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NCT00292045

Immunization With NY-ESO-1 Protein Combined With CpG 7909 in Patients With Prostate Cancer

Completed Phase 1 Results posted Last updated 4 October 2023
What this trial tests

Phase 1 trial testing NY-ESO-1 protein/CpG 7909 in Prostate Cancer in 15 participants. Completed in 9 January 2006.

Timeline
27 October 2004
Primary endpoint
9 January 2006
9 January 2006

Quick facts

Lead sponsorLudwig Institute for Cancer Research
PhasePhase 1
StatusCompleted
Study typeINTERVENTIONAL
Allocationnon randomized
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment15
Start date27 October 2004
Primary completion9 January 2006
Estimated completion9 January 2006
Sites2 locations across Switzerland, Germany

Drugs / interventions tested

Conditions studied

Sponsor

Ludwig Institute for Cancer Research

Who can join

18 and older, male only, with Prostate Cancer. 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 56 weeks

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 first dose of study treatment through the final follow-up visit. AEs were considered to be tr

Any TEAE
GroupValue95% CI
NY-ESO-1 Protein + CpG 790915
Maximum TEAE severity Grade 1
GroupValue95% CI
NY-ESO-1 Protein + CpG 79092
Maximum TEAE severity Grade 2
GroupValue95% CI
NY-ESO-1 Protein + CpG 790910
Maximum TEAE severity Grade 3
GroupValue95% CI
NY-ESO-1 Protein + CpG 79092
Maximum TEAE severity Grade 4
GroupValue95% CI
NY-ESO-1 Protein + CpG 79091
Serious TEAE
GroupValue95% CI
NY-ESO-1 Protein + CpG 79094
TEAE leading to discontinuation
GroupValue95% CI
NY-ESO-1 Protein + CpG 79091
Number of Patients With Cellular Antibody Response to NY-ESO-1 Secondary · Up to 28 weeks

Assays to assess cluster of differentiation (CD)4+ and CD8+ antigen-specific responses were performed at baseline (within 14 days prior to the first vaccination) and during the vaccination period (Weeks 4, 10, 16, 22, and 28) by enzyme-linked immune absorbent spot (ELISPOT) assay. A positive response was considered if the number of spots in the peptide-exposed well was 2-fold or more higher than the number of spots in the unstimulated well, and if there was a minimum of 10 (after subtraction of background spots) peptide-specific spots/25.000 T cells or less if T-cell clones were used.

CD4+ T cell response
GroupValue95% CI
NY-ESO-1 Protein + CpG 79099
CD8+ T cell response
GroupValue95% CI
NY-ESO-1 Protein + CpG 79096
Number of Patients With Humoral Antibody Response to NY-ESO-1 Secondary · Up to 28 weeks

Assays to assess NY-ESO-1 specific antibodies were performed at baseline (within 14 days prior to the first vaccination) and during the vaccination period (Weeks 4, 7, 10, 13, 16, 19, 22, 25, and 28). Sera were assessed over a range of dilutions from 1:100 to 1:400,000. Vaccine-induced antibodies were mapped with a panel of overlapping 20 mer peptides (25 μg/mL) spanning the whole protein sequence by enzyme-linked immunosorbent assay (ELISA). Immunoglobulin (Ig) subclasses G1 and G3 were determined by Western blot analysis using secondary antibody mouse anti-human IgG1/IgG3 at a dilution of 1:

GroupValue95% CI
NY-ESO-1 Protein + CpG 790913
Number of Patients With Best Tumor Response as Measured by the Response Evaluation Criteria in Solid Tumors (RECIST) Secondary · Up to 32 weeks

Appropriate imaging scans were performed at baseline (within 14 days prior to the first vaccination) and during the vaccination period (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)

Stable disease
GroupValue95% CI
NY-ESO-1 Protein + CpG 79098
Progressive disease
GroupValue95% CI
NY-ESO-1 Protein + CpG 79093
No evidence of disease at baseline and on study
GroupValue95% CI
NY-ESO-1 Protein + CpG 79092

Adverse events — posted to ClinicalTrials.gov

Time frame: All adverse events (AEs), regardless of causality to study drug, were documented from the first dose of study treatment through the final follow-up visit, for an AE collection period of up to 56 weeks for each patient.. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

NY-ESO-1 Protein + CpG 7909
Serious: 4/15 (27%)
Deaths: 0/15

Serious adverse events (7 terms)

ReactionSystemNY-ESO-1 Protein + CpG 7909
ParaplegiaNervous system disorders
Urinary tract obstructionRenal and urinary disorders
HypotensionVascular disorders
Renal failureRenal and urinary disorders
DyspnoeaRespiratory, thoracic and mediastinal disorders
ArthralgiaMusculoskeletal and connective tissue disorders
Oedema peripheralGeneral disorders
Other adverse events (58 terms — click to expand)

ReactionSystemNY-ESO-1 Protein + CpG 7909
Injection site erythemaGeneral disorders
PyrexiaGeneral disorders
Influenza like illnessGeneral disorders
HeadacheNervous system disorders
NauseaGastrointestinal disorders
ChillsGeneral disorders
Urinary tract infectionInfections and infestations
ArthralgiaMusculoskeletal and connective tissue disorders
Injection site painGeneral disorders
Injection site vesiclesGeneral disorders
Weight decreasedInvestigations
Bone painMusculoskeletal and connective tissue disorders
MyalgiaMusculoskeletal and connective tissue disorders
DysuriaRenal and urinary disorders
NocturiaRenal and urinary disorders
PollakiuriaRenal and urinary disorders
DyspnoeaRespiratory, thoracic and mediastinal disorders
Night sweatsSkin and subcutaneous tissue disorders
HypotensionVascular disorders
BradycardiaCardiac disorders
TachycardiaCardiac disorders
Accommodation disorderEye disorders
Eye irritationEye disorders
DiarrhoeaGastrointestinal disorders
FlatulenceGastrointestinal disorders
Oedema peripheralGeneral disorders
AstheniaGeneral disorders
Feeling coldGeneral disorders
Injection site necrosisGeneral disorders
Non-cardiac chest painGeneral disorders
Tooth infectionInfections and infestations
Aspartate aminotransferase increasedInvestigations
Blood bilirubin increasedInvestigations
C-reactive protein increasedInvestigations
Karnofsky scale worsenedInvestigations
Weight increasedInvestigations
Back painMusculoskeletal and connective tissue disorders
Flank painMusculoskeletal and connective tissue disorders
Musculoskeletal painMusculoskeletal and connective tissue disorders
OsteoarthritisMusculoskeletal and connective tissue disorders

Most-reported serious reactions: Paraplegia, Urinary tract obstruction, Hypotension, Renal failure, Dyspnoea, Arthralgia, Oedema peripheral.

Data from ClinicalTrials.gov NCT00292045 adverse events section.

Sponsor's own description

This was a Phase 1, open-label, fixed-dose study of immunization with the NY-ESO-1 protein combined with CpG 7909 as an adjuvant in patients with histopathologically confirmed, high-risk Stage D1 or advanced prostate cancer. The primary study objective was to assess the safety of NY-ESO-1 protein/CpG 7909 immunization, and the secondary objective was to evaluate the immunity induced by immunization.

Publications & conference data

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

  1. JAK-STAT Signaling: A Double-Edged Sword of Immune Regulation and Cancer Progression.
    Owen KL, Brockwell NK, Parker BS. · · 2019 · cited 493× · PMID 31842362 · DOI 10.3390/cancers11122002
  2. Recent Advances in Oligonucleotide Therapeutics in Oncology.
    Xiong H, Veedu RN, Diermeier SD. · · 2021 · cited 132× · PMID 33804856 · DOI 10.3390/ijms22073295
  3. 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
  4. 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
  5. Prostate cancer immunotherapy: Improving clinical outcomes with a multi-pronged approach.
    Sridaran D, Bradshaw E, DeSelm C, Pachynski R, et al · · 2023 · cited 46× · PMID 37738978 · DOI 10.1016/j.xcrm.2023.101199
  6. Advancing Cancer Therapy with Present and Emerging Immuno-Oncology Approaches.
    Kamta J, Chaar M, Ande A, Altomare DA, et al · · 2017 · cited 40× · PMID 28459041 · DOI 10.3389/fonc.2017.00064
  7. 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
  8. Impact of baseline and nadir neutrophil index in non-small cell lung cancer and ovarian cancer patients: Assessment of chemotherapy for resolution of unfavourable neutrophilia.
    Carus A, Gurney H, Gebski V, Harnett P, et al · · 2013 · cited 24× · PMID 23945200 · DOI 10.1186/1479-5876-11-189

Verify or expand the search:

Other recruiting trials for Prostate Cancer

Currently open trials in the same condition.

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