Clinical Trials /

Phase IIB/III Of TG4010 Immunotherapy In Patients With Stage IV Non-Small Cell Lung Cancer

NCT01383148

Description:

This is a Phase IIb/III randomized, double-blind, placebo-controlled study to compare the efficacy and safety of first-line therapy combined with TG4010 or placebo in stage IV non-small cell lung cancer (NSCLC). TG4010 is a suspension of recombinant Modified Vaccinia virus strain Ankara (MVA strain) carrying coding sequences for human MUC1 antigen and human interleukin-2 (IL2). TG4010 has been developed for use as an immunotherapy in cancer patients whose tumors express the MUC1 antigen. TG4010 is intended to induce a MUC1-specific cellular immune response and to produce a non-specific activation of several components of the immune system.

Related Conditions:
  • Non-Small Cell Lung Carcinoma
Recruiting Status:

Terminated

Phase:

Phase 2/Phase 3

Trial Eligibility

Document

Title

  • Brief Title: Phase IIB/III Of TG4010 Immunotherapy In Patients With Stage IV Non-Small Cell Lung Cancer
  • Official Title: A Phase IIB/III Randomized, Double-blind, Placebo Controlled Study Comparing First Line Therapy With or Without TG4010 Immunotherapy Product in Patients With Stage IV Non-Small Cell Lung Cancer (NSCLC)

Clinical Trial IDs

  • ORG STUDY ID: TG4010.14/TIME
  • SECONDARY ID: 8559
  • NCT ID: NCT01383148

Conditions

  • Non-Small-Cell Lung Carcinoma

Interventions

DrugSynonymsArms
TG4010Arm 1 - TG4010 + first line therapy
placebopaclitaxel, carboplatin, pemetrexed, cisplatin, gemcitabine, bevacizumab (if prescribed), erlotinibArm 2 : Placebo + first line therapy

Purpose

This is a Phase IIb/III randomized, double-blind, placebo-controlled study to compare the efficacy and safety of first-line therapy combined with TG4010 or placebo in stage IV non-small cell lung cancer (NSCLC). TG4010 is a suspension of recombinant Modified Vaccinia virus strain Ankara (MVA strain) carrying coding sequences for human MUC1 antigen and human interleukin-2 (IL2). TG4010 has been developed for use as an immunotherapy in cancer patients whose tumors express the MUC1 antigen. TG4010 is intended to induce a MUC1-specific cellular immune response and to produce a non-specific activation of several components of the immune system.

Trial Arms

NameTypeDescriptionInterventions
Arm 1 - TG4010 + first line therapyExperimentalFirst-line therapy and maintenance therapy
  • TG4010
Arm 2 : Placebo + first line therapyActive ComparatorFirst-line therapy and maintenance therapy
  • placebo

Eligibility Criteria

        Inclusion Criteria:

          -  Histologically confirmed NSCLC (adenocarcinoma, squamous cell carcinoma, large cell
             carcinoma, undifferentiated carcinoma or other)

          -  Stage IV cancer according to TNM classification (7th edition - UICC, December 2009;
             includes tumor with malignant pleural or pericardial effusion

          -  Tumor biopsy specimen with ≥ 50% of MUC1 expressing tumor cells determined by
             Immunohistochemistry (IHC) staining on fixed pathological material. Biopsy may come
             either from the primary tumor or from a metastasis. Cytological material is not
             accepted for this analysis

          -  Patient's naïve to first-line therapy for the advanced stage of the disease. Previous
             neoadjuvant or adjuvant therapy is allowed for patients who successfully underwent
             complete radical surgery and if last treatment was administered more than 12 months
             prior to the start of the study treatment, i.e., D1 of Cycle 1.

          -  At least one measurable lesion by CT scan or MRI based on RECIST version 1.1

          -  PS 0 or 1 on the ECOG scale

          -  Adequate hematological, hepatic, and renal function:

               -  Hemoglobin ≥ 10.0 g/dL

               -  White Blood Cells (WBC) ≥ 3.0x10E9/L including

                    -  Neutrophils ≥ 1.5x109/L

                    -  Total lymphocytes count ≥ 0.5x10E9/L

               -  Platelets count ≥ 100x10E9/L

               -  Serum alkaline phosphatase ≤ 3x ULN (upper limit of normal)in the absence of
                  liver or bone metastases or ≤5 ULN(in patients with documented bone or liver
                  metastases)

               -  Serum transaminases (alanine aminotransferase [ALT] and aspartate
                  aminotransferase [AST]) ≤ 2.5 x ULN in the absence of liver metastases or =< 5
                  ULN in case of liver metastases)

               -  Total bilirubin ≤1.5 x ULN

               -  Glomerular Filtration Rate ≥ 60 mL/min (according to Modification of the Diet in
                  Renal Disease (MDRD) formula or cockroft & Gault formula)

               -  Serum albumin ≥ 30 g/L

               -  Effective contraception during the study period and for 3 months after the last
                  study treatment administration (male and female patient)

        Exclusion Criteria:

          -  Patients having Central Nervous System (CNS) metastases. Patients who have had brain
             metastases surgically removed or irradiated with no residual disease confirmed by
             imaging are allowed

          -  Documented EGFR activating mutations (if already tested)

          -  Prior history of other malignancy except:

               -  Basal cell carcinoma of the skin

               -  Cervical intra epithelial neoplasia

               -  Other cancer curatively treated with no evidence of disease for at least 5 years

          -  Patients under chronic treatment with systemic corticoids or other immunosuppressive
             drugs (e.g., cyclosporine) for a period of at least 4 weeks and whose treatment was
             not stopped 1 week prior to the start of the study treatment (i.e., D1 of Cycle 1)

          -  Positive serology for Human Immunodeficiency Virus (HIV) or Hepatitis C Virus (HCV);
             presence in the serum of the antigens HBs

          -  Patient with any underlying medical condition that the treating physician considers
             might be aggravated by treatment or which is not controlled (e.g., elevated troponin
             or creatinine, uncontrolled diabetes)

          -  Patient with major surgery or radiotherapy within 4 weeks prior to the start of the
             study treatment (i.e., D1 of Cycle 1). Prior surgery or radiation therapy aimed at
             local palliation or attempted local disease control is permitted

          -  Patient with an organ allograft

          -  Known allergy to eggs, gentamicin or platinum-containing compounds

          -  Participation in a clinical study with an investigational product within 4 weeks prior
             to the start of the study treatment (i.e., D1 of Cycle 1)

          -  Patient unable or unwilling to comply with the protocol requirements

          -  Pregnancy or lactation

          -  Bevacizumab will be allowed for patients with non-squamous carcinoma. Prescribing
             information must be followed and precautions have to be taken into consideration
             (e.g., patients having presented a serious hemorrhage or recent hemoptysis should not
             receive bevacizumab).
      
Maximum Eligible Age:N/A
Minimum Eligible Age:18 Years
Eligible Gender:All
Healthy Volunteers:No

Primary Outcome Measures

Measure:Phase 2: Progression-free Survival (PFS)
Time Frame:Approximately 15 months
Safety Issue:
Description:PFS is measured from date of randomization to radiographically documented progression according to RECIST 1.1 or death from any cause (whichever occurs first). Participants alive and without disease progression or lost to follow-up will be censored at the date of their last radiographic assessment.

Secondary Outcome Measures

Measure:Phase 2 : Overall Survival (OS)
Time Frame:Approximately 15 months
Safety Issue:
Description:
Measure:Phase 2 : Overall Response Rate (ORR)
Time Frame:Approximately 15 months
Safety Issue:
Description:
Measure:Phase 3: Progression-free Survival (PFS)
Time Frame:Approximately 27 months
Safety Issue:
Description:
Measure:Phase 3 : Overall Response Rate (ORR)
Time Frame:Approximately 27 months
Safety Issue:
Description:
Measure:Phase 2 : Duration of response
Time Frame:Approximately 15 months
Safety Issue:
Description:
Measure:Phase 2: Safety
Time Frame:Approximately 15 months
Safety Issue:
Description:
Measure:Phase 3: Duration of response
Time Frame:Approximately 27 months
Safety Issue:
Description:
Measure:Phase 3: Safety
Time Frame:Approximately 27 months
Safety Issue:
Description:

Details

Phase:Phase 2/Phase 3
Primary Purpose:Interventional
Overall Status:Terminated
Lead Sponsor:Transgene

Trial Keywords

  • NSCLC

Last Updated

January 5, 2017