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Safety & Activity of P501-AS15 Vaccine as a First-line Treatment for Patients With Hormone-sensitive Prostate Cancer Who Show Rising PSA

Primary Purpose

Neoplasms, Prostate

Status
Completed
Phase
Phase 1
Locations
International
Study Type
Interventional
Intervention
P501-AS15 vaccine
Sponsored by
GlaxoSmithKline
About
Eligibility
Locations
Outcomes
Full info

About this trial

This is an interventional prevention trial for Neoplasms, Prostate

Eligibility Criteria

18 Years - 75 Years (Adult, Older Adult)MaleDoes not accept healthy volunteers

Inclusion criteria: Male, Aged between 18 and 75 years, inclusive, Histologically or cytologically proven adenocarcinoma of the prostate before the initiation of therapy of the primary tumor, Radical prostatectomy before progression of disease by rising PSA was established, Primary tumor presented a Gleason sum score ≤8, Proven progressive hormone-sensitive prostate cancer, Serum testosterone level above 50 ng/dl, Free of clinically evaluable metastatic disease (other than the rising PSA), ECOG Performance Status of 0 or 1, Normal organ functions, Negative HBV antigen test, Negative HCV antibody test, The investigator believes that the patient can and will comply with the requirements of the protocol, Written, informed consent obtained before enrolment. Exclusion criteria: Orchiectomy, Received androgen-deprivation therapy, including neo adjuvant androgen-deprivation therapy, Any radiotherapy (external beam radiotherapy and/or brachytherapy) for prostate cancer as primary management, Receiving treatment with continuous systemic anticancer medications, Received chronic administration of immunosuppressants or other immune-modifying drugs within six months before the first vaccine dose, Received any investigational or non-registered product (drug or vaccine) other than the study vaccine(s) within 30 days preceding the first dose of study vaccine, or the administration of such a product is planned during the study period, Receiving any immunoglobulins and/or other blood products or has received such products within the three months preceding the first dose of study vaccine or is planned to receive such products during the study period, Received any commercial vaccine within the week before the first study vaccination, Previous or concomitant malignancies at other sites, except (i) adequately treated non-melanoma skin cancers, and (ii) effectively treated malignancy that has been in remission for >2 years and is considered by the investigator highly likely to have been cured, Any clinical autoimmune disease (except vitiligo), Family history of congenital or hereditary immunodeficiency, HIV-positive, Medical history includes splenectomy or irradiation to the spleen, History of allergic disease or reactions likely to be exacerbated by any component of the vaccine, Any known allergy or hypersensitivity to yeast or yeast products, The patient presents with serious acute or chronic illness(es), e.g. active infections requiring antibiotics, bleeding/coagulation disorders, clinically significant heart disease (NCIC CTG III-IV), or other conditions requiring concurrent medications not allowed during this study, Psychological, familial, sociological or geographical condition potentially hampering compliance with the study protocol and follow-up schedule, History of chronic alcohol consumption and/or drug abuse, Acute disease at the time of enrolment. All vaccines can be administered to persons with a minor illness.

Sites / Locations

  • GSK Investigational Site
  • GSK Investigational Site
  • GSK Investigational Site
  • GSK Investigational Site
  • GSK Investigational Site
  • GSK Investigational Site
  • GSK Investigational Site
  • GSK Investigational Site

Outcomes

Primary Outcome Measures

Vaccine-related or possibly vaccine-related Grade 3 or 4 adverse event: a. Any Grade 4 toxicity: fatigue (including lethargy, asthenia, malaise) must have a duration of at least 24 hours. b. Any Grade 3 toxicity with a duration of at least 24 hours
Clinical PSA response

Secondary Outcome Measures

a. For patients who present a PSA response: The duration of PSA response, The duration of PSA control, The duration of log PSA response.
b. Humoral immune response induced by P501-AS15 vaccine: Anti-CPC seropositivity. Anti-P501 seropositivity.
c. Cellular immune response induced by P501-AS15 vaccine. Frequency of in vitro cellular immune response to CPC P501.
d. Any toxicity in terms of solicited symptoms, unsolicited symptoms and serious adverse events.
e. All adverse events, whether or not associated with toxicity.
f. General laboratory safety variables.

Full Information

First Posted
September 7, 2005
Last Updated
June 1, 2017
Sponsor
GlaxoSmithKline
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1. Study Identification

Unique Protocol Identification Number
NCT00148928
Brief Title
Safety & Activity of P501-AS15 Vaccine as a First-line Treatment for Patients With Hormone-sensitive Prostate Cancer Who Show Rising PSA
Official Title
A Multicenter, Open-label Phase I/II Trial to Evaluate the Safety and Activity of CPC-P501 Protein Formulated With the Adjuvant AS15 as First-line Treatment in Patients With Hormone-sensitive Prostate Cancer Who Show Rising PSA
Study Type
Interventional

2. Study Status

Record Verification Date
June 2017
Overall Recruitment Status
Completed
Study Start Date
March 1, 2005 (Actual)
Primary Completion Date
November 7, 2006 (Actual)
Study Completion Date
November 7, 2006 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
GlaxoSmithKline

4. Oversight

5. Study Description

Brief Summary
Patients with hormone-sensitive prostate cancer and rising PSA, after primary tumor treatment, will be treated with the P501-AS15 vaccine as out-patients. The maximum dose will be 16 vaccinations, given over a period of approximately one year. Thereafter, the patients' long-term safety and PSA status will be followed over a period of approximately 11 months.
Detailed Description
This Phase I/II study will be conducted according to a multicenter, open-label, single-group design at approximately ten centers in Europe. At least 21 HSPC patients with rising PSA after primary tumor treatment will be enrolled in this study. All patients will be treated as out-patients and will receive the same treatment. The maximum dose will be 16 vaccinations. Follow-up: The patients' long-term safety and PSA status will be followed over a period of 48 weeks. The Protocol Posting has been updated in order to comply with the FDA Amendment Act, Sep 2007.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Neoplasms, Prostate

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 1
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
25 (Actual)

8. Arms, Groups, and Interventions

Intervention Type
Biological
Intervention Name(s)
P501-AS15 vaccine
Primary Outcome Measure Information:
Title
Vaccine-related or possibly vaccine-related Grade 3 or 4 adverse event: a. Any Grade 4 toxicity: fatigue (including lethargy, asthenia, malaise) must have a duration of at least 24 hours. b. Any Grade 3 toxicity with a duration of at least 24 hours
Time Frame
During the study
Title
Clinical PSA response
Secondary Outcome Measure Information:
Title
a. For patients who present a PSA response: The duration of PSA response, The duration of PSA control, The duration of log PSA response.
Time Frame
During the study
Title
b. Humoral immune response induced by P501-AS15 vaccine: Anti-CPC seropositivity. Anti-P501 seropositivity.
Time Frame
At all points during treatment as specified in the study schedule
Title
c. Cellular immune response induced by P501-AS15 vaccine. Frequency of in vitro cellular immune response to CPC P501.
Time Frame
At all points during treatment as specified in the study schedule
Title
d. Any toxicity in terms of solicited symptoms, unsolicited symptoms and serious adverse events.
Time Frame
During the study
Title
e. All adverse events, whether or not associated with toxicity.
Time Frame
During the study
Title
f. General laboratory safety variables.
Time Frame
At all points during treatment as specified in the study schedule

10. Eligibility

Sex
Male
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
75 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion criteria: Male, Aged between 18 and 75 years, inclusive, Histologically or cytologically proven adenocarcinoma of the prostate before the initiation of therapy of the primary tumor, Radical prostatectomy before progression of disease by rising PSA was established, Primary tumor presented a Gleason sum score ≤8, Proven progressive hormone-sensitive prostate cancer, Serum testosterone level above 50 ng/dl, Free of clinically evaluable metastatic disease (other than the rising PSA), ECOG Performance Status of 0 or 1, Normal organ functions, Negative HBV antigen test, Negative HCV antibody test, The investigator believes that the patient can and will comply with the requirements of the protocol, Written, informed consent obtained before enrolment. Exclusion criteria: Orchiectomy, Received androgen-deprivation therapy, including neo adjuvant androgen-deprivation therapy, Any radiotherapy (external beam radiotherapy and/or brachytherapy) for prostate cancer as primary management, Receiving treatment with continuous systemic anticancer medications, Received chronic administration of immunosuppressants or other immune-modifying drugs within six months before the first vaccine dose, Received any investigational or non-registered product (drug or vaccine) other than the study vaccine(s) within 30 days preceding the first dose of study vaccine, or the administration of such a product is planned during the study period, Receiving any immunoglobulins and/or other blood products or has received such products within the three months preceding the first dose of study vaccine or is planned to receive such products during the study period, Received any commercial vaccine within the week before the first study vaccination, Previous or concomitant malignancies at other sites, except (i) adequately treated non-melanoma skin cancers, and (ii) effectively treated malignancy that has been in remission for >2 years and is considered by the investigator highly likely to have been cured, Any clinical autoimmune disease (except vitiligo), Family history of congenital or hereditary immunodeficiency, HIV-positive, Medical history includes splenectomy or irradiation to the spleen, History of allergic disease or reactions likely to be exacerbated by any component of the vaccine, Any known allergy or hypersensitivity to yeast or yeast products, The patient presents with serious acute or chronic illness(es), e.g. active infections requiring antibiotics, bleeding/coagulation disorders, clinically significant heart disease (NCIC CTG III-IV), or other conditions requiring concurrent medications not allowed during this study, Psychological, familial, sociological or geographical condition potentially hampering compliance with the study protocol and follow-up schedule, History of chronic alcohol consumption and/or drug abuse, Acute disease at the time of enrolment. All vaccines can be administered to persons with a minor illness.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
GSK Clinical Trials
Organizational Affiliation
GlaxoSmithKline
Official's Role
Study Director
Facility Information:
Facility Name
GSK Investigational Site
City
Bruxelles
ZIP/Postal Code
1070
Country
Belgium
Facility Name
GSK Investigational Site
City
Bruxelles
ZIP/Postal Code
1200
Country
Belgium
Facility Name
GSK Investigational Site
City
Turnhout
ZIP/Postal Code
2300
Country
Belgium
Facility Name
GSK Investigational Site
City
Auxerre Cedex
ZIP/Postal Code
89011
Country
France
Facility Name
GSK Investigational Site
City
Besançon Cedex
ZIP/Postal Code
25030
Country
France
Facility Name
GSK Investigational Site
City
Paris Cedex 05
ZIP/Postal Code
75248
Country
France
Facility Name
GSK Investigational Site
City
Toulouse Cedex 4
ZIP/Postal Code
31403
Country
France
Facility Name
GSK Investigational Site
City
Villejuif Cedex
ZIP/Postal Code
94805
Country
France

12. IPD Sharing Statement

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Safety & Activity of P501-AS15 Vaccine as a First-line Treatment for Patients With Hormone-sensitive Prostate Cancer Who Show Rising PSA

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