SGI-110 in Combination With an Allogeneic Colon Cancer Cell Vaccine (GVAX) and Cyclophosphamide (CY) in Metastatic Colorectal Cancer (mCRC)

NCT ID: NCT01966289

Last Updated: 2021-03-30

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

18 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-04-14

Study Completion Date

2020-06-06

Brief Summary

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This study will be looking at whether CY/GVAX in combination with SGI-110 is effective (recruits CD45RO+ T cells to the tumor which may be a marker of anti-tumor activity) and safe in patients with metastatic colon or rectum cancers.

Detailed Description

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Conditions

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Metastatic Colorectal Cancer

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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Cohort 1:CY/GVAX concurrently with SGI-110

During each of the four cycles, Cyclophosphamide (CY) is administered on Day 1 at 200 mg/m2, the colon cancer tumor vaccine (GVAX) is administered on Day 2 at 5E8 colon cancer cells + 5E7 Granulocyte macrophage-colony stimulating factor (GM-CSF) secreting cells, and SGI-110 is administered on Days 1-5 at 60 mg/m2. Each cycle is 28 days. Enrollment will begin first in Cohort 1 and 2. If a response to the treatment is seen in Cohorts 1 and 2, enrollment in Cohort 3 and 4 will begin.

Group Type EXPERIMENTAL

CY

Intervention Type DRUG

CY is administered intravenously at 200 mg/m2

GVAX

Intervention Type BIOLOGICAL

GVAX is administered intradermally at 5E8 colon cancer cells + 5E7 GM-CSF secreting cells

SGI-110

Intervention Type DRUG

SGI-110 is administered subcutaneously at 60 mg/m2

Cohort 2: CY/GVAX after SGI-110

During each of the four cycles, SGI-110 is administered on Days 1-5 at 60 mg/m2, Cyclophosphamide (CY) is administered on Day 8 at 200 mg/m2, and the colon cancer tumor vaccine (GVAX) is administered on Day 9 at 5E8 colon cancer cells + 5E7 GM-CSF secreting cells. Each cycle is 28 days. Enrollment will begin first in Cohort 1 and 2. If a response to the treatment is seen in Cohorts 1 and 2, enrollment in Cohort 3 and 4 will begin.

Group Type EXPERIMENTAL

CY

Intervention Type DRUG

CY is administered intravenously at 200 mg/m2

GVAX

Intervention Type BIOLOGICAL

GVAX is administered intradermally at 5E8 colon cancer cells + 5E7 GM-CSF secreting cells

SGI-110

Intervention Type DRUG

SGI-110 is administered subcutaneously at 60 mg/m2

Cohort 3: CY/GVAX

During each of the four cycles, Cyclophosphamide (CY) is administered on Day 1 at 200 mg/m2 and the colon cancer tumor vaccine (GVAX) is administered on Day 2 at 5E8 colon cancer cells + 5E7 GM-CSF secreting cells. Each cycle is 28 days. Enrollment will begin first in Cohort 1 and 2. If a response to the treatment is seen in Cohorts 1 and 2, enrollment in Cohort 3 and 4 will begin.

Group Type EXPERIMENTAL

CY

Intervention Type DRUG

CY is administered intravenously at 200 mg/m2

GVAX

Intervention Type BIOLOGICAL

GVAX is administered intradermally at 5E8 colon cancer cells + 5E7 GM-CSF secreting cells

Cohort 4: SGI-110

During each of the four cycles, SGI-110 is administered on Days 1-5 at 60 mg/m2. Each cycle is 28 days. Enrollment will begin first in Cohort 1 and 2. If a response to the treatment is seen in Cohorts 1 and 2, enrollment in Cohort 3 and 4 will begin.

Group Type EXPERIMENTAL

SGI-110

Intervention Type DRUG

SGI-110 is administered subcutaneously at 60 mg/m2

Interventions

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CY

CY is administered intravenously at 200 mg/m2

Intervention Type DRUG

GVAX

GVAX is administered intradermally at 5E8 colon cancer cells + 5E7 GM-CSF secreting cells

Intervention Type BIOLOGICAL

SGI-110

SGI-110 is administered subcutaneously at 60 mg/m2

Intervention Type DRUG

Other Intervention Names

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Cyclophosphamide, Cytoxan Colon cancer tumor vaccine

Eligibility Criteria

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Inclusion Criteria

1. Documented cancer of the colon or rectum who have received and are stable on first or second-line therapy regimens for metastatic colorectal cancer
2. Eastern Cooperative Oncology Group (ECOG) Performance Status of 0 to 1
3. Adequate organ function as defined by study-specified laboratory tests
4. Must use acceptable form of birth control through the study and for 28 days after final dose of study drug
5. Signed informed consent form
6. Willing and able to comply with study procedures

Exclusion Criteria

1. Currently have or have history of certain study-specified heart, liver, kidney, lung, neurological, immune or other medical conditions
2. Systemically active steroid use
3. Another investigational product within 28 days prior to receiving study drug
4. Major surgery or significant traumatic injury (or unhealed surgical wounds) occurring within 28 days prior to receiving study drug
5. Chemotherapy, radiation, hormonal, or biological cancer therapy within 28 days prior to receiving study drug
6. Pregnant or lactating
7. Unwilling or unable to comply with study procedures
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Astex Therapeutics, Ltd

UNKNOWN

Sponsor Role collaborator

Susan Cohan Colon Cancer Foundation

UNKNOWN

Sponsor Role collaborator

Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Nilofer Azad, MD

Role: PRINCIPAL_INVESTIGATOR

The Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins

Locations

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Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins

Baltimore, Maryland, United States

Site Status

Countries

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United States

References

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Bever KM, Thomas DL 2nd, Zhang J, Diaz Rivera EA, Rosner GL, Zhu Q, Nauroth JM, Christmas B, Thompson ED, Anders RA, Judkins C, Liu M, Jaffee EM, Ahuja N, Zheng L, Azad NS. A feasibility study of combined epigenetic and vaccine therapy in advanced colorectal cancer with pharmacodynamic endpoint. Clin Epigenetics. 2021 Feb 2;13(1):25. doi: 10.1186/s13148-021-01014-8.

Reference Type DERIVED
PMID: 33531075 (View on PubMed)

Other Identifiers

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NA_00087578

Identifier Type: OTHER

Identifier Source: secondary_id

J13138

Identifier Type: -

Identifier Source: org_study_id

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