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NCT00142454

NY-ESO-1 Protein Vaccine With Imiquimod in Melanoma (Adjuvant Setting)

Completed Phase 1 Results posted Last updated 10 October 2022
What this trial tests

Phase 1 trial testing Imiquimod in Malignant Melanoma in 9 participants. Completed in 25 April 2006.

Timeline
24 August 2005
Primary endpoint
25 April 2006
25 April 2006

Quick facts

Lead sponsorLudwig Institute for Cancer Research
PhasePhase 1
StatusCompleted
Study typeINTERVENTIONAL
Allocationnon randomized
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment9
Start date24 August 2005
Primary completion25 April 2006
Estimated completion25 April 2006
Sites1 location across United States

Drugs / interventions tested

Conditions studied

Sponsor

Ludwig Institute for Cancer Research

Who can join

18 and older, any sex, with Malignant Melanoma. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Number of Patients With Treatment-emergent Adverse Events (TEAEs) Primary · Up to 4 months

Toxicity was graded in accordance with the National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE), version 3.0, as follows: Grade 1 (mild), Grade 2 (moderate), Grade 3 (severe), Grade 4 (life-threatening), and Grade 5 (fatal). Adverse events (AEs) were reported based on clinical laboratory tests, vital sign and weight measurements, physical examinations, performance status evaluations, and any other medically indicated assessments, including patient interviews, from the time informed consent was signed through the last follow-up visit. AEs were considered to be

Any TEAE
GroupValue95% CI
Imiquimod + NY-ESO-18
Maximum TEAE severity Grade 1
GroupValue95% CI
Imiquimod + NY-ESO-18
Serious TEAE
GroupValue95% CI
Imiquimod + NY-ESO-10
TEAE leading to discontinuation
GroupValue95% CI
Imiquimod + NY-ESO-10
Number of Patients With Cellular Antibody Response to NY-ESO-1 at Two or More Post-vaccination Time Points Secondary · Up to 4 months

Assays to assess cluster of differentiation (CD)8+ and CD4+ antigen-specific responses were performed at baseline (Cycle 1 Day 1), throughout the vaccination period (Day 1 of Cycles 2 through 4 and Day 10 of each cycle), and at the 2 post-treatment follow-up visits (Weeks 13 and 16) by enzyme-linked immune absorbent spot (ELISPOT) assay following prior in vitro sensitization. A 3-fold increase in spot-forming cells over baseline defined a positive response. Suitable antigens may have included recombinant viral vectors encoding NY-ESO-1, or NY-ESO-1 overlapping peptides, depending upon availabi

CD4+ T cell response
GroupValue95% CI
Imiquimod + NY-ESO-17
CD8+ T cell response
GroupValue95% CI
Imiquimod + NY-ESO-10
Number of Patients With Humoral Antibody Response to NY-ESO-1 Secondary · Up to 4 months

Assays to assess NY-ESO-1 specific antibodies were performed at baseline (Cycle 1 Day 1), throughout the vaccination period (Day 1 of Cycles 2 through 4 and Day 10 of each cycle), and at the 2 post-treatment follow-up visits (Weeks 13 and 16) by enzyme-linked immunosorbent assay (ELISA). Samples were diluted serially. The induction and augmentation of immunity were defined as an increase in antibody titer of ≥ 3× over buffer alone or ≥ 4× the pre-vaccination titer, respectively. Sera from the responding patients were tested a second time against a pool of NY-ESO-1 overlapping peptides to confi

GroupValue95% CI
Imiquimod + NY-ESO-14

Adverse events — posted to ClinicalTrials.gov

Time frame: All adverse events (AEs), regardless of causality to study drug, were documented from informed consent through the final follow-up visit, which was up to 4 months for each patient.. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Imiquimod + NY-ESO-1
Serious: 0/9 (0%)
Deaths: 0/9
Other adverse events (29 terms — click to expand)

ReactionSystemImiquimod + NY-ESO-1
Redness at injection siteGeneral disorders
FatigueGeneral disorders
Swelling at injection siteGeneral disorders
Flu-like symptomsGeneral disorders
Injection site reactionGeneral disorders
Pain at injection siteGeneral disorders
Splotchy at injection siteGeneral disorders
EdemaGeneral disorders
BoilsSkin and subcutaneous tissue disorders
PruritusSkin and subcutaneous tissue disorders
Irregular heart rateCardiac disorders
Staph infectionInfections and infestations
Tenderness on heelGeneral disorders
Itching at injection siteGeneral disorders
Burning in groin areaGeneral disorders
Urinary tract infectionInfections and infestations
Shoulder painMusculoskeletal and connective tissue disorders
Hardness at injection siteGeneral disorders
Respiration infectionInfections and infestations
Difficulty sleepingPsychiatric disorders
Thigh pimpleSkin and subcutaneous tissue disorders
Mouth soresGeneral disorders
RashSkin and subcutaneous tissue disorders
Itching shoulder scarSkin and subcutaneous tissue disorders
Redness on thighSkin and subcutaneous tissue disorders
Flu shot reactionGeneral disorders
Redness on armSkin and subcutaneous tissue disorders
Leg edemaGeneral disorders
FeverGeneral disorders

Data from ClinicalTrials.gov NCT00142454 adverse events section.

Sponsor's own description

This was a Phase 1, single-arm, open-label, pilot study of NY-ESO-1 protein vaccination with imiquimod as an adjuvant in patients with resected Stage IIB, IIC, and III malignant melanoma. The primary study objective was to determine the safety of NY-ESO-1 protein/imiquimod treatment, and the secondary objective was to evaluate the immunogenicity of treatment.

Publications & conference data

8 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Toll-Like Receptor Signaling and Its Role in Cell-Mediated Immunity.
    Duan T, Du Y, Xing C, Wang HY, et al · · 2022 · cited 628× · PMID 35309296 · DOI 10.3389/fimmu.2022.812774
  2. Vaccine adjuvants: mechanisms and platforms.
    Zhao T, Cai Y, Jiang Y, He X, et al · · 2023 · cited 519× · PMID 37468460 · DOI 10.1038/s41392-023-01557-7
  3. Immunization of malignant melanoma patients with full-length NY-ESO-1 protein using TLR7 agonist imiquimod as vaccine adjuvant.
    Adams S, O'Neill DW, Nonaka D, Hardin E, et al · · 2008 · cited 182× · PMID 18566444 · DOI 10.4049/jimmunol.181.1.776
  4. Trial watch: FDA-approved Toll-like receptor agonists for cancer therapy.
    Vacchelli E, Galluzzi L, Eggermont A, Fridman WH, et al · · 2012 · cited 178× · PMID 23162757 · DOI 10.4161/onci.20931
  5. Agonist and antagonist ligands of toll-like receptors 7 and 8: Ingenious tools for therapeutic purposes.
    Patinote C, Karroum NB, Moarbess G, Cirnat N, et al · · 2020 · cited 87× · PMID 32203790 · DOI 10.1016/j.ejmech.2020.112238
  6. Unleashing the immune response to NY-ESO-1 cancer testis antigen as a potential target for cancer immunotherapy.
    Raza A, Merhi M, Inchakalody VP, Krishnankutty R, et al · · 2020 · cited 82× · PMID 32220256 · DOI 10.1186/s12967-020-02306-y
  7. Toll-like receptor agonists as cancer vaccine adjuvants.
    Jeon D, Hill E, McNeel DG. · · 2024 · cited 33× · PMID 38155525 · DOI 10.1080/21645515.2023.2297453
  8. Human Plasmacytoid Dendritic Cells and Cutaneous Melanoma.
    Monti M, Consoli F, Vescovi R, Bugatti M, et al · · 2020 · cited 30× · PMID 32054102 · DOI 10.3390/cells9020417

Verify or expand the search:

Other trials of Imiquimod

Trials testing the same drug.

Other recruiting trials for Malignant Melanoma

Currently open trials in the same condition.

Other Ludwig Institute for Cancer Research trials

Trials by the same sponsor.

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Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT00142454.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing