Last reviewed · How we verify

NCT00199836

A Pilot Study of NY-ESO-1b Peptide Plus CpG 7909 and Montanide® ISA-51 in Patients With Cancer.

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

Phase 1 trial testing NY-ESO-1b peptide plus CpG 7909 and Montanide® ISA-51 in Cancer in 14 participants. Completed in 6 June 2006.

Timeline
3 September 2003
Primary endpoint
5 September 2005
6 June 2006

Quick facts

Lead sponsorLudwig Institute for Cancer Research
PhasePhase 1
StatusCompleted
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment14
Start date3 September 2003
Primary completion5 September 2005
Estimated completion6 June 2006
Sites1 location across Germany

Drugs / interventions tested

Conditions studied

Sponsor

Ludwig Institute for Cancer Research

Who can join

18 and older, any sex, with Cancer or Neoplasm. 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 NY-ESO-1 Specific Humoral Immunity as Determined by an Increase in Antibody Titer From Baseline. Primary · up to 27 weeks

Blood samples were obtained at baseline (prior to the first dose), prior to the second, third and fourth injection and 2 weeks after the fourth injection in both cycles 1 and 2 for the assessment of NY-ESO-1 specific antibodies by an enzyme-linked immunosorbent assay (ELISA). A positive response was a readable optical density at 280 nm.

Number of patients with negative titers both pre- and post-treatment
GroupValue95% CI
Patients With Cancer Expressing NY-ESO-1 or LAGE-1 Antigen.8
Number of patients with positive titers both pre- and post-treatment
GroupValue95% CI
Patients With Cancer Expressing NY-ESO-1 or LAGE-1 Antigen.5
Number of patients with negative titers at baseline and positive titers after treatment
GroupValue95% CI
Patients With Cancer Expressing NY-ESO-1 or LAGE-1 Antigen.1
Number of Patients With NY-ESO-1 Specific Cellular Immunity as Measured by an Increase in NY-ESO-1b Specific CD8+ T-cells Following Treatment. Primary · up to 27 weeks

Blood samples were obtained at baseline, prior to the second, third and fourth injection and 2 weeks after the fourth injection in both cycles 1 and 2 for the assessment of NY-ESO-1b specific CD8+ T-cells by ELISPOT assays.

Number of patients with an increase in NY-ESO-1b specific CD8+ T-cells during cycle 1
GroupValue95% CI
Patients With Cancer Expressing NY-ESO-1 or LAGE-1 Antigen.4
Number of patients without an increase in NY-ESO-1b specific CD8+ T-cells during cycle 1
GroupValue95% CI
Patients With Cancer Expressing NY-ESO-1 or LAGE-1 Antigen.10
Number of patients with an increase in NY-ESO-1b specific CD8+ T-cells during cycle 2
GroupValue95% CI
Patients With Cancer Expressing NY-ESO-1 or LAGE-1 Antigen.5
Number of Patients With Delayed-Type Hypersensitivity (DTH) Skin Reactions to NY-ESO-1b Peptide Primary · up to 25 weeks

10 mcg NY-ESO-1b peptide was injected intradermally at a separate site from the vaccination at baseline and after the second and fourth injection of each cycle. Assessment of DTH reactions as evidenced by redness and induration was performed 48 h after injection. The number of patients with DTH positive skin reactions was reported at each timepoint.

Baseline
GroupValue95% CI
Patients With Cancer Expressing NY-ESO-1 or LAGE-1 Antigen.2
Patients With Cancer Expressing NY-ESO-1 or LAGE-1 Antigen.12
Week 4
GroupValue95% CI
Patients With Cancer Expressing NY-ESO-1 or LAGE-1 Antigen.0
Patients With Cancer Expressing NY-ESO-1 or LAGE-1 Antigen.13
Week 10
GroupValue95% CI
Patients With Cancer Expressing NY-ESO-1 or LAGE-1 Antigen.1
Patients With Cancer Expressing NY-ESO-1 or LAGE-1 Antigen.7
Week 19
GroupValue95% CI
Patients With Cancer Expressing NY-ESO-1 or LAGE-1 Antigen.3
Patients With Cancer Expressing NY-ESO-1 or LAGE-1 Antigen.2
Week 25
GroupValue95% CI
Patients With Cancer Expressing NY-ESO-1 or LAGE-1 Antigen.1
Patients With Cancer Expressing NY-ESO-1 or LAGE-1 Antigen.4
Safety as Measured by the Number of Patients With Dose Limiting Toxicities (DLT) Primary · up to 28 weeks

DLT was defined as the following toxicities definitely, probably, or possibly related to the administration of NY-ESO-1b peptide, 100 μg mixed with 1 mg CpG 7909 and 0.5mL of Montanide® ISA-51: * ≥ Grade 2 autoimmune phenomena * Asymptomatic bronchospasm or generalized urticaria * ≥ Grade 3 hematological and non hematological toxicities.

GroupValue95% CI
Patients With Cancer Expressing NY-ESO-1 or LAGE-1 Antigen.0
Number of Patients With Tumor Responses as Measured by the Response Evaluation Criteria in Solid Tumors (RECIST) Secondary · up to 28 weeks

Computed tomography (CT) scans were performed at screening, and during weeks 13 and 28. Response was assessed using RECIST version 1.0 (Therasse et al, J Natl Cancer Inst 2000; 92:205-16). Per RECIST, target lesions are categorized as follows: complete response (CR): disappearance of all target lesions (no evaluable disease); partial response (PR): ≥ 30% decrease in the sum of the longest diameter of target lesions; progressive disease (PD): ≥ 20% increase in the sum of the longest diameter of target lesions; stable disease (SD): small changes that do not meet above criteria. No evidence of di

Stable Disease
GroupValue95% CI
Patients With Cancer Expressing NY-ESO-1 or LAGE-1 Antigen.3
Complete Response
GroupValue95% CI
Patients With Cancer Expressing NY-ESO-1 or LAGE-1 Antigen.0
Partial Response
GroupValue95% CI
Patients With Cancer Expressing NY-ESO-1 or LAGE-1 Antigen.0
No Evidence of Disease
GroupValue95% CI
Patients With Cancer Expressing NY-ESO-1 or LAGE-1 Antigen.2
Progressive Disease
GroupValue95% CI
Patients With Cancer Expressing NY-ESO-1 or LAGE-1 Antigen.9

Adverse events — posted to ClinicalTrials.gov

Time frame: Up to 28 weeks.. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Patients With Cancer Expressing NY-ESO-1 or LAGE-1 Antigen.
Serious: 6/14 (43%)
Deaths: 2/14

Serious adverse events (10 terms)

ReactionSystemPatients With Cancer Expre…
Angina pectorisCardiac disorders
AstheniaGeneral disorders
Brain metastasesNeoplasms benign, malignant and unspecified (incl cysts and polyps)
CholecystitisHepatobiliary disorders
PancreatitisGastrointestinal disorders
ConvulsionNervous system disorders
OverdoseInjury, poisoning and procedural complications
GastroenteritisGastrointestinal disorders
Cardiac failureCardiac disorders
TachyarrhythmiaCardiac disorders
Other adverse events (46 terms — click to expand)

ReactionSystemPatients With Cancer Expre…
ChillsGeneral disorders
Flu-like symptomsGeneral disorders
Injection site reactionGeneral disorders
NasopharyngitisRespiratory, thoracic and mediastinal disorders
PyrexiaGeneral disorders
AnemiaBlood and lymphatic system disorders
Back painMusculoskeletal and connective tissue disorders
FatigueGeneral disorders
NauseaGastrointestinal disorders
Abdominal painGastrointestinal disorders
Gastrointestinal infectionGastrointestinal disorders
HeadacheNervous system disorders
HypothermiaGeneral disorders
Injection site indurationGeneral disorders
PainGeneral disorders
Resection of metastasisSurgical and medical procedures
Upper respiratory tract infectionRespiratory, thoracic and mediastinal disorders
Urinary tract infectionInfections and infestations
Application site eczemaGeneral disorders
ArthralgiaMusculoskeletal and connective tissue disorders
AscitesGastrointestinal disorders
Axillary painGeneral disorders
Blood lactate dehydrogenase increasedInvestigations
Brain edemaGeneral disorders
Catheter placementSurgical and medical procedures
DepressionPsychiatric disorders
DyspepsiaGastrointestinal disorders
Dyspnea exertionalCardiac disorders
EczemaSkin and subcutaneous tissue disorders
Gamma glutamyl transferase elevatedHepatobiliary disorders
Gastric ulcerGastrointestinal disorders
HepatomegalyHepatobiliary disorders
Herpes simplexInfections and infestations
HypertoniaMusculoskeletal and connective tissue disorders
HypotensionVascular disorders
InflammationGeneral disorders
Karnofsky scale worsenedInvestigations
MyalgiaMusculoskeletal and connective tissue disorders
Pharyngolaryngeal painRespiratory, thoracic and mediastinal disorders
RestlessnessPsychiatric disorders

Most-reported serious reactions: Angina pectoris, Asthenia, Brain metastases, Cholecystitis, Pancreatitis, Convulsion, Overdose, Gastroenteritis.

Data from ClinicalTrials.gov NCT00199836 adverse events section.

Sponsor's own description

This cancer vaccine research study involves the injection of the NY-ESO-1b peptide along with 2 other agents to help stimulate the immune system. Peptides are small fragments of protein. NY- ESO-1 peptides are normally found in the testis and the placenta. They have also been found on various types of cancer cells. The purpose is to stimulate the immune system to react against the peptides that are found on cancer cells.

Publications & conference data

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

  1. 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
  2. Immunotherapy in ovarian cancer.
    Odunsi K. · · 2017 · cited 292× · PMID 29232467 · DOI 10.1093/annonc/mdx444
  3. Clinical evaluation of CpG oligonucleotides as adjuvants for vaccines targeting infectious diseases and cancer.
    Scheiermann J, Klinman DM. · · 2014 · cited 246× · PMID 24975812 · DOI 10.1016/j.vaccine.2014.06.065
  4. Recent Advances in Oligonucleotide Therapeutics in Oncology.
    Xiong H, Veedu RN, Diermeier SD. · · 2021 · cited 132× · PMID 33804856 · DOI 10.3390/ijms22073295
  5. Toll-like receptor 9 agonists and combination therapies: strategies to modulate the tumour immune microenvironment for systemic anti-tumour immunity.
    Dongye Z, Li J, Wu Y. · · 2022 · cited 92× · PMID 35902641 · DOI 10.1038/s41416-022-01876-6
  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. HNSCC: Tumour Antigens and Their Targeting by Immunotherapy.
    von Witzleben A, Wang C, Laban S, Savelyeva N, et al · · 2020 · cited 70× · PMID 32942747 · DOI 10.3390/cells9092103
  8. Current advances in cancer vaccines targeting NY-ESO-1 for solid cancer treatment.
    Zhou H, Ma Y, Liu F, Li B, et al · · 2023 · cited 26× · PMID 37731507 · DOI 10.3389/fimmu.2023.1255799

Verify or expand the search:

Other recruiting trials for Cancer

Currently open trials in the same condition.

Other Ludwig Institute for Cancer Research trials

Trials by the same sponsor.

Verify against primary sources

Data sources for this page

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/NCT00199836.

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