Safety and Modulation of Adaptive Immunity by Iscador® Qu Viscum Album Extract in Patients With Advanced, Recurrent or Metastatic Cancers Treated With Immune Checkpoint Inhibitors

NCT ID: NCT06408688

Last Updated: 2024-12-27

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

RECRUITING

Clinical Phase

PHASE4

Total Enrollment

100 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-06-24

Study Completion Date

2026-11-30

Brief Summary

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The main objective of this study is to test if adding the mistletoe extract Iscador® Qu to regular cancer treatment with immune checkpoint inhibitors affects:

* The immune system's ability to fight cancer
* Safety of the treatment
* How well the treatment performs against cancer
* How the patient feels during treatment

Researchers will compare patients treated with immune checkpoint inhibitors plus Iscador® Qu with patients treated with imune checkpoint inhibitors only.

Detailed Description

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The impact of mistletoe preparations - that are claimed to have immunostimulatory properties - on cancer treatment with immune checkpoint inhibitors remains unclear. To address this knowledge gap, the current study aims to investigate the modulation of adaptive immunity through the combination of Iscador (a specific mistletoe preparation) and immune checkpoint inhibitors. Additionally, researchers will evaluate the safety profile of this combination therapy in patients with locally advanced non-operable or metastatic cancers except for skin cancers. By examining the modulation of adaptive immunity and safety of this treatment approach, researchers aim to provide valuable insights for clinicians and patients in the context of advanced cancer care.

Conditions

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Advanced Solid Tumor

Keywords

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Mistletoe Extract

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: Immune checkpoint inhibitors plus Iscador® Qu

Patients randomized to Arm A will be treated with Immune checkpoint inhibitors plus Iscador® Qu.

Group Type ACTIVE_COMPARATOR

Immune checkpoint inhibitors plus Iscador® Qu.

Intervention Type DRUG

Standard cancer treatment plus subcutaneous injection of mistletoe fermented extract (Iscador® Qu) as per the summary of product characteristics.

Arm B: Immune checkpoint inhibitors

Patients randomized to Arm B will be treated with Immune checkpoint inhibitors only.

Group Type ACTIVE_COMPARATOR

Immune Checkpoint Inhibitors

Intervention Type DRUG

Standard cancer treatment.

Interventions

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Immune checkpoint inhibitors plus Iscador® Qu.

Standard cancer treatment plus subcutaneous injection of mistletoe fermented extract (Iscador® Qu) as per the summary of product characteristics.

Intervention Type DRUG

Immune Checkpoint Inhibitors

Standard cancer treatment.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Locally advanced non-operable or metastatic solid tumor, except for skin cancer
* Eligible for routine (standard) treatment with immune checkpoint inhibitor (+/- chemo/targeted therapy) as per the discretion of the local investigator
* Subjects must be eligible for treatment with mistletoe preparations (controlled brain metastases, prednisolone equivalent below 10mg, no known hypersensitivity)
* ECOG (Eastern Cooperative Oncology Group) performance status score of 0-2
* Males and Females at least 18 years of age; no subjects under tutelage
* No previous mistletoe treatment

Exclusion Criteria

* Contraindications to Iscador® Qu or immune checkpoint inhibitors, e.g. hypersensitivity, active autoimmune disorder
* Patients with skin cancer
* Participation in another study with investigational drug within 30 days prior to enrolment (participation in observational studies or diagnostic studies without a particular drug intervention are allowed)
* Enrolment of the investigator, his/her family members, employees and other dependent
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University Hospital, Basel, Switzerland

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Benjamin Kasenda, PD Dr. Dr.

Role: PRINCIPAL_INVESTIGATOR

USB

Locations

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Kantosspital Baden AG

Baden, , Switzerland

Site Status RECRUITING

Universitätsspital Basel

Basel, , Switzerland

Site Status RECRUITING

Kantonsspital Baselland

Liestal, , Switzerland

Site Status RECRUITING

Tumor- und Brustzentrum Ostschweiz

Sankt Gallen, , Switzerland

Site Status RECRUITING

Countries

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Switzerland

Central Contacts

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Mascha Binder, Prof. Dr.

Role: CONTACT

Phone: +41 61 265 50 75

Email: [email protected]

Benjamin Kasenda, PD Dr. Dr.

Role: CONTACT

Phone: +41 61 265 50 75

Email: [email protected]

Facility Contacts

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Sacha Rothschild, Prof. Dr. Dr.

Role: primary

Benjamin Kasenda, PD. Dr. Dr.

Role: primary

Bettina Seifert, Dr.

Role: primary

Friedemann Honecker, PD Dr. Dr.

Role: primary

Other Identifiers

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2023-02373; th23binder

Identifier Type: -

Identifier Source: org_study_id