INO-5401 + INO-9012 i kombination med atezolizumab ved lokalt avanceret uoperabelt eller metastatisk/tilbagevendende urothelial carcinom
Et åbent, multicenter-forsøg med INO-5401 + INO-9012 i kombination med atezolizumab i forsøgspersoner med lokalt avanceret uoperabelt eller metastatisk/tilbagevendende urothelial carcinom
Studieoversigt
Status
Status
Betingelser
Betingelser
Intervention / Behandling
Intervention / Behandling
Undersøgelsestype
Undersøgelsestype
Tilmelding (Faktiske)
Tilmelding
Fase
Fase
- Fase 2
- Fase 1
Kontakter og lokationer
Studiesteder
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Arizona
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Phoenix, Arizona, Forenede Stater, 85054
- Mayo Clinic Cancer Center
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Florida
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Tampa, Florida, Forenede Stater, 33612
- H. Lee Moffitt Cancer Center & Research Institute, Inc.
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Maryland
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Baltimore, Maryland, Forenede Stater, 21287
- Johns Hopkins University School Of Medicine
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-
Michigan
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Detroit, Michigan, Forenede Stater, 48201
- Karmanos Cancer Institute
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-
Missouri
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St Louis, Missouri, Forenede Stater, 63110
- Washington University School of Medicine in St. Louis
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New York
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New York, New York, Forenede Stater, 10032
- Columbia University, Herbert Irving Comprehensive Cancer Center
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New York, New York, Forenede Stater, 10016
- New York University Langone Medical Center - Perlmutter Cancer Center
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North Carolina
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Chapel Hill, North Carolina, Forenede Stater, 27599
- University of North Carolina School of Medicine
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Pennsylvania
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Pittsburgh, Pennsylvania, Forenede Stater, 15232
- University of Pittsburgh Medical Center
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South Carolina
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Greenville, South Carolina, Forenede Stater, 29615
- Greenville Memorial Hospital
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Virginia
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Fairfax, Virginia, Forenede Stater, 22031
- Inova Melanoma and Skin Cancer Center
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-
Deltagelseskriterier
Berettigelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Beskrivelse
Inklusionskriterier:
- underskrive en informeret samtykkeformular (ICF);
- Har histologisk eller cytologisk dokumenteret lokalt fremskreden inoperabel eller metastatisk/tilbagevendende urothelial carcinom (inklusive nyrebækken, urinledere, urinblære og urinrør);
- For kohorte A: Forsøgspersoner, der har radiografisk bekræftet sygdomsprogression under eller efter behandling med en anti-PD-1/PD-L1-baseret behandling;
- For kohorte B: Ingen tidligere kemoterapi for inoperabel lokalt fremskreden eller metastatisk eller tilbagevendende UCa og ikke egnet ("uegnet") til cisplatin-baseret kemoterapi;
- Har målbar sygdom, som defineret af RECIST version 1.1;
- Har en præstationsstatus på 0 eller 1 på Eastern Cooperative Oncology Group (ECOG) Performance Scale;
- Har en forventet levetid på >/= 3 måneder;
- Være villig til at give en vævsprøve til intratumoral vurdering af proinflammatoriske og immunsuppressive faktorer før behandling;
- Få et elektrokardiogram (EKG) uden klinisk signifikante fund som vurderet af investigator udført inden for 28 dage før første dosis;
- Demonstrere tilstrækkelig hæmatologisk, nyre-, lever- og koagulationsfunktion;
- For kvinder i den fødedygtige alder: aftale om at forblive afholdende (afstå fra heteroseksuelt samleje) eller bruge præventionsmetoder, der resulterer i en fejlrate på < 1 % om året i behandlingsperioden og i mindst 5 måneder efter den sidste dosis af undersøgelsesbehandlingen;
- For mandlige emner: aftale om ikke at få et barn. Deltagerne skal være kirurgisk sterile (f.eks. vasektomi) eller bruge præventionsmetoder, der resulterer i en fejlrate på < 1 % om året i behandlingsperioden og i mindst 5 måneder efter den sidste dosis af undersøgelsesbehandlingen.
Ekskluderingskriterier:
- Enhver godkendt anti-cancerterapi, herunder kemoterapi, målrettet småmolekyleterapi eller strålebehandling inden for 2 uger før forsøg Dag 0 samt nuværende deltagelse eller modtager af behandling i et klinisk forsøg inden for 28 dage før dag 0;
- Dokumenteret aktive eller ubehandlede metastaser i centralnervesystemet (CNS) og/eller karcinomatøs meningitis;
- Maligniteter andre end UCa inden for 3 år før dag 0, med undtagelse af dem med ubetydelig risiko for metastaser eller død behandlet med forventet helbredende resultat;
- Tidligere behandling med CD137-agonister eller immuncheckpoint-blokadeterapier;
- Behandling med systemiske immunstimulerende midler;
- Behandling med systemisk immunsuppressiv medicin;
- Anamnese med alvorlige allergiske, anafylaktiske eller andre overfølsomhedsreaktioner over for kimære eller humaniserede antistoffer eller fusionsproteiner;
- Kendt overfølsomhedsallergi eller kontraindikation over for biofarmaceutiske midler produceret i ovarieceller fra kinesisk hamster eller enhver komponent i PD-1/PD-L1-hæmmerformuleringen;
- Aktiv eller historie med autoimmun sygdom eller immundefekt;
- Anamnese eller tegn på interstitiel lungesygdom;
- Anamnese med humant immundefektvirus (HIV);
- Aktiv hepatitis B eller aktiv hepatitis C;
- Alvorlige infektioner inden for 4 uger før tilmelding;
- Modtog terapeutiske orale eller IV-antibiotika inden for 2 uger før dag 0;
- Anamnese eller aktuelle beviser for enhver tilstand, behandling eller laboratorieabnormitet, der kan forvirre resultaterne af forsøget; forstyrre forsøgspersonens deltagelse i hele forsøgets varighed, eller er negativt påvirket af EP-behandling, eller er ikke i forsøgspersonens bedste interesse i at deltage i den behandlende investigators udtalelse;
- Tidligere allogen stamcelle- eller fastorgantransplantation;
- Ukontrolleret tumorrelateret smerte; pleural effusion, perikardiel effusion eller ascites, der kræver tilbagevendende dræningsprocedurer; eller hypercalcæmi eller symptomatisk hypercalcæmi, der kræver fortsat brug af bisphosphonatbehandling eller denosumab.
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: Ikke-randomiseret
- Interventionel model: Parallel tildeling
- Maskning: Ingen (Åben etiket)
Antal våben
Våben og indgreb
Deltagergruppe / ArmDeltagergruppe / Arm |
Intervention / BehandlingIntervention / Behandling |
|---|---|
|
Eksperimentel: Cohort A: Prior Anti-PD-1/PD-L1
Participants with locally advanced unresectable or metastatic/recurrent UCa, who had confirmed disease progression during or following treatment with anti- programmed death receptor-1/ programmed cell death-ligand 1 (PD-1/PD-L1) therapy received INO-5401 9 milligrams (mg) and INO-9012 1 mg, intramuscular (IM) injection, followed by electroporation (EP) by CELLECTRA® 2000 device, every 3 weeks until Week 9, then every 6 weeks for 6 more doses (until Week 45), thereafter every 12 weeks, until confirmed disease progression, unacceptable toxicity, or deemed intolerable by the investigator in combination with atezolizumab 1200 mg, intravenous (IV) infusion, every 3 weeks, until confirmed disease progression, unacceptable toxicity, or deemed intolerable by the investigator.
|
INO-5401: A mixture of 3 synthetic plasmids that target Wilms' tumor gene-1 (WT1) antigen, prostate-specific membrane antigen (PSMA) and human telomerase reverse transcriptase (hTERT) antigen. IM injection INO-9012: A synthetic plasmid that expresses human interleukin-12 (IL-12). IM injection.
IV-Infusion.
IM injection.
|
|
Eksperimentel: Cohort B: Naïve Anti-PD-1/PD-L1
Participants with locally advanced unresectable or metastatic/recurrent UCa who are treatment naïve and ineligible for cisplatin-based chemotherapy received INO-5401 9 mg and INO-9012 1 mg, IM injection, followed by EP by CELLECTRA® 2000 device, every 3 weeks until Week 9, then every 6 weeks for 6 more doses (until Week 45), thereafter every 12 weeks, until confirmed disease progression, unacceptable toxicity, or deemed intolerable by the investigator in combination with atezolizumab 1200 mg, IV infusion, every 3 weeks, until confirmed disease progression, unacceptable toxicity, or deemed intolerable by the investigator.
|
INO-5401: A mixture of 3 synthetic plasmids that target Wilms' tumor gene-1 (WT1) antigen, prostate-specific membrane antigen (PSMA) and human telomerase reverse transcriptase (hTERT) antigen. IM injection INO-9012: A synthetic plasmid that expresses human interleukin-12 (IL-12). IM injection.
IV-Infusion.
IM injection.
|
Hvad måler undersøgelsen?
Primære resultatmål
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Number of Participants With Treatment-Emergent Adverse Events (TEAEs) and Adverse Events of Special Interest (AESIs) Treatment
Tidsramme: Up to approximately 71 months
|
An adverse event (AE) is defined as any untoward medical occurrence in a participant or clinical investigation participant administered a pharmaceutical product and which does not necessarily have to have a causal relationship with this treatment.
TEAEs were defined as any AEs that occurred on or after Day 0. AESIs were toxicities and immune-mediated AEs that may have occurred up to 90 days after the last dose of trial treatment.
AESIs were reported by the investigator to the Sponsor within 24 hours after learning of the event.
|
Up to approximately 71 months
|
|
Number of Participants With Clinically Significant Changes in Hematological Parameters
Tidsramme: Up to approximately 71 months
|
Clinically significant changes in hematological parameters were determined based on the investigator's discretion.
|
Up to approximately 71 months
|
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Number of Participants With Clinically Significant Changes in Serum Chemistry Parameters
Tidsramme: Up to approximately 71 months
|
Clinically significant changes in serum chemistry parameters were determined based on the investigator's discretion.
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Up to approximately 71 months
|
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Number of Participants With Clinically Significant Changes in Urinalysis Parameters
Tidsramme: At baseline, Weeks 3, 6, 9, then every 6 weeks thereafter, up to 71 months
|
Clinically significant changes in urinalysis parameters were determined based on the investigator's discretion.
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At baseline, Weeks 3, 6, 9, then every 6 weeks thereafter, up to 71 months
|
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Antigen-Specific Immune Response
Tidsramme: Up to approximately 71 months
|
Blood and tissue samples were collected to evaluate the antigen-specific immune response to INO-5401 + INO-9012 in combination with atezolizumab.
Planned assessments included: Enzyme Linked Immunosorbent Spot-forming (ELISpot) Assay, Flow cytometry, T cell receptor (TCR) sequencing, ELISA and/or gene expression analysis.
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Up to approximately 71 months
|
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Objective Response Rate (ORR) as Assessed by Response Evaluation Criteria in Solid Tumors (RECIST) Version 1.1 by Investigator Review in Cohort A
Tidsramme: From date of treatment start until date of first PD or death (whichever occurred first), up to approximately 71 months
|
ORR was defined as the percentage of participants who had a confirmed complete response (CR) or a partial response (PR).
CR was defined as disappearance of all target lesions; any pathological lymph nodes (whether target or non-target) must have reduction in short axis to < 10 millimeters (mm).
PR was defined as at least a 30% decrease in the sum of diameters of target lesions taking as reference the baseline sum of diameters) per RECIST 1.1.
|
From date of treatment start until date of first PD or death (whichever occurred first), up to approximately 71 months
|
Sekundære resultatmål
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
ORR as Assessed by RECIST Version 1.1 by Investigator Review in Cohort B
Tidsramme: From date of treatment start until date of first PD or death (whichever occurred first), up to approximately 71 months
|
ORR was defined as the percentage of participants who had a confirmed CR or a PR.
CR was defined as disappearance of all target lesions; any pathological lymph nodes (whether target or non-target) must have reduction in short axis to < 10 mm.
PR was defined as at least a 30% decrease in the sum of diameters of target lesions taking as reference the baseline sum of diameters) per RECIST 1.1.
|
From date of treatment start until date of first PD or death (whichever occurred first), up to approximately 71 months
|
|
Percentage of Participants With ORR by Immune Response Evaluation Criteria in Solid Tumors (iRECIST)
Tidsramme: From date of treatment start until date of first PD or death (whichever occurred first), up to approximately 71 months
|
ORR was defined as the percentage of participants who had a confirmed CR or a PR.
CR was defined as disappearance of all target lesions; any pathological lymph nodes (whether target or non-target) must have reduction in short axis to < 10 mm.
PR was defined as at least a 30% decrease in the sum of diameters of target lesions taking as reference the baseline sum of diameters) per iRECIST.
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From date of treatment start until date of first PD or death (whichever occurred first), up to approximately 71 months
|
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Duration of Response (DoR)
Tidsramme: From first documented confirmed CR or PR until first documentation of PD or death, whichever occurred first (approximately 71 months)
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DOR was defined as the time from the date of the first PR or CR to the date of death from any cause or date that progressive disease (PD) was objectively documented, whichever occurred first.
CR was defined as disappearance of all target lesions; any pathological lymph nodes (whether target or non-target) must have reduction in short axis to < 10 mm.
PR was defined as at least a 30% decrease in the sum of diameters of target lesions taking as reference the baseline sum of diameters).
PD: at least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on trial (nadir), including baseline.
The sum also had to demonstrate an absolute increase of at least 5 mm.
The appearance of one or more new lesions was also considered progression.
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From first documented confirmed CR or PR until first documentation of PD or death, whichever occurred first (approximately 71 months)
|
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Progression-Free Survival (PFS) Per RECIST Version 1.1
Tidsramme: From the first dose of study drug to date of PD or death, whichever occurred first (up to approximately 71 months)
|
PFS was defined as the time from the date of the start of investigational product treatment until the date of death from any cause or date that progression (+1 day) was objectively documented, whichever occurred first as assessed by RECIST Version 1.1.
PD: at least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on trial (nadir), including baseline.
The sum also had to demonstrate an absolute increase of at least 5 mm.
The appearance of one or more new lesions was also considered progression.
|
From the first dose of study drug to date of PD or death, whichever occurred first (up to approximately 71 months)
|
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PFS Per Immune RECIST (iRECIST)
Tidsramme: From Baseline to disease progression or death, whichever occurs first (up to approximately 71 months)
|
PFS was defined as the time from the date of the start of investigational product treatment until the date of death from any cause or date that progression (+1 day) was objectively documented, whichever occurred first as assessed by iRECIST Version 1.1.
PD: at least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on trial (nadir), including baseline.
The sum also had to demonstrate an absolute increase of at least 5 mm.
The appearance of one or more new lesions was also considered progression.
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From Baseline to disease progression or death, whichever occurs first (up to approximately 71 months)
|
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Overall Survival (OS)
Tidsramme: From date of first dose of study drug up to death from any cause, (approximately 71 months)
|
OS was defined as the time from the date of the start of investigational product treatment until the date of death from any cause.
|
From date of first dose of study drug up to death from any cause, (approximately 71 months)
|
Samarbejdspartnere og efterforskere
Sponsor
Sponsor
Efterforskere
Efterforskere
- Studieleder: Jeffrey Skolnik, MD, Inovio Pharmaceuticals
Datoer for undersøgelser
Studer store datoer
Studiestart (Faktiske)
Studiestart
Primær færdiggørelse (Faktiske)
Primær færdiggørelse
Studieafslutning (Faktiske)
Studieafslutning
Datoer for studieregistrering
Først indsendt
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først indsendt, der opfyldte QC-kriterier
Først opslået (Faktiske)
Først opslået
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering sendt
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Yderligere relevante MeSH-vilkår
Andre undersøgelses-id-numre
Andre undersøgelses-id-numre
- UCa-001
Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter
Studerer et amerikansk FDA-reguleret lægemiddelprodukt
Studerer et amerikansk FDA-reguleret enhedsprodukt
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