UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000028083
Receipt number R000031964
Scientific Title Phase I study of WT1-expressing human artificial adjuvant vector cells (aAVC-WT1) for patients with relapsed or refractory acute myeloid leukemia
Date of disclosure of the study information 2017/07/05
Last modified on 2020/06/11 15:42:41

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Basic information

Public title

Phase I study of WT1-expressing human artificial adjuvant vector cells (aAVC-WT1) for patients with relapsed or refractory acute myeloid leukemia

Acronym

Phase I study of WT1-expressing human artificial adjuvant vector cells (aAVC-WT1) for patients with relapsed or refractory acute myeloid leukemia

Scientific Title

Phase I study of WT1-expressing human artificial adjuvant vector cells (aAVC-WT1) for patients with relapsed or refractory acute myeloid leukemia

Scientific Title:Acronym

Phase I study of WT1-expressing human artificial adjuvant vector cells (aAVC-WT1) for patients with relapsed or refractory acute myeloid leukemia

Region

Japan


Condition

Condition

relapsed or refractory acute myeloid leukemia (AML)

Classification by specialty

Hematology and clinical oncology

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

To explore the safety of aAVC-WT1, and secondaly to explore immunological effects (NKT cell-specific immune response) and clinical efficacy

Basic objectives2

Safety

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2


Developmental phase

Phase I


Assessment

Primary outcomes

Safety
(1) Occurence of Dose Limiting Toxicity and determination of Maximum Tolerated Dose
(2) Exploration of adverse events
(3) Statistical analysis on examinations related to safety evaluation

Key secondary outcomes

Immunological effects (NKT cell-specific immune response and amplification rate)
Clinical efficacy
(1) Hematological effect: Response rate(CR, PR, CRi)
(2) Longitudinal change of WT1 mRNA copies
(3) Overall survival


Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Uncontrolled

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Treatment

Type of intervention

Vaccine

Interventions/Control_1

Intravenous administraion of aAVC-WT1 followed by 3+3 dose escalation scheme

Interventions/Control_2


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

Ability to give patients' consent by written informed consent form
Age >= 20
Relapsed or refractory primary/secondary AML diagnosed by 2016 WHO classification
Awareness of AML
Peripheral blood WT-1 mRNA => 1500 copies/microgram ever before
ECOG Performance Status <= 2
Life expectancy >= 12 weeks
Submission of preserved specimens at screening and newly collected bone marrow/bone marrow aspiration

Key exclusion criteria

Acute promyelocytic leukemia, BCR-ABL-positive leukemia
Central nervous system infiltration/extramedullary AML
Sustained non-hematological toxicity ( >= Grade 2) related to prior therapy for AML
Clinically relevant graft-versus-host disease required for treatment
Duration from prior therapy to administration:
1) Systemic immunosuppressive drugs including steroids <= 14 days
2) Investigational drugs, products, or medical devices <= 4 weeks
3) Hematopoietic stem cell transplantation <= 8 weeks
4) Chemotherapy (excluding hydroxyurea for leukemia control)

Laboratory examination <= 14 days prior to registration:
1) AST/ALT >= 3 times upper limit of normal level (ULN)
2) Total serum bilirubin level >= 2 times ULN
3) Lymphocytes (peripheral blood) <= 5.0 x 10^2 /microliter
4) Estimated glomerular filtration rate < 30 mL/min
5) SpO2 < 94% (room air)
Other active malignancies
Angina pectoris, acute myocardial infarction, congestive heart failure (>= NYHA class 3), or severe abnormality on electrocardiography <= 12 weeks prior to 1st administration
Poor control hypertension, interstitial pneumonia, pulmonary fibrosis, chronic obstructive pulmonary disease (>= stage 3)
Disseminated intravascular coagulation
Active/poor control infection, HIV infection
Active hepatitis B/C virus infection, other active liver disease
Congenital/acquired immune deficiency
Pregnant, possible pregnant, breast feeding women
Poor control diabetes mellitus
Known hypersensitivity to reagents (human albumin, etc.), additives (galactose/ceramide), antibiotics (streptomycin/gentamicin) and heterologous proteins (fetal bovine serum/porcine trypsin)
Principal investigator/co-investigator judgement

Target sample size

18


Research contact person

Name of lead principal investigator

1st name Toyotaka
Middle name
Last name Kawamata

Organization

The Institute of Medical Science, The University of Tokyo

Division name

Department of Hematology/Oncology, IMSUT Hospital

Zip code

108-8639

Address

4-6-1 Shirokanedai, Minato-ku, Tokyo

TEL

03-5449-8111

Email

dctsm@ims.u-tokyo.ac.jp


Public contact

Name of contact person

1st name Center for
Middle name
Last name Translational Research

Organization

The Institute of Medical Science, The University of Tokyo

Division name

Center for Translational Research, IMSUT Hospital

Zip code

108-8639

Address

4-6-1 Shirokanedai, Minato-ku, Tokyo

TEL

03-5449-5462

Homepage URL


Email

dctsm@ims.u-tokyo.ac.jp


Sponsor or person

Institute

IMSUT Hospital, The Institute of Medical Science, The University of Tokyo

Institute

Department

Personal name



Funding Source

Organization

National Research and Development Institute Agency RIKEN

Organization

Division

Category of Funding Organization

Japanese Governmental office

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

IMSUT hospital Institutional Review Board (IRB), The Institute of Medical Science, The University of Tokyo

Address

4-6-1 Shirokanedai, Minato-ku, Tokyo

Tel

03-5449-5462

Email

imsuttro@ims.u-tokyo.ac.jp


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



Other administrative information

Date of disclosure of the study information

2017 Year 07 Month 05 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

10

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

2017 Year 03 Month 08 Day

Date of IRB

2020 Year 05 Month 28 Day

Anticipated trial start date

2017 Year 07 Month 05 Day

Last follow-up date

2020 Year 03 Month 03 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2017 Year 07 Month 05 Day

Last modified on

2020 Year 06 Month 11 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000031964


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name