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ADXS11-001 High Dose HPV+ Cervical Cancer

Primary Purpose

Effects of Immunotherapy, Metastatic/Recurrent Cervical Cancer, Cervical Adenocarcinoma

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
ADXS11-001
Sponsored by
Advaxis, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Effects of Immunotherapy focused on measuring Adenocarcinoma, Carcinoma, Carcinoma, Squamous Cell, Uterine Cervical Neoplasms, Small Cell Lung Carcinoma, Carcinoma, Small Cell, Carcinoma, Adenosquamous, Neoplasms, Glandular and Epithelial, Neoplasms by Histologic Type, Neoplasms, Neoplasms, Squamous Cell, Uterine Neoplasms, Genital Neoplasms, Female, Urogenital Neoplasms, Neoplasms by Site, Uterine Cervical Diseases, Uterine Diseases, Genital Diseases, Female

Eligibility Criteria

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

Inclusion Criteria:

  • Patients with histologically-confirmed, persistent, metastatic or recurrent squamous or non-squamous cell carcinoma, adenosquamous carcinoma, or adenocarcinoma of the cervix with documented disease progression (disease not amenable to surgery or standard radiotherapy).
  • Patients who have received no more than 1 prior cytotoxic treatment regimen.
  • Subject may have received ≤2 prior regimens for the treatment of their metastatic disease.
  • Subject is able to provide written informed consent.
  • Subject must have an ECOG performance status of 0 or 1.

Exclusion Criteria:

  • In the opinion of the investigator, subject has rapidly progressing disease, OR has life expectancy of less than 6 months, OR would be unable to receive at least one cycle of therapy.
  • Subject has received chemotherapy and/or radiation therapy (except palliative radiation therapy for disease-related pain) within ≤2 weeks of first ADXS11-001 infusion.
  • Subject has a known additional malignancy that is progressing or requires active treatment. Exceptions include basal cell carcinoma of the skin, squamous cell carcinoma of the skin, or in situ cervical cancer that has undergone potentially curative therapy.
  • Has a contraindication to administration of trimethoprim/sulfamethoxazole or ampicillin.
  • Has implanted medical device(s) that pose a high risk for colonization and/or cannot be easily removed (e.g., prosthetic joints, artificial heart valves, pacemakers, orthopedic screw(s), metal plate(s), bone graft(s), or other exogenous implant(s)). NOTE: More common devices and prosthetics which include arterial and venous stents, dental and breast implants, and venous access devices (e.g., Port-a-Cath or Mediport) are permitted. Sponsor must be contacted prior to consenting any subject who has any other device and/or implant.

Sites / Locations

  • Recruiting
  • Recruiting
  • Recruiting
  • Recruiting

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

ADXS11-001

Arm Description

Outcomes

Primary Outcome Measures

Number of patients with dose-limiting toxicities, as assessed by CTCAE v 4.0
Frequency and severity of adverse effects as assessed by CTCAE v 4.0

Secondary Outcome Measures

Changes in clinical immunology based upon serum
Proportion of patients who have objective tumor response (complete or partial)

Full Information

First Posted
June 13, 2014
Last Updated
March 4, 2019
Sponsor
Advaxis, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT02164461
Brief Title
ADXS11-001 High Dose HPV+ Cervical Cancer
Official Title
PHASE 1-2 STUDY EVALUATING HIGH DOSE ADXS11-001 (1 x 10^10 CFU) TREATMENT IN WOMEN WITH HPV+ CARCINOMA OF THE CERVIX
Study Type
Interventional

2. Study Status

Record Verification Date
March 2019
Overall Recruitment Status
Completed
Study Start Date
January 2015 (Actual)
Primary Completion Date
April 2017 (Actual)
Study Completion Date
July 2018 (Actual)

3. Sponsor/Collaborators

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

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
To evaluate the tolerability and safety of ADXS11-001 (1 x 10^10 colony forming units [cfu]) administered with prophylactic premedication in repeating 3-dose study cycles in women with persistent, metastatic, or recurrent squamous and non-squamous carcinoma, adenosquamous, or adenocarcinoma of the cervix. To evaluate tumor response and progression-free survival (PFS, time to progression) by immune-related Response Evaluation Criteria in Solid Tumors (irRECIST).

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Effects of Immunotherapy, Metastatic/Recurrent Cervical Cancer, Cervical Adenocarcinoma, Cervical Adenosquamous Cell Carcinoma, Cervical Squamous Cell Carcinoma, Cervical Small Cell Carcinoma, Stage III Cervical Cancer, Stage IVA Cervical Cancer, Stage IVB Cervical Cancer
Keywords
Adenocarcinoma, Carcinoma, Carcinoma, Squamous Cell, Uterine Cervical Neoplasms, Small Cell Lung Carcinoma, Carcinoma, Small Cell, Carcinoma, Adenosquamous, Neoplasms, Glandular and Epithelial, Neoplasms by Histologic Type, Neoplasms, Neoplasms, Squamous Cell, Uterine Neoplasms, Genital Neoplasms, Female, Urogenital Neoplasms, Neoplasms by Site, Uterine Cervical Diseases, Uterine Diseases, Genital Diseases, Female

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
25 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
ADXS11-001
Arm Type
Experimental
Intervention Type
Biological
Intervention Name(s)
ADXS11-001
Primary Outcome Measure Information:
Title
Number of patients with dose-limiting toxicities, as assessed by CTCAE v 4.0
Time Frame
12 weeks
Title
Frequency and severity of adverse effects as assessed by CTCAE v 4.0
Time Frame
Up to 3 years
Secondary Outcome Measure Information:
Title
Changes in clinical immunology based upon serum
Time Frame
Baseline to up to 24 hours after dose 3
Title
Proportion of patients who have objective tumor response (complete or partial)
Time Frame
Up to 3 years

10. Eligibility

Sex
Female
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Patients with histologically-confirmed, persistent, metastatic or recurrent squamous or non-squamous cell carcinoma, adenosquamous carcinoma, or adenocarcinoma of the cervix with documented disease progression (disease not amenable to surgery or standard radiotherapy). Patients who have received no more than 1 prior cytotoxic treatment regimen. Subject may have received ≤2 prior regimens for the treatment of their metastatic disease. Subject is able to provide written informed consent. Subject must have an ECOG performance status of 0 or 1. Exclusion Criteria: In the opinion of the investigator, subject has rapidly progressing disease, OR has life expectancy of less than 6 months, OR would be unable to receive at least one cycle of therapy. Subject has received chemotherapy and/or radiation therapy (except palliative radiation therapy for disease-related pain) within ≤2 weeks of first ADXS11-001 infusion. Subject has a known additional malignancy that is progressing or requires active treatment. Exceptions include basal cell carcinoma of the skin, squamous cell carcinoma of the skin, or in situ cervical cancer that has undergone potentially curative therapy. Has a contraindication to administration of trimethoprim/sulfamethoxazole or ampicillin. Has implanted medical device(s) that pose a high risk for colonization and/or cannot be easily removed (e.g., prosthetic joints, artificial heart valves, pacemakers, orthopedic screw(s), metal plate(s), bone graft(s), or other exogenous implant(s)). NOTE: More common devices and prosthetics which include arterial and venous stents, dental and breast implants, and venous access devices (e.g., Port-a-Cath or Mediport) are permitted. Sponsor must be contacted prior to consenting any subject who has any other device and/or implant.
Facility Information:
Facility Name
Recruiting
City
Miami
State/Province
Florida
Country
United States
Facility Name
Recruiting
City
Augusta
State/Province
Georgia
ZIP/Postal Code
30912
Country
United States
Facility Name
Recruiting
City
Bronx
State/Province
New York
Country
United States
Facility Name
Recruiting
City
Charlottesville
State/Province
Virginia
Country
United States

12. IPD Sharing Statement

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ADXS11-001 High Dose HPV+ Cervical Cancer

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