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临床试验/NCT05741242
NCT05741242Enrolling By Invitation1 期

A Phase 1b/2, Multi-center, Single Arm Study to Assess the Safety and Efficacy of Neoantigen Synthetic Long Peptide Vaccines in Patients With Local Or Metastatic Solid Tumors

Jaime Leandro Foundation for Therapeutic Cancer Vaccines5 个研究点 分布在 1 个国家目标入组 136 人开始时间: 2022年11月30日最近更新:
适应症
干预措施

试验速览

阶段
1 期
状态
Enrolling By Invitation
入组人数
136
试验地点
5
主要终点
To assess the efficacy of NeoSLP vaccination by investigator assessment of Progression-Free Survival at 12 months (PFS12).

研究概览

简要总结

A Phase 1b/2, Multi-center, Single Arm Study to Assess the Safety and Efficacy of Neoantigen Synthetic Long Peptide Vaccines in Patients With Local Or Metastatic Solid Tumors

详细描述

This is a Simon-two stage multi-cohort study to assess the safety and efficacy of neoantigen synthetic long peptide vaccines in patients with local or metastatic solid tumors.

  1. To assess the efficacy of NeoSLP vaccination by investigator assessment of Progression-Free Survival at 12 months (PFS12).
  2. To assess efficacy of NeoSLP vaccination by assessment of Time to Treatment Failure (TTF).
  3. To assess efficacy of NeoSLP vaccination by assessment of Overall Survival at 24 months (OS24).
  4. To investigate the immunogenicity of NeoSLP vaccines by ELISpot assay. 5. To assess the safety and tolerability of NeoSLP vaccines.

研究设计

研究类型
Interventional
分配方式
Na
干预模型
Single Group
主要目的
Treatment
盲法
None

入排标准

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

入选标准

  • Patients must satisfy the following criteria to be enrolled in the protocol:
  • Main Inclusion Criterion:
  • Patients who have local or metastatic pancreatic adenocarcinoma and have started first line therapy of Folfirinox (physician's choice for any concomitant therapies)
  • Patients who have undergone somatic tumor sequencing should consider FDA-approved pan-solid tumor therapies if they harbor an FDA-approved somatic alteration. For example, Entrectinib or Larotrectinib (if NTRK gene fusion- positive), Selpercatinib (if RET gene fusion-positive), Pembrolizumab (if MSI-H, dMMR, or TMB-H[≥10 mut/Mb]), and PARP inhibitors (BRCA mutations).
  • Glioblastoma
  • 1. Patients who are within 6 months of diagnosis and have detectable disease as determined by investigator assessment at the start of vaccine administration.
  • 1. Patients with local or metastatic malignancies, limited treatment options, and an estimated 5-year survival of less than 50% are eligible for enrollment in this cohort.
  • Other Inclusion Criteria:
  • >= 12 years of age.
  • ECOG performance status ≤ 2 or Karnofsky score of >=
  • Adequate organ function allowing favorable benefit to risk ratio per the treating physician
  • Systemic corticosteroid therapy is permitted provided dosing is no greater than 4 mg per day (dexamethasone or equivalent) on the day of vaccine administration.
  • Ability to understand and willingness to sign an IRB approved written informed consent document.

排除标准

  • History of serious adverse reaction to vaccines such as anaphylaxis, hives, or respiratory difficulty or known allergy to a component of the neoantigen synthetic long peptide vaccine.
  • Intercurrent illness requiring chronic use of medications that may interfere with rescue medications for treatment of vaccine-related anaphylaxis or attenuate immune response to vaccine treatment (immunosuppressive therapies).
  • Psychiatric illness or social situations that would limit compliance with study requirements.
  • History of pre-existing immunodeficiency disorder or autoimmune condition requiring immunosuppressive therapy that would preclude response to vaccine.
  • Females of childbearing potential may participate provided they agree to practice abstinence; and, if heterosexually active, agree to use at least 2 highly effective contraceptive methods throughout the study and for 3 months following the last dose of study drug; and have a negative serum pregnancy test.
  • Females of non-childbearing potential must be post-menopausal or have been surgically sterilized.
  • Male subjects with a female partner of childbearing potential must agree to practice abstinence or to use a physician-approved contraceptive method throughout the study and for 3 months following the last dose of study drug.

研究组 & 干预措施

Personalized Synthetic Long Peptide Vaccine

Experimental

干预措施: Personalized Synthetic Long Peptide Vaccine (Biological)

结局指标

主要结局

To assess the efficacy of NeoSLP vaccination by investigator assessment of Progression-Free Survival at 12 months (PFS12).

时间窗: Until progression or death, assessed up to 12 months post first vaccine administration.

Progression-Free Survival at 12 months (PFS12) defined as time from first vaccine administration until disease progression by investigator assessment or death due to any cause.

次要结局

  • To assess efficacy of NeoSLP vaccination by assessment of Time to Treatment Failure (TTF).(Assessed up to 12 months post first vaccine administration)
  • To assess efficacy of NeoSLP vaccination by assessment of Overall Survival at 24 months (OS24).(Until death, assessed up to 24 months post first vaccine administration)
  • To assess the safety and tolerability of NeoSLP vaccines.(Assessed up to 60 days from last vaccine administration)

研究者

申办方类型
Other
责任方
Sponsor

研究点 (5)

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