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A Study to Demonstrate the Benefit of a New Kind of Anti-cancer Treatment [PReferentially Expressed Antigen of MElanoma (PRAME) Immunotherapy] for Patients With Non-Small Cell Lung Cancer (NSCLC), After Removal of Their Tumor (PEARL)

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT01853878
Recruitment Status : Completed
First Posted : May 15, 2013
Last Update Posted : March 3, 2017
Information provided by (Responsible Party):

Brief Summary:

The purpose of this study was to test a potential new kind of anti-cancer treatment, called PRAME immunotherapy in resected patients with lung cancer.

As of 18 July 2014, the recruitment was stopped prematurely and the study was unblinded. Only patients on active treatment will have the option to continue in the study. Patients randomised to the Placebo group were withdrawn.

There will no longer be an active follow-up of patients after discontinuation or completion of the treatment. The study will end 30 days after the last dose will be administered.

As a result, primary and secondary objectives will not be assessed as planned. All clinical and safety data collected in the study will be analysed descriptively. For each biological sample already collected in the scope of this study and not tested yet, testing will not be performed by default, except if a scientific rationale remains relevant despite the premature termination of the study.

Condition or disease Intervention/treatment Phase
Lung Cancer, Non-Small Cell Biological: Recombinant PRAME protein combined with the AS15 Adjuvant System GSK2302032A Biological: Placebo Phase 2

Detailed Description:
During the treatment period, safety monitoring will continue as initially foreseen. Reporting of post-study adverse events (AEs) and serious AEs (SAEs) will continue as per protocol. In the best interest of the patient, no more biological samples for protocol research purposes (i.e. serum sampling for humoral immunity, whole blood sampling for pharmacogenetics) will be taken.

Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 137 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
Primary Purpose: Treatment
Official Title: GSK2302032A Antigen-Specific Cancer Immunotherapeutic as Adjuvant Therapy in Patients With Non-Small Cell Lung Cancer
Study Start Date : June 2013
Actual Primary Completion Date : August 2016
Actual Study Completion Date : August 2016

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Lung Cancer
U.S. FDA Resources

Arm Intervention/treatment
Experimental: PRAME ASCI group
Subjects will receive 13 doses of GSK2302032A Antigen-Specific Cancer Immunotherapeutic.
Biological: Recombinant PRAME protein combined with the AS15 Adjuvant System GSK2302032A
Intramuscular administration
Placebo Comparator: Placebo group
Subjects will receive 13 doses of placebo. As of 18 July 2014, all patients randomised to the placebo group were withdrawn from the study
Biological: Placebo
Intramuscular administration

Primary Outcome Measures :
  1. Disease Free Survival (DFS) [ Time Frame: Approximately 60 months after randomization ]

Secondary Outcome Measures :
  1. Overall Survival (OS) [ Time Frame: Approximately 60 months after randomization ]
  2. Lung-cancer-specific survival [ Time Frame: Approximately 60 months after randomization ]
  3. Disease Free Survival (DFS) at 2, 3, 4 and 5 years after randomization [ Time Frame: Approximately 60 months after randomization ]
  4. Disease-free specific survival (DFSS) [ Time Frame: Approximately 60 months after randomization ]
  5. anti-PRAME antibody concentrations at protocol defined timepoints [ Time Frame: Approximately 60 months after randomization ]
  6. Occurrence of Adverse Events [ Time Frame: Up to 30 days post last dose of study product administration ]
  7. Occurrence of abnormal hematological parameters [ Time Frame: Up to 30 days post last dose of study product administration ]
  8. Occurrence of abnormal biochemical parameters [ Time Frame: Up to 30 days post last dose of study product administration ]
  9. Occurrence of Serious Adverse Events (SAEs) [ Time Frame: During the whole study duration OR up to 30 days after the last study product administration ]

Information from the National Library of Medicine

Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Learn About Clinical Studies.

Ages Eligible for Study:   18 Years and older   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • The patient has radically resected NSCLC
  • The NSCLC is of pathological stage IA-T1b, IB, II or IIIA NSCLC The surgical technique for resection of the patient's tumor is anatomical, involving at least a segmentectomy The patient's tumor shows expression of PRAME.
  • The patient is ≥ 18 years of age at the time of first consent.
  • Written informed consent has been obtained from the patient prior to performance of any study-specific procedure.
  • The patient is free of disease (no residual tumor, no loco-regional recurrence, no distant metastasis), as confirmed by a post- thoracic surgery contrast-enhanced computed tomography (CT scan) of the chest, upper abdomen and by a contrast-enhanced CT scan or Magnetic Resonance Imaging (MRI) of the brain. Other examinations should be performed as clinically indicated.
  • Eastern Co-operative Oncology Group (ECOG) performance status of 0, 1 or 2 at the time of randomization
  • Adequate bone-marrow reserve, adequate renal, hepatic and adrenal function as assessed by standard laboratory criteria
  • If the patient is female, she must be of non-childbearing potential, i.e. have a current tubal ligation, hysterectomy, ovariectomy or be post-menopausalor if she is of childbearing potential, she must practice adequate contraceptionfor 30 days prior to administration of study product, have a negative pregnancy test and continue such precautions during all study treatment period and for 2 months after last treatment administration.
  • Patients who the investigator believes can and will comply with the requirements of this protocol (e.g. return for active follow-up visits).

Exclusion Criteria:

  • The patient is diagnosed with a concomitant malignancy and/or has a history of malignancy within the past five years or has had a malignancy that has been in complete remission for less than 5 years. Patients with effectively treated non - melanoma skin cancers or effectively treated carcinoma in situ of the cervix both of which in remission for less than 5 years will be eligible.
  • The patient has received any anti-cancer specific treatment, including radiotherapy, immunotherapy, hormonal therapy, chemotherapy or neo-adjuvant chemotherapy, except for:

    • Administration of adjuvant platinum-based doublet chemotherapy for the treatment of the current NSCLC allowed between surgery and randomization.
    • Treatment of previous malignancies as allowed by the protocol.
  • The patient has been diagnosed with a Potential Immune-Mediated Disease (pIMD). Patients with vitiligo are not excluded from the study.
  • The patient has a history of confirmed adrenal dysfunction.
  • The patient requires concomitant treatment with any immunosuppressive agent, or with systemic corticosteroids prescribed for chronic treatment (more than 7 consecutive days).
  • The patient needs chronic long term oxygen therapy (LTOT). The patient has medically uncontrolled congestive heart failure or hypertension, unstable heart disease or uncontrolled arrhythmia at the time of randomization.
  • The patient has an uncontrolled bleeding disorder.
  • The patient has undergone splenectomy.
  • The patient is known to be Human Immunodeficiency Virus (HIV)-positive.
  • The patient has psychiatric or addictive disorders that may compromise his/her ability to give informed consent, or to comply with the trial procedures.
  • The patient has other concurrent severe medical problems, unrelated to the malignancy, that would significantly limit full compliance with the study or expose the patient to unacceptable risk.
  • The patient has a history of allergic disease or reactions likely to be exacerbated by any component of the study investigational product.
  • The patient has received any investigational or non-registered product within the 30 days preceding randomization, or planned use during the study period.
  • For female patients: the patient is pregnant or lactating or is planning to become pregnant.

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT01853878

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Sponsors and Collaborators
Study Director: GSK Clinical Trials GlaxoSmithKline

Responsible Party: GlaxoSmithKline Identifier: NCT01853878     History of Changes
Other Study ID Numbers: 116389
2012-002790-55 ( EudraCT Number )
First Posted: May 15, 2013    Key Record Dates
Last Update Posted: March 3, 2017
Last Verified: March 2017

Keywords provided by GlaxoSmithKline:
Non-Small Cell Lung Cancer

Additional relevant MeSH terms:
Lung Neoplasms
Carcinoma, Non-Small-Cell Lung
Respiratory Tract Neoplasms
Thoracic Neoplasms
Neoplasms by Site
Lung Diseases
Respiratory Tract Diseases
Carcinoma, Bronchogenic
Bronchial Neoplasms