Last reviewed · How we verify

NCT01881867

CYT107 After Vaccine Treatment (Provenge®) in Patients With Metastatic Castration-Resistant Prostate Cancer

Completed Phase 2 Results posted Last updated 9 July 2019
What this trial tests

Phase 2 trial testing Glycosylated Recombinant Human Interleukin-7 in Castration Levels of Testosterone in 54 participants. Completed in 2 January 2018.

Timeline
10 September 2013
Primary endpoint
15 May 2017
2 January 2018

Quick facts

Lead sponsorFred Hutchinson Cancer Center
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingnone
Primary purposetreatment
Enrollment54
Start date10 September 2013
Primary completion15 May 2017
Estimated completion2 January 2018
Sites16 locations across United States

Drugs / interventions tested

Conditions studied

Sponsor

Fred Hutchinson Cancer Center — full company profile →

Who can join

18 and older, male only, with Castration Levels of Testosterone or Castration-Resistant Prostate Carcinoma. 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.

Quantification of T-cell Responses to Prostatic Acid Phosphatase Granulocyte-macrophage Colony-stimulating Factor (PAP-GM-CSF), Assessed by Quantification of Interferon Gamma Levels Measured Using Enzyme-linked Immunospot (ELISPOT) Primary · Day 70 (week 11)

The Mann-Whitney-Wilcoxon (MWW) test will be used as part of the statistical analysis to determine quantification of T-cell responses to prostatic acid phosphatase granulocyte-macrophage colony-stimulating factor (PAP-GM-CSF), as assessed by quantification of interferon gamma levels measured using enzyme-linked immunospot (ELISPOT). The power is roughly equivalent to that based on the t-test.

GroupValue95% CI
Cohort I (no Therapy)212.2± 111.97
Cohort II (Glycosylated Recombinant Human Interleukin-7)199.68± 182.4
Change in Circulating Tumor Cells Secondary · Baseline to up to week 53

Enumerated by the approved Veridex assay.

Week 01
GroupValue95% CI
Cohort I (no Therapy)2.56± 7.88
Cohort II (Glycosylated Recombinant Human Interleukin-7)1.45± 2.97
Week 53
GroupValue95% CI
Cohort I (no Therapy)2.63± 5.97
Cohort II (Glycosylated Recombinant Human Interleukin-7)0± 0
Change in Number of Peripheral Blood Mononuclear Cell (PBMC) Subsets and T Lymphocyte Subsets Secondary · Week 11

The absolute fold change from baseline of CD3+ cells

Week 06
GroupValue95% CI
Cohort I (no Therapy)1.05± 0.29
Cohort II (Glycosylated Recombinant Human Interleukin-7)2.33± 1.02
Week 11
GroupValue95% CI
Cohort I (no Therapy)1.21± 0.34
Cohort II (Glycosylated Recombinant Human Interleukin-7)1.77± 0.55
Change in Prostate Specific Antigen (PSA) Kinetics. Secondary · Baseline to up to week 53

The change in prostate specific antigen (PSA) kinetics will be evaluated according to the recommendations from PSA Working Group (PSAWG). Analysis of PSA doubling time

GroupValue95% CI
Cohort I (no Therapy)46.8217.49 – 76.15
Cohort II (Glycosylated Recombinant Human Interleukin-7)8.15-18.79 – 35.09
Change in Vaccine-induced Antigen-specific Antibody Immune Response to Prostatic Acid Phosphatase (PAP) Secondary · Baseline to up to week 6

Will be measured by change in immunoglobulin G (IgG) and immunoglobulin M (IgM) levels quantified by standard enzyme-linked immunosorbent assay (ELISA). Fold change from baseline in week 6 titer

IgG-IgM levels
GroupValue95% CI
Cohort I (no Therapy)80.5 – 256
Cohort II (Glycosylated Recombinant Human Interleukin-7)81 – 64
IgG levels
GroupValue95% CI
Cohort I (no Therapy)41 – 32
Cohort II (Glycosylated Recombinant Human Interleukin-7)21 – 128
Overall Survival Secondary · Up to 5 years

Number of participants that have survived

GroupValue95% CI
Cohort I (no Therapy)22
Cohort II (Glycosylated Recombinant Human Interleukin-7)25

Adverse events — posted to ClinicalTrials.gov

Time frame: 53 weeks. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Cohort I (no Therapy)
Serious: 2/26 (8%)
Deaths: 4/26
Cohort II (Glycosylated Recombinant Human Interleukin-7)
Serious: 8/28 (29%)
Deaths: 3/28

Serious adverse events (10 terms)

ReactionSystemCohort I (no Therapy)Cohort II (Glycosylated Re…
Acute Kidney InjuryInvestigations
Generalized muscle weaknessMusculoskeletal and connective tissue disorders
Spinal cord compressionNervous system disorders
Lower back painMusculoskeletal and connective tissue disorders
Pelvic painMusculoskeletal and connective tissue disorders
ConstipationGastrointestinal disorders
Acute kidney injuryInvestigations
DiarrheaGastrointestinal disorders
HypernatremiaInvestigations
HypokalemiaInvestigations
Other adverse events (99 terms — click to expand)

ReactionSystemCohort I (no Therapy)Cohort II (Glycosylated Re…
Injection site reactionSkin and subcutaneous tissue disorders
FatigueBlood and lymphatic system disorders
anemiaBlood and lymphatic system disorders
hyponatremiaInvestigations
hypertensionVascular disorders
DyspneaRespiratory, thoracic and mediastinal disorders
Lymphocyte count decreasedBlood and lymphatic system disorders
Erythematous rashSkin and subcutaneous tissue disorders
ConstipationGastrointestinal disorders
Elevated creatinineBlood and lymphatic system disorders
DizzinessNervous system disorders
hyperglycemiaEndocrine disorders
BradycardiaCardiac disorders
Decreased appetiteGastrointestinal disorders
Left hip pain/leg painMusculoskeletal and connective tissue disorders
PainNervous system disorders
Urinary tract infectionRenal and urinary disorders
AnxietyPsychiatric disorders
arthralgiaMusculoskeletal and connective tissue disorders
Lower extremity edemaVascular disorders
CoughRespiratory, thoracic and mediastinal disorders
Decreased lymphocytesBlood and lymphatic system disorders
HypoalbuminemiaBlood and lymphatic system disorders
HypophosphotemiaBlood and lymphatic system disorders
DiarrheaGastrointestinal disorders
Acute kidney injuryRenal and urinary disorders
dysphagiaGastrointestinal disorders
Left forearm hematomaMusculoskeletal and connective tissue disorders
neuropathyNervous system disorders
General weaknessGeneral disorders
Worsening of osteonecrosis of the jawMusculoskeletal and connective tissue disorders
Upper respiratory symptomsRespiratory, thoracic and mediastinal disorders
Site injection reactionSkin and subcutaneous tissue disorders
Generalized pruritisSkin and subcutaneous tissue disorders
maculopapular rashSkin and subcutaneous tissue disorders
hypertensionVascular disorders
CellulitisInfections and infestations
lower extremity painMusculoskeletal and connective tissue disorders
scrotal edemaReproductive system and breast disorders
Bilateral pedal edemaVascular disorders

Most-reported serious reactions: Acute Kidney Injury, Generalized muscle weakness, Spinal cord compression, Lower back pain, Pelvic pain, Constipation, Acute kidney injury, Diarrhea.

Data from ClinicalTrials.gov NCT01881867 adverse events section.

Sponsor's own description

This randomized phase II trial studies how well glycosylated recombinant human interleukin-7 (CYT107) after vaccine therapy works in treating patients with castration-resistant prostate cancer that has spread to other areas of the body or has not responded to at least one type of treatment. Biological therapies, such as glycosylated recombinant human interleukin-7, may stimulate the immune system in different ways and stop tumor cells from growing. Vaccines made from white blood cells mixed with tumor proteins may help the body build an effective immune response to kill tumor cells. It is not yet known whether glycosylated recombinant human interleukin-7 works better with or without vaccine therapy in treating prostate cancer.

Publications & conference data

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

  1. Dendritic cell-based immunotherapy.
    Sabado RL, Balan S, Bhardwaj N. · · 2017 · cited 657× · PMID 28025976 · DOI 10.1038/cr.2016.157
  2. Lymph node fibroblastic reticular cells in health and disease.
    Fletcher AL, Acton SE, Knoblich K. · · 2015 · cited 272× · PMID 25998961 · DOI 10.1038/nri3846
  3. Sipuleucel-T for the treatment of prostate cancer: novel insights and future directions.
    Handy CE, Antonarakis ES. · · 2018 · cited 124× · PMID 29260582 · DOI 10.2217/fon-2017-0531
  4. Trial watch: Dendritic cell-based interventions for cancer therapy.
    Vacchelli E, Vitale I, Eggermont A, Fridman WH, et al · · 2013 · cited 91× · PMID 24286020 · DOI 10.4161/onci.25771
  5. Cancer vaccines: Enhanced immunogenic modulation through therapeutic combinations.
    Gatti-Mays ME, Redman JM, Collins JM, Bilusic M. · · 2017 · cited 82× · PMID 28857666 · DOI 10.1080/21645515.2017.1364322
  6. Clinical Application of Cytokines in Cancer Immunotherapy.
    Qiu Y, Su M, Liu L, Tang Y, et al · · 2021 · cited 76× · PMID 34079226 · DOI 10.2147/dddt.s308578
  7. Dendritic Cell Vaccines: A Shift from Conventional Approach to New Generations.
    Lee KW, Yam JWP, Mao X. · · 2023 · cited 75× · PMID 37681880 · DOI 10.3390/cells12172147
  8. Interleukin-7 and Immunosenescence.
    Nguyen V, Mendelsohn A, Larrick JW. · · 2017 · cited 68× · PMID 28484723 · DOI 10.1155/2017/4807853

Verify or expand the search:

Other trials of Glycosylated Recombinant Human Interleukin-7

Trials testing the same drug.

Other recruiting trials for Castration Levels of Testosterone

Currently open trials in the same condition.

Other Fred Hutchinson Cancer Center 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/NCT01881867.

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