UMIN-CTR Clinical Trial

Public title

Randomized Phase II clinical trial of
personalized peptide vaccination with low dose of cyclophosphamide for standard therapy failer Biliary cancer patients.

Acronym

Randomized Phase II clinical of personalized peptide vaccination for standard therapy failed Biliary cancer.

Scientific Title

Randomized Phase II clinical trial of
personalized peptide vaccination with low dose of cyclophosphamide for standard therapy failer Biliary cancer patients.

Scientific Title:Acronym

Randomized Phase II clinical of personalized peptide vaccination for standard therapy failed Biliary cancer.

Region

Japan

Condition

Biliary cancer

Classification by specialty

Hepato-biliary-pancreatic medicine

Classification by malignancy

Malignancy

Genomic information

NO

Narrative objectives1

Up to 4 from the 31 candidate peptides, to which peptide-specific IgGs are detected before vaccination, are administered to standard therapy failed Biliary cancer patients. The aim of the study is to investigate effects of low-dose cyclophosphamide on vaccine-induced, correlativity of overall survival and immuno responses.

Basic objectives2

Safety,Efficacy

Basic objectives -Others

Trial characteristics_1

Exploratory

Trial characteristics_2

Pragmatic

Developmental phase

Phase II

Primary outcomes

Number of immuno-regulatory cells.

Key secondary outcomes

1. overall survival
2.Evaluation of immune responses (anti-peptide IgG,CTL).
3.Adverse effects of peptide vaccination safety of the protocol is evaluated based on the NCI-CTCAE.

Study type

Interventional

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -no one is blinded

Control

Active

Stratification

Dynamic allocation

YES

Institution consideration

Institution is not considered as adjustment factor.

Blocking

Concealment

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Medicine

Vaccine

Interventions/Control_1

A:Personalized peptide vaccination with low dose of cyclophosphamide treatment.
The cyclophosphamide of the low dosage (100mg / day) is administered for seven days before the day of tha peptide vaccine beginning.
Select vaccine peptides (up to 4) from 31 candidate peptides , to which peptide-specific IgGs are detected before vaccination.

1st treatment:total 6 times,every 1 weeks
2nd treatment:total 6 times,eveyr 2 weeks
and if the patient hopes, the treatment can be continued (at 2-6 week intervals ).

Interventions/Control_2

B:Personalized peptide vaccine alone

Select vaccine peptides (up to 4) from 31 candidate peptides , to which peptide-specific IgGs are detected before vaccination.

1st treatment:total 6 times,every 1 weeks
2nd treatment:total 6 times,eveyr 2 weeks
and if the patient hopes, the treatment can be continued (at 2-6 week intervals ).

Interventions/Control_3

Interventions/Control_4

Interventions/Control_5

Interventions/Control_6

Interventions/Control_7

Interventions/Control_8

Interventions/Control_9

Interventions/Control_10

Age-lower limit

20

years-old

<=

Age-upper limit

Not applicable

Gender

Male and Female

Key inclusion criteria

The subjects must satisfy the following conditions.
1) Patients with standard therapy failed Biliary cancer.
Presence of target legion is not considered.
2) Patients must be at a score level 0-1 of ECOG performance status.
3) Patients must have IgGs reactive to at least two of candidate peptides belongs to an apropriate group(s) for patient's HLA types.
4) Patients must be expected to survive more than 3 months.
5) Patients must satisfy the followings.
WBC is more than 2500 per mm3
Lymphocyte is more than 1000 per mm3
Hb is more than 8.0 g per dL
Platelet is more than 50000 per mm3
Serum creatinine is less than 2.0mg per dL
Total bilirubin is less than 2.5mg per dL
6) Patients must be more than 20 years old.
7) Written informed consent must be obtained from patients.
8) PatientsPatients must be positive for HLA-A2, A24, A26, A3, A11, A31 or A33.

Key exclusion criteria

The following patients must be excluded.
1) Patients with severe symptoms (active and severe infectious disease, circulatory disease, respiratory disease, kidney disease, immunodeficiency, disturbance of coagulation).
2) Patients with the past history of severe allergic reactions.
3) (Females) Patients who are during pregnancy, lactation expectant, and desiring future fertility.
(Males) Patients do not accept contraception during the 1st vaccination to 70 days after the last vaccination."
4) Patients who are judged inappropriate for the clinical trial by doctors.
5)Active double cancer (synchronous double cancer and metachronous double cancer within 5 disease-free years), excluding carcinoma in situ (lesions equal to intraepithelial or intramucosal cancer) judged to have been cured with local treatment.

Target sample size

44

Name of lead principal investigator

1st name
Middle name
Last name	Shigeru Yutani

Organization

Kurume University

Division name

Cancer Vaccine Center

Zip code

Address

Kokubu-machi 155-1, Kurume, Fukuoka 839-0863

TEL

0942-27-5210

Email

yutani@med.kurume-u.ac.jp

Name of contact person

1st name
Middle name
Last name	Akira Yamada

Organization

Kurume University

Division name

Research Center for Innovative Cancer Therapy, Cancer Vaccine Development Division

Zip code

Address

Asahi-machi 67, Kurume, Fukuoka 830-0011, Japan

TEL

0942-31-7572

Homepage URL

Email

akiymd@med.kurume-u.ac.jp

Institute

Kurume University Cancer Vaccine Center

Institute

Department

Personal name

Organization

None

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization

Co-sponsor

Name of secondary funder(s)

Organization

Address

Tel

Email

Secondary IDs

NO

Study ID_1

Org. issuing International ID_1

Study ID_2

Org. issuing International ID_2

IND to MHLW

Institutions

Date of disclosure of the study information

2011

Year

08

Month

30

Day

URL releasing protocol

Publication of results

Unpublished

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

Recruitment status

Completed

Date of protocol fixation

2011

Year

07

Month

15

Day

Date of IRB

Anticipated trial start date

2011

Year

09

Month

01

Day

Last follow-up date

Date of closure to data entry

Date trial data considered complete

Date analysis concluded

Other related information

Registered date

2011

Year

08

Month

30

Day

Last modified on

2018

Year

04

Month

11

Day

Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000007367