Lentivirus Transduced Acute Myeloid Leukaemia Blasts Expressing B7.1 (CD80) and IL-2

NCT ID: NCT00718250

Last Updated: 2008-07-18

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

UNKNOWN

Clinical Phase

PHASE1

Total Enrollment

24 participants

Study Classification

INTERVENTIONAL

Study Start Date

2008-05-31

Study Completion Date

2012-02-29

Brief Summary

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The purpose of this study is to assess the safety and tolerability of an 'AML Cell Vaccine' in patients with poor prognosis acute myeloid leukaemia (AML).

Detailed Description

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Conditions

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Leukemia, Myeloid, Acute

Keywords

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Acute myeloid leukaemia Cancer vaccines Immunotherapy

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

FACTORIAL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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cohort 1

AML Cell Vaccine alone

Group Type EXPERIMENTAL

RFUSIN2-AML1

Intervention Type BIOLOGICAL

AML cell vaccine alone. x4 doses 3 weeks apart

cohort 2

Donor leukocytes alone

Group Type EXPERIMENTAL

Donor leukocyte infusion (DLI)

Intervention Type BIOLOGICAL

1 dose 1x107/kg

cohort 3

AML cell vaccine and Donor Leukocyte Infusion (1x107/kg)

Group Type EXPERIMENTAL

RFUSIN2-AML1 and donor leukocyte infusion

Intervention Type BIOLOGICAL

AML cell vaccine x 4 doses 3 weeks apart Donor leukocyte infusion 1x107/kg x 1 dose

cohort 4

AML cell vaccine and Donor Leukocyte Infusion (1x108/kg)

Group Type EXPERIMENTAL

RFUSIN2-AML1 and donor leukocyte infusion

Intervention Type BIOLOGICAL

AML cell vaccine x4 doses 3 weeks apart Donor leukocyte infusion 1x108/kg x1 dose

Interventions

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RFUSIN2-AML1

AML cell vaccine alone. x4 doses 3 weeks apart

Intervention Type BIOLOGICAL

Donor leukocyte infusion (DLI)

1 dose 1x107/kg

Intervention Type BIOLOGICAL

RFUSIN2-AML1 and donor leukocyte infusion

AML cell vaccine x 4 doses 3 weeks apart Donor leukocyte infusion 1x107/kg x 1 dose

Intervention Type BIOLOGICAL

RFUSIN2-AML1 and donor leukocyte infusion

AML cell vaccine x4 doses 3 weeks apart Donor leukocyte infusion 1x108/kg x1 dose

Intervention Type BIOLOGICAL

Other Intervention Names

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RFUSIN2-AML1 RFUSIN2-AML1 RFUSIN2-AML1

Eligibility Criteria

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Inclusion Criteria

* Diagnosis of AML defined according to the WHO classification
* Age ≥ 18 years
* New presentation or relapsed AML
* Patients must be able to give written informed consent
* Failure to enter complete morphological remission (\>5% bone marrow AML cells) or persistence of cytogenetic abnormality following intensive combination chemotherapy At day+100 post-transplant
* HIV negative
* No GvHD
* No continuing use of immunosuppressive drugs
* Absence of active systemic fungal or viral infection including HTLV-1, hepatitis B or C.
* Adequate renal and liver function confirmed by: creatinine clearance \>30mls/min; bilirubin \<3.0 x upper limit of normal; AST \<3.0 x upper limit of normal; prothrombin time \<2.0 x upper limit of normal.

Performance status of 1 or less by ECOG criteria or \>80% by the Karnovsky score

* Patient must provide written informed consent and be willing to comply for the duration of the study.
* Life expectancy \>36 weeks
* Women of childbearing potential (WCBP) must have a negative serum or urine pregnancy test within 10 - 14 days and again within 24 hours of starting the study. In addition, sexually active WCBP must agree continued abstinence from heterosexual intercourse or to use adequate contraceptive methods starting 4 weeks prior to the initiation of therapy (see appendix G for pregnancy testing and birth control guidelines while on study). WCBP must agree to have pregnancy tests every 3 weeks while on study drug (every 14 days for women with irregular cycles) and 4 weeks after the last dose of study drug. Men must also agree to use a condom if their partner is of child bearing potential, even if they have had a successful vasectomy.

Exclusion Criteria

* Age \< 18 years
* Patients not fit for intensive chemotherapy
* Complete morphological and cytogenetic remission following intensive combination chemotherapy
* Absence of HLA compatible donor
* HIV positive
* Evidence of graft versus host disease at day+100 post transplant
* Evidence of relapse of leukaemia (≥5% bone marrow blasts)
* Concurrent use of other forms of anti-leukaemic therapy
* Other malignancy with the exception of carcinoma in situ.
* Significant history of heart disease (unstable angina, myocardial within the past six months, congestive cardiac failure requiring daily treatment)
* Evidence of active lung disease determined by chest x-ray and absence of chronic lung disease (FEV1\<60% predicted, Vital capacity \<60%, Tlco\<50%)
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Department of Health

AMBIG

Sponsor Role collaborator

Leukemia Research Fund

OTHER

Sponsor Role collaborator

Elimination of Leukaemia Fund

OTHER

Sponsor Role collaborator

King's College Hospital NHS Trust

OTHER

Sponsor Role lead

Responsible Party

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King's College Hospital NHS Foundation Trust, London, United Kingdom

Principal Investigators

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Ghulam J Mufti

Role: PRINCIPAL_INVESTIGATOR

King's College London, London, United Kingdom

Locations

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King's College Hospital NHS Foundation Trust

London, London, United Kingdom

Site Status RECRUITING

Countries

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United Kingdom

Central Contacts

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Ghulam J Mufti

Role: CONTACT

Phone: +44 2032999000

Email: [email protected]

Wendy Ingram

Role: CONTACT

Phone: +44 2032999000

Email: [email protected]

Other Identifiers

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EudraCT 2005-000806-29

Identifier Type: -

Identifier Source: secondary_id

GTAC GTAC098

Identifier Type: -

Identifier Source: secondary_id

O5CC14

Identifier Type: -

Identifier Source: org_study_id