Trial Outcomes & Findings for 153Sm-EDTMP With or Without a PSA/TRICOM Vaccine To Treat Men With Androgen-Insensitive Prostate Cancer (NCT NCT00450619)

NCT ID: NCT00450619

Last Updated: 2017-01-04

Results Overview

Response is assessed by the Response Evaluation Criteria in Solid Tumors (RECIST). Stable disease is neither sufficient shrinkage to qualify for partial response (PR) nor sufficient increase to qualify for progressive disease (PD), taking as reference the smallest sum longest diameter (LD) since the treatment started. Partial response (PR) is at least a 30% increase in the sum of the LD of target lesions, taking as reference the baseline sum LD. Progressive Disease (PD) is at least a 20% increase in the sum of the LD of target lesions, taking as reference the smallest sum LD recorded since the treatment started or the appearance of one or more new lesions on computed tomography (CT) or two or more lesions on bone scan.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

44 participants

Primary outcome timeframe

4.7 months

Results posted on

2017-01-04

Participant Flow

Participant milestones

Participant milestones
Measure
Arm A- EDTMP Alone
Patients receive samarium Sm 153 lexidronam pentasodium 1 mCi/Kg intravenous (IV) over 1 minute on day 8. Treatment repeats every 12 weeks in the absence of disease progression or unacceptable toxicity.
Arm B - 153Sm-EDTMP With Vaccine
Patients receive recombinant vaccinia-TRICOM vaccine 2 x 10\^8 PFU subcutaneously (SC) on day 1. Patients also receive recombinant fowlpox-TRICOM vaccine 1 x 10\^9 PFU SC on days 15 and 29 and sargramostim (GM-CSF) 100 mcg/injection SC x 4 days. Treatment with recombinant fowlpox-TRICOM vaccine and GM-CSF\* repeats every 4 weeks in the absence of disease progression or unacceptable toxicity. Patients also receive samarium Sm 153 lexidronam pentasodium 1 mCi/Kg as in arm I.
Overall Study
STARTED
22
22
Overall Study
COMPLETED
18
21
Overall Study
NOT COMPLETED
4
1

Reasons for withdrawal

Reasons for withdrawal
Measure
Arm A- EDTMP Alone
Patients receive samarium Sm 153 lexidronam pentasodium 1 mCi/Kg intravenous (IV) over 1 minute on day 8. Treatment repeats every 12 weeks in the absence of disease progression or unacceptable toxicity.
Arm B - 153Sm-EDTMP With Vaccine
Patients receive recombinant vaccinia-TRICOM vaccine 2 x 10\^8 PFU subcutaneously (SC) on day 1. Patients also receive recombinant fowlpox-TRICOM vaccine 1 x 10\^9 PFU SC on days 15 and 29 and sargramostim (GM-CSF) 100 mcg/injection SC x 4 days. Treatment with recombinant fowlpox-TRICOM vaccine and GM-CSF\* repeats every 4 weeks in the absence of disease progression or unacceptable toxicity. Patients also receive samarium Sm 153 lexidronam pentasodium 1 mCi/Kg as in arm I.
Overall Study
refused treatment after randomization
2
0
Overall Study
did not progress; refused further trmt
1
1
Overall Study
Adverse Event
1
0

Baseline Characteristics

153Sm-EDTMP With or Without a PSA/TRICOM Vaccine To Treat Men With Androgen-Insensitive Prostate Cancer

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Arm A -EDTMP Alone
n=22 Participants
Patients receive samarium Sm 153 lexidronam pentasodium 1 mCi/Kg intravenous (IV) over 1 minute on day 8. Treatment repeats every 12 weeks in the absence of disease progression or unacceptable toxicity.
Arm B - 153SmEDTMP With Vaccine
n=22 Participants
Patients receive recombinant vaccinia-TRICOM vaccine 2 x 10\^8 PFU subcutaneously (SC) on day 1. Patients also receive recombinant fowlpox-TRICOM vaccine 1 x 10\^9 PFU SC on days 15 and 29 and sargramostim (GM-CSF) 100 mcg/injection SC x 4 days. Treatment with recombinant fowlpox-TRICOM vaccine and GM-CSF\* repeats every 4 weeks in the absence of disease progression or unacceptable toxicity. Patients also receive samarium Sm 153 lexidronam pentasodium 1 mCi/Kg as in arm I.
Total
n=44 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
11 Participants
n=5 Participants
4 Participants
n=7 Participants
15 Participants
n=5 Participants
Age, Categorical
>=65 years
11 Participants
n=5 Participants
18 Participants
n=7 Participants
29 Participants
n=5 Participants
Age, Continuous
64.73 years
STANDARD_DEVIATION 7.91 • n=5 Participants
69.65 years
STANDARD_DEVIATION 8.5 • n=7 Participants
67.18 years
STANDARD_DEVIATION 8.49 • n=5 Participants
Gender
Female
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Gender
Male
22 Participants
n=5 Participants
22 Participants
n=7 Participants
44 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=5 Participants
2 Participants
n=7 Participants
2 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
22 Participants
n=5 Participants
20 Participants
n=7 Participants
42 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
2 Participants
n=5 Participants
0 Participants
n=7 Participants
2 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
2 Participants
n=5 Participants
3 Participants
n=7 Participants
5 Participants
n=5 Participants
Race (NIH/OMB)
White
18 Participants
n=5 Participants
17 Participants
n=7 Participants
35 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
2 Participants
n=7 Participants
2 Participants
n=5 Participants
Region of Enrollment
United States
22 participants
n=5 Participants
22 participants
n=7 Participants
44 participants
n=5 Participants
Subjects requiring narcotic pain control
11 participants
n=5 Participants
8 participants
n=7 Participants
19 participants
n=5 Participants
Gleason Score
8 Scores on a scale
n=5 Participants
7.5 Scores on a scale
n=7 Participants
7.75 Scores on a scale
n=5 Participants
Prostate-Specific Antigen on Study
259.1 ng/mL of blood
n=5 Participants
313.5 ng/mL of blood
n=7 Participants
286.3 ng/mL of blood
n=5 Participants
Eastern Cooperative Oncology Group (ECOG) Performance Status
1 Scores on a scale
n=5 Participants
1 Scores on a scale
n=7 Participants
1 Scores on a scale
n=5 Participants
Median Days since Prior Chemotherapy
57.5 Days
n=5 Participants
86.5 Days
n=7 Participants
72 Days
n=5 Participants
Lactate Dehydrogenase (serum)
254.5 U/L
n=5 Participants
200 U/L
n=7 Participants
227.25 U/L
n=5 Participants
Hemoglobin
11.2 g/dl
n=5 Participants
11.1 g/dl
n=7 Participants
11.15 g/dl
n=5 Participants
Alkaline Phosphatase
177 U/L
n=5 Participants
121.5 U/L
n=7 Participants
149.25 U/L
n=5 Participants

PRIMARY outcome

Timeframe: 4.7 months

Response is assessed by the Response Evaluation Criteria in Solid Tumors (RECIST). Stable disease is neither sufficient shrinkage to qualify for partial response (PR) nor sufficient increase to qualify for progressive disease (PD), taking as reference the smallest sum longest diameter (LD) since the treatment started. Partial response (PR) is at least a 30% increase in the sum of the LD of target lesions, taking as reference the baseline sum LD. Progressive Disease (PD) is at least a 20% increase in the sum of the LD of target lesions, taking as reference the smallest sum LD recorded since the treatment started or the appearance of one or more new lesions on computed tomography (CT) or two or more lesions on bone scan.

Outcome measures

Outcome measures
Measure
Arm A - EDTMP Alone
n=18 Participants
Patients receive samarium Sm 153 lexidronam pentasodium 1 mCi/Kg intravenous (IV) over 1 minute on day 8. Treatment repeats every 12 weeks in the absence of disease progression or unacceptable toxicity.
Arm B - 153Sm-EDTMP With Vaccine
n=21 Participants
Patients receive recombinant vaccinia-TRICOM vaccine 2 x 10\^8 PFU subcutaneously (SC) on day 1. Patients also receive recombinant fowlpox-TRICOM vaccine 1 x 10\^9 PFU SC on days 15 and 29 and sargramostim (GM-CSF) 100 mcg/injection SC x 4 days. Treatment with recombinant fowlpox-TRICOM vaccine and GM-CSF\* repeats every 4 weeks in the absence of disease progression or unacceptable toxicity. Patients also receive samarium Sm 153 lexidronam pentasodium 1 mCi/Kg as in arm I.
Number of Patients With Stable Disease at 4 Months.
2 participants
5 participants

PRIMARY outcome

Timeframe: 4 months

PFS is defined as the time to progress or die after the start of the therapy.

Outcome measures

Outcome measures
Measure
Arm A - EDTMP Alone
n=18 Participants
Patients receive samarium Sm 153 lexidronam pentasodium 1 mCi/Kg intravenous (IV) over 1 minute on day 8. Treatment repeats every 12 weeks in the absence of disease progression or unacceptable toxicity.
Arm B - 153Sm-EDTMP With Vaccine
n=21 Participants
Patients receive recombinant vaccinia-TRICOM vaccine 2 x 10\^8 PFU subcutaneously (SC) on day 1. Patients also receive recombinant fowlpox-TRICOM vaccine 1 x 10\^9 PFU SC on days 15 and 29 and sargramostim (GM-CSF) 100 mcg/injection SC x 4 days. Treatment with recombinant fowlpox-TRICOM vaccine and GM-CSF\* repeats every 4 weeks in the absence of disease progression or unacceptable toxicity. Patients also receive samarium Sm 153 lexidronam pentasodium 1 mCi/Kg as in arm I.
Progression Free Survival (PFS)
1.7 months
Interval 1.3 to 2.3
3.7 months
Interval 2.4 to 4.7

SECONDARY outcome

Timeframe: 5 years, 5 months

Here is the number of participants with adverse events. For a detailed list of adverse events, see the adverse event module.

Outcome measures

Outcome measures
Measure
Arm A - EDTMP Alone
n=21 Participants
Patients receive samarium Sm 153 lexidronam pentasodium 1 mCi/Kg intravenous (IV) over 1 minute on day 8. Treatment repeats every 12 weeks in the absence of disease progression or unacceptable toxicity.
Arm B - 153Sm-EDTMP With Vaccine
n=22 Participants
Patients receive recombinant vaccinia-TRICOM vaccine 2 x 10\^8 PFU subcutaneously (SC) on day 1. Patients also receive recombinant fowlpox-TRICOM vaccine 1 x 10\^9 PFU SC on days 15 and 29 and sargramostim (GM-CSF) 100 mcg/injection SC x 4 days. Treatment with recombinant fowlpox-TRICOM vaccine and GM-CSF\* repeats every 4 weeks in the absence of disease progression or unacceptable toxicity. Patients also receive samarium Sm 153 lexidronam pentasodium 1 mCi/Kg as in arm I.
Toxicity
19 Participants
22 Participants

SECONDARY outcome

Timeframe: 4 months

PSA is defined by the PSA Working Group criteria. A minimum PSA decline of at least 50% must be confirmed by a second PSA value 4 or more weeks later.

Outcome measures

Outcome measures
Measure
Arm A - EDTMP Alone
n=18 Participants
Patients receive samarium Sm 153 lexidronam pentasodium 1 mCi/Kg intravenous (IV) over 1 minute on day 8. Treatment repeats every 12 weeks in the absence of disease progression or unacceptable toxicity.
Arm B - 153Sm-EDTMP With Vaccine
n=21 Participants
Patients receive recombinant vaccinia-TRICOM vaccine 2 x 10\^8 PFU subcutaneously (SC) on day 1. Patients also receive recombinant fowlpox-TRICOM vaccine 1 x 10\^9 PFU SC on days 15 and 29 and sargramostim (GM-CSF) 100 mcg/injection SC x 4 days. Treatment with recombinant fowlpox-TRICOM vaccine and GM-CSF\* repeats every 4 weeks in the absence of disease progression or unacceptable toxicity. Patients also receive samarium Sm 153 lexidronam pentasodium 1 mCi/Kg as in arm I.
Number of Participants With Prostate-Specific Antigen (PSA) ≥ 30%
0 participants
4 participants

SECONDARY outcome

Timeframe: 4 months

PSA is defined by the PSA Working Group criteria. A minimum PSA decline of at least 50% must be confirmed by a second PSA value 4 or more weeks later.

Outcome measures

Outcome measures
Measure
Arm A - EDTMP Alone
n=18 Participants
Patients receive samarium Sm 153 lexidronam pentasodium 1 mCi/Kg intravenous (IV) over 1 minute on day 8. Treatment repeats every 12 weeks in the absence of disease progression or unacceptable toxicity.
Arm B - 153Sm-EDTMP With Vaccine
n=21 Participants
Patients receive recombinant vaccinia-TRICOM vaccine 2 x 10\^8 PFU subcutaneously (SC) on day 1. Patients also receive recombinant fowlpox-TRICOM vaccine 1 x 10\^9 PFU SC on days 15 and 29 and sargramostim (GM-CSF) 100 mcg/injection SC x 4 days. Treatment with recombinant fowlpox-TRICOM vaccine and GM-CSF\* repeats every 4 weeks in the absence of disease progression or unacceptable toxicity. Patients also receive samarium Sm 153 lexidronam pentasodium 1 mCi/Kg as in arm I.
Number of Participants With Prostate-Specific Antigen (PSA) ≥50%
0 participants
3 participants

SECONDARY outcome

Timeframe: From date of randomization until death or last follow up, whichever comes first, assessed up to 14 months.

Time from treatment start date until date of death or date last known alive.

Outcome measures

Outcome measures
Measure
Arm A - EDTMP Alone
n=18 Participants
Patients receive samarium Sm 153 lexidronam pentasodium 1 mCi/Kg intravenous (IV) over 1 minute on day 8. Treatment repeats every 12 weeks in the absence of disease progression or unacceptable toxicity.
Arm B - 153Sm-EDTMP With Vaccine
n=21 Participants
Patients receive recombinant vaccinia-TRICOM vaccine 2 x 10\^8 PFU subcutaneously (SC) on day 1. Patients also receive recombinant fowlpox-TRICOM vaccine 1 x 10\^9 PFU SC on days 15 and 29 and sargramostim (GM-CSF) 100 mcg/injection SC x 4 days. Treatment with recombinant fowlpox-TRICOM vaccine and GM-CSF\* repeats every 4 weeks in the absence of disease progression or unacceptable toxicity. Patients also receive samarium Sm 153 lexidronam pentasodium 1 mCi/Kg as in arm I.
Overall Survival
8.1 Months
Interval 3.5 to 13.3
9.2 Months
Interval 5.0 to 12.6

SECONDARY outcome

Timeframe: Approximately 60 days

Population: (a)Cytokine or CD107a in CD4 or CD8. \*Pts displayed pre-existing PSA-specific T-cell responses. Numbers 274, 630, and 1427 are those positive post- vs. pre-vaccination. Absolute # CD4 or CD8 producing cytokine/CD107a+/1x10(6) cells plated at start of in vitro stimulation.

PSA T-cell responses were measured by fluorescence activated cell sorting (FACS)-based assay for T-cells expressing type I cytokines interferon (IFN-ϓ), interleukin 2 (IL2), tumor necrosis factor alpha (TNF-a) and/or lysosome-associated membrane protein (CD107a).

Outcome measures

Outcome measures
Measure
Arm A - EDTMP Alone
n=8 Participants
Patients receive samarium Sm 153 lexidronam pentasodium 1 mCi/Kg intravenous (IV) over 1 minute on day 8. Treatment repeats every 12 weeks in the absence of disease progression or unacceptable toxicity.
Arm B - 153Sm-EDTMP With Vaccine
Patients receive recombinant vaccinia-TRICOM vaccine 2 x 10\^8 PFU subcutaneously (SC) on day 1. Patients also receive recombinant fowlpox-TRICOM vaccine 1 x 10\^9 PFU SC on days 15 and 29 and sargramostim (GM-CSF) 100 mcg/injection SC x 4 days. Treatment with recombinant fowlpox-TRICOM vaccine and GM-CSF\* repeats every 4 weeks in the absence of disease progression or unacceptable toxicity. Patients also receive samarium Sm 153 lexidronam pentasodium 1 mCi/Kg as in arm I.
Arm A: Prostate-Specific Antigen (PSA) T-cell Responses Post-vs. Pre-treatment
PT 13* (CD4) CD107a
0 Absolute # CD4 or CD8 producing cytokine
Arm A: Prostate-Specific Antigen (PSA) T-cell Responses Post-vs. Pre-treatment
PT 11 (CD4) CD107a
0 Absolute # CD4 or CD8 producing cytokine
Arm A: Prostate-Specific Antigen (PSA) T-cell Responses Post-vs. Pre-treatment
PT 11 (CD4) IFN-ϓ
0 Absolute # CD4 or CD8 producing cytokine
Arm A: Prostate-Specific Antigen (PSA) T-cell Responses Post-vs. Pre-treatment
PT 11(CD4) IL2
0 Absolute # CD4 or CD8 producing cytokine
Arm A: Prostate-Specific Antigen (PSA) T-cell Responses Post-vs. Pre-treatment
PT 11 (CD4) TNF
0 Absolute # CD4 or CD8 producing cytokine
Arm A: Prostate-Specific Antigen (PSA) T-cell Responses Post-vs. Pre-treatment
PT 11 (CD8) CD107a
0 Absolute # CD4 or CD8 producing cytokine
Arm A: Prostate-Specific Antigen (PSA) T-cell Responses Post-vs. Pre-treatment
PT 11 (CD8) IFN-ϓ
0 Absolute # CD4 or CD8 producing cytokine
Arm A: Prostate-Specific Antigen (PSA) T-cell Responses Post-vs. Pre-treatment
PT 11 (CD8) IL2
56 Absolute # CD4 or CD8 producing cytokine
Arm A: Prostate-Specific Antigen (PSA) T-cell Responses Post-vs. Pre-treatment
PT 11 (CD8) TNF
186 Absolute # CD4 or CD8 producing cytokine
Arm A: Prostate-Specific Antigen (PSA) T-cell Responses Post-vs. Pre-treatment
PT 13* (CD4) IFN-ϓ
0 Absolute # CD4 or CD8 producing cytokine
Arm A: Prostate-Specific Antigen (PSA) T-cell Responses Post-vs. Pre-treatment
PT 13* (CD4) IL2
0 Absolute # CD4 or CD8 producing cytokine
Arm A: Prostate-Specific Antigen (PSA) T-cell Responses Post-vs. Pre-treatment
PT 13* (CD4) TNF
0 Absolute # CD4 or CD8 producing cytokine
Arm A: Prostate-Specific Antigen (PSA) T-cell Responses Post-vs. Pre-treatment
PT 13* (CD8) CD107a
0 Absolute # CD4 or CD8 producing cytokine
Arm A: Prostate-Specific Antigen (PSA) T-cell Responses Post-vs. Pre-treatment
PT 13* (CD8) IFN-ϓ
0 Absolute # CD4 or CD8 producing cytokine
Arm A: Prostate-Specific Antigen (PSA) T-cell Responses Post-vs. Pre-treatment
PT 13* (CD8) IL2
0 Absolute # CD4 or CD8 producing cytokine
Arm A: Prostate-Specific Antigen (PSA) T-cell Responses Post-vs. Pre-treatment
PT 13* (CD8) TNF
3 Absolute # CD4 or CD8 producing cytokine
Arm A: Prostate-Specific Antigen (PSA) T-cell Responses Post-vs. Pre-treatment
PT 20* (CD4) CD107a
0 Absolute # CD4 or CD8 producing cytokine
Arm A: Prostate-Specific Antigen (PSA) T-cell Responses Post-vs. Pre-treatment
PT 20* (CD4) IFN-ϓ
0 Absolute # CD4 or CD8 producing cytokine
Arm A: Prostate-Specific Antigen (PSA) T-cell Responses Post-vs. Pre-treatment
PT 20* (CD4) IL2
0 Absolute # CD4 or CD8 producing cytokine
Arm A: Prostate-Specific Antigen (PSA) T-cell Responses Post-vs. Pre-treatment
PT 20* (CD4) TNF
0 Absolute # CD4 or CD8 producing cytokine
Arm A: Prostate-Specific Antigen (PSA) T-cell Responses Post-vs. Pre-treatment
PT 20* (CD8) CD107a
0 Absolute # CD4 or CD8 producing cytokine
Arm A: Prostate-Specific Antigen (PSA) T-cell Responses Post-vs. Pre-treatment
PT 20* (CD8) IFN-ϓ
0 Absolute # CD4 or CD8 producing cytokine
Arm A: Prostate-Specific Antigen (PSA) T-cell Responses Post-vs. Pre-treatment
PT 20* (CD8) IL2
0 Absolute # CD4 or CD8 producing cytokine
Arm A: Prostate-Specific Antigen (PSA) T-cell Responses Post-vs. Pre-treatment
PT 20* (CD8) TNF
0 Absolute # CD4 or CD8 producing cytokine
Arm A: Prostate-Specific Antigen (PSA) T-cell Responses Post-vs. Pre-treatment
PT 22 (CD4) CD107a
154 Absolute # CD4 or CD8 producing cytokine
Arm A: Prostate-Specific Antigen (PSA) T-cell Responses Post-vs. Pre-treatment
PT 22 (CD4) IFN-ϓ
0 Absolute # CD4 or CD8 producing cytokine
Arm A: Prostate-Specific Antigen (PSA) T-cell Responses Post-vs. Pre-treatment
PT 22 (CD4) IL2
0 Absolute # CD4 or CD8 producing cytokine
Arm A: Prostate-Specific Antigen (PSA) T-cell Responses Post-vs. Pre-treatment
PT 22 (CD4) TNF
0 Absolute # CD4 or CD8 producing cytokine
Arm A: Prostate-Specific Antigen (PSA) T-cell Responses Post-vs. Pre-treatment
PT 22 (CD8) CD107a
1427 Absolute # CD4 or CD8 producing cytokine
Arm A: Prostate-Specific Antigen (PSA) T-cell Responses Post-vs. Pre-treatment
PT 22 (CD8) IFN-ϓ
0 Absolute # CD4 or CD8 producing cytokine
Arm A: Prostate-Specific Antigen (PSA) T-cell Responses Post-vs. Pre-treatment
PT 22 (CD8) IL2
0 Absolute # CD4 or CD8 producing cytokine
Arm A: Prostate-Specific Antigen (PSA) T-cell Responses Post-vs. Pre-treatment
PT 22 (CD8) TNF
274 Absolute # CD4 or CD8 producing cytokine
Arm A: Prostate-Specific Antigen (PSA) T-cell Responses Post-vs. Pre-treatment
PT 25 (CD4) CD107a
146 Absolute # CD4 or CD8 producing cytokine
Arm A: Prostate-Specific Antigen (PSA) T-cell Responses Post-vs. Pre-treatment
PT 25 (CD4) IFN-ϓ
0 Absolute # CD4 or CD8 producing cytokine
Arm A: Prostate-Specific Antigen (PSA) T-cell Responses Post-vs. Pre-treatment
PT 25 (CD4) IL2
0 Absolute # CD4 or CD8 producing cytokine
Arm A: Prostate-Specific Antigen (PSA) T-cell Responses Post-vs. Pre-treatment
PT 25 (CD4) TNF
0 Absolute # CD4 or CD8 producing cytokine
Arm A: Prostate-Specific Antigen (PSA) T-cell Responses Post-vs. Pre-treatment
PT 25 (CD8) CD107a
0 Absolute # CD4 or CD8 producing cytokine
Arm A: Prostate-Specific Antigen (PSA) T-cell Responses Post-vs. Pre-treatment
PT 25 (CD8) IFN-ϓ
248 Absolute # CD4 or CD8 producing cytokine
Arm A: Prostate-Specific Antigen (PSA) T-cell Responses Post-vs. Pre-treatment
PT 25 (CD8) IL2
30 Absolute # CD4 or CD8 producing cytokine
Arm A: Prostate-Specific Antigen (PSA) T-cell Responses Post-vs. Pre-treatment
PT 25 (CD8) TNF
630 Absolute # CD4 or CD8 producing cytokine
Arm A: Prostate-Specific Antigen (PSA) T-cell Responses Post-vs. Pre-treatment
PT 3 (CD4) CD107a
0 Absolute # CD4 or CD8 producing cytokine
Arm A: Prostate-Specific Antigen (PSA) T-cell Responses Post-vs. Pre-treatment
PT 3 (CD4) IFN-ϓ
0 Absolute # CD4 or CD8 producing cytokine
Arm A: Prostate-Specific Antigen (PSA) T-cell Responses Post-vs. Pre-treatment
PT 3 (CD4) IL2
0 Absolute # CD4 or CD8 producing cytokine
Arm A: Prostate-Specific Antigen (PSA) T-cell Responses Post-vs. Pre-treatment
PT 3 (CD4) TNF
0 Absolute # CD4 or CD8 producing cytokine
Arm A: Prostate-Specific Antigen (PSA) T-cell Responses Post-vs. Pre-treatment
PT 3 (CD8) CD107a
0 Absolute # CD4 or CD8 producing cytokine
Arm A: Prostate-Specific Antigen (PSA) T-cell Responses Post-vs. Pre-treatment
PT 3 (CD8) IFN-ϓ
0 Absolute # CD4 or CD8 producing cytokine
Arm A: Prostate-Specific Antigen (PSA) T-cell Responses Post-vs. Pre-treatment
PT 3 (CD8) IL2
14 Absolute # CD4 or CD8 producing cytokine
Arm A: Prostate-Specific Antigen (PSA) T-cell Responses Post-vs. Pre-treatment
PT 3 (CD8) TNF
0 Absolute # CD4 or CD8 producing cytokine
Arm A: Prostate-Specific Antigen (PSA) T-cell Responses Post-vs. Pre-treatment
PT 5 (CD4) CD107a
0 Absolute # CD4 or CD8 producing cytokine
Arm A: Prostate-Specific Antigen (PSA) T-cell Responses Post-vs. Pre-treatment
PT 5 (CD4) IFN-ϓ
0 Absolute # CD4 or CD8 producing cytokine
Arm A: Prostate-Specific Antigen (PSA) T-cell Responses Post-vs. Pre-treatment
PT 5 (CD4) IL2
0 Absolute # CD4 or CD8 producing cytokine
Arm A: Prostate-Specific Antigen (PSA) T-cell Responses Post-vs. Pre-treatment
PT 5 (CD4) TNF
0 Absolute # CD4 or CD8 producing cytokine
Arm A: Prostate-Specific Antigen (PSA) T-cell Responses Post-vs. Pre-treatment
PT 5 (CD8) CD107a
0 Absolute # CD4 or CD8 producing cytokine
Arm A: Prostate-Specific Antigen (PSA) T-cell Responses Post-vs. Pre-treatment
PT 5 (CD8) IFN-ϓ
0 Absolute # CD4 or CD8 producing cytokine
Arm A: Prostate-Specific Antigen (PSA) T-cell Responses Post-vs. Pre-treatment
PT 5 (CD8) IL2
0 Absolute # CD4 or CD8 producing cytokine
Arm A: Prostate-Specific Antigen (PSA) T-cell Responses Post-vs. Pre-treatment
PT 5 (CD8)TNF
25 Absolute # CD4 or CD8 producing cytokine
Arm A: Prostate-Specific Antigen (PSA) T-cell Responses Post-vs. Pre-treatment
PT 10 (CD4) CD107a
0 Absolute # CD4 or CD8 producing cytokine
Arm A: Prostate-Specific Antigen (PSA) T-cell Responses Post-vs. Pre-treatment
PT 10 (CD4) IFN-ϓ
6 Absolute # CD4 or CD8 producing cytokine
Arm A: Prostate-Specific Antigen (PSA) T-cell Responses Post-vs. Pre-treatment
PT 10 (CD4) IL2
0 Absolute # CD4 or CD8 producing cytokine
Arm A: Prostate-Specific Antigen (PSA) T-cell Responses Post-vs. Pre-treatment
PT 10 (CD4) TNF
0 Absolute # CD4 or CD8 producing cytokine
Arm A: Prostate-Specific Antigen (PSA) T-cell Responses Post-vs. Pre-treatment
PT 10 (CD8) CD107a
0 Absolute # CD4 or CD8 producing cytokine
Arm A: Prostate-Specific Antigen (PSA) T-cell Responses Post-vs. Pre-treatment
PT 10 (CD8) IFN-ϓ
21 Absolute # CD4 or CD8 producing cytokine
Arm A: Prostate-Specific Antigen (PSA) T-cell Responses Post-vs. Pre-treatment
PT 10 (CD8) IL2
0 Absolute # CD4 or CD8 producing cytokine
Arm A: Prostate-Specific Antigen (PSA) T-cell Responses Post-vs. Pre-treatment
PT 10 (CD8) TNF
0 Absolute # CD4 or CD8 producing cytokine

SECONDARY outcome

Timeframe: Approximately 60 days

Population: (a)Cytokine or CD107a in CD4 or CD8. \*Pts displayed pre-existing PSA-specific T-cell responses. Numbers 786, 374, 345, 402, 821, 815, 5269, 453, 633, 1242 \& 0 for PT 2 CD4/CD8 IL2 \& 0 for PT 16 TNF are those positive post- vs. pre-vaccination. Absolute # CD4 or CD8 producing cytokine/CD107a+/1x10(6) cells plated at start of in vitro stimulation.

PSA T-cell responses were measured by fluorescence activated cell sorting (FACS)-based assay for T-cells expressing type I cytokines interferon (IFN-ϓ), interleukin 2 (IL2), tumor necrosis factor alpha (TNF-a) and/or lysosome-associated membrane protein (CD107a).

Outcome measures

Outcome measures
Measure
Arm A - EDTMP Alone
n=10 Participants
Patients receive samarium Sm 153 lexidronam pentasodium 1 mCi/Kg intravenous (IV) over 1 minute on day 8. Treatment repeats every 12 weeks in the absence of disease progression or unacceptable toxicity.
Arm B - 153Sm-EDTMP With Vaccine
Patients receive recombinant vaccinia-TRICOM vaccine 2 x 10\^8 PFU subcutaneously (SC) on day 1. Patients also receive recombinant fowlpox-TRICOM vaccine 1 x 10\^9 PFU SC on days 15 and 29 and sargramostim (GM-CSF) 100 mcg/injection SC x 4 days. Treatment with recombinant fowlpox-TRICOM vaccine and GM-CSF\* repeats every 4 weeks in the absence of disease progression or unacceptable toxicity. Patients also receive samarium Sm 153 lexidronam pentasodium 1 mCi/Kg as in arm I.
Arm B: Prostate-Specific Antigen (PSA) T-cell Responses Post-vs. Pre-treatment
PT 2 (CD8) TNF
323 Absolute # CD4 or CD8 producing cytokine
Arm B: Prostate-Specific Antigen (PSA) T-cell Responses Post-vs. Pre-treatment
PT 8 (CD4) CD107a
58 Absolute # CD4 or CD8 producing cytokine
Arm B: Prostate-Specific Antigen (PSA) T-cell Responses Post-vs. Pre-treatment
PT 8 (CD4) IFN-ϓ
345 Absolute # CD4 or CD8 producing cytokine
Arm B: Prostate-Specific Antigen (PSA) T-cell Responses Post-vs. Pre-treatment
PT 8 (CD4) IL2
0 Absolute # CD4 or CD8 producing cytokine
Arm B: Prostate-Specific Antigen (PSA) T-cell Responses Post-vs. Pre-treatment
PT 8 (CD4) TNF
245 Absolute # CD4 or CD8 producing cytokine
Arm B: Prostate-Specific Antigen (PSA) T-cell Responses Post-vs. Pre-treatment
PT 12 (CD4) IL2
0 Absolute # CD4 or CD8 producing cytokine
Arm B: Prostate-Specific Antigen (PSA) T-cell Responses Post-vs. Pre-treatment
PT 12 (CD4) TNF
0 Absolute # CD4 or CD8 producing cytokine
Arm B: Prostate-Specific Antigen (PSA) T-cell Responses Post-vs. Pre-treatment
PT 21 (CD8) IFN-ϓ
214 Absolute # CD4 or CD8 producing cytokine
Arm B: Prostate-Specific Antigen (PSA) T-cell Responses Post-vs. Pre-treatment
PT 21 (CD8) IL2
0 Absolute # CD4 or CD8 producing cytokine
Arm B: Prostate-Specific Antigen (PSA) T-cell Responses Post-vs. Pre-treatment
PT 21 (CD8) TNF
0 Absolute # CD4 or CD8 producing cytokine
Arm B: Prostate-Specific Antigen (PSA) T-cell Responses Post-vs. Pre-treatment
PT 24* (CD8) IL2
8 Absolute # CD4 or CD8 producing cytokine
Arm B: Prostate-Specific Antigen (PSA) T-cell Responses Post-vs. Pre-treatment
PT 24* (CD8) TNF
179 Absolute # CD4 or CD8 producing cytokine
Arm B: Prostate-Specific Antigen (PSA) T-cell Responses Post-vs. Pre-treatment
PT 27* (CD4) IL2
0 Absolute # CD4 or CD8 producing cytokine
Arm B: Prostate-Specific Antigen (PSA) T-cell Responses Post-vs. Pre-treatment
PT 27* (CD4) TNF
0 Absolute # CD4 or CD8 producing cytokine
Arm B: Prostate-Specific Antigen (PSA) T-cell Responses Post-vs. Pre-treatment
PT 27* (CD8) TNF
0 Absolute # CD4 or CD8 producing cytokine
Arm B: Prostate-Specific Antigen (PSA) T-cell Responses Post-vs. Pre-treatment
PT 2 (CD4) CD107a
0 Absolute # CD4 or CD8 producing cytokine
Arm B: Prostate-Specific Antigen (PSA) T-cell Responses Post-vs. Pre-treatment
PT 2 (CD4) IFN-ϓ
786 Absolute # CD4 or CD8 producing cytokine
Arm B: Prostate-Specific Antigen (PSA) T-cell Responses Post-vs. Pre-treatment
PT 2 (CD4) IL2
0 Absolute # CD4 or CD8 producing cytokine
Arm B: Prostate-Specific Antigen (PSA) T-cell Responses Post-vs. Pre-treatment
PT 2 (CD4) TNF
374 Absolute # CD4 or CD8 producing cytokine
Arm B: Prostate-Specific Antigen (PSA) T-cell Responses Post-vs. Pre-treatment
PT 2 (CD8) CD107a
5269 Absolute # CD4 or CD8 producing cytokine
Arm B: Prostate-Specific Antigen (PSA) T-cell Responses Post-vs. Pre-treatment
PT 2 (CD8) IFN-ϓ
453 Absolute # CD4 or CD8 producing cytokine
Arm B: Prostate-Specific Antigen (PSA) T-cell Responses Post-vs. Pre-treatment
PT 2 (CD8) IL2
0 Absolute # CD4 or CD8 producing cytokine
Arm B: Prostate-Specific Antigen (PSA) T-cell Responses Post-vs. Pre-treatment
PT 8 (CD8) CD107a
633 Absolute # CD4 or CD8 producing cytokine
Arm B: Prostate-Specific Antigen (PSA) T-cell Responses Post-vs. Pre-treatment
PT 8 (CD8) IFN-ϓ
136 Absolute # CD4 or CD8 producing cytokine
Arm B: Prostate-Specific Antigen (PSA) T-cell Responses Post-vs. Pre-treatment
PT 8 (CD8) IL2
0 Absolute # CD4 or CD8 producing cytokine
Arm B: Prostate-Specific Antigen (PSA) T-cell Responses Post-vs. Pre-treatment
PT 8 (CD8) TNF
35 Absolute # CD4 or CD8 producing cytokine
Arm B: Prostate-Specific Antigen (PSA) T-cell Responses Post-vs. Pre-treatment
PT 12 (CD4) CD107a
0 Absolute # CD4 or CD8 producing cytokine
Arm B: Prostate-Specific Antigen (PSA) T-cell Responses Post-vs. Pre-treatment
PT 12 (CD4) IFN-ϓ
0 Absolute # CD4 or CD8 producing cytokine
Arm B: Prostate-Specific Antigen (PSA) T-cell Responses Post-vs. Pre-treatment
PT 12 (CD8) CD107a
58 Absolute # CD4 or CD8 producing cytokine
Arm B: Prostate-Specific Antigen (PSA) T-cell Responses Post-vs. Pre-treatment
PT 12 (CD8) IFN-ϓ
0 Absolute # CD4 or CD8 producing cytokine
Arm B: Prostate-Specific Antigen (PSA) T-cell Responses Post-vs. Pre-treatment
PT 12 (CD8) IL2
0 Absolute # CD4 or CD8 producing cytokine
Arm B: Prostate-Specific Antigen (PSA) T-cell Responses Post-vs. Pre-treatment
PT 12 (CD8) TNF
0 Absolute # CD4 or CD8 producing cytokine
Arm B: Prostate-Specific Antigen (PSA) T-cell Responses Post-vs. Pre-treatment
PT 18 (CD4) CD107a
0 Absolute # CD4 or CD8 producing cytokine
Arm B: Prostate-Specific Antigen (PSA) T-cell Responses Post-vs. Pre-treatment
PT 18 (CD4) IFN-ϓ
0 Absolute # CD4 or CD8 producing cytokine
Arm B: Prostate-Specific Antigen (PSA) T-cell Responses Post-vs. Pre-treatment
PT 18 (CD4) IL2
75 Absolute # CD4 or CD8 producing cytokine
Arm B: Prostate-Specific Antigen (PSA) T-cell Responses Post-vs. Pre-treatment
PT 18 (CD4) TNF
402 Absolute # CD4 or CD8 producing cytokine
Arm B: Prostate-Specific Antigen (PSA) T-cell Responses Post-vs. Pre-treatment
PT 18 (CD8) CD107a
0 Absolute # CD4 or CD8 producing cytokine
Arm B: Prostate-Specific Antigen (PSA) T-cell Responses Post-vs. Pre-treatment
PT 18 (CD8) IFN-ϓ
0 Absolute # CD4 or CD8 producing cytokine
Arm B: Prostate-Specific Antigen (PSA) T-cell Responses Post-vs. Pre-treatment
PT 18 (CD8) IL2
0 Absolute # CD4 or CD8 producing cytokine
Arm B: Prostate-Specific Antigen (PSA) T-cell Responses Post-vs. Pre-treatment
PT 18 (CD8) TNF
35 Absolute # CD4 or CD8 producing cytokine
Arm B: Prostate-Specific Antigen (PSA) T-cell Responses Post-vs. Pre-treatment
PT 21 (CD4) CD107a
0 Absolute # CD4 or CD8 producing cytokine
Arm B: Prostate-Specific Antigen (PSA) T-cell Responses Post-vs. Pre-treatment
PT 21 (CD4) IFN-ϓ
45 Absolute # CD4 or CD8 producing cytokine
Arm B: Prostate-Specific Antigen (PSA) T-cell Responses Post-vs. Pre-treatment
PT 21 (CD4) IL2
0 Absolute # CD4 or CD8 producing cytokine
Arm B: Prostate-Specific Antigen (PSA) T-cell Responses Post-vs. Pre-treatment
PT 21 (CD4) TNF
0 Absolute # CD4 or CD8 producing cytokine
Arm B: Prostate-Specific Antigen (PSA) T-cell Responses Post-vs. Pre-treatment
PT 11 (CD8) CD107a
0 Absolute # CD4 or CD8 producing cytokine
Arm B: Prostate-Specific Antigen (PSA) T-cell Responses Post-vs. Pre-treatment
PT 24* (CD4) CD107a
0 Absolute # CD4 or CD8 producing cytokine
Arm B: Prostate-Specific Antigen (PSA) T-cell Responses Post-vs. Pre-treatment
PT 24* (CD4) IFN-ϓ
0 Absolute # CD4 or CD8 producing cytokine
Arm B: Prostate-Specific Antigen (PSA) T-cell Responses Post-vs. Pre-treatment
PT 24* (CD4) IL2
149 Absolute # CD4 or CD8 producing cytokine
Arm B: Prostate-Specific Antigen (PSA) T-cell Responses Post-vs. Pre-treatment
PT 24* (CD4) TNF
181 Absolute # CD4 or CD8 producing cytokine
Arm B: Prostate-Specific Antigen (PSA) T-cell Responses Post-vs. Pre-treatment
PT 24* (CD8) CD107a
1242 Absolute # CD4 or CD8 producing cytokine
Arm B: Prostate-Specific Antigen (PSA) T-cell Responses Post-vs. Pre-treatment
PT 24* (CD8) IFN-ϓ
0 Absolute # CD4 or CD8 producing cytokine
Arm B: Prostate-Specific Antigen (PSA) T-cell Responses Post-vs. Pre-treatment
PT 14 (CD4) CD107a
821 Absolute # CD4 or CD8 producing cytokine
Arm B: Prostate-Specific Antigen (PSA) T-cell Responses Post-vs. Pre-treatment
PT 14 (CD4) IFN-ϓ
0 Absolute # CD4 or CD8 producing cytokine
Arm B: Prostate-Specific Antigen (PSA) T-cell Responses Post-vs. Pre-treatment
PT 14 (CD4) IL2
0 Absolute # CD4 or CD8 producing cytokine
Arm B: Prostate-Specific Antigen (PSA) T-cell Responses Post-vs. Pre-treatment
PT 14 (CD4) TNF
0 Absolute # CD4 or CD8 producing cytokine
Arm B: Prostate-Specific Antigen (PSA) T-cell Responses Post-vs. Pre-treatment
PT 14 (CD8) CD107a
0 Absolute # CD4 or CD8 producing cytokine
Arm B: Prostate-Specific Antigen (PSA) T-cell Responses Post-vs. Pre-treatment
PT 14 (CD8) IFN-ϓ
0 Absolute # CD4 or CD8 producing cytokine
Arm B: Prostate-Specific Antigen (PSA) T-cell Responses Post-vs. Pre-treatment
PT 14 (CD8) IL2
0 Absolute # CD4 or CD8 producing cytokine
Arm B: Prostate-Specific Antigen (PSA) T-cell Responses Post-vs. Pre-treatment
PT 14 (CD8) TNF
0 Absolute # CD4 or CD8 producing cytokine
Arm B: Prostate-Specific Antigen (PSA) T-cell Responses Post-vs. Pre-treatment
PT 16 (CD4) CD107a
0 Absolute # CD4 or CD8 producing cytokine
Arm B: Prostate-Specific Antigen (PSA) T-cell Responses Post-vs. Pre-treatment
PT 16 (CD4) IFN-ϓ
0 Absolute # CD4 or CD8 producing cytokine
Arm B: Prostate-Specific Antigen (PSA) T-cell Responses Post-vs. Pre-treatment
PT 16 (CD4) IL2
0 Absolute # CD4 or CD8 producing cytokine
Arm B: Prostate-Specific Antigen (PSA) T-cell Responses Post-vs. Pre-treatment
PT 16 (CD4) TNF
0 Absolute # CD4 or CD8 producing cytokine
Arm B: Prostate-Specific Antigen (PSA) T-cell Responses Post-vs. Pre-treatment
PT 16 (CD8) CD107a
0 Absolute # CD4 or CD8 producing cytokine
Arm B: Prostate-Specific Antigen (PSA) T-cell Responses Post-vs. Pre-treatment
PT 16 (CD8) IFN-ϓ
0 Absolute # CD4 or CD8 producing cytokine
Arm B: Prostate-Specific Antigen (PSA) T-cell Responses Post-vs. Pre-treatment
PT 16 (CD8) IL2
9 Absolute # CD4 or CD8 producing cytokine
Arm B: Prostate-Specific Antigen (PSA) T-cell Responses Post-vs. Pre-treatment
PT 16 (CD8) TNF
0 Absolute # CD4 or CD8 producing cytokine
Arm B: Prostate-Specific Antigen (PSA) T-cell Responses Post-vs. Pre-treatment
PT 26 (CD4) CD107a
815 Absolute # CD4 or CD8 producing cytokine
Arm B: Prostate-Specific Antigen (PSA) T-cell Responses Post-vs. Pre-treatment
PT 26 (CD4) IFN-ϓ
0 Absolute # CD4 or CD8 producing cytokine
Arm B: Prostate-Specific Antigen (PSA) T-cell Responses Post-vs. Pre-treatment
PT 26 (CD4) IL2
0 Absolute # CD4 or CD8 producing cytokine
Arm B: Prostate-Specific Antigen (PSA) T-cell Responses Post-vs. Pre-treatment
PT 26 (CD4) TNF
0 Absolute # CD4 or CD8 producing cytokine
Arm B: Prostate-Specific Antigen (PSA) T-cell Responses Post-vs. Pre-treatment
PT 26 (CD8) CD107a
149 Absolute # CD4 or CD8 producing cytokine
Arm B: Prostate-Specific Antigen (PSA) T-cell Responses Post-vs. Pre-treatment
PT 26 (CD8) IFN-ϓ
0 Absolute # CD4 or CD8 producing cytokine
Arm B: Prostate-Specific Antigen (PSA) T-cell Responses Post-vs. Pre-treatment
PT 26 (CD8) IL2
0 Absolute # CD4 or CD8 producing cytokine
Arm B: Prostate-Specific Antigen (PSA) T-cell Responses Post-vs. Pre-treatment
PT 26 (CD8) TNF
0 Absolute # CD4 or CD8 producing cytokine
Arm B: Prostate-Specific Antigen (PSA) T-cell Responses Post-vs. Pre-treatment
PT 27* (CD4) CD107a
0 Absolute # CD4 or CD8 producing cytokine
Arm B: Prostate-Specific Antigen (PSA) T-cell Responses Post-vs. Pre-treatment
PT 27* (CD4) IFN-ϓ
0 Absolute # CD4 or CD8 producing cytokine
Arm B: Prostate-Specific Antigen (PSA) T-cell Responses Post-vs. Pre-treatment
PT 27* (CD8) CD107a
0 Absolute # CD4 or CD8 producing cytokine
Arm B: Prostate-Specific Antigen (PSA) T-cell Responses Post-vs. Pre-treatment
PT 27* (CD8) IFN-ϓ
0 Absolute # CD4 or CD8 producing cytokine
Arm B: Prostate-Specific Antigen (PSA) T-cell Responses Post-vs. Pre-treatment
PT 27* (CD8) IL2
0 Absolute # CD4 or CD8 producing cytokine

SECONDARY outcome

Timeframe: 4 weeks

Population: Not all participants was measureable by RECIST.

Objective response was assessed by the Response Evaluation Criteria in Solid Tumors (RECIST). Complete response (CR) is the disappearance of all target lesions. Partial response (PR) is at least a 30% increase in the sum of the LD of target lesions, taking as reference the baseline sum LD.

Outcome measures

Outcome measures
Measure
Arm A - EDTMP Alone
n=18 Participants
Patients receive samarium Sm 153 lexidronam pentasodium 1 mCi/Kg intravenous (IV) over 1 minute on day 8. Treatment repeats every 12 weeks in the absence of disease progression or unacceptable toxicity.
Arm B - 153Sm-EDTMP With Vaccine
n=21 Participants
Patients receive recombinant vaccinia-TRICOM vaccine 2 x 10\^8 PFU subcutaneously (SC) on day 1. Patients also receive recombinant fowlpox-TRICOM vaccine 1 x 10\^9 PFU SC on days 15 and 29 and sargramostim (GM-CSF) 100 mcg/injection SC x 4 days. Treatment with recombinant fowlpox-TRICOM vaccine and GM-CSF\* repeats every 4 weeks in the absence of disease progression or unacceptable toxicity. Patients also receive samarium Sm 153 lexidronam pentasodium 1 mCi/Kg as in arm I.
Objective Response (Complete Response + Partial Response)
Complete Response
0 participants
0 participants
Objective Response (Complete Response + Partial Response)
Partial Response
0 participants
0 participants

SECONDARY outcome

Timeframe: Baseline

Subjective report of participant pain at baseline.This data reflects National Cancer Institute (NCI) patients only. This data was not systematically captured, so these results are based on subjective patient reports of improvement in pain on a scale of 1-10 post quadramet (samarium) as documented in the progress notes. 1-2 equals mild pain and 9-10 equals worst possible pain.

Outcome measures

Outcome measures
Measure
Arm A - EDTMP Alone
n=14 Participants
Patients receive samarium Sm 153 lexidronam pentasodium 1 mCi/Kg intravenous (IV) over 1 minute on day 8. Treatment repeats every 12 weeks in the absence of disease progression or unacceptable toxicity.
Arm B - 153Sm-EDTMP With Vaccine
n=13 Participants
Patients receive recombinant vaccinia-TRICOM vaccine 2 x 10\^8 PFU subcutaneously (SC) on day 1. Patients also receive recombinant fowlpox-TRICOM vaccine 1 x 10\^9 PFU SC on days 15 and 29 and sargramostim (GM-CSF) 100 mcg/injection SC x 4 days. Treatment with recombinant fowlpox-TRICOM vaccine and GM-CSF\* repeats every 4 weeks in the absence of disease progression or unacceptable toxicity. Patients also receive samarium Sm 153 lexidronam pentasodium 1 mCi/Kg as in arm I.
Palliation: Pain at Baseline
10 participants
8 participants

SECONDARY outcome

Timeframe: post quadramet (samarium)

Subjective report of participant pain at baseline. This data reflects National Cancer Institute (NCI) patients only. This data was not systematically captured, so these results are based on subjective patient reports of improvement in pain on a scale of 1-10 post quadramet (samarium) as documented in the progress notes. 1-2 equals mild pain and 9-10 equals worst possible pain.

Outcome measures

Outcome measures
Measure
Arm A - EDTMP Alone
n=10 Participants
Patients receive samarium Sm 153 lexidronam pentasodium 1 mCi/Kg intravenous (IV) over 1 minute on day 8. Treatment repeats every 12 weeks in the absence of disease progression or unacceptable toxicity.
Arm B - 153Sm-EDTMP With Vaccine
n=8 Participants
Patients receive recombinant vaccinia-TRICOM vaccine 2 x 10\^8 PFU subcutaneously (SC) on day 1. Patients also receive recombinant fowlpox-TRICOM vaccine 1 x 10\^9 PFU SC on days 15 and 29 and sargramostim (GM-CSF) 100 mcg/injection SC x 4 days. Treatment with recombinant fowlpox-TRICOM vaccine and GM-CSF\* repeats every 4 weeks in the absence of disease progression or unacceptable toxicity. Patients also receive samarium Sm 153 lexidronam pentasodium 1 mCi/Kg as in arm I.
Palliation: Improvement in Baseline Pain
6 participants
5 participants

Adverse Events

Arm A -EDTMP Alone

Serious events: 5 serious events
Other events: 19 other events
Deaths: 0 deaths

Arm B - 153SmEDTMP With Vaccine

Serious events: 5 serious events
Other events: 22 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Arm A -EDTMP Alone
n=21 participants at risk
Patients receive samarium Sm 153 lexidronam pentasodium 1 mCi/Kg intravenous (IV) over 1 minute on day 8. Treatment repeats every 12 weeks in the absence of disease progression or unacceptable toxicity.
Arm B - 153SmEDTMP With Vaccine
n=22 participants at risk
Patients receive recombinant vaccinia-TRICOM vaccine 2 x 10\^8 PFU subcutaneously (SC) on day 1. Patients also receive recombinant fowlpox-TRICOM vaccine 1 x 10\^9 PFU SC on days 15 and 29 and sargramostim (GM-CSF) 100 mcg/injection SC x 4 days. Treatment with recombinant fowlpox-TRICOM vaccine and GM-CSF\* repeats every 4 weeks in the absence of disease progression or unacceptable toxicity. Patients also receive samarium Sm 153 lexidronam pentasodium 1 mCi/Kg as in arm I.
Blood and lymphatic system disorders
Anemia
4.8%
1/21 • Number of events 3
0.00%
0/22
General disorders
Death NOS
4.8%
1/21 • Number of events 1
0.00%
0/22
Respiratory, thoracic and mediastinal disorders
Dyspnea
4.8%
1/21 • Number of events 1
0.00%
0/22
General disorders
Fatigue
4.8%
1/21 • Number of events 1
4.5%
1/22 • Number of events 1
Nervous system disorders
Headache
4.8%
1/21 • Number of events 1
0.00%
0/22
Gastrointestinal disorders
Nausea
4.8%
1/21 • Number of events 3
0.00%
0/22
General disorders
Pain
4.8%
1/21 • Number of events 1
9.1%
2/22 • Number of events 2
Investigations
Platelet count decreased
4.8%
1/21 • Number of events 1
4.5%
1/22 • Number of events 3
Gastrointestinal disorders
Vomiting
4.8%
1/21 • Number of events 3
0.00%
0/22
Musculoskeletal and connective tissue disorders
Bone pain
0.00%
0/21
4.5%
1/22 • Number of events 1
Metabolism and nutrition disorders
Dehydration
0.00%
0/21
4.5%
1/22 • Number of events 1
Nervous system disorders
Dizziness
0.00%
0/21
4.5%
1/22 • Number of events 1
Infections and infestations
Infections and infestations, Other, specify
0.00%
0/21
4.5%
1/22 • Number of events 1
Nervous system disorders
Presyncope
0.00%
0/21
4.5%
1/22 • Number of events 1

Other adverse events

Other adverse events
Measure
Arm A -EDTMP Alone
n=21 participants at risk
Patients receive samarium Sm 153 lexidronam pentasodium 1 mCi/Kg intravenous (IV) over 1 minute on day 8. Treatment repeats every 12 weeks in the absence of disease progression or unacceptable toxicity.
Arm B - 153SmEDTMP With Vaccine
n=22 participants at risk
Patients receive recombinant vaccinia-TRICOM vaccine 2 x 10\^8 PFU subcutaneously (SC) on day 1. Patients also receive recombinant fowlpox-TRICOM vaccine 1 x 10\^9 PFU SC on days 15 and 29 and sargramostim (GM-CSF) 100 mcg/injection SC x 4 days. Treatment with recombinant fowlpox-TRICOM vaccine and GM-CSF\* repeats every 4 weeks in the absence of disease progression or unacceptable toxicity. Patients also receive samarium Sm 153 lexidronam pentasodium 1 mCi/Kg as in arm I.
Injury, poisoning and procedural complications
Bruising
9.5%
2/21 • Number of events 2
9.1%
2/22 • Number of events 2
Investigations
CPK increased
9.5%
2/21 • Number of events 2
0.00%
0/22
Cardiac disorders
Cardiac disorders - Other, (sinus tachycardia)
4.8%
1/21 • Number of events 1
0.00%
0/22
Musculoskeletal and connective tissue disorders
Chest wall pain
4.8%
1/21 • Number of events 1
4.5%
1/22 • Number of events 1
Gastrointestinal disorders
Constipation
23.8%
5/21 • Number of events 6
22.7%
5/22 • Number of events 6
Respiratory, thoracic and mediastinal disorders
Cough
4.8%
1/21 • Number of events 2
4.5%
1/22 • Number of events 1
Investigations
Creatinine increased
9.5%
2/21 • Number of events 2
9.1%
2/22 • Number of events 3
Metabolism and nutrition disorders
Dehydration
14.3%
3/21 • Number of events 3
0.00%
0/22
Nervous system disorders
Dizziness
9.5%
2/21 • Number of events 4
18.2%
4/22 • Number of events 5
Respiratory, thoracic and mediastinal disorders
Dyspnea
9.5%
2/21 • Number of events 2
9.1%
2/22 • Number of events 2
General disorders
Edema: limbs
9.5%
2/21 • Number of events 2
9.1%
2/22 • Number of events 2
General disorders
Fatigue
47.6%
10/21 • Number of events 13
54.5%
12/22 • Number of events 24
General disorders
Fever
14.3%
3/21 • Number of events 3
13.6%
3/22 • Number of events 7
Gastrointestinal disorders
Flatulence
4.8%
1/21 • Number of events 1
4.5%
1/22 • Number of events 1
Gastrointestinal disorders
Gastroparesis
4.8%
1/21 • Number of events 1
0.00%
0/22
Musculoskeletal and connective tissue disorders
Generalized muscle weakness
4.8%
1/21 • Number of events 3
0.00%
0/22
Vascular disorders
Hematoma
9.5%
2/21 • Number of events 2
0.00%
0/22
Renal and urinary disorders
Hematuria
9.5%
2/21 • Number of events 3
9.1%
2/22 • Number of events 2
Blood and lymphatic system disorders
Hemolysis
4.8%
1/21 • Number of events 1
0.00%
0/22
Vascular disorders
Hot flashes
4.8%
1/21 • Number of events 1
0.00%
0/22
Metabolism and nutrition disorders
Hypercalcemia
9.5%
2/21 • Number of events 2
4.5%
1/22 • Number of events 1
Metabolism and nutrition disorders
Hyperglycemia
14.3%
3/21 • Number of events 3
36.4%
8/22 • Number of events 8
Metabolism and nutrition disorders
Hyperkalemia
19.0%
4/21 • Number of events 6
18.2%
4/22 • Number of events 4
Metabolism and nutrition disorders
Hypermagnesemia
14.3%
3/21 • Number of events 4
27.3%
6/22 • Number of events 6
Metabolism and nutrition disorders
Hypoalbuminemia
38.1%
8/21 • Number of events 12
27.3%
6/22 • Number of events 8
Metabolism and nutrition disorders
Hypocalcemia
14.3%
3/21 • Number of events 7
22.7%
5/22 • Number of events 5
Metabolism and nutrition disorders
Hypokalemia
4.8%
1/21 • Number of events 1
9.1%
2/22 • Number of events 3
Metabolism and nutrition disorders
Hypomagnesemia
9.5%
2/21 • Number of events 2
0.00%
0/22
Metabolism and nutrition disorders
Hyponatremia
28.6%
6/21 • Number of events 7
4.5%
1/22 • Number of events 3
Metabolism and nutrition disorders
Hypophosphatemia
4.8%
1/21 • Number of events 1
9.1%
2/22 • Number of events 4
Vascular disorders
Hypotension
4.8%
1/21 • Number of events 3
4.5%
1/22 • Number of events 1
Investigations
INR increased
4.8%
1/21 • Number of events 1
4.5%
1/22 • Number of events 1
Investigations
Investigations-Other, specify
9.5%
2/21 • Number of events 2
9.1%
2/22 • Number of events 3
Investigations
Lymphocyte count decreased
52.4%
11/21 • Number of events 19
50.0%
11/22 • Number of events 21
Metabolism and nutrition disorders
Metabolism and nutrition disorders - Other, specify
9.5%
2/21 • Number of events 6
9.1%
2/22 • Number of events 3
Musculoskeletal and connective tissue disorders
Muscle weakness lower limb
4.8%
1/21 • Number of events 1
0.00%
0/22
Musculoskeletal and connective tissue disorders
Musculoskeletal and connective tissue disorder-Other, specify
4.8%
1/21 • Number of events 2
4.5%
1/22 • Number of events 1
Gastrointestinal disorders
Nausea
38.1%
8/21 • Number of events 11
31.8%
7/22 • Number of events 8
Nervous system disorders
Nervous system disorders - Other, (sensory neuropathy)
4.8%
1/21 • Number of events 1
0.00%
0/22
Investigations
Neutrophil count decreased
38.1%
8/21 • Number of events 15
72.7%
16/22 • Number of events 43
Gastrointestinal disorders
Oral hemorrhage
4.8%
1/21 • Number of events 1
0.00%
0/22
General disorders
Pain
28.6%
6/21 • Number of events 6
40.9%
9/22 • Number of events 13
Nervous system disorders
Peripheral sensory neuropathy
4.8%
1/21 • Number of events 1
13.6%
3/22 • Number of events 3
Investigations
Platelet count decreased
66.7%
14/21 • Number of events 29
86.4%
19/22 • Number of events 56
Respiratory, thoracic and mediastinal disorders
Pleural effusion
4.8%
1/21 • Number of events 1
0.00%
0/22
Renal and urinary disorders
Proteinuria
9.5%
2/21 • Number of events 2
36.4%
8/22 • Number of events 12
Skin and subcutaneous tissue disorders
Purpura
4.8%
1/21 • Number of events 1
0.00%
0/22
Renal and urinary disorders
Renal and urinary disorders - Other, specify
4.8%
1/21 • Number of events 1
0.00%
0/22
Cardiac disorders
Sinus tachycardia
4.8%
1/21 • Number of events 1
0.00%
0/22
Vascular disorders
Thromboembolic event
4.8%
1/21 • Number of events 5
4.5%
1/22 • Number of events 1
Respiratory, thoracic and mediastinal disorders
Upper respiratory infection
4.8%
1/21 • Number of events 1
4.5%
1/22 • Number of events 1
Renal and urinary disorders
Urinary tract infection
4.8%
1/21 • Number of events 1
4.5%
1/22 • Number of events 1
Renal and urinary disorders
Urinary tract obstruction
4.8%
1/21 • Number of events 1
0.00%
0/22
Gastrointestinal disorders
Vomiting
23.8%
5/21 • Number of events 6
18.2%
4/22 • Number of events 4
Investigations
Weight loss
23.8%
5/21 • Number of events 6
22.7%
5/22 • Number of events 5
Investigations
White blood cell decreased
66.7%
14/21 • Number of events 29
77.3%
17/22 • Number of events 49
Gastrointestinal disorders
Abdominal pain
0.00%
0/21
9.1%
2/22 • Number of events 2
Investigations
Activated partial thromboplastin time prolonged
0.00%
0/21
4.5%
1/22 • Number of events 1
Psychiatric disorders
Agitation
0.00%
0/21
4.5%
1/22 • Number of events 1
Immune system disorders
Allergic reaction
0.00%
0/21
4.5%
1/22 • Number of events 1
Eye disorders
Blurred vision
0.00%
0/21
4.5%
1/22 • Number of events 1
General disorders
Chills
0.00%
0/21
18.2%
4/22 • Number of events 5
Psychiatric disorders
Confusion
0.00%
0/21
4.5%
1/22 • Number of events 1
Gastrointestinal disorders
Dental caries
0.00%
0/21
4.5%
1/22 • Number of events 1
Psychiatric disorders
Depression
0.00%
0/21
4.5%
1/22 • Number of events 1
General disorders
Edema face
0.00%
0/21
4.5%
1/22 • Number of events 1
Gastrointestinal disorders
Diarrhea
0.00%
0/21
18.2%
4/22 • Number of events 4
Nervous system disorders
Dysgeusia
0.00%
0/21
4.5%
1/22 • Number of events 1
Gastrointestinal disorders
Esophageal pain
0.00%
0/21
4.5%
1/22 • Number of events 1
Injury, poisoning and procedural complications
Fall
0.00%
0/21
4.5%
1/22 • Number of events 1
General disorders
Flu like symptoms
0.00%
0/21
31.8%
7/22 • Number of events 9
General disorders
Gait disturbance
0.00%
0/21
4.5%
1/22 • Number of events 1
Nervous system disorders
Headache
0.00%
0/21
18.2%
4/22 • Number of events 6
Renal and urinary disorders
Hemoglobinuria
0.00%
0/21
13.6%
3/22 • Number of events 3
Skin and subcutaneous tissue disorders
hyperhidrosis
0.00%
0/21
4.5%
1/22 • Number of events 1
Gastrointestinal disorders
Mucositis oral
0.00%
0/21
4.5%
1/22 • Number of events 1
Nervous system disorders
Paresthesia
0.00%
0/21
4.5%
1/22 • Number of events 1
Skin and subcutaneous tissue disorders
Pruritus
0.00%
0/21
4.5%
1/22 • Number of events 1
Skin and subcutaneous tissue disorders
Rash maculo-papular
0.00%
0/21
4.5%
1/22 • Number of events 1
Skin and subcutaneous tissue disorders
Skin induration
0.00%
0/21
9.1%
2/22 • Number of events 2
Skin and subcutaneous tissue disorders
Skin infection
0.00%
0/21
4.5%
1/22 • Number of events 1
Skin and subcutaneous tissue disorders
Skin ulceration
0.00%
0/21
4.5%
1/22 • Number of events 1
Nervous system disorders
Syncope
0.00%
0/21
4.5%
1/22 • Number of events 1
Infections and infestations
Tooth infection
0.00%
0/21
9.1%
2/22 • Number of events 2
Gastrointestinal disorders
Toothache
0.00%
0/21
9.1%
2/22 • Number of events 3
Nervous system disorders
Trigeminal nerve disorder
0.00%
0/21
4.5%
1/22 • Number of events 1
Renal and urinary disorders
Urinary frequency
0.00%
0/21
4.5%
1/22 • Number of events 2
Renal and urinary disorders
Urinary incontinence
0.00%
0/21
9.1%
2/22 • Number of events 2
Renal and urinary disorders
Urinary retention
0.00%
0/21
9.1%
2/22 • Number of events 2
Skin and subcutaneous tissue disorders
Urticaria
0.00%
0/21
4.5%
1/22 • Number of events 1
Musculoskeletal and connective tissue disorders
Myalgia
0.00%
0/21
22.7%
5/22 • Number of events 6
Musculoskeletal and connective tissue disorders
Neck pain
0.00%
0/21
4.5%
1/22 • Number of events 1
Nervous system disorders
Neuralgia
0.00%
0/21
4.5%
1/22 • Number of events 1
Gastrointestinal disorders
Oral pain
0.00%
0/21
4.5%
1/22 • Number of events 1
Musculoskeletal and connective tissue disorders
pain in extremity
0.00%
0/21
4.5%
1/22 • Number of events 1
Respiratory, thoracic and mediastinal disorders
sinus disorder
0.00%
0/21
4.5%
1/22 • Number of events 1
Skin and subcutaneous tissue disorders
Skin and subcutaneous tissue disorders - Other, specify
0.00%
0/21
4.5%
1/22 • Number of events 1
Metabolism and nutrition disorders
Hypernatremia
0.00%
0/21
13.6%
3/22 • Number of events 4
Infections and infestations
Infections and infestations, Other, specify
0.00%
0/21
4.5%
1/22 • Number of events 2
General disorders
Injection site reaction
0.00%
0/21
50.0%
11/22 • Number of events 34
Investigations
Alanine aminotransferase increased
19.0%
4/21 • Number of events 4
0.00%
0/22
Investigations
Alkaline phosphatase increased
42.9%
9/21 • Number of events 13
45.5%
10/22 • Number of events 15
Blood and lymphatic system disorders
Anemia
57.1%
12/21 • Number of events 28
81.8%
18/22 • Number of events 45
Metabolism and nutrition disorders
Anorexia
38.1%
8/21 • Number of events 8
36.4%
8/22 • Number of events 11
Psychiatric disorders
Anxiety
4.8%
1/21 • Number of events 1
0.00%
0/22
Musculoskeletal and connective tissue disorders
Arthralgia
9.5%
2/21 • Number of events 3
13.6%
3/22 • Number of events 3
Investigations
Aspartate aminotransferase increased
28.6%
6/21 • Number of events 8
27.3%
6/22 • Number of events 10
Musculoskeletal and connective tissue disorders
Back pain
14.3%
3/21 • Number of events 3
18.2%
4/22 • Number of events 5
Blood and lymphatic system disorders
Blood and lymphatic system disorders - Other, specify
4.8%
1/21 • Number of events 2
0.00%
0/22
Investigations
Blood bilirubin increased
14.3%
3/21 • Number of events 3
9.1%
2/22 • Number of events 2
Musculoskeletal and connective tissue disorders
Bone pain
19.0%
4/21 • Number of events 4
27.3%
6/22 • Number of events 12

Additional Information

Dr. James Gulley, M.D.

National Cancer Institute, National Institutes of Health

Phone: 301-435-2956

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place