UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000003489
Receipt number R000004208
Scientific Title A phase I clinical study of cancer vaccine with MAGE-A4/Survivin helper peptide for patients with advanced cancers expressing MAGE-A4 or Survivin antigen
Date of disclosure of the study information 2010/04/19
Last modified on 2011/11/18 11:28:02

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Basic information

Public title

A phase I clinical study of cancer vaccine with MAGE-A4/Survivin helper peptide for patients with advanced cancers expressing MAGE-A4 or Survivin antigen

Acronym

Cancer vaccine study with MAGE-A4/Survivin helper peptide

Scientific Title

A phase I clinical study of cancer vaccine with MAGE-A4/Survivin helper peptide for patients with advanced cancers expressing MAGE-A4 or Survivin antigen

Scientific Title:Acronym

Cancer vaccine study with MAGE-A4/Survivin helper peptide

Region

Japan


Condition

Condition

MAGE-A4- or Survivin-expressing refractory cancer patients (non origin-limited) or patients who refuse standard cancer therapy

Classification by specialty

Gastroenterology Hepato-biliary-pancreatic medicine Pneumology
Hematology and clinical oncology Gastrointestinal surgery Hepato-biliary-pancreatic surgery
Breast surgery Obstetrics and Gynecology Oto-rhino-laryngology
Urology

Classification by malignancy

Malignancy

Genomic information

YES


Objectives

Narrative objectives1

To evaluate adverse events after repeated doses of MAGE-A4- or Survivin-helper peptide vaccine for patients with advanced cancers expressing MAGE-A4 or Survivin antigen

Basic objectives2

Others

Basic objectives -Others

To evaluate MAGE-A4 or Survivin specific immune responses and tumor responses after MAGE-A4 or Survivin helper peptide vaccin

Trial characteristics_1

Exploratory

Trial characteristics_2

Explanatory

Developmental phase

Phase I


Assessment

Primary outcomes

Safety: maximum tolerated dose, dose-limiting toxicity, profiles of adverse events evaluated by National Cancer Institute Common Terminology Criteria for Adverse Events (CTCAE) Scale.

Key secondary outcomes

Efficacy: MAGE-A4 or Survivin-specific immune responses (Antibody production, Induction of antigen specific CD4+T and CD8+T cells), evaluated by ELISA or ELISPOT, and tumor responses, assessed according to the Response Evaluation Criteria in Solid Tumors (RECIST).


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Uncontrolled

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Medicine Vaccine

Interventions/Control_1

Subcutaneous or peritumoral injection of MAGE-A4- or Survivin-hepler pepitde (1 mg) vaccine, mixed with Montanide and OK432 (Picibanil; 0.2 KE), at every two weeks, repeated 4 times

Interventions/Control_2

Subcutaneous or peritumoral injection of MAGE-A4- or Survivin-hepler pepitde (10 mg) vaccine, mixed with Montanide and OK432 (Picibanil; 0.2 KE), at every two weeks, repeated 4 times

Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

1) Patients with histologically-confirmed malignant tumor, therapy-resistant cancer including chemotherapy and radio therapy, with clinical stage 3 or 4, recurrent cancer, or advanced cancer patients who refuse the standard therapy
2) Performance status (ECOG) 0 to 2
3) Aged twenty or more
4) At least three-month life expectancy
5) Normal bone-marrow and kidney function, meeting the criteria below;
Neutrophil cells>1500/mL
Lymphocytes>500/mL
Platelets>100000/mL
Hemoglobin>8.0 g/dL
Serum bilirubin<2 mg/dL
Serum creatinine<2.0 mg/dL (<2.5 mg/dL in Kidney cancer)
6) PCR/ IHC-confirmed MAGA-A4 or Survivin expressing tumor cells
7) Positive for HLA-DPB1*0501, HLA-DRB1*1403, HLA-DRB1*1501, or HLA-DRB1*1502 in MAGE-A4 helper peptide vaccine.
Positive for HLA-DRB1*0101, HLA-DR53, HLA-DQB1*0601 in Survivin helper peptide vaccine.
8) Having written informed consent

Key exclusion criteria

1) Pregnant women or refuse anticonception during the study (both sexes)
2) Lactating women
3) Severe bleeding disorders, meeting the criteria below;
PT<50%
APTT>60sec
Fbg<100mg/dl
FDP>20mg/ml
4) Active infection (HIV, HBV or HCV etc.)
5) Severe heart disease (NYHA class 3 or 4)
6) Autoimmune disease (scleroderma, Sjogren's syndrome, idiopathic thrombocytopenic purpura, multiple sclerosis, rheumatoid arthritis etc.)
7) Systemic administration of corticosteroid or immunosuppresive drugs during the study (Except local administration, inhaled drugs, and antiphlogistic analgetics).
8) Patient with impaired mental status in the study.
9) Inappropriate for study entry judged by an attending physician


Target sample size

12


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Todo Satoru

Organization

Hokkaido University Graduated School of Medicine

Division name

Department of General Surgery

Zip code


Address

Kita-15, Nishi-7, Kita-ku, Sapporo

TEL


Email



Public contact

Name of contact person

1st name
Middle name
Last name Togashi Yuji

Organization

Bioimmulance Co. Ltd.

Division name

Bureau of MAGE-A4/Survivin peptide vaccine clinical study

Zip code


Address

KitaBusiness Spring 108/109

TEL

050-3359-8320

Homepage URL


Email

ytogashi@bioimmulance.com


Sponsor or person

Institute

Department of General Surgery, Hokkaido University Graduated School of Medicine

Institute

Department

Personal name



Funding Source

Organization

Department of General Surgery, Hokkaido University Graduated School of Medicine

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization


Address


Tel


Email



Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions

北海道大学病院/Hokkaido University Hospital
札幌北楡病院/Sapporo HOKUYU Hospital
東京慈恵会医科大学附属柏病院消化器・肝臓内科/ Department of Internal Medicine, The Jikei University School of Medicine
東海大学医学部付属病院/Tokai University School of Medicine
近畿大学医学部附属病院外科/Department of Surgery, Kinki University School of Medicine
愛媛大学医学部附属病院第1内科/Department of Bioregulatory Medicine, Ehime University Graduate School of Medicine
産業医科大学病院皮膚科/ Department of Dermatology, University of Occupational and Environmental Health School of Medicine


Other administrative information

Date of disclosure of the study information

2010 Year 04 Month 19 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2009 Year 10 Month 08 Day

Date of IRB


Anticipated trial start date

2009 Year 10 Month 01 Day

Last follow-up date

2012 Year 01 Month 01 Day

Date of closure to data entry

2012 Year 01 Month 01 Day

Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2010 Year 04 Month 14 Day

Last modified on

2011 Year 11 Month 18 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000004208


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name