Trial Outcomes & Findings for A Long Term Follow up Study for Patients Who Previously Took Part in the Phase I Study IMM-101-001 (NCT NCT01559818)

NCT ID: NCT01559818

Last Updated: 2023-06-22

Results Overview

Adverse events measured throughout the study and assessed for severity using NCI CTCAE and causality to measure the profile and number of local and systemic toxicities. Treatment related Adverse Events were defined as being definitely, probably or possibly related to IMM-101 or with an unknown relationship.

Recruitment status

TERMINATED

Study phase

PHASE1/PHASE2

Target enrollment

10 participants

Primary outcome timeframe

From the time of signing informed consent until 30 days after the end of study or withdrawal, a median of 4.4 years (range 1.2 to 6.7).

Results posted on

2023-06-22

Participant Flow

Participant milestones

Participant milestones
Measure
IMM-101
IMM-101 1.0 mg administered intradermally IMM-101: IMM-101 10mg/mL, a suspension of heat-killed whole cell M. obuense in borate-buffered saline.
Overall Study
STARTED
10
Overall Study
COMPLETED
3
Overall Study
NOT COMPLETED
7

Reasons for withdrawal

Reasons for withdrawal
Measure
IMM-101
IMM-101 1.0 mg administered intradermally IMM-101: IMM-101 10mg/mL, a suspension of heat-killed whole cell M. obuense in borate-buffered saline.
Overall Study
Physician Decision
1
Overall Study
Pregnancy
1
Overall Study
Study terminated by Sponsor
4
Overall Study
Withdrawal by Subject
1

Baseline Characteristics

A Long Term Follow up Study for Patients Who Previously Took Part in the Phase I Study IMM-101-001

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
IMM-101
n=10 Participants
IMM-101 1.0 mg I.D. IMM-101: IMM-101 10mg/mL, a suspension of heat-killed whole cell M. obuense in borate-buffered saline.
Age, Categorical
<=18 years
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
2 Participants
n=5 Participants
Age, Categorical
>=65 years
8 Participants
n=5 Participants
Sex: Female, Male
Female
4 Participants
n=5 Participants
Sex: Female, Male
Male
6 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants
Race (NIH/OMB)
White
10 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
Region of Enrollment
United Kingdom
10 Participants
n=5 Participants

PRIMARY outcome

Timeframe: From the time of signing informed consent until 30 days after the end of study or withdrawal, a median of 4.4 years (range 1.2 to 6.7).

Population: Safety population = all enrolled patients

Adverse events measured throughout the study and assessed for severity using NCI CTCAE and causality to measure the profile and number of local and systemic toxicities. Treatment related Adverse Events were defined as being definitely, probably or possibly related to IMM-101 or with an unknown relationship.

Outcome measures

Outcome measures
Measure
IMM-101
n=10 Participants
IMM-101 1.0 mg I.D. IMM-101: IMM-101 10mg/mL, a suspension of heat-killed whole cell M. obuense in borate-buffered saline.
Adverse Events With a Causal Relationship to IMM-101
27 Events

PRIMARY outcome

Timeframe: From the time of signing informed consent until 30 days after the end of study or withdrawal, a median of 4.4 years (range 1.2 to 6.7).

Population: Safety population = all enrolled patients

Adverse events measured throughout the study and assessed for severity using NCI CTCAE and causality to measure the profile and number of local and systemic toxicities

Outcome measures

Outcome measures
Measure
IMM-101
n=10 Participants
IMM-101 1.0 mg I.D. IMM-101: IMM-101 10mg/mL, a suspension of heat-killed whole cell M. obuense in borate-buffered saline.
Treatment Emergent Adverse Events of NCI CTCAE ≥Grade 3
16 Events

PRIMARY outcome

Timeframe: From the time of signing informed consent until 30 days after the end of study or withdrawal, a median of 4.4 years (range 1.2 to 6.7).

Population: Safety population = all enrolled patients

Adverse events measured throughout the study and assessed for severity using NCI CTCAE and causality to measure the profile and number of local and systemic toxicities. There were no IMM-101 related serious adverse events reported during the study.

Outcome measures

Outcome measures
Measure
IMM-101
n=10 Participants
IMM-101 1.0 mg I.D. IMM-101: IMM-101 10mg/mL, a suspension of heat-killed whole cell M. obuense in borate-buffered saline.
Treatment Emergent Serious Adverse Events
3 Events

SECONDARY outcome

Timeframe: Overall survival was defined as the time from enrolment until date of death for up to 81 months. Patients still alive after 81 months were censored at withdrawal from the study or at last known date alive if later.

Population: There was only one analysis population in the study. Safety, tolerability and efficacy endpoints were summarised using the safety population, defined as all patients who received at least one dose of the study treatment

Overall survival

Outcome measures

Outcome measures
Measure
IMM-101
n=10 Participants
IMM-101 1.0 mg I.D. IMM-101: IMM-101 10mg/mL, a suspension of heat-killed whole cell M. obuense in borate-buffered saline.
Survival
Died
3 Participants
Survival
Censored
1 Participants
Survival
Alive
6 Participants

SECONDARY outcome

Timeframe: From Informed Consent to death or withdrawal (median 4.4 years, range 1.2 - 6.7)

Population: All enrolled patients

The protocol required any change in metastatic disease to be documented where possible. However, given this was a real-life long-term follow-up study, CT or MRI scans were not mandated as part of the protocol and were only performed as clinically indicated. Very few scans were performed during the course of the study (0 to nine events per patient). Given the fact patients could receive anti-cancer therapy on study, disease status fluctuated throughout the study (better, worse, no change). This coupled with the sparsity of CT or MRI scan data collected on a per patient basis resulted in only Best Overall Response being described.

Outcome measures

Outcome measures
Measure
IMM-101
n=10 Participants
IMM-101 1.0 mg I.D. IMM-101: IMM-101 10mg/mL, a suspension of heat-killed whole cell M. obuense in borate-buffered saline.
Incidence of Change in Metastatic Disease
Best Overall Response = Not known
1 participants
Incidence of Change in Metastatic Disease
Best overall response = Improved
4 participants
Incidence of Change in Metastatic Disease
Best Overall Response = No Change / Stable Disease
4 participants
Incidence of Change in Metastatic Disease
Best Overall Response = Disease worsening
1 participants

OTHER_PRE_SPECIFIED outcome

Timeframe: From baseline to death or withdrawal

Population: Extensive translational research on serum samples from other studies with IMM-101 failed to identify any clinically significant impact on relevant immunological markers or mediators. Therefore no analysis was perform on the samples from this study.

Blood samples were collected and sera prepared for analysis of immunological markers and mediators. Exploratory endpoints may include a change in one or more markers of immune status based on cellular involvement, function or cytokine/immune mediator production such as, for example, cytokines and antibodies, or any other clinically or immunologically relevant assays.

Outcome measures

Outcome data not reported

Adverse Events

IMM-101

Serious events: 2 serious events
Other events: 7 other events
Deaths: 4 deaths

Serious adverse events

Serious adverse events
Measure
IMM-101
n=10 participants at risk
IMM-101 1.0 mg I.D.
Respiratory, thoracic and mediastinal disorders
Pneumothorax
10.0%
1/10 • Number of events 1 • Adverse events were collected from the time of informed consent until study completion (median 4.4 years, range 1.2 - 6.7)
Adverse events (including those reported spontaneously by the patient, observed by the Investigator or elicited using non-leading questions) were collected from the time of signing informed consent until 30 days after the end of study or withdrawal. Adverse event information could be obtained during study visits or by telephone contact with the patient between visits.
Cardiac disorders
Tachycardia
10.0%
1/10 • Number of events 1 • Adverse events were collected from the time of informed consent until study completion (median 4.4 years, range 1.2 - 6.7)
Adverse events (including those reported spontaneously by the patient, observed by the Investigator or elicited using non-leading questions) were collected from the time of signing informed consent until 30 days after the end of study or withdrawal. Adverse event information could be obtained during study visits or by telephone contact with the patient between visits.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Invasive ductal breast carcinoma
10.0%
1/10 • Number of events 1 • Adverse events were collected from the time of informed consent until study completion (median 4.4 years, range 1.2 - 6.7)
Adverse events (including those reported spontaneously by the patient, observed by the Investigator or elicited using non-leading questions) were collected from the time of signing informed consent until 30 days after the end of study or withdrawal. Adverse event information could be obtained during study visits or by telephone contact with the patient between visits.

Other adverse events

Other adverse events
Measure
IMM-101
n=10 participants at risk
IMM-101 1.0 mg I.D.
General disorders
Injection site reaction
60.0%
6/10 • Number of events 12 • Adverse events were collected from the time of informed consent until study completion (median 4.4 years, range 1.2 - 6.7)
Adverse events (including those reported spontaneously by the patient, observed by the Investigator or elicited using non-leading questions) were collected from the time of signing informed consent until 30 days after the end of study or withdrawal. Adverse event information could be obtained during study visits or by telephone contact with the patient between visits.
General disorders
Injection site pain
10.0%
1/10 • Number of events 1 • Adverse events were collected from the time of informed consent until study completion (median 4.4 years, range 1.2 - 6.7)
Adverse events (including those reported spontaneously by the patient, observed by the Investigator or elicited using non-leading questions) were collected from the time of signing informed consent until 30 days after the end of study or withdrawal. Adverse event information could be obtained during study visits or by telephone contact with the patient between visits.
General disorders
Influenza like illness
10.0%
1/10 • Number of events 1 • Adverse events were collected from the time of informed consent until study completion (median 4.4 years, range 1.2 - 6.7)
Adverse events (including those reported spontaneously by the patient, observed by the Investigator or elicited using non-leading questions) were collected from the time of signing informed consent until 30 days after the end of study or withdrawal. Adverse event information could be obtained during study visits or by telephone contact with the patient between visits.
General disorders
Injection site ulcer
10.0%
1/10 • Number of events 3 • Adverse events were collected from the time of informed consent until study completion (median 4.4 years, range 1.2 - 6.7)
Adverse events (including those reported spontaneously by the patient, observed by the Investigator or elicited using non-leading questions) were collected from the time of signing informed consent until 30 days after the end of study or withdrawal. Adverse event information could be obtained during study visits or by telephone contact with the patient between visits.
General disorders
Fatigue
10.0%
1/10 • Number of events 1 • Adverse events were collected from the time of informed consent until study completion (median 4.4 years, range 1.2 - 6.7)
Adverse events (including those reported spontaneously by the patient, observed by the Investigator or elicited using non-leading questions) were collected from the time of signing informed consent until 30 days after the end of study or withdrawal. Adverse event information could be obtained during study visits or by telephone contact with the patient between visits.
General disorders
Injection site erythema
10.0%
1/10 • Number of events 1 • Adverse events were collected from the time of informed consent until study completion (median 4.4 years, range 1.2 - 6.7)
Adverse events (including those reported spontaneously by the patient, observed by the Investigator or elicited using non-leading questions) were collected from the time of signing informed consent until 30 days after the end of study or withdrawal. Adverse event information could be obtained during study visits or by telephone contact with the patient between visits.
General disorders
Injection site infection
10.0%
1/10 • Number of events 1 • Adverse events were collected from the time of informed consent until study completion (median 4.4 years, range 1.2 - 6.7)
Adverse events (including those reported spontaneously by the patient, observed by the Investigator or elicited using non-leading questions) were collected from the time of signing informed consent until 30 days after the end of study or withdrawal. Adverse event information could be obtained during study visits or by telephone contact with the patient between visits.
General disorders
Injection site necrosis
10.0%
1/10 • Number of events 1 • Adverse events were collected from the time of informed consent until study completion (median 4.4 years, range 1.2 - 6.7)
Adverse events (including those reported spontaneously by the patient, observed by the Investigator or elicited using non-leading questions) were collected from the time of signing informed consent until 30 days after the end of study or withdrawal. Adverse event information could be obtained during study visits or by telephone contact with the patient between visits.
General disorders
Injection site swelling
10.0%
1/10 • Number of events 1 • Adverse events were collected from the time of informed consent until study completion (median 4.4 years, range 1.2 - 6.7)
Adverse events (including those reported spontaneously by the patient, observed by the Investigator or elicited using non-leading questions) were collected from the time of signing informed consent until 30 days after the end of study or withdrawal. Adverse event information could be obtained during study visits or by telephone contact with the patient between visits.
General disorders
Peripheral swelling
10.0%
1/10 • Number of events 1 • Adverse events were collected from the time of informed consent until study completion (median 4.4 years, range 1.2 - 6.7)
Adverse events (including those reported spontaneously by the patient, observed by the Investigator or elicited using non-leading questions) were collected from the time of signing informed consent until 30 days after the end of study or withdrawal. Adverse event information could be obtained during study visits or by telephone contact with the patient between visits.
Nervous system disorders
Headache
10.0%
1/10 • Number of events 1 • Adverse events were collected from the time of informed consent until study completion (median 4.4 years, range 1.2 - 6.7)
Adverse events (including those reported spontaneously by the patient, observed by the Investigator or elicited using non-leading questions) were collected from the time of signing informed consent until 30 days after the end of study or withdrawal. Adverse event information could be obtained during study visits or by telephone contact with the patient between visits.
Nervous system disorders
Night sweats
10.0%
1/10 • Number of events 1 • Adverse events were collected from the time of informed consent until study completion (median 4.4 years, range 1.2 - 6.7)
Adverse events (including those reported spontaneously by the patient, observed by the Investigator or elicited using non-leading questions) were collected from the time of signing informed consent until 30 days after the end of study or withdrawal. Adverse event information could be obtained during study visits or by telephone contact with the patient between visits.
Blood and lymphatic system disorders
Lymphadenopathy
10.0%
1/10 • Number of events 2 • Adverse events were collected from the time of informed consent until study completion (median 4.4 years, range 1.2 - 6.7)
Adverse events (including those reported spontaneously by the patient, observed by the Investigator or elicited using non-leading questions) were collected from the time of signing informed consent until 30 days after the end of study or withdrawal. Adverse event information could be obtained during study visits or by telephone contact with the patient between visits.

Additional Information

Chief Medical Officer

Immodulon Therapeutics Ltd

Phone: +44 (0)20 3137 6346

Results disclosure agreements

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