UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000034253
Receipt number R000039044
Scientific Title A Phase I/II study of mucosal immunotherapy using HPV-targeting Lactobacillus-based vaccine, IGMKK16E7, for treatment of HPV16-related high-grade squamous intraepithelial lesions: MILACLE study
Date of disclosure of the study information 2019/01/01
Last modified on 2022/01/28 12:20:32

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Basic information

Public title

A Phase I/II study of mucosal immunotherapy using HPV-targeting Lactobacillus-based vaccine, IGMKK16E7, for treatment of HPV16-related high-grade squamous intraepithelial lesions: MILACLE study

Acronym

MILACLE study

Scientific Title

A Phase I/II study of mucosal immunotherapy using HPV-targeting Lactobacillus-based vaccine, IGMKK16E7, for treatment of HPV16-related high-grade squamous intraepithelial lesions: MILACLE study

Scientific Title:Acronym

MILACLE study

Region

Japan


Condition

Condition

High-grade squamous intraepithelial lesions (HSIL/CIN2-3)

Classification by specialty

Obstetrics and Gynecology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To evaluate the safety of oral administration with IGMKK16E7 to patients with HSIL/CIN2-3 and decide the recommended human dose to obtain the optimal efficacy.

Basic objectives2

Others

Basic objectives -Others

To examine the relationship between HPV E7 expression levels and the efficacy of IGMKK16E7.

Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

A safety of IGMKK16E7 and pathological regression of HSIL/CIN2-3.

Key secondary outcomes

TH1 immune responses to E7, cytological regression of /CIN2-3, and Clearance of HPV genome.


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Double blind -all involved are blinded

Control

Placebo

Stratification

YES

Dynamic allocation

YES

Institution consideration


Blocking


Concealment



Intervention

No. of arms

4

Purpose of intervention

Treatment

Type of intervention

Medicine Vaccine

Interventions/Control_1

Low-dose of IGMKK16E7 (an attenuated HPV16E7-expressing Lactobacillus casei) is administered daily. All patients received four rounds of oral vaccination at weeks 1, 2, 4, and 8. Each dose of IGMKK16E7 or placebo is administered orally once each morning after fasting for five days each treatment week.

Interventions/Control_2

Middle-dose of IGMKK16E7 (an attenuated HPV16E7-expressing Lactobacillus casei) is administered daily. All patients received four rounds of oral vaccination at weeks 1, 2, 4, and 8. Each dose of IGMKK16E7 or placebo is administered orally once each morning after fasting for five days each treatment week.

Interventions/Control_3

High-dose of IGMKK16E7 (an attenuated HPV16E7-expressing Lactobacillus casei) is administered daily. All patients received four rounds of oral vaccination at weeks 1, 2, 4, and 8. Each dose of IGMKK16E7 or placebo is administered orally once each morning after fasting for five days each treatment week.

Interventions/Control_4

Placebo is administered daily. All patients received four rounds of oral vaccination at weeks 1, 2, 4, and 8. Each dose of IGMKK16E7 or placebo is administered orally once each morning after fasting for five days each treatment week.

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

45 years-old >

Gender

Female

Key inclusion criteria

20-45 years-old health female who are diagnosed as HSIL/CIN2 and HSIL/CIN3 by histological examination and infected with HPV 16 alone or HPV16+other types.

Key exclusion criteria

(1) Immune compromised host or person who receive immunosuppressive therapy,
(2) Patients who is suspected as invasive cancer,
(3) Patients who has a previous history of hypersensitivity to Lactobacillus-content food/drug or milk,
(4) Pregnant women or patients who expected to get pregnant,
(5) Breast feeder mother.

Target sample size

164


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Kei Kawana

Organization

School of Medicine, Nihon University

Division name

Department of Obstetrics and Gynecology,

Zip code


Address

30-1, Oyaguchi kami-cho,Itabachi-ku, Tokyo 173-8610, Japan

TEL

03-3972-8111(ext2520)

Email

kkawana-tky@umin.org


Public contact

Name of contact person

1st name
Middle name
Last name Yuji Ikeda

Organization

School of Medicine, Nihon University

Division name

Department of Obstetrics and Gynecology,

Zip code


Address

30-1, Oyaguchi kami-cho,Itabachi-ku, Tokyo 173-8610, Japan

TEL

03-3972-8111(ext2520)

Homepage URL


Email

ikeda.yuji@nihon-u.ac.jp


Sponsor or person

Institute

School of Medicine, Nihon University

Institute

Department

Personal name



Funding Source

Organization

Japan Agency for Medical Research and Development,

Organization

Division

Category of Funding Organization

Government offices of other countries

Nationality of Funding Organization



Other related organizations

Co-sponsor

GLOVACC Inc.

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

慶應大学病院(東京都)、筑波大学附属病院(茨城県)、九州大学病院(福岡県)


Other administrative information

Date of disclosure of the study information

2019 Year 01 Month 01 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


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

No longer recruiting

Date of protocol fixation

2018 Year 04 Month 20 Day

Date of IRB

2018 Year 04 Month 27 Day

Anticipated trial start date

2019 Year 04 Month 01 Day

Last follow-up date

2022 Year 06 Month 30 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2018 Year 09 Month 24 Day

Last modified on

2022 Year 01 Month 28 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000039044


Research Plan
Registered date File name
2023/07/19 Protocol_FINAL_MILACLEstudy.docx

Research case data specifications
Registered date File name
2023/07/19 SAP_FINAL_MILACLEstudy.doc

Research case data
Registered date File name
2023/07/18 MILACLEstudy.zip