Prostate Cancer MetastaticPhase 3ProspectNCT01322490
A Randomized, Double-blind, Phase 3 Efficacy Trial of PROSTVAC-V/F +/- GM-CSF in Men With Asymptomatic or Minimally Symptomatic Metastatic Castrate-Resistant Prostate Cancer
A Phase 3 study testing PROSTVAC-V, PROSTVAC-F and GM-CSF in people with Prostate Cancer Metastatic, run by Bavarian Nordic at 220 sites in 16 countries.
Trial summary
The purpose of this study is to determine whether PROSTVAC alone or in combination with GM-CSF is effective in prolonging overall survival in men with few or no symptoms from metastatic, castrate-resistant prostate cancer. Read more about this study
- Who is it for?
- Ages 18 years and older, men only
- Conditions the study is for
- Prostate Cancer Metastatic
- What is being tested?
- PROSTVAC-V, PROSTVAC-F and GM-CSF
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 1,297 participants
- Where
- 220 sitesin 16 countries
- Study dates
- 28 Nov 2011to 15 Dec 2017
- Phase
- Phase 3
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
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 years and older
- Men only
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Men, ≥18years of age with documented asymptomatic or minimally symptomatic metastatic castration-resistant prostate cancer.
- Documented progressive disease post surgical castration or during androgen suppression therapy, or during complete androgen blockade therapy and withdrawal. Documented by either criterion a (Radiological progression), OR criterion b (PSA progression).
- Radiological progression defined as any new/enlarging bone metastases or new/enlarging lymph node disease, consistent with prostate cancer.
- OR
- PSA progression defined by sequence of rising values separated by > 1 week (2 separate increasing values) over a threshold minimum of 2.0 ng/ml. (PCWG2 PSA eligibility criteria).
- Chemotherapy naïve and Vaccinia-experienced (previous smallpox vaccination). Currently using a GnRH agonist or antagonist (unless surgically castrated).
Who cannot join
- Cancer-related pain requiring scheduled opioid narcotics for control (as needed, ≤ 2x per week is allowed).
- Metastasis to organ systems other than lymph nodes and/or bone. Estimated PSA doubling time of <1 month as established within 6 months of the anticipated first dose of vaccine or placebo.
- Concurrent or prior Provenge (sipuleucel-T) immunotherapy for prostate cancer. Receipt of an investigational agent within 30 days (or 60 days for an antibody-based therapy) of the first planned dose of PROSTVAC-V/F.
- History of prior malignancies other than prostate cancer within the past 3 years, excluding successfully resected basal or squamous cell carcinoma of the skin.
- Congestive heart failure (NYHA Class II, III, or IV), unstable angina, ventricular or hemodynamically significant atrial arrhythmia, or cardiovascular disease such as stroke or myocardial infarction (current or within the past 6 months) Confirmed positive for HIV, hepatitis B, and /or hepatitis C. Immunodeficiency or splenectomy. History of or active autoimmune disease, persons with vitiligo are not excluded. Diabetics are not excluded if the condition is well controlled.
- History of atopic dermatitis or active skin condition (acute, chronic, exfoliative) that disrupts the epidermis.
Trial locations and contacts
220 sites in 16 countries.
220 sites in 16 countries
United States84 sites
Alaska Clinical Research Center, Llc
Anchorage, Alaska, 99508
University of Colorado
Aurora, Colorado, 80045
South Florida Medical Research
Aventura, Florida, 33180
Urologic Consultants of Southeaster PA LLP
Bala-Cynwyd, Pennsylvania, 19004
Maryland Prostate Center
Baltimore, Maryland, 21201
Greater Baltimore Medical Center
Baltimore, Maryland, 21204
Union Memorial Hospital
Baltimore, Maryland, 21218
Alta Bates Summit Medical Center
Berkeley, California, 94704
Walter Reed Army Medical Center
Bethesda, Maryland, 20889
National Cancer Institute - Center for Cancer Research
Bethesda, Maryland, 20892
St. Alexius Medical Center
Bismarck, North Dakota, 58501
Beth Israel Deaconess Medical Center
Boston, Massachusetts, 02215
Dana Farber Cancer Institute
Boston, Massachusetts, 02215
Manatee Medical Research Institute, LLC
Bradenton, Florida, 34205
Brooklyn Urology Research Group
Brooklyn, New York, 11215
Gabrail Cancer Center
Canton, Ohio, 44718
Ralph H Johnson VAMC
Charleston, South Carolina, 29401
Presbyterian Hospital Center for Cancer Research
Charlotte, North Carolina, 28204
Jesse Brown VA
Chicago, Illinois, 60612
University of Cincinnati Medical Center
Cincinnati, Ohio, 45267
University Hospitals Case Medical Center
Cleveland, Ohio, 44106
Cleveland Clinic Foundation
Cleveland, Ohio, 44195
North Idaho Urology
Coeur d'Alene, Idaho, 83814
WJB Dorn VA Medical Center
Columbia, South Carolina, 29209
Columbus Urology Research
Columbus, Ohio, 43221
Northeast Urology Research
Concord, North Carolina, 28025
Urology Clinics of North Texas
Dallas, Texas, 75225
Mary Crowley Cancer Research Center
Dallas, Texas, 75230
The Urology Center of Colorado
Denver, Colorado, 80211
Regional Cancer Care PA
Durham, North Carolina, 27704
Durham VA Medical Center
Durham, North Carolina, 27705
Florida Urology Physicians
Fort Myers, Florida, 33908
Myron Murdock M.D. LLC
Greenbelt, Maryland, 20770
Greenville Hospital System
Greenville, South Carolina, 29605
First Urology PSC
Jeffersonville, Indiana, 47130
Kansas City VA Medical Center
Kansas City, Missouri, 64128
University of TN Medical Center
Knoxville, Tennessee, 37920
Lakeland Regional Cancer Center
Lakeland, Florida, 33805
Urological Associates Of Lancaster
Lancaster, Pennsylvania, 17604
Comprehensive Cancer Centers of Nevada
Las Vegas, Nevada, 89169
Cedars-Sinai Medical Center
Los Angeles, California, 90048
Prostate Oncology Specialists, Inc.
Marina del Rey, California, 90292
The West Clinic, P.C.
Memphis, Tennessee, 38120
Medical College of Wisconsin
Milwaukee, Wisconsin, 53226
Delaware Valley Urology LLC - Westhampton
Mount Laurel, New Jersey, 08054
James H. Quillen Veterans Affairs Medical Center
Mountain Home, Tennessee, 37684
Carolina Urologic Research Center
Myrtle Beach, South Carolina, 29572
Urology Associates, PC
Nashville, Tennessee, 37209
The Cancer Institute of New Jersey
New Brunswick, New Jersey, 08903
Tulane University
New Orleans, Louisiana, 70112
Ochsner Cancer Institute
New Orleans, Louisiana, 70121
University Urology Associates
New York, New York, 10016
Virginia Oncology Associates PC
Norfolk, Virginia, 23502
GU Research Network, LLC
Omaha, Nebraska, 68130
Nebraska Cancer Specialists
Omaha, Nebraska, 68130
Fox Chase Cancer Center
Philadelphia, Pennsylvania, 19111
UPMC Cancer Pavillion
Pittsburgh, Pennsylvania, 15232
Hudson Valley Urology, P.C.
Poughkeepsie, New York, 12601
Desert Hematology-Oncology
Rancho Mirage, California, 92270
VA Sierra Nevada HealthCare System
Reno, Nevada, 89502
Mayo Clinic
Rochester, Minnesota, 55905
W.G. (Bill) Hefner VA Medical Center
Salisbury, North Carolina, 28144
Salt Lake Research
Salt Lake City, Utah, 84107
University of Utah
Salt Lake City, Utah, 84132
San Bernardino Urological Associates
San Bernardino, California, 92404
San Diego Clinical Trials
San Diego, California, 92120
Sharp Memorial Hospital
San Diego, California, 92123
VA San Diego Healthcare System
San Diego, California, 92161
Scottsdale Healthcare
Scottsdale, Arizona, 85258
Virginia Mason Medical Center
Seattle, Washington, 98101
Northern Indiana Cancer Research Consortium
South Bend, Indiana, 46601
Willamette Valley Cancer Center
Springfield, Oregon, 97477
Pinellas Urology, Inc.
St. Petersburg, Florida, 33710
Stanford Advanced Medical Center
Stanford, California, 94305
Mount Nittany Medical Center
State College, Pennsylvania, 16801
Madigan Army Medical Center
Tacoma, Washington, 98431
James A Haley Veteran Affairs Medical Center
Tampa, Florida, 33612
Central Texas Veterans Health Care System
Temple, Texas, 76504
Scott and White Memorial Hospital
Temple, Texas, 76508
Washington Cancer Institute
Washington D.C., District of Columbia, 20010
The Iowa Clinic, PC Iowa Urology
West Des Moines, Iowa, 50266
Palm Beach Cancer Institute
West Palm Beach, Florida, 33401
The Schiffler Cancer Center
Wheeling, West Virginia, 26003
White River Junction Veterans Affairs Medical Center
White River Junction, Vermont, 05009
Spain23 sites
Hospital Nuestra Señora de Sonsoles
Ávila, 05004
Hospital del Mar
Barcelona, 08003
Hospital Vall D´Hebron
Barcelona, 08035
Hospital de la Santa Creu i Sant Pau
Barcelona, 08041
Hospital Universitario Reina Sofia
Córdoba, 14004
Hospital General Universitario de Elche
Elche, 03203
Hospital 12 de Octubre
Madrid, Madrid, Communidad de, 28041
Hospital General Universitario Gregorio Marañon
Madrid, 28007
MD Anderson International Espana
Madrid, 28033
Centro Integral Oncológico Clara Campal
Madrid, 28050
Hospital Universitario Fundación Alcorcón
Madrid, 28922
Hospital Universitario Puerta de Hierro
Majadahonda, 28222
Hospital General Carlos Haya
Málaga, 29010
Althaia: Xarxa Assistencial de Manresa
Manresa, 08243
Hospital Son Espases
Palma de Mallorca, 07010
Fundación Hospital Manacor
Palma de Mallorca, 07198
Clinica Universitaria de Navarra
Pamplona, Navarre, 31008
Clinica Universitaria de Navarra
Pamplona, 31008
Corporació Sanitaria Parc Taulí
Sabadell, 08208
Hospital Clinico Universitario de Santiago de Compostela
Santiago de Compostela, Galicia, 15706
Hospital Virgen del Rocio
Seville, 41013
Hospital Mutua de Terrassa
Terrassa, 08221
Hospital Universitario Miguel Servet
Zaragoza, 50009
Russia15 sites
Arkhangelsk Regional Clinical Oncology Dispensary
Arkhangelsk, 163045
Chelyabinsk Regional Clinical Oncology Dispensary
Chelyabinsk, 454087
Kazan State Medical University
Kazan', 420111
Moscow Research Oncology Institute n.a. P.A.Gertsen
Moscow, 125248
Clinical Oncology Dispensary
Omsk, 644013
Orenburg Regional Clinical Oncology Center
Orenburg, 460021
Orel Oncology Center
Oryol, 302020
St. Petersburg Medical Academy of Postgraduate Education
Saint Petersburg, 191015
St. Petersburg State Medical University n.a. I.P. Pavlov
Saint Petersburg, 197022
"Clinic Andros" LLC
Saint Petersburg, 197136
City Hospital #15
Saint Petersburg, 198205
"Orkli" LLC
Saint Petersburg, 199178
Stavropol Regional Clinical Oncology Dispensary
Stavropol, 355047
Regional Clinical Oncology Center
Vladimir, 600020
Regional Clinical Oncology Hospital
Yaroslavl, 150040
Germany14 sites
Universitätsklinikum Bonn
Bonn, 53127
Universitätsklinikum Essen
Essen, 45147
Klinikum der Johann-Wolfgang-Goethe-Universität Frankfurt am Main
Frankfurt, 60590
Chirurgische Universitätsklinik Freiburg
Freiburg im Breisgau, 79106
Martini-Klinik am UKE GmbH
Hamburg, 20246
Klinikum der Friedrich-Schiller-Universität Jena
Jena, 07743
Universitätsmedizin der JGU Mainz
Mainz, 55131
Klinikum der Philipps-Universität Marburg
Marburg, 35043
Stadtisches Klinikum Muchen GmbH
Munich, Bavaria, 81737
Studienpraxis Urologie
Reutlingen, 72766
Universitätsklinikum Tübingen
Tübingen, 72076
Universitatsklinikum Ulm
Ulm, 89075
Universitätsklinikum Ulm
Ulm, 89075
Universitätsklinikum Würzburg
Würzburg, 97080
United Kingdom14 sites
University Hospitals Birmingham NHS Foundation Trust, Queen Elizabeth Hospital
Birmingham, B15 2TH
Bristol Haematology & Oncology Centre
Bristol, UK, BS2 8ED
Velindre Hospital
Cardiff, CF14 2TL
Beatson West of Scotland Cancer Centre
Glasgow, G12 0YN
University of Surrey
Guildford, GU2 7XP
Leeds Teaching Hospitals NHS Trust, St James's University Hospital
Leeds, LS9 7TF
St Bartholomews Hospital
London, EC1M 6BQ
The Royal Marsden
London, SW3 6JJ
St Mary's Hospital
London, W2 1NY
Christie Hospital
Manchester, M20 4BX
The Clatterbridge Cancer Centre NHS Foundation Trust
Metropolitan Borough of Wirral, CH63 4JY
Plymouth Hospitals NHS Trust, Derriford Hospital
Plymouth, PL6 8DH
University of Southampton
Southampton, SO16 6YD
Royal Marsden Hospital
Sutton, SM2 5PT
France13 sites
Centre Paul Papin
Angers, 49933
Centre Hospitalier Départemental La Roche sur Yon, Luçon, Montaigu - Les Oudaries
La Roche-sur-Yon, 85925
Centre Léon Bérard - Centre régional de lutte contre le cancer Rhône-Alpes
Lyon, 69373
Centre d'Oncologie de Gentilly
Nancy, 54000
HIA du Val de Grâce
Paris, 75005
Institut Curie
Paris, 75005
Fondation Hôpital Saint-Joseph
Paris, 75014
Institut Mutualiste Montsouris
Paris, 75014
Centre Hospitalier Lyon Sud
Pierre-Bénite, 69495
Institut Jean Godinot - Centre de lutte contre le cancer
Reims, 51056
Clinique Armoricaine de Radiologie
Saint-Brieuc, 22000
Hôpital Bretonneau
Tours, 37044
Centre Alexis Vautrin - Centre Régional de lutte contre le cancer de Lorraine
Vandœuvre-lès-Nancy, 54511
Canada11 sites
Brantford Urology Research
Brantford, Ontario, N3S 6T6
Cambridge Memorial Hospital
Cambridge, Ontario, N1R3G2
Capital District Health Authority
Halifax, Nova Scotia, B3H 2Y9
St. Josephs Healthcare Hamilton Research Ethics Board
Hamilton, Ontario, L8N 4A6
Southern Interior Medical Research Inc.
Kelowna, British Columbia, V1Y 2H4
Queen's University at Kingston
Kingston, Ontario, K7L3J7
London Health Sciences Centre
London, Ontario, N6A 5W9
Centre Hospitalier de l'Universite de Montreal
Montreal, Quebec, H2L 4M1
The Female/Male Health Centres
Oakville, Ontario, L6H 3P1
Centre Hospitalier Universitaire de Quebec Hotel Dieu
Québec, G1R 2J6
Princess Margaret Hospital
Toronto, Ontario, M5G 2M9
Australia10 sites
Royal Adelaide Hospital
Adelaide, South Australia, 5000
Monash Medical Centre - Moorabbin Campus
Bentleigh East, 3165
Barwon Health
Geelong, 3220
Austin Hospital
Heidelberg, Victoria, 3084
Redcliffe Hospital
Redcliffe, Queensland, 4020
Sydney Haematology and Oncology Clinic
St Leonards, New South Wales, 2065
St John of God Hospital
Subiaco, 6008
Calvary Mater Newcastle
Waratah, New South Wales, 2298
Border Medical Oncology
Wodonga, 3690
Princess Alexandra Hospital
Woolloongabba, 4102
Denmark7 sites
Aalborg Sygehus
Aalborg, 9100
Skejby Sygehus
Århus N, DK-8200
Rigshospitalet
Copenhagen, 2200
Frederiksberg Hospital
Frederiksberg, DK-2000
Herlev Hospital
Herlev, 2730
Holstebro Sygehus
Holstebro, 7500
Storstrømmens Sygehus Næstved
Næstved, DK-4700
Israel7 sites
Soroka University Medical Center
Beersheba, 84101
Bnei Zion Medical Center
Haifa, 31048
Rambam Medical Center
Haifa, 31096
Edith Wolfson Medical Center
Holon, 58100
Hadassah University Hospital Ein Kerem
Jerusalem, 91120
The Chaim Sheba Medical Center
Ramat Gan, 52621
Assaf Harofe Medical Center
Tzrifin, 70300
Belgium6 sites
Ziekenhuisnetwerk Antwerpen - AZ Middelheim
Antwerp, 2020
Institut Jules Bordet
Brussels, 1000
Cliniques Universitaires Saint-Luc
Brussels, 1200
AZ Maria Middelares
Ghent, 9000
UZ Leuven
Leuven, 3000
H.-Hartziekenhuis Roeselare-Menen vzw
Roeselare, 8800
Netherlands5 sites
NKI-AVL
Amsterdam, 1066 CX
VUMC
Amsterdam, 1081 HV
Academisch Ziekenhuis Maastricht
Maastricht, 6229 HX
Radboudumc
Nijmegen, 6525 GA
Erasmus MC
Rotterdam, 3015CE
Poland5 sites
AMEDS CENTRUM Sp. z o.o.
Grodzisk Mazowiecki, 05-827
Urologica Praktyka Lekarska Adam Marcheluk
Siedlce, 08-110
Szpital sw Elzbiety - Mokotowskie Centrum Medyczne Sp. z o. o.
Warsaw, 02-616
Miedzyleski Szpital Specjalistyczny w Warszawie
Warsaw, 04-749
Klinika Urologii i Onkologii Urologicznej, Uniwersytecki Szpital Kliniczny we Wrocławiu
Wroclaw, 50-556
Estonia3 sites
East Tallinn Central Hospital
Tallinn, EE-10138
North Estonia Medical Centre Foundation
Tallinn, EE-13419
Tartu University Hospital
Tartu, EE-51014
Puerto Rico2 sites
Ponce School of Medicine
Ponce, 00716
Alliance for Research and Knowledge
San Juan, 00910
About this study
The purpose of this study is to determine whether PROSTVAC alone or in combination with GM-CSF is effective in prolonging overall survival in men with few or no symptoms from metastatic, castrate-resistant prostate cancer.
Read the detailed description
BNIT-PRV-301 is a randomized, placebo-controlled, multi-center, global Phase 3 efficacy trial of PROSTVAC in men with asymptomatic or minimally symptomatic, metastatic, castrate-resistant prostate cancer. It is a 3-arm study and will evaluate overall survival in two separate comparisons, PROSTVAC plus adjuvant dose GM-CSF versus controls, and PROSTVAC without GM-CSF versus controls.
Patients will be randomized with equal probability into one of three double-blind arms. The intended interventions for randomized patients are:
- (Arm V+G) PROSTVAC-V/F plus adjuvant dose GM-CSF
- (Arm V) PROSTVAC-V/F plus GM-CSF placebo
- (Arm P) Double placebo
- Conditions
- Prostate Cancer Metastatic
- Being tested
- PROSTVAC-V, PROSTVAC-F, GM-CSF, GM-CSF Placebo, Placebo
- Keywords
- PROSTVAC, metastatic, prostate cancer, castrate-resistant, vaccine, immunotherapy, Phase 3
- Medical subject headings
- Neoplasm Metastasis, Prostatic Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
PROSTVAC-VBiological
PROSTVAC-FBiological
GM-CSFDrug
GM-CSF PlaceboOther
PlaceboBiological
PROSTVAC V/F Placebo
| Study group | Role | What they receive |
|---|---|---|
| PROSTVAC-V/F-TRICOM + GM-CSF | Experimental | * PROSTVAC-V-TRICOM
* PROSTVAC-F-TRICOM
* GM-CSF Receives: Biological: PROSTVAC-V; Biological: PROSTVAC-F; Drug: GM-CSF |
| PROSTVAC-V/F-TRICOM + GM-CSF placebo | Experimental | * PROSTVAC-V-TRICOM
* PROSTVAC-F-TRICOM
* GM-CSF placebo Receives: Biological: PROSTVAC-V; Biological: PROSTVAC-F; Other: GM-CSF Placebo |
| Placebo Control | Placebo comparator | PROSTVAC V/F Placebo + GM-CSF Placebo Receives: Other: GM-CSF Placebo; Biological: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Overall Survival
The time between the date of randomization and the date of death due to any cause. Subjects who did not experience death or the competing events of "definite" loss to follow-up or withdrawal of consent were right censored at the date of last contact. OS was calculated using the formula: OS = Date of death/competing event/censoring - date of randomization + 1.
Measured: Randomization through the date of death due to any cause. Subjects were followed up for approximately 6 years from the first subject randomized to the completion of the study.
Secondary outcomes (1)
Number of Subjects Alive Without Event at 6 Months
A binary assessment that was performed for the 6-months timepoint for the categories of radiographic progression, pain progression, initiation of chemotherapy or death. Subjects without an event prior to 6-months were evaluated at 6-months. Subjects without event by 6-months and were not evaluated at 6-months were assumed to have had an event and analyzed as such.
Progression events were defined as: (1) Two new lesions on bone scan, new metastases on CT scans, or an increased size of nodal lesions per RECIST 1.1. Bone or CT scans occurring prior to calendar month 6 were used to determine radiographic progression. (2) Introduction of scheduled opioid narcotics for cancer-related pain control. (3) Initiation of chemotherapy for prostate cancer was assessed as collected on progression forms as well as in cancer treatment and concomitant medications logs. (4) Death.
Measured: Randomization through Week 25/End of Treatment visit.
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted24 Mar 2011 (estimated)
- Study start28 Nov 2011
- Primary completion25 Sep 2017
- Study completion15 Dec 2017
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Prostate Cancer MetastaticStudies of the same condition, open and under way.
- 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 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 1,297 participants (actual)
Sponsor and investigators
- Lead sponsor
- Bavarian Nordic
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- James L. Gulley, MD, Principal investigator, National Cancer Institute (NCI)Philip Kantoff, MD, Principal investigator, Dana-Farber Cancer Institute
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01322490
- Sponsor's protocol ID
- BNIT-PRV-301
- Acronym
- Prospect
- Status last verified
- Aug 2019
- First submitted
- 23 Mar 2011
- Last updated
- 4 Sep 2019
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
Publications
Gulley JL, Borre M, Vogelzang NJ, Ng S, Agarwal N, Parker CC, Pook DW, Rathenborg P, Flaig TW, Carles J, Saad F, Shore ND, Chen L, Heery CR, Gerritsen WR, Priou F, Langkilde NC, Novikov A, Kantoff PW. Phase III Trial of PROSTVAC in Asymptomatic or Minimally Symptomatic Metastatic Castration-Resistant Prostate Cancer. J Clin Oncol. 2019 May 1;37(13):1051-1061. doi: 10.1200/JCO.18.02031. Epub 2019 Feb 28.
PubMed 30817251
Study at a glance
From the registry record, last updated by the sponsor on 4 Sep 2019. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Randomized, Double-blind, Phase 3 Efficacy Trial of PROSTVAC-V/F +/- GM-CSF in Men With Asymptomatic or Minimally Symptomatic Metastatic Castrate-Resistant Prostate Cancer
- ClinicalTrials.gov ID
- NCT01322490
- Acronym / sponsor ID
- Prospect / BNIT-PRV-301
- Conditions
- Prostate Cancer Metastatic
- Keywords
- PROSTVAC, metastatic, prostate cancer, castrate-resistant, vaccine, immunotherapy, Phase 3
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 1,297 participants (actual)
- Lead sponsor
- Bavarian NordicIndustry (pharma, biotech, devices)
- Study start
- 28 Nov 2011 (actual)
- Primary completion
- 25 Sep 2017 (actual)
- Study completion
- 15 Dec 2017 (actual)
- First posted
- 24 Mar 2011 (estimated)
- Results
- Posted 8 Aug 2019
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this study is to determine whether PROSTVAC alone or in combination with GM-CSF is effective in prolonging overall survival in men with few or no symptoms from metastatic, castrate-resistant prostate cancer.
Detailed description
BNIT-PRV-301 is a randomized, placebo-controlled, multi-center, global Phase 3 efficacy trial of PROSTVAC in men with asymptomatic or minimally symptomatic, metastatic, castrate-resistant prostate cancer. It is a 3-arm study and will evaluate overall survival in two separate comparisons, PROSTVAC plus adjuvant dose GM-CSF versus controls, and PROSTVAC without GM-CSF versus controls.
Patients will be randomized with equal probability into one of three double-blind arms. The intended interventions for randomized patients are:
- (Arm V+G) PROSTVAC-V/F plus adjuvant dose GM-CSF
- (Arm V) PROSTVAC-V/F plus GM-CSF placebo
- (Arm P) Double placebo
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| PROSTVAC-V/F-TRICOM + GM-CSF | Experimental | Biological: PROSTVAC-V, Biological: PROSTVAC-F, Drug: GM-CSF* PROSTVAC-V-TRICOM * PROSTVAC-F-TRICOM * GM-CSF |
| PROSTVAC-V/F-TRICOM + GM-CSF placebo | Experimental | Biological: PROSTVAC-V, Biological: PROSTVAC-F, Other: GM-CSF Placebo* PROSTVAC-V-TRICOM * PROSTVAC-F-TRICOM * GM-CSF placebo |
| Placebo Control | Placebo comparator | Other: GM-CSF Placebo, Biological: PlaceboPROSTVAC V/F Placebo + GM-CSF Placebo |
Who may qualify
- Ages
- 18 years and older
- Sex
- Male only
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (6 listed)
- Men, ≥18years of age with documented asymptomatic or minimally symptomatic metastatic castration-resistant prostate cancer.
- Documented progressive disease post surgical castration or during androgen suppression therapy, or during complete androgen blockade therapy and withdrawal. Documented by either criterion a (Radiological progression), OR criterion b (PSA progression).
- Radiological progression defined as any new/enlarging bone metastases or new/enlarging lymph node disease, consistent with prostate cancer.
- OR
- PSA progression defined by sequence of rising values separated by > 1 week (2 separate increasing values) over a threshold minimum of 2.0 ng/ml. (PCWG2 PSA eligibility criteria).
Key exclusion criteria (6 listed)
- Cancer-related pain requiring scheduled opioid narcotics for control (as needed, ≤ 2x per week is allowed).
- Metastasis to organ systems other than lymph nodes and/or bone. Estimated PSA doubling time of <1 month as established within 6 months of the anticipated first dose of vaccine or placebo.
- Concurrent or prior Provenge (sipuleucel-T) immunotherapy for prostate cancer. Receipt of an investigational agent within 30 days (or 60 days for an antibody-based therapy) of the first planned dose of PROSTVAC-V/F.
- History of prior malignancies other than prostate cancer within the past 3 years, excluding successfully resected basal or squamous cell carcinoma of the skin.
- Congestive heart failure (NYHA Class II, III, or IV), unstable angina, ventricular or hemodynamically significant atrial arrhythmia, or cardiovascular disease such as stroke or myocardial infarction (current or within the past 6 months) Confirmed positive for HIV, hepatitis B, and /or hepatitis C. Immunodeficiency or splenectomy. History of or active autoimmune disease, persons with vitiligo are not excluded. Diabetics are not excluded if the condition is well controlled.
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 |
|---|---|---|
| PROSTVAC-V | Biological | PROSTVAC-V/F-TRICOM + GM-CSF, PROSTVAC-V/F-TRICOM + GM-CSF placebo |
| PROSTVAC-F | Biological | PROSTVAC-V/F-TRICOM + GM-CSF, PROSTVAC-V/F-TRICOM + GM-CSF placebo |
| GM-CSF | Drug | PROSTVAC-V/F-TRICOM + GM-CSF |
| GM-CSF Placebo | Other | PROSTVAC-V/F-TRICOM + GM-CSF placebo, Placebo Control |
| PlaceboPROSTVAC V/F Placebo | Biological | Placebo Control |
Primary outcome
Overall Survival
Time frame: Randomization through the date of death due to any cause. Subjects were followed up for approximately 6 years from the first subject randomized to the completion of the study.
The time between the date of randomization and the date of death due to any cause. Subjects who did not experience death or the competing events of "definite" loss to follow-up or withdrawal of consent were right censored at the date of last contact. OS was calculated using the formula: OS = Date of death/competing event/censoring - date of randomization + 1.
1 secondary outcome
Number of Subjects Alive Without Event at 6 Months
Time frame: Randomization through Week 25/End of Treatment visit.
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 4 Sep 2019.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 30817251Gulley JL, Borre M, Vogelzang NJ, Ng S, Agarwal N, Parker CC, Pook DW, Rathenborg P, Flaig TW, Carles J, Saad F, Shore ND, Chen L, Heery CR, Gerritsen WR, Priou F, Langkilde NC, Novikov A, Kantoff PW. Phase III Trial of PROSTVAC in Asymptomatic or Minimally Symptomatic Metastatic Castration-Resistant Prostate Cancer. J Clin Oncol. 2019 May 1;37(13):1051-1061. doi: 10.1200/JCO.18.02031. Epub 2019 Feb 28.
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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.
James L. Gulley, MD principal investigator
National Cancer Institute (NCI)
Philip Kantoff, MD principal investigator
Dana-Farber Cancer Institute
220 sites in 16 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing PROSTVAC-V, PROSTVAC-F and GM-CSF in people with Prostate Cancer Metastatic, run by Bavarian Nordic at 220 sites in 16 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 6 inclusion and 6 exclusion criteria. 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: finished, as of the sponsor's last update on 4 Sep 2019. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 220 sites in United States, Spain, Russia, Germany, United Kingdom and 11 more countries. 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. Some participants in this study may receive a placebo. 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 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 8 Aug 2019). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
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?
Overall Survival (time frame: Randomization through the date of death due to any cause. Subjects were followed up for approximately 6 years from the first subject randomized to the completion of the study.). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT01322490, which also lists 1 linked publication.
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 4 Sep 2019.