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临床试验/NCT00753415
NCT00753415已完成1 期

A Phase I Investigation of the Safety, Tolerability and Immunogenicity of V934/V935 hTERT Vaccination in Cancer Patients With Selected Solid Tumors

Merck Sharp & Dohme LLC0 个研究点目标入组 37 人开始时间: 2008年8月1日最近更新:
适应症
干预措施

试验速览

阶段
1 期
状态
已完成
入组人数
37
主要终点
Number of Participants With Dose-Limiting Toxicity (DLT)

研究概览

简要总结

This is a two-part study to test the safety, tolerability, and immune response for V934/V935 vaccine using a new prime-boost regimen in participants with selected solid tumors.

详细描述

Two vaccines will be administered: V934-electroporation (EP) either low dose (LD) or high dose (HD), and V935 either LD or HD. In Part A, participants will be assigned to V935 vaccine alone or in combination with V934-EP. Part B will be an optional part of the study, offering V934-EP vaccine booster to participants who were enrolled in Part A.

研究设计

研究类型
Interventional
分配方式
Non Randomized
干预模型
Parallel
主要目的
Treatment
盲法
None

入排标准

年龄范围
18 Years 至 —(Adult, Older Adult)
性别
All
接受健康志愿者
否

入选标准

  • •Participant has one of the selected solid tumors with no distant metastases, and is more than 8 weeks from completion of definitive therapy with intention to cure. Selected Solid Tumors: Stage I to III non-small cell lung carcinoma (NSCLC); Stage III breast cancer; Stage IIB or III melanoma; Stage II or III upper gastrointestinal tract carcinoma (e.g., esophagus, stomach, gallbladder, pancreas); Stage III colon carcinoma; Stage II, III, or IV (M0 only) renal cell carcinoma; Stage II, III, or IV (M0 only) bladder carcinoma; clinically-localized prostate carcinoma
  • •Participant has adequate organ function.
  • •Female participant of childbearing potential has a negative serum pregnancy test within 3 days of study enrollment.

排除标准

  • •Participant has known hypersensitivity to any component of study vaccine.
  • •Participant has a history of clinically significant cardiac conditions, including cardiac arrhythmias which have not been controlled within the last 3 months, unstable angina, myocardial infarction (within the last 3 months), or New York Heart Association (NYHA) Class III or IV congestive heart failure. Participant must have no clinically significant electrocardiogram (ECG) abnormalities and not have a pacemaker or cardioverter/defibrillator implanted.
  • •Participant has undergone splenectomy or has any history of autoimmune disorder.
  • •Participant has received immunosuppressive treatment within 1 month prior to enrollment.
  • •Participant has known acquired, inherited, or idiopathic thrombocytopenia, platelet dysfunction or coagulopathy that would contraindicate IM injections.
  • •Participant has an acute infection requiring intravenous antibiotic, antiviral or antifungal agents within 2 weeks of study entry.
  • •Participant is pregnant or breastfeeding, or expecting to conceive at any time during the study or within 1 year after receiving the last vaccination.
  • •Participant is known to be Human Immunodeficiency Virus (HIV)-seropositive.
  • •Participant has known history of Hepatitis B or C or active Hepatitis A.
  • •Participant has been vaccinated for any disease or for prophylaxis within 1 month prior to the first vaccination.
  • •The participant has been diagnosed with Systemic Lupus Erythematosus (SLE)
  • •Inclusion Criteria Part B
  • •Participant must have completed their respective vaccination Treatment Group regimen for Part A of this study.
  • •Participant must have completed a ≥12 week safety observation period prior to receiving their first V934-EP boost.
  • •Exclusion Criteria Part B
  • •Participant has new or metastatic tumor lesions since enrollment in Part A.
  • •Participant has developed any significant cardiac conditions since enrollment in Part A including cardiac arrhythmias which have not been controlled within the last 3 months, unstable angina, myocardial infarction (within the last 3 months), or NYHA Class III or IV congestive heart failure.
  • •Participant has undergone a splenectomy, or has developed any autoimmune disorders, since enrollment in Part A.
  • •Participant has received immunosuppressive treatment within 1 month prior to enrollment in Part B
  • •Participant has developed any acquired, inherited, or idiopathic thrombocytopenia, platelet dysfunction or coagulopathy that would contraindicate IM injections
  • •Participant has an acute infection requiring intravenous antibiotic, antiviral or antifungal agents within 2 weeks of entry to Part B.

研究组 & 干预措施

Part A: V934 LD(3)+V935 LD

Experimental

Three electroporation (EP) injections of V934 (LD) , 1 given every other week over a 5-week period. Following a 4-week observation period, 2 IM injections of V935 (LD) will be administered, 1 given every other week over a 3-week period.

干预措施: V934-EP (Biological)

Part A: V934 HD(3)+V935 HD

Experimental

Three EP injections of V934 (HD), 1 given every other week over a 5-week period. Following a 4-week observation period, 2 IM injections of V935 (HD) will be administered, 1 given every other week over a 3-week period.

干预措施: V934-EP (Biological)

Part A: V934 HD(5)+V935 HD

Experimental

Five EP injections of V934 (HD), 1 given every other week over a 9-week period. Following a 4-week observation period, 2 IM injections of V935 (HD) will be administered, 1 given every other week over a 3-week period.

干预措施: V934-EP (Biological)

Part B: V934 HD(3)+V935 HD/V934 Booster

Experimental

Participants who complete Part A can enter Part B. Following a 12-week observation period, 3 EP injections of V934 booster will be administered, 1 given every 2 weeks.

干预措施: V934-EP (Biological)

Part B: V934 HD(5)+V935 HD/V934 Booster

Experimental

Participants who complete Part A can enter Part B. Following a 12-week observation period, 3 EP injections of V934 booster will be administered, 1 given every 2 weeks.

干预措施: V934-EP (Biological)

Part B: V935 LD/V934 Booster

Experimental

Participants who completed Part A could enter Part B. Following a 12-week observation period, 3 EP injections of V934 booster were administered, 1 given every 2 weeks.

干预措施: V934-EP (Biological)

Part B: V934 LD(3)+V935 LD/V934 Booster

Experimental

Participants who complete Part A can enter Part B. Following a 12-week observation period, 3 EP injections of V934 booster will be administered, 1 given every 2 weeks.

干预措施: V934-EP (Biological)

Part B: V935 HD/V934 Booster

Experimental

Participants who complete Part A can enter Part B. Following a 12-week observation period, 3 EP injections of V934 booster will be administered, 1 given every 2 weeks.

干预措施: V934-EP (Biological)

Part A: V934 HD(5)+V935 HD

Experimental

Five EP injections of V934 (HD), 1 given every other week over a 9-week period. Following a 4-week observation period, 2 IM injections of V935 (HD) will be administered, 1 given every other week over a 3-week period.

干预措施: V935 (Biological)

Part A: V934 HD(3)+V935 HD

Experimental

Three EP injections of V934 (HD), 1 given every other week over a 5-week period. Following a 4-week observation period, 2 IM injections of V935 (HD) will be administered, 1 given every other week over a 3-week period.

干预措施: V935 (Biological)

Part A: V935 HD

Experimental

Two IM injections of V935 high dose (HD), 1 given very other week over a 3-week period.

干预措施: V935 (Biological)

Part A: V934 LD(3)+V935 LD

Experimental

Three electroporation (EP) injections of V934 (LD) , 1 given every other week over a 5-week period. Following a 4-week observation period, 2 IM injections of V935 (LD) will be administered, 1 given every other week over a 3-week period.

干预措施: V935 (Biological)

Part A: V935 LD

Experimental

Two intramuscular (IM) injections of V935 low dose (LD), 1 given every other week over a 3-week period.

干预措施: V935 (Biological)

结局指标

主要结局

Number of Participants With Dose-Limiting Toxicity (DLT)

时间窗: Day 1 up to 30 days following the last vaccination (up to 77 weeks); Treatment Period + Acute Follow-up (FU) Period

DLT was defined as a vaccine- or EP-related adverse event (AE) including the following: Hematological (Grade 3 neutropenia with fever, Grade 4 neutropenia ≥5 days, Grade 4 thrombocytopenia) or non-hematological AE, Grade 3, 4 or 5 with the exception of Grade 3 nausea, vomiting, diarrhea or serum glutamic oxaloacetic transaminase (SGOT) elevation, alopecia, Grade 3/4 creatinine phosphokinase (CPK) elevation or inadequately treated hypersensitivity. Any Grade 3/4 related AE that failed to return to ≤Grade 1 or baseline within 14 days was also considered a DLT.

Number of Participants With Adverse Events (AEs)

时间窗: Day 1 up to 30 days following the last vaccination (up to 77 weeks); Treatment Period + Acute Follow-up (FU) Period

This analysis includes the number of participants with AEs and serious AEs (SAEs) during the Treatment Period plus the Acute Follow-up (FU) Period (up to 30 days following last vaccination). An AE was defined as any unfavorable or unintended change in the structure, function or chemistry of the body temporally associated with the use of the product, whether or not considered related to the product, including any worsening of a preexisting condition which was temporally associated with the product. An SAE was defined as an AE resulting in death, was life-threatening, resulted in or prolonged hospitalization, was a congenital anomaly, a cancer, an overdose or other important medical event.

次要结局

  • Number of Participants With Immunologic Response to V934/V935 (Immunologic Response Rate)(From pre-vaccination to Week 69)

研究者

申办方类型
Industry
责任方
Sponsor

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