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Trial to Evaluate Safety and Immunogenicity of INO-5150 Alone or With INO-9012 in Men With Prostate Cancer

Primary Purpose

Prostate Cancer

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
2mg INO-5150 and electroporation device CELLECTRA®-5P
8.5mg INO-5150 and electroporation device CELLECTRA®-5P
2mg INO-5150 plus 1mg INO-9012 and electroporation device CELLECTRA®-5P
8.5mg INO-5150 plus 1mg INO-9012 and electroporation device CELLECTRA®-5P
Electroporation using CELLECTRA®-5P
Sponsored by
Inovio Pharmaceuticals
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Prostate Cancer focused on measuring PSA

Eligibility Criteria

18 Years - 90 Years (Adult, Older Adult)MaleDoes not accept healthy volunteers

Inclusion Criteria:

  1. Men aged 18 to 90 years with a histologic diagnosis of prostate cancer;
  2. c. Biochemical recurrence following local therapy, either surgery or radiation. Rising PSA defined as:

    • After definitive surgery, e.g.

      • After radical prostatectomy, two PSA measurements of ≥ 1.0 ng/mL at least one week apart;
      • After cryosurgery, two PSA measurements of ≥ 2.0 ng/mL at least one week apart;
      • Other definitive surgical procedures may be permissible upon the approval of the medical monitor OR
    • After radiation therapy (e.g., external beam radiation, brachytherapy, or salvage/adjuvant radiation therapy after surgery), two post radiation PSA measurements level of nadir plus 2.0 ng/mL at least one week apart.;
  3. Serum testosterone level:

    i) Subjects with no history of androgen deprivation therapy:

    • A single measurement greater than 150 ng/dL or 5.2 nmol/L within 3 months of enrollment

    ii) Subjects with a history of androgen deprivation therapy (either in adjuvant or biochemical relapse setting):

    • The two most recent measurements of serum testosterone prior to enrollment must fulfill the following criteria:

      • Both measurements are greater than 150 ng/dL or 5.2 nmol/L;
      • The two measurements are spaced at least 14 days apart;
      • Both must be measured within 3 months of enrollment;
  4. Normal electro cardio gram (ECG) or ECG with no clinically significant findings;
  5. Adequate bone marrow, hepatic, and renal function tests within 30 days prior to enrollment:

    • CBC (except platelets and hemoglobin), serum chemistry, liver panel, and CPK values ≤ Grade 1 abnormality as defined in CTCAE v 4.03 dated June 14, 2010
    • Platelets ≥ 75,000 /mL;
    • Hemoglobin ≥ 9.0 g/dL;
  6. No desire or plans to father new children during the study and/or have a prior vasectomy

Exclusion Criteria:

  1. PSA doubling time (PSA-DT) of ≤ 3 months, using 2 PSA values at least 4 weeks apart, calculated according to the Memorial Sloan-Kettering Cancer Center nomogram (https://www.mskcc.org/nomograms/prostate/psa-doubling-time);
  2. Clinical or radiologic evidence of distant metastatic disease other than small volume (<1.5 cm) nodes, this should be tested within 12 months from enrollment;
  3. Receipt of investigational therapy in a clinical trial setting within 30 days of enrollment;
  4. Any pre-excitation syndromes, e.g., Wolff-Parkinson-White syndrome;
  5. Prior major surgery or radiation therapy within 4 weeks of enrollment;
  6. Any prior chemotherapy, except short-course neo-adjuvant or adjuvant chemotherapy that had been stopped for at least 6 weeks prior to Study enrollment;
  7. Active AIDS / HIV infection, clinically uncontrolled immune deficiency disorders;
  8. Clinically uncontrolled autoimmune disorders, transplant recipients who depend on immunosuppressive therapy, other immunosuppressive conditions including any concurrent condition requiring immunosuppressive/immunomodulating agents;
  9. Recipient of any blood product and immunotherapy (such as anti-PD1, anti-PDL-1 and anti-CTLA4) within 3 months of enrollment;

Sites / Locations

  • Chesapeake Urology Research Associates
  • Karmanos Cancer Institute
  • GU Research Network, LLC/ Urology Cancer Center
  • Weill Cornell Medical College
  • University of North Carolina Lineberger Cancer Center
  • Cleveland Clinic
  • Sidney Kimmel Cancer Center - Thomas Jefferson University
  • UPMC
  • Carolina Urologic Research Center
  • Seattle Cancer Care Alliance

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Experimental

Experimental

Experimental

Experimental

Arm Label

Arm A

Arm B

Arm C

Arm D

Arm Description

2mg INO-5150 and electroporation device CELLECTRA®-5P

8.5mg INO-5150 and electroporation device CELLECTRA®-5P

2mg INO-5150 plus 1mg INO-9012 and electroporation device CELLECTRA®-5P

8.5mg INO-5150 plus 1mg INO-9012 and electroporation device CELLECTRA®-5P

Outcomes

Primary Outcome Measures

Safety and tolerability of INO-5150 alone or with INO-9012 delivered via IM EP ( Incidence of adverse events, Injection site reactions, Changes in safety laboratory parameters)
Incidence of adverse events (all, severe, [NCI CTCAE v4.03] and serious) classified by system organ class (SOC), preferred term, severity, and relationship to study medication and schedule Injection site reactions Changes in safety laboratory parameters .
Antigen specific immune response of INO-5150 alone or with INO-9012 delivered via IM EP
Antigen specific cellular immune responses

Secondary Outcome Measures

PSA response rate by PSA testing
PSA response

Full Information

First Posted
July 29, 2015
Last Updated
December 21, 2017
Sponsor
Inovio Pharmaceuticals
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1. Study Identification

Unique Protocol Identification Number
NCT02514213
Brief Title
Trial to Evaluate Safety and Immunogenicity of INO-5150 Alone or With INO-9012 in Men With Prostate Cancer
Official Title
Phase I, Open-label Trial to Evaluate the Safety and Immunogenicity of INO-5150 Alone or in Combination With INO-9012 in Men With Biochemically Relapsed (PSA) Prostate Cancer
Study Type
Interventional

2. Study Status

Record Verification Date
December 2017
Overall Recruitment Status
Completed
Study Start Date
July 2015 (undefined)
Primary Completion Date
December 12, 2017 (Actual)
Study Completion Date
December 12, 2017 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Inovio Pharmaceuticals

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
This is a phase I, open-label trial to evaluate the safety and immunogenicity of INO 5150 alone or in combination with INO-9012 when delivered intramuscularly (IM) followed by electroporation (EP) in men with biochemically relapsed prostate cancer.
Detailed Description
Phase I, open label study of INO-5150 (DNA plasmids encoding prostate specific antigen (PSA) and prostate specific membrane antigen (PSMA)) alone or co-administered with INO-9012 (IL-12 plasmid) delivered intramuscularly followed by EP using the CELLECTRA®-5P device in adult males with biochemically relapsed prostate cancer following definitive local therapy (e.g. prostatectomy, external beam radiation, or brachytherapy). Four injections will be administered to approximately 60 eligible subjects who consent to participate in the study. Subjects will be monitored for safety and immunogenicity through Week 72.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Prostate Cancer
Keywords
PSA

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
Arm A
Arm Type
Experimental
Arm Description
2mg INO-5150 and electroporation device CELLECTRA®-5P
Arm Title
Arm B
Arm Type
Experimental
Arm Description
8.5mg INO-5150 and electroporation device CELLECTRA®-5P
Arm Title
Arm C
Arm Type
Experimental
Arm Description
2mg INO-5150 plus 1mg INO-9012 and electroporation device CELLECTRA®-5P
Arm Title
Arm D
Arm Type
Experimental
Arm Description
8.5mg INO-5150 plus 1mg INO-9012 and electroporation device CELLECTRA®-5P
Intervention Type
Biological
Intervention Name(s)
2mg INO-5150 and electroporation device CELLECTRA®-5P
Intervention Description
2mg INO-5150 delivered IM followed by electroporation using CELLECTRA®-5P
Intervention Type
Biological
Intervention Name(s)
8.5mg INO-5150 and electroporation device CELLECTRA®-5P
Intervention Description
8.5 mg INO-5150 delivered IM followed by electroporation using CELLECTRA®-5P
Intervention Type
Biological
Intervention Name(s)
2mg INO-5150 plus 1mg INO-9012 and electroporation device CELLECTRA®-5P
Intervention Description
2mg INO-5150 plus 1 mg INO9012 delivered IM followed by electroporation using CELLECTRA®-5P
Intervention Type
Biological
Intervention Name(s)
8.5mg INO-5150 plus 1mg INO-9012 and electroporation device CELLECTRA®-5P
Intervention Description
8.5mg INO-5150 plus 1 mg INO9012 delivered IM followed by electroporation using CELLECTRA®-5P
Intervention Type
Device
Intervention Name(s)
Electroporation using CELLECTRA®-5P
Intervention Description
Electroporation device CELLECTRA®-5P
Primary Outcome Measure Information:
Title
Safety and tolerability of INO-5150 alone or with INO-9012 delivered via IM EP ( Incidence of adverse events, Injection site reactions, Changes in safety laboratory parameters)
Description
Incidence of adverse events (all, severe, [NCI CTCAE v4.03] and serious) classified by system organ class (SOC), preferred term, severity, and relationship to study medication and schedule Injection site reactions Changes in safety laboratory parameters .
Time Frame
72 weeks
Title
Antigen specific immune response of INO-5150 alone or with INO-9012 delivered via IM EP
Description
Antigen specific cellular immune responses
Time Frame
72 weeks
Secondary Outcome Measure Information:
Title
PSA response rate by PSA testing
Description
PSA response
Time Frame
72 weeks

10. Eligibility

Sex
Male
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
90 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Men aged 18 to 90 years with a histologic diagnosis of prostate cancer; c. Biochemical recurrence following local therapy, either surgery or radiation. Rising PSA defined as: After definitive surgery, e.g. After radical prostatectomy, two PSA measurements of ≥ 1.0 ng/mL at least one week apart; After cryosurgery, two PSA measurements of ≥ 2.0 ng/mL at least one week apart; Other definitive surgical procedures may be permissible upon the approval of the medical monitor OR After radiation therapy (e.g., external beam radiation, brachytherapy, or salvage/adjuvant radiation therapy after surgery), two post radiation PSA measurements level of nadir plus 2.0 ng/mL at least one week apart.; Serum testosterone level: i) Subjects with no history of androgen deprivation therapy: A single measurement greater than 150 ng/dL or 5.2 nmol/L within 3 months of enrollment ii) Subjects with a history of androgen deprivation therapy (either in adjuvant or biochemical relapse setting): The two most recent measurements of serum testosterone prior to enrollment must fulfill the following criteria: Both measurements are greater than 150 ng/dL or 5.2 nmol/L; The two measurements are spaced at least 14 days apart; Both must be measured within 3 months of enrollment; Normal electro cardio gram (ECG) or ECG with no clinically significant findings; Adequate bone marrow, hepatic, and renal function tests within 30 days prior to enrollment: CBC (except platelets and hemoglobin), serum chemistry, liver panel, and CPK values ≤ Grade 1 abnormality as defined in CTCAE v 4.03 dated June 14, 2010 Platelets ≥ 75,000 /mL; Hemoglobin ≥ 9.0 g/dL; No desire or plans to father new children during the study and/or have a prior vasectomy Exclusion Criteria: PSA doubling time (PSA-DT) of ≤ 3 months, using 2 PSA values at least 4 weeks apart, calculated according to the Memorial Sloan-Kettering Cancer Center nomogram (https://www.mskcc.org/nomograms/prostate/psa-doubling-time); Clinical or radiologic evidence of distant metastatic disease other than small volume (<1.5 cm) nodes, this should be tested within 12 months from enrollment; Receipt of investigational therapy in a clinical trial setting within 30 days of enrollment; Any pre-excitation syndromes, e.g., Wolff-Parkinson-White syndrome; Prior major surgery or radiation therapy within 4 weeks of enrollment; Any prior chemotherapy, except short-course neo-adjuvant or adjuvant chemotherapy that had been stopped for at least 6 weeks prior to Study enrollment; Active AIDS / HIV infection, clinically uncontrolled immune deficiency disorders; Clinically uncontrolled autoimmune disorders, transplant recipients who depend on immunosuppressive therapy, other immunosuppressive conditions including any concurrent condition requiring immunosuppressive/immunomodulating agents; Recipient of any blood product and immunotherapy (such as anti-PD1, anti-PDL-1 and anti-CTLA4) within 3 months of enrollment;
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Ildi Csiki, MD, PH.D.
Organizational Affiliation
Inovio Pharmaceuticals
Official's Role
Study Director
Facility Information:
Facility Name
Chesapeake Urology Research Associates
City
Baltimore
State/Province
Maryland
ZIP/Postal Code
21204
Country
United States
Facility Name
Karmanos Cancer Institute
City
Detroit
State/Province
Michigan
ZIP/Postal Code
48201
Country
United States
Facility Name
GU Research Network, LLC/ Urology Cancer Center
City
Omaha
State/Province
Nebraska
ZIP/Postal Code
68130
Country
United States
Facility Name
Weill Cornell Medical College
City
New York
State/Province
New York
ZIP/Postal Code
10065
Country
United States
Facility Name
University of North Carolina Lineberger Cancer Center
City
Chapel Hill
State/Province
North Carolina
ZIP/Postal Code
27599
Country
United States
Facility Name
Cleveland Clinic
City
Cleveland
State/Province
Ohio
ZIP/Postal Code
44915
Country
United States
Facility Name
Sidney Kimmel Cancer Center - Thomas Jefferson University
City
Philadelphia
State/Province
Pennsylvania
ZIP/Postal Code
19107
Country
United States
Facility Name
UPMC
City
Pittsburgh
State/Province
Pennsylvania
ZIP/Postal Code
15232
Country
United States
Facility Name
Carolina Urologic Research Center
City
Myrtle Beach
State/Province
South Carolina
ZIP/Postal Code
29572
Country
United States
Facility Name
Seattle Cancer Care Alliance
City
Seattle
State/Province
Washington
ZIP/Postal Code
98109
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
No
IPD Sharing Plan Description
combined results when available will be made available

Learn more about this trial

Trial to Evaluate Safety and Immunogenicity of INO-5150 Alone or With INO-9012 in Men With Prostate Cancer

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