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Evaluation of Transgenic Lymphocyte Immunization Vaccine in Subjects With Prostate Adenocarcinoma

Primary Purpose

Prostatic Neoplasms

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
Transgenic Lymphocyte Immunization Vaccine (TLI)
Sponsored by
Cosmo Bioscience
About
Eligibility
Locations
Outcomes
Full info

About this trial

This is an interventional treatment trial for Prostatic Neoplasms focused on measuring Prostate Cancer; Immunotherapy

Eligibility Criteria

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

Inclusion Criteria: 18 years of age or older, able to understand and sign the informed consent form. HLA-A2 positive. Expected survival ≥ 6 months. Histological evidence of adenocarcinoma of the prostate. (ECOG) Performance status 0, 1 or 2. The following categories of subjects with androgen-independent prostate cancer are eligible: Progression of bidimensionally measurable disease assessed within 84 days (12 weeks) prior to enrollment. Progression of evaluable but not measurable disease (i.e., bone scan) assessed within 112 days (16 weeks) prior to enrollment. Rising PSA- Rising PSA is defined as at least two consecutive rises in PSA to be documented over a reference value (measure 1). The first rising PSA (measure 2) must be taken at least 7 days after the reference value. A third confirmatory PSA measure is required (2nd beyond the reference level) to be greater than the second measure, and it must be obtained at least 7 days after the 2nd measure. If this is not the case, a fourth PSA is required to be taken and be greater than the second measure. The subject must have a PSA ≥ 5 ng/ml in addition to increasing PSA to be eligible. No minimum PSA is required for subjects with measurable disease or non-PSA evaluable disease. All subjects must have had a CT scan of the abdomen and pelvis within 84 days (12 weeks) prior to enrollment. All subjects must also have had a bone scan within 112 days (16 weeks) prior to enrollment. Subjects must have been surgically or medically castrated. If method of castration is LHRH agonists (leuprolide or goserelin), then the subject should be willing to continue the use of LHRH agonists. Castration using LHRH agonist should not be interrupted and subjects who have stopped treatment should be willing to restart. If the subject has been treated with non-steroidal anti-androgens (flutamide, bicalutamide, nilutamide or ketoconazole), they must have been stopped at least 28 days prior to enrollment for flutamide or ketoconazole and at least 42 days prior to enrollment for bicalutamide or nilutamide and the subjects must have demonstrated progression. Subjects may have received prior surgery. However, at least 21 days must have elapsed since completion of surgery and subject must have recovered from all side effects. All subjects must have pre-study PSA within 28 days of enrollment. Subjects must meet the following initial laboratory criteria: granulocytes ≥ 1500/ul platelet count ≥ 100,000/ul hemoglobin ≥ 10 gms/dl bilirubin ≤ 1.5 x ULN AST ≤ 1.5 x ULN Creatinine ≤ 1.5 x ULN Testosterone < 50ng/ml for those who have not had bilateral orchiectomy PSA ≥ 5ng/ml if no measurable disease

Sites / Locations

  • University of California, San Diego Cancer Center

Outcomes

Primary Outcome Measures

Secondary Outcome Measures

Full Information

First Posted
May 20, 2003
Last Updated
August 26, 2008
Sponsor
Cosmo Bioscience
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1. Study Identification

Unique Protocol Identification Number
NCT00061035
Brief Title
Evaluation of Transgenic Lymphocyte Immunization Vaccine in Subjects With Prostate Adenocarcinoma
Official Title
A Phase 1, Evaluation of Transgenic Lymphocyte Immunization Vaccine in Subjects With Prostate Adenocarcinoma
Study Type
Interventional

2. Study Status

Record Verification Date
August 2008
Overall Recruitment Status
Completed
Study Start Date
April 2003 (undefined)
Primary Completion Date
undefined (undefined)
Study Completion Date
undefined (undefined)

3. Sponsor/Collaborators

Name of the Sponsor
Cosmo Bioscience

4. Oversight

5. Study Description

Brief Summary
Dr. Frederick Millard, MD, Associate Clinical Professor at the UCSD Cancer Center, will be conducting a 12-week study in advanced prostate cancer patients. The study will be held at the UCSD Medical Center and will test an experimental investigational gene therapy vaccine designed to make the patient's immune system react against telomerase, an enzyme expressed in prostate cancer cells.
Detailed Description
The goal of the study is to determine the safety, feasibility, and tolerability of transgenic lymphocyte immunization (TLI). In this process patient's lymphocytes are rendered transgenic for a gene coding for selected portion of telomerase an enzyme expressed in the vast majority of cancer cells. Transgenic cells are then returned to the patient to produce an immune response targeted at cancer cells expressing telomerase. The Phase 1 trial will evaluate TLI in patients with advanced, androgen-independent prostate cancer with metastases confined to lymph nodes or bones.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Prostatic Neoplasms
Keywords
Prostate Cancer; Immunotherapy

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
18 (Anticipated)

8. Arms, Groups, and Interventions

Intervention Type
Biological
Intervention Name(s)
Transgenic Lymphocyte Immunization Vaccine (TLI)

10. Eligibility

Sex
Male
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: 18 years of age or older, able to understand and sign the informed consent form. HLA-A2 positive. Expected survival ≥ 6 months. Histological evidence of adenocarcinoma of the prostate. (ECOG) Performance status 0, 1 or 2. The following categories of subjects with androgen-independent prostate cancer are eligible: Progression of bidimensionally measurable disease assessed within 84 days (12 weeks) prior to enrollment. Progression of evaluable but not measurable disease (i.e., bone scan) assessed within 112 days (16 weeks) prior to enrollment. Rising PSA- Rising PSA is defined as at least two consecutive rises in PSA to be documented over a reference value (measure 1). The first rising PSA (measure 2) must be taken at least 7 days after the reference value. A third confirmatory PSA measure is required (2nd beyond the reference level) to be greater than the second measure, and it must be obtained at least 7 days after the 2nd measure. If this is not the case, a fourth PSA is required to be taken and be greater than the second measure. The subject must have a PSA ≥ 5 ng/ml in addition to increasing PSA to be eligible. No minimum PSA is required for subjects with measurable disease or non-PSA evaluable disease. All subjects must have had a CT scan of the abdomen and pelvis within 84 days (12 weeks) prior to enrollment. All subjects must also have had a bone scan within 112 days (16 weeks) prior to enrollment. Subjects must have been surgically or medically castrated. If method of castration is LHRH agonists (leuprolide or goserelin), then the subject should be willing to continue the use of LHRH agonists. Castration using LHRH agonist should not be interrupted and subjects who have stopped treatment should be willing to restart. If the subject has been treated with non-steroidal anti-androgens (flutamide, bicalutamide, nilutamide or ketoconazole), they must have been stopped at least 28 days prior to enrollment for flutamide or ketoconazole and at least 42 days prior to enrollment for bicalutamide or nilutamide and the subjects must have demonstrated progression. Subjects may have received prior surgery. However, at least 21 days must have elapsed since completion of surgery and subject must have recovered from all side effects. All subjects must have pre-study PSA within 28 days of enrollment. Subjects must meet the following initial laboratory criteria: granulocytes ≥ 1500/ul platelet count ≥ 100,000/ul hemoglobin ≥ 10 gms/dl bilirubin ≤ 1.5 x ULN AST ≤ 1.5 x ULN Creatinine ≤ 1.5 x ULN Testosterone < 50ng/ml for those who have not had bilateral orchiectomy PSA ≥ 5ng/ml if no measurable disease
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Frederick E. Millard, M.D
Organizational Affiliation
Associate Professor of Medicine at UCSD and Medical Director of the CTO of the UCSD Cancer Center
Official's Role
Principal Investigator
Facility Information:
Facility Name
University of California, San Diego Cancer Center
City
San Diego
State/Province
California
ZIP/Postal Code
92093-0987
Country
United States

12. IPD Sharing Statement

Citations:
PubMed Identifier
12653092
Citation
Zanetti M. Protocol #0207-545: a phase I/II, escalating dose, open-label evaluation of safety, feasibility, and tolerability of transgenic lymphocyte immunization (TLI) vaccine subjects with histologically proven prostate adenocarcinoma. Hum Gene Ther. 2003 Feb 10;14(3):301-2. No abstract available.
Results Reference
background
Links:
URL
http://cancer.ucsd.edu
Description
Click here for more information about this study: Clinical Trial Vaccine Therapy for Prostate Cancer

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Evaluation of Transgenic Lymphocyte Immunization Vaccine in Subjects With Prostate Adenocarcinoma

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