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Cancer Immunotherapy GSK1572932A as Adjuvant Therapy for Patients With Tumor-antigen-positive Non-Small Cell Lung Cancer

Primary Purpose

Lung Cancer, Non-Small Cell

Status
Terminated
Phase
Phase 1
Locations
International
Study Type
Interventional
Intervention
Immunotherapeutic GSK1572932A
Cisplatin (CDDP)
Vinorelbine
Radiotherapy
Sponsored by
GlaxoSmithKline
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Lung Cancer, Non-Small Cell focused on measuring Immunotherapeutic, Adjuvant cancer therapy, Non-small-cell lung cancer, ASCI

Eligibility Criteria

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

Inclusion Criteria:

  • Written informed consent obtained,
  • Aged 18 or more,
  • Pathologically proven stage IB, II or III NSCLC,
  • Tumor expresses MAGE-A3,
  • Free of distant metastasis,
  • For Cohort 1, all of the following:

    1. Completely resected stage IB, II or IIIA NSCLC,
    2. Anatomical tumor resection, involving at least a lobectomy, and nodal sampling as per center standard
    3. ECOG performance status = 0 or 1
    4. Due to receive adjuvant chemotherapy as permitted in the protocol
    5. Not received, not receiving, and not due to receive adjuvant radiotherapy (except stage III patients)
    6. First administration of chemotherapy can be scheduled within 4-12 weeks after surgery
  • For Cohort 2, all of the following:

    1. Resected stage IB, II or IIIA NSCLC,
    2. Anatomical tumor resection, involving at least a lobectomy, and nodal sampling as per center standard
    3. ECOG PS = 0 or 1
    4. Due to receive, or receiving, adjuvant chemotherapy as permitted in the protocol
    5. Not received, not receiving, and not due to receive, adjuvant radiotherapy (except stage III patients)
    6. First administration of ASCI treatment can be scheduled within 2-4 weeks after the last administration of chemotherapy
    7. Received at least 2 cycles of standard chemotherapy before ASCI treatment is initiated, whereafter no further chemotherapy is planned
  • For Cohort 3, all of the following:

    1. Resected stage IB, II or IIIA NSCLC
    2. Anatomical tumor resection, involving at least a lobectomy, and nodal sampling as per center standard
    3. ECOG PS = 0 or 1 or 2
    4. Not received, not receiving, and not due to receive, adjuvant chemotherapy
    5. Not received, not receiving, and not due to receive, adjuvant radiotherapy (this does not apply to patients in stage III)
    6. First administration of ASCI treatment can be scheduled within 4-8 weeks after surgery
  • For Cohort 4, all of the following:

    1. Unresectable stage III NSCLC
    2. ECOG PS = 0 or 1 or 2
    3. Due to receive, or receiving, chemo- and radiotherapy according to institution standard
    4. Received at least 2 cycles of standard chemotherapy before the initiation of ASCI treatment, whereafter no further chemo-/radiotherapy is planned
    5. Stable disease or objective response (confirmed by CT scan) after standard chemo-/radiotherapy
    6. Administration of ASCI treatment can be scheduled within 2-6 weeks after the last administration of chemo-/radiotherapy
  • Laboratory criteria: adequate bone-marrow reserve, adequate renal function, adequate hepatic function.
  • For females: EITHER not of child-bearing potential, OR sexually abstinent, OR negative urine pregnancy test + use of adequate contraceptive precautions from 30 days before first study treatment till 2 months after completion of study treatment course
  • In the view of the investigator, the patient can and will comply with the requirements of the protocol

Exclusion criteria:

  • Previous or concomitant other malignancies, except if effectively treated and considered by the investigator highly likely to have been cured
  • Pregnant or lactating
  • History of anaphylaxis or severe allergic reaction
  • Concurrent severe medical problems, unrelated to the malignancy, limiting full compliance with the study or exposing the patient to unacceptable risk
  • Psychiatric or addictive disorders compromising the ability to give informed consent, or to comply with the trial procedures
  • HIV-positive
  • Require treatment with systemic corticosteroids, or other immunosuppressive agents
  • Need home oxygenation
  • Received or plan to receive investigational or non-registered product other than the study medication from 30 days before first dose of study medication and during whole study period
  • History of chronic alcohol consumption and/or drug abuse

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

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Experimental

Experimental

Experimental

Experimental

Arm Label

Cohort 1

Cohort 2

Cohort 3

Cohort 4

Arm Description

Patients with resected stage IB, II or IIIA tumors who are due for standard chemotherapy with cisplatin and vinorelbine. These patients will receive chemo-and immunotherapy in parallel.

Patients with resected stage IB, II or IIIA tumors who are due for standard chemotherapy with cisplatin and vinorelbine. These patients will first receive chemotherapy and then immunotherapy

Patients with resected stage IB, II or IIIA tumors who are not due for chemotherapy. These patients will receive immunotherapy only.

Patients with unresectable stage III tumors, following standard chemotherapy and/or radiotherapy. These patients will receive immunotherapy only.

Outcomes

Primary Outcome Measures

The anti-MAGE-A3 seroconversion
The anti-protein D seroconversion
The anti-CpG seroconversion
The MAGE-A3 cellular (T cell) response
Occurrence of adverse events, including abnormal hematological and biochemical laboratory values
Occurrence of serious adverse events

Secondary Outcome Measures

Full Information

First Posted
April 2, 2007
Last Updated
May 12, 2017
Sponsor
GlaxoSmithKline
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1. Study Identification

Unique Protocol Identification Number
NCT00455572
Brief Title
Cancer Immunotherapy GSK1572932A as Adjuvant Therapy for Patients With Tumor-antigen-positive Non-Small Cell Lung Cancer
Official Title
Cancer Immunotherapeutic GSK1572932A as Adjuvant Therapy for Patients With MAGE-A3-positive Non-Small Cell Lung Cancer
Study Type
Interventional

2. Study Status

Record Verification Date
May 2017
Overall Recruitment Status
Terminated
Why Stopped
Study early termination was due to slow recruitment and difficulties at achieving the required enrolment for the study.
Study Start Date
May 11, 2007 (Actual)
Primary Completion Date
August 4, 2013 (Actual)
Study Completion Date
August 8, 2013 (Actual)

3. Sponsor/Collaborators

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

4. Oversight

5. Study Description

Brief Summary
The purpose of this clinical trial is to find out how successfully non-small-cell lung cancer patients are able to give an immune response to injections of the immunotherapeutic product GSK1572932A, and to find out more about the safety of this treatment. A course of eight injections will be administered over 21 weeks; including screening for suitability and all tests, the duration of the study for a patient will be 30-35 weeks. During this period various tests will be performed, including physical examinations and blood tests. The Protocol Posting has been updated in order to comply with the FDA Amendment Act, Sep 2007.
Detailed Description
This is an open, four-arm, parallel-group study, to be conducted at approximately 20 centers in Europe and Canada. All patients will receive the same immunotherapeutic treatment with GSK1572932A, but they will be recruited into four cohorts according to the details of their disease. Cohort 1: Patients with resected stage IB, II or IIIA tumors who are due for standard chemotherapy with cisplatin and vinorelbine. These patients will receive chemo-and immunotherapy in parallel. Cohort 2: Patients with resected stage IB, II or IIIA tumors who are due for standard chemotherapy with cisplatin and vinorelbine. These patients will first receive chemotherapy and then immunotherapy. Cohort 3: Patients with resected stage IB, II or IIIA tumors who are not due for chemotherapy. These patients will receive immunotherapy only. Cohort 4: Patients with unresectable stage III tumors, following standard chemotherapy and/or radiotherapy. These patients will receive immunotherapy only. Immunotherapeutic treatment will comprise eight doses of GSK1572932A. Doses will be administered at three-week intervals; in Cohort 1 this may be adapted to fit in with the patient's chemotherapy. During the study, adjuvant radiotherapy is allowed in Cohorts 1, 2 and 3 for patients in stage III only and is prohibited in Cohort 4. Chemotherapy during the study is allowed in Cohort 1 only as described above, and is prohibited in Cohorts 2-4. The total maximum duration of the study for a patient will be 30-35 weeks.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Lung Cancer, Non-Small Cell
Keywords
Immunotherapeutic, Adjuvant cancer therapy, Non-small-cell lung cancer, ASCI

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
71 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Cohort 1
Arm Type
Experimental
Arm Description
Patients with resected stage IB, II or IIIA tumors who are due for standard chemotherapy with cisplatin and vinorelbine. These patients will receive chemo-and immunotherapy in parallel.
Arm Title
Cohort 2
Arm Type
Experimental
Arm Description
Patients with resected stage IB, II or IIIA tumors who are due for standard chemotherapy with cisplatin and vinorelbine. These patients will first receive chemotherapy and then immunotherapy
Arm Title
Cohort 3
Arm Type
Experimental
Arm Description
Patients with resected stage IB, II or IIIA tumors who are not due for chemotherapy. These patients will receive immunotherapy only.
Arm Title
Cohort 4
Arm Type
Experimental
Arm Description
Patients with unresectable stage III tumors, following standard chemotherapy and/or radiotherapy. These patients will receive immunotherapy only.
Intervention Type
Biological
Intervention Name(s)
Immunotherapeutic GSK1572932A
Intervention Description
Intramuscular injection, 8 doses
Intervention Type
Drug
Intervention Name(s)
Cisplatin (CDDP)
Intervention Description
Four cycles with doses based on patient's body surface area, intravenous administration
Intervention Type
Drug
Intervention Name(s)
Vinorelbine
Intervention Description
Four cycles with doses based on patient's body surface area , intravenous administration
Intervention Type
Procedure
Intervention Name(s)
Radiotherapy
Intervention Description
Regimen will be based upon the site's own standard procedures
Primary Outcome Measure Information:
Title
The anti-MAGE-A3 seroconversion
Time Frame
After the fourth dose of ASCI and at the end of treatment
Title
The anti-protein D seroconversion
Time Frame
After the fourth dose of ASCI and at the end of treatment
Title
The anti-CpG seroconversion
Time Frame
After the fourth dose of ASCI and at the end of treatment
Title
The MAGE-A3 cellular (T cell) response
Time Frame
After the fourth dose of ASCI and at the end of treatment
Title
Occurrence of adverse events, including abnormal hematological and biochemical laboratory values
Time Frame
During the study
Title
Occurrence of serious adverse events
Time Frame
During the study

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Written informed consent obtained, Aged 18 or more, Pathologically proven stage IB, II or III NSCLC, Tumor expresses MAGE-A3, Free of distant metastasis, For Cohort 1, all of the following: Completely resected stage IB, II or IIIA NSCLC, Anatomical tumor resection, involving at least a lobectomy, and nodal sampling as per center standard ECOG performance status = 0 or 1 Due to receive adjuvant chemotherapy as permitted in the protocol Not received, not receiving, and not due to receive adjuvant radiotherapy (except stage III patients) First administration of chemotherapy can be scheduled within 4-12 weeks after surgery For Cohort 2, all of the following: Resected stage IB, II or IIIA NSCLC, Anatomical tumor resection, involving at least a lobectomy, and nodal sampling as per center standard ECOG PS = 0 or 1 Due to receive, or receiving, adjuvant chemotherapy as permitted in the protocol Not received, not receiving, and not due to receive, adjuvant radiotherapy (except stage III patients) First administration of ASCI treatment can be scheduled within 2-4 weeks after the last administration of chemotherapy Received at least 2 cycles of standard chemotherapy before ASCI treatment is initiated, whereafter no further chemotherapy is planned For Cohort 3, all of the following: Resected stage IB, II or IIIA NSCLC Anatomical tumor resection, involving at least a lobectomy, and nodal sampling as per center standard ECOG PS = 0 or 1 or 2 Not received, not receiving, and not due to receive, adjuvant chemotherapy Not received, not receiving, and not due to receive, adjuvant radiotherapy (this does not apply to patients in stage III) First administration of ASCI treatment can be scheduled within 4-8 weeks after surgery For Cohort 4, all of the following: Unresectable stage III NSCLC ECOG PS = 0 or 1 or 2 Due to receive, or receiving, chemo- and radiotherapy according to institution standard Received at least 2 cycles of standard chemotherapy before the initiation of ASCI treatment, whereafter no further chemo-/radiotherapy is planned Stable disease or objective response (confirmed by CT scan) after standard chemo-/radiotherapy Administration of ASCI treatment can be scheduled within 2-6 weeks after the last administration of chemo-/radiotherapy Laboratory criteria: adequate bone-marrow reserve, adequate renal function, adequate hepatic function. For females: EITHER not of child-bearing potential, OR sexually abstinent, OR negative urine pregnancy test + use of adequate contraceptive precautions from 30 days before first study treatment till 2 months after completion of study treatment course In the view of the investigator, the patient can and will comply with the requirements of the protocol Exclusion criteria: Previous or concomitant other malignancies, except if effectively treated and considered by the investigator highly likely to have been cured Pregnant or lactating History of anaphylaxis or severe allergic reaction Concurrent severe medical problems, unrelated to the malignancy, limiting full compliance with the study or exposing the patient to unacceptable risk Psychiatric or addictive disorders compromising the ability to give informed consent, or to comply with the trial procedures HIV-positive Require treatment with systemic corticosteroids, or other immunosuppressive agents Need home oxygenation Received or plan to receive investigational or non-registered product other than the study medication from 30 days before first dose of study medication and during whole study period History of chronic alcohol consumption and/or drug abuse
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
Genk
ZIP/Postal Code
3600
Country
Belgium
Facility Name
GSK Investigational Site
City
Leuven
ZIP/Postal Code
3000
Country
Belgium
Facility Name
GSK Investigational Site
City
Liège
ZIP/Postal Code
4000
Country
Belgium
Facility Name
GSK Investigational Site
City
Edmonton
State/Province
Alberta
ZIP/Postal Code
T6G 1Z2
Country
Canada
Facility Name
GSK Investigational Site
City
Greenfield Park
State/Province
Quebec
ZIP/Postal Code
J4V 2H1
Country
Canada
Facility Name
GSK Investigational Site
City
Montreal
State/Province
Quebec
ZIP/Postal Code
H4J 1C5
Country
Canada
Facility Name
GSK Investigational Site
City
Montpellier
ZIP/Postal Code
34295
Country
France
Facility Name
GSK Investigational Site
City
Pierre Benite
ZIP/Postal Code
69495
Country
France
Facility Name
GSK Investigational Site
City
Saint Herblain
ZIP/Postal Code
44805
Country
France
Facility Name
GSK Investigational Site
City
Strasbourg
ZIP/Postal Code
67091
Country
France
Facility Name
GSK Investigational Site
City
Hemer
State/Province
Nordrhein-Westfalen
ZIP/Postal Code
58675
Country
Germany
Facility Name
GSK Investigational Site
City
Mainz
State/Province
Rheinland-Pfalz
ZIP/Postal Code
55131
Country
Germany
Facility Name
GSK Investigational Site
City
Halle
State/Province
Sachsen-Anhalt
ZIP/Postal Code
06120
Country
Germany
Facility Name
GSK Investigational Site
City
Grosshansdorf
State/Province
Schleswig-Holstein
ZIP/Postal Code
22927
Country
Germany
Facility Name
GSK Investigational Site
City
Bad Berka
State/Province
Thueringen
ZIP/Postal Code
99437
Country
Germany
Facility Name
GSK Investigational Site
City
Hamburg
ZIP/Postal Code
20246
Country
Germany
Facility Name
GSK Investigational Site
City
Udine
State/Province
Friuli-Venezia-Giulia
ZIP/Postal Code
33100
Country
Italy
Facility Name
GSK Investigational Site
City
Roma
State/Province
Lazio
ZIP/Postal Code
00152
Country
Italy
Facility Name
GSK Investigational Site
City
Genova
State/Province
Liguria
ZIP/Postal Code
16132
Country
Italy
Facility Name
GSK Investigational Site
City
Milano
State/Province
Lombardia
ZIP/Postal Code
20132
Country
Italy
Facility Name
GSK Investigational Site
City
Milano
State/Province
Lombardia
ZIP/Postal Code
20141
Country
Italy
Facility Name
GSK Investigational Site
City
Wythenshawe
State/Province
Greater Manchester
ZIP/Postal Code
M23 9LT
Country
United Kingdom
Facility Name
GSK Investigational Site
City
Bebington, Wirral
ZIP/Postal Code
CH63 4JY
Country
United Kingdom
Facility Name
GSK Investigational Site
City
London
ZIP/Postal Code
SE1 9RT
Country
United Kingdom
Facility Name
GSK Investigational Site
City
Nottingham
ZIP/Postal Code
NG5 1PB
Country
United Kingdom
Facility Name
GSK Investigational Site
City
Southampton
ZIP/Postal Code
SO16 6YD
Country
United Kingdom

12. IPD Sharing Statement

Plan to Share IPD
Yes
IPD Sharing Plan Description
Patient-level data for this study will be made available through www.clinicalstudydatarequest.com following the timelines and process described on this site.
Citations:
PubMed Identifier
26309191
Citation
Pujol JL, Vansteenkiste JF, De Pas TM, Atanackovic D, Reck M, Thomeer M, Douillard JY, Fasola G, Potter V, Taylor P, Bosquee L, Scheubel R, Jarnjak S, Debois M, de Sousa Alves P, Louahed J, Brichard VG, Lehmann FF. Safety and Immunogenicity of MAGE-A3 Cancer Immunotherapeutic with or without Adjuvant Chemotherapy in Patients with Resected Stage IB to III MAGE-A3-Positive Non-Small-Cell Lung Cancer. J Thorac Oncol. 2015 Oct;10(10):1458-67. doi: 10.1097/JTO.0000000000000653.
Results Reference
derived
Links:
URL
https://www.clinicalstudydatarequest.com
Description
Researchers can use this site to request access to anonymised patient level data and/or supporting documents from clinical studies to conduct further research.
Available IPD and Supporting Information:
Available IPD/Information Type
Clinical Study Report
Available IPD/Information URL
https://www.clinicalstudydatarequest.com
Available IPD/Information Identifier
107240
Available IPD/Information Comments
For additional information about this study please refer to the GSK Clinical Study Register
Available IPD/Information Type
Informed Consent Form
Available IPD/Information URL
https://www.clinicalstudydatarequest.com
Available IPD/Information Identifier
107240
Available IPD/Information Comments
For additional information about this study please refer to the GSK Clinical Study Register
Available IPD/Information Type
Individual Participant Data Set
Available IPD/Information URL
https://www.clinicalstudydatarequest.com
Available IPD/Information Identifier
107240
Available IPD/Information Comments
For additional information about this study please refer to the GSK Clinical Study Register
Available IPD/Information Type
Dataset Specification
Available IPD/Information URL
https://www.clinicalstudydatarequest.com
Available IPD/Information Identifier
107240
Available IPD/Information Comments
For additional information about this study please refer to the GSK Clinical Study Register
Available IPD/Information Type
Statistical Analysis Plan
Available IPD/Information URL
https://www.clinicalstudydatarequest.com
Available IPD/Information Identifier
107240
Available IPD/Information Comments
For additional information about this study please refer to the GSK Clinical Study Register
Available IPD/Information Type
Annotated Case Report Form
Available IPD/Information URL
https://www.clinicalstudydatarequest.com
Available IPD/Information Identifier
107240
Available IPD/Information Comments
For additional information about this study please refer to the GSK Clinical Study Register
Available IPD/Information Type
Study Protocol
Available IPD/Information URL
https://www.clinicalstudydatarequest.com
Available IPD/Information Identifier
107240
Available IPD/Information Comments
For additional information about this study please refer to the GSK Clinical Study Register

Learn more about this trial

Cancer Immunotherapy GSK1572932A as Adjuvant Therapy for Patients With Tumor-antigen-positive Non-Small Cell Lung Cancer

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