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Adjuvant Antigen Specific Immunotherapy in Patients With Advanced Renal Cell Carcinoma Using Tumor Associated Peptides (UroRCC)

Primary Purpose

Renal Cell Cancer, Advanced Renal Cell Cancer

Status
Unknown status
Phase
Phase 1
Locations
Study Type
Interventional
Intervention
peptide vaccine
Granulocyte Macrophage Colony Stimulating Factor
Montanide ISA-51
Sponsored by
University Hospital Tuebingen
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Renal Cell Cancer

Eligibility Criteria

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

Inclusion Criteria:

  • Advanced renal cell carcinoma clinical stage T3 or T4, N0, M0
  • N+, M0
  • M1 (after complete metastasectomy)
  • ECOG performance status 0 or 1
  • age >18 years
  • at least 4 weeks since last administration of radiation- or chemotherapy
  • Serum levels of bilirubin <2 mg/dl, creatinine<2mg/dl

Exclusion Criteria:

  • detectable distant metastasis in radiological imaging (M1)
  • patients unable to consent
  • severe cardiopulmonary disorder (NYHA >= 3)
  • presence of secondary malignancy
  • Immunosuppressive medication (last application of glucocorticoids > 4 weeks)
  • seizure
  • pregnancy
  • simultaneous participation in other active or passive immunisation treatment

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm Type

    Experimental

    Active Comparator

    Arm Label

    Study Arm 1

    Study Arm 2

    Arm Description

    Intradermal application of peptide vaccine in combination with Granulocyte Macrophage Colony Stimulating Factor (GM-CSF)

    Intradermal application of peptide vaccine with Montanide ISA-51

    Outcomes

    Primary Outcome Measures

    Tolerability
    Tolerability, as measured by number of Participants with Adverse Events

    Secondary Outcome Measures

    All Cause Mortality
    All cause Mortality, as measured as length of Overall Survival
    Progression-free Survival
    Progression-free Survival, as measured as time to radiographic progression
    Immune Response
    Immune Response, as as measured by in vitro and in vivo T cell response on day 0 and day 70. In selected cases additional immune response evaluation might be applicable.

    Full Information

    First Posted
    April 14, 2015
    Last Updated
    August 14, 2017
    Sponsor
    University Hospital Tuebingen
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    1. Study Identification

    Unique Protocol Identification Number
    NCT02429440
    Brief Title
    Adjuvant Antigen Specific Immunotherapy in Patients With Advanced Renal Cell Carcinoma Using Tumor Associated Peptides
    Acronym
    UroRCC
    Official Title
    Adjuvant Antigen Specific Immunotherapy in Patients With Advanced Renal Cell Carcinoma Using Tumor Associated Peptides
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    August 2017
    Overall Recruitment Status
    Unknown status
    Study Start Date
    May 2005 (undefined)
    Primary Completion Date
    October 2017 (Anticipated)
    Study Completion Date
    June 2018 (Anticipated)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    University Hospital Tuebingen

    4. Oversight

    Data Monitoring Committee
    No

    5. Study Description

    Brief Summary
    Clinical Phase I/II study to investigate the feasibility and tolerability of synthetic adjuvant peptide immunisation in combination with immune adjuvants (granulocyte macrophage colony stimulating factor; Montanide ISA-51) in patients with advanced renal cell cancer (RCC).

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Renal Cell Cancer, Advanced Renal Cell Cancer

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Phase 1, Phase 2
    Interventional Study Model
    Parallel Assignment
    Masking
    None (Open Label)
    Allocation
    Randomized
    Enrollment
    40 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    Study Arm 1
    Arm Type
    Experimental
    Arm Description
    Intradermal application of peptide vaccine in combination with Granulocyte Macrophage Colony Stimulating Factor (GM-CSF)
    Arm Title
    Study Arm 2
    Arm Type
    Active Comparator
    Arm Description
    Intradermal application of peptide vaccine with Montanide ISA-51
    Intervention Type
    Biological
    Intervention Name(s)
    peptide vaccine
    Intervention Description
    subcutaneous
    Intervention Type
    Drug
    Intervention Name(s)
    Granulocyte Macrophage Colony Stimulating Factor
    Other Intervention Name(s)
    GM-CSF
    Intervention Description
    intradermal
    Intervention Type
    Drug
    Intervention Name(s)
    Montanide ISA-51
    Intervention Description
    subcutaneous
    Primary Outcome Measure Information:
    Title
    Tolerability
    Description
    Tolerability, as measured by number of Participants with Adverse Events
    Time Frame
    Day 0-365
    Secondary Outcome Measure Information:
    Title
    All Cause Mortality
    Description
    All cause Mortality, as measured as length of Overall Survival
    Time Frame
    60 Months
    Title
    Progression-free Survival
    Description
    Progression-free Survival, as measured as time to radiographic progression
    Time Frame
    36 Months
    Title
    Immune Response
    Description
    Immune Response, as as measured by in vitro and in vivo T cell response on day 0 and day 70. In selected cases additional immune response evaluation might be applicable.
    Time Frame
    Day 0-365

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Advanced renal cell carcinoma clinical stage T3 or T4, N0, M0 N+, M0 M1 (after complete metastasectomy) ECOG performance status 0 or 1 age >18 years at least 4 weeks since last administration of radiation- or chemotherapy Serum levels of bilirubin <2 mg/dl, creatinine<2mg/dl Exclusion Criteria: detectable distant metastasis in radiological imaging (M1) patients unable to consent severe cardiopulmonary disorder (NYHA >= 3) presence of secondary malignancy Immunosuppressive medication (last application of glucocorticoids > 4 weeks) seizure pregnancy simultaneous participation in other active or passive immunisation treatment
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Arnulf Stenzl, Prof.
    Organizational Affiliation
    University of Tübingen, Department of Urology
    Official's Role
    Principal Investigator

    12. IPD Sharing Statement

    Learn more about this trial

    Adjuvant Antigen Specific Immunotherapy in Patients With Advanced Renal Cell Carcinoma Using Tumor Associated Peptides

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