Brain TumorsPhase 1NCT00023634
S0114 Vaccine Therapy in Treating Patients With Gastric, Prostate, or Ovarian Cancer
A Phase 1 study testing KLH and GMCSF in people with Brain Tumors and Gastric Cancer, run by SWOG Cancer Research Network at 13 sites in United States.
Trial summary
RATIONALE: Vaccines made from a peptide may make the body build an immune response to kill cancer cells. PURPOSE: This phase I trial is studying two different vaccines to treat patients who have gastric, prostate, or ovarian cancer. Read more about this study
- Who is it for?
- Ages 18 to 80 years
- Conditions the study is for
- Brain Tumors, Gastric Cancer, Ovarian Cancer
- What is being tested?
- KLH and GMCSF
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 14 participants
- Where
- 13 sitesUnited States
- Study dates
- Jun 2001to Nov 2008
- Phase
- Phase 1
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 80 years
- All sexes
- No healthy volunteers
- Adult, Older adult
DISEASE CHARACTERISTICS:
- Histologically confirmed diagnosis of one the following:
- Stage II-IV gastric cancer
- Stage IIC-IV ovarian cancer in first complete remission
- CA 125 normal and stable*
- Grade III anaplastic astrocytoma
- Stage IV (M1) prostate adenocarcinoma
- No small cell variations
- No biochemical progression after definitive surgery, defined by the following:
- Prostate-specific antigen more than 0.4 ng/mL which remains elevated on 2 additional measurements at least 2 weeks apart after prostatectomy
- Three consecutive rises in PSA, each at least 1 month apart after definitive radiotherapy
- Must be receiving androgen blockade
- PSA less than 5 ng/mL and stable*
- Documented EGFRvIII expression in primary tumor
- Must have received prior surgery and or chemoradiotherapy for disease (except prostate cancer patients) NOTE: *Stable defined as no increase over 2 measurements at least 28 days apart with the last measurement within the past 28 days
PATIENT CHARACTERISTICS:
Age:
- 80 and under
Performance status:
- Zubrod 0
Life expectancy:
- Not specified
Hematopoietic:
- WBC at least 3,000/mm^3
- Platelet count at least 100,000/mm^3
- Hemoglobin at least 10 g/dL
Hepatic:
- SGOT no greater than 2.5 times upper limit of normal (ULN)
- Alkaline phosphatase no greater than 2.5 times ULN
- No hepatitis
Renal:
- Not specified
Other:
- No other malignancy in the past 5 years except adequately treated basal cell or squamous cell skin cancer, carcinoma in situ of the cervix, or adequately treated stage I or II cancer in complete remission
- No contraindication to receiving sargramostim (GM-CSF) or KLH-based vaccine products
- No autoimmune disease
- HIV negative
- Not pregnant or nursing
- Negative pregnancy test
- Fertile patients must use effective contraception
PRIOR CONCURRENT THERAPY:
Biologic therapy:
- Not specified
Chemotherapy:
- See Disease Characteristics
- At least 1 month since prior cytotoxic chemotherapy
- No concurrent chemotherapy
Endocrine therapy:
- See Disease Characteristics
- At least 1 month since prior treatment dose corticosteroids
- No concurrent corticosteroids
Radiotherapy:
- See Disease Characteristics
- No concurrent radiotherapy
Surgery:
- See Disease Characteristics
Other:
- Recovered from all prior therapies
- No concurrent enrollment on other phase I studies
- No other concurrent immune modulators
Trial locations and contacts
13 sites in 1 country.
13 sites in 1 country
United States13 sites
Bay Regional Medical Center
Bay City, Michigan, 48708
St. Joseph Hospital Community Cancer Center
Bellingham, Washington, 98225
Olympic Hematology and Oncology
Bremerton, Washington, 98310
Skagit Valley Hospital Cancer Care Center
Mount Vernon, Washington, 98273
Mercy Regional Cancer Center at Mercy Hospital
Port Huron, Michigan, 48060
Fred Hutchinson Cancer Research Center
Seattle, Washington, 98104
Harborview Medical Center
Seattle, Washington, 98104
Group Health Central Hospital
Seattle, Washington, 98112
Swedish Cancer Institute at Swedish Medical Center - First Hill Campus
Seattle, Washington, 98114
University Cancer Center at University of Washington Medical Center
Seattle, Washington, 98195-6043
North Puget Oncology at United General Hospital
Sedro-Woolley, Washington, 98284
Cancer Care Northwest - Spokane South
Spokane, Washington, 99202
Wenatchee Valley Clinic
Wenatchee, Washington, 98801
About this study
Official title: An Early Phase Study of an EGFRvIII Peptide Based Vaccine in Patients With EGFRvIII Expressing Cancers
RATIONALE: Vaccines made from a peptide may make the body build an immune response to kill cancer cells.
PURPOSE: This phase I trial is studying two different vaccines to treat patients who have gastric, prostate, or ovarian cancer.
Read the detailed description
OBJECTIVES:
- Determine the toxicity of EGFRvIII peptide vaccine with sargramostim (GM-CSF) or keyhole limpet hemocyanin (KLH) as adjuvant in patients with EGFRvIII-expressing cancer.
- Determine the preexisting antibody and T-cell responses to EGFRvIII in these patients.
- Determine the antibody and T-cell responses to EGFRvIII peptide after immunization with this vaccine with GM-CSF or KLH as adjuvant.
OUTLINE: Patients are assigned to one of two treatment arms.
- Arm I: Patients receive a vaccine containing EGFRvIII peptide admixed with sargramostim (GM-CSF) intradermally monthly.
- Arm II: Patients receive a vaccine containing EGFRvIII peptide admixed with keyhole limpet hemocyanin subcutaneously monthly.
Treatment in both arms continues for 6 months in the absence of disease progression or unacceptable toxicity.
Patients are followed every 3 months for 1 year.
PROJECTED ACCRUAL: A total of 24 patients (12 per treatment arm) will be accrued for this study.
- Conditions
- Brain Tumors, Gastric Cancer, Ovarian Cancer, Prostate Cancer
- Being tested
- KLH, GMCSF
- Keywords
- stage II gastric cancer, stage III gastric cancer, stage IV gastric cancer, recurrent gastric cancer, adenocarcinoma of the prostate, stage II ovarian epithelial cancer, stage III ovarian epithelial cancer, stage IV ovarian epithelial cancer, recurrent adult brain tumor, stage IV prostate cancer, recurrent prostate cancer, adult anaplastic astrocytoma
- Medical subject headings
- Brain Neoplasms, Stomach Neoplasms, Ovarian Neoplasms, Prostatic Neoplasms, Carcinoma, Ovarian Epithelial, Astrocytoma
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
KLHBiological
Also called keyhole limpet
100 mcg w/EGFRvIII
GMCSFBiological
Also called sargramostim
arm 1: 100 mcg w/EGFRvIII
| Study group | Role | What they receive |
|---|---|---|
| EGFR vaccine with GMCSF | Experimental | EGFR antisense DNA 500 mcg peptide w/GMCSF monthly x 6 m Receives: Biological: GMCSF |
| EGFR vaccine with KLH | Experimental | EGFR antisense DNA 500 mcg peptide w/KLH monthly x 6 m Receives: Biological: KLH |
What is being measured
The primary outcome is the main question the study is designed to answer.
toxicity
Measured: during treatment
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted27 Jan 2003 (estimated)
- Study startJun 2001
- Primary completionNov 2008
- Study completionNov 2008
Why it stopped: lack of accrual
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Brain TumorsStudies of the same condition, open and under way.
- More trials run by SWOG Cancer Research NetworkThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 1
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 14 participants (actual)
Sponsor and investigators
- Lead sponsor
- SWOG Cancer Research Network
- Sponsor type
- Research network
- Collaborators
- National Cancer Institute (NCI)
- Responsible party
- Sponsor
- Investigators
- Robert B. Montgomery, MD, Study chair, VA Puget Sound Health Care System
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00023634
- Sponsor's protocol ID
- S0114
- Other IDs
- U10CA032102, R01CA082661, S0114, UW-106
- Status last verified
- Mar 2015
- First submitted
- 13 Sep 2001
- Last updated
- 6 Mar 2015
- Results posted
- No
- Data monitoring committee
- Yes
Study at a glance
From the registry record, last updated by the sponsor on 6 Mar 2015. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- An Early Phase Study of an EGFRvIII Peptide Based Vaccine in Patients With EGFRvIII Expressing Cancers
- ClinicalTrials.gov ID
- NCT00023634
- Acronym / sponsor ID
- S0114
- Conditions
- Brain Tumors, Gastric Cancer, Ovarian Cancer, Prostate Cancer
- Keywords
- stage II gastric cancer, stage III gastric cancer, stage IV gastric cancer, recurrent gastric cancer, adenocarcinoma of the prostate, stage II ovarian epithelial cancer, stage III ovarian epithelial cancer, stage IV ovarian epithelial cancer
- Phase
- Phase 1
- Study type
- Interventional
- Recruitment status
- TerminatedReason stopped: lack of accrual
- Enrolment
- 14 participants (actual)
- Lead sponsor
- SWOG Cancer Research NetworkResearch network
- Collaborators
- National Cancer Institute (NCI)
- Study start
- Jun 2001
- Primary completion
- Nov 2008 (actual)
- Study completion
- Nov 2008 (actual)
- First posted
- 27 Jan 2003 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
RATIONALE: Vaccines made from a peptide may make the body build an immune response to kill cancer cells.
PURPOSE: This phase I trial is studying two different vaccines to treat patients who have gastric, prostate, or ovarian cancer.
Detailed description
OBJECTIVES:
- Determine the toxicity of EGFRvIII peptide vaccine with sargramostim (GM-CSF) or keyhole limpet hemocyanin (KLH) as adjuvant in patients with EGFRvIII-expressing cancer.
- Determine the preexisting antibody and T-cell responses to EGFRvIII in these patients.
- Determine the antibody and T-cell responses to EGFRvIII peptide after immunization with this vaccine with GM-CSF or KLH as adjuvant.
OUTLINE: Patients are assigned to one of two treatment arms.
- Arm I: Patients receive a vaccine containing EGFRvIII peptide admixed with sargramostim (GM-CSF) intradermally monthly.
- Arm II: Patients receive a vaccine containing EGFRvIII peptide admixed with keyhole limpet hemocyanin subcutaneously monthly.
Treatment in both arms continues for 6 months in the absence of disease progression or unacceptable toxicity.
Patients are followed every 3 months for 1 year.
PROJECTED ACCRUAL: A total of 24 patients (12 per treatment arm) will be accrued for this study.
Study design
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| EGFR vaccine with GMCSF | Experimental | Biological: GMCSFEGFR antisense DNA 500 mcg peptide w/GMCSF monthly x 6 m |
| EGFR vaccine with KLH | Experimental | Biological: KLHEGFR antisense DNA 500 mcg peptide w/KLH monthly x 6 m |
Who may qualify
- Ages
- 18 to 80 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| KLHAlso: keyhole limpet100 mcg w/EGFRvIII | Biological | EGFR vaccine with KLH |
| GMCSFAlso: sargramostimarm 1: 100 mcg w/EGFRvIII | Biological | EGFR vaccine with GMCSF |
Primary outcome
toxicity
Time frame: during treatment
Results and safety
The study was stopped early (reason given: lack of accrual). Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 6 Mar 2015.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Robert B. Montgomery, MD study chair
VA Puget Sound Health Care System
13 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 1 study testing KLH and GMCSF in people with Brain Tumors and Gastric Cancer, run by SWOG Cancer Research Network at 13 sites in United States.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: stopped early, as of the sponsor's last update on 6 Mar 2015. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 13 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
The study was stopped early (reason given: lack of accrual). Results are not available in the source record.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
toxicity (time frame: during treatment). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 6 Mar 2015.