Anti-cancer MUC1-specific Immunotherapy for Unresectable Stage III Non-small Cell Lung Cancer (FINGERPRINT)
Primary Purpose
Non-small Cell Lung Cancer (NSCLC) Stage III
Status
Withdrawn
Phase
Phase 1
Locations
Study Type
Interventional
Intervention
Biological: MUC1 peptide specific immunotherapy
Cyclophosphamide (CPA)
Sponsored by
About this trial
This is an interventional basic science trial for Non-small Cell Lung Cancer (NSCLC) Stage III focused on measuring Non-small cell lung cancer (NSCLC), exploratory study, L-BLP25
Eligibility Criteria
Inclusion Criteria:
- Histologically or cytologically documented unresectable Stage III NSCLC, as defined by American Joint Committee on Cancer/Union for International Cancer Control (AJCC/UICC) 7th edition (2009) criteria. All histological subtypes are acceptable, including bronchioalveolar carcinomas
- Documented stable disease or objective response, according to Response Evaluation Criteria In Solid Tumors (RECIST) Version 1.0, after primary chemo-radiotherapy (either sequential or concomitant) for unresected Stage III disease, within 4 weeks (28 days) prior to enrollment
- Receipt of concomitant or sequential chemo-radiotherapy, consisting of a minimum of two cycles of platinum-based chemotherapy and a minimum radiation dose of greater than equal to 50 Gray. Subjects must have completed the primary thoracic chemo-radiotherapy at least 4 weeks (28 days) and no later than 84 days prior to enrollment. Subjects who received prophylactic brain irradiation as part of primary chemo-radiotherapy are eligible
- Platelet count greater than or equal to 140 * 10^9 per liter, white blood cell (WBC) greater than or equal to 2.5 * 10^9 per liter, and hemoglobin greater than or equal to 90 gram per liter
- Eastern Cooperative Oncology Group performance status (ECOG PS) of 0-1
Additional Inclusion Criteria apply
Exclusion Criteria:
Pre-therapies:
- Previous lung cancer specific therapy (including surgery) other than primary chemo-radiotherapy
- Receipt of immunotherapy within 4 weeks (28 days) prior to enrollment. Note: Subjects who have received monoclonal antibodies for imaging are acceptable
- Receipt of investigational systemic drugs (including off-label use of approved products) within 4 weeks (28 days) prior to enrollment
Disease status:
- Metastatic disease
- Malignant pleural effusion at initial diagnosis and/or at trial entry
- Past or current history of neoplasm other than lung carcinoma, except for curatively treated nonmelanoma skin cancer, in situ carcinoma of the cervix or other cancer curatively treated and with no evidence of disease for at least 5 years
- Autoimmune disease
- A recognized immunodeficiency disease including cellular immunodeficiencies, hypogammaglobulinemia or dysgammaglobulinemia; subjects who have hereditary or congenital immunodeficiencies
- Any preexisting medical condition requiring systemic chronic steroid or immunosuppressive therapy (steroids for the treatment of radiation pneumonitis are allowed)
- Known Hepatitis B and/or C
- Active infection at enrollment, including but not limited to, flu-like infections, urinary tract infections, bronchopulmonary infections, etc
Physiological functions:
- Clinically significant hepatic dysfunction (that is, alanine aminotransferase [ALT] greater than 2.5 times normal upper limit [ULN]; or aspartate aminotransferase [AST] greater than 2.5 times ULN; or bilirubin greater than or equal to 1.5 * ULN)
- Clinically significant renal dysfunction (that is, serum creatinine greater than or equal to 1.5 * ULN)
- Clinically significant cardiac disease, for example, New York Heart Association (NYHA) Classes III-IV; uncontrolled angina, uncontrolled arrhythmia or uncontrolled hypertension, myocardial infarction in the previous 6 months as confirmed by an electrocardiogram (ECG)
- Splenectomy
- Infectious process that in the opinion of the investigator could compromise the subject's ability to mount an immune response
Additional Exclusion Criteria apply
Sites / Locations
Arms of the Study
Arm 1
Arm Type
Experimental
Arm Label
L-BLP25 plus Cyclophosphamide (CPA)
Arm Description
Outcomes
Primary Outcome Measures
Immune response defined as change from baseline in serum cytokine levels after L-BLP25 administration at Week 1, 4 and 8
Secondary Outcome Measures
Evaluation of a cellular immune response following treatment with L-BLP25
Change from baseline in alternative immune or inflammatory serum soluble immune mediators such as interferon alpha (IFNα), transforming growth factor beta (TGFβ), or C-reactive protein (CRP) at 6, 12, and 24 hours after L-BLP25 administration.
Number of subjects with adverse events (AEs)
Full Information
NCT ID
NCT01731587
First Posted
October 11, 2012
Last Updated
February 27, 2017
Sponsor
Merck KGaA, Darmstadt, Germany
1. Study Identification
Unique Protocol Identification Number
NCT01731587
Brief Title
Anti-cancer MUC1-specific Immunotherapy for Unresectable Stage III Non-small Cell Lung Cancer
Acronym
FINGERPRINT
Official Title
Phase Ib, Single-arm, Proof-of-principle Trial Investigating the Cytokine Profile and Specific T Cell Response in Peripheral Blood of Non-small Cell Lung Cancer (NSCLC) Subjects With Unresected Stage III Disease Treated With L-BLP25
Study Type
Interventional
2. Study Status
Record Verification Date
February 2017
Overall Recruitment Status
Withdrawn
Why Stopped
The objectives of this trial are no longer deemed appropriate for the clinical development of L-BLP25 therefore this trial is withdrawn
Study Start Date
January 2001 (undefined)
Primary Completion Date
undefined (undefined)
Study Completion Date
undefined (undefined)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Merck KGaA, Darmstadt, Germany
4. Oversight
Data Monitoring Committee
No
5. Study Description
Brief Summary
Phase Ib study investigating whether liposome BLP25 mucin-1 (MUC1) peptide-specific immunotherapy (L-BLP25) administered as weekly subcutaneous doses over 8 weeks following a single dose of intravenous cyclophosphamide (CPA) induces a reproducible cytokine pattern measured in the serum of unresected Stage III non-small cell lung cancer (NSCLC) subjects after first-line chemo-radiation therapy.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Non-small Cell Lung Cancer (NSCLC) Stage III
Keywords
Non-small cell lung cancer (NSCLC), exploratory study, L-BLP25
7. Study Design
Primary Purpose
Basic Science
Study Phase
Phase 1
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
0 (Actual)
8. Arms, Groups, and Interventions
Arm Title
L-BLP25 plus Cyclophosphamide (CPA)
Arm Type
Experimental
Intervention Type
Other
Intervention Name(s)
Biological: MUC1 peptide specific immunotherapy
Other Intervention Name(s)
EMD531444, Stimuvax®
Intervention Description
Eight consecutive weekly subcutaneous administration with reconstituted L-BLP25 (containing 806 microgram of BLP25 lipopeptide) followed by administrations at 6-week intervals, commencing at Week 14, until disease progression is documented.
Intervention Type
Drug
Intervention Name(s)
Cyclophosphamide (CPA)
Other Intervention Name(s)
L01AA01, Endoxana
Intervention Description
A single intravenous infusion of 300 milligram per square meter (to a maximum of 600 milligram) of CPA will be given three days before the first L-BLP25 administration.
Primary Outcome Measure Information:
Title
Immune response defined as change from baseline in serum cytokine levels after L-BLP25 administration at Week 1, 4 and 8
Time Frame
Pre-dose (Day -3) up to 24 hours after L-BLP25 administration at Week 1, 4 and 8
Secondary Outcome Measure Information:
Title
Evaluation of a cellular immune response following treatment with L-BLP25
Time Frame
Pre-dose (Day -3) and at 24 hours after L-BLP25 administration at Week 4 and 8
Title
Change from baseline in alternative immune or inflammatory serum soluble immune mediators such as interferon alpha (IFNα), transforming growth factor beta (TGFβ), or C-reactive protein (CRP) at 6, 12, and 24 hours after L-BLP25 administration.
Time Frame
Pre-dose (Day -3) up to 24 hours after L-BLP25 administration at Week 1, 4 and 8
Title
Number of subjects with adverse events (AEs)
Time Frame
Up to 6 weeks after the last dose of L-BLP25
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Histologically or cytologically documented unresectable Stage III NSCLC, as defined by American Joint Committee on Cancer/Union for International Cancer Control (AJCC/UICC) 7th edition (2009) criteria. All histological subtypes are acceptable, including bronchioalveolar carcinomas
Documented stable disease or objective response, according to Response Evaluation Criteria In Solid Tumors (RECIST) Version 1.0, after primary chemo-radiotherapy (either sequential or concomitant) for unresected Stage III disease, within 4 weeks (28 days) prior to enrollment
Receipt of concomitant or sequential chemo-radiotherapy, consisting of a minimum of two cycles of platinum-based chemotherapy and a minimum radiation dose of greater than equal to 50 Gray. Subjects must have completed the primary thoracic chemo-radiotherapy at least 4 weeks (28 days) and no later than 84 days prior to enrollment. Subjects who received prophylactic brain irradiation as part of primary chemo-radiotherapy are eligible
Platelet count greater than or equal to 140 * 10^9 per liter, white blood cell (WBC) greater than or equal to 2.5 * 10^9 per liter, and hemoglobin greater than or equal to 90 gram per liter
Eastern Cooperative Oncology Group performance status (ECOG PS) of 0-1
Additional Inclusion Criteria apply
Exclusion Criteria:
Pre-therapies:
Previous lung cancer specific therapy (including surgery) other than primary chemo-radiotherapy
Receipt of immunotherapy within 4 weeks (28 days) prior to enrollment. Note: Subjects who have received monoclonal antibodies for imaging are acceptable
Receipt of investigational systemic drugs (including off-label use of approved products) within 4 weeks (28 days) prior to enrollment
Disease status:
Metastatic disease
Malignant pleural effusion at initial diagnosis and/or at trial entry
Past or current history of neoplasm other than lung carcinoma, except for curatively treated nonmelanoma skin cancer, in situ carcinoma of the cervix or other cancer curatively treated and with no evidence of disease for at least 5 years
Autoimmune disease
A recognized immunodeficiency disease including cellular immunodeficiencies, hypogammaglobulinemia or dysgammaglobulinemia; subjects who have hereditary or congenital immunodeficiencies
Any preexisting medical condition requiring systemic chronic steroid or immunosuppressive therapy (steroids for the treatment of radiation pneumonitis are allowed)
Known Hepatitis B and/or C
Active infection at enrollment, including but not limited to, flu-like infections, urinary tract infections, bronchopulmonary infections, etc
Physiological functions:
Clinically significant hepatic dysfunction (that is, alanine aminotransferase [ALT] greater than 2.5 times normal upper limit [ULN]; or aspartate aminotransferase [AST] greater than 2.5 times ULN; or bilirubin greater than or equal to 1.5 * ULN)
Clinically significant renal dysfunction (that is, serum creatinine greater than or equal to 1.5 * ULN)
Clinically significant cardiac disease, for example, New York Heart Association (NYHA) Classes III-IV; uncontrolled angina, uncontrolled arrhythmia or uncontrolled hypertension, myocardial infarction in the previous 6 months as confirmed by an electrocardiogram (ECG)
Splenectomy
Infectious process that in the opinion of the investigator could compromise the subject's ability to mount an immune response
Additional Exclusion Criteria apply
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Study Director
Organizational Affiliation
Merck KGaA, Darmstadt, Germany
Official's Role
Study Director
12. IPD Sharing Statement
Learn more about this trial
Anti-cancer MUC1-specific Immunotherapy for Unresectable Stage III Non-small Cell Lung Cancer
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