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Safety and Immunogenicity of Recombinant DNA and Adenovirus Expressing L523S Protein in Early Stage Non-Small Cell Lung Cancer

Primary Purpose

Non-Small Cell Lung Cancer

Status
Unknown status
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
Recombinant DNA- pVAX/L523S
Recombinant adenovirus- Ad/L523S
Sponsored by
Corixa Corporation
About
Eligibility
Locations
Outcomes
Full info

About this trial

This is an interventional treatment trial for Non-Small Cell Lung Cancer

Eligibility Criteria

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

INCLUSION CRITERIA: Histologically and surgical confirmed diagnosis and stage of IB, IIA, or IIB non-small cell lung cancer (NSCLC) according to the Revised International System for Staging Lung Cancer Primary surgical resection of lung cancer greater than or equal to 4 weeks and less than or equal to 3 years prior to the Day 0 visit No evidence of disease by standard diagnostic tests Chest X-ray and physical examination showing no active disease Eastern Cooperative Oncology Group (ECOG) Performance Status of 0 or 1 WBC count greater than or equal to 3,000 cells/mm3 and ANC greater than or equal to 1,500 cells/mm3 Hemoglobin value greater than or equal to 10.0 g/dL and a platelet count greater than or equal to 125,000 cells/mm3 Adequate renal function (defined as serum creatinine <1.5 times the upper limit of normal for females and males) Normal hepatic function (defined as serum bilirubin <1.5 times the upper limit of normal, AST <2.5 times the upper limit of normal and alkaline phosphatase <1.5 times the upper limit of normal) Ability to understand and willingness to sign an IRB-approved written consent prior to study enrollment Female patients must be greater than or equal to 60 years of age, or greater than or equal to 5 years amenorrhea or surgically sterile Male patients who are capable of fathering a child and whose partners are capable of having a child must agree to use adequate contraception for 6 months after enrollment (for men or women-surgical sterilization; for women-hormonal contraceptives, vaginal ring or IUD) Absolute CD4+ cell count of >200 cells/mm3 EXCLUSION CRITERIA: Received pre- or post-operative radiotherapy Received prior biologic, immunologic, or gene therapy for cancer Received an investigational drug (new chemical entity) within three months of study entry Received antibiotics within 2 weeks of Day 0 visit Received systemic or inhaled corticosteroids or immunosuppressive therapy within 4 weeks of Day 0 visit (Use of topical corticosteroids and/or eye drops containing glucocorticosteroids is acceptable) History of active autoimmune diseases such as, but not limited to, systemic lupus erythematosis, sarcoidosis, rheumatoid arthritis, glomerulonephritis, vasculitis, or inflammatory bowel disease History of bleeding in stools and/or diarrhea within 4 weeks of Day 0 visit History of anaphylaxis or severe allergic reaction to vaccines or unknown allergens Received any commercial vaccine within 2 weeks of Day 0 visit Received a major organ allograft Current or previous diagnosis of paraneoplastic syndrome Evidence of a clinically significant active pulmonary infection, emphysema, FeV1 less than or equal to 50% predicted, DLCO less than or equal to 50% predicted, pulse oximetry less than or equal to 92% at the time of study entry Known to be HIV positive Results of virology screening indicate positive serology for HCV (hepatitis C virus) and/or HBsAG (hepatitis B surface antigen). Positive serology for HBV antibodies is allowed. History of other malignancies at other sites, except effectively treated non-melanoma skin cancers, superficial bladder cancer or carcinoma in situ of the cervix or an effectively treated malignancy that has been in remission for greater than 5 years and is highly likely to have been cured Uncontrolled medical problems (neurological, cardiovascular, gastrointestinal, genitourinary or other illness) considered as unwarranted high risk for investigational new drug treatment Patient is lactating Staging classification of TX or NX or MX Prior adjuvant chemotherapy within 8 weeks prior to the Day 0 visit

Sites / Locations

  • Cancer Centers of FloridaRecruiting
  • Mary Crowley Medical Research ClinicRecruiting
  • Tyler Cancer CenterRecruiting
  • Swedish Cancer InstituteRecruiting
  • Cancer Care NorthwestRecruiting

Outcomes

Primary Outcome Measures

Secondary Outcome Measures

Full Information

First Posted
June 17, 2003
Last Updated
December 5, 2006
Sponsor
Corixa Corporation
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1. Study Identification

Unique Protocol Identification Number
NCT00062907
Brief Title
Safety and Immunogenicity of Recombinant DNA and Adenovirus Expressing L523S Protein in Early Stage Non-Small Cell Lung Cancer
Official Title
Phase I Open-Label Dose Escalation Trial Evaluating The Safety And Immunogenicity Of Sequential Administration Of Recombinant DNA And Adenovirus Expressing L523S Protein In Patients With Early Stage Non-Small Cell Lung Cancer
Study Type
Interventional

2. Study Status

Record Verification Date
November 2004
Overall Recruitment Status
Unknown status
Study Start Date
May 2003 (undefined)
Primary Completion Date
undefined (undefined)
Study Completion Date
undefined (undefined)

3. Sponsor/Collaborators

Name of the Sponsor
Corixa Corporation

4. Oversight

5. Study Description

Brief Summary
The purpose of this trial is to examine the safety and immunogenicity of a therapeutic vaccine regimen with recombinant DNA and adenovirus expressing L523S protein in patients with early stage non-small cell lung cancer. The vaccine regimen will consist of two fixed doses of recombinant DNA (pVAX/L523S) followed by two doses of recombinant adenovirus (Ad/L523S). The trial will evaluate the dose escalation of Ad/L523S through three cohorts of patients.
Detailed Description
The primary objective of the study is to evaluate the safety of the vaccine regimen administered as two doses of pVAX/L523S and two doses of Ad/L523S. The secondary objectives of the study are: To provide initial evidence as to whether CD8+ and CD4+ T cell responses specific for L523S protein can be elicited by two doses of pVAX/L523S followed by two doses of Ad/L523S To provide initial evidence as to whether antibody responses specific for L523S protein can be elicited by two doses of pVAX/L523S followed by two doses of Ad/L523S To investigate the extent to which dose escalation of Ad/L523S affects the elicited immune response

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Non-Small Cell Lung Cancer

7. Study Design

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

8. Arms, Groups, and Interventions

Intervention Type
Biological
Intervention Name(s)
Recombinant DNA- pVAX/L523S
Intervention Type
Biological
Intervention Name(s)
Recombinant adenovirus- Ad/L523S

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
INCLUSION CRITERIA: Histologically and surgical confirmed diagnosis and stage of IB, IIA, or IIB non-small cell lung cancer (NSCLC) according to the Revised International System for Staging Lung Cancer Primary surgical resection of lung cancer greater than or equal to 4 weeks and less than or equal to 3 years prior to the Day 0 visit No evidence of disease by standard diagnostic tests Chest X-ray and physical examination showing no active disease Eastern Cooperative Oncology Group (ECOG) Performance Status of 0 or 1 WBC count greater than or equal to 3,000 cells/mm3 and ANC greater than or equal to 1,500 cells/mm3 Hemoglobin value greater than or equal to 10.0 g/dL and a platelet count greater than or equal to 125,000 cells/mm3 Adequate renal function (defined as serum creatinine <1.5 times the upper limit of normal for females and males) Normal hepatic function (defined as serum bilirubin <1.5 times the upper limit of normal, AST <2.5 times the upper limit of normal and alkaline phosphatase <1.5 times the upper limit of normal) Ability to understand and willingness to sign an IRB-approved written consent prior to study enrollment Female patients must be greater than or equal to 60 years of age, or greater than or equal to 5 years amenorrhea or surgically sterile Male patients who are capable of fathering a child and whose partners are capable of having a child must agree to use adequate contraception for 6 months after enrollment (for men or women-surgical sterilization; for women-hormonal contraceptives, vaginal ring or IUD) Absolute CD4+ cell count of >200 cells/mm3 EXCLUSION CRITERIA: Received pre- or post-operative radiotherapy Received prior biologic, immunologic, or gene therapy for cancer Received an investigational drug (new chemical entity) within three months of study entry Received antibiotics within 2 weeks of Day 0 visit Received systemic or inhaled corticosteroids or immunosuppressive therapy within 4 weeks of Day 0 visit (Use of topical corticosteroids and/or eye drops containing glucocorticosteroids is acceptable) History of active autoimmune diseases such as, but not limited to, systemic lupus erythematosis, sarcoidosis, rheumatoid arthritis, glomerulonephritis, vasculitis, or inflammatory bowel disease History of bleeding in stools and/or diarrhea within 4 weeks of Day 0 visit History of anaphylaxis or severe allergic reaction to vaccines or unknown allergens Received any commercial vaccine within 2 weeks of Day 0 visit Received a major organ allograft Current or previous diagnosis of paraneoplastic syndrome Evidence of a clinically significant active pulmonary infection, emphysema, FeV1 less than or equal to 50% predicted, DLCO less than or equal to 50% predicted, pulse oximetry less than or equal to 92% at the time of study entry Known to be HIV positive Results of virology screening indicate positive serology for HCV (hepatitis C virus) and/or HBsAG (hepatitis B surface antigen). Positive serology for HBV antibodies is allowed. History of other malignancies at other sites, except effectively treated non-melanoma skin cancers, superficial bladder cancer or carcinoma in situ of the cervix or an effectively treated malignancy that has been in remission for greater than 5 years and is highly likely to have been cured Uncontrolled medical problems (neurological, cardiovascular, gastrointestinal, genitourinary or other illness) considered as unwarranted high risk for investigational new drug treatment Patient is lactating Staging classification of TX or NX or MX Prior adjuvant chemotherapy within 8 weeks prior to the Day 0 visit
Facility Information:
Facility Name
Cancer Centers of Florida
City
Ocoee
State/Province
Florida
ZIP/Postal Code
34761
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Bobbi Rehm, RN
Phone
407-292-3042
Email
brehm@usoncology.com
First Name & Middle Initial & Last Name & Degree
Barry S. Berman, MD
Facility Name
Mary Crowley Medical Research Clinic
City
Dallas
State/Province
Texas
ZIP/Postal Code
75246
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Jennifer Edwards
Phone
214-658-1944
Email
jedwards@mcmrc.com
First Name & Middle Initial & Last Name & Degree
John Nemunaitis, MD
Facility Name
Tyler Cancer Center
City
Tyler
State/Province
Texas
ZIP/Postal Code
75702
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Linda Dunklin, RN
Phone
903-579-9800
Email
linda.dunklin@usoncology.com
First Name & Middle Initial & Last Name & Degree
Donald Richards, MD
Facility Name
Swedish Cancer Institute
City
Seattle
State/Province
Washington
ZIP/Postal Code
98104
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Jane Arthur, RN
Phone
206-386-6921
Email
jane.arthur@swedish.org
First Name & Middle Initial & Last Name & Degree
Howard West, MD
Facility Name
Cancer Care Northwest
City
Spokane
State/Province
Washington
ZIP/Postal Code
99218
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Rose Miller, RN, OCN
Phone
509-228-1432
Email
rosalee.miller@usoncology.com
First Name & Middle Initial & Last Name & Degree
Stephen Anthony, D.O.

12. IPD Sharing Statement

Learn more about this trial

Safety and Immunogenicity of Recombinant DNA and Adenovirus Expressing L523S Protein in Early Stage Non-Small Cell Lung Cancer

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