- ICH GCP
- US Clinical Trials Registry
- Klinisk forsøg NCT00681252
Histocompatibility Leukocyte Antigen (HLA)-A*0201 Restricted Peptide Vaccine Therapy in Patients With Gastric Cancer
18. november 2009 opdateret af: Tokyo University
Phase I/II Study of Multiple-Vaccine Therapy Using Epitope Peptide Restricted to HLA-A*0201 in Treating Patients With Refractory Gastric Cancer
The purpose of this study is to evaluate the safety and time to progression of HLA-A*0201 restricted epitope peptides URLC10, VEGFR1 and VEGFR2 emulsified with Montanide ISA 51.
Studieoversigt
Status
Afsluttet
Betingelser
Intervention / Behandling
Detaljeret beskrivelse
URLC10 has been identified as cancer specific molecules especially in non small cell lung cancer using genome-wide expression profile analysis by cDNA microarray technique.
In a prior study, it has been shown that URLC10 is upregulated in human gastric tumors.
VEGF receptor 1 and 2 are essential targets to tumor angiogenesis, and we identified that peptides derived from these receptors significantly induce the effective tumor specific CTL response in vitro and vivo.
According to these findings, in this trial, we evaluate the safety, immunological and clinical response of those peptides.
Patients will be vaccinated twice a week for 8 weeks.
On each vaccination day, the URLC10-117 peptide (1mg), VEGFR1 peptide (1mg) and VEGFR2 peptide (1mg) mixed with Montanide ISA 51 will be administered by subcutaneous injection.
The patients will also receive oral chemotherapy (S-1) simultaneously.
Repeated cycles of vaccine will be administered until patients develop progressive disease or unacceptable toxicity, whichever occurs first.
In the phase I study, we evaluate the safety and tolerability of these peptide vaccines.
In the following phase II study, we evaluate the immunological and clinical response of this vaccine therapy.
Undersøgelsestype
Interventionel
Tilmelding (Forventet)
14
Fase
- Fase 2
- Fase 1
Kontakter og lokationer
Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.
Studiesteder
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Tokyo
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4-6-1, Shirokanedai, Minato-ku, Tokyo, Japan, 108-8639
- The Institutute of Medical Science, University of Tokyo
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Deltagelseskriterier
Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.
Berettigelseskriterier
Aldre berettiget til at studere
20 år til 85 år (Voksen, Ældre voksen)
Tager imod sunde frivillige
Ingen
Køn, der er berettiget til at studere
Alle
Beskrivelse
Inclusion Criteria:
- Advanced or recurrent gastric cancer
- Resistant against conventional chemotherapy or difficult to continue the chemotherapy due to intolerable side effect(s)
- ECOG performance status 0-2
- Life expectancy > 3 months
- HLA-A*0201
- Laboratory values as follows 2000/mm3<WBC<15000/mm3 Platelet count>100000/mm3 Bilirubin < 3.0mg/dl Asparate transaminase < 150IU/L Alanine transaminase < 150IU/L Creatinine < 3.0mg/dl
- Able to receive oral TS-1 therapy
- Able and willing to give valid written informed consent
Exclusion Criteria:
- Pregnancy (woman of childbearing potential:Refusal or inability to use effective means of contraception)
- Breastfeeding
- Active or uncontrolled infection
- Unhealed external wound
- Concurrent treatment with steroids or immunosuppressing agent
- Prior chemotherapy, radiation therapy, and/or immunotherapy within 4 weeks
- Uncontrolled brain and/or intraspinal metastasis
- History of allergy to Tegaful, Gimeracil and/or Oteracil
- Decision of unsuitableness by principal investigator or physician-in-charge
Studieplan
Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: N/A
- Interventionel model: Enkelt gruppeopgave
- Maskning: Ingen (Åben etiket)
Våben og indgreb
Deltagergruppe / Arm |
Intervention / Behandling |
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Eksperimentel: EN
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Patients will be vaccinated twice a week for 8 weeks.
On each vaccination day, the URLC10 peptide (1mg), VEGFR1 peptide (1mg) and VEGFR2 peptide (1mg) mixed with Montanide ISA 51 will be administered by subcutaneous injection in combination with S-1 chemotherapy.
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Hvad måler undersøgelsen?
Primære resultatmål
Resultatmål |
Tidsramme |
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sikkerhed (Fase I: toksicitet vurderet af NCI CTCAE version 3) og effektivitet (Fase II: Gennemførlighed som vurderet af RECIST)
Tidsramme: to måneder
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to måneder
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Sekundære resultatmål
Resultatmål |
Tidsramme |
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At evaluere immunologiske responser
Tidsramme: to måneder
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to måneder
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Samarbejdspartnere og efterforskere
Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.
Sponsor
Samarbejdspartnere
Publikationer og nyttige links
Den person, der er ansvarlig for at indtaste oplysninger om undersøgelsen, leverer frivilligt disse publikationer. Disse kan handle om alt relateret til undersøgelsen.
Generelle publikationer
- Hasegawa S, Furukawa Y, Li M, Satoh S, Kato T, Watanabe T, Katagiri T, Tsunoda T, Yamaoka Y, Nakamura Y. Genome-wide analysis of gene expression in intestinal-type gastric cancers using a complementary DNA microarray representing 23,040 genes. Cancer Res. 2002 Dec 1;62(23):7012-7.
- Ishizaki H, Tsunoda T, Wada S, Yamauchi M, Shibuya M, Tahara H. Inhibition of tumor growth with antiangiogenic cancer vaccine using epitope peptides derived from human vascular endothelial growth factor receptor 1. Clin Cancer Res. 2006 Oct 1;12(19):5841-9. doi: 10.1158/1078-0432.CCR-06-0750.
- Wada S, Tsunoda T, Baba T, Primus FJ, Kuwano H, Shibuya M, Tahara H. Rationale for antiangiogenic cancer therapy with vaccination using epitope peptides derived from human vascular endothelial growth factor receptor 2. Cancer Res. 2005 Jun 1;65(11):4939-46. doi: 10.1158/0008-5472.CAN-04-3759.
- Okabe H, Satoh S, Kato T, Kitahara O, Yanagawa R, Yamaoka Y, Tsunoda T, Furukawa Y, Nakamura Y. Genome-wide analysis of gene expression in human hepatocellular carcinomas using cDNA microarray: identification of genes involved in viral carcinogenesis and tumor progression. Cancer Res. 2001 Mar 1;61(5):2129-37.
- Takahashi M, Tsunoda T, Seiki M, Nakamura Y, Furukawa Y. Identification of membrane-type matrix metalloproteinase-1 as a target of the beta-catenin/Tcf4 complex in human colorectal cancers. Oncogene. 2002 Aug 29;21(38):5861-7. doi: 10.1038/sj.onc.1205755.
Datoer for undersøgelser
Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.
Studer store datoer
Studiestart
1. maj 2008
Primær færdiggørelse (Faktiske)
1. april 2009
Studieafslutning (Faktiske)
1. april 2009
Datoer for studieregistrering
Først indsendt
19. maj 2008
Først indsendt, der opfyldte QC-kriterier
19. maj 2008
Først opslået (Skøn)
21. maj 2008
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Skøn)
19. november 2009
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
18. november 2009
Sidst verificeret
1. november 2009
Mere information
Begreber relateret til denne undersøgelse
Nøgleord
Yderligere relevante MeSH-vilkår
Andre undersøgelses-id-numre
- IMS-MKA0201
Disse oplysninger blev hentet direkte fra webstedet clinicaltrials.gov uden ændringer. Hvis du har nogen anmodninger om at ændre, fjerne eller opdatere dine undersøgelsesoplysninger, bedes du kontakte register@clinicaltrials.gov. Så snart en ændring er implementeret på clinicaltrials.gov, vil denne også blive opdateret automatisk på vores hjemmeside .
Kliniske forsøg med Mavekræft
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Medtronic - MITGAfsluttet
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Washington University School of MedicineNational Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)AfsluttetRoux-en-Y Gastric Bypass | Bariatrisk kirurgi | Vertikal ærmegatrektomi | Mavebånd | Bypass, GastricForenede Stater
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DuomedAktiv, ikke rekrutterendeFedme | Gastrectomi | Roux-en-Y Gastric Bypass | Mini Gastric BypassBelgien
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Olympus Corporation of the AmericasUnity Health TorontoAfsluttet
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North Dakota State UniversityNational Institutes of Health (NIH)AfsluttetRoux en Y Gastric Bypass OperationForenede Stater
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Rijnstate HospitalAfsluttetRoux-en-Y Gastric Bypass | Mavetømning | Bariatrisk kirurgiHolland
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Wageningen UniversityRijnstate HospitalUkendtRoux-en-Y Gastric BypassHolland
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North Dakota State UniversityNeuropsychiatric Research Institute, Fargo, North DakotaAfsluttetRoux en Y Gastric BypassForenede Stater
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Rijnstate HospitalAfsluttet
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North Dakota State UniversityNeuropsychiatric Research Institute, Fargo, North DakotaAfsluttetSleeve Gastrectomy | Roux en Y Gastric BypassForenede Stater
Kliniske forsøg med URLC10, VEGFR1 and VEGFR2
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Tokyo UniversityHuman Genome Center, Institute of Medical Science, University of TokyoAfsluttet
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Tokyo UniversityHuman Genome Center, Institute of Medical Science, University of TokyoUkendtIkke småcellet lungekræftJapan
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Tokyo UniversityHuman Genome Center, Institute of Medical Science, University of TokyoAfsluttet
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Fukushima Medical UniversityHuman Genome Center, Institute of Medical Science, University of TokyoAfsluttetIkke småcellet lungekræftJapan
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Osaka UniversityHuman Genome Center, Institute of Medical Science, University of TokyoAfsluttetAldersrelateret makuladegeneration | Neovaskulær makulopatiJapan
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Japanese Foundation for Cancer ResearchHuman Genome Center, Institute of Medical Science, University of TokyoAfsluttet
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Tokyo UniversityHuman Genome Center, Institute of Medical Science, University of TokyoAfsluttetKolorektal cancer | Endetarmskræft | TyktarmskræftJapan
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Teikyo UniversityHuman Genome Center, Institute of Medical Science, University of TokyoUkendt
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Fukushima Medical UniversityHuman Genome Center, Institute of Medical Science, University of TokyoAfsluttetKræft i bugspytkirtlenJapan