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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 settembre 2017 aggiornato da: 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.

Panoramica dello studio

Stato

Completato

Descrizione dettagliata

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 di studio

Interventistico

Iscrizione (Effettivo)

32

Fase

  • Fase 1

Contatti e Sedi

Questa sezione fornisce i recapiti di coloro che conducono lo studio e informazioni su dove viene condotto lo studio.

Luoghi di studio

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

Criteri di partecipazione

I ricercatori cercano persone che corrispondano a una certa descrizione, chiamata criteri di ammissibilità. Alcuni esempi di questi criteri sono le condizioni generali di salute di una persona o trattamenti precedenti.

Criteri di ammissibilità

Età idonea allo studio

Da 45 anni a 75 anni (Adulto, Adulto più anziano)

Accetta volontari sani

No

Sessi ammissibili allo studio

Maschio

Descrizione

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.

Piano di studio

Questa sezione fornisce i dettagli del piano di studio, compreso il modo in cui lo studio è progettato e ciò che lo studio sta misurando.

Come è strutturato lo studio?

Dettagli di progettazione

  • Scopo principale: Trattamento
  • Assegnazione: Randomizzato
  • Modello interventistico: Assegnazione parallela
  • Mascheramento: Separare

Armi e interventi

Gruppo di partecipanti / Arm
Intervento / Trattamento
Sperimentale: Mobilan (M-VM3)
Patients with histologically verified non-metastatic prostate cancer (stage 1 or 2) treated with Investigational Drug Product
Mobilan (M-VM3), farmaco sperimentale innovativo basato su un sistema di rilascio adenovirale non replicato costituito da un vettore genomico che codifica il recettore TLR5 e il suo ligando 502.
Comparatore placebo: Placebo
Patients with histologically verified non-metastatic prostate cancer (stage 1 or 2) treated with Placebo (Glucose 5%)
5% infusion solution of dextrose
Altri nomi:
  • Destrosio 5%
  • Glucosio 5%

Cosa sta misurando lo studio?

Misure di risultato primarie

Misura del risultato
Lasso di tempo
Frequency and intensity of adverse events (according to CTCAE v 4.03 classification)
Lasso di tempo: Baseline to up to 29 days after the drug administration
Baseline to up to 29 days after the drug administration

Misure di risultato secondarie

Misura del risultato
Misura Descrizione
Lasso di tempo
Exposure of Mobilan DNA vector in patient's peripheral blood
Lasso di tempo: 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
Lasso di tempo: 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
Lasso di tempo: 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)
Lasso di tempo: 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
Lasso di tempo: 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
Lasso di tempo: 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)
Lasso di tempo: 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

Collaboratori e investigatori

Qui è dove troverai le persone e le organizzazioni coinvolte in questo studio.

Investigatori

  • Investigatore principale: 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
  • Investigatore principale: 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
  • Investigatore principale: Vladimir M. Moiseenko, MD, PhD, Federal State Budgetary Institution "Saint Petersburg Clinical Scientific and Practical Center for Special types of medical care (Oncological)"
  • Investigatore principale: Sergey V. Mishugin, MD, PhD, Moscow State Budgetary Healthcare Institution "City Clinical Hospital № 57" of Moscow Healthcare Department
  • Investigatore principale: 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
  • Investigatore principale: Dmitry Y. Pushkar, MD, PhD, Moscow State University of Medicine and Dentistry

Studiare le date dei record

Queste date tengono traccia dell'avanzamento della registrazione dello studio e dell'invio dei risultati di sintesi a ClinicalTrials.gov. I record degli studi e i risultati riportati vengono esaminati dalla National Library of Medicine (NLM) per assicurarsi che soddisfino specifici standard di controllo della qualità prima di essere pubblicati sul sito Web pubblico.

Studia le date principali

Inizio studio

1 luglio 2015

Completamento primario (Effettivo)

1 settembre 2017

Completamento dello studio (Effettivo)

1 settembre 2017

Date di iscrizione allo studio

Primo inviato

7 dicembre 2015

Primo inviato che soddisfa i criteri di controllo qualità

11 gennaio 2016

Primo Inserito (Stima)

13 gennaio 2016

Aggiornamenti dei record di studio

Ultimo aggiornamento pubblicato (Effettivo)

20 settembre 2017

Ultimo aggiornamento inviato che soddisfa i criteri QC

19 settembre 2017

Ultimo verificato

1 settembre 2017

Maggiori informazioni

Termini relativi a questo studio

Altri numeri di identificazione dello studio

  • PNC-M-VM3-01

Queste informazioni sono state recuperate direttamente dal sito web clinicaltrials.gov senza alcuna modifica. In caso di richieste di modifica, rimozione o aggiornamento dei dettagli dello studio, contattare register@clinicaltrials.gov. Non appena verrà implementata una modifica su clinicaltrials.gov, questa verrà aggiornata automaticamente anche sul nostro sito web .

Prove cliniche su Cancro alla prostata

Prove cliniche su Cellulare (M-VM3)

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