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A Phase I/IIa Study of UV1 Vaccination in Patients With Non Small Cell Lung Cancer. (UV1-hTERT2012L)

Primary Purpose

Non-small Cell Lung Cancer

Status
Unknown status
Phase
Phase 1
Locations
Norway
Study Type
Interventional
Intervention
UV1 synthetic peptide vaccine and GM-CSF
Sponsored by
Ultimovacs ASA
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Non-small Cell Lung Cancer focused on measuring Lung cancer, Peptide vaccine

Eligibility Criteria

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

Inclusion Criteria:

  • Patient with Non Small Cell Lung Cancer (NSCLC) who has been treated with palliative radiotherapy and/or at least three courses of chemotherapy, and has achieved stable disease (SD), partial response (PR) or complete response (CR) confirmed by CT scan at least 4 weeks after end of treatment. Previous curative radiotherapy is allowed as long as the patient has relapsed and received palliative chemotherapy.
  • No evidence of disease progression at the time of inclusion
  • Must be ambulatory with an Eastern Cooperative Oncology Group (ECOG) performance status of 0, 1 or 2
  • Must be at least 18 years of age.
  • Must have lab values as follows:
  • White Blood Cells ≥ 1.5 x 109/L
  • Platelets ≥ 100 x 109/L
  • Hemoglobin ≥ 9g/dL (≥ 5.6 mmol/L)
  • Creatinine ≥ 140 µmol/L
  • Bilirubin < 20% above the upper limit of normal
  • ASAT and ALAT ≤ 2.5 the upper limit of normal
  • Albumin ≥ 2.5 g/L
  • Signed informed consent

Exclusion Criteria:

  • History of other prior malignancy, with the exception of curatively treated basal cell or squamous cell carcinoma of the skin, cervical cancer stage IB or effectively treated malignancy that has been in remission for over 5 years and is highly likely to have been cured.
  • Treatment with any other investigational medicinal product (IMP) within 4 weeks prior to first administration of study drug.
  • Adverse reactions to vaccines such as anaphylaxis or other serious reactions.
  • History of immunodeficiency or autoimmune disease such as rheumatoid arthritis, systemic lupus erythematosus, sclerodermia, polymyositis-dermatomyositis, juvenile onset insulin-dependent diabetes, or a vasculitic syndrome.
  • Significant cardiac or other medical illness that would limit activity or survival, such as severe congestive heart failure, unstable angina, or serious cardiac arrhythmia.
  • Known active CNS metastases and/or carcinomatous meningitis. Patients with previously treated brain metastases may however participate provided they meet the following criteria:

    1. Inactive metastases (without evidence of progression which is documented by CT or MRI within 4 weeks prior to the planned study treatment date), and
    2. If prednisolone or equivalent treatment is required; no more </=10mg/day is permitted.
  • Active infection requiring antibiotic therapy.
  • Pregnancy or lactation.
  • Woman of childbearing potential not using any reliable and adequate contraceptive methods defined as use of oral, implanted, injectable, and mechanical or barrier products for the prevention of pregnancy.
  • Known hypersensitivity to any of the components of the vaccine
  • Known hypersensitivity to Leukine®, yeast derived products or any component of the product
  • Patients who test positive for hepatitis B, C or HIV.
  • Any other anti-tumor treatment within 4 weeks of study entry (including chemotherapy, immunotherapy, endocrine therapy, cytokines, interferons, protease inhibitors and gene therapy).
  • Use of not permitted concomitant medication:
  • chronic corticosteroids except for asthma inhalers / topical use
  • any agent with a known effect on the immune system, unless it is being given at dose levels that are not immunosuppressive, e.g. prednisone at 10mg/day or less.
  • any alternative and complementary drugs that may affect the immune system or be potentially harmful to patients participating in phase I studies.
  • Any reason why, in the opinion of the investigator, the patient should not participate.

Sites / Locations

  • Oslo University Hospital

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

UV1 synthetic peptide vaccine and GM-CSF

Arm Description

GM-CSF (Leukine) followed by UV1 peptide vaccine with escalating concentrations (100, 300 and 700 microgram) will be injected intradermally in the lower abdomen.

Outcomes

Primary Outcome Measures

Assessment of safety and tolerability of UV1.
Frequency and severity of adverse events and serious adverse events. Biochemistry and hematology results, vital signs and ECOG performance status will be assessed.
Immunological response
Number of T-cell responses including time to T-cell responses (up to 6 months), level of response and duration of response.

Secondary Outcome Measures

Assessment of anti tumor activity
Tumor response and progression free survival (PFS)
Selection of biological dose of peptides for further clinical trials.
Safety profile and immunological responses of each dose level.

Full Information

First Posted
February 8, 2013
Last Updated
May 14, 2021
Sponsor
Ultimovacs ASA
Collaborators
Oslo University Hospital
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1. Study Identification

Unique Protocol Identification Number
NCT01789099
Brief Title
A Phase I/IIa Study of UV1 Vaccination in Patients With Non Small Cell Lung Cancer.
Acronym
UV1-hTERT2012L
Official Title
A Phase I/IIa Study of UV1 Vaccination in Patients With Non Small Cell Lung Cancer.
Study Type
Interventional

2. Study Status

Record Verification Date
May 2021
Overall Recruitment Status
Unknown status
Study Start Date
April 8, 2013 (Actual)
Primary Completion Date
April 2023 (Anticipated)
Study Completion Date
April 2023 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Ultimovacs ASA
Collaborators
Oslo University Hospital

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
In this study, up to 21 patients with lung cancer will receive UV1 (a therapeutic synthetic peptide vaccine) at different dose levels. The safety and tolerability of UV1 as well as immunological response will be assessed. The purpose of this study is to select a biological dose of peptides for further clinical trials. Study recruitment completed at 6 patients in every dose level. The main study treatment phase of this study is completed and will be reported separately. Follow-up is ongoing
Detailed Description
This is an open label dose-escalating phase I/IIa study of UV1 peptide vaccination in patients with NSCLC after completion of radiation therapy and/or chemotherapy. Patients will be enrolled in this study if they have achieved complete response (CR), partial response (PR) or stable disease (SD) at least 4 weeks after completion of standard first line therapy. The following 2-step design will be used: Conventional dose escalation with at least 3 patients per dose level (3 selected dose levels). Expansion of each dose level to a total of 6 patients for assessment of immune response levels. 13 UV1 vaccinations will be given during the first 6 months (week 26) of treatment, unless clinical deterioration or unacceptable toxicity is encountered. Granulocyte-macrophage colony-stimulating factor (GM-CSF) (Leukine ®) will be used as adjuvant for 11 of the 13 doses of UV1. After completion of the main study treatment period at week 26, if the patient agrees, additional vaccinations may be considered for the following patients: Immune responders within first 6 months Immune non-responders providing they have at least SD

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Non-small Cell Lung Cancer
Keywords
Lung cancer, Peptide vaccine

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
18 (Actual)

8. Arms, Groups, and Interventions

Arm Title
UV1 synthetic peptide vaccine and GM-CSF
Arm Type
Experimental
Arm Description
GM-CSF (Leukine) followed by UV1 peptide vaccine with escalating concentrations (100, 300 and 700 microgram) will be injected intradermally in the lower abdomen.
Intervention Type
Biological
Intervention Name(s)
UV1 synthetic peptide vaccine and GM-CSF
Other Intervention Name(s)
UV1, Leukine
Primary Outcome Measure Information:
Title
Assessment of safety and tolerability of UV1.
Description
Frequency and severity of adverse events and serious adverse events. Biochemistry and hematology results, vital signs and ECOG performance status will be assessed.
Time Frame
up to 2 years and 3 months.
Title
Immunological response
Description
Number of T-cell responses including time to T-cell responses (up to 6 months), level of response and duration of response.
Time Frame
Up to 2 years and 3 months.
Secondary Outcome Measure Information:
Title
Assessment of anti tumor activity
Description
Tumor response and progression free survival (PFS)
Time Frame
Up to 2 years and 3 months
Title
Selection of biological dose of peptides for further clinical trials.
Description
Safety profile and immunological responses of each dose level.
Time Frame
Up to 2 years and 3 months
Other Pre-specified Outcome Measures:
Title
Potential correlation between human cytomegalovirus status and immune response
Description
Determination of human cytomegalovirus (CMV) status
Time Frame
Up to 2 years and 3 months
Title
Further characterization of the immune reaction triggered by the treatment.
Description
Extended immunological analysis.
Time Frame
Up to 2 years and 3 months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Patient with Non Small Cell Lung Cancer (NSCLC) who has been treated with palliative radiotherapy and/or at least three courses of chemotherapy, and has achieved stable disease (SD), partial response (PR) or complete response (CR) confirmed by CT scan at least 4 weeks after end of treatment. Previous curative radiotherapy is allowed as long as the patient has relapsed and received palliative chemotherapy. No evidence of disease progression at the time of inclusion Must be ambulatory with an Eastern Cooperative Oncology Group (ECOG) performance status of 0, 1 or 2 Must be at least 18 years of age. Must have lab values as follows: White Blood Cells ≥ 1.5 x 109/L Platelets ≥ 100 x 109/L Hemoglobin ≥ 9g/dL (≥ 5.6 mmol/L) Creatinine ≥ 140 µmol/L Bilirubin < 20% above the upper limit of normal ASAT and ALAT ≤ 2.5 the upper limit of normal Albumin ≥ 2.5 g/L Signed informed consent Exclusion Criteria: History of other prior malignancy, with the exception of curatively treated basal cell or squamous cell carcinoma of the skin, cervical cancer stage IB or effectively treated malignancy that has been in remission for over 5 years and is highly likely to have been cured. Treatment with any other investigational medicinal product (IMP) within 4 weeks prior to first administration of study drug. Adverse reactions to vaccines such as anaphylaxis or other serious reactions. History of immunodeficiency or autoimmune disease such as rheumatoid arthritis, systemic lupus erythematosus, sclerodermia, polymyositis-dermatomyositis, juvenile onset insulin-dependent diabetes, or a vasculitic syndrome. Significant cardiac or other medical illness that would limit activity or survival, such as severe congestive heart failure, unstable angina, or serious cardiac arrhythmia. Known active CNS metastases and/or carcinomatous meningitis. Patients with previously treated brain metastases may however participate provided they meet the following criteria: Inactive metastases (without evidence of progression which is documented by CT or MRI within 4 weeks prior to the planned study treatment date), and If prednisolone or equivalent treatment is required; no more </=10mg/day is permitted. Active infection requiring antibiotic therapy. Pregnancy or lactation. Woman of childbearing potential not using any reliable and adequate contraceptive methods defined as use of oral, implanted, injectable, and mechanical or barrier products for the prevention of pregnancy. Known hypersensitivity to any of the components of the vaccine Known hypersensitivity to Leukine®, yeast derived products or any component of the product Patients who test positive for hepatitis B, C or HIV. Any other anti-tumor treatment within 4 weeks of study entry (including chemotherapy, immunotherapy, endocrine therapy, cytokines, interferons, protease inhibitors and gene therapy). Use of not permitted concomitant medication: chronic corticosteroids except for asthma inhalers / topical use any agent with a known effect on the immune system, unless it is being given at dose levels that are not immunosuppressive, e.g. prednisone at 10mg/day or less. any alternative and complementary drugs that may affect the immune system or be potentially harmful to patients participating in phase I studies. Any reason why, in the opinion of the investigator, the patient should not participate.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Paal F. Brunsvig, MD PhD
Organizational Affiliation
Oslo University Hospital
Official's Role
Principal Investigator
Facility Information:
Facility Name
Oslo University Hospital
City
Oslo
ZIP/Postal Code
0424
Country
Norway

12. IPD Sharing Statement

Citations:
PubMed Identifier
33324397
Citation
Brunsvig PF, Guren TK, Nyakas M, Steinfeldt-Reisse CH, Rasch W, Kyte JA, Juul HV, Aamdal S, Gaudernack G, Inderberg EM. Long-Term Outcomes of a Phase I Study With UV1, a Second Generation Telomerase Based Vaccine, in Patients With Advanced Non-Small Cell Lung Cancer. Front Immunol. 2020 Nov 26;11:572172. doi: 10.3389/fimmu.2020.572172. eCollection 2020.
Results Reference
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A Phase I/IIa Study of UV1 Vaccination in Patients With Non Small Cell Lung Cancer.

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