Unique ID issued by UMIN | UMIN000001857 |
---|---|
Receipt number | R000002236 |
Scientific Title | A phase I study of cancer vaccine with NY-ESO-1 overlapping peptides in patients with advanced cancers expressing NY-ESO-1 antigen |
Date of disclosure of the study information | 2009/04/10 |
Last modified on | 2016/10/12 10:43:34 |
A phase I study of cancer vaccine with NY-ESO-1 overlapping peptides in patients with advanced cancers expressing NY-ESO-1 antigen
Cancer vaccine with NY-ESO-1 overlapping peptides
A phase I study of cancer vaccine with NY-ESO-1 overlapping peptides in patients with advanced cancers expressing NY-ESO-1 antigen
Cancer vaccine with NY-ESO-1 overlapping peptides
Japan |
advanced esophageal cancer, stomach cancer, non-small cell lung cancer (NSCLC), malignant melanoma, bladder cancer.
Gastroenterology | Pneumology | Gastrointestinal surgery |
Hepato-biliary-pancreatic surgery | Chest surgery | Dermatology |
Urology |
Malignancy
NO
We identified the highly antigenic region in NY-ESO-1 molecule recognized by CD4 and CD8 T cells using an IFN-gamma secretion assay and individual overlapping peptides spanning the entire NY-ESO-1 protein for stimulation. Regions II(73-114) and III(121-144) were frequently recognized by either CD4 or CD8 T cells irrespective of patients' HLA type. Moreover, the most dominant peptide region (91-108) eliciting antibody response was also included in the region II. Based on these findings, we will investigate the safety and immunogenicity of four overlapping long peptides (NY-ESO-1 peptide #1(79-108); peptide #2(100-129); peptide #3(121-150); peptide #4(142-173))for cancer vaccine.
Safety
Confirmatory
Pragmatic
Phase I
Toxicities and adverse events defined by National Cancer Institute Common Terminology Criteria for Adverse Events (CTCAE) Scale.
NY-ESO-1 specific immunity will be assessed using blood. NY-ESO-1 reactive antibodies measured by ELISA and cellular immunity by NY-ESO-1 specific CD4 and CD8 T cells by cytokine secretion as determined by FACS analysis will be assayed. Tumor response will be assessed according to the Response Evaluation Criteria in Solid Tumors (RECIST). Disease status will be assessed at baseline and 2 weeks after the sixth vaccination in patients with evaluable (measurable and non-measurable) disease.
Interventional
Single arm
Non-randomized
Open -no one is blinded
Uncontrolled
1
Treatment
Medicine | Vaccine |
NY-ESO-1 OLP (4 peptides total 1 mg)+Montanide ISA-51 (1.0 mL)+ K-432 (Picibanil) (0.2 KE)
Every 2 weeks x 6 times
20 | years-old | <= |
80 | years-old | >= |
Male and Female
1.Histological diagnosis of any type of cancers expressing NY-ESO-1 antigen.
2.Advanced cancer patient.
3.Performance status of 0-2.
4.Age 20-80 years.
5.At least 4 weeks since radiotherapy, biological therapy, chemotherapy or surgery prior to first dosing of study agent.
6.Life expectancy > 3 months.
7.Laboratory values within the following limits:
WBC > 3000/mm3
Neutrophil count > 1500/mm3
Hemoglobin> 8.0 g/dL
Platelet count > 80,000/mm3
Serum bilirubin < 2.0 mg/dl
AST,ALT < 150 IU/l
Serum creatmine < 2.0 mg/dL
8.Tumor with NY-ESO-1 expression
9.Able and willing to give witnessed, written informed consent for participation in the trial
10.Evaluable tumor
9.no penicillin allergy
1.Clinically significant heart disease (i.e., NYHA class 3 congestive heart failure; myocardial infarction within the past six months; unstable angina; coronary angioplasty within the past 6 months; uncontrolled atrial or ventricular cardiac arrhythmias).
2.Other serious illnesses, e.g., serious infections requiring antibiotics, bleeding disorders.
3.Previous bone marrow or stem cell transplant.
4.History of immunodeficiency disease or autoimmune disease except vitiligo.
5.Metastatic disease to the central nervous system, unless treated and stable.
6.Other malignancy within 3 years prior to entry into the study, except for treated early-stage melanoma or non-melanoma skin cancer, or cervical carcinoma in situ.
7.Known HIV, positivity.
8.Concomitant treatment with steroids. Topical or inhalational steroids are permitted. (See also Section 6.7 for restrictions/recommendations on 'Ancillary Therapy'.)
9.Participation in any other clinical trial involving another investigational agent within 4 weeks prior to first dose of study agent.
10.Pregnancy or lactation.
11.Women of childbearing potential not using a medically acceptable means of contraception.
12.Psychiatric or addictive disorders that may compromise the ability to give informed consent.
13.Lack of availability of the patient for immunological and clinical follow-up assessment.
9
1st name | |
Middle name | |
Last name | Eiichi Nakayama |
Okayama University Graduate School of
Medicine, Dentistry and Pharmaceutical Sciences
Department of Immunology
2-5-1 Shikata-cho, Okayama 700-8558, Japan
086-235-7187
nakayama@mw.kawasaki-m.ac.jp
1st name | |
Middle name | |
Last name | Hisashi Wada |
Osaka University Graduate School of Medicine
Department of Surgery
2-2 Yamadaoka, Suita, Osaka 565-0871, Japan
06-6879-3251
http://www.med.osaka-u.ac.jp/pub/gesurg/consultation/jyobu_shouka/vaccine/index.html
hwada@gesurg.med.osaka-u.ac.jp
Department of Immunology
Okayama University Graduate School of
Medicine, Dentistry and Pharmaceutical Sciences
Ludwig Institute for Cancer Research, NY, USA
Outside Japan
USA
Department of Surgery and Clinical Oncology, Osaka University Graduate School of Medicine
Department of Immunotherapeutics
Graduate School of Medicine
The University of Tokyo
The Ministry of Education, Culture, Sports, Science and Technology of Japan.
NO
川崎医大・呼吸器内科
2009 | Year | 04 | Month | 10 | Day |
Published
http://ovidsp.tx.ovid.com/sp-3.22.1b/ovidweb.cgi?QS2=434f4e1a73d37e8c504983e01e46c99ab7186537abb996a
Completed
2009 | Year | 01 | Month | 01 | Day |
2009 | Year | 03 | Month | 01 | Day |
2014 | Year | 03 | Month | 01 | Day |
2014 | Year | 09 | Month | 01 | Day |
2014 | Year | 09 | Month | 01 | Day |
2014 | Year | 12 | Month | 01 | Day |
2009 | Year | 04 | Month | 07 | Day |
2016 | Year | 10 | Month | 12 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000002236