Clinical Trials /

Phase 3 Randomized, Double-blind, Controlled Study of ICT-107 in Glioblastoma

NCT02546102

Description:

ICT-107 consists of dendritic cells, prepared from autologous mononuclear cells that are pulsed with six synthetic peptides that were derived from tumor associated antigens (TAA) present on glioblastoma tumor cells. This is a Phase 3 study to evaluate ICT-107 in patients with newly diagnosed glioblastoma. Subjects will be randomized to receive standard of care chemoradiation (temozolomide (TMZ) with either ICT-107 or a blinded control. Reinfusion with the pulsed dendritic cells should stimulate cytotoxic T cells to specifically target glioblastoma tumour cells.

Related Conditions:
  • Glioblastoma
Recruiting Status:

Suspended

Phase:

Phase 3

Trial Eligibility

Document

Title

  • Brief Title: Phase 3 Randomized, Double-blind, Controlled Study of ICT-107 in Glioblastoma
  • Official Title: A Phase 3 Randomized Double-blind, Controlled Study of ICT-107 With Maintenance Temozolomide (TMZ) in Newly Diagnosed Glioblastoma Following Resection and Concomitant TMZ Chemoradiotherapy

Clinical Trial IDs

  • ORG STUDY ID: ICT-107-301
  • NCT ID: NCT02546102

Conditions

  • Glioblastoma Multiforme

Interventions

DrugSynonymsArms
ICT-1071
Placebo2

Purpose

ICT-107 consists of dendritic cells, prepared from autologous mononuclear cells that are pulsed with six synthetic peptides that were derived from tumor associated antigens (TAA) present on glioblastoma tumor cells. This is a Phase 3 study to evaluate ICT-107 in patients with newly diagnosed glioblastoma. Subjects will be randomized to receive standard of care chemoradiation (temozolomide (TMZ) with either ICT-107 or a blinded control. Reinfusion with the pulsed dendritic cells should stimulate cytotoxic T cells to specifically target glioblastoma tumour cells.

Detailed Description

      This is a double blind Phase III study where eligible subjects are randomized into two
      treatment arms following the SOC primary treatment with chemoradiation: Arm 1 will receive
      ICT-107 in combination with the standard of care, temozolomide (TMZ), Arm 2 will receive TMZ
      with a blinded control. A 1:1 randomization will be employed, where ARM 1 will receive
      ICT-107 and Arm 2 will receive placebo control. All subjects must be HLA-A2+. All subjects
      must have glioblastoma tissue that has tumor assessment for MGMT methylation status prior to
      randomization (for stratification). Subjects will have had tumor resection and magnetic
      resonance imaging (MRI) prior to enrollment into the study. After signing of written informed
      consent and any required privacy compliance forms and screening, enrolled subjects will
      undergo large volume apheresis at the study site for collection of PBMCs. Apheresis product
      will be sent to the manufacturing site where both active therapy (ICT-107) and control will
      be prepared for each subject prior to randomization The study period consists of 4 time
      periods; a 6-week Post-Surgery Standard of Care Treatment Phase where subjects receive
      radiotherapy and TMZ; TMZ and radiation to be initiated no more than 8 weeks after surgical
      resection of glioblastoma; a Rest Period of no more than 14 days where subjects are
      reassessed for eligibility, and then randomized; a 4 week Induction Phase where study therapy
      (ICT-107 or Control) is given weekly; followed by a Maintenance Phase where study therapy is
      given monthly for 11 months, and then every 6 months until either progression, withdrawal
      from the study, death, or the supply of autologous study therapy is exhausted. Randomized
      subjects will receive 4 weekly administrations of subject-specific study therapy (ICT-107 or
      Control) during the Induction Phase. No TMZ will be given during the 4 week Induction Phase.
      Each study therapy injection will be delivered intradermally (axilla).

      The Maintenance Phase will consist of administration of subject-specific study therapy
      monthly for 11 months after the Induction Phase (for a total of 15 injections over 12 months
      during the Induction and Maintenance Phases), and then every 6 mos. thereafter until
      depletion or confirmation of progressive disease (PD). During the Maintenance Phase (where
      ICT-107 or control are given monthly), the administration of TMZ and subject specific study
      therapy or control will be separated in time by approximately 2 weeks (see Section 9.1.4).
      Pre-treatment, treatment and assessment schedules will be the same for all subjects.
    

Trial Arms

NameTypeDescriptionInterventions
1ExperimentalArm 1 will receive ICT-107 in combination with the standard of care, temozolomide (TMZ). ICT-107 will be given once a week for 4 weeks in the induction phase. During the maintenance phase, ICT-107 will be given monthly for the 11 months after induction and once every 6 months thereafter until depletion of supply or confirmation of progressive disease (PD). Administration is intradermal in axilla.
  • ICT-107
2Placebo ComparatorArm 2 will receive TMZ with a blinded control. Control will be given once a week for 4 weeks in the induction phase. During the maintenance phase, Control will be given monthly for the 11 months after induction and once every 6 months thereafter until depletion of supply or confirmation of progressive disease (PD). Administration is intradermal in axilla.
  • Placebo

Eligibility Criteria

        Inclusion Criteria:

          1. Subjects must understand and sign the study specific informed consent

          2. Subjects must be in primary remission

          3. Subjects should have < 1 cm3 disease by MRI within the previous 4 weeks (by central
             read)

          4. Subjects must be HLA-A2 positive by central lab

          5. Subjects must have adequate renal, hepatic and bone marrow function based on screening
             laboratory assessments. Baseline hematologic studies and chemistry and coagulation
             profiles must meet the following criteria:

               1. Hemoglobin (Hgb) > 8 g/dL

               2. Absolute Neutrophil Count (ANC) > 1000/mm3

               3. Platelet count > 100,000/mm3

               4. Blood Urea Nitrogen (BUN) < 30 mg/dL

               5. Creatinine < 2 mg/dL

               6. Alkaline Phosphatase (ALP), Aspartate Aminotransferase (AST) and Alanine
                  Aminotransferase (ALT) < 2 x upper limit of normal (ULN)

               7. Prothrombin Time (PT) and activated partial thromboplastin time (PTT) ≤ 1.6x
                  unless therapeutically warranted

          6. Subjects must use effective contraceptive methods during the study and for three
             months following the last dose of study product, if of reproductive age and still
             retain fertility potential.

          7. Subjects must have at least one positive DTH skin response (more than 5 mm) to test
             item challenge prior to randomization.

        Exclusion Criteria:

          1. Subjects receiving investigational study drug for any indication or
             immunological-based treatment for any reason (Filgrastim may be used for prevention of
             severe neutropenia).

          2. Subjects with glioblastoma mutated IDH by Immunohistochemistry (IHC)

          3. Subjects with concurrent conditions that would jeopardize the safety of the subject or
             compliance with the protocol.

          4. Subjects with a history of chronic or acute hepatitis C or B infection.

          5. Subjects require or are likely to require more than a 2-week course of corticosteroids
             for intercurrent illness. Subjects must have completed the course of corticosteroids
             at the time of apheresis to meet eligibility.

          6. Subjects have any acute infection that requires specific therapy. Acute therapy must
             have been completed within seven days prior to study enrollment.

          7. Subjects with active other malignancy diagnosed in the past 3 years (excepting in situ
             tumors)

          8. Subjects known to be pregnant or nursing.
      
Maximum Eligible Age:N/A
Minimum Eligible Age:18 Years
Eligible Gender:All
Healthy Volunteers:No

Primary Outcome Measures

Measure:Overall survival
Time Frame:46 months
Safety Issue:
Description:Overall survival (OS) of subjects treated with ICT-107 and standard of care (radiation (RT) and TMZ) vs. placebo control and standard of care (RT and TMZ)

Secondary Outcome Measures

Measure:Overall survival in patients with unmethylated MGMT tumors
Time Frame:46 months
Safety Issue:
Description:OS of subjects with unmethylated MGMT (O6-methylguanine-DNA methyltransferase) tumors treated with ICT-107 and standard of care vs. control and standard of care
Measure:Overall survival in patients with methylated MGMT (O6-methylguanine-DNA methyltransferase) tumors
Time Frame:46 months
Safety Issue:
Description:OS of subjects with methylated MGMT tumors treated with ICT-107 and standard of care vs. control and standard of care.
Measure:Progression-free survival
Time Frame:46 months
Safety Issue:
Description:Progression-free survival (PFS) of subjects treated with ICT-107 and standard of care vs. control and standard of care
Measure:Type and frequency of treatment emergent adverse events
Time Frame:46 months
Safety Issue:
Description:Compare the type and frequency of treatment emergent adverse events of ICT-107 vs. control treatment groups

Details

Phase:Phase 3
Primary Purpose:Interventional
Overall Status:Suspended
Lead Sponsor:Precision Life Sciences Group

Last Updated

August 13, 2018