search
Back to results

Lung Cancer Vaccine Plus Oral Dietary Supplement

Primary Purpose

Lung Cancer

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
vaccine 1650-G
Sponsored by
Edward Hirschowitz
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Lung Cancer focused on measuring lung cancer

Eligibility Criteria

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

Inclusion Criteria:

  • Histologically proven, surgically resected stage I-IIIA NSCLC (Bronchoalveolar carcinomas are eligible).
  • Must have read, voiced understanding of and signed an informed consent document.
  • At least 21 years old
  • At least 4 weeks but no more than 12 months post surgical resection.
  • At least 4 weeks since completion of chemotherapy or radiation therapy (adjuvant)
  • No evidence of disease following definitive initial therapy evidenced by a CXR, CT or PET scan within 6 weeks of accrual.
  • ECOG performance status of 0 to 2 (Section 19.1)
  • Adequate organ and marrow function defined as follows:
  • Hemoglobin ≥9.0 gm/dL
  • Absolute neutrophil count (ANC) ≥1,500/mcl
  • Platelet count ≥ 75,000/mcl
  • AST <2.5 x upper limit of normal
  • ALT <2.5 x upper limit of normal
  • Creatinine Clearance (CCr) >50 ml/min
  • Female patients must not be pregnant or breastfeeding. Women of childbearing potential must have a negative pregnancy test and agree to use acceptable birth control until the "analysis for immunologic response" 16 weeks after the second vaccination. Study doctor will discuss acceptable methods of contraception with patients.

Exclusion Criteria:

  • Patients must not have not have no active residual or progressive lung cancer (Stable Disease)
  • History of other malignancies unless they have had curative treatment completed greater than (≥) five years prior to enrollment or one of the following; appropriately managed Carcinoma in situ, basal cell carcinoma of the skin or non-metastatic squamous cell carcinoma of the skin.
  • Patients must not be chronically immunosuppressed.
  • Patients with HIV and other immunosuppressive disorders and patient who chronically use immunosuppressive medications are excluded. Patients should not be taking immuno-suppressive steroids for at least 4 weeks prior to enrollment
  • Individuals with conditions that might require shorter courses of immunosuppressive oral medications (e.g. steroids) during the initial 16 weeks following immunization are excluded.
  • Patients should not have taken or plan to take other immunologically active agents (eg flu vaccines) for a twelve week period, beginning 2 weeks prior to first dose of beta-glucan and two weeks following last dose of beta glucan.
  • Patients must not have a known history of infectious hepatitis.
  • Because of the unknown effects of this treatment on the fetus pregnant females, and childbearing females and males not willing to use contraception are not eligible.
  • Patients must not have cardiovascular disease defined as:
  • New York Heart Association Class III or IV congestive heart failure
  • hemodynamically significant valvular heart disease
  • myocardial infarction within the last six months
  • active angina pectoris
  • uncontrolled ventricular arrhythmias
  • stroke within one year
  • known cerebrovascular disease
  • Patients may not have received any other investigational agents or participated in any investigational drug study within 4 weeks preceding initiation of study treatment.
  • No known allergies or history of allergic reactions to any colony stimulating factor (GCSF, GMCSF)
  • No known intolerance to yeast derive β-glucan

Sites / Locations

  • University of Kentucky

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Vaccine plus oral beta glucan

Arm Description

Vaccine plus oral beta glucan

Outcomes

Primary Outcome Measures

Immunologic response to vaccine
Increase in number of peripheral blood T cells recognizing cancer antigens

Secondary Outcome Measures

Full Information

First Posted
April 8, 2013
Last Updated
April 10, 2013
Sponsor
Edward Hirschowitz
Collaborators
University of Louisville
search

1. Study Identification

Unique Protocol Identification Number
NCT01829373
Brief Title
Lung Cancer Vaccine Plus Oral Dietary Supplement
Official Title
Lung Cancer Immunotherapy With Vaccine 1650-G and Yeast Derived β-Glucan
Study Type
Interventional

2. Study Status

Record Verification Date
April 2013
Overall Recruitment Status
Completed
Study Start Date
October 2011 (undefined)
Primary Completion Date
June 2012 (Actual)
Study Completion Date
February 2013 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor-Investigator
Name of the Sponsor
Edward Hirschowitz
Collaborators
University of Louisville

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
This study tests the ability of the allogeneic cellular vaccine 1650-G vaccine to enhance immune recognition of tumor cells in patients with lung cancer. The vaccine is combined with an oral medication called beta glucan, an over the counter oral dietary supplement that may also stimulate the immune system in ways that helps the body eradicate cancer cells and reduce risk of recurrent cancer. The primary purpose of this study is to measure the changes in the number of immune cells that might help lower risk of cancer recurrence. The investigators do not yet know if the vaccine is effective in fighting cancer and will not know at the end of this study whether this has been of benefit.
Detailed Description
Open-label pilot (Phase II) study to assess the immunologic activity of a cellular vaccine composed of killed allogeneic tumor cells (1650-G) and GM-CSF in patients with stage I-IIIA NSCLC after definitive therapy. (Surgery, Surgery plus Radiation Therapy, or Surgery, Radiation Therapy plus Adjuvant Chemotherapy).

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Lung Cancer
Keywords
lung cancer

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
5 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Vaccine plus oral beta glucan
Arm Type
Experimental
Arm Description
Vaccine plus oral beta glucan
Intervention Type
Biological
Intervention Name(s)
vaccine 1650-G
Other Intervention Name(s)
Beta Glucan capsule
Primary Outcome Measure Information:
Title
Immunologic response to vaccine
Description
Increase in number of peripheral blood T cells recognizing cancer antigens
Time Frame
12 months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
21 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Histologically proven, surgically resected stage I-IIIA NSCLC (Bronchoalveolar carcinomas are eligible). Must have read, voiced understanding of and signed an informed consent document. At least 21 years old At least 4 weeks but no more than 12 months post surgical resection. At least 4 weeks since completion of chemotherapy or radiation therapy (adjuvant) No evidence of disease following definitive initial therapy evidenced by a CXR, CT or PET scan within 6 weeks of accrual. ECOG performance status of 0 to 2 (Section 19.1) Adequate organ and marrow function defined as follows: Hemoglobin ≥9.0 gm/dL Absolute neutrophil count (ANC) ≥1,500/mcl Platelet count ≥ 75,000/mcl AST <2.5 x upper limit of normal ALT <2.5 x upper limit of normal Creatinine Clearance (CCr) >50 ml/min Female patients must not be pregnant or breastfeeding. Women of childbearing potential must have a negative pregnancy test and agree to use acceptable birth control until the "analysis for immunologic response" 16 weeks after the second vaccination. Study doctor will discuss acceptable methods of contraception with patients. Exclusion Criteria: Patients must not have not have no active residual or progressive lung cancer (Stable Disease) History of other malignancies unless they have had curative treatment completed greater than (≥) five years prior to enrollment or one of the following; appropriately managed Carcinoma in situ, basal cell carcinoma of the skin or non-metastatic squamous cell carcinoma of the skin. Patients must not be chronically immunosuppressed. Patients with HIV and other immunosuppressive disorders and patient who chronically use immunosuppressive medications are excluded. Patients should not be taking immuno-suppressive steroids for at least 4 weeks prior to enrollment Individuals with conditions that might require shorter courses of immunosuppressive oral medications (e.g. steroids) during the initial 16 weeks following immunization are excluded. Patients should not have taken or plan to take other immunologically active agents (eg flu vaccines) for a twelve week period, beginning 2 weeks prior to first dose of beta-glucan and two weeks following last dose of beta glucan. Patients must not have a known history of infectious hepatitis. Because of the unknown effects of this treatment on the fetus pregnant females, and childbearing females and males not willing to use contraception are not eligible. Patients must not have cardiovascular disease defined as: New York Heart Association Class III or IV congestive heart failure hemodynamically significant valvular heart disease myocardial infarction within the last six months active angina pectoris uncontrolled ventricular arrhythmias stroke within one year known cerebrovascular disease Patients may not have received any other investigational agents or participated in any investigational drug study within 4 weeks preceding initiation of study treatment. No known allergies or history of allergic reactions to any colony stimulating factor (GCSF, GMCSF) No known intolerance to yeast derive β-glucan
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Edward Hirschowitz, MD
Organizational Affiliation
University of Kentucky
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
John Yannelli, PhD
Organizational Affiliation
University of Kentucky
Official's Role
Principal Investigator
Facility Information:
Facility Name
University of Kentucky
City
Lexington
State/Province
Kentucky
ZIP/Postal Code
40536
Country
United States

12. IPD Sharing Statement

Citations:
PubMed Identifier
21150468
Citation
Hirschowitz EA, Mullins A, Prajapati D, Baeker T, Kloecker G, Foody T, Damron K, Love C, Yannelli JR. Pilot study of 1650-G: a simplified cellular vaccine for lung cancer. J Thorac Oncol. 2011 Jan;6(1):169-73. doi: 10.1097/JTO.0b013e3181fb5c22.
Results Reference
background
PubMed Identifier
17509725
Citation
Hirschowitz EA, Foody T, Hidalgo GE, Yannelli JR. Immunization of NSCLC patients with antigen-pulsed immature autologous dendritic cells. Lung Cancer. 2007 Sep;57(3):365-72. doi: 10.1016/j.lungcan.2007.04.002. Epub 2007 May 16.
Results Reference
background
PubMed Identifier
15254048
Citation
Hirschowitz EA, Foody T, Kryscio R, Dickson L, Sturgill J, Yannelli J. Autologous dendritic cell vaccines for non-small-cell lung cancer. J Clin Oncol. 2004 Jul 15;22(14):2808-15. doi: 10.1200/JCO.2004.01.074.
Results Reference
background

Learn more about this trial

Lung Cancer Vaccine Plus Oral Dietary Supplement

We'll reach out to this number within 24 hrs