- ICH GCP
- US Clinical Trials Registry
- Klinisk forsøg NCT00681330
Histocompatibility Leukocyte Antigen (HLA)-A*2402 Restricted Peptide Vaccine Therapy in Patients With Esophageal Cancer
18. november 2009 opdateret af: Tokyo University
Phase I/II Study of Multiple-Vaccine Therapy Using Epitope Peptide Restricted to HLA-A*2402 in Treating Patients With Refractory Esophageal Cancer
The purpose of this study is to evaluate the safety and time to progression of HLA-A*2402 restricted epitope peptides URLC10, TTK, and KOC1, emulsified with Montanide ISA 51.
Studieoversigt
Detaljeret beskrivelse
URLC10, KOC1 and TTK have 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, KOC1 and TTK are upregulated in human esophageal tumors.
We identified that peptides derived from these proteins 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 peptide (1mg), KOC1 peptide (1mg), and TTK peptide (1mg) mixed with Montanide ISA 51 will be administered by subcutaneous injection.
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 esophageal 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*2402
- 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 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
- Concurrent treatment with steroids or immunosuppressing agent
- Prior chemotherapy, radiation therapy, and/or immunotherapy within 4 weeks
- Uncontrolled brain and/or intraspinal metastasis
- 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), KOC1 peptide (1mg) and TTK peptide (1mg) mixed with Montanide ISA 51 will be administered by subcutaneous injection.
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Hvad måler undersøgelsen?
Primære resultatmål
Resultatmål |
Tidsramme |
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Safety(Phase I:toxicities as assessed by NCI CTCAE version3) and efficacy(Phase II:Feasibility as evaluated by RECIST)
Tidsramme: Two months
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Two months
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Sekundære resultatmål
Resultatmål |
Tidsramme |
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To evaluate immunological responses
Tidsramme: Two months
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Two months
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Samarbejdspartnere og efterforskere
Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.
Sponsor
Samarbejdspartnere
Efterforskere
- Studiestol: Naohide Yamashita, MD/PhD, The Institutute of Medical Science, University of Tokyo
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
- Lin YM, Furukawa Y, Tsunoda T, Yue CT, Yang KC, Nakamura Y. Molecular diagnosis of colorectal tumors by expression profiles of 50 genes expressed differentially in adenomas and carcinomas. Oncogene. 2002 Jun 13;21(26):4120-8. doi: 10.1038/sj.onc.1205518.
- 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.
- 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.
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-OKA2402
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 Spiserørskræft
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The Methodist Hospital Research InstituteAfsluttetEsophageal eller gastrisk perforering | Esophageal eller gastrisk lækageForenede Stater
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Federal University of São PauloUkendtEsophageal forsnævring | Ætsende esophageal forsnævring | Peptisk esophageal forsnævring | Post-kirurgisk esophageal strikturBrasilien
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Johns Hopkins UniversityTrukket tilbageEsophageal Perforation | Esophageal fistel | Forsnævring af spiserøret | Esophageal lækage | Endostitch | Esophageal stentForenede Stater
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Mayo ClinicNational Cancer Institute (NCI)Aktiv, ikke rekrutterendeStadie III lungekræft AJCC v8 | Stadie II lungekræft AJCC v8 | Stadie IIA lungekræft AJCC v8 | Stadie IIB lungekræft AJCC v8 | Stadie IIIA Lungekræft AJCC v8 | Stadie IIIB Lungekræft AJCC v8 | Stadie I lungekræft AJCC v8 | Stadie IA1 Lungekræft AJCC v8 | Stadie IA2 Lungekræft AJCC v8 | Stadie IA3 lungekræft... og andre forholdForenede Stater
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Mayo ClinicAfsluttetEsophageal Dilatation | Refraktær benign esophageal forsnævringForenede Stater
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Case Comprehensive Cancer CenterNational Cancer Institute (NCI)AfsluttetStadium IIIA Esophageal Adenocarcinom | Stadium IIIB Esophageal Adenocarcinom | Stadie IIIC Esophageal Adenocarcinom | Stadium IIB Esophageal Adenocarcinom | Stadium IB Esophageal Adenocarcinom | Stadie IIA Esophageal AdenocarcinomForenede Stater
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University Medical Center GroningenAfsluttet
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The Cleveland ClinicMedtronic - MITGAfsluttetEsophageal læsionForenede Stater
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NYU Langone HealthTrukket tilbage
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Mayo ClinicAfsluttetAchalasia | Esophageal Achalasia | Achalasia, esophagealForenede Stater
Kliniske forsøg med URC10, TTK, KOC1
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Kyushu UniversityHuman Genome Center, Institute of Medical Science, University of TokyoAfsluttet
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Teikyo UniversityHuman Genome Center, Institute of Medical Science, University of TokyoUkendt
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University of YamanashiHuman Genome Center, Institute of Medical Science, University of TokyoUkendt
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Tokyo UniversityHuman Genome Center, Institute of Medical Science, University of TokyoAfsluttet
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Wakayama Medical 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 TokyoAfsluttetIkke småcellet lungekræftJapan
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Tokyo UniversityHuman Genome Center, Institute of Medical Science, University of TokyoAfsluttet
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SillaJen, Inc.RekrutteringAvanceret solid tumorKorea, Republikken, Forenede Stater