change (from pre to post-intervention) in CD8+ positive cells in the stroma adjacent to tumor and within the malignant portion of the prostate biopsies.
| Group | Value | 95% CI |
|---|---|---|
| Arm I (Rilimogene-galvacirepvec) | 12.2 | ± 151.4 |
| Arm II (Placebo) | -6.9 | ± 154 |
Last reviewed · How we verify
PROSTVAC (PSA-TRICOM) in Preventing Disease Progression in Patients With Localized Prostate Cancer Undergoing Active Surveillance
Phase 2 trial testing Laboratory Biomarker Analysis in Stage I Prostate Adenocarcinoma AJCC v7 in 154 participants. Completed in 20 July 2022.
| Lead sponsor | National Cancer Institute (NCI) |
|---|---|
| Phase | Phase 2 |
| Status | Completed |
| Study type | INTERVENTIONAL |
| Allocation | randomized |
| Design | parallel |
| Masking | quadruple |
| Primary purpose | prevention |
| Enrollment | 154 |
| Start date | 3 June 2015 |
| Primary completion | 30 November 2018 |
| Estimated completion | 20 July 2022 |
| Sites | 7 locations across United States |
National Cancer Institute (NCI)
Eligibility, male only, with Stage I Prostate Adenocarcinoma AJCC v7 or Stage II Prostate Adenocarcinoma AJCC v7. Patients with the condition only — healthy volunteers not accepted.
Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.
change (from pre to post-intervention) in CD8+ positive cells in the stroma adjacent to tumor and within the malignant portion of the prostate biopsies.
| Group | Value | 95% CI |
|---|---|---|
| Arm I (Rilimogene-galvacirepvec) | 12.2 | ± 151.4 |
| Arm II (Placebo) | -6.9 | ± 154 |
change (from pre to post-intervention) in CD4+ positive cells in the stroma adjacent to tumor and within the malignant portion of the prostate biopsies.
| Group | Value | 95% CI |
|---|---|---|
| Arm I (Rilimogene-galvacirepvec) | 4.6 | ± 166.7 |
| Arm II (Placebo) | 5.8 | ± 261.1 |
Change (from baseline to 6 months post-intervention) in prostate-specific antigen (PSA)
| Group | Value | 95% CI |
|---|---|---|
| Arm I (Rilimogene-galvacirepvec) | 0.26 | ± 2.36 |
| Arm II (Placebo) | -0.66 | ± 3.49 |
Change (from pre to post-intervention) in CD8+ positive cells in the benign portion of the prostate biopsies
| Group | Value | 95% CI |
|---|---|---|
| Arm I (Rilimogene-galvacirepvec) | 7.22 | ± 202.94 |
| Arm II (Placebo) | 45.25 | ± 198.25 |
Change (from pre to post-intervention) in CD4+ positive cells in the benign portion of the prostate biopsies
| Group | Value | 95% CI |
|---|---|---|
| Arm I (Rilimogene-galvacirepvec) | 73.41 | ± 287.74 |
| Arm II (Placebo) | -19.75 | ± 206.59 |
Assessed by the proportion of men with an increase in Gleason score to \>= 4+3 from baseline to post-intervention biopsy. The Gleason score is determined by adding the two most common grades. The Gleason score usually ranges from 6 to 10. Higher numbers indicate a faster growing cancer that is more likely to spread.
| Group | Value | 95% CI |
|---|---|---|
| Arm I (Rilimogene-galvacirepvec) | 8 | |
| Arm II (Placebo) | 6 |
Assessed by change (from pre to post-intervention) in percent positive random cores
| Group | Value | 95% CI |
|---|---|---|
| Arm I (Rilimogene-galvacirepvec) | -1.7 | ± 16.1 |
| Arm II (Placebo) | 1.6 | ± 15.2 |
Assessed by the proportion of patients with no cancer on the post-intervention biopsy
| Group | Value | 95% CI |
|---|---|---|
| Arm I (Rilimogene-galvacirepvec) | 25 | |
| Arm II (Placebo) | 8 |
Change (from baseline to 6 months post-intervention) in International Prostate Symptom Score (IPSS). The IPSS score ranges from 0-35. Higher scores mean a worse symptom.
| Group | Value | 95% CI |
|---|---|---|
| Arm I (Rilimogene-galvacirepvec) | -0.12 | ± 4.67 |
| Arm II (Placebo) | 0.87 | ± 3.57 |
Time frame: 30 days after the last study dose was given. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.
| Reaction | System | Arm I (Rilimogene-galvacir… | Arm II (Placebo) |
|---|---|---|---|
| Fall | Injury, poisoning and procedural complications | — | — |
| Reaction | System | Arm I (Rilimogene-galvacir… | Arm II (Placebo) |
|---|---|---|---|
| Injection site reaction | General disorders | — | — |
| Flu like syndromes | Hepatobiliary disorders | — | — |
| Fatigue | General disorders | — | — |
| Headache | Nervous system disorders | — | — |
| Fever | General disorders | — | — |
| Diarrhea | Gastrointestinal disorders | — | — |
| Upper respiratory infection | Infections and infestations | — | — |
| Dizziness | Nervous system disorders | — | — |
| Nausea | Gastrointestinal disorders | — | — |
| Myalgia | Musculoskeletal and connective tissue disorders | — | — |
| Back pain | Musculoskeletal and connective tissue disorders | — | — |
| Bruising | Injury, poisoning and procedural complications | — | — |
| Sore throat | Respiratory, thoracic and mediastinal disorders | — | — |
| White blood cell decreased | Investigations | — | — |
| Renal and urinary disorders - others | Renal and urinary disorders | — | — |
| Rash maculo-papular | Skin and subcutaneous tissue disorders | — | — |
| Skin and subcutaneous tissue disorders - other | Skin and subcutaneous tissue disorders | — | — |
Most-reported serious reactions: Fall.
Data from ClinicalTrials.gov NCT02326805 adverse events section.
This randomized phase II trial studies how well PROSTVAC (prostate-specific antigen \[PSA\]-TRICOM) works in preventing disease progression in patients with prostate cancer undergoing active surveillance. Vaccines made from a person's tumor cells may help the body build an effective immune response to kill tumor cells that express PSA.
8 peer-reviewed publications reference this trial (live from Europe PMC):
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