UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000004948
Receipt number R000005891
Scientific Title Phase I study of peptides derived from novel cancer antigens for advanced colorectal cancer
Date of disclosure of the study information 2011/01/26
Last modified on 2011/07/27 21:13:16

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Basic information

Public title

Phase I study of peptides derived from novel cancer antigens for advanced colorectal cancer

Acronym

Phase I study of peptides for advanced colorectal cancer

Scientific Title

Phase I study of peptides derived from novel cancer antigens for advanced colorectal cancer

Scientific Title:Acronym

Phase I study of peptides for advanced colorectal cancer

Region

Japan


Condition

Condition

colorectal cancer

Classification by specialty

Gastroenterology Gastrointestinal surgery Adult

Classification by malignancy

Malignancy

Genomic information

YES


Objectives

Narrative objectives1

The purpose of this study is to evaluated the safety of subcutaneous injection of HLA-A*2402 restricted epitope peptides (RNF43, TOMM34, KOC1, VEGFR1 and VEGFR2).

Basic objectives2

Safety

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

To evaluate the safety and to find the recommended dose

Key secondary outcomes

Immunological effect
Objective responses
Overall survival


Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Uncontrolled

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Treatment

Type of intervention

Vaccine

Interventions/Control_1

dose escalation

Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

1. Unrespectable metastatic colorectal cancer and resistant for standard therapy.
2. Performance status 0-2 (ECOG)
3. Evaluable tumor lesion(s)
4. No major surgery, radiotherapy, or chemotherapy within 4 weeks prior to the study
5. predicted life expectancy of at least 3 months
6. Adequate baseline organ functions, defined as a leukocyte count of at least 2000 &#8260; lL, platelet count of at least 75000 / lL, and aspartate aminotransferase and alanine aminotransferase levels three times or less than the upper limit of the institutional reference range; and serum creatinine below 2.0 mg&#8260; dL.
7. with HLA-A2402
8. Written informed consent.

Key exclusion criteria

Serious infectious disease or other severe complications (e.g. pulmonary fibrosis / interstitial pneumonia, uncontrollable diabetes); pregnancy or lactation, or trying to get pregnant; a history of drug allergy

Target sample size

18


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Masaaki Oka

Organization

Yamaguchi University Graduate School of Medicine

Division name

Digestive surgery and surgical oncology

Zip code


Address

1-1-1 Minami-Kogushi, Ube, Yamaguchi, 755-8505, Japan

TEL


Email



Public contact

Name of contact person

1st name
Middle name
Last name Shoichi Hazama

Organization

Yamaguchi University Graduate School of Medicine

Division name

Digestive surgery and surgical oncology

Zip code


Address


TEL


Homepage URL


Email

hazama@yamaguchi-u.ac.jp


Sponsor or person

Institute

Yamaguchi University Graduate School of Medicine, Digestive surgery and surgical oncology

Institute

Department

Personal name



Funding Source

Organization

Yamaguchi University Graduate School of Medicine, Digestive surgery and surgical oncology

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization


Address


Tel


Email



Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2011 Year 01 Month 26 Day


Related information

URL releasing protocol


Publication of results

Published


Result

URL related to results and publications

http://www.asco.org/ASCOv2/Meetings/Abstracts?&vmview=abst_detail_view&confID=102&abstractID=77482

Number of participants that the trial has enrolled


Results

Background A phase I clinical trial was conducted for patients with mCRC using 5 novel HLA-A24-restricted peptides, which were derived from 3 oncoantigens (RNF43 TOMM34 KOC1), and from VEGFR1 and VEGFR2. Methods: This study was conducted to evaluate the safety and to find the recommended dose of the combination of 5 peptides, and secondary to evaluate immunological and antitumor effects. Eighteen HLAA2402positive mCRC pts who failed to standard therapy were enrolled in this study with written informed consents. Each of the 5 peptides was subcutaneously injected with 0.5 mL of incomplete Freunds adjuvant (IFA) to the inguinal or axillal regions in 5 separate regions weekly for 4 weeks in a dose-escalation manner (doses of 0.5, 1, and 3 mg each peptide/ body, 3 pts cohort).Results: The vaccination was well tolerated without any treatment associated adverse events of grade 2 or higher. The total numbers of peptides induced antigen specific response were 2 peptides in 3 pts at 0.5mg, 6 in 3 pts at 1.0 mg, and 18 in 6pts at 3.0 mg, respectively. We therefore decided that the RD was 3.0 mg / body.

Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2006 Year 12 Month 04 Day

Date of IRB


Anticipated trial start date

2007 Year 01 Month 01 Day

Last follow-up date

2011 Year 07 Month 01 Day

Date of closure to data entry

2011 Year 07 Month 01 Day

Date trial data considered complete

2011 Year 07 Month 01 Day

Date analysis concluded

2011 Year 07 Month 01 Day


Other

Other related information



Management information

Registered date

2011 Year 01 Month 25 Day

Last modified on

2011 Year 07 Month 27 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000005891