Unique ID issued by UMIN | UMIN000026023 |
---|---|
Receipt number | R000008125 |
Scientific Title | A phase I/II study of a WT1-W10 immunotherapy against high-risk MDS and MDS overt AML. |
Date of disclosure of the study information | 2017/02/07 |
Last modified on | 2018/02/08 09:16:02 |
A phase I/II study of a WT1-W10 immunotherapy against high-risk MDS and MDS overt AML.
A phase I/II study of a WT1-W10 immunotherapy against high-risk MDS and MDS overt AML.
A phase I/II study of a WT1-W10 immunotherapy against high-risk MDS and MDS overt AML.
A phase I/II study of a WT1-W10 immunotherapy against high-risk MDS and MDS overt AML.
Japan |
High-risk MDS and MDS overt AML
Hematology and clinical oncology |
Malignancy
NO
The aim of the study is to examine the safety and efficacy of an immunotherapy using WT1-W10 peptide and pertussis whole cell-vaccine. The target diseases are MDS and MDS overt AML. W10 peptide is presented by HLA-A*24:02, A*02:01, A*02:06, A*02:07, thus the patients bearing one or two of these alleles are eligible to the study.
Safety,Efficacy
Phase I,II
Phase I : adverse events of grade 3 or higher, all adverse events by the CTCAE criteria
Phase II : progression free survival
Recurrence rate, survival rate, overall survival, maximal response, specific immune responses
Interventional
Single arm
Non-randomized
Open -no one is blinded
Uncontrolled
1
Treatment
Medicine | Vaccine |
3.0mg of WT1 peptide and adjuvant agent well be administrated intradermally. The administration interval is essentially every week.
20 | years-old | <= |
85 | years-old | > |
Male and Female
1) patients diagnosed as MDS by the WHO criteria. Among them the high-risk and very high risk groups by the WHO prognosis scoring system are recruited.
2) patients who have been informed of the disease
3) patients who have no option to standard therapies or those who chose this trial over the standard therapy. Patients are not eligible to this trial if treated with the previous therapy within 4 weeks.
4) patients bearing at least one of HLA-A*24:02, A*02:01, A*02:06, A*02:07 genes.
5) Overexpression of WT1 gene was observed by real-time PCR at least once in the bone marrow or peripheral blood.
normal threshold of the WT1 transcripts:
in bone marrow or peripheral blood: =< 250 copy/ug RNA
Alternatively, over-expression of WT1 protein is confirmed by flow cytometry.
6) The presence of residual tumors in the bone marrow or peripheral blood are confirmed by one of the clinical tests listed below.
The presence of leukemic blasts
Overexpression of the WT1 transcript
The presence of canonical chromosomal abnormalities have been confirmed by chromosome examination, FISH or analysis of chimeric transcripts.
7) At least 8 days have passed after the administration of either hematopoietic factors, transfusion of platelets or RBC.
blasts in the bone marrow and peripheral blood < 50%,
neutrophil >= 500 /ul
platelet >= 20,000 /ul
Hb >= 6.5 g/dl
8) No involvement of the central nervous system or under control
9) 20 years of age or older, and less than 85 years
10) The performance status should be between 0-1 by the ECOG criteria
11) Functions of the major organs are preserved.
12) No serious complications, No double tumors including hematopoietic malignancy.
13) Written consent have been obtained from patients.
1)patients with infectious diseases including active Tuberculosis which are poorly controlled.
2)patients with serious comorbidities (generally those with grade 3 or higher by the NCI-CTC criteria ver 3.0)
3)pregnant women, Breast feeding mothers
4)patients with severe mental problems.
5)patients who have already been recruited in other clinical trials.
6) Patients who have dropped out after starting this clinical trials.
60
1st name | |
Middle name | |
Last name | Akihito Yokoyama |
Kochi University, School of Medicine
Department of Hematology and respiratory Medicine
Kohasu, Okocho, Nankoku, Kochi, 783-8505, Japan
088-866-5811
vaccine@kochi-u.ac.jp
1st name | |
Middle name | |
Last name | Keiko Udaka |
School of Medicine, Kochi University
Anti-tumor Immunotherapy Research Network, Central Office, Department of Immunology
Kohasu, Okocho, Nankoku, Kochi, 783-8505, Japan
088-880-2318
vaccine@kochi-u.ac.jp
Department of Hematology and respiratory Medicine, School of Medicine, Kochi University
NEC Corporation
Profit organization
NO
2017 | Year | 02 | Month | 07 | Day |
Unpublished
Completed
2009 | Year | 09 | Month | 03 | Day |
2009 | Year | 09 | Month | 30 | Day |
2017 | Year | 02 | Month | 07 | Day |
2018 | Year | 02 | Month | 08 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000008125