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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

2017년 9월 19일 업데이트: 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.

연구 개요

상세 설명

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.

연구 유형

중재적

등록 (실제)

32

단계

  • 1단계

연락처 및 위치

이 섹션에서는 연구를 수행하는 사람들의 연락처 정보와 이 연구가 수행되는 장소에 대한 정보를 제공합니다.

연구 장소

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

참여기준

연구원은 적격성 기준이라는 특정 설명에 맞는 사람을 찾습니다. 이러한 기준의 몇 가지 예는 개인의 일반적인 건강 상태 또는 이전 치료입니다.

자격 기준

공부할 수 있는 나이

45년 (성인, 고령자)

건강한 자원 봉사자를 받아들입니다

아니

연구 대상 성별

남성

설명

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.

공부 계획

이 섹션에서는 연구 설계 방법과 연구가 측정하는 내용을 포함하여 연구 계획에 대한 세부 정보를 제공합니다.

연구는 어떻게 설계됩니까?

디자인 세부사항

  • 주 목적: 치료
  • 할당: 무작위
  • 중재 모델: 병렬 할당
  • 마스킹: 하나의

무기와 개입

참가자 그룹 / 팔
개입 / 치료
실험적: Mobilan (M-VM3)
Patients with histologically verified non-metastatic prostate cancer (stage 1 or 2) treated with Investigational Drug Product
Mobilan(M-VM3), 게놈 벡터 코딩 TLR5-수용체 및 리간드 502로 구성된 비복제 아데노바이러스 전달 시스템 기반의 혁신적인 실험 약물.
위약 비교기: Placebo
Patients with histologically verified non-metastatic prostate cancer (stage 1 or 2) treated with Placebo (Glucose 5%)
5% infusion solution of dextrose
다른 이름들:
  • 포도당 5%

연구는 무엇을 측정합니까?

주요 결과 측정

결과 측정
기간
Frequency and intensity of adverse events (according to CTCAE v 4.03 classification)
기간: Baseline to up to 29 days after the drug administration
Baseline to up to 29 days after the drug administration

2차 결과 측정

결과 측정
측정값 설명
기간
Exposure of Mobilan DNA vector in patient's peripheral blood
기간: 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
기간: 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
기간: 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)
기간: 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
기간: 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
기간: 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)
기간: 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

공동 작업자 및 조사자

여기에서 이 연구와 관련된 사람과 조직을 찾을 수 있습니다.

스폰서

수사관

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

연구 기록 날짜

이 날짜는 ClinicalTrials.gov에 대한 연구 기록 및 요약 결과 제출의 진행 상황을 추적합니다. 연구 기록 및 보고된 결과는 공개 웹사이트에 게시되기 전에 특정 품질 관리 기준을 충족하는지 확인하기 위해 국립 의학 도서관(NLM)에서 검토합니다.

연구 주요 날짜

연구 시작

2015년 7월 1일

기본 완료 (실제)

2017년 9월 1일

연구 완료 (실제)

2017년 9월 1일

연구 등록 날짜

최초 제출

2015년 12월 7일

QC 기준을 충족하는 최초 제출

2016년 1월 11일

처음 게시됨 (추정)

2016년 1월 13일

연구 기록 업데이트

마지막 업데이트 게시됨 (실제)

2017년 9월 20일

QC 기준을 충족하는 마지막 업데이트 제출

2017년 9월 19일

마지막으로 확인됨

2017년 9월 1일

추가 정보

이 연구와 관련된 용어

이 정보는 변경 없이 clinicaltrials.gov 웹사이트에서 직접 가져온 것입니다. 귀하의 연구 세부 정보를 변경, 제거 또는 업데이트하도록 요청하는 경우 register@clinicaltrials.gov. 문의하십시오. 변경 사항이 clinicaltrials.gov에 구현되는 즉시 저희 웹사이트에도 자동으로 업데이트됩니다. .

전립선암에 대한 임상 시험

모빌란(M-VM3)에 대한 임상 시험

3
구독하다