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Safety and Tolerability Clinical Trial of Different Doses of the Immunotherapeutic Drug Mobilan (M-VM3) and Placebo in Patients With Prostate Cancer

19 de septiembre de 2017 actualizado por: Panacela Labs LLC

Multicenter, Randomized, Single-blind Safety and Tolerability Clinical Trial of Different Doses of the Immunotherapeutic Drug Mobilan (M-VM3) and Placebo in Patients With Prostate Cancer

Phase I single-blinded, randomized, placebo-controlled trial evaluating safety, tolerability, pharmacokinetics and pharmacodynamics of single injections of ascending doses of investigational drug product Mobilan (М-VM3) administered directly into the prostate of patients with prostate cancer.

Descripción general del estudio

Estado

Terminado

Condiciones

Intervención / Tratamiento

Descripción detallada

Mobilan is a type V adenovirus carrying TLR5 receptor and its agonist, protein 502s. It's mechanism of action involves activation of immune system and extensive mobilisation of various immunocytes to administration locus. It's safety and tolerability is currently evaluated in first-in-man phase I study in prostate cancer patients. Treatment strategy for the disease (radical prostatectomy or active observation) will be determined by the Investigator in accordance with routine clinical practice of the hospital.

Patients will be randomised in cohorts of 4 subjects, where 3 subjects will be administered with Mobilan (М-VM3), and one patient will be administered with placebo.

The dose will be escalated from cohort to cohort, the decision on possible dose escalation will be made by Independent Safety Review Board.

Tipo de estudio

Intervencionista

Inscripción (Actual)

32

Fase

  • Fase 1

Contactos y Ubicaciones

Esta sección proporciona los datos de contacto de quienes realizan el estudio e información sobre dónde se lleva a cabo este estudio.

Ubicaciones de estudio

      • Moscow, Federación Rusa
        • Moscow State University of Medicine and Dentistry
      • Moscow, Federación Rusa
        • Moscow State Budgetary Healthcare Institution "City Clinical Hospital № 57" of Moscow Healthcare Department
      • Moscow, Federación Rusa
        • Federal State Budgetary Institution "Russian Oncological Research Center named after N. N. Blokhin" of the Russian Academy of Sciences
      • Moscow, Federación Rusa
        • Moscow Scientific Research Institute of Oncology named after P. A. Hertsen of the Ministry of Health of the Russian Federation
      • Saint Petersburg, Federación Rusa
        • Federal State Budgetary Institution "Saint Petersburg Clinical Scientific and Practical Center for Special types of medical care (Oncological)"
      • Saint Petersburg, Federación Rusa
        • Federal State Budgetary Institution "Scientific Research Oncology Institute named after N.N. Petrov" of the Ministry of Health of the Russian Federation

Criterios de participación

Los investigadores buscan personas que se ajusten a una determinada descripción, denominada criterio de elegibilidad. Algunos ejemplos de estos criterios son el estado de salud general de una persona o tratamientos previos.

Criterio de elegibilidad

Edades elegibles para estudiar

45 años a 75 años (Adulto, Adulto Mayor)

Acepta Voluntarios Saludables

No

Géneros elegibles para el estudio

Masculino

Descripción

Inclusion Criteria:

  1. Subscribed Informed consent for participation in the trial
  2. Men aged 45 to 75 years
  3. Patients with histologically verified prostate cancer, stage Т1-Т2, N0, M0
  4. Patient's ECOG status 0-2
  5. Negative tests for serologic markers of HIV-infection, viral hepatitis В and С, syphilis Patient and his partner should agree to use barrier contraception throughout the study period

Exclusion Criteria:

  1. Failure to obtain Informed consent
  2. Clinical or radiological signs of metastases
  3. Indication to hormone therapy of prostate cancer
  4. Clinically significant cardiovascular diseases:

    • Myocardial infarction within 6 months prior the screening
    • Unstable stenocardia within 3 months prior the screening
    • Severe circulation failure (FC III)
    • Clinically significant arrhythmias
    • Hypotension (systolic blood pressure < 86 mm Hg) or bradycardia with HR < 50 beats per min.
    • Uncontrolled arterial hypertension (systolic blood pressure > 170 mm Hg or diastolic blood pressure > 105 mm Hg.)
  5. Clinically significant CNS diseases at the screening
  6. Current infection or another severe or systemic disease which increases risk of treatment sequelae
  7. Pituitary gland or adrenal disorders in medical history
  8. Other malignant tumors within the last 5 years
  9. Other concomitant diseases in medical history which according to Investigator may aggravate during the study, including uncontrolled diabetes mellitus, rectal diseases, rectal fissures, hemorrhoid, rectal polyps, rectostenosis, inflammatory urinary diseases: chronic prostatitis, cystitis, urethral catheter, chronic urine retention.
  10. Complicated allergic history, systemic allergic reaction, any dietary allergy, intolerability, limitations or specific diets which according to the Investigator may be a contraindication for subject participation in the present study.
  11. Administration of drug products which have a marked effect on immune system within 3 previous months prior the screening, long-term intake of disaggregants (warfarin, low molecular heparin except for ThromboASS).
  12. Participation in other clinical studies or administration of investigational drug products within 30 days prior the screening, or persisting adverse reactions of any investigational drug product.
  13. Any clinically significant patient's health disorders and/or laboratory abnormalities not enlisted in the Protocol which are identified at the screening, and/or any reason which according to the Investigator may prevent the patient's participation in the study.
  14. Drug or alcohol abuse at the screening or in the past which according to the Investigator makes the patient ineligible for participation in the study: intake of more than 5 units of alcohol a week (1 unit of alcohol is equivalent to ½ liter of beer, 200 ml of vine or 50 ml of alcohol) or anamnestic data on alcoholism, narcomania, drug abuse and/or history of significant alcohol or drug abuse inducing drug dependence, within one year prior the screening visit.
  15. Vaccination made 14 days prior the study
  16. Smoking of more than 10 cigarettes a day
  17. Unability to understand or follow study instructions
  18. Lack of availability during 29 days after administration of the investigational drug product, fails to follow visit schedule
  19. Individual intolerability of the investigational drug product components

Study withdrawal criteria:

  1. Any patient may refuse from the study participation on his own wish in any moment on any study stage.
  2. Principal Investigator may withdraw any patient from the study in the following cases:

    • Investigator makes the decision that a patient should be withdrawn in his own best interests
    • Patient develops any serious adverse reactions/events in the screening period
    • Patient has been enrolled to the study with violations, or does not follow the protocol requirements
    • Patient needs additional treatment in the screening period
  3. Sponsor has right to terminate the study in any moment.
  4. Regulatory authorities have right to terminate the study in any moment.

Plan de estudios

Esta sección proporciona detalles del plan de estudio, incluido cómo está diseñado el estudio y qué mide el estudio.

¿Cómo está diseñado el estudio?

Detalles de diseño

  • Propósito principal: Tratamiento
  • Asignación: Aleatorizado
  • Modelo Intervencionista: Asignación paralela
  • Enmascaramiento: Único

Armas e Intervenciones

Grupo de participantes/brazo
Intervención / Tratamiento
Experimental: Mobilan (M-VM3)
Patients with histologically verified non-metastatic prostate cancer (stage 1 or 2) treated with Investigational Drug Product
Mobilan (M-VM3), fármaco experimental innovador basado en un sistema de administración adenoviral no replicado que consiste en un vector genómico que codifica el receptor TLR5 y su ligando 502.
Comparador de placebos: Placebo
Patients with histologically verified non-metastatic prostate cancer (stage 1 or 2) treated with Placebo (Glucose 5%)
5% infusion solution of dextrose
Otros nombres:
  • Dextrosa 5%
  • Glucosa 5%

¿Qué mide el estudio?

Medidas de resultado primarias

Medida de resultado
Periodo de tiempo
Frequency and intensity of adverse events (according to CTCAE v 4.03 classification)
Periodo de tiempo: Baseline to up to 29 days after the drug administration
Baseline to up to 29 days after the drug administration

Medidas de resultado secundarias

Medida de resultado
Medida Descripción
Periodo de tiempo
Exposure of Mobilan DNA vector in patient's peripheral blood
Periodo de tiempo: Baseline to up to 29 days after the drug administration
Using validated PCR assay
Baseline to up to 29 days after the drug administration
Prostate-specific antigen (PSA) measure
Periodo de tiempo: On Day 29 after the drug administration
Baseline PSA level will be taken from medical history
On Day 29 after the drug administration
Immune cell count in whole blood of patients assessed with flow cytometry
Periodo de tiempo: Baseline to up to 29 days after the drug administration
Including leucocytes, lymphocytes, T-lymphocyte, leukocyte index, total T-lymphocytes, CD3, T-helper cells CD3 + CD4 +, T-cytotoxic CD3 + CD8 +, regulation index (CD4 / CD8), double-cells CD4 + / CD8 +, NK cells CD3-CD (16 + 56) +, TNK-cells CD3 + CD (16 +56) +, B-lymphocytes CD19 +, 0-lymphocytes
Baseline to up to 29 days after the drug administration
Histopathological assessment of prostate tissue using Gleason grading system (if prostatectomy is made in the study period, and material is available for analysis)
Periodo de tiempo: On Day 29 after the drug administration

The Gleason grading system is used to evaluate the stage of prostate cancer using samples from biopsy or post-surgical samples as follow:

1 - The cancerous prostate closely resembles normal prostate tissue. 2 - The tissue still has well-formed glands, but they are larger and have more tissue between them. 3 - The tissue still has recognizable glands, but the cells are darker. 4 - The tissue has few recognizable glands. 5 - The tissue does not have any or only a few recognizable glands.

On Day 29 after the drug administration
Presence of protein 502s in blood plasma
Periodo de tiempo: Baseline to up to 29 days after the drug administration
Using ELISA assay
Baseline to up to 29 days after the drug administration
Titer of 502 antibodies (AB) in peripheral blood serum
Periodo de tiempo: Baseline to up to 29 days after the drug administration
Using ELISA assay
Baseline to up to 29 days after the drug administration
Histopathological assessment of prostate tissue using Irani scale (if prostatectomy is made in the study period, and material is available for analysis)
Periodo de tiempo: On Day 29 after the drug administration

Irani J (1997) scale include histological assessment of slide mounts obtained after operation as follow:

Degree of immune cell infiltration:

0 - No inflammatory cells, 1 - Scattered inflammatory cell infiltrate within the stroma without lymphoid nodules, 2 - Nonconfluent lymphoid nodules, 3 - Large inflammatory areas with confluence of infiltrate

On Day 29 after the drug administration

Colaboradores e Investigadores

Aquí es donde encontrará personas y organizaciones involucradas en este estudio.

Patrocinador

Investigadores

  • Investigador principal: Vsevolod B. Matveev, MD, PhD, Federal State Budgetary Institution "Russian Oncological Research Center named after N. N. Blokhin" of the Russian Academy of Medical Sciences
  • Investigador principal: Boris Y. Alexeev, MD, PhD, Moscow Scientific Research Institute of Oncology named after P. A. Hertsen of the Ministry of Health of the Russian Federation
  • Investigador principal: Vladimir M. Moiseenko, MD, PhD, Federal State Budgetary Institution "Saint Petersburg Clinical Scientific and Practical Center for Special types of medical care (Oncological)"
  • Investigador principal: Sergey V. Mishugin, MD, PhD, Moscow State Budgetary Healthcare Institution "City Clinical Hospital № 57" of Moscow Healthcare Department
  • Investigador principal: Alexander K. Nosov, MD, PhD, Federal State Budgetary Institution "Scientific Research Oncology Institute named after N.N. Petrov" of the Ministry of Health of the Russian Federation
  • Investigador principal: Dmitry Y. Pushkar, MD, PhD, Moscow State University of Medicine and Dentistry

Fechas de registro del estudio

Estas fechas rastrean el progreso del registro del estudio y los envíos de resultados resumidos a ClinicalTrials.gov. Los registros del estudio y los resultados informados son revisados ​​por la Biblioteca Nacional de Medicina (NLM) para asegurarse de que cumplan con los estándares de control de calidad específicos antes de publicarlos en el sitio web público.

Fechas importantes del estudio

Inicio del estudio

1 de julio de 2015

Finalización primaria (Actual)

1 de septiembre de 2017

Finalización del estudio (Actual)

1 de septiembre de 2017

Fechas de registro del estudio

Enviado por primera vez

7 de diciembre de 2015

Primero enviado que cumplió con los criterios de control de calidad

11 de enero de 2016

Publicado por primera vez (Estimar)

13 de enero de 2016

Actualizaciones de registros de estudio

Última actualización publicada (Actual)

20 de septiembre de 2017

Última actualización enviada que cumplió con los criterios de control de calidad

19 de septiembre de 2017

Última verificación

1 de septiembre de 2017

Más información

Términos relacionados con este estudio

Otros números de identificación del estudio

  • PNC-M-VM3-01

Esta información se obtuvo directamente del sitio web clinicaltrials.gov sin cambios. Si tiene alguna solicitud para cambiar, eliminar o actualizar los detalles de su estudio, comuníquese con register@clinicaltrials.gov. Tan pronto como se implemente un cambio en clinicaltrials.gov, también se actualizará automáticamente en nuestro sitio web. .

Ensayos clínicos sobre Cancer de prostata

Ensayos clínicos sobre Móvil (M-VM3)

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