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Dose-finding, Safety Study of Plasmid DNA Therapeutic Vaccine to Treat Cervical Intraepithelial Neoplasia

Primary Purpose

Cervical Intraepithelial Neoplasia

Status
Completed
Phase
Phase 2
Locations
Korea, Republic of
Study Type
Interventional
Intervention
GX-188E
Sponsored by
Genexine, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Cervical Intraepithelial Neoplasia focused on measuring CIN3, Cervical Intraepithelial Neoplasia, High-Risk HPV, HPV Infection, Neoplasm, Precancerous Diseases, Uterine Diseases, Genital Diseases, Female

Eligibility Criteria

19 Years - 50 Years (Adult)FemaleDoes not accept healthy volunteers

Inclusion Criteria:

  1. Voluntarily signed informed consent form after receiving education about this study and the investigational product.
  2. Female aged between 19 and 50 years
  3. Positive test results for HPV Type 16 and/or Type 18
  4. Histopathologically-confirmed Cervical Intraepithelial Neoplasia 3
  5. Entire cervical area including entire squamocolumnar junction is visualized through colposcopy
  6. Eligible based on screening test results.
  7. Promised not to get pregnant throughout the study

Exclusion Criteria:

  1. Suspected Adenocarcinoma in situ
  2. Malignant cancer more than Stage I
  3. Pregnancy or breastfeeding
  4. Participation in clinical trials within 30 days of the screening visit
  5. Administration of immunosuppressant or immunomodulator within 6 months prior to the enrolment
  6. Administered with systemic steroid(as a standard with Prednisolone, more than 20mg/day for every 14 days or more) within 3 months of Day 1(including ointment, eye drops, inhalated or nasal, intra-ligamental or intra-articular injection, but not applicable if injected every other day
  7. Administered any blood products within 3 months prior to the screening visit
  8. Administered any vaccine within 4 weeks prior to the screening visit(ex. Hepatitis A, Hepatitis B, Influenza, Td etc.)
  9. Positive serum test results for hepatitis C virus, hepatitis B virus surface antigen(HBsAg) or HIV
  10. Severe hepatopathy which is Class C according to Child-Pough's classification
  11. Severe renal dysfunction where the creatinine clearance(CLcr) is lower than 30ml/min
  12. CPK test results more than 2.5 times the upper limit of normal
  13. Predisposed to inflammatory reaction due to use of medical devices such as electroporation within 30 days of screening visit
  14. History of severe adverse drug events or severe allergic diseases
  15. History of epilepsy or convulsion within 2 years prior to the screening visit
  16. At the discretion of the investigator, the skin condition covering deltoid muscles, within 2cm of the intended sites of injection, is not suitable for injection due to infection, ulcer, edema, tattoo, scar, injury etc.
  17. The thickness of skin fold covering deltoid muscles, intended injection sites, > 40mm
  18. Any orthopedic artificial implant around the intended sites of electroporation (deltoid muscles)
  19. Sinus bradycardia whose resting heart rate < 50 beats/min
  20. Pre-excitation syndrome such as Wolff-Parkinson-White syndrome
  21. Abnormal electrocardiography(ECG) including arrhythmia
  22. Artificial implants or metallic implants
  23. Any other ineligible condition at the discretion of the investigator that would be ineligible to participate the study

Sites / Locations

  • Keimyung University Dongsan Medical Center
  • Cheil General Hospital & Women's Healthcare Center
  • The Catholic University of Korea Seoul St.Mary's Hospital
  • Korea University Guro Hospital

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Experimental

Arm Label

1mg of GX-188E per dose

4mg of GX-188E per dose

Arm Description

1mg of GX-188E per dose will be administered on 1mg group participants through intramuscular route using EP device. The injection points are at 0 week, 4 week and 12 week.

4mg of GX-188E per dose will be administered on 4mg group participants through intramuscular route using EP device. The injection points are at 0 week, 4 week and 12week.

Outcomes

Primary Outcome Measures

The Rate of Participants with Histopathological Regression of Cervical Lesions to CIN1 or Less

Secondary Outcome Measures

The Rate of Participants Whose Result Inverted Negative in HPV DNA test
The rate of HPV E6, E7-specific ELISPOT responder defined in the protocol
Cytological Changes of the Cervical Lesions
The Rate of Adverse Events and the Related Features after Administration of Investigational Product
The Rate of Solicited Adverse Events and the Related Features
Data in Physical examination, Vital signs, Electrocardiography, Clinical Laboratory Test Results Related to Investigational Product
Mean Value of Visual Analogue Scale on Pain Intensity
Flt-3L Serum Concentration

Full Information

First Posted
May 13, 2014
Last Updated
July 11, 2017
Sponsor
Genexine, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT02139267
Brief Title
Dose-finding, Safety Study of Plasmid DNA Therapeutic Vaccine to Treat Cervical Intraepithelial Neoplasia
Official Title
A Randomized, Open-label, Multi-center, Phase 2 Clinical Trial to Determine the Optimal Dose and Evaluate the Safety of GX-188E, a DNA-based Therapeutic Vaccine, Administered Intramuscularly by Electroporation (EP) in HPV Type 16 and/or 18 Positive Patients With Cervical Intraepithelial Neoplasia 3 (CIN 3)
Study Type
Interventional

2. Study Status

Record Verification Date
July 2017
Overall Recruitment Status
Completed
Study Start Date
July 2014 (Actual)
Primary Completion Date
March 2016 (Actual)
Study Completion Date
March 2016 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Genexine, Inc.

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The purpose of this study is to determine the optimal dose of GX-188E for the Phase 3 and access the efficacy and safety of GX-188E according the protocol in patients with Cervical Intraepithelial Neoplasia 3 (CIN3).
Detailed Description
Subjects who are eligible for this study are allocated to one of the two treatment groups of GX-188E. All Subject received GX-188E intramuscularly using the electroporator(EP) on alternating deltoid muscles which will be performed totally three times during the study period.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Cervical Intraepithelial Neoplasia
Keywords
CIN3, Cervical Intraepithelial Neoplasia, High-Risk HPV, HPV Infection, Neoplasm, Precancerous Diseases, Uterine Diseases, Genital Diseases, Female

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
72 (Actual)

8. Arms, Groups, and Interventions

Arm Title
1mg of GX-188E per dose
Arm Type
Experimental
Arm Description
1mg of GX-188E per dose will be administered on 1mg group participants through intramuscular route using EP device. The injection points are at 0 week, 4 week and 12 week.
Arm Title
4mg of GX-188E per dose
Arm Type
Experimental
Arm Description
4mg of GX-188E per dose will be administered on 4mg group participants through intramuscular route using EP device. The injection points are at 0 week, 4 week and 12week.
Intervention Type
Biological
Intervention Name(s)
GX-188E
Other Intervention Name(s)
DNA therapeutic vaccine
Intervention Description
DNA vaccine administered via IM route using TDS-IM electroporation device
Primary Outcome Measure Information:
Title
The Rate of Participants with Histopathological Regression of Cervical Lesions to CIN1 or Less
Time Frame
20 weeks
Secondary Outcome Measure Information:
Title
The Rate of Participants Whose Result Inverted Negative in HPV DNA test
Time Frame
20 weeks
Title
The rate of HPV E6, E7-specific ELISPOT responder defined in the protocol
Time Frame
20 weeks
Title
Cytological Changes of the Cervical Lesions
Time Frame
20 weeks
Title
The Rate of Adverse Events and the Related Features after Administration of Investigational Product
Time Frame
20 weeks
Title
The Rate of Solicited Adverse Events and the Related Features
Time Frame
20 weeks
Title
Data in Physical examination, Vital signs, Electrocardiography, Clinical Laboratory Test Results Related to Investigational Product
Time Frame
20 weeks
Title
Mean Value of Visual Analogue Scale on Pain Intensity
Time Frame
20 weeks
Title
Flt-3L Serum Concentration
Time Frame
20 weeks

10. Eligibility

Sex
Female
Minimum Age & Unit of Time
19 Years
Maximum Age & Unit of Time
50 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Voluntarily signed informed consent form after receiving education about this study and the investigational product. Female aged between 19 and 50 years Positive test results for HPV Type 16 and/or Type 18 Histopathologically-confirmed Cervical Intraepithelial Neoplasia 3 Entire cervical area including entire squamocolumnar junction is visualized through colposcopy Eligible based on screening test results. Promised not to get pregnant throughout the study Exclusion Criteria: Suspected Adenocarcinoma in situ Malignant cancer more than Stage I Pregnancy or breastfeeding Participation in clinical trials within 30 days of the screening visit Administration of immunosuppressant or immunomodulator within 6 months prior to the enrolment Administered with systemic steroid(as a standard with Prednisolone, more than 20mg/day for every 14 days or more) within 3 months of Day 1(including ointment, eye drops, inhalated or nasal, intra-ligamental or intra-articular injection, but not applicable if injected every other day Administered any blood products within 3 months prior to the screening visit Administered any vaccine within 4 weeks prior to the screening visit(ex. Hepatitis A, Hepatitis B, Influenza, Td etc.) Positive serum test results for hepatitis C virus, hepatitis B virus surface antigen(HBsAg) or HIV Severe hepatopathy which is Class C according to Child-Pough's classification Severe renal dysfunction where the creatinine clearance(CLcr) is lower than 30ml/min CPK test results more than 2.5 times the upper limit of normal Predisposed to inflammatory reaction due to use of medical devices such as electroporation within 30 days of screening visit History of severe adverse drug events or severe allergic diseases History of epilepsy or convulsion within 2 years prior to the screening visit At the discretion of the investigator, the skin condition covering deltoid muscles, within 2cm of the intended sites of injection, is not suitable for injection due to infection, ulcer, edema, tattoo, scar, injury etc. The thickness of skin fold covering deltoid muscles, intended injection sites, > 40mm Any orthopedic artificial implant around the intended sites of electroporation (deltoid muscles) Sinus bradycardia whose resting heart rate < 50 beats/min Pre-excitation syndrome such as Wolff-Parkinson-White syndrome Abnormal electrocardiography(ECG) including arrhythmia Artificial implants or metallic implants Any other ineligible condition at the discretion of the investigator that would be ineligible to participate the study
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Park Jong-Sup, M.D.
Organizational Affiliation
The Catholic University of Korea
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Kim Tae-Jin, M.D.
Organizational Affiliation
Cheil General Hospital & Women's Healthcare Center
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Lee Jae-kwan, M.D.
Organizational Affiliation
Korea University Guro Hospital
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Cho Chi-heum, M.D.
Organizational Affiliation
Keimyung University Dongsan Medical Center
Official's Role
Principal Investigator
Facility Information:
Facility Name
Keimyung University Dongsan Medical Center
City
Daegu
ZIP/Postal Code
700-712
Country
Korea, Republic of
Facility Name
Cheil General Hospital & Women's Healthcare Center
City
Seoul
ZIP/Postal Code
100-380
Country
Korea, Republic of
Facility Name
The Catholic University of Korea Seoul St.Mary's Hospital
City
Seoul
ZIP/Postal Code
137-701
Country
Korea, Republic of
Facility Name
Korea University Guro Hospital
City
Seoul
ZIP/Postal Code
152-703
Country
Korea, Republic of

12. IPD Sharing Statement

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Dose-finding, Safety Study of Plasmid DNA Therapeutic Vaccine to Treat Cervical Intraepithelial Neoplasia

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