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Clinical Trial on Personalized Neoantigen Vaccine for Pancreatic Tumor


2018-07-12


2023-11-30


2023-12-30


30

Study Overview

Clinical Trial on Personalized Neoantigen Vaccine for Pancreatic Tumor

This clinical trial is to evaluate the safety and impact on prognosis of personalized neoantigen peptide-based vaccines, which are based on next-generation sequencing and major histocompatibility complex affinity prediction algorithm, in patients with pancreatic ductal adenocarcinoma. The hypothesis of this study is that personalized neoantigen vaccines will be safe and can systemically elicit measurable neoantigen-specific immunologic responses in patients. Participants will receive complete macroscopic resection of primary tumor, standard adjuvant chemotherapy and subsequently personalized neoantigen vaccines.

This is a single-center, open-label Phase Ib clinical trial. In this trial, adult subjects with pancreatic ductal adenocarcinoma who have completed resection of the primary tumor and who have not undergone preoperative chemotherapy will be enrolled in the study. Eligible enrolled patients all will undergo tumor resection and all receive adjuvant chemotherapy prior to preparation of the personalized neoantigen vaccine. After the chemotherapy finish, subsequently patients will receive a priming immunization with five doses of the personalized neoantigen vaccine over one month and a boosting immunization with two doses three months later. This clinical trial will examine the safety and effect of the personalized neoantigen vaccine when given at several different time points and will examine the participant's peripheral blood cells for signs that the vaccine induces immunologic responses. Finally we will establish the typical flow to assess efficiency and safety of vaccines according to the different reactivity of patients, as a result, to explore the most suitable practical approaches for applying personalized pancreatic tumor vaccines.

  • Pancreatic Tumor
  • BIOLOGICAL: Personalized neoantigen vaccine
  • ChanghaiH-PP03

Study Record Dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Registration Dates Results Reporting Dates Study Record Updates

2018-05-24  

N/A  

2023-04-21  

2018-06-05  

N/A  

2023-04-24  

2018-06-15  

N/A  

2023-03  

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

Design Details

Primary Purpose:
Treatment


Allocation:
Na


Interventional Model:
Single Group


Masking:
None


Arms and Interventions

Participant Group/ArmIntervention/Treatment
EXPERIMENTAL: Personalized neoantigen vaccine

Patients will receive radical resection surgery and at least one circle of post-operative chemotherapy. After chemotherapy, personalized neoantigen vaccines will be administered subcutaneously.

BIOLOGICAL: Personalized neoantigen vaccine

  • Patients will have complete resection of primary tumor without preoperative chemotherapy. Patients will receive postoperative chemotherapy and subsequently personalized vaccines on days 1, 4, 8, 15, 22 (priming phase) and weeks 12, 20 (boosting phase). Pe
Primary Outcome MeasuresMeasure DescriptionTime Frame
Incidence and grades of adverse events as assessed by CTCAE v5.0Safety will be assessed by the rate of grade 3 or worse adverse events (graded according to National Cancer Institute Common Terminology Criteria for Adverse Events, version 5.0).From the first dose of vaccination through 2 years after the surgery
Secondary Outcome MeasuresMeasure DescriptionTime Frame
Recurrence-free survivalThe time between resection surgery and the tumor recurrence (radiological assessment of disease status according to RECIST1.1 criteria).From the date of resection surgery until the date of the first confirmed tumor recurrence or date of death from any cause or date of study completion, whichever came first, assessed up to 6 years.
Overall survivalThe time between resection surgery and the death (any cause).From the date of resection surgery until the date of death from any cause or date of study completion, whichever came first, assessed up to 6 years.
Serum CA19-9 or CA72-4 levelsThe rate of patients without the abnormal elevation of the serum CA19-9 (Cancer Antigen 19-9) or CA72-4 (Cancer Antigen 72-4) levels will be assessed during the vaccination and post-treatment follow-up.From the date of resection surgery until the date of last documented examination of CA19-9 and CA72-4 or date of study completion, whichever came first, assessed up to 6 years.

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Contact

Name: Shiwei Guo, Doctor

Phone Number: +8618621500666

Email: gestwa@163.com

Study Contact Backup

Name: Suizhi Gao, Master

Phone Number: +8613167137990

Email: gaosuizhi@163.com

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person’s general health condition or prior treatments.

Ages Eligible for Study:
ALL

Sexes Eligible for Study:
20 Years

Accepts Healthy Volunteers:

    Inclusion Criteria:
    1. Pathologic diagnosis of pancreatic ductal adenocarcinoma 2. Aged ≥20 and ≤75 3. Male or not pregnant women 4. Undergone radical resection (R0 status of resection margins [no cancer cells within 1 mm of all resection margins]) 5. No serious underlying disease, Eastern Cooperative Oncology Group (ECOG) performance status 0 or 1 6. No chemotherapy or radiotherapy before resection surgery 7. No significant cardiac, lung, liver, kidney, and bone marrow insufficiency 8. No HIV or syphilis infection 9. Signing informed consent
    Exclusion Criteria:
    1. Poor postoperative situation 2. Obvious organ dysfunction 3. Radiographically confirmed recurrence or metastasis within 180 days after the surgery 4. Unstable angina pectoris, symptomatic congestive heart failure, severe arrhythmias, Myocardial infarction in the past 6 months, and prolonged QT interval (> 450ms) 5. Previous malignant tumors other than pancreatic cancer 6. Cannot be follow up 7. Participating in other clinical trials 8. Without chemotherapy after resection surgery
    Exit criteria:
    1. Missed within one month after surgery or not follow-up as required 2. Patient's own willingness to withdraw 3. Concurrent disease or severe adverse events 4. Protocol violations 5. Administrative reasons

Collaborators and Investigators

This is where you will find people and organizations involved with this study.


    • PRINCIPAL_INVESTIGATOR: Gang Jin, Doctor, Changhai Hospital, Shanghai, China

    Publications

    The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

    General Publications

    No publications available