- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03669718
A Randomized Phase 2 Study of Cemiplimab ± ISA101b in HPV16-Positive OPC
December 28, 2023 updated by: ISA Pharmaceuticals
A Randomized, Double-blind, Placebo-Controlled, Phase 2 Study of Cemiplimab Versus the Combination of Cemiplimab With ISA101b in the Treatment of Subjects With HPV16-Positive Oropharyngeal Cancer (OPC)
This will be a blinded, placebo-controlled, randomized, phase 2 study in which subjects will be randomly assigned 1:1 to cemiplimab plus placebo or cemiplimab plus ISA101b.
Study Overview
Status
Active, not recruiting
Intervention / Treatment
Detailed Description
This study will assess the ability of ISA101b to improve Overall Response Rate in subjects with HPV16 positive OPC, when combined with cemiplimab, an investigational anti-PD-1 antibody being developed by Regeneron Pharmaceuticals.
ISA101b is a therapeutic cancer vaccine that induces specific immune responses to the oncogenic E6 and E7 antigens from HPV16.
Trials in HPV16 driven malignancies indicate it has activity in HPV16 driven malignancies including oropharyngeal and cervical cancers.
Cemiplimab, also known as REGN2810, is in late stage trials and appears to have similar activity to approved anti PD-1 antibodies in a number of malignancies .
Study Type
Interventional
Enrollment (Estimated)
194
Phase
- Phase 2
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Contact
- Name: Sonja Visscher
- Phone Number: +31713322310
- Email: Visscher@isa-pharma.com
Study Locations
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Antwerp, Belgium
- University Hospital Antwerp
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Brasília, Brazil
- DFSATR/Oncologia D'Or
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Sao Paulo, Brazil
- Instituto do Cancer do Estado de Sao Paulo
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Olomouc, Czechia
- University Hospital Olomouc
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Prague, Czechia
- Nemocnice Na Bulovce
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Lyon, France
- Centre Léon Bérard
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Marseille, France
- CHU La Timone
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Nice, France
- Antoine Lacassagne Center
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Paris, France
- Gustave Roussy
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Paris, France
- Hopitaux Universitaires Pitié Salpêtrière Charles Foix
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Ulm, Germany
- Universitaetsklinikum Ulm
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Nyiregyhaza, Hungary
- Szabolcs Szatmar Bereg Megyei Korhazak Es Egyetemi Oktatokorhaz
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Pecs, Hungary
- University of Pecs Department of Oncotherapy
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Szolnok, Hungary
- Hetenyi Geza Korhaz-Rendelointezet
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Brescia, Italy
- ASST Spedali Civili Brescia, Department of Medical Oncology
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Milan, Italy
- Istituto Nazionale dei Tumori
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Milan, Italy
- Azienda Ospedaliera San Paolo Polo Universitario
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Naples, Italy
- National Cancer Institute - IRCCS "Fondazione G. Pascale"
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Rome, Italy
- National Cancer Institute Regina Elena, IRCCS
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Oaxaca, Mexico
- Consultorio de Oncología Médica
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Amsterdam, Netherlands, 1066CX
- Antoni van Leeuwenhoek Ziekenhuis
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Nijmegen, Netherlands
- Radboud University Medical Center
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Utrecht, Netherlands, 3584 CX
- University Medical Center Utrecht
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Gliwice, Poland
- Maria Sklodowska-Curie National Institute of Oncology
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Kielce, Poland
- Swietokrzyskie Oncology Center Kielce
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Barcelona, Spain
- Vall d'Hebron
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Barcelona, Spain
- Hospital Duran i Reynals - Institut Catala dOncologia ICO
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Barcelona, Spain
- Hospital Clinic of Barcelona
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Santander, Spain
- Hospital Universitario Marques de Valdecilla Santander
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Aberdeen, United Kingdom
- Aberdeen Royal Infirmary
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Chelsea, United Kingdom
- The Royal Marsden NHS Foundation
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London, United Kingdom
- Guy's Hospital
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Sutton, United Kingdom
- The Royal Marsden NHS Foundation Trust
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Taunton, United Kingdom
- Beacon Centre Musgrove Park Hospital
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California
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Duarte, California, United States, 91010
- City of Hope
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San Diego, California, United States, 92093
- Moores Cancer Center at the UC San Diego Health
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San Francisco, California, United States, 94115
- University of California San Francisco
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Illinois
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Chicago, Illinois, United States, 60208
- Robert H. Lurie Comprehensive Cancer Center
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Missouri
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Saint Louis, Missouri, United States, 63110
- Washington University School of Medicine
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New York
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New York, New York, United States, 10029
- Icahn School of Medicine at Mount Sinai
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Ohio
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Cincinnati, Ohio, United States, 45069
- University of Cincinnati Cancer Institute
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Oregon
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Portland, Oregon, United States, 97213
- Providence Portland Medical Center
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Pennsylvania
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Pittsburgh, Pennsylvania, United States, 15232
- UPMC Hillman Cancer Center
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Texas
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Houston, Texas, United States, 77030
- M. D. Anderson Cancer Center
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Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
18 years and older (Adult, Older Adult)
Accepts Healthy Volunteers
No
Description
Inclusion Criteria:
- Males and females, ≥ 18 years of age.
- Sign and date an Institutional Review Board/Independent Ethics Committee (IRB)/(IEC)-approved written informed consent form (ICF) in accordance with regulatory and institutional guidelines. This must be obtained before the performance of any protocol-related procedures that are not part of normal subject care.
- Be willing and able to comply with scheduled visits, treatment schedule, laboratory testing, and other requirements of the study.
- Diagnosed with histologically confirmed recurrent or metastatic HPV16 positive OPC, whose tumors express PD-L1 (Combined Positive Score [CPS] ≥1) and who are candidates for first line therapy with an PD-1 blocking antibody, AND subjects with recurrent or metastatic HPV16 positive OPC with disease progression on or after platinum containing chemotherapy.
- HPV-16 genotyping will be determined by the specified central reference laboratory.
- Eastern Cooperative Oncology Group (ECOG) performance status of 0-1.
- Measurable disease by computed tomography (CT) or magnetic resonance imaging (MRI) per RECIST 1.1 criteria.
- Prior curative radiation therapy must have been completed at least 4 weeks prior to study drug administration. Prior focal palliative radiotherapy must have been completed at least 2 weeks before study drug administration.
- Women of childbearing potential (WOCBP) must have a negative serum or urine pregnancy test (minimum sensitivity 25 IU/L or equivalent units of human chorionic gonadotropin [HCG]) within 24 hours prior to the start of study drug.
Exclusion criteria:
- Subjects with previously untreated metastatic or unresectable, recurrent HPV16 positive OPC whose tumors do not express PD-L1 (CPS<1) and who are therefore not candidates for monotherapy with an anti-PD-1 antibody.
- Subjects with known brain metastases or leptomeningeal metastases.
- Any serious or uncontrolled medical disorder that, in the opinion of the investigator, may increase the risk associated with study participation or study drug administration, impair the ability of the subject to receive protocol therapy, or interfere with the interpretation of study results.
- History of other malignancy ≤ 3 years prior to entry into this trial with the exception of basal cell or squamous cell skin carcinoma which were treated with local resection only, or carcinoma in situ of the cervix, prostate or breast, or low grade non-muscle invasive superficial bladder cancer (TaLG)/carcinoma in situ of the bladder.
- Subjects with active, known or suspected autoimmune disease. Subjects with vitiligo, type I diabetes mellitus, residual hypothyroidism due to autoimmune condition only requiring hormone replacement, psoriasis not requiring systemic treatment, or conditions not expected to recur in the absence of an external trigger are permitted to enroll.
- Subjects with a condition requiring immunosuppressive doses of systemic medication such as steroids or absorbed topical steroids (doses ≥ 10 mg/day prednisone or equivalent) or other immunosuppressive medications within 14 days of study drug administration. Inhaled or topical steroids and adrenal replacement doses < 10 mg daily prednisone equivalents are permitted in the absence of active autoimmune disease.
- Prior treatment with an anti-PD-1 antibody (e.g., nivolumab, pembrolizumab, cemiplimab), as well as an antibody targeting anti-PL-L1 anti-PD-L2, anti-CTLA-4 antibody, or any other antibody or drug specifically targeting T-cell co stimulation or immune checkpoint pathways.
- Prior treatment with more than one chemotherapy regimen for the management of metastatic OPC.
- Prior treatment with therapeutic anti-HPV vaccines including ISA101 or ISA101b. Subjects may have received a preventive HPV vaccine.
- All toxicities attributed to systemic prior anti-cancer therapy other than alopecia and fatigue must have resolved to Grade 1 (NCI CTCAE) or baseline before administration of study drug. Subjects with toxicities attributed to systemic prior anticancer therapy that are not expected to resolve and result in long lasting sequelae, such as neuropathy after platinum based therapy, are permitted to enroll.
- History of allergy to ISA101/ISA101b study drug components, e.g., ISA101/101b, Montanide, or Macrogolglycerol Ricinoleate, also known as cremophore.
- History of allergy to cemiplimab and its excipients.
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Triple
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
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Experimental: Active ISA101b and cemiplimab.
ISA101b 3 times plus cemiplimab every 3 weeks for up to 24 months
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Every 3 weeks for a total of 3 times
Every 3 weeks for up to 24 months
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Placebo Comparator: Placebo and cemiplimab
Placebo 3 times plus cemiplimab every 3 weeks for up to 24 months
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Every 3 weeks for up to 24 months
Every 3 weeks for a total of 3 times
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
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Overall Response Rate
Time Frame: 25months
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Measured using RECIST 1.1
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25months
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Number of participants with treatment-related adverse events as assessed by NCI CTCAE v5.0 "Number of participants with treatment-related adverse events as assessed by NCI CTCAE v5.0".
Time Frame: 25 months
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25 months
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Secondary Outcome Measures
Outcome Measure |
Time Frame |
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Duration of response (DOR) by independent review in subjects randomized to receive ISA101b plus cemiplimab compared to placebo plus cemiplimab.
Time Frame: 25months
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25months
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Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Collaborators
Investigators
- Principal Investigator: Bonnie S. Glisson, MD, BS, M.D. Anderson Cancer Center
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
November 30, 2018
Primary Completion (Estimated)
September 1, 2024
Study Completion (Estimated)
June 1, 2025
Study Registration Dates
First Submitted
August 11, 2018
First Submitted That Met QC Criteria
September 11, 2018
First Posted (Actual)
September 13, 2018
Study Record Updates
Last Update Posted (Actual)
December 29, 2023
Last Update Submitted That Met QC Criteria
December 28, 2023
Last Verified
December 1, 2023
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- ISA101b-HN-01-17
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Yes
Studies a U.S. FDA-regulated device product
No
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.
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ISA PharmaceuticalsDutch Cancer SocietyCompletedCervical CancerGermany, Netherlands, Belgium
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