- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02128126
Study of the Therapeutic Vaccine (ISA101/ISA101b) to Treat Advanced or Recurrent Cervical Cancer (CervISA)
A Multicenter, Open Label Phase I/II Study to Determine the Safety and Immune Modulating Effects of the Therapeutic Human Papilloma Virus 16 (HPV16) E6/E7 Long Peptides Vaccine (ISA101/ISA101b) Immunotherapy in Combination With Standard of Care Therapy (Carboplatin and Paclitaxel With or Without Bevacizumab) in Women With HPV16 Positive Advanced or Recurrent Cervical Cancer Who Have no Curative Treatment Options
The purpose of the study is to assess the safety, tolerability and the HPV-specific immune responses of different doses of ISA101 vaccine with or without pegylated IFNα as combination therapy with carboplatin and paclitaxel.
To qualitatively assess the safety profile and the HPV-specific immune responses of ISA101b vaccine compared to ISA101 at the same dose levels.
To assess the safety and the HPV-specific immune responses of ISA101b vaccine with carboplatin, paclitaxel with or without bevacizumab.
Study Overview
Detailed Description
Study Type
Enrollment (Actual)
Phase
- Phase 2
- Phase 1
Contacts and Locations
Study Locations
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Antwerp, Belgium, 2650
- UZA
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Brussels, Belgium, 1180
- Chirec Cancer Institute
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Gent, Belgium, B-9000
- UZG
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Leuven, Belgium, 3000
- UZL
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Liege, Belgium, B-4000
- CHU of Liege Site Citadelle
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Düsseldorf, Germany, 40225
- Universitätsklinikum Düsseldorf - Frauenklinik
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Essen, Germany, 45147
- Universitätsklinikum Essen - Klinik für Frauenheilkunde
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Hannover, Germany, 30625
- Medizinische Hochschule Hannover - Klinik für Frauenheilkunde
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Heidelberg, Germany, 69120
- Universitätsklinikum Heidelberg
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Amsterdam, Netherlands, 1066 CX
- NKI/AvL
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Amsterdam, Netherlands, 1105 AZ
- AMC
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Groningen, Netherlands, 9713 GZ
- UMCG
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Leiden, Netherlands, 2333 ZA
- LUMC
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Maastricht, Netherlands, 6229 HX
- MUMC
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Nijmegen, Netherlands, 6525 GA
- Radboud UMC
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Women ≥ 18 years of age.
- Cervical cancer confirmed by histology.
- Advanced or metastatic or recurrent cervical cancer confirmed by clinical and/or radiological proof with no curative treatment options.
- For cohort 10 (and 12), i.e. patients eligible to receive bevacizumab at each site per standard of care, patients may be primary stage IVB (including persistent) or first recurrent carcinoma of the uterine cervix (squamous cell carcinoma, adenocarcinoma, or adenosquamous carcinoma). Prior treatment with chemotherapy for recurrent disease is not permitted. However, one prior line of chemotherapy with platinum during primary radio-chemotherapy or platinum-base chemotherapy as neoadjuvant chemotherapy prior to surgery is permitted
- Tumour must be HPV16 positive.
- Patients should be eligible for chemotherapy with carboplatin and paclitaxel, and have consented with chemotherapy with carboplatin and paclitaxel, before the start of the informed consent procedure for the study.
- Performance status (WHO scale/ECOG) 1.
- Written informed consent according to local guidelines.
- Written approval by the treating physician/investigator of his/her clinical judgment that the patient has a reasonable life expectancy and is sufficiently fit and motivated to complete the study treatment and comply to all study procedures conform the protocol.
Exclusion Criteria:
Treatment:
- Prior treatment with anti-HPV agents.
- Chronic systemic steroid use. Local application (i.e. stable doses of topical or inhaled corticosteroids) is allowed.
- Less than 4 weeks since the last treatment with other cancer therapies, (i.e. endocrine therapy, immunotherapy, radiotherapy, chemotherapy, etc), less than 8 weeks for cranial radiotherapy, and less than 6 weeks for nitrosoureas and mitomycin C.
- Toxicities resulting from previous anti-cancer therapy must be resolved to ≤ grade 2.
- Recent treatment (within 30 days of first study treatment) with another investigational drug.
- Patients with known hypersensitivity to any component of the Investigational Medicinal Product.
Any contraindication to the use of authorized applied products (i.e. paclitaxel, carboplatin or bevacizumab).
Haematology and biochemistry:
- Inadequate bone marrow function: Absolute Neutrophil Count (ANC) < 1.5 x 109/L, or platelet count < 100 x 109/L or hemoglobin < 6 mmol/L.
Inadequate liver function, defined as:
- Serum (total) bilirubin > 2 x upper normal limit (ULN);
- Aspartate Aminotransferase (ASAT) or Alanine Aminotransferase (ALAT) > 2.5 x ULN (> 5 x ULN in patients with liver metastases);
- Alkaline phosphatase levels > 2.5 x ULN (> 5 x ULN in patients with liver metastases, or > 10 x ULN in patients with bone metastases).
Other:
- Clinical suspicion or radiological evidence of brain or leptomeningeal metastases.
- Previous or current malignancies at other sites, with the exception of basal or squamous cell carcinoma of the skin and with the exception of other malignancies from which the patient may be considered cured as evidenced by complete regression of all lesions >10 years ago.
- Active HIV, chronic hepatitis B or C infection.
- Patients of childbearing potential not willing to consistently and correctly us a contraceptive method according to ICH (M3) resulting in low failure rate, i.e. less that 1% per year such as oral contraceptives or use of effective means of contraception.
- Pregnancy or lactation. Serum pregnancy test to be performed within 7 days prior to study treatment start in patients of childbearing potential.
- Major surgical procedure within 28 days prior to the first study treatment.
- Uncontrolled sustained hypertension (systolic > 180 mm Hg and/or diastolic > 110mm Hg).
Clinically significant (i.e. active) cardiovascular disease defined as:
- Stroke within ≤ 6 months prior to day 1;
- Transient Ischemic Attack (TIA) within ≤ 6 months prior to day 1;
- Myocardial infarction within ≤ 6 months prior to day 1;
- Unstable angina;
- New York Heart Association (NYHA) Grade II or greater Congestive Heart Failure (CHF);
- Serious cardiac arrhythmia requiring medication;
- History of severe bronchial asthma and/or severe allergy.
- Evidence of any other medical conditions that may interfere with the planned treatment, affect patient compliance or place the patient at high risk from treatment-related complications.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
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Experimental: ISA101/ISA101b
The maximum total treatment duration for a patient is six cycles (1 cycle is 21 days) for a total of 18 weeks.
On day 15 of cycles 2, 3 and 4 patients are to receive the vaccination scheme of ISA101/ISA101b.
Patients will be vaccinated with a fixed dose of ISA101/ISA101b every three weeks for a total of three rounds of vaccination.
Four dose levels of ISA101 have been tested.
ISA101b will be tested in bridging cohorts.
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Four dose levels ISA101/ISA101b
Other Names:
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
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HPV-specific immune responses
Time Frame: 4 months
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HPV-specific immune responses to different doses of the ISA101 vaccine with or without pegylated interferon alpha (INFα) as combination therapy with carboplatin and paclitaxel will be determined.
The HPV-specific immune responses to ISA101b will be qualitatively compared to the responses at the same dose level(s) of ISA101.
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4 months
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Secondary Outcome Measures
Outcome Measure |
Time Frame |
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Evaluate the clinical efficacy by antitumor efficacy according to Response Evaluation Criteria in Solid Tumors (RECIST) 1.1
Time Frame: one year
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one year
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Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
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Evaluate the general responsiveness of the immune system as measured by explorative assays.
Time Frame: 4 months
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General responsiveness of the immune system as measured by explorative assays in particular:
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4 months
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Collaborators and Investigators
Sponsor
Collaborators
Investigators
- Principal Investigator: Winald Gerritsen, Oncologist, Radboud university medical center
Publications and helpful links
Study record dates
Study Major Dates
Study Start
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- ISA-HPV-01-12
- 2013-001804-12 (EudraCT Number)
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
Clinical Trials on Cervical Cancer
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University of California, San DiegoWithdrawnCervical Cancer | Cervical Cancer Stage | Cervical Cancer Stage IB2 | Cervical Cancer Stage IB1 | Cervical Cancer Stage I | Cervical Cancer Stage IB | Cervical Cancer Stage II | Cervical Cancer Stage IIa | Cervical Cancer, Stage IIB | Cervical Cancer, Stage III | Cervical Cancer Stage IIIB | Cervical Cancer... and other conditionsUnited States
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M.D. Anderson Cancer CenterWithdrawnStage IB3 Cervical Cancer FIGO 2018 | Stage II Cervical Cancer FIGO 2018 | Stage IIA Cervical Cancer FIGO 2018 | Stage IIA1 Cervical Cancer FIGO 2018 | Stage IIA2 Cervical Cancer FIGO 2018 | Stage IIB Cervical Cancer FIGO 2018 | Stage III Cervical Cancer FIGO 2018 | Stage IIIA Cervical Cancer FIGO... and other conditions
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Abramson Cancer Center of the University of PennsylvaniaWithdrawnCervical Cancer | Stage IB Cervical Cancer | Stage IIA Cervical Cancer | Stage IIB Cervical Cancer | Stage III Cervical Cancer | Stage IVA Cervical Cancer
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National Cancer Institute (NCI)CompletedCervical Adenocarcinoma | Cervical Squamous Cell Carcinoma | Stage IB Cervical Cancer | Stage IIA Cervical Cancer | Stage IIB Cervical Cancer | Stage III Cervical Cancer | Stage IVA Cervical Cancer | Stage IVB Cervical CancerUnited States
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Mayo ClinicNational Cancer Institute (NCI)RecruitingCervical Adenosquamous Carcinoma | Cervical Squamous Cell Carcinoma, Not Otherwise Specified | Recurrent Cervical Carcinoma | Stage IB3 Cervical Cancer FIGO 2018 | Stage II Cervical Cancer FIGO 2018 | Stage IIA Cervical Cancer FIGO 2018 | Stage IIA1 Cervical Cancer FIGO 2018 | Stage IIA2 Cervical... and other conditionsUnited States
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M.D. Anderson Cancer CenterNational Cancer Institute (NCI)Active, not recruitingStage IA Cervical Cancer | Stage IB Cervical Cancer | Stage IA1 Cervical Cancer | Stage IA2 Cervical Cancer | Stage IB1 Cervical Cancer | Stage IB2 Cervical Cancer | Stage IB3 Cervical CancerUnited States
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University of Southern CaliforniaNational Cancer Institute (NCI)CompletedRecurrent Cervical Cancer | Stage IVA Cervical Cancer | Stage IVB Cervical Cancer | Stage IIIA Cervical Cancer | Stage IIIB Cervical CancerUnited States
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Shanghai First Maternity and Infant HospitalNot yet recruitingCervical Cancer, Stage IIB | Cervical Cancer Stage IIIB | Cervical Cancer Stage IIIA | Cervical Cancer, Stage IVA
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Gynecologic Oncology GroupNational Cancer Institute (NCI)CompletedCervical Adenocarcinoma | Cervical Squamous Cell Carcinoma | Stage IB Cervical Cancer | Stage IIA Cervical Cancer | Stage IIB Cervical Cancer | Stage III Cervical Cancer | Stage IVA Cervical CancerUnited States
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Institut de Cancérologie de LorraineCompletedCervical Adenocarcinoma | Stage IB Cervical Cancer | Stage III Cervical Cancer | Stage II Cervical CancerFrance
Clinical Trials on ISA101/ISA101b
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M.D. Anderson Cancer CenterPfizer; ISA Pharmaceuticals B.V.CompletedOropharyngeal Cancer | Malignant Neoplasms of Ill-defined Secondary and Unspecified Sites | Malignant Neoplasms of Lip Oral Cavity and PharynxUnited States
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ISA PharmaceuticalsRegeneron PharmaceuticalsActive, not recruitingSquamous Cell Carcinoma of the OropharynxUnited States, Israel, Belgium, Germany, Spain, United Kingdom, Italy, France, Czechia
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ISA PharmaceuticalsRegeneron PharmaceuticalsActive, not recruitingSquamous Cell Carcinoma of the Oropharynx | HPV16 PositiveNetherlands, United States, United Kingdom, France, Belgium, Czechia, Spain, Italy, Germany, Brazil, Hungary, Mexico, Poland
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Regeneron PharmaceuticalsISA Pharmaceuticals B.V.Active, not recruitingCervical CancerSpain, Korea, Republic of, Netherlands, Brazil, Belgium, United States, Italy, Russian Federation
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Dan ZandbergMerck Sharp & Dohme LLC; ISA PharmaceuticalsRecruitingHead and Neck Squamous Cell Carcinoma | HPV-Related Squamous Cell CarcinomaUnited States