INO-5401 + INO-9012 i kombination med atezolizumab vid lokalt avancerad inoperabel eller metastaserad/återkommande uroteliala karcinom
En öppen etikett, multicenterförsök med INO-5401 + INO-9012 i kombination med atezolizumab hos patienter med lokalt avancerade ooperbara eller metastaserande/återkommande uroteliala karcinom
Studieöversikt
Status
Status
Betingelser
Betingelser
Intervention / Behandling
Intervention / Behandling
Studietyp
Studietyp
Inskrivning (Faktisk)
Inskrivning
Fas
Fas
- Fas 2
- Fas 1
Kontakter och platser
Studieorter
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Arizona
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Phoenix, Arizona, Förenta staterna, 85054
- Mayo Clinic Cancer Center
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Florida
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Tampa, Florida, Förenta staterna, 33612
- H. Lee Moffitt Cancer Center & Research Institute, Inc.
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Maryland
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Baltimore, Maryland, Förenta staterna, 21287
- Johns Hopkins University School Of Medicine
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Michigan
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Detroit, Michigan, Förenta staterna, 48201
- Karmanos Cancer Institute
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Missouri
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St Louis, Missouri, Förenta staterna, 63110
- Washington University School of Medicine in St. Louis
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New York
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New York, New York, Förenta staterna, 10032
- Columbia University, Herbert Irving Comprehensive Cancer Center
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New York, New York, Förenta staterna, 10016
- New York University Langone Medical Center - Perlmutter Cancer Center
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North Carolina
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Chapel Hill, North Carolina, Förenta staterna, 27599
- University of North Carolina School of Medicine
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Pennsylvania
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Pittsburgh, Pennsylvania, Förenta staterna, 15232
- University of Pittsburgh Medical Center
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South Carolina
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Greenville, South Carolina, Förenta staterna, 29615
- Greenville Memorial Hospital
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Virginia
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Fairfax, Virginia, Förenta staterna, 22031
- Inova Melanoma and Skin Cancer Center
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Deltagandekriterier
Urvalskriterier
Urvalskriterier
Åldrar som är berättigade till studier
Tar emot friska volontärer
Beskrivning
Inklusionskriterier:
- Underteckna ett formulär för informerat samtycke (ICF);
- Har histologiskt eller cytologiskt dokumenterat lokalt avancerat inoperabelt eller metastaserande/återkommande urotelialt karcinom (inklusive njurbäcken, urinledare, urinblåsa och urinrör);
- För kohort A: Försökspersoner som har radiografiskt bekräftad sjukdomsprogression under eller efter behandling med en anti-PD-1/PD-L1-baserad terapi;
- För kohort B: Ingen tidigare kemoterapi för inoperabel lokalt avancerad eller metastaserad eller återkommande UCa och olämplig ("olämplig") för cisplatinbaserad kemoterapi;
- Har en mätbar sjukdom, enligt definitionen i RECIST version 1.1;
- Ha en prestationsstatus på 0 eller 1 på Eastern Cooperative Oncology Group (ECOG) Performance Scale;
- Ha en förväntad livslängd på >/= 3 månader;
- Var villig att tillhandahålla ett vävnadsprov för intratumoral bedömning före behandling av proinflammatoriska och immunsuppressiva faktorer;
- ha ett elektrokardiogram (EKG) utan kliniskt signifikanta fynd som bedömts av utredaren utfört inom 28 dagar före första dosen;
- Visa adekvat hematologisk funktion, njur-, lever- och koagulationsfunktion;
- För fertila kvinnor: överenskommelse om att förbli abstinenta (avstå från heterosexuellt samlag) eller använda preventivmetoder som resulterar i en misslyckandefrekvens på < 1 % per år under behandlingsperioden och i minst 5 månader efter den sista dosen av studiebehandlingen;
- För manliga ämnen: avtal om att inte skaffa barn. Deltagarna måste vara kirurgiskt sterila (t.ex. vasektomi) eller använda preventivmetoder som resulterar i en misslyckandefrekvens på < 1 % per år under behandlingsperioden och i minst 5 månader efter den sista dosen av studiebehandlingen.
Exklusions kriterier:
- Alla godkända anticancerterapier inklusive kemoterapi, riktad terapi med små molekyler eller strålbehandling inom 2 veckor före prövningen Dag 0 samt nuvarande deltagande eller mottagare av behandling i en klinisk prövning inom 28 dagar före Dag 0;
- Dokumenterade aktiva eller obehandlade metastaser i centrala nervsystemet (CNS) och/eller karcinomatös meningit;
- Andra maligniteter än UCa inom 3 år före dag 0, med undantag för de med försumbar risk för metastaser eller dödsfall som behandlas med förväntat kurativt resultat;
- Tidigare behandling med CD137-agonister eller terapier för blockad av immunkontrollpunkter;
- Behandling med systemiska immunstimulerande medel;
- Behandling med systemisk immunsuppressiv medicin;
- Anamnes med allvarliga allergiska, anafylaktiska eller andra överkänslighetsreaktioner mot chimära eller humaniserade antikroppar eller fusionsproteiner;
- Känd överkänslighetsallergi eller kontraindikation mot bioläkemedel som produceras i äggstocksceller från kinesisk hamster eller någon komponent i PD-1/PD-L1-hämmarformuleringen;
- Aktiv eller historia av autoimmun sjukdom eller immunbrist;
- Historik eller tecken på interstitiell lungsjukdom;
- Historik av humant immunbristvirus (HIV);
- Aktiv hepatit B eller aktiv hepatit C;
- Allvarliga infektioner inom 4 veckor före inskrivning;
- Fick terapeutiska orala eller IV-antibiotika inom 2 veckor före dag 0;
- Historik eller aktuella bevis för något tillstånd, terapi eller laboratorieavvikelse som kan förvirra resultaten av prövningen; störa försökspersonens deltagande under hela försökets varaktighet, eller påverkas negativt av EP-behandling, eller är inte i försökspersonens bästa att delta i den behandlande utredarens åsikt;
- Tidigare allogen stamcells- eller fasta organtransplantation;
- Okontrollerad tumörrelaterad smärta; pleurautgjutning, perikardiell utgjutning eller ascites som kräver återkommande dräneringsprocedurer; eller hyperkalcemi eller symptomatisk hyperkalcemi som kräver fortsatt användning av bisfosfonatbehandling eller denosumab.
Studieplan
Hur är studien utformad?
Designdetaljer
- Primärt syfte: Behandling
- Tilldelning: Icke-randomiserad
- Interventionsmodell: Parallellt uppdrag
- Maskning: Ingen (Open Label)
Antal vapen
Vapen och interventioner
Deltagargrupp / ArmDeltagargrupp / Arm |
Intervention / BehandlingIntervention / Behandling |
|---|---|
|
Experimentell: Cohort A: Prior Anti-PD-1/PD-L1
Participants with locally advanced unresectable or metastatic/recurrent UCa, who had confirmed disease progression during or following treatment with anti- programmed death receptor-1/ programmed cell death-ligand 1 (PD-1/PD-L1) therapy received INO-5401 9 milligrams (mg) and INO-9012 1 mg, intramuscular (IM) injection, followed by electroporation (EP) by CELLECTRA® 2000 device, every 3 weeks until Week 9, then every 6 weeks for 6 more doses (until Week 45), thereafter every 12 weeks, until confirmed disease progression, unacceptable toxicity, or deemed intolerable by the investigator in combination with atezolizumab 1200 mg, intravenous (IV) infusion, every 3 weeks, until confirmed disease progression, unacceptable toxicity, or deemed intolerable by the investigator.
|
INO-5401: A mixture of 3 synthetic plasmids that target Wilms' tumor gene-1 (WT1) antigen, prostate-specific membrane antigen (PSMA) and human telomerase reverse transcriptase (hTERT) antigen. IM injection INO-9012: A synthetic plasmid that expresses human interleukin-12 (IL-12). IM injection.
IV-Infusion.
IM injection.
|
|
Experimentell: Cohort B: Naïve Anti-PD-1/PD-L1
Participants with locally advanced unresectable or metastatic/recurrent UCa who are treatment naïve and ineligible for cisplatin-based chemotherapy received INO-5401 9 mg and INO-9012 1 mg, IM injection, followed by EP by CELLECTRA® 2000 device, every 3 weeks until Week 9, then every 6 weeks for 6 more doses (until Week 45), thereafter every 12 weeks, until confirmed disease progression, unacceptable toxicity, or deemed intolerable by the investigator in combination with atezolizumab 1200 mg, IV infusion, every 3 weeks, until confirmed disease progression, unacceptable toxicity, or deemed intolerable by the investigator.
|
INO-5401: A mixture of 3 synthetic plasmids that target Wilms' tumor gene-1 (WT1) antigen, prostate-specific membrane antigen (PSMA) and human telomerase reverse transcriptase (hTERT) antigen. IM injection INO-9012: A synthetic plasmid that expresses human interleukin-12 (IL-12). IM injection.
IV-Infusion.
IM injection.
|
Vad mäter studien?
Primära resultatmått
Primära resultatmått
Resultatmått |
Åtgärdsbeskrivning |
Tidsram |
|---|---|---|
|
Number of Participants With Treatment-Emergent Adverse Events (TEAEs) and Adverse Events of Special Interest (AESIs) Treatment
Tidsram: Up to approximately 71 months
|
An adverse event (AE) is defined as any untoward medical occurrence in a participant or clinical investigation participant administered a pharmaceutical product and which does not necessarily have to have a causal relationship with this treatment.
TEAEs were defined as any AEs that occurred on or after Day 0. AESIs were toxicities and immune-mediated AEs that may have occurred up to 90 days after the last dose of trial treatment.
AESIs were reported by the investigator to the Sponsor within 24 hours after learning of the event.
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Up to approximately 71 months
|
|
Number of Participants With Clinically Significant Changes in Hematological Parameters
Tidsram: Up to approximately 71 months
|
Clinically significant changes in hematological parameters were determined based on the investigator's discretion.
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Up to approximately 71 months
|
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Number of Participants With Clinically Significant Changes in Serum Chemistry Parameters
Tidsram: Up to approximately 71 months
|
Clinically significant changes in serum chemistry parameters were determined based on the investigator's discretion.
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Up to approximately 71 months
|
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Number of Participants With Clinically Significant Changes in Urinalysis Parameters
Tidsram: At baseline, Weeks 3, 6, 9, then every 6 weeks thereafter, up to 71 months
|
Clinically significant changes in urinalysis parameters were determined based on the investigator's discretion.
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At baseline, Weeks 3, 6, 9, then every 6 weeks thereafter, up to 71 months
|
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Antigen-Specific Immune Response
Tidsram: Up to approximately 71 months
|
Blood and tissue samples were collected to evaluate the antigen-specific immune response to INO-5401 + INO-9012 in combination with atezolizumab.
Planned assessments included: Enzyme Linked Immunosorbent Spot-forming (ELISpot) Assay, Flow cytometry, T cell receptor (TCR) sequencing, ELISA and/or gene expression analysis.
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Up to approximately 71 months
|
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Objective Response Rate (ORR) as Assessed by Response Evaluation Criteria in Solid Tumors (RECIST) Version 1.1 by Investigator Review in Cohort A
Tidsram: From date of treatment start until date of first PD or death (whichever occurred first), up to approximately 71 months
|
ORR was defined as the percentage of participants who had a confirmed complete response (CR) or a partial response (PR).
CR was defined as disappearance of all target lesions; any pathological lymph nodes (whether target or non-target) must have reduction in short axis to < 10 millimeters (mm).
PR was defined as at least a 30% decrease in the sum of diameters of target lesions taking as reference the baseline sum of diameters) per RECIST 1.1.
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From date of treatment start until date of first PD or death (whichever occurred first), up to approximately 71 months
|
Sekundära resultatmått
Sekundära resultatmått
Resultatmått |
Åtgärdsbeskrivning |
Tidsram |
|---|---|---|
|
ORR as Assessed by RECIST Version 1.1 by Investigator Review in Cohort B
Tidsram: From date of treatment start until date of first PD or death (whichever occurred first), up to approximately 71 months
|
ORR was defined as the percentage of participants who had a confirmed CR or a PR.
CR was defined as disappearance of all target lesions; any pathological lymph nodes (whether target or non-target) must have reduction in short axis to < 10 mm.
PR was defined as at least a 30% decrease in the sum of diameters of target lesions taking as reference the baseline sum of diameters) per RECIST 1.1.
|
From date of treatment start until date of first PD or death (whichever occurred first), up to approximately 71 months
|
|
Percentage of Participants With ORR by Immune Response Evaluation Criteria in Solid Tumors (iRECIST)
Tidsram: From date of treatment start until date of first PD or death (whichever occurred first), up to approximately 71 months
|
ORR was defined as the percentage of participants who had a confirmed CR or a PR.
CR was defined as disappearance of all target lesions; any pathological lymph nodes (whether target or non-target) must have reduction in short axis to < 10 mm.
PR was defined as at least a 30% decrease in the sum of diameters of target lesions taking as reference the baseline sum of diameters) per iRECIST.
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From date of treatment start until date of first PD or death (whichever occurred first), up to approximately 71 months
|
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Duration of Response (DoR)
Tidsram: From first documented confirmed CR or PR until first documentation of PD or death, whichever occurred first (approximately 71 months)
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DOR was defined as the time from the date of the first PR or CR to the date of death from any cause or date that progressive disease (PD) was objectively documented, whichever occurred first.
CR was defined as disappearance of all target lesions; any pathological lymph nodes (whether target or non-target) must have reduction in short axis to < 10 mm.
PR was defined as at least a 30% decrease in the sum of diameters of target lesions taking as reference the baseline sum of diameters).
PD: at least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on trial (nadir), including baseline.
The sum also had to demonstrate an absolute increase of at least 5 mm.
The appearance of one or more new lesions was also considered progression.
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From first documented confirmed CR or PR until first documentation of PD or death, whichever occurred first (approximately 71 months)
|
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Progression-Free Survival (PFS) Per RECIST Version 1.1
Tidsram: From the first dose of study drug to date of PD or death, whichever occurred first (up to approximately 71 months)
|
PFS was defined as the time from the date of the start of investigational product treatment until the date of death from any cause or date that progression (+1 day) was objectively documented, whichever occurred first as assessed by RECIST Version 1.1.
PD: at least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on trial (nadir), including baseline.
The sum also had to demonstrate an absolute increase of at least 5 mm.
The appearance of one or more new lesions was also considered progression.
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From the first dose of study drug to date of PD or death, whichever occurred first (up to approximately 71 months)
|
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PFS Per Immune RECIST (iRECIST)
Tidsram: From Baseline to disease progression or death, whichever occurs first (up to approximately 71 months)
|
PFS was defined as the time from the date of the start of investigational product treatment until the date of death from any cause or date that progression (+1 day) was objectively documented, whichever occurred first as assessed by iRECIST Version 1.1.
PD: at least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on trial (nadir), including baseline.
The sum also had to demonstrate an absolute increase of at least 5 mm.
The appearance of one or more new lesions was also considered progression.
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From Baseline to disease progression or death, whichever occurs first (up to approximately 71 months)
|
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Overall Survival (OS)
Tidsram: From date of first dose of study drug up to death from any cause, (approximately 71 months)
|
OS was defined as the time from the date of the start of investigational product treatment until the date of death from any cause.
|
From date of first dose of study drug up to death from any cause, (approximately 71 months)
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Samarbetspartners och utredare
Sponsor
Sponsor
Utredare
Utredare
- Studierektor: Jeffrey Skolnik, MD, Inovio Pharmaceuticals
Studieavstämningsdatum
Studera stora datum
Studiestart (Faktisk)
Studiestart
Primärt slutförande (Faktisk)
Primärt slutförande
Avslutad studie (Faktisk)
Avslutad studie
Studieregistreringsdatum
Först inskickad
Först inskickad
Först inskickad som uppfyllde QC-kriterierna
Först inskickad som uppfyllde QC-kriterierna
Första postat (Faktisk)
Första postat
Uppdateringar av studier
Senaste uppdatering publicerad (Faktisk)
Senaste uppdatering publicerad
Senaste inskickade uppdateringen som uppfyllde QC-kriterierna
Senaste inskickade uppdateringen som uppfyllde QC-kriterierna
Senast verifierad
Senast verifierad
Mer information
Termer relaterade till denna studie
Ytterligare relevanta MeSH-villkor
Andra studie-ID-nummer
Andra studie-ID-nummer
- UCa-001
Läkemedels- och apparatinformation, studiedokument
Studerar en amerikansk FDA-reglerad läkemedelsprodukt
Studerar en amerikansk FDA-reglerad produktprodukt
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