immunosuppressing agent
- •Decision of unsuitableness by principal investigator or physician-in-charge
Outcomes
Primary Outcomes
Overall survival after the 1st vaccination
Time Frame: 2 years
Secondary Outcomes
- Antigen specific control response induced by vaccination(1 year)
- DTH response induced by vaccination(1 year)
- Time to progression after the 1st vaccination(1 year)