Using Neoantigen Peptide Vaccine/neoantigen-based DC to Treat Advanced Malignant Solid Tumors

NCT ID: NCT05749627

Last Updated: 2025-02-27

Basic Information

• Recruitment Status: RECRUITING
• Clinical Phase: NA
• Total Enrollment: 20 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2023-04-01
• Study Completion Date: 2025-12-31

Brief Summary

In this study, the investigators provide a personalized tumor neoantigen peptide vaccine/neoantigen-based DC treatment to patients with advanced malignant solid tumors. The investigators observe the post-treatment tumor burden status, the immune response induced by immune preparations, and the prolongation of patient survival time, aiming to evaluate the effectiveness and safety of the neoantigen-based DC treatment.

Detailed Description

This study is conducted in accordance with the Declaration of Helsinki and the guidelines of the Consolidated Standards of Reporting Trials.

20 patients with primary or metastatic melanoma, gastrointestinal tumor, breast cancer, cervical cancer, pancreatic cancer, lung cancer, or other malignant tumors will be recruited in this study. With doctor's assessment, a personalized tumor neoantigen peptide vaccine or neoantigen-based DC treatment plan will be designed for each participant：

1. Collecting venous blood samples;

2. Blood PBMC exome sequencing;

3. RNA transcriptome sequencing;

4. Classifying HLA alleles;

5. Performing bioinformatics analysis, finding meaningful mutations and about 10 neoantigen sequences for each patient;

6. Synthesizing peptide neoantigens;

7. Preparation of the personalized tumor neoantigen peptide vaccine or generating the personalized tumor neoantigen DC therapeutic immune preparation.

Participants will receive 5-6 subcutaneous injections of the vaccine or DC preparation within a treatment period of 14 weeks. After treatment, participants will have 3 follow-up visits during 9-months. Venous blood collection, physical examination, ECOG Performance Status Scale assessment, CT/MRI scan, X-ray examination, laboratory examination, and other necessary examinations are required at each follow-up visit.

Conditions

Advanced Malignant Solid Tumors

Study Design

• Allocation Method: NA
• Intervention Model: SINGLE_GROUP
• Primary Study Purpose: TREATMENT
• Blinding Strategy: NONE

Study Groups

Neoantigen peptide vaccine/neoantigen-based DC treatment

Patients assigned to the neoantigen peptide vaccine/neoantigen-based DC treatment group will receive 5-6 subcutaneous injections of neoantigen peptide vaccine or neoantigen-based DC immune preparation within a 14-week treatment period.

Group Type: EXPERIMENTAL

Neoantigen peptide vaccine

Intervention Type: DRUG

Personalized tumor neoantigen peptide vaccine

Neoantigen-based DC immune preparation

Intervention Type: DRUG

Personalized tumor neoantigen DC therapeutic immune preparation

Interventions

Neoantigen peptide vaccine

Personalized tumor neoantigen peptide vaccine

Intervention Type: DRUG

Neoantigen-based DC immune preparation

Personalized tumor neoantigen DC therapeutic immune preparation

Intervention Type: DRUG

Eligibility Criteria

Inclusion Criteria

• With inoperable advanced malignant solid tumors, including melanoma, gastrointestinal tumor, breast cancer, pancreatic cancer, cervical cancer, lung cancer, etc.
• Failed in standard treatment or voluntarily give up other treatment, and been longer than 2 weeks from the end of the last anti-tumor treatment
• Had disease progression prior to treatment
• Expected survival ≥ 3 months
• ECOG performance status of 0, 1, or 2
• With a negative pregnancy test for females of childbearing age
• Able to take effective contraceptive measures and ensure that there is no birth plan within half a year of the study
• Not positive for HIV, HBV, HCV, or TP
• ALT/AST ≤ 2.5 times the upper limit of normal
• ALP ≤ 2.5 times the upper limit of normal
• Serum creatinine ≤1.6 mg/dL
• Total bilirubin ≤ 1.5 mg/dL
• In the absence of granulocyte colony-stimulating factor support, proportion of lymphocytes > 20%, absolute neutrophil count ≥ 1x10^9/L, white blood cell count ≥ 3x10^9/L, platelet count ≥ 100×10^9/L, hemoglobin > 8.0 g/dL, CD4+ cell count > 200/μL
• With normal coagulation test and ECG
• Able to understand and willing to sign a written informed consent form

Exclusion Criteria

• Pregnant or breastfeeding women
• Patients with brain metastases
• Had immunosuppressant therapy within 1 month or received other immunotherapy within 3 months
• Participated in other clinical study within 30 days
• With severe allergies or histories of severe allergy
• With splenectomy
• With primary or secondary immunodeficiency diseases or autoimmune diseases (including systemic lupus erythematosus, rheumatoid arthritis, inflammatory bowel disease, autoimmune thyroid disease, multiple sclerosis, vasculitis, glomerulitis, psoriasis, uncontrolled asthma, etc.)
• Had oral, intramuscular, or intravenous corticosteroids within 1 month. However, inhaled corticosteroids are allowed to treat respiratory insufficiency (such as chronic obstructive pulmonary disease), as well as topical steroids
• With uncontrollable epilepsy, central nervous system disorder, or neurological disease with loss of cognitive ability
• With a history of chronic alcohol or drug abuse within 6 months
• With unstable systemic diseases (including active infection, liver cirrhosis, chronic renal failure, severe chronic pulmonary disease, unstable hypertension, unstable angina, congestive heart failure, myocardial infarction within 1 year, etc.)
• With a history of other malignant tumors in the past 5 years (excluding those who have been clinically cured, and squamous cell carcinoma or skin basal cell carcinoma)
• Those the researcher believed inappropriate to participate in this study

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 70 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Shanghai Dengding BioAI Co.

UNKNOWN

Sponsor Role: collaborator

The First Affiliated Hospital of Nanchang University

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Locations

First Affiliated Hospital of Nanchang University

Nanchang, Jiangxi, China

Site Status: RECRUITING

Countries

China

Central Contacts

Sujun Li, PhD

Role: CONTACT

17600699826@163.com

8617600699826

Aiping Le

Role: CONTACT

Facility Contacts

Sujun Li, PhD

Role: primary

17600699826@163.com

8617600699826

Aiping Le

Role: backup

Other Identifiers

IIT-2021-087

Identifier Type: -

Identifier Source: org_study_id