Vaccine Therapy in Treating Patients With Metastatic, Progressive Prostate Cancer

NCT ID: NCT00616291

Last Updated: 2012-11-06

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE1

Total Enrollment

14 participants

Study Classification

INTERVENTIONAL

Study Start Date

2006-04-30

Study Completion Date

2011-07-31

Brief Summary

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RATIONALE: Vaccines made from peptides may help the body build an effective immune response to kill tumor cells.

PURPOSE: This phase I trial is studying the side effects of a peptide vaccine in treating patients with metastatic prostate cancer.

Detailed Description

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OBJECTIVES:

Primary

* Evaluate the safety and tolerance of NY-ESO-1/LAGE-1 class-I and class-II vaccine administered subcutaneously in patients with androgen-independent metastatic prostate cancer.

Secondary

* Compare the response induced by immunotherapy with a combined class-I and class-II NY-ESO-1/LAGE-1 vaccine to responses obtained to either class I or class II peptides alone.
* Evaluate whether the inclusion of class-II epitopes in a peptide vaccine will result in a better antitumor immune response than class-I epitopes alone.
* Determine antitumor activity by antigen response assays including cytokine elaboration, changes in frequency of peripheral T cells that recognize tumor, and intra/peritumoral cellular infiltrates and cytokine expression in responding and nonresponding metastasis.

OUTLINE: Patients receive NY-ESO-1/LAGE-1 peptide vaccine subcutaneously every other week for 12 weeks in the absence of disease progression or unacceptable toxicity. The initial cohorts of patients are treated with one course of either MHC Class I-binding or MHC Class II-binding peptides. If these Class I or Class II binding peptides are safe individually, subsequent cohorts of patients with appropriate HLA type receive both types of peptides in combination.

After completion of study treatment, patients are followed every 6 months for up to 5 years.

Conditions

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Prostate Cancer

Keywords

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recurrent prostate cancer stage IV prostate cancer

Study Design

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Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Group I

MHC Class I binding peptide at 1000 mcg

Group Type EXPERIMENTAL

NY-ESO-1/LAGE-1 HLA class I/II peptide vaccine

Intervention Type BIOLOGICAL

Group II

MHC Class II binding peptide at 1000 mcg

Group Type EXPERIMENTAL

NY-ESO-1/LAGE-1 HLA class I/II peptide vaccine

Intervention Type BIOLOGICAL

Group III

Combination MHC Class I and II binding peptide at 1000 mcg each

Group Type EXPERIMENTAL

NY-ESO-1/LAGE-1 HLA class I/II peptide vaccine

Intervention Type BIOLOGICAL

Interventions

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NY-ESO-1/LAGE-1 HLA class I/II peptide vaccine

Intervention Type BIOLOGICAL

Eligibility Criteria

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Inclusion Criteria

* Patients must be typed for HLA-DR4, DR13, DP4, or HLA-A2 haplotypes
* No active brain metastases

PATIENT CHARACTERISTICS:

* Zubrod performance status 0-2
* Life expectancy ≥ 12 weeks
* ANC ≥ 1,500/mm³
* Hemoglobin ≥ 10 mg/dL
* Platelet count ≥ 100,000/mm³
* Bilirubin ≤ 1.5 mg/dL
* SGPT ≤ 3 times upper limit of normal
* Serum creatinine ≤ 2 mg/dL
* Wiling to be followed at Baylor College of Medicine
* No serious intercurrent medical illness
* No history of primary or secondary immunodeficiency
* No active systemic infection
* No known hepatitis B surface antigen, hepatitis C, or HIV antibody positivity
* No history of cardiac arrhythmia or ischemic heart disease

PRIOR CONCURRENT THERAPY:

* See Disease Characteristics
* At least 6 weeks since prior immunotherapy (including anti-androgen therapy) and recovered
* More than 28 days since prior chemotherapy
* No concurrent immunosuppressive drugs such as systemic corticosteroids
Minimum Eligible Age

18 Years

Eligible Sex

MALE

Accepts Healthy Volunteers

No

Sponsors

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National Cancer Institute (NCI)

NIH

Sponsor Role collaborator

Baylor College of Medicine

OTHER

Sponsor Role lead

Responsible Party

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Teresa Hayes

Associate Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Teresa G. Hayes, MD, PhD

Role: STUDY_CHAIR

Veterans Affairs Medical Center - Houston

Locations

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Dan L. Duncan Cancer Center at Baylor College of Medicine

Houston, Texas, United States

Site Status

Countries

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United States

References

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Sonpavde G, Wang M, Peterson LE, Wang HY, Joe T, Mims MP, Kadmon D, Ittmann MM, Wheeler TM, Gee AP, Wang RF, Hayes TG. HLA-restricted NY-ESO-1 peptide immunotherapy for metastatic castration resistant prostate cancer. Invest New Drugs. 2014 Apr;32(2):235-242. doi: 10.1007/s10637-013-9960-9. Epub 2013 Apr 23.

Reference Type DERIVED
PMID: 23609828 (View on PubMed)

Other Identifiers

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P50CA058204

Identifier Type: NIH

Identifier Source: secondary_id

View Link

BCM-H-17274

Identifier Type: -

Identifier Source: secondary_id

BCM-SPORE-11-01-30-14

Identifier Type: -

Identifier Source: secondary_id

CDR0000579579

Identifier Type: -

Identifier Source: org_study_id

NCT00711334

Identifier Type: -

Identifier Source: nct_alias