- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT07594964
To Evaluate the Safety, Tolerability, and Preliminary Efficacy of XH001 Injection as Adjuvant Therapy in Patients With High-risk Recurrent Solid Tumors
Phase I Clinical Study Evaluating the Safety, Tolerability, and Preliminary Efficacy of XH001 Injection as Adjuvant Therapy in Patients With High-risk Recurrent Solid Tumors After Radical Surgery
The goal of this interventional clinical study is to learn the safety and preliminary efficacy of XH001 injection (Personalized mRNA tumor neoantigen vaccine) combined with standard adjuvant treatment in treating patients with high-risk recurrent solid tumors after radical surgery.
The main questions it aims to answer are: What medical problems do participants have when using the combined treatment? Does XH001 injection combined with standard adjuvant treatment induce a specific T-cell response, and can it prolong the patient's relapse-free survival?
Study Overview
Status
Conditions
Intervention / Treatment
Study Type
Enrollment (Estimated)
Phase
- Phase 1
Contacts and Locations
Study Contact
- Name: Yi Zhang
- Phone Number: 0086-18615536063
- Email: yiz@neocura.net
Study Contact Backup
- Name: Bo Liu
- Phone Number: 0086-18101388626
- Email: bliu@neocura.net
Study Locations
-
-
-
Beijing, China
- Recruiting
- Peking University Cancer Hospital
-
Contact:
- Changsong Qi
- Phone Number: 0086-10-88196561
- Email: linshenpku@163.com
-
Principal Investigator:
- Lin Shen, Prof.
-
Beijing, China
- Recruiting
- Peking Union Medical College Hospital
-
Contact:
- Ding yan Cao
- Phone Number: 86-10-69156874
- Email: caodingyan@pumch.cn
-
Principal Investigator:
- Wenmin Wu, Prof.
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Provision of signed and dated informed consent form;
- Aged between 18 and 70 years old, male or female;
- Patients with high-risk recurrent solid tumors confirmed by pathology after radical surgery mainly include pancreatic ductal adenocarcinoma, biliary tract malignancies, hepatocellular carcinoma, gastric adenocarcinoma, etc.
- Expected survival duration ≥12 months;
- ECOG score of 0-1;
- White blood cell count≥ 3.0×10^9/L; Neutrophil count ≥ 1.0×10^9/L; Platelet count ≥75×10^9/L; Hemoglobin (Hb)≥ 90g/L; Creatinine clearance rate≥50mL/min [calculated using the Cockcroft-Gault formula]; Alanine aminotransferase ≤ 3×ULN (patients with hepatocellular carcinoma or biliary tract malignancy <5×ULN); Aspartate aminotransferase ≤ 3×ULN ((patients with hepatocellular carcinoma or biliary tract malignancy <5×ULN); Total bilirubin ≤ 3×ULN; Serum albumin > 28g/L; Coagulation: Prothrombin time prolongation ≤ 4s;
Exclusion Criteria:
- There is evidence of tumor residue, recurrence or metastasis during screening;
- Has a history of hepatic encephalopathy or liver transplantation;
- Has clinical uncontrolled (requiring repeated drainage) pericardial effusion, pleural effusion and moderate or severe ascites;
- Requires long-term systemic administration of antiallergic drugs, or has severe hypersensitivity reactions (>=Grade 3) to XH001 injection and/or any of its excipients;
- New cerebrovascular accidents within 6 months before screening (including ischemic stroke, hemorrhagic stroke and transient ischemic attack);
- Individuals who have experienced acute myocardial infarction, or have uncontrolled angina pectoris, uncontrolled arrhythmia, severe heart failure (NYHA heart failure classification standard>= Grade III) and other cardiovascular diseases within 6 months before screening;
- Patients with pancreatic ductal adenocarcinoma (PDAC) have the following conditions: 1) Borderline resectable pancreatic ductal adenocarcinoma; 2) Tumor tissue containing neuroendocrine tumor components (i.e., mixed type); 3) Pancreatic tumor types other than PDAC; 4) Persistent severe diarrhea after surgery;
- Patients with biliary tract malignancy have the following conditions: 1) Pancreatic or ampullary cancer; 2) Unresolved biliary obstruction; 3) Insufficient surgical biliary drainage, and there are signs of infection;
- .Subjects with hepatocellular carcinoma exhibit the following conditions: 1) The tumor contains components such as fibrolamellar hepatocellular carcinoma, sarcomatoid hepatocellular carcinoma, and biliary tract malignancy; 2) Received more than one cycle of adjuvant TACE after surgery or ablation;
- Patients with gastric adenocarcinoma have the following conditions: severe postoperative complications (severe postoperative infection, anastomotic leakage and gastrointestinal bleeding);
- Have active or poorly controlled severe infections;
- .Patients with other malignancies within 5 years before enrollment, except for those with a history of appropriately treated and cured cervical carcinoma in situ, breast carcinoma in situ, or skin basal cell carcinoma;
- Any history of autoimmune diseases (regardless of whether they are currently active),;
- Who have previously received similar therapeutic tumor vaccines;
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 |
|---|---|
|
Experimental: Treatment
XH001 injection administered based on adjuvant chemotherapy with the mFOLFIRINOX regimen
|
mRNA neoantigen cancer vaccine
oxaliplatin+lrinotecan+calcium folinate+5-FU
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Adverse Event
Time Frame: up to 36 months
|
Incidence and severity of adverse events (AEs), clinically significant abnormal changes in laboratory tests and other examinations (based on the Criteria for the Evaluation of Adverse Events [CTCAE] v5.0)
|
up to 36 months
|
|
Dose-Limiting Toxicity
Time Frame: From the first administration of XH001 to 4 weeks after the first administration of XH001 injection.
|
Grade 3 or higher adverse events (AEs) or laboratory abnormalities related to XH001 injection
|
From the first administration of XH001 to 4 weeks after the first administration of XH001 injection.
|
|
Immune response at different doses
Time Frame: From Baseline up to 2 years.
|
Using in vitro ELISPOT and/or TCR-Clone track to verify the immunoreactivity of the peripheral blood lymphocytes from the subjects to the selected tumor neoantigens.
|
From Baseline up to 2 years.
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Recurrent-Free Survival
Time Frame: 3 years
|
The time from the patient undergoing radical surgery to recurrence or death from any cause, whichever comes first.
|
3 years
|
|
Local Recurrent-Free Survival
Time Frame: 3 years
|
The time from the patient undergoing radical surgery to local recurrence or death from any cause, whichever comes first.
|
3 years
|
|
Distant metastasis-Free Survival
Time Frame: 3 years
|
The time from the patient undergoing radical surgery to distant metastasis or death from any cause, whichever comes first.
If the patient has not developed metastasis by the end of the study, the last follow-up time will be the endpoint.
|
3 years
|
|
Overall survival
Time Frame: 3 years
|
The time from the patient undergoing radical surgery to death from any cause.
|
3 years
|
Collaborators and Investigators
Sponsor
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Neoplasms by Site
- Neoplasms
- Neoplasms by Histologic Type
- Gastrointestinal Neoplasms
- Digestive System Neoplasms
- Digestive System Diseases
- Gastrointestinal Diseases
- Stomach Diseases
- Biliary Tract Diseases
- Liver Diseases
- Neoplasms, Glandular and Epithelial
- Adenocarcinoma
- Liver Neoplasms
- Carcinoma
- Gallbladder Diseases
- Stomach Neoplasms
- Biliary Tract Neoplasms
- Carcinoma, Hepatocellular
- Cholangiocarcinoma
- Gallbladder Neoplasms
Other Study ID Numbers
- XH001-01
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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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