Description:
The vaccine contains humanized recombinant antigen (EGF - Epithelial Growth Factor) and an
adjuvant. The antibodies induced by vaccination will react with circulating EGF leading to
removal of EGF from the circulation. As a result, binding to its target EGF-Receptor is
prevented. Blocking of EGF-Receptor is preventing activation and stimulation of proliferation
of tumour cell. A Phase 3 clinical trial on the EGF vaccine is ongoing in Cuba. The result
from previous studies demonstrated positive correlation between extended survival and immune
response against the vaccination in the late-stage NSCLC patients' age below 60 with improved
quality of life. The purpose of this international Phase 3 trial is to determine whether the
recombinant human EGF cancer vaccine is safe, immunogenic and effective in the treatment of
stage IV NSCLC patients who are positive in the selective EGF biomarker and wild type
EGF-Receptor compared to standard treatment and supportive care.
Title
- Brief Title: Safety & Efficacy Study of EGF Cancer Vaccine to Treat Stage IV Biomarker Positive, Wild Type EGF-R NSCLC Patients
- Official Title: Phase 3 Open-label, Multicentre, Randomised Trial to Establish Safety & Efficacy of an EGF Cancer Vaccine in Inoperable, Stage IV Biomarker Positive,Wild Type EGF-R NSCLC Patients Eligible to Receive Standard Treatment and Supportive Care
Clinical Trial IDs
- ORG STUDY ID:
BV-NSCLC-002
- SECONDARY ID:
2013-005335-25
- NCT ID:
NCT02187367
Conditions
- Carcinoma, Non-Small-Cell Lung
Interventions
Drug | Synonyms | Arms |
---|
EGF Vaccine | Cyclophosphamide and the recombinant human rEGF-P64K/Montanide ISA 51 | EGF Vaccine |
Purpose
The vaccine contains humanized recombinant antigen (EGF - Epithelial Growth Factor) and an
adjuvant. The antibodies induced by vaccination will react with circulating EGF leading to
removal of EGF from the circulation. As a result, binding to its target EGF-Receptor is
prevented. Blocking of EGF-Receptor is preventing activation and stimulation of proliferation
of tumour cell. A Phase 3 clinical trial on the EGF vaccine is ongoing in Cuba. The result
from previous studies demonstrated positive correlation between extended survival and immune
response against the vaccination in the late-stage NSCLC patients' age below 60 with improved
quality of life. The purpose of this international Phase 3 trial is to determine whether the
recombinant human EGF cancer vaccine is safe, immunogenic and effective in the treatment of
stage IV NSCLC patients who are positive in the selective EGF biomarker and wild type
EGF-Receptor compared to standard treatment and supportive care.
Trial Arms
Name | Type | Description | Interventions |
---|
EGF Vaccine | Experimental | Patients in this arm will receive a low dose of cyclophosphamide and the recombinant human rEGF-P64K/Montanide ISA 51 | |
Best Supportive Care | No Intervention | Patients in this arm will receive best supportive care | |
Eligibility Criteria
Inclusion Criteria:
1. Are aged 18 or older.
2. Have serum EGF concentration >250 pg/ml determined from sample taken at screening.
3. Have wild type EGF-R sequence.
4. Have an Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1.
5. Have adequate bone marrow, liver and renal function, as assessed by the Investigator.
A sample taken at Screening should confirm that:
- White blood cell (WBC) count ≥ 3000 per µL
- Platelet count ≥ 100,000 per µL
- Aspartate aminotransferase (AST) and alanine aminotransferase (ALT) ≤ 2.5 x upper
limit of normal (ULN) (or ≤ 5 x ULN when liver metastases are present)
- Total bilirubin ≤ 1.5 x ULN
- Serum creatinine ≤ 1.5 x ULN
6. Have histologically and/or cytologically confirmed diagnosis of NSCLC, corresponding
to locally and regionally advanced inoperable disease (Stage IV [as defined by the
American Joint Committee on Cancer staging system- TNM 7th edition 2010]) excluding
brain metastases.
7. Are eligible to receive first-line chemotherapy (without concurrent radiotherapy to
thorax measurable lesions or consolidation radiotherapy).
8. Agree to use double-barrier contraception (males and females alike [if applicable]). A
negative pregnancy test must be documented at Screening for females of childbearing
potential.
Note: Females of childbearing potential are defined as those women with less than 2
years after last menstruation and not surgically sterile, while post-menopausal refers
to those women with at least 2 years from last menstruation.
9. Have signed a voluntary written informed consent form (ICF). Patients should be
cooperative, willing and able to participate and adhere to the Protocol requirements,
including their availability for the follow-up.
Exclusion Criteria:
1. Patient has no measurable disease (as defined by RECIST Criteria, version 1.1).
2. Patient has EGF-R mutation.
3. Patient has EGF serum concentration below required threshold.
4. Patient is a candidate for concurrent chemo-radiotherapy or post chemo thoracic
radiotherapy.
5. Patient has a history of known or suspected central nervous system (CNS) metastases.
6. Patient has a history of primary malignancy (except resected non-melanoma skin cancer
or curatively treated carcinoma in situ of the cervix), unless in complete remission
and off all chemotherapy and/or radiotherapy for that disease for a minimum of 5
years. Any palliative radiotherapy to alleviate pain in bone metastases is permitted.
7. Patient is taking immunosuppressant drugs such as azathioprine, tacrolimus,
cyclosporine, etc. Use is not permitted within 1 month before Screening.
8. Patient is taking any other immunotherapy.
9. Patient has primary or secondary immunodeficiencies (e.g. documented Human
Immunodeficiency Virus [HIV]).
10. Patient has autoimmune disease.
11. Patient has undergone splenectomy.
12. Patient is taking oral, intramuscular or intravenous corticosteroids. Use is not
permitted within 1 month before Screening. Inhaled corticosteroids to treat
respiratory insufficiency (e.g. chronic obstructive pulmonary disease [COPD]), or
topical steroids are permitted.
13. Patient has neurotoxicity (Grade ≥2).
14. Patient has diarrhoea (Grade ≥2).
15. Patient has received other vaccines (with the exception of the influenza vaccine),
within 1 month before Screening.
16. Patient has a history of any severe or life-threatening hypersensitivity reaction.
17. Patient has an unstable systemic disease (including active infection, uncontrolled
hypertension, unstable angina, congestive heart failure, myocardial infarction within
the previous year, serious cardiac arrhythmia requiring medication, hepatic, renal and
metabolic disease).
18. Patient has recent history (within 6 months before Screening) of chronic alcohol or
drug abuse which may compromise the patient's safety or ability to participate in
study activities.
19. Patient has a history of psychiatric disorder that prevents patients from providing
informed consent or following Protocol instructions.
20. Patient is currently enrolled in an investigational device or drug trial, or <1 month
since completing an investigational device or drug trial.
21. Female patients who are pregnant or lactating.
22. Patient has any other factor that in the opinion of the Investigator (or designee)
would make the patient unsafe or unsuitable for the study.
Maximum Eligible Age: | N/A |
Minimum Eligible Age: | 18 Years |
Eligible Gender: | All |
Healthy Volunteers: | No |
Primary Outcome Measures
Measure: | Overall Survival (OS) |
Time Frame: | Each patient will be followed till death occurs within study time frame of 3 years |
Safety Issue: | |
Description: | To assess overall survival (OS) of an EGF cancer vaccine in inoperable, stage IV biomarker positive, wild type EGF-R, NSCLC patients compared to the control group receiving best treatment and supportive care. OS is defined as the time from randomisation to death due to any cause. |
Secondary Outcome Measures
Measure: | Safety of EGF Cancer Vaccine as assessed by Adverse Events (AEs) |
Time Frame: | Each patient will be followed till death occurs within study time frame of 3 years |
Safety Issue: | |
Description: | To assess the frequency and number of patients develop AEs, related AEs, serious AEs (SAEs) and AEs leading to withdrawal or death |
Measure: | Progression-Free Survival (PFS) |
Time Frame: | Each patient will be followed till objective tumour progression or death (whichever occurs first) within time frame of study of 3 years |
Safety Issue: | |
Description: | Progression parameters include radiological or clinical progression, withdrawal due to progression, and death due to any cause. |
Measure: | Survival Rate |
Time Frame: | Each patient will be followed at 12 and 24 months after randomization |
Safety Issue: | |
Description: | To assess the percentage of patients that are alive at 12 months and 24 months in EGF cancer vaccine study group compared to control group. |
Measure: | Time to Progression (TTP) |
Time Frame: | Each patient will be followed till observed tumour progression within study time frame of 3 years |
Safety Issue: | |
Description: | To assess Time to Progression (TTP) from the time of randomisation to first documented disease progression of EGF cancer vaccine study group patients compared to control group. |
Measure: | Response Rate (RECIST criteria) |
Time Frame: | Each patients will be followed till death occurs within study time frame of 3 years |
Safety Issue: | |
Description: | To assess the percentage of patients with a complete response (CR) or partial response (PR) as per Response Evaluation Criteria In Solid Tumors (RECIST) criteria Version 1.1. |
Measure: | Safety of EGF Cancer Vaccine by Laboratory Assessment |
Time Frame: | Each patients will be followed till death occurs within study time frame of 3 years |
Safety Issue: | |
Description: | To assess haematology, biochemistry and urinalysis parameters |
Measure: | Safety of EGF Cancer Vaccine assessed by Vital Signs |
Time Frame: | Each patients will be followed till death occurs within study time frame of 3 years |
Safety Issue: | |
Description: | To assess systolic and diastolic blood pressure, body temperature and pulse rate |
Measure: | Safety of EGF Cancer Vaccine as assessed by Physical Examination |
Time Frame: | Each patient will be followed till death occurs within study time frame of 3 years |
Safety Issue: | |
Description: | To assess eyes, neurological and cardiovascular systems, lungs, abdomen, and any other areas with signs and symptoms of disease, and of the head, neck, ears, nose, mouth, throat, thyroid, lymph nodes and extremities |
Measure: | Quality of Life (QoL) |
Time Frame: | Each patient will be followed till death occurs within study time frame of 3 years |
Safety Issue: | |
Description: | To assess the general physical health of patients with a 36-item, short-form health survey until disease progression |
Details
Phase: | Phase 3 |
Primary Purpose: | Interventional |
Overall Status: | Terminated |
Lead Sponsor: | Bioven Europe |
Last Updated
September 10, 2019