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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 września 2017 zaktualizowane przez: 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.

Przegląd badań

Status

Zakończony

Warunki

Szczegółowy opis

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.

Typ studiów

Interwencyjne

Zapisy (Rzeczywisty)

32

Faza

  • Faza 1

Kontakty i lokalizacje

Ta sekcja zawiera dane kontaktowe osób prowadzących badanie oraz informacje o tym, gdzie badanie jest przeprowadzane.

Lokalizacje studiów

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

Kryteria uczestnictwa

Badacze szukają osób, które pasują do określonego opisu, zwanego kryteriami kwalifikacyjnymi. Niektóre przykłady tych kryteriów to ogólny stan zdrowia danej osoby lub wcześniejsze leczenie.

Kryteria kwalifikacji

Wiek uprawniający do nauki

45 lat do 75 lat (Dorosły, Starszy dorosły)

Akceptuje zdrowych ochotników

Nie

Płeć kwalifikująca się do nauki

Męski

Opis

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 studiów

Ta sekcja zawiera szczegółowe informacje na temat planu badania, w tym sposób zaprojektowania badania i jego pomiary.

Jak projektuje się badanie?

Szczegóły projektu

  • Główny cel: Leczenie
  • Przydział: Randomizowane
  • Model interwencyjny: Przydział równoległy
  • Maskowanie: Pojedynczy

Broń i interwencje

Grupa uczestników / Arm
Interwencja / Leczenie
Eksperymentalny: Mobilan (M-VM3)
Patients with histologically verified non-metastatic prostate cancer (stage 1 or 2) treated with Investigational Drug Product
Mobilan (M-VM3), innowacyjny eksperymentalny lek oparty na niereplikowanym systemie dostarczania adenowirusów składającym się z wektora genomowego kodującego receptor TLR5 i jego liganda 502.
Komparator placebo: Placebo
Patients with histologically verified non-metastatic prostate cancer (stage 1 or 2) treated with Placebo (Glucose 5%)
5% infusion solution of dextrose
Inne nazwy:
  • Dekstroza 5%
  • Glukoza 5%

Co mierzy badanie?

Podstawowe miary wyniku

Miara wyniku
Ramy czasowe
Frequency and intensity of adverse events (according to CTCAE v 4.03 classification)
Ramy czasowe: Baseline to up to 29 days after the drug administration
Baseline to up to 29 days after the drug administration

Miary wyników drugorzędnych

Miara wyniku
Opis środka
Ramy czasowe
Exposure of Mobilan DNA vector in patient's peripheral blood
Ramy czasowe: 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
Ramy czasowe: 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
Ramy czasowe: 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)
Ramy czasowe: 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
Ramy czasowe: 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
Ramy czasowe: 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)
Ramy czasowe: 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

Współpracownicy i badacze

Tutaj znajdziesz osoby i organizacje zaangażowane w to badanie.

Śledczy

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

Daty zapisu na studia

Daty te śledzą postęp w przesyłaniu rekordów badań i podsumowań wyników do ClinicalTrials.gov. Zapisy badań i zgłoszone wyniki są przeglądane przez National Library of Medicine (NLM), aby upewnić się, że spełniają określone standardy kontroli jakości, zanim zostaną opublikowane na publicznej stronie internetowej.

Główne daty studiów

Rozpoczęcie studiów

1 lipca 2015

Zakończenie podstawowe (Rzeczywisty)

1 września 2017

Ukończenie studiów (Rzeczywisty)

1 września 2017

Daty rejestracji na studia

Pierwszy przesłany

7 grudnia 2015

Pierwszy przesłany, który spełnia kryteria kontroli jakości

11 stycznia 2016

Pierwszy wysłany (Oszacować)

13 stycznia 2016

Aktualizacje rekordów badań

Ostatnia wysłana aktualizacja (Rzeczywisty)

20 września 2017

Ostatnia przesłana aktualizacja, która spełniała kryteria kontroli jakości

19 września 2017

Ostatnia weryfikacja

1 września 2017

Więcej informacji

Terminy związane z tym badaniem

Te informacje zostały pobrane bezpośrednio ze strony internetowej clinicaltrials.gov bez żadnych zmian. Jeśli chcesz zmienić, usunąć lub zaktualizować dane swojego badania, skontaktuj się z register@clinicaltrials.gov. Gdy tylko zmiana zostanie wprowadzona na stronie clinicaltrials.gov, zostanie ona automatycznie zaktualizowana również na naszej stronie internetowej .

Badania kliniczne na Rak prostaty

Badania kliniczne na Mobilan (M-VM3)

3
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