Study of the Immune Response of MUC1 (Mucin1) Peptide Vaccine for Non-small Cell Lung Cancer
Study of the Immunogenicity of the MUC1 Peptide - Poly-ICLC (Polyinosinic-polycytidylic Acid Stabilized With Polylysine and Carboxymethylcellulose) OR HILTONOL™ Adjuvant Vaccine in Patients With Localized and Locally Advanced Non-Small Cell Lung Cancer
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Phase 2
- Phase 1
Contacts and Locations
Study Contact
Study Contact
- Name: Research Coordinator
- Phone Number: 412-647-8583
- Email: wardj@upmc.edu
Study Locations
-
-
Pennsylvania
-
Pittsburgh, Pennsylvania, United States, 15232
- Recruiting
- UPMC Hillman Cancer Center
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Subjects must have histologically or cytologically confirmed non-small cell lung cancer (NSCLC) or neuroendocrine carcinoid tumor
- All subjects must have one of the following stages: Stage IA(T1NO); IB (T2NO), II & IIIA (N2 negative); IIIA (N2+), IIIB (N3+)
- Patients must have stable disease at the time of enrollment
- Women and men at least 18 years of age
- ECOG performance status 0-1(Appendix A)
- Subjects must be within 4 to 24 weeks of standard of care treatment for their particular stage of disease
Subjects must have acceptable organ and marrow function as defined below:
- Leukocytes > 3,000/µL
- Absolute Neutrophils > 1,500/µL
- Hemoglobin > 10 g/dL
- Platelets > 100,000/µL
- Total Bilirubin within normal institutional limits
- Creatinine within normal institutional limits OR
- Creatinine clearance > 60 mL/min/1.73 m2 for subjects with above normal AST and ALT with alkaline phosphatase within < 1.5 times upper limit of normal
- The effects of a MUC1vaccine on the developing human fetus at the recommended therapeutic dose are unknown. For this reason, men and women of childbearing potential must be willing to use effective contraception (hormonal barrier method of birth control; abstinence) while on study treatment and for at least 3 months thereafter. Should a woman become pregnant or suspect she is pregnant while participating in this study, she should inform her treating physician immediately
Exclusion Criteria:
Subjects may not be receiving any other investigational agents
- No history of prior malignancy, except for non-melanoma skin cancer
- Any positive ANA titer above 1:160, even in an asymptomatic individual. Note:
Weakly positive ANA defined as ANA titers up to 1:160 maximum (≤ 1:160) will be acceptable in an asymptomatic individual who is otherwise eligible for the study.
- Known Hepatitis B on immunomodulators (i.e. interferon)
- Known Hepatitis C on immunomodulators (i.e. interferon)
- No prior vaccine therapy
- Patients may not be receiving any steroids or other anti-immune therapy at the time of registration.
- Subjects must not be more than 24 weeks from standard of care treatment for their particular stage of disease
- Subjects must not have post-obstructive pneumonia or other serious infection at the time of registration or other serious underlying medical condition that would impair the ability of the subjects to receive protocol treatment
- Prior resection of lung cancer is allowed, if at least five years have elapsed between previous resection and registration
- Uncontrolled intercurrent illness including, but not limited to, ongoing or active infection, symptomatic congestive heart failure, unstable angina pectoris, cardiac arrhythmia, or psychiatric illness/social situations that would limit compliance with study requirements
- Pregnant women are excluded from this study. Women of childbearing potential must have a negative pregnancy test
- Subjects with immune deficiency are not expected to respond to the vaccine. Therefore, known HIV-positive patients are excluded from the study
- Subjects with a history of known autoimmune disease are excluded from this study
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Non-Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Stage IB/II/IIIA
Resection and adjuvant chemotherapy followed by 3 cycles of vaccine + PolyICLC.
|
The vaccine will consist of 100 micrograms of MUC1 100mer peptide dissolved in 50 micro-liters of sterile saline, admixed with 500 micrograms of Hiltonol® in 250 microliters volume, for a total injection volume of 300 microliters.
|
|
Experimental: Stage IIIA or IIIB
Concomitant chemo-irradiation followed by 3 cycles of vaccine + PolyICLC.
|
The vaccine will consist of 100 micrograms of MUC1 100mer peptide dissolved in 50 micro-liters of sterile saline, admixed with 500 micrograms of Hiltonol® in 250 microliters volume, for a total injection volume of 300 microliters.
|
|
Experimental: Stage IA or I/II NSCLC or neuroendocrine carcinoid tumor
Resection or radiotherapy without adjuvant chemotherapy followed by 3 cycles of vaccine + PolyICLC.
|
The vaccine will consist of 100 micrograms of MUC1 100mer peptide dissolved in 50 micro-liters of sterile saline, admixed with 500 micrograms of Hiltonol® in 250 microliters volume, for a total injection volume of 300 microliters.
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Immunologic response
Time Frame: 2 years
|
Immunologic response will be measured by increases in anti MUC1 antibody titers post vaccination at different stages of disease: localized (Stage I, II) or locally advanced (Stage III) non-small cell lung cancer and neuroendocrine carcinoid tumors.
|
2 years
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Anti-MUC1 immunity
Time Frame: 2 years
|
To assess spontaneous anti- MUC1 immunity in response to cancer prior to administration of the MUC1 vaccine
|
2 years
|
|
Association between baseline MUC1 immunity and vaccine
Time Frame: 2 years
|
To assess the association between baseline MUC1 immunity and vaccine - induced increases in anti MUC1 antibodies
|
2 years
|
|
Immunocompetence versus immunosuppression
Time Frame: 2 years
|
To characterize the change in the balance between immunocompetence (response of T cells to polyclonal stimulation) versus immunosuppression at different stages of disease {check for increased numbers of regulatory T cells (Treg) and Myeloid-Derived Suppressor Cells (MDSC)}
|
2 years
|
|
MUC1 associated safety
Time Frame: 2 years
|
To monitor adverse events associated with the study agents
|
2 years
|
|
survival
Time Frame: 2 years
|
To monitor for progression free survival
|
2 years
|
|
survival
Time Frame: 2 years
|
To monitor for progression of overall survival
|
2 years
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Arjun Pennathur, MD, University of Pittsburgh Medical Center
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimated)
First Posted
Study Record Updates
Last Update Posted (Estimated)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- 11-094
- 902168 (Other Grant/Funding Number: V Foundation)
Drug and device information, study documents
product manufactured in and exported from the U.S.
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