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A Study to Evaluate ATP150/ATP152, VSV-GP154 and Ezabenlimab in Patients With KRAS G12D/G12V Mutated PDAC (KISIMA-02)

Phase 1
Recruiting
Conditions
Pancreatic Ductal Adenocarcinoma
Interventions
Registration Number
NCT05846516
Lead Sponsor
Amal Therapeutics
Brief Summary

The goal of this clinical trial is to test an experimental treatment (immunotherapy) in pancreatic cancer patients. The main research objectives are:

* to evaluate if the KISIMA-02 treatment is safe and well-tolerated (first part)

* to evaluate if the KISIMA-02 treatment has an impact on the time to observe a possible reappearance of the tumor (second part)

Participants will receive:

i) a therapeutic protein vaccine ATP150 or ATP 152 ii) a viral vector VSV-GP154 iii) an immune checkpoint inhibitor Ezabenlimab In the second part of the study, researchers will compare treatment group versus observational group.

Detailed Description

This is an open-label, phase 1b study to evaluate the safety, tolerability, immunogenicity and preliminary efficacy of a heterologous prime-boost vaccine (protein and viral vector) regimen without/with the PD-1 inhibitor Ezabenlimab.

COMPLETED - Part A (metastatic and locally advanced PDAC patients) Cohort A: ATP150/ATP152 and VSV-GP154 treatment

ONGOING - Part B (locally advanced and resected PDAC patients) Cohort B: ATP150/ATP152, Ezabenlimab and VSV-GP154 treatment Cohort B1, B2, B3: dose escalation

NOT STARTED YET - Part C (resected PDAC patients) Cohort C: ATP150/ATP152, Ezabenlimab and VSV-GP154 treatment (treatment versus observational arm)

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
85
Inclusion Criteria

Not provided

Exclusion Criteria

Not provided

Study & Design

Study Type
INTERVENTIONAL
Study Design
SEQUENTIAL
Arm && Interventions
GroupInterventionDescription
Cohort AVSV-GP154-
Cohort AATP150-
Cohort AATP152-
Cohort BVSV-GP154-
Cohort BATP150-
Cohort BATP152-
Cohort BEzabenlimab-
Cohort C TreatmentVSV-GP154-
Cohort C TreatmentATP150-
Cohort C TreatmentATP152-
Cohort C TreatmentEzabenlimab-
Primary Outcome Measures
NameTimeMethod
Occurrence of dose-limiting toxicity (DLT)Over at least 35 days

Part A and B

Disease-free survival (DFS), defined as the time from randomization until confirmed relapse or death from any cause, whichever occurs earlier.Throughout the study, on average 2.4 years

Part C

Secondary Outcome Measures
NameTimeMethod
Proportion of patients experiencing ctDNA non-progressionup to 12 months

Part C

Proportion of patients achieving ctDNA clearanceUp to 12 months

Part C

Occurrence of dose-limiting toxicity (DLT)Throughout the study, up to 7.5 months

Part C

Trial Locations

Locations (15)

USC/Norris Comprehensive Center

🇺🇸

Los Angeles, California, United States

University of California Los Angeles (UCLA)

🇺🇸

Los Angeles, California, United States

The University of Texas MD Anderson Cancer Center

🇺🇸

Houston, Texas, United States

START - South Texas Accelerated Research Therapeutics

🇺🇸

San Antonio, Texas, United States

University of Colorado Hospital

🇺🇸

Aurora, Colorado, United States

University of Florida

🇺🇸

Gainesville, Florida, United States

Orlando Health

🇺🇸

Orlando, Florida, United States

Karmanos Cancer Institute

🇺🇸

Detroit, Michigan, United States

Virginia Cancer Specialists

🇺🇸

Fairfax, Virginia, United States

NYU Langone Health

🇺🇸

New York, New York, United States

Virginia Mason Medical Center

🇺🇸

Seattle, Washington, United States

University Hospital of Lausanne (CHUV)

🇨🇭

Lausanne, Default, Switzerland

University Hospital of Bern (Inselspital)

🇨🇭

Bern, Switzerland

University Hospitals Cleveland Medical Center

🇺🇸

Cleveland, Ohio, United States

University Hospitals of Geneva (HUG)

🇨🇭

Geneva, Switzerland

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