A Clinical Study to Assess Safety and Efficacy of a Tumor Vaccine in Patients With Advanced Renal Cell Carcinoma (ASET) (ASET)
Primary Purpose
Stage IV Renal Cell Cancer
Status
Completed
Phase
Phase 1
Locations
Germany
Study Type
Interventional
Intervention
MGN1601
Sponsored by
About this trial
This is an interventional treatment trial for Stage IV Renal Cell Cancer focused on measuring Advanced Renal Cell Carcinoma, Tumor Vaccine, Cell-based Therapy
Eligibility Criteria
Inclusion Criteria:
- Male and female subjects older than 18 years of age
- Histologically confirmed renal cell carcinoma
- Radiologically confirmed advanced disease defined as unresectable locally reccurrent or metastatic disease (AJCC Stage IV)
- Previous nephrectomy
- No standard therapy is available for the patient
- At least 4 weeks after previous radiotherapy prior to study treatment
- At least 1 week after previous systemic therapy prior to study treatment
- At least one lesion measurable by modified RECIST criteria
- ECOG performance status 0-1
- Adequate organ function including hematopoietic organs
- MSKCC prognostic ctiteria < 3 predictors of short survival
- Negative urine pregnancy test in women with childbearing potential
- Women of childbearing potential and all male participants are willing to use acceptable methods of contraception (birth control pills, barriers)
- Expected adequacy of follow-up
- Signed informed consent form (ICF).
Exclusion Criteria:
- Clinically significant concomitant diseases or conditions unrelated to the underlying malignancy or therapy, which in opinion of the investigator would lead to an unacceptable risk for the subject to participate in the study
- Known hypersensitivity to any component of the study drug
- Prior or current other malignancy, except adequately treated superficial bladder cancer, basal or squamous cell carcinoma of the skin or other cancer for which the subject has been disease free for more than 3 years
- Active brain metastases except adequately treated brain metastases with no progression for at least 3 months
- Active or uncontrolled infections
- Transfusion-dependent anemia
- History of autoimmune disease or immune deficiency
- Concurrent chronic systemic immune therapy, corticosteroids or other immunosuppressant medication
- Concurrent radiotherapy within the last 4 weeks prior to study treatment and/or during the course of the study
- Concurrent immunotherapy or targeted therapy within the last 1 week prior to study treatment and/or during the course of the study
- HIV seropositivity or active hepatitis B or C infection
- Planned major surgery during the study
- Participation in other clinical studies during this clinical study
- Vaccination within 3 months prior to the first treatment day
- Any medical, mental, psychological or psychiatric condition which in opinion of the investigator would not permit the subject to complete the study or understand the patient information
- Pregnancy and/or nursing
- Presence of drug and/or alcohol abuse
- Commitment to an institution by virtue of an order issued either by judicial or administrative authorities.
Sites / Locations
- Charité - Universtitäsmedizin Berlin, Klinik für Urologie
- Universitätsklinikum Bonn, Med. Klinik und Poliklinik, Hämatologie und Onkologie
- Medizinische Hochschule Hannover, Klinik für Hämatologie, Hämostaseologie, Onkologie und Stammzelltransplantation OE6860
Arms of the Study
Arm 1
Arm Type
Experimental
Arm Label
Study medication
Arm Description
Outcomes
Primary Outcome Measures
Assessment of safety profile of MGN1601
Secondary Outcome Measures
Assessment of potential autoimmune effects of MGN1601
Assessment of the presence of MIDGE vectors
Assessment of the immune response to MGN1601
Evaluation of clinical and radiological response to MGN1601
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT01265368
Brief Title
A Clinical Study to Assess Safety and Efficacy of a Tumor Vaccine in Patients With Advanced Renal Cell Carcinoma (ASET)
Acronym
ASET
Official Title
A Phase 1/2, Proof-of-Principle, Multi-Center, Open-Label, Single-Arm, Non-randomized Clinical Study to Assess Safety and Efficacy of a Tumor Vaccine Consisting of Genetically Modified Allogeneic (Human) Tumor Cells for the Expression of IL-7, GM-CSF, CD80 and CD154, in Fixed Combination With a DNA-based Double Stem Loop Immunomodulator in Patients With Advanced Renal Cell Carcinoma (ASET Study)
Study Type
Interventional
2. Study Status
Record Verification Date
November 2018
Overall Recruitment Status
Completed
Study Start Date
November 2010 (Actual)
Primary Completion Date
August 2013 (Actual)
Study Completion Date
September 2018 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Mologen AG
4. Oversight
Data Monitoring Committee
Yes
5. Study Description
Brief Summary
This is a Phase 1/2, proof-of-principle clinical study to assess safety and efficacy of a intradermally administered tumor vaccine (MGN1601). The study will be conducted in patients with advanced renal cell carcinoma.
Detailed Description
Twenty four patients with advanced RCC will be included in this open, single-arm study.
The treatment will last 12 weeks. The investigational product (MGN1601) will be administered intradermally for a total of 8 applications, whereas the first 3 applications will be administered weekly, and the following 5 applications will be administered bi-weekly.
Patients who will develop disease control (CR, PR, or SD) by week 12 will be proposed to participate in the extension phase of the study. The extension phase will be continued until disease progression in each patient, however, maximally up to week 120 (total treatment duration 2.5 years). During this time period the investigational product will be administered 5 times by weeks 24, 36, 48, 72, and 120.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Stage IV Renal Cell Cancer
Keywords
Advanced Renal Cell Carcinoma, Tumor Vaccine, Cell-based Therapy
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 1, Phase 2
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
19 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Study medication
Arm Type
Experimental
Intervention Type
Biological
Intervention Name(s)
MGN1601
Intervention Description
Genetically modified allogeneic (human) tumor cells for the expression of IL-7, GM-CSF, CD80 and CD154, in fixed combination with a DNA-based double stem loop immunomodulator (dSLIM)
Primary Outcome Measure Information:
Title
Assessment of safety profile of MGN1601
Time Frame
Treatment phase (12 weeks), extension phase (120 weeks, if applicable), plus 5 years follow-up
Secondary Outcome Measure Information:
Title
Assessment of potential autoimmune effects of MGN1601
Time Frame
Treatment phase (12 weeks), extension phase (120 weeks, if applicable) plus 5 years follow-up (if applicable)
Title
Assessment of the presence of MIDGE vectors
Time Frame
Treatment phase (12 weeks)
Title
Assessment of the immune response to MGN1601
Time Frame
Treatment phase (12 weeks), extension phase (120 weeks, if applicable)
Title
Evaluation of clinical and radiological response to MGN1601
Time Frame
Treatment phase (12 weeks), extension phase (120 weeks, if applicable) plus 5 years follow-up
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Male and female subjects older than 18 years of age
Histologically confirmed renal cell carcinoma
Radiologically confirmed advanced disease defined as unresectable locally reccurrent or metastatic disease (AJCC Stage IV)
Previous nephrectomy
No standard therapy is available for the patient
At least 4 weeks after previous radiotherapy prior to study treatment
At least 1 week after previous systemic therapy prior to study treatment
At least one lesion measurable by modified RECIST criteria
ECOG performance status 0-1
Adequate organ function including hematopoietic organs
MSKCC prognostic ctiteria < 3 predictors of short survival
Negative urine pregnancy test in women with childbearing potential
Women of childbearing potential and all male participants are willing to use acceptable methods of contraception (birth control pills, barriers)
Expected adequacy of follow-up
Signed informed consent form (ICF).
Exclusion Criteria:
Clinically significant concomitant diseases or conditions unrelated to the underlying malignancy or therapy, which in opinion of the investigator would lead to an unacceptable risk for the subject to participate in the study
Known hypersensitivity to any component of the study drug
Prior or current other malignancy, except adequately treated superficial bladder cancer, basal or squamous cell carcinoma of the skin or other cancer for which the subject has been disease free for more than 3 years
Active brain metastases except adequately treated brain metastases with no progression for at least 3 months
Active or uncontrolled infections
Transfusion-dependent anemia
History of autoimmune disease or immune deficiency
Concurrent chronic systemic immune therapy, corticosteroids or other immunosuppressant medication
Concurrent radiotherapy within the last 4 weeks prior to study treatment and/or during the course of the study
Concurrent immunotherapy or targeted therapy within the last 1 week prior to study treatment and/or during the course of the study
HIV seropositivity or active hepatitis B or C infection
Planned major surgery during the study
Participation in other clinical studies during this clinical study
Vaccination within 3 months prior to the first treatment day
Any medical, mental, psychological or psychiatric condition which in opinion of the investigator would not permit the subject to complete the study or understand the patient information
Pregnancy and/or nursing
Presence of drug and/or alcohol abuse
Commitment to an institution by virtue of an order issued either by judicial or administrative authorities.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Viktor Grünwald, Prof. Dr.
Organizational Affiliation
MHH Hannover
Official's Role
Principal Investigator
Facility Information:
Facility Name
Charité - Universtitäsmedizin Berlin, Klinik für Urologie
City
Berlin
ZIP/Postal Code
10117
Country
Germany
Facility Name
Universitätsklinikum Bonn, Med. Klinik und Poliklinik, Hämatologie und Onkologie
City
Bonn
ZIP/Postal Code
53127
Country
Germany
Facility Name
Medizinische Hochschule Hannover, Klinik für Hämatologie, Hämostaseologie, Onkologie und Stammzelltransplantation OE6860
City
Hannover
ZIP/Postal Code
30625
Country
Germany
12. IPD Sharing Statement
Links:
URL
http://www.mologen.com
Description
Related Info
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A Clinical Study to Assess Safety and Efficacy of a Tumor Vaccine in Patients With Advanced Renal Cell Carcinoma (ASET)
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