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NCT02326805

PROSTVAC (PSA-TRICOM) in Preventing Disease Progression in Patients With Localized Prostate Cancer Undergoing Active Surveillance

Completed Phase 2 Results posted Last updated 19 July 2023
What this trial tests

Phase 2 trial testing Laboratory Biomarker Analysis in Stage I Prostate Adenocarcinoma AJCC v7 in 154 participants. Completed in 20 July 2022.

Timeline
3 June 2015
Primary endpoint
30 November 2018
20 July 2022

Quick facts

Lead sponsorNational Cancer Institute (NCI)
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingquadruple
Primary purposeprevention
Enrollment154
Start date3 June 2015
Primary completion30 November 2018
Estimated completion20 July 2022
Sites7 locations across United States

Drugs / interventions tested

Conditions studied

Sponsor

National Cancer Institute (NCI)

Who can join

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.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Change in CD8+ Positive Cells in the Stroma Adjacent to Tumor and Within the Malignant Portion of the Prostate Biopsies Primary · Baseline to up to 14 days after the last dose

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.

GroupValue95% CI
Arm I (Rilimogene-galvacirepvec)12.2± 151.4
Arm II (Placebo)-6.9± 154
Change in CD4+ Positive Cells in the Stroma Adjacent to Tumor and Within the Malignant Portion of the Prostate Biopsies Primary · Baseline to up to 14 days after the last dose

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.

GroupValue95% CI
Arm I (Rilimogene-galvacirepvec)4.6± 166.7
Arm II (Placebo)5.8± 261.1
Change in Prostate-specific Antigen (PSA) Secondary · Baseline to 6 months post-intervention

Change (from baseline to 6 months post-intervention) in prostate-specific antigen (PSA)

GroupValue95% CI
Arm I (Rilimogene-galvacirepvec)0.26± 2.36
Arm II (Placebo)-0.66± 3.49
Change in CD8+ Positive Cells in the Benign Portion of the Prostate Biopsies Secondary · Baseline to up to 14 days after the last dose

Change (from pre to post-intervention) in CD8+ positive cells in the benign portion of the prostate biopsies

GroupValue95% CI
Arm I (Rilimogene-galvacirepvec)7.22± 202.94
Arm II (Placebo)45.25± 198.25
Change in CD4+ Positive Cells in the Benign Portion of the Prostate Biopsies Secondary · Baseline to up to 14 days after the last dose

Change (from pre to post-intervention) in CD4+ positive cells in the benign portion of the prostate biopsies

GroupValue95% CI
Arm I (Rilimogene-galvacirepvec)73.41± 287.74
Arm II (Placebo)-19.75± 206.59
Tumor Grade Progression Secondary · Baseline to up to 14 days after the last dose

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.

GroupValue95% CI
Arm I (Rilimogene-galvacirepvec)8
Arm II (Placebo)6
Change in Tumor Extent Secondary · Baseline to up to 14 days after the last dose

Assessed by change (from pre to post-intervention) in percent positive random cores

GroupValue95% CI
Arm I (Rilimogene-galvacirepvec)-1.7± 16.1
Arm II (Placebo)1.6± 15.2
Proportion of Men With no Cancer in the Post-intervention Biopsy Secondary · Up to 14 days after the last dose

Assessed by the proportion of patients with no cancer on the post-intervention biopsy

GroupValue95% CI
Arm I (Rilimogene-galvacirepvec)25
Arm II (Placebo)8
Change in International Prostate Symptom Score Secondary · Baseline to up to 6 months post-intervention

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.

GroupValue95% CI
Arm I (Rilimogene-galvacirepvec)-0.12± 4.67
Arm II (Placebo)0.87± 3.57

Adverse events — posted to ClinicalTrials.gov

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.

Arm I (Rilimogene-galvacirepvec)
Serious: 1/106 (1%)
Deaths: 1/106
Arm II (Placebo)
Serious: 0/48 (0%)
Deaths: 0/48

Serious adverse events (1 terms)

ReactionSystemArm I (Rilimogene-galvacir…Arm II (Placebo)
FallInjury, poisoning and procedural complications
Other adverse events (17 terms — click to expand)

ReactionSystemArm I (Rilimogene-galvacir…Arm II (Placebo)
Injection site reactionGeneral disorders
Flu like syndromesHepatobiliary disorders
FatigueGeneral disorders
HeadacheNervous system disorders
FeverGeneral disorders
DiarrheaGastrointestinal disorders
Upper respiratory infectionInfections and infestations
DizzinessNervous system disorders
NauseaGastrointestinal disorders
MyalgiaMusculoskeletal and connective tissue disorders
Back painMusculoskeletal and connective tissue disorders
BruisingInjury, poisoning and procedural complications
Sore throatRespiratory, thoracic and mediastinal disorders
White blood cell decreasedInvestigations
Renal and urinary disorders - othersRenal and urinary disorders
Rash maculo-papularSkin and subcutaneous tissue disorders
Skin and subcutaneous tissue disorders - otherSkin and subcutaneous tissue disorders

Most-reported serious reactions: Fall.

Data from ClinicalTrials.gov NCT02326805 adverse events section.

Sponsor's own description

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.

Publications & conference data

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

  1. Immunotherapy of Prostate Cancer: Facts and Hopes.
    Bilusic M, Madan RA, Gulley JL. · · 2017 · cited 193× · PMID 28663235 · DOI 10.1158/1078-0432.ccr-17-0019
  2. Cancer Vaccine Therapeutics: Limitations and Effectiveness-A Literature Review.
    Kaczmarek M, Poznańska J, Fechner F, Michalska N, et al · · 2023 · cited 135× · PMID 37681891 · DOI 10.3390/cells12172159
  3. Immunotherapy in Prostate Cancer.
    Fay EK, Graff JN. · · 2020 · cited 70× · PMID 32630247 · DOI 10.3390/cancers12071752
  4. Clinical CAR-T Cell and Oncolytic Virotherapy for Cancer Treatment.
    Watanabe N, McKenna MK, Rosewell Shaw A, Suzuki M. · · 2021 · cited 60× · PMID 33130314 · DOI 10.1016/j.ymthe.2020.10.023
  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. Immunotherapy for prostate cancer: False promises or true hope?
    Rekoske BT, McNeel DG. · · 2016 · cited 26× · PMID 27649312 · DOI 10.1002/cncr.30250
  7. Development of PROSTVAC immunotherapy in prostate cancer.
    Singh P, Pal SK, Alex A, Agarwal N. · · 2015 · cited 26× · PMID 26235179 · DOI 10.2217/fon.15.120
  8. Current Immunotherapeutic Strategies to Enhance Oncolytic Virotherapy.
    Meyers DE, Wang AA, Thirukkumaran CM, Morris DG. · · 2017 · cited 23× · PMID 28634571 · DOI 10.3389/fonc.2017.00114

Verify or expand the search:

Other trials of Laboratory Biomarker Analysis

Trials testing the same drug.

Other recruiting trials for Stage I Prostate Adenocarcinoma AJCC v7

Currently open trials in the same condition.

Other National Cancer Institute (NCI) trials

Trials by the same sponsor.

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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/NCT02326805.

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