GVAX Pancreas Vaccine (With CY) and CRS-207 With or Without Nivolumab

NCT ID: NCT02243371

Last Updated: 2021-04-06

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

93 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-01-02

Study Completion Date

2017-07-21

Brief Summary

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The primary objective of this study is to compare the overall survival (OS) of subjects with previously treated metastatic pancreatic cancer treated with cyclophosphamide (CY)/nivolumab/GVAX pancreas vaccine followed by nivolumab/CRS-207 (Arm A) to subjects treated with CY/GVAX pancreas vaccine followed by CRS-207 (Arm B).

Detailed Description

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Conditions

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Previously Treated Metastatic Adenocarcinoma of the Pancreas

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: CY/ GVAX/ CRS-207/ nivolumab

Group Type EXPERIMENTAL

CRS-207

Intervention Type BIOLOGICAL

1 × 10\^9 CFU administered IV on Day 2 of Cycles 3-6

nivolumab

Intervention Type DRUG

3 mg/kg administered IV on Day 1 of Cycles 1-6

GVAX

Intervention Type BIOLOGICAL

5x10\^8 cells administered in 6 intradermal injections on Day 2 of Cycles 1 and 2

CY

Intervention Type DRUG

200 mg/m\^2 administered IV on Day 1 of Cycles 1 and 2

Arm B: CY/ GVAX/ CRS-207

Group Type EXPERIMENTAL

CRS-207

Intervention Type BIOLOGICAL

1 × 10\^9 CFU administered IV on Day 1 of Cycles 3-6

GVAX

Intervention Type BIOLOGICAL

5x10\^8 cells administered in 6 intradermal injections on Day 2 of Cycles 1 and 2

CY

Intervention Type DRUG

200 mg/m\^2 administered IV on Day 1 of Cycles 1 and 2

Interventions

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CRS-207

1 × 10\^9 CFU administered IV on Day 2 of Cycles 3-6

Intervention Type BIOLOGICAL

CRS-207

1 × 10\^9 CFU administered IV on Day 1 of Cycles 3-6

Intervention Type BIOLOGICAL

nivolumab

3 mg/kg administered IV on Day 1 of Cycles 1-6

Intervention Type DRUG

GVAX

5x10\^8 cells administered in 6 intradermal injections on Day 2 of Cycles 1 and 2

Intervention Type BIOLOGICAL

CY

200 mg/m\^2 administered IV on Day 1 of Cycles 1 and 2

Intervention Type DRUG

Other Intervention Names

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BMS-936558; anti-PD-1 mAb GVAX pancreas vaccine, Panc 10.05 pcDNA-1/GM-Neo, Panc 6.03 pcDNA-1/GM-Neo Cytoxan, Cyclophosphamide

Eligibility Criteria

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Inclusion Criteria

* Age ≥18 years.
* Have histologically- or cytologically-proven adenocarcinoma of the pancreas. Patients with mixed histology will be excluded.
* Have metastatic disease.
* Have failed only 1 prior chemotherapy regimen for metastatic pancreatic cancer.
* Patients with the presence of at least one measurable lesion.
* Patients acceptance to have a tumor biopsy of an accessible lesion at baseline and on treatment if the lesion can be biopsied with acceptable clinical risk (as judged by the investigator).
* ECOG performance status 0 or 1.
* Life expectancy of greater than 3 months.
* Patients must have adequate organ and marrow function defined by study-specified laboratory tests.
* Must use acceptable form of birth control while on study.
* Ability to understand and willingness to sign a written informed consent document.

Exclusion Criteria

* known history or evidence of brain metastases.
* Had surgery within the last 28 days
* Have received any non-oncology vaccine therapy used for prevention of infectious diseases including seasonal vaccinations within 28 days of study treatment.
* Prior treatment with anti-PD-1, anti-PD-L1, anti-PD-L2, anti-CTLA4, GVAX or CRS-207
* Systemic steroids within the last 14 days
* Use more than 3 g/day of acetaminophen.
* Patients on immunosuppressive agents.
* Patients receiving growth factors within the last 14 days
* Known allergy to both penicillin and sulfa.
* Severe hypersensitivity reaction to any monoclonal antibody.
* Have artificial joints or implants that cannot be easily removed
* Have any evidence of hepatic cirrhosis or clinical or radiographic ascites.
* Have significant and/or malignant pleural effusion
* Infection with HIV or hepatitis B or C at screening
* Significant heart disease
* Conditions, including alcohol or drug dependence, intercurrent illness, or lack of sufficient peripheral venous access, that would affect the patient's ability to comply with study visits and procedures
* Unable to avoid intimate contact with another individual known to be at high risk of listeriosis (e.g., newborn infant, pregnant woman, HIV-positive individual) during the course of CRS-207 treatment until completion of antibiotic regimen.
* Are pregnant or breastfeeding.
* Have rapidly progressing disease
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Bristol-Myers Squibb

INDUSTRY

Sponsor Role collaborator

Stand Up To Cancer

OTHER

Sponsor Role collaborator

Aduro Biotech, Inc.

INDUSTRY

Sponsor Role collaborator

American Association for Cancer Research

OTHER

Sponsor Role collaborator

Lustgarten Foundation

OTHER

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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Dung Le, MD

Role: PRINCIPAL_INVESTIGATOR

Johns Hopkins University

Locations

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University of California, San Francisco

San Francisco, California, United States

Site Status

Stanford University

Stanford, California, United States

Site Status

Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins

Baltimore, Maryland, United States

Site Status

Providence Portland Medical Center

Portland, Oregon, United States

Site Status

University of Pennsylvania

Philadelphia, Pennsylvania, United States

Site Status

Countries

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United States

References

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Hopkins AC, Yarchoan M, Durham JN, Yusko EC, Rytlewski JA, Robins HS, Laheru DA, Le DT, Lutz ER, Jaffee EM. T cell receptor repertoire features associated with survival in immunotherapy-treated pancreatic ductal adenocarcinoma. JCI Insight. 2018 Jul 12;3(13):e122092. doi: 10.1172/jci.insight.122092.

Reference Type DERIVED
PMID: 29997287 (View on PubMed)

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Other Identifiers

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ADU-CL-06

Identifier Type: -

Identifier Source: secondary_id

IRB00043936

Identifier Type: OTHER

Identifier Source: secondary_id

J14113

Identifier Type: -

Identifier Source: org_study_id

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