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NCT01341652

Phase II PAP Plus GM-CSF Versus GM-CSF Alone for Non-metastatic Prostate Cancer

Completed Phase 2 Results posted Last updated 20 January 2021
What this trial tests

Phase 2 trial testing pTVG-HP in Prostate Cancer in 99 participants. Completed in 30 June 2020.

Timeline
23 May 2011
Primary endpoint
30 June 2020
30 June 2020

Quick facts

Lead sponsorUniversity of Wisconsin, Madison
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingquadruple
Primary purposetreatment
Enrollment99
Start date23 May 2011
Primary completion30 June 2020
Estimated completion30 June 2020
Sites3 locations across United States

Drugs / interventions tested

Conditions studied

Sponsor

University of Wisconsin, Madison

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.

2-year Metastasis-Free Survival Rate Primary · 2 years

2-year Metastasis-Free Survival (MFS) Rate with the development of metastases by conventional imaging used to define progression (as defined by RECIST 1.1 criteria). The 2-year MFS rate estimates which were obtained using the Kaplan-Meier analysis (taking into account censoring) using the intention-to-treat population.

GroupValue95% CI
GM-CSF Alone42.3
pTVG-HP Vaccine With GM-CSF41.8
Prostate Specific Antigen (PSA) Doubling Time (DT) Secondary · up to 9 months

PSA DT was calculated using all serum PSA values available from the same clinical laboratory for the specified period by the equation log2/b where b denotes the least-squares estimator of the linear regression model of the log-transformed PSA values on time. Pretreatment PSA DT (3-6 months before treatment, with a minimum of 4 values), on-treatment PSA DT was determined using values from month 3 to month 9.

GroupValue95% CI
GM-CSF Alone8.91.6 – 77.9
pTVG-HP Vaccine With GM-CSF5.41.8 – 77.9
Number and Severity of Observed Toxicities Secondary · 2 years

Number of participants who experienced any adverse events greater than grade 1 that were determined to be at least possibly related to treatment, highest grade reported per participant for each adverse event (AE). All toxicities were graded using National Cancer Institute Common Terminology Criteria for Adverse Events (version 4). Higher grades indicate more severe toxicities.

Chills
GroupValue95% CI
GM-CSF Alone2
pTVG-HP Vaccine With GM-CSF1
GM-CSF Alone0
pTVG-HP Vaccine With GM-CSF0
GM-CSF Alone0
pTVG-HP Vaccine With GM-CSF0
GM-CSF Alone47
pTVG-HP Vaccine With GM-CSF47
Fatigue
GroupValue95% CI
GM-CSF Alone2
pTVG-HP Vaccine With GM-CSF1
GM-CSF Alone0
pTVG-HP Vaccine With GM-CSF0
GM-CSF Alone0
pTVG-HP Vaccine With GM-CSF0
GM-CSF Alone47
pTVG-HP Vaccine With GM-CSF47
Injection Site Reaction
GroupValue95% CI
GM-CSF Alone2
pTVG-HP Vaccine With GM-CSF2
GM-CSF Alone0
pTVG-HP Vaccine With GM-CSF0
GM-CSF Alone0
pTVG-HP Vaccine With GM-CSF0
GM-CSF Alone47
pTVG-HP Vaccine With GM-CSF46
Nausea
GroupValue95% CI
GM-CSF Alone0
pTVG-HP Vaccine With GM-CSF1
GM-CSF Alone0
pTVG-HP Vaccine With GM-CSF0
GM-CSF Alone0
pTVG-HP Vaccine With GM-CSF0
GM-CSF Alone49
pTVG-HP Vaccine With GM-CSF47
Allergic Reaction
GroupValue95% CI
GM-CSF Alone3
pTVG-HP Vaccine With GM-CSF0
GM-CSF Alone0
pTVG-HP Vaccine With GM-CSF1
GM-CSF Alone0
pTVG-HP Vaccine With GM-CSF0
GM-CSF Alone46
pTVG-HP Vaccine With GM-CSF47
Shingles
GroupValue95% CI
GM-CSF Alone0
pTVG-HP Vaccine With GM-CSF1
GM-CSF Alone0
pTVG-HP Vaccine With GM-CSF0
GM-CSF Alone0
pTVG-HP Vaccine With GM-CSF0
GM-CSF Alone49
pTVG-HP Vaccine With GM-CSF47
Sinusitis
GroupValue95% CI
GM-CSF Alone0
pTVG-HP Vaccine With GM-CSF1
GM-CSF Alone0
pTVG-HP Vaccine With GM-CSF0
GM-CSF Alone0
pTVG-HP Vaccine With GM-CSF0
GM-CSF Alone49
pTVG-HP Vaccine With GM-CSF47
Arthritis
GroupValue95% CI
GM-CSF Alone2
pTVG-HP Vaccine With GM-CSF0
GM-CSF Alone0
pTVG-HP Vaccine With GM-CSF0
GM-CSF Alone0
pTVG-HP Vaccine With GM-CSF0
GM-CSF Alone47
pTVG-HP Vaccine With GM-CSF48
Median Time to Radiographic Disease Progression Secondary · up to 2 years

Time to metastasis was determined from the date of registration to the first CT or bone scan that demonstrated metastatic disease. As defined by RECIST 1.1 criteria.

GroupValue95% CI
GM-CSF Alone18.312.3 – 24.2
pTVG-HP Vaccine With GM-CSF18.912.0 – 24.9
PSA Progression Free Survival Secondary · up to 2 years
GroupValue95% CI
GM-CSF Alone9.08.8 – 12.0
pTVG-HP Vaccine With GM-CSF8.96.0 – 11.8

Adverse events — posted to ClinicalTrials.gov

Time frame: up to 2 years. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

GM-CSF Alone
Serious: 6/49 (12%)
Deaths: 0/49
pTVG-HP Vaccine With GM-CSF
Serious: 3/50 (6%)
Deaths: 0/50

Serious adverse events (9 terms)

ReactionSystemGM-CSF AlonepTVG-HP Vaccine With GM-CSF
Allergic reactionImmune system disorders
ArthritisMusculoskeletal and connective tissue disorders
Musculoskeletal and connective tissue disorder - Other, specifyMusculoskeletal and connective tissue disorders
Cardiac disordersCardiac disorders
ChillsGeneral disorders
MyalgiaMusculoskeletal and connective tissue disorders
Nervous system disorders - other, specifyNervous system disorders
SyncopeNervous system disorders
Vasovagal reactionNervous system disorders
Other adverse events (132 terms — click to expand)

ReactionSystemGM-CSF AlonepTVG-HP Vaccine With GM-CSF
Injection site reactionGeneral disorders
FatigueGeneral disorders
Back painMusculoskeletal and connective tissue disorders
HeadacheNervous system disorders
PainGeneral disorders
DizzinessNervous system disorders
HypertensionVascular disorders
DiarrheaGastrointestinal disorders
Flu like symptomsGeneral disorders
ArthralgiaMusculoskeletal and connective tissue disorders
MyalgiaMusculoskeletal and connective tissue disorders
NauseaGastrointestinal disorders
ChillsGeneral disorders
CoughRespiratory, thoracic and mediastinal disorders
MalaiseGeneral disorders
Bone painMusculoskeletal and connective tissue disorders
Chest wall painMusculoskeletal and connective tissue disorders
Renal and urinary disorders - Other, specifyRenal and urinary disorders
Respiratory, thoracic and mediastinal disorders - Other, specifyRespiratory, thoracic and mediastinal disorders
PruritusSkin and subcutaneous tissue disorders
Skin and subcutaneous tissue disorders - Other, specifySkin and subcutaneous tissue disorders
Gastrointestinal disorders - Other, specifyGastrointestinal disorders
VomitingGastrointestinal disorders
FeverGeneral disorders
Allergic reactionImmune system disorders
Upper respiratory infectionInfections and infestations
Musculoskeletal and connective tissue disorder - Other, specifyMusculoskeletal and connective tissue disorders
Pain in extremityMusculoskeletal and connective tissue disorders
Rash maculo-papularSkin and subcutaneous tissue disorders
Abdominal painGastrointestinal disorders
Edema limbsGeneral disorders
Non-cardiac chest painGeneral disorders
Rhinitis infectiveInfections and infestations
SinusitisInfections and infestations
BruisingInjury, poisoning and procedural complications
Aspartate aminotransferase increasedInvestigations
Investigations - Other, specifyInvestigations
Lymphocyte count decreasedInvestigations
HyperglycemiaMetabolism and nutrition disorders
ArthritisMusculoskeletal and connective tissue disorders

Most-reported serious reactions: Allergic reaction, Arthritis, Musculoskeletal and connective tissue disorder - Other, specify, Cardiac disorders, Chills, Myalgia, Nervous system disorders - other, specify, Syncope.

Data from ClinicalTrials.gov NCT01341652 adverse events section.

Sponsor's own description

The investigators are trying to find new methods to treat prostate cancer. The approach the investigators are taking is to try to enhance patients' own immune response against the cancer. In this study the investigators will be testing the effectiveness of a vaccine that may be able to help the body fight prostate cancer.

Publications & conference data

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

  1. Cancer vaccines as promising immuno-therapeutics: platforms and current progress.
    Liu J, Fu M, Wang M, Wan D, et al · · 2022 · cited 497× · PMID 35303904 · DOI 10.1186/s13045-022-01247-x
  2. Cancer DNA vaccines: current preclinical and clinical developments and future perspectives.
    Lopes A, Vandermeulen G, Préat V. · · 2019 · cited 277× · PMID 30953535 · DOI 10.1186/s13046-019-1154-7
  3. Cancer immunotherapy beyond immune checkpoint inhibitors.
    Marin-Acevedo JA, Soyano AE, Dholaria B, Knutson KL, et al · · 2018 · cited 140× · PMID 29329556 · DOI 10.1186/s13045-017-0552-6
  4. ATP and Adenosine Metabolism in Cancer: Exploitation for Therapeutic Gain.
    Yegutkin GG, Boison D. · · 2022 · cited 111× · PMID 35738682 · DOI 10.1124/pharmrev.121.000528
  5. Molecular pathways and targets in prostate cancer.
    Shtivelman E, Beer TM, Evans CP. · · 2014 · cited 81× · PMID 25277175 · DOI 10.18632/oncotarget.2406
  6. Trial watch: DNA vaccines for cancer therapy.
    Senovilla L, Vacchelli E, Garcia P, Eggermont A, et al · · 2013 · cited 65× · PMID 23734328 · DOI 10.4161/onci.23803
  7. Phase II Trial of a DNA Vaccine Encoding Prostatic Acid Phosphatase (pTVG-HP [MVI-816]) in Patients With Progressive, Nonmetastatic, Castration-Sensitive Prostate Cancer.
    McNeel DG, Eickhoff JC, Johnson LE, Roth AR, et al · · 2019 · cited 64× · PMID 31644357 · DOI 10.1200/jco.19.01701
  8. The future of cancer immunotherapy: DNA vaccines leading the way.
    Pandya A, Shah Y, Kothari N, Postwala H, et al · · 2023 · cited 53× · PMID 37294501 · DOI 10.1007/s12032-023-02060-3

Verify or expand the search:

Other recruiting trials for Prostate Cancer

Currently open trials in the same condition.

Other University of Wisconsin, Madison 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/NCT01341652.

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