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Vaccine Therapy in Treating Patients With Stage II, Stage IIIA, Stage IIIB, or Stage IVA Liver Cancer

Primary Purpose

Liver Cancer

Status
Withdrawn
Phase
Phase 1
Locations
Study Type
Interventional
Intervention
alpha fetoprotein adenoviral vector vaccine
alpha fetoprotein plasmid DNA vaccine
sargramostim plasmid DNA hepatocellular carcinoma vaccine adjuvant
Sponsored by
Jonsson Comprehensive Cancer Center
About
Eligibility
Locations
Outcomes
Full info

About this trial

This is an interventional treatment trial for Liver Cancer focused on measuring adult primary hepatocellular carcinoma, advanced adult primary liver cancer, localized resectable adult primary liver cancer, localized unresectable adult primary liver cancer

Eligibility Criteria

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

DISEASE CHARACTERISTICS: Diagnosis of hepatocellular carcinoma Stage II-IVA disease No active disease after local or regional therapy (e.g., surgical resection, radiofrequency ablation, cryoablation, or ethanol injection) Serum alpha fetoprotein > upper limit of normal HLA-A*0201 positive by DNA subtyping PATIENT CHARACTERISTICS: Age Over 18 Performance status Karnofsky 70-100% Life expectancy Not specified Hematopoietic Hemoglobin > 9.0 g/dL (transfusion independent) Platelet count > 50,000/mm^3 Absolute neutrophil count > 1,000/mm^3 Hepatic Child Pugh class A or B liver function Hepatitis B or C viral infection allowed Renal Not specified Cardiovascular No New York Heart Association class III or IV cardiac insufficiency No coronary artery disease Immunologic HIV negative No other acute viral, bacterial, or fungal infection requiring therapy No allergy to study agents No history of opportunistic infection No high serum titer of neutralizing anti-adenoviral antibodies No congenital or acquired condition resulting in an inability to generate an immune response Other Not pregnant Negative pregnancy test Fertile patients must use effective double-method (including a barrier method) contraception No other condition that would preclude study participation PRIOR CONCURRENT THERAPY: Biologic therapy Not specified Chemotherapy At least 30 days since prior chemotherapy No concurrent cytotoxic chemotherapy Endocrine therapy At least 30 days since prior steroid therapy No concurrent steroid therapy, including corticosteroids Radiotherapy Not specified Surgery See Disease Characteristics No prior organ allograft Other At least 2 weeks since prior therapy for acute infection No concurrent immunosuppressive therapy No concurrent cyclosporine

Sites / Locations

    Outcomes

    Primary Outcome Measures

    Secondary Outcome Measures

    Full Information

    First Posted
    October 6, 2004
    Last Updated
    October 3, 2012
    Sponsor
    Jonsson Comprehensive Cancer Center
    Collaborators
    National Cancer Institute (NCI)
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    1. Study Identification

    Unique Protocol Identification Number
    NCT00093548
    Brief Title
    Vaccine Therapy in Treating Patients With Stage II, Stage IIIA, Stage IIIB, or Stage IVA Liver Cancer
    Official Title
    A Phase I/II Trial Testing Immunization With AFP + GM-CSF Plasmid Prime And AFP Adenoviral Vector Boost In Patients With Hepatocellular Carcinoma (AFP Prime-Boost Protocol)
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    October 2012
    Overall Recruitment Status
    Withdrawn
    Study Start Date
    undefined (undefined)
    Primary Completion Date
    undefined (undefined)
    Study Completion Date
    undefined (undefined)

    3. Sponsor/Collaborators

    Name of the Sponsor
    Jonsson Comprehensive Cancer Center
    Collaborators
    National Cancer Institute (NCI)

    4. Oversight

    5. Study Description

    Brief Summary
    RATIONALE: Vaccines made from DNA and a gene-modified virus may make the body build an immune response to kill tumor cells. Giving booster vaccinations may make a stronger immune response and prevent or delay the recurrence of liver cancer. PURPOSE: This phase I/II trial is studying the side effects and best dose of vaccine therapy and to see how well it works in treating patients with stage II, stage IIIA, stage IIIB, or stage IVA liver cancer.
    Detailed Description
    OBJECTIVES: Primary Determine the dose-limiting toxicity and maximum tolerated dose of adjuvant vaccination comprising alpha fetoprotein (AFP) plasmid DNA and sargramostim (GM-CSF) plasmid DNA followed by AFP adenoviral vector boost in patients with HLA-A*0201-expressing stage II-IVA hepatocellular carcinoma. Secondary Determine the optimal biological dose of this regimen, as defined by the generation of AFP-specific immunity, in these patients. Determine disease-free survival of patients treated with this regimen. OUTLINE: This is a dose-escalation study of alpha fetoprotein (AFP) adenoviral vector boost. Patients receive vaccination comprising AFP plasmid DNA and sargramostim (GM-CSF) plasmid DNA intramuscularly (IM) on days 1, 30, and 60 in the absence of unacceptable toxicity. Patients then receive boost immunization comprising AFP adenoviral vector IM and intradermally on day 90. Cohorts of 3-6 patients receive escalating doses of AFP adenoviral vector boost until the maximum tolerated dose (MTD) is determined. The MTD is defined as the dose preceding that at which 2 of 3 or 2 of 6 patients experience dose-limiting toxicity. Patients are followed monthly for 3 months and then every 6 months thereafter. PROJECTED ACCRUAL: A total of 3-25 patients will be accrued for this study.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Liver Cancer
    Keywords
    adult primary hepatocellular carcinoma, advanced adult primary liver cancer, localized resectable adult primary liver cancer, localized unresectable adult primary liver cancer

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Phase 1, Phase 2
    Enrollment
    0 (Actual)

    8. Arms, Groups, and Interventions

    Intervention Type
    Biological
    Intervention Name(s)
    alpha fetoprotein adenoviral vector vaccine
    Intervention Type
    Biological
    Intervention Name(s)
    alpha fetoprotein plasmid DNA vaccine
    Intervention Type
    Biological
    Intervention Name(s)
    sargramostim plasmid DNA hepatocellular carcinoma vaccine adjuvant

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    DISEASE CHARACTERISTICS: Diagnosis of hepatocellular carcinoma Stage II-IVA disease No active disease after local or regional therapy (e.g., surgical resection, radiofrequency ablation, cryoablation, or ethanol injection) Serum alpha fetoprotein > upper limit of normal HLA-A*0201 positive by DNA subtyping PATIENT CHARACTERISTICS: Age Over 18 Performance status Karnofsky 70-100% Life expectancy Not specified Hematopoietic Hemoglobin > 9.0 g/dL (transfusion independent) Platelet count > 50,000/mm^3 Absolute neutrophil count > 1,000/mm^3 Hepatic Child Pugh class A or B liver function Hepatitis B or C viral infection allowed Renal Not specified Cardiovascular No New York Heart Association class III or IV cardiac insufficiency No coronary artery disease Immunologic HIV negative No other acute viral, bacterial, or fungal infection requiring therapy No allergy to study agents No history of opportunistic infection No high serum titer of neutralizing anti-adenoviral antibodies No congenital or acquired condition resulting in an inability to generate an immune response Other Not pregnant Negative pregnancy test Fertile patients must use effective double-method (including a barrier method) contraception No other condition that would preclude study participation PRIOR CONCURRENT THERAPY: Biologic therapy Not specified Chemotherapy At least 30 days since prior chemotherapy No concurrent cytotoxic chemotherapy Endocrine therapy At least 30 days since prior steroid therapy No concurrent steroid therapy, including corticosteroids Radiotherapy Not specified Surgery See Disease Characteristics No prior organ allograft Other At least 2 weeks since prior therapy for acute infection No concurrent immunosuppressive therapy No concurrent cyclosporine
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Antoni Ribas, MD
    Organizational Affiliation
    Jonsson Comprehensive Cancer Center
    Official's Role
    Study Chair

    12. IPD Sharing Statement

    Citations:
    PubMed Identifier
    24708667
    Citation
    Butterfield LH, Economou JS, Gamblin TC, Geller DA. Alpha fetoprotein DNA prime and adenovirus boost immunization of two hepatocellular cancer patients. J Transl Med. 2014 Apr 5;12:86. doi: 10.1186/1479-5876-12-86.
    Results Reference
    derived

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    Vaccine Therapy in Treating Patients With Stage II, Stage IIIA, Stage IIIB, or Stage IVA Liver Cancer

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