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Safety and Immunogenicity of CHP-HER2 and CHP-NY-ESO-1 Protein With OK-432 in Antigen-Expressing Cancers

Primary Purpose

Esophageal Cancer, Lung Cancer, Stomach Cancer

Status
Completed
Phase
Phase 1
Locations
Japan
Study Type
Interventional
Intervention
CHP-HER2, CHP-NY-ESO-1
Sponsored by
Ludwig Institute for Cancer Research
About
Eligibility
Locations
Outcomes
Full info

About this trial

This is an interventional treatment trial for Esophageal Cancer

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria: Histological confirmation of cancer. HER2 expression in tumor cells scored as 1+ or more which should be confirmed by IHC using at least two antibodies (archived issue; see Appendix 1 and Reference 1 for methodology). or NY-ESO-1 expression by reverse transcriptase and polymerase chain reaction (RT-PCR) analysis (Appendix 2), preferably, or immunohistochemistry Patients must are at high risk of recurrence, more than 25% of probability, after complete resection or even after post-operative adjuvant treatment, and effective adjuvant therapy is not available or refused; or have metastatic disease, and treatment has failed, or in the situation where effective therapy is not available, or has been refused. Complete recovery from surgery (at least 4 weeks). Laboratory values within the following limits: Hemoglobin 9.0 g/dL or more, or 10.0 g/dL or more if <50 kg Neutrophil count >1.5 x 109/L Lymphocyte count >0.5 x 109/L Platelet count >100 x 109/L Serum creatinine ≤ 1.8 mg/dL Serum bilirubin ≤ 2 mg/dL Performance status > 70 (Karnofsky Scale) and life expectancy >3 months. Age 18 years or more. Exclusion Criteria: Clinically significant heart disease (NYHA Class III or IV). Cardiac dysfunction; less than 50% of ejection fraction by echocardiogram. Immunodeficiency disease. Other serious illnesses, eg, serious infections requiring antibiotics, bleeding disorders. Previous bone marrow or stem cell transplant. Metastatic disease to the central nervous system, unless treated and stable. known HIV antibody positivity. Anaphylactic reaction to previous vaccination. Hypersensitivity to penicillin Chemotherapy, any type of radiation therapy, or immunotherapy within 4 weeks before study entry (6 weeks for nitrosoureas). Concomitant treatment with steroids. Topical or inhalational steroids are permitted. Participation in any other clinical trial involving another investigational agent within 4 weeks prior to enrollment. Pregnancy or nursing . Refusal, by women of childbearing potential, to use medically acceptable means of contraception. Mental impairment that may compromise the ability to give informed consent. Lack of availability for immunological and clinical follow-up assessment.

Sites / Locations

  • Mie University Hospital

Outcomes

Primary Outcome Measures

adverse events

Secondary Outcome Measures

immune responses including HER2 and NY-ESO-1 specific IgG and T cells

Full Information

First Posted
February 10, 2006
Last Updated
March 2, 2009
Sponsor
Ludwig Institute for Cancer Research
Collaborators
Mie University
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1. Study Identification

Unique Protocol Identification Number
NCT00291473
Brief Title
Safety and Immunogenicity of CHP-HER2 and CHP-NY-ESO-1 Protein With OK-432 in Antigen-Expressing Cancers
Official Title
Safety and Immunogenicity of Cholesterol-Bearing Hydrophobized Pullulan HER2 Protein 146 (CHP-HER2) and NY-ESO-1 Protein (CHP-NY-ESO-1) in Combination With OK-432 in HER2- and/or NY-ESO-1-Expressing Cancers
Study Type
Interventional

2. Study Status

Record Verification Date
March 2009
Overall Recruitment Status
Completed
Study Start Date
July 2005 (undefined)
Primary Completion Date
August 2008 (Actual)
Study Completion Date
August 2008 (Actual)

3. Sponsor/Collaborators

Name of the Sponsor
Ludwig Institute for Cancer Research
Collaborators
Mie University

4. Oversight

5. Study Description

Brief Summary
Mixed cancer vaccines, CHP-HER2 protein and CHP-NY-ESO-1 protein, are to be studied to evaluate the safety and immune responses in patients who are positive either or both antigens. Nine patients will be enrolled, who are refractory to standard therapies for cancer or at high risk to relapse. CHP-HER2 and CHP-NY-ESO-1 are subcutaneously given on bimonthly basis, together with OK-432(Picibanil) as an immunoadjuvant. Six doses will be given. Toxicity profiles will be monitored, and antigen specific humoral anad T cell responses will be described.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Esophageal Cancer, Lung Cancer, Stomach Cancer, Breast Cancer, Ovarian Cancer

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
9 (Anticipated)

8. Arms, Groups, and Interventions

Intervention Type
Drug
Intervention Name(s)
CHP-HER2, CHP-NY-ESO-1
Primary Outcome Measure Information:
Title
adverse events
Secondary Outcome Measure Information:
Title
immune responses including HER2 and NY-ESO-1 specific IgG and T cells

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Histological confirmation of cancer. HER2 expression in tumor cells scored as 1+ or more which should be confirmed by IHC using at least two antibodies (archived issue; see Appendix 1 and Reference 1 for methodology). or NY-ESO-1 expression by reverse transcriptase and polymerase chain reaction (RT-PCR) analysis (Appendix 2), preferably, or immunohistochemistry Patients must are at high risk of recurrence, more than 25% of probability, after complete resection or even after post-operative adjuvant treatment, and effective adjuvant therapy is not available or refused; or have metastatic disease, and treatment has failed, or in the situation where effective therapy is not available, or has been refused. Complete recovery from surgery (at least 4 weeks). Laboratory values within the following limits: Hemoglobin 9.0 g/dL or more, or 10.0 g/dL or more if <50 kg Neutrophil count >1.5 x 109/L Lymphocyte count >0.5 x 109/L Platelet count >100 x 109/L Serum creatinine ≤ 1.8 mg/dL Serum bilirubin ≤ 2 mg/dL Performance status > 70 (Karnofsky Scale) and life expectancy >3 months. Age 18 years or more. Exclusion Criteria: Clinically significant heart disease (NYHA Class III or IV). Cardiac dysfunction; less than 50% of ejection fraction by echocardiogram. Immunodeficiency disease. Other serious illnesses, eg, serious infections requiring antibiotics, bleeding disorders. Previous bone marrow or stem cell transplant. Metastatic disease to the central nervous system, unless treated and stable. known HIV antibody positivity. Anaphylactic reaction to previous vaccination. Hypersensitivity to penicillin Chemotherapy, any type of radiation therapy, or immunotherapy within 4 weeks before study entry (6 weeks for nitrosoureas). Concomitant treatment with steroids. Topical or inhalational steroids are permitted. Participation in any other clinical trial involving another investigational agent within 4 weeks prior to enrollment. Pregnancy or nursing . Refusal, by women of childbearing potential, to use medically acceptable means of contraception. Mental impairment that may compromise the ability to give informed consent. Lack of availability for immunological and clinical follow-up assessment.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Hiroshi Shiku, M.D.
Organizational Affiliation
Mie University
Official's Role
Principal Investigator
Facility Information:
Facility Name
Mie University Hospital
City
Tsu
State/Province
Mie
ZIP/Postal Code
514-8507
Country
Japan

12. IPD Sharing Statement

Learn more about this trial

Safety and Immunogenicity of CHP-HER2 and CHP-NY-ESO-1 Protein With OK-432 in Antigen-Expressing Cancers

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