An Individualized Anti-Cancer Vaccine Study in Patients With HCC

NCT ID: NCT01995227

Last Updated: 2020-01-22

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

WITHDRAWN

Clinical Phase

PHASE1/PHASE2

Study Classification

INTERVENTIONAL

Study Start Date

2013-12-31

Study Completion Date

2018-07-31

Brief Summary

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The purpose of this study is to determine the safety and the immunological, radiological, and pathological response of the personalized anti-cancer vaccine AlloVax(TM) in patients with refractory Hepatocellular Carcinoma (HCC) and who are not eligible for any approved HCC treatments or have failed all approved HCC treatments. AlloVax(TM) is a personalized anti-cancer vaccine combining Chaperone Rich Cell Lysate (CRCL) as a source of tumor antigen prepared from patient's tumor and AlloStim(TM) as an adjuvant. The combination of these two components provides a vaccine designed to bring out an immune response capable of finding and killing the tumor cells.

Detailed Description

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All accrued subjects will undergo tumor harvest procedure. The tumor samples will be processed into personalized Chaperone Rich Cell Lysate (CRCL) vaccine. This study consists of three phases: priming phase, vaccination phase, and activation phase. The priming phase involves intradermal injections of AlloStim(TM). The aim of this phase is to increase the titer of Th1 immune cells in circulation. The vaccination phase involves the intradermal injections of AlloSim(TM) immediately followed by the intradermal injections of CRCL. This phase is designed to elicit tumor-specific immunity. The activation phase involves intravenous infusion of AlloStim(TM). This phase is designed to activate memory cells and NK cells and cause them to extravasate and traffic to tumor sites.

Conditions

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Hepatocellular Carcinoma

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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AlloVax Treatment

Intradermal injection (ID) of AlloStim(TM) (1ml) on day 4 and 7. AlloVax Treatment: ID injection of AlloSim(TM) (1 ml) followed immediately by the ID injection of CRCL (1ml) on day 11 and 14 in same location on the left arm and on day 18 and 21 in the same location on the right arm. Intravenous infusion of AlloStim(TM)(5ml) and a CRCL alone Intradermal injection on Day 27.

Group Type EXPERIMENTAL

AlloVax

Intervention Type BIOLOGICAL

Personalized anti-cancer vaccine

CRCL

Intervention Type BIOLOGICAL

Personalized anti-cancer vaccine

AlloStim

Intervention Type BIOLOGICAL

ID injections IV infusion

Interventions

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AlloVax

Personalized anti-cancer vaccine

Intervention Type BIOLOGICAL

CRCL

Personalized anti-cancer vaccine

Intervention Type BIOLOGICAL

AlloStim

ID injections IV infusion

Intervention Type BIOLOGICAL

Other Intervention Names

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AlloStim plus CRCL Chaperone Rich Cell Lysate AlloVax AlloStim ID AlloStim IV

Eligibility Criteria

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Inclusion Criteria

* Any Patients with a diagnosis of HCC based on histology or the current accepted radiological measures.
* Age \> 18 years.
* Patient has an MRI or CT result (positive for HCC) up to 3 months prior to recruitment.
* AFP \> 30.
* Patient who is not eligible or failed all approved HCC treatments.

Exclusion Criteria

* Patient is unable or unwilling to sign informed consent.
* Patients that are participating in other clinical trials evaluating experimental treatments or procedures.
* Severe congestive heart failure (LVEF on echocardiogram \< 20%).
* Severe pulmonary hypertension (By echocardiogram, PAS \>45 mmHg).
* Uncontrolled diabetes mellitus (HBA1C \>9.5%).
* Any autoimmune disorder, which is currently being treated with prednisone or any other immune suppressive medication.
* Patients currently receiving total parenteral nutrition if they have contraindications to oral drugs.
* Patients with positive HIV1, HIV2, HTLV1, HTLV2, and RPR (syphilis).
* Women who are pregnant or breast feeding.
* Patients, based on the opinion of the investigator, should not be enrolled into this study.
* HBV DNA positive.
* If the patient is HBsAg positive or HBcAB positive, but HBV DNA negative, irrespective of his/her anti-HBS status, patient can be enrolled, but will receive preemptive therapy with Lamivudine.
* Patients with HBV DNA positive will not be enroll, but if turned negative with therapy can be enrolled. Patients with HBV and HCV will be followed by HBV DNA and HCV RNA levels during the trial.
* Any metastasis except for portal vein involvement.
* Patients with Child Pugh above B8.
* Prior experimental therapy or cancer vaccine treatment (e.g., dendritic cell therapy, heat shock vaccine).
* History of blood transfusion reactions.
* Known allergy to bovine or murine products
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Mirror Biologics, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Yaron Ilan, MD

Role: STUDY_DIRECTOR

Hadassah Medical Organization

Locations

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Hebrew University-Hadassah Medical Center

Jerusalem, , Israel

Site Status

Countries

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Israel

References

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Epple LM, Bemis LT, Cavanaugh RP, Skope A, Mayer-Sonnenfeld T, Frank C, Olver CS, Lencioni AM, Dusto NL, Tal A, Har-Noy M, Lillehei KO, Katsanis E, Graner MW. Prolonged remission of advanced bronchoalveolar adenocarcinoma in a dog treated with autologous, tumour-derived chaperone-rich cell lysate (CRCL) vaccine. Int J Hyperthermia. 2013 Aug;29(5):390-8. doi: 10.3109/02656736.2013.800997. Epub 2013 Jun 20.

Reference Type RESULT
PMID: 23786302 (View on PubMed)

Mayer-Sonnenfeld T, Har-Noy M, Lillehei KO, Graner MW. Proteomic analyses of different human tumour-derived chaperone-rich cell lysate (CRCL) anti-cancer vaccines reveal antigen content and strong similarities amongst the vaccines along with a basis for CRCL's unique structure: CRCL vaccine proteome leads to unique structure. Int J Hyperthermia. 2013 Sep;29(6):520-7. doi: 10.3109/02656736.2013.796529. Epub 2013 Jun 4.

Reference Type RESULT
PMID: 23734882 (View on PubMed)

LaCasse CJ, Janikashvili N, Larmonier CB, Alizadeh D, Hanke N, Kartchner J, Situ E, Centuori S, Har-Noy M, Bonnotte B, Katsanis E, Larmonier N. Th-1 lymphocytes induce dendritic cell tumor killing activity by an IFN-gamma-dependent mechanism. J Immunol. 2011 Dec 15;187(12):6310-7. doi: 10.4049/jimmunol.1101812. Epub 2011 Nov 9.

Reference Type RESULT
PMID: 22075702 (View on PubMed)

Janikashvili N, LaCasse CJ, Larmonier C, Trad M, Herrell A, Bustamante S, Bonnotte B, Har-Noy M, Larmonier N, Katsanis E. Allogeneic effector/memory Th-1 cells impair FoxP3+ regulatory T lymphocytes and synergize with chaperone-rich cell lysate vaccine to treat leukemia. Blood. 2011 Feb 3;117(5):1555-64. doi: 10.1182/blood-2010-06-288621. Epub 2010 Dec 1.

Reference Type RESULT
PMID: 21123824 (View on PubMed)

Har-Noy M, Zeira M, Weiss L, Fingerut E, Or R, Slavin S. Allogeneic CD3/CD28 cross-linked Th1 memory cells provide potent adjuvant effects for active immunotherapy of leukemia/lymphoma. Leuk Res. 2009 Apr;33(4):525-38. doi: 10.1016/j.leukres.2008.08.017. Epub 2008 Oct 1.

Reference Type RESULT
PMID: 18834631 (View on PubMed)

Har-Noy M, Zeira M, Weiss L, Slavin S. Completely mismatched allogeneic CD3/CD28 cross-linked Th1 memory cells elicit anti-leukemia effects in unconditioned hosts without GVHD toxicity. Leuk Res. 2008 Dec;32(12):1903-13. doi: 10.1016/j.leukres.2008.05.007. Epub 2008 Jun 18.

Reference Type RESULT
PMID: 18565579 (View on PubMed)

Related Links

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Other Identifiers

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ITL-019-HCC-VAX

Identifier Type: -

Identifier Source: org_study_id

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