Trial Outcomes & Findings for A Clinical Trial of Autologous Oxidized Tumor Cell Lysate Vaccine For Recurrent Ovarian, Fallopian Tube or Primary Peritoneal Cancer (NCT NCT01312389)

NCT ID: NCT01312389

Last Updated: 2021-11-15

Results Overview

Safety will be established by grading the observed toxicities using the NCI Common Toxicity Criteria (CTC Version 4.0). All toxicities observed within 30 days of last vaccination will be included. All patients that receive at least one vaccination will be included in the toxicity analysis.

Recruitment status

TERMINATED

Study phase

PHASE1/PHASE2

Target enrollment

3 participants

Primary outcome timeframe

within 30 days of last vaccination

Results posted on

2021-11-15

Participant Flow

Phase 1 patients were not to continue into Phase 2. If the study had continued, new patients would have been recruited into Phase 2.

Participant milestones

Participant milestones
Measure
Phase 1
3 patients will be enrolled receiving the vaccine (tumor lysate/Montanide) plus Ampligen using a 3+3 approach. If no DLTs in the first three subjects, we will move to phase II; if one 1/3 subject develops DLTs, we will enroll 3 additional subjects; if 2/6 subjects develop DLTs, we will discontinue the study. Following completion of run---in phase I (3 or 6 subjects), we will transition to Phase 2.
Phase 2, Arm A
10 patients will receive vaccine (OC-L, an autologous vaccine comprised of autologous oxidized tumor cell lysate, admixed with Montanide ISA 51 VG) injected by intradermal/subcutaneous injection in both groin regions. OC-L/Montanide ISA 51 VG: All subjects will receive OC-L/Montanide ISA 51 VG) on day 0, 14,28,42 and 56 with a +/- 5 day window. The vaccine will be divided in two or more intradermal/subcutaneous injections in the groin areas bilaterally. Ampligen: All subjects will receive intravenous Ampligen (200mg given by IV infusion 60 +- minutes) 3 times starting 2-3 days after each vaccine administration. Each of the 3 Ampligen (200 mg) infusions will be separated by 2-3 days. Prevnar: A vaccine against Pneumococcus pneumoniae will be given intramuscularly on Day 0 and 14 as positive control of immune responsiveness.
Phase 2, Arm B
10 patients will receive vaccine (OC-L, an autologous vaccine comprised of autologous oxidized tumor cell lysate, admixed with Montanide ISA 51 VG) injected by intradermal/subcutaneous injection in both groin regions, administered in combination with intravenous Ampligen. OC-L/Montanide ISA 51 VG: All subjects will receive OC-L/Montanide ISA 51 VG) on day 0, 14,28,42 and 56 with a +/- 5 day window. The vaccine will be divided in two or more intradermal/subcutaneous injections in the groin areas bilaterally. Ampligen: All subjects will receive intravenous Ampligen (200mg given by IV infusion 60 +- minutes) 3 times starting 2-3 days after each vaccine administration. Each of the 3 Ampligen (200 mg) infusions will be separated by 2-3 days. Prevnar: A vaccine against Pneumococcus pneumoniae will be given intramuscularly on Day 0 and 14 as positive control of immune responsiveness.
Phase 1
STARTED
3
0
0
Phase 1
COMPLETED
3
0
0
Phase 1
NOT COMPLETED
0
0
0
Phase 2
STARTED
0
0
0
Phase 2
COMPLETED
0
0
0
Phase 2
NOT COMPLETED
0
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

A Clinical Trial of Autologous Oxidized Tumor Cell Lysate Vaccine For Recurrent Ovarian, Fallopian Tube or Primary Peritoneal Cancer

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Phase 1
n=3 Participants
3 patients will be enrolled receiving the vaccine (tumor lysate/Montanide) plus Ampligen using a 3+3 approach. If no DLTs in the first three subjects, we will move to phase II; if one 1/3 subject develops DLTs, we will enroll 3 additional subjects; if 2/6 subjects develop DLTs, we will discontinue the study. Following completion of run---in phase I (3 or 6 subjects), we will transition to Phase 2.
Phase 2, Arm A
10 patients will receive vaccine (OC-L, an autologous vaccine comprised of autologous oxidized tumor cell lysate, admixed with Montanide ISA 51 VG) injected by intradermal/subcutaneous injection in both groin regions. OC-L/Montanide ISA 51 VG: All subjects will receive OC-L/Montanide ISA 51 VG) on day 0, 14,28,42 and 56 with a +/- 5 day window. The vaccine will be divided in two or more intradermal/subcutaneous injections in the groin areas bilaterally. Ampligen: All subjects will receive intravenous Ampligen (200mg given by IV infusion 60 +- minutes) 3 times starting 2-3 days after each vaccine administration. Each of the 3 Ampligen (200 mg) infusions will be separated by 2-3 days. Prevnar: A vaccine against Pneumococcus pneumoniae will be given intramuscularly on Day 0 and 14 as positive control of immune responsiveness.
Phase 2, Arm B
10 patients will receive vaccine (OC-L, an autologous vaccine comprised of autologous oxidized tumor cell lysate, admixed with Montanide ISA 51 VG) injected by intradermal/subcutaneous injection in both groin regions, administered in combination with intravenous Ampligen. OC-L/Montanide ISA 51 VG: All subjects will receive OC-L/Montanide ISA 51 VG) on day 0, 14,28,42 and 56 with a +/- 5 day window. The vaccine will be divided in two or more intradermal/subcutaneous injections in the groin areas bilaterally. Ampligen: All subjects will receive intravenous Ampligen (200mg given by IV infusion 60 +- minutes) 3 times starting 2-3 days after each vaccine administration. Each of the 3 Ampligen (200 mg) infusions will be separated by 2-3 days. Prevnar: A vaccine against Pneumococcus pneumoniae will be given intramuscularly on Day 0 and 14 as positive control of immune responsiveness.
Total
n=3 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Age, Categorical
Between 18 and 65 years
1 Participants
n=5 Participants
1 Participants
n=4 Participants
Age, Categorical
>=65 years
2 Participants
n=5 Participants
2 Participants
n=4 Participants
Sex: Female, Male
Female
3 Participants
n=5 Participants
3 Participants
n=4 Participants
Sex: Female, Male
Male
0 Participants
n=5 Participants
0 Participants
n=4 Participants

PRIMARY outcome

Timeframe: within 30 days of last vaccination

Population: The study was terminated after the first 3 patients were enrolled in Phase 1

Safety will be established by grading the observed toxicities using the NCI Common Toxicity Criteria (CTC Version 4.0). All toxicities observed within 30 days of last vaccination will be included. All patients that receive at least one vaccination will be included in the toxicity analysis.

Outcome measures

Outcome measures
Measure
Phase 1
n=3 Participants
3 patients will be enrolled receiving the vaccine (tumor lysate/Montanide) plus Ampligen using a 3+3 approach. If no DLTs in the first three subjects, we will move to phase II; if one 1/3 subject develops DLTs, we will enroll 3 additional subjects; if 2/6 subjects develop DLTs, we will discontinue the study. Following completion of run---in phase I (3 or 6 subjects), we will transition to Phase 2.
Phase 2, Arm A
10 patients will receive vaccine (OC-L, an autologous vaccine comprised of autologous oxidized tumor cell lysate, admixed with Montanide ISA 51 VG) injected by intradermal/subcutaneous injection in both groin regions. OC-L/Montanide ISA 51 VG: All subjects will receive OC-L/Montanide ISA 51 VG) on day 0, 14,28,42 and 56 with a +/- 5 day window. The vaccine will be divided in two or more intradermal/subcutaneous injections in the groin areas bilaterally. Ampligen: All subjects will receive intravenous Ampligen (200mg given by IV infusion 60 +- minutes) 3 times starting 2-3 days after each vaccine administration. Each of the 3 Ampligen (200 mg) infusions will be separated by 2-3 days. Prevnar: A vaccine against Pneumococcus pneumoniae will be given intramuscularly on Day 0 and 14 as positive control of immune responsiveness.
Phase 2, Arm B
10 patients will receive vaccine (OC-L, an autologous vaccine comprised of autologous oxidized tumor cell lysate, admixed with Montanide ISA 51 VG) injected by intradermal/subcutaneous injection in both groin regions, administered in combination with intravenous Ampligen. OC-L/Montanide ISA 51 VG: All subjects will receive OC-L/Montanide ISA 51 VG) on day 0, 14,28,42 and 56 with a +/- 5 day window. The vaccine will be divided in two or more intradermal/subcutaneous injections in the groin areas bilaterally. Ampligen: All subjects will receive intravenous Ampligen (200mg given by IV infusion 60 +- minutes) 3 times starting 2-3 days after each vaccine administration. Each of the 3 Ampligen (200 mg) infusions will be separated by 2-3 days. Prevnar: A vaccine against Pneumococcus pneumoniae will be given intramuscularly on Day 0 and 14 as positive control of immune responsiveness.
Number of Participants With Adverse Events
3 Participants

SECONDARY outcome

Timeframe: within 30 days of vaccination

Population: The study was terminated and the PI has left the institution. Despite all possible efforts to contact the PI/study team members, no data available to be reported.

Immune response will be evaluated by IFN-g ELISPOT analysis of tumor-reactive T cells, and in HLA-A2+ subjects, by tetramer analysis of Her-2 specific T cells in peripheral blood. Response is defined by a \> 3 fold increase relative to pre-vaccination.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: within 30 days of vaccination

Population: The study was terminated and the PI has left the institution. Despite all possible efforts to contact the PI/study team members, no data available to be reported.

Clinical Response will be estimated using immune related response criteria ir(RC)

Outcome measures

Outcome data not reported

Adverse Events

Phase 1

Serious events: 0 serious events
Other events: 3 other events
Deaths: 0 deaths

Phase 2, Arm A

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

Phase 2, Arm B

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

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Phase 1
n=3 participants at risk
3 patients will be enrolled receiving the vaccine (tumor lysate/Montanide) plus Ampligen using a 3+3 approach. If no DLTs in the first three subjects, we will move to phase II; if one 1/3 subject develops DLTs, we will enroll 3 additional subjects; if 2/6 subjects develop DLTs, we will discontinue the study. Following completion of run---in phase I (3 or 6 subjects), we will transition to Phase 2.
Phase 2, Arm A
10 patients will receive vaccine (OC-L, an autologous vaccine comprised of autologous oxidized tumor cell lysate, admixed with Montanide ISA 51 VG) injected by intradermal/subcutaneous injection in both groin regions. OC-L/Montanide ISA 51 VG: All subjects will receive OC-L/Montanide ISA 51 VG) on day 0, 14,28,42 and 56 with a +/- 5 day window. The vaccine will be divided in two or more intradermal/subcutaneous injections in the groin areas bilaterally. Ampligen: All subjects will receive intravenous Ampligen (200mg given by IV infusion 60 +- minutes) 3 times starting 2-3 days after each vaccine administration. Each of the 3 Ampligen (200 mg) infusions will be separated by 2-3 days. Prevnar: A vaccine against Pneumococcus pneumoniae will be given intramuscularly on Day 0 and 14 as positive control of immune responsiveness.
Phase 2, Arm B
10 patients will receive vaccine (OC-L, an autologous vaccine comprised of autologous oxidized tumor cell lysate, admixed with Montanide ISA 51 VG) injected by intradermal/subcutaneous injection in both groin regions, administered in combination with intravenous Ampligen. OC-L/Montanide ISA 51 VG: All subjects will receive OC-L/Montanide ISA 51 VG) on day 0, 14,28,42 and 56 with a +/- 5 day window. The vaccine will be divided in two or more intradermal/subcutaneous injections in the groin areas bilaterally. Ampligen: All subjects will receive intravenous Ampligen (200mg given by IV infusion 60 +- minutes) 3 times starting 2-3 days after each vaccine administration. Each of the 3 Ampligen (200 mg) infusions will be separated by 2-3 days. Prevnar: A vaccine against Pneumococcus pneumoniae will be given intramuscularly on Day 0 and 14 as positive control of immune responsiveness.
Skin and subcutaneous tissue disorders
Injection site reaction
100.0%
3/3 • Number of events 60 • 70 days
As there were no participants in Phase 2, there were no participants at risk for any Adverse Events.
0/0 • 70 days
As there were no participants in Phase 2, there were no participants at risk for any Adverse Events.
0/0 • 70 days
As there were no participants in Phase 2, there were no participants at risk for any Adverse Events.
General disorders
Fatigue
33.3%
1/3 • Number of events 1 • 70 days
As there were no participants in Phase 2, there were no participants at risk for any Adverse Events.
0/0 • 70 days
As there were no participants in Phase 2, there were no participants at risk for any Adverse Events.
0/0 • 70 days
As there were no participants in Phase 2, there were no participants at risk for any Adverse Events.
General disorders
Flu-like symptoms
33.3%
1/3 • Number of events 2 • 70 days
As there were no participants in Phase 2, there were no participants at risk for any Adverse Events.
0/0 • 70 days
As there were no participants in Phase 2, there were no participants at risk for any Adverse Events.
0/0 • 70 days
As there were no participants in Phase 2, there were no participants at risk for any Adverse Events.
Nervous system disorders
Neuropathy
33.3%
1/3 • Number of events 1 • 70 days
As there were no participants in Phase 2, there were no participants at risk for any Adverse Events.
0/0 • 70 days
As there were no participants in Phase 2, there were no participants at risk for any Adverse Events.
0/0 • 70 days
As there were no participants in Phase 2, there were no participants at risk for any Adverse Events.

Additional Information

Director of Clinical Trial Operations

University of Pennsylvania

Phone: 215-662-3324

Results disclosure agreements

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