Unique ID issued by UMIN | UMIN000001187 |
---|---|
Receipt number | R000001428 |
Scientific Title | WT1 peptide-based vaccination combined with Gemcitabine for advanced pancreas cancer |
Date of disclosure of the study information | 2008/06/20 |
Last modified on | 2014/11/27 15:33:52 |
WT1 peptide-based vaccination combined with Gemcitabine for advanced pancreas cancer
WT1 peptide-based vaccination combined with Gemcitabine for advanced pancreas cancer
WT1 peptide-based vaccination combined with Gemcitabine for advanced pancreas cancer
WT1 peptide-based vaccination combined with Gemcitabine for advanced pancreas cancer
Japan |
pancreas cancer
Hepato-biliary-pancreatic medicine | Hepato-biliary-pancreatic surgery |
Malignancy
YES
Safety
Efficacy
Exploratory
Explanatory
Phase I
Safety
1. Climical response rate
Disease control rate
Clinical benefit response
2. QOL outcomes
3. Immune responses to WT1
Interventional
Single arm
Non-randomized
Open -no one is blinded
Historical
1
Treatment
Medicine | Vaccine |
Administration of Gemcitabine
Gemcitabine(1000mg/m2 )is administered via intravenous injection over 30min on day 1, 8, 15 of a 28-day cycle twice.
WT1 vaccination
The patient is intradermally injected with 3 mg of the HLA-A*2402-restricted, 9-mer WT1 peptide (CYTWNQMNL) emulsified with Montanide ISA51 adjuvant over 1 hour after administration of gemsitabine. WT1 vaccine is performed every two weeks four times.
Safty and efficacy are evaluated 7-14 days after fourth WT1 vaccination .
20 | years-old | <= |
75 | years-old | >= |
Male and Female
1. Diagnosed as pancreas cancer.
2. Informed about his diagnosis
3. 1) First-line treatment for inoperable patients.
Stage IVa, IVb
2) Relase after operation
Initial chemotherapy
Two months after last chemotherapy
4. HLA-A*2402 positive
5. Having evaluable diaseas by RECIST criteria
6. No chemotherapy/radiation/BRM has been performed.
7. Karnofsky Performance Status(KPS)
over 50
8. Survival period is expected more than
3 months
9. Meet the following criteria for organ functions
1)WBC more than 4,000/microliter and less than 12,000,Neutrophil more than 2,000/microliter, Platelet more than 100,000/microliter, Hemoglobin more than 9.5g/dl
2) Serum creatinine within normal limitation
3) Serum bilirubin less than 1.5 folds of the upper normal limit
4) Serum AST/GOT less than 2.5 folds of the upper normal limit
5) Serum Albumin more than 3.0g/dl
10. Pleural effusion, ascites and pericardial effusion are not detected or
controlled.
11. Informed consent has been obtained
1. There is deep-seated active infection.
2,3 There are severe complications including malignant hypertention, cardiac failure, liver cirrhosis, severe DM, severe lung fiblosis, active interstitial pneumonitis.Patients who have complications that are considered inappropriate for the trial.
4. Dependent on total parenteral nutrition(TPN)
5. There are other malignancies.
6. There are hematopoietic stem cell disorders such as myelodisplastic syndorome(MDS) and myeloproliferative disorders (MPD).
7. Pregnant or lactating woman
8. Past history of severe drug allergy
9. There is severe psychiatric disorder.
10. Responsible doctors judged the patient inappropriate for the trial
18
1st name | |
Middle name | |
Last name | Haruo Sugiyama |
Osaka University Medical School
Department of Clinical Laboratory Science
1-7, Yamada-oka, Suita City, Osaka , Japan
06-6879-2593
sugiyama@sahs.med.osaka-u.ac.jp
1st name | |
Middle name | |
Last name | Sumiyuki Nishida |
Osaka University Medical School
Department of Cancer Immunotherapy
2-2, Yamada-oka, Suita City, Osaka, Japan
06-6879-3676
sumiyuki-n@imed3.med.osaka-u.ac.jp
Department of Cancer immunotherapy, Osaka University Medical School
Ministry of Education, Culture, Sports, Science and Technology
Japan
THE JIKEI UNIVERSITY
NO
2008 | Year | 06 | Month | 20 | Day |
Published
http://www.ncbi.nlm.nih.gov/pubmed/24509173
Completed
2007 | Year | 06 | Month | 06 | Day |
2008 | Year | 03 | Month | 01 | Day |
2012 | Year | 03 | Month | 01 | Day |
2012 | Year | 03 | Month | 01 | Day |
2012 | Year | 03 | Month | 01 | Day |
2013 | Year | 03 | Month | 31 | Day |
2008 | Year | 06 | Month | 13 | Day |
2014 | Year | 11 | Month | 27 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000001428