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Lung Cancer, Non-Small CellPhase 2PEARLNCT01853878

A Study to Demonstrate the Benefit of a New Kind of Anti-cancer Treatment [PReferentially Expressed Antigen of MElanoma (PRAME) Immunotherapy] for Patients With Non-Small Cell Lung Cancer (NSCLC), After Removal of Their Tumor

A Phase 2 study testing Recombinant PRAME protein combined with the AS15 Adjuvant System GSK2302032A in people with Lung Cancer, Non-Small Cell, run by GlaxoSmithKline at 39 sites in 9 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

The purpose of this study was to test a potential new kind of anti-cancer treatment, called PRAME immunotherapy in resected patients with lung cancer. Based on scientific and medical relevance, the clinical study was ended on 24 August 2016. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Lung Cancer, Non-Small Cell
What is being tested?
Recombinant PRAME protein combined with the AS15 Adjuvant System GSK2302032A
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
137 participants
Where
39 sitesin 9 countries
Study dates
12 Jun 2013to 24 Aug 2016
Phase
Phase 2
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
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • The patient has radically resected NSCLC
  • The NSCLC is of pathological stage IA-T1b, IB, II or IIIA NSCLC The surgical technique for resection of the patient's tumor is anatomical, involving at least a segmentectomy The patient's tumor shows expression of PRAME.
  • The patient is ≥ 18 years of age at the time of first consent.
  • Written informed consent has been obtained from the patient prior to performance of any study-specific procedure.
  • The patient is free of disease (no residual tumor, no loco-regional recurrence, no distant metastasis), as confirmed by a post- thoracic surgery contrast-enhanced computed tomography (CT scan) of the chest, upper abdomen and by a contrast-enhanced CT scan or Magnetic Resonance Imaging (MRI) of the brain. Other examinations should be performed as clinically indicated.
  • Eastern Co-operative Oncology Group (ECOG) performance status of 0, 1 or 2 at the time of randomization
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  • Adequate bone-marrow reserve, adequate renal, hepatic and adrenal function as assessed by standard laboratory criteria
  • If the patient is female, she must be of non-childbearing potential, i.e. have a current tubal ligation, hysterectomy, ovariectomy or be post-menopausal or if she is of childbearing potential, she must practice adequate contraception for 30 days prior to administration of study product, have a negative pregnancy test and continue such precautions during all study treatment period and for 2 months after last treatment administration.
  • Patients who the investigator believes can and will comply with the requirements of this protocol (e.g. return for active follow-up visits).

Who cannot join

  • The patient is diagnosed with a concomitant malignancy and/or has a history of malignancy within the past five years or has had a malignancy that has been in complete remission for less than 5 years. Patients with effectively treated non - melanoma skin cancers or effectively treated carcinoma in situ of the cervix both of which in remission for less than 5 years will be eligible.
  • The patient has received any anti-cancer specific treatment, including radiotherapy, immunotherapy, hormonal therapy, chemotherapy or neo-adjuvant chemotherapy, except for:
  • Administration of adjuvant platinum-based doublet chemotherapy for the treatment of the current NSCLC allowed between surgery and randomization.
  • Treatment of previous malignancies as allowed by the protocol.
  • The patient has been diagnosed with a Potential Immune-Mediated Disease (pIMD). Patients with vitiligo are not excluded from the study.
  • The patient has a history of confirmed adrenal dysfunction.
Show all 16Show fewer
  • The patient requires concomitant treatment with any immunosuppressive agent, or with systemic corticosteroids prescribed for chronic treatment (more than 7 consecutive days).
  • The patient needs chronic long term oxygen therapy (LTOT). The patient has medically uncontrolled congestive heart failure or hypertension, unstable heart disease or uncontrolled arrhythmia at the time of randomization.
  • The patient has an uncontrolled bleeding disorder.
  • The patient has undergone splenectomy.
  • The patient is known to be Human Immunodeficiency Virus (HIV)-positive.
  • The patient has psychiatric or addictive disorders that may compromise his/her ability to give informed consent, or to comply with the trial procedures.
  • The patient has other concurrent severe medical problems, unrelated to the malignancy, that would significantly limit full compliance with the study or expose the patient to unacceptable risk.
  • The patient has a history of allergic disease or reactions likely to be exacerbated by any component of the study investigational product.
  • The patient has received any investigational or non-registered product within the 30 days preceding randomization, or planned use during the study period.
  • For female patients: the patient is pregnant or lactating or is planning to become pregnant.

Trial locations and contacts

39 sites in 9 countries.

39 sites in 9 countries

Germany10 sites
  • GSK Investigational Site

    Berlin, 13125

  • GSK Investigational Site

    Cologne, North Rhine-Westphalia, 51109

  • GSK Investigational Site

    Großhansdorf, Schleswig-Holstein, 22927

  • GSK Investigational Site

    Heidelberg, Baden-Wurttemberg, 69126

  • GSK Investigational Site

    Herne, North Rhine-Westphalia, 44623

  • GSK Investigational Site

    Immenhausen, Hesse, 34376

  • GSK Investigational Site

    Moers, North Rhine-Westphalia, 47441

  • GSK Investigational Site

    Munich, Bavaria, 81925

  • GSK Investigational Site

    Münster, North Rhine-Westphalia, 48153

  • GSK Investigational Site

    Velbert, North Rhine-Westphalia, 42551

Other trials in Germany

United States8 sites
  • GSK Investigational Site

    Everett, Washington, 98201

  • GSK Investigational Site

    New York, New York, 10021

  • GSK Investigational Site

    Newark, Delaware, 19713

  • GSK Investigational Site

    Paterson, New Jersey, 08759

  • GSK Investigational Site

    Philadelphia, Pennsylvania, 19104

  • GSK Investigational Site

    Rochester, Minnesota, 55905

  • GSK Investigational Site

    Seattle, Washington, 98104

  • GSK Investigational Site

    Springfield, Illinois, 62702

Other trials in United States

United Kingdom5 sites
  • GSK Investigational Site

    Birmingham, B9 5SS

  • GSK Investigational Site

    Cambridge, Cambridgeshire, CB23 3RE

  • GSK Investigational Site

    Edinburgh, Midlothian, EH4 2XU

  • GSK Investigational Site

    Manchester, M23 9LT

  • GSK Investigational Site

    Sheffield, S10 2SJ

Other trials in United Kingdom

France4 sites
  • GSK Investigational Site

    Créteil, 94010

  • GSK Investigational Site

    Lyon, 69373

  • GSK Investigational Site

    Marseille, 13915

  • GSK Investigational Site

    Montpellier, 34295

Other trials in France

Japan4 sites
  • GSK Investigational Site

    Hyōgo, 673-8558

  • GSK Investigational Site

    Kanagawa, 232-0024

  • GSK Investigational Site

    Kanagawa, 241-8515

  • GSK Investigational Site

    Shizuoka, 411-8777

Other trials in Japan

Russia3 sites
  • GSK Investigational Site

    Chelyabinsk, 454087

  • GSK Investigational Site

    Saint Petersburg, 197 089

  • GSK Investigational Site

    Saint Petersburg, 197758

Other trials in Russia

Estonia2 sites
  • GSK Investigational Site

    Tallinn, 13419

  • GSK Investigational Site

    Tartu, 51014

Other trials in Estonia

Poland2 sites
  • GSK Investigational Site

    Szczecin, 70-891

  • GSK Investigational Site

    Zakopane, 34-500

Other trials in Poland

South Korea1 site
  • GSK Investigational Site

    Seoul, 120-752

Other trials in South Korea

About this study

Official title: GSK2302032A Antigen-Specific Cancer Immunotherapeutic as Adjuvant Therapy in Patients With Non-Small Cell Lung Cancer

The purpose of this study was to test a potential new kind of anti-cancer treatment, called PRAME immunotherapy in resected patients with lung cancer.

Based on scientific and medical relevance, the clinical study was ended on 24 August 2016. The participants were no longer enrolled in the study, the follow ups on subjects were stopped and the collection and analysis of samples for further research purposes was stopped.

Read more

After the stop to recruitment, the study was unblinded, as per the amended protocol, the study treatment was continued and completed with the subjects of the active treatment group who were willing to continue. Subjects in the placebo group were withdrawn.

There was no longer an active follow-up of patients after discontinuation or completion of the treatment. The study ended 30 days after the last dose was administered.

As a result, primary and secondary objectives were not assessed as planned. All clinical and safety data collected in the study were analysed descriptively. For each biological sample already collected in the scope of this study and not tested yet, testing was not performed by default, except if a scientific rationale remained relevant despite the premature termination of the study.

Read the detailed description

During the treatment period, safety monitoring continued as initially foreseen. Reporting of post-study adverse events (AEs) and serious AEs (SAEs) continued as per protocol. In the best interest of the patient, no more biological samples for protocol research purposes (i.e. serum sampling for humoral immunity, whole blood sampling for pharmacogenetics) were taken.

Being tested
Recombinant PRAME protein combined with the AS15 Adjuvant System GSK2302032A, Placebo
Keywords
Non-Small Cell Lung Cancer, Immunotherapy, Antigen-Specific
Medical subject headings
Carcinoma, Non-Small-Cell Lung

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Recombinant PRAME protein combined with the AS15 Adjuvant System GSK2302032ABiological

    Intramuscular administration

  • PlaceboBiological

    Intramuscular administration

Study groups in NCT01853878
Study groupRoleWhat they receive
GSK2302032A GroupExperimentalThe patients received 13 administrations GSK2302032A product, as per the following schedule: For the first five doses: 1 dose every 3 weeks. For the remaining 8 doses: 1 dose every 12 weeks.
Receives: Biological: Recombinant PRAME protein combined with the AS15 Adjuvant System GSK2302032A
Placebo groupPlacebo comparatorThe patients received 13 administrations of a placebo, as per the following schedule: For the first five doses: 1 dose every 3 weeks. For the remaining 8 doses: 1 dose every 12 weeks.
Receives: Biological: Placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Time to Occurrence of Any Recurrence of Disease

    Time to occurrence of any recurrence of disease was expressed in terms of rate: Person-year rate in each group = number of patients reporting at least one recurrence of disease (n)/ sum of follow-up period expressed in years (T[year)]) As a consequence of the decision to stop the PRAME-AS15-NSC-002 (ADJ) study, not all data were available for a full analysis. The median follow-up time was 10.3 months in the GSK2302032A group and 5.7 months in the Placebo group. Considering that two Phase III studies with recMAGE-A3 + AS15 failed to demonstrate clinical efficacy of the MAGE-A3 antigen specific cancer immunotherapeutic, GSK decided to stop the development of all recombinant protein based cancer vaccines and to stop recruitment in all the ongoing clinical studies.

    Measured: During the entire study (From Week 1 to Week 112)

Secondary outcomes (9)
  1. Overall Survival (OS)

    OS was defined as the interval from randomization to the date of death, irrespective of the cause of death; patients still alive were censored at the last visit they are known to be alive. Considering that two Phase III studies with recMAGE-A3 + AS15 failed to demonstrate clinical efficacy of the MAGE-A3 antigen specific cancer immunotherapeutic, GSK decided to stop the development of all recombinant protein based cancer vaccines and to stop recruitment in all the ongoing clinical studies. Therefore, based on scientific and medical relevance, the decision was made to stop patient enrollment in the PRAME-AS15-NSC-002 (ADJ) clinical study and to stop follow-up visits, further sample collection for research purposes and the analysis of samples for research purposes. In consequence, the primary and secondary outcomes were not analysed as planned and clinical data for this outcome was not collected.

    Measured: During the entire study (From Week 1 to Week 112)

  2. Lung-cancer-specific Survival

    Lung-cancer specific survival was defined as defined as the interval from randomization to the date of death due to lung cancer; deaths due to other or unknown causes were censored at the date of death. Considering that two Phase III studies with recMAGE-A3 + AS15 failed to demonstrate clinical efficacy of the MAGE-A3 antigen specific cancer immunotherapeutic, GSK decided to stop the development of all recombinant protein based cancer vaccines and to stop recruitment in all the ongoing clinical studies. Therefore, based on scientific and medical relevance, the decision was made to stop patient enrollment in the PRAME-AS15-NSC-002 (ADJ) clinical study and to stop follow-up visits, further sample collection for research purposes and the analysis of samples for research purposes. In consequence, the primary and secondary outcomes were not analysed as planned and clinical data for this outcome was not collected.

    Measured: During the entire study (From Week 1 to Week 112)

  3. Disease-free Specific Survival (DFSS)

    DFSS was defined as the interval from randomization to the date of first recurrence of disease or date of death due to lung cancer, whichever occurs first. Patients without recurrence or death due to lung cancer were censored at the date of last assessment. Considering that two Phase III studies with recMAGE-A3 + AS15 failed to demonstrate clinical efficacy of the MAGE-A3 antigen specific cancer immunotherapeutic, GSK decided to stop the development of all recombinant protein based cancer vaccines and to stop recruitment in all the ongoing clinical studies. Therefore, based on scientific and medical relevance, the decision was made to stop patient enrollment in the PRAME-AS15-NSC-002 (ADJ) clinical study and to stop follow-up visits, further sample collection for research purposes and the analysis of samples for research purposes. In consequence, the primary and secondary outcomes were not analysed as planned and clinical data for this outcome was not collected.

    Measured: During the entire study (From Week 1 to Week 112)

  4. DFS (Disease-free Survival) at 2, 3, 4 and 5 Years After Randomization

    Defined as the time from randomization to either the date of first recurrence of the disease or the date of death (whatever the cause), whichever occurred first. The 5-year active follow-up period planned in the initial study protocol was cancelled per Protocol Amendment 2, hence this analysis was not performed.

    Measured: During the entire follow-up period (From year 2 to Year 5)

  5. Number of Subjects With Any Unsolicited Adverse Events (AEs)

    Unsolicited AEs covered any untoward medical occurrence in a clinical investigation subject temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product and reported in addition to those solicited during the clinical study and any solicited symptom with onset outside the specified period of follow-up for solicited symptoms. Any was defined as the occurrence of any unsolicited AE regardless of intensity grade or relation to vaccination.

    Measured: Within the 31-day (Days 0-30) post-vaccine administration period

  6. Anti-PRAME Antibody Concentrations

    Considering that two Phase III studies with recMAGE-A3 + AS15 failed to demonstrate clinical efficacy of the MAGE-A3 antigen specific cancer immunotherapeutic, GSK decided to stop the development of all recombinant protein based cancer vaccines and to stop recruitment in all the ongoing clinical studies. Therefore, based on scientific and medical relevance, the decision was made to stop patient enrollment in the PRAME-AS15-NSC-002 (ADJ) clinical study and to stop follow-up visits, further sample collection for research purposes and the analysis of samples for research purposes. In consequence, the primary and secondary outcomes were not analysed as planned and clinical data for this outcome was not collected.

    Measured: At each defined time point from Week 0 till Concluding Visit (Week 112)

  7. Number of Subjects With Any Abnormal Hematological and Biochemical Parameters

    Hematological and biochemical parameters assessed were tabulated by maximum grade versus baseline, by CTCAE = Common Terminology Criteria for Adverse Events version 4.0 (Grade 1= mild; Grade 2= moderate; Grade 3= severe; Grade 4= life-threatening; Grade 5 = death; Grade Unknown) and by the type of abnormality (e.g. increased, decreased, prolonged, etc.). Some parameters (e.g. Anemia) already comprise within their definition the type of abnormality presented.

    Measured: During the entire study period (From Week 1 to Week 112)

  8. Number of Subjects With Any Serious Adverse Events (SAEs)

    SAEs assessed included medical occurrences that resulted in death, were life threatening, required hospitalization or prolongation of hospitalization or resulted in disability/incapacity. An event that was part of the natural course of the disease under study (i.e., disease progression, recurrence) was captured in the study as an efficacy measure; therefore it did not need to be reported as an SAE.

    Measured: During the entire study (From Week 1 to Week 112)

  9. Number of Subjects With Any Adverse Events (AEs) by Intensity Grade.

    Grading was done as per the Common Terminology Criteria for Adverse Events (CTCAE) of the U.S. National Cancer Institute, version 4.0. The intensity grades assessed were: 1, 2, 3, 4, 5 and Unknown.

    Measured: From Week 0 to Week 112

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted15 May 2013 (estimated)
  2. Study start12 Jun 2013
  3. Primary completion24 Aug 2016
  4. Study completion24 Aug 2016

Resources

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 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
137 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01853878
Sponsor's protocol ID
116389
Other IDs
2012-002790-55
Acronym
PEARL
Status last verified
Aug 2019
First submitted
18 Apr 2013
Last updated
28 Aug 2019
Individual data sharing
Yes: IPD is available via the Clinical Study Data Request site (click on the link provided below).

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Recombinant PRAME protein combined with the AS15 Adjuvant System GSK2302032A in people with Lung Cancer, Non-Small Cell, run by GlaxoSmithKline at 39 sites in 9 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 9 inclusion and 16 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 28 Aug 2019. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 39 sites in Germany, United States, United Kingdom, France, Japan and 4 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 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

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 28 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?

Time to Occurrence of Any Recurrence of Disease (time frame: During the entire study (From Week 1 to Week 112)). 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 28 Aug 2019.

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