A Phase 2b Study of Modified Vaccinia Virus to Treat Patients Advanced Liver Cancer Who Failed Sorafenib

NCT ID: NCT01387555

Last Updated: 2015-03-11

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

PHASE2

Total Enrollment

129 participants

Study Classification

INTERVENTIONAL

Study Start Date

2008-12-31

Study Completion Date

2011-12-31

Brief Summary

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This study is to determine whether JX-594 (Pexa-Vec) plus best supportive care is more effective in improving survival than best supportive care in patients with advanced Hepatocellular Carcinoma (HCC) who have failed sorafenib.

Detailed Description

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Conditions

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Hepatocellular Carcinoma Liver Cancer HCC

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Arm A

Patients on Arm A will receive 1 e9 pfu (plaque forming units) total dose of JX-594 (Vaccinia GM-CSF / TK-deactivated Virus) on each of six (6) treatments over 18 weeks.

Group Type EXPERIMENTAL

JX-594 recombinant vaccina GM-CSF

Intervention Type BIOLOGICAL

Patients will be randomised 2:1 to Arm A or Arm B and will receive 6 treatments on days 1, 8, 22, week 6, week 12, and week 18 plus best supportive care as needed.

Arm B

Patients on the control arm (Arm B) will have best supportive care over 18 weeks.

Group Type OTHER

Best Supportive Care

Intervention Type OTHER

Patients will be randomised 2:1 to Arm A or Arm B and will receive best supportive care as needed.

Interventions

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JX-594 recombinant vaccina GM-CSF

Patients will be randomised 2:1 to Arm A or Arm B and will receive 6 treatments on days 1, 8, 22, week 6, week 12, and week 18 plus best supportive care as needed.

Intervention Type BIOLOGICAL

Best Supportive Care

Patients will be randomised 2:1 to Arm A or Arm B and will receive best supportive care as needed.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Diagnosis of primary HCC by tissue biopsy (histological/cytological diagnosis), or clinical diagnosis
* Previously treated with sorafenib for ≥ 14 days and has discontinued sorafenib treatment at least 14 days prior to randomization due to either intolerance or radiographic progression NOTE: Sorafenib is NOT required to be the most recent treatment received for HCC
* ECOG performance status 0, 1 or 2
* Child-Pugh Class A; or Child-Pugh Class B7 without clinically significant ascites
* Hematocrit ≥30% or Hemoglobin ≥10 g/dL
* Tumor status: Measurable viable tumor in the liver and injectable under imaging-guidance; At least one tumor in the liver that has not received prior local-regional treatment OR that has exhibited \>25% growth in viable tumor size since prior local-regional treatment.

Exclusion Criteria

* Received sorafenib within 14 days prior to randomization
* Received systemic anti-cancer therapy other than sorafenib within 28 days of randomization
* Prior treatment with JX-594
* Platelet count \< 50,000 PLT/ mm3
* Total white blood cell count \< 2,000 cells/mm3
* Prior or planned organ transplant
* Known significant immunodeficiency due to underlying illness (e.g. HIV/AIDS) and/or medication
* Severe or unstable cardiac disease
* Viable CNS malignancy associated with clinical symptoms
* Pregnant or nursing an infant
* History of inflammatory skin condition (e.g., eczema requiring previous treatment, atopic dermatitis)
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Jennerex Biotherapeutics

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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James Burke, MD

Role: STUDY_DIRECTOR

Jennerex Biotherapeutics

Locations

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Moores University of California San Diego Cancer Center

La Jolla, California, United States

Site Status

Chao Family Comprehensive Cancer Center

Orange, California, United States

Site Status

California Pacific Medical Center

San Francisco, California, United States

Site Status

Stanford Hospital and Clinics

Stanford, California, United States

Site Status

University of Chicago Medical Center

Chicago, Illinois, United States

Site Status

Billings Clinic

Billings, Montana, United States

Site Status

Saint Joseph's Hospital

Paterson, New Jersey, United States

Site Status

Montefiore Medical Center

The Bronx, New York, United States

Site Status

Gabrail Cancer Center

Canton, Ohio, United States

Site Status

University Hospitals Case Medical Center

Cleveland, Ohio, United States

Site Status

The Methodist Hospital Department of Surgery

Houston, Texas, United States

Site Status

University of Alberta

Edmonton, Alberta, Canada

Site Status

University of British Columbia

Vancouver, British Columbia, Canada

Site Status

Juravinski Cancer Centre

Hamilton, Ontario, Canada

Site Status

Ottawa Hopsital Research Institute

Ottawa, Ontario, Canada

Site Status

Hôpitaux Universitaires de Strasbourg - Hôpital Civil

Strasbourg, Alsace, France

Site Status

Centre Hospitalier Universitaire Hôpital Saint André

Bordeaux, Aquitaine, France

Site Status

Hôpital de la Croix Rousse

Lyon, Auvergne-Rhône-Alpes, France

Site Status

CHU d'Estaing

Clermont-Ferrand, Auvergne, France

Site Status

Hôpital Purpan

Toulouse, Midi-Pyrenees, France

Site Status

Hôpital Saint Antoine, CPP Ile de France V

Paris, Île-de-France Region, France

Site Status

Klinikum Rechts der Isar der Technischen Universität München

München, Bavaria, Germany

Site Status

Medizinische Hochschule Hannover

Hanover, Lower Saxony, Germany

Site Status

Johannes Gutenberg-Universität Mainz

Mainz, Rhineland-Palatinate, Germany

Site Status

Universitätsklinikum Hamburg-Eppendorf

Hamburg, , Germany

Site Status

Queen Mary Hospital

Hong Kong, , Hong Kong

Site Status

Korea University Ansan Hospital

Ansan-si, Gyeonggi-do, South Korea

Site Status

Kyungpook National University Hospital

Daegu, , South Korea

Site Status

Pusan National University Hospital

Pusan, , South Korea

Site Status

Asan Medical Center

Seoul, , South Korea

Site Status

Korea University Guro Hospital

Seoul, , South Korea

Site Status

Samsung Medical Center

Seoul, , South Korea

Site Status

Seoul National University Hospital

Seoul, , South Korea

Site Status

Severance Hospital,Yonsei University Health System

Seoul, , South Korea

Site Status

Pusan National University Yangsan Hospital

Yangsan, , South Korea

Site Status

National Cheng-Kung University Hospital

Taipei, , Taiwan

Site Status

National Taiwan University Hospital

Taipei, , Taiwan

Site Status

Taipei Veterans General Hospital

Taipei, , Taiwan

Site Status

Countries

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United States Canada France Germany Hong Kong South Korea Taiwan

References

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Moehler M, Heo J, Lee HC, Tak WY, Chao Y, Paik SW, Yim HJ, Byun KS, Baron A, Ungerechts G, Jonker D, Ruo L, Cho M, Kaubisch A, Wege H, Merle P, Ebert O, Habersetzer F, Blanc JF, Rosmorduc O, Lencioni R, Patt R, Leen AM, Foerster F, Homerin M, Stojkowitz N, Lusky M, Limacher JM, Hennequi M, Gaspar N, McFadden B, De Silva N, Shen D, Pelusio A, Kirn DH, Breitbach CJ, Burke JM. Vaccinia-based oncolytic immunotherapy Pexastimogene Devacirepvec in patients with advanced hepatocellular carcinoma after sorafenib failure: a randomized multicenter Phase IIb trial (TRAVERSE). Oncoimmunology. 2019 Jun 3;8(8):1615817. doi: 10.1080/2162402X.2019.1615817. eCollection 2019.

Reference Type DERIVED
PMID: 31413923 (View on PubMed)

Related Links

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Other Identifiers

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JX594-HEP018

Identifier Type: -

Identifier Source: org_study_id

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