Peptide Vaccine Targeting to Cancer Specific Antigen Combined With Anti-angiogenic Peptide Antigen in Treating Patients With Non-small Cell Lung Cancer
Recruitment status was Active, not recruiting
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Purpose
The purpose of this study is to evaluate the safety, tolerability, immune response and clinical response of different doses of HLA-A*2402 restricted epitope peptides URLC10, CDCA1, VEGFR1 and VEGFR2 emulsified with Montanide ISA 51.
| Condition | Intervention | Phase |
|---|---|---|
|
Non Small Cell Lung Cancer |
Biological: HLA-A*2402restricted URLC10, CDCA1, VEGFR1 and VEGFR2 |
Phase 1 |
| Study Type: | Interventional |
| Study Design: | Endpoint Classification: Safety Study Intervention Model: Single Group Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | Phase I Trial in Studying Peptide Vaccine Therapy Targeting to Cancer Specific Antigen Combined With Anti-angiogenic Peptide Antigen in Treating Patients With Advanced or Recurrent Non-small Cell Lung Cancer |
- Adverse effects, dose limiting toxicity, and maximum tolerated dose as measured by CTCAE ver3.0 pre treatment, during study treatment, and 3 months after treatment [ Time Frame: 3 months ] [ Designated as safety issue: Yes ]
- Peptides specific CTL responses in vitro [ Time Frame: 3 months ] [ Designated as safety issue: No ]
- Objective response rate as assessed using RECIST criteria [ Time Frame: 6 months ] [ Designated as safety issue: No ]
- Changes in levels of regulatory T cells [ Time Frame: 3 months ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 6 |
| Study Start Date: | March 2009 |
| Estimated Study Completion Date: | January 2010 |
| Estimated Primary Completion Date: | January 2010 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
| Experimental: Phase I study |
Biological: HLA-A*2402restricted URLC10, CDCA1, VEGFR1 and VEGFR2
Escalating doses of every peptide will be administered by subcutaneous injection on days 1,8,15 and 22 of each 28-day treatment cycles. Planned doses of peptides are 1.0mg and 3.0mg.
|
Detailed Description:
URLC10 and CDCA1 have been identified as cancer specific molecules especially in non small cell lung cancer using genome-wide expression profile analysis by cDNA microarray technique. We have determined the HLA-A*2402 restricted epitope peptides derived from these molecules. We also tend to use the peptides targeting to tumor angiogenesis. VEGF receptor 1 and 2 are essential targets to tumor angiogenesis, and we identified that peptides derived from these receptors significantly induce the effective tumor specific CTL response in vitro and vivo. According to these findings, in this trial, we evaluate the safety, immunological and clinical response of those peptides.
Eligibility| Ages Eligible for Study: | 20 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
Disease characteristics
- Advanced or recurrent non small cell lung cancer
- Second line or later therapeutic status
Patient characteristics
- ECOG performance status 0-2
- Life expectancy > 3 months
- HLA-A*2402
- Laboratory values as follows 1500/mm3<WBC<15000/mm3 Platelet count>75000/mm3 Bilirubin < 3.0mg/dl Asparate transaminase < 99IU/L Alanine transaminase < 126IU/L Creatinine < 2.2mg/dl
- Able and willing to give valid written informed consent
Exclusion Criteria:
- Active and uncontrolled cardiac disease (includes patients with myocardial infarction within 6 months before entry)
- Pregnancy (woman of child bearing potential)
- Active and uncontrolled infectious disease
- Adrenal cortical steroid hormone dependent status
- Decision of unsuitableness by principal investigator
Contacts and Locations
More Information
Publications:
| Responsible Party: | Department of Surgery, division of General Thoracic Surgery, Fukushima Medical University |
| ClinicalTrials.gov Identifier: | NCT00874588 History of Changes |
| Other Study ID Numbers: | FVT-L0901 |
| Study First Received: | April 1, 2009 |
| Last Updated: | October 21, 2009 |
| Health Authority: | Japan: Ministry of Health, Labor and Welfare |
Additional relevant MeSH terms:
|
Carcinoma, Non-Small-Cell Lung Lung Neoplasms Carcinoma, Bronchogenic Bronchial Neoplasms Respiratory Tract Neoplasms Thoracic Neoplasms Neoplasms by Site Neoplasms Lung Diseases |
Respiratory Tract Diseases Angiogenesis Inhibitors Angiogenesis Modulating Agents Growth Substances Physiological Effects of Drugs Pharmacologic Actions Growth Inhibitors Antineoplastic Agents Therapeutic Uses |
ClinicalTrials.gov processed this record on May 19, 2013