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Clinical Study of Personalized mRNA Vaccine Encoding Neoantigen in Patients With Advanced Digestive System Neoplasms


2018-05-01


2019-12-31


2021-12-31


24

Study Overview

Clinical Study of Personalized mRNA Vaccine Encoding Neoantigen in Patients With Advanced Digestive System Neoplasms

A single arm, open-label pilot study is designed to determine the safety, tolerability and effectiveness of personalized mRNA tumor vaccine encoding neoantigen in Patients with advanced esophageal squamous carcinoma, gastric adenocarcinoma, pancreatic adenocarcinoma and colorectal adenocarcinoma

Dr. Bin Wang developed the investigational vaccine used in this clinical trial and designed the trial protocol.For patients with advanced esophageal squamous carcinoma, gastric adenocarcinoma, pancreatic adenocarcinoma and colorectal adenocarcinoma tumor who have disease progression with first line chemotherapy. Single or multiple doses of personalized mRNA tumor vaccine encoding neoantigen will be given to observe the safety and efficacy the mRNA tumor vaccine. Primary objectives: Determine the safety, tolerability and cytokinetics of the personalized mRNA tumor vaccine in patients with advanced esophageal squamous carcinoma, gastric adenocarcinoma, pancreatic adenocarcinoma and colorectal adenocarcinoma. Secondary objectives: Make a preliminary evaluation on the efficacy of personalized mRNA tumor vaccine in patients with advanced esophageal squamous carcinoma, gastric adenocarcinoma, pancreatic adenocarcinoma and colorectal adenocarcinoma with the following parameters: Time of tumor progression (TTP); Disease Control Rate (DCR); Objective Remission Rate (ORR); Overall Survival (OS).

  • Advanced Esophageal Squamous Carcinoma
  • Gastric Adenocarcinoma
  • Pancreatic Adenocarcinoma
  • Colorectal Adenocarcinoma
  • BIOLOGICAL: Personalized mRNA Tumor Vaccine
  • CHO-01002

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

2018-03-08  

N/A  

2019-02-25  

2018-03-15  

N/A  

2019-02-26  

2018-03-16  

N/A  

2019-02  

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 mRNA Tumor Vaccine

Personalized mRNA Tumor Vaccine Encoding Neoantigen in Patients with Advanced Esophageal Squamous Carcinoma, Gastric Adenocarcinoma, Pancreatic Adenocarcinoma and Colorectal Adenocarcinoma

BIOLOGICAL: Personalized mRNA Tumor Vaccine

  • subcutaneous injection with personalized mRNA tumor vaccine at least four times
Primary Outcome MeasuresMeasure DescriptionTime Frame
Number of participants with treatment-related adverse events as assessed by CTCAE v4.0During the trial conduction, especially within the 24 weeks of treatment phase when mRNA tumor Vaccine administered, all adverse events (including laboratory abnormality and clinical events) will be closely monitored, and all ≥ grade 3 adverse events per CTCAE (v 3.0) will be recorded, including but not limited to the toxicities potentially suspected to relate to injection procedures and/or mRNA Tumor Vaccine therapy as listed below: * Fever * Chills * Nausea, vomiting and other gastrointestinal symptoms * Fatigue * Hypotension * Respiratory distress * Tumor lysis syndrome * Neutropenia, thrombocytopenia * Liver and kidney dysfunction24 weeks
Secondary Outcome MeasuresMeasure DescriptionTime Frame
Disease Control Rate of Personalized mRNA Tumor VaccineDisease Control Rate (DCR)1.5 years
Progression-free Survival of Personalized mRNA Tumor VaccineProgression-free Survival (PFS)2 years
Time to Tumor Progression of Personalized mRNA Tumor VaccineTime to Tumor Progression (TTP)2 years
Overall Survival of Personalized mRNA Tumor VaccineOverall Survival (OS)3 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: Bin Wang, Dr.

Phone Number: +86 02131161448

Email: qcwangb@163.com

Study Contact Backup

Name: Xianbao Zhan, Dr.

Phone Number: +86 02131161441

Email: zhanxianbao@126.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:
18 Years

Accepts Healthy Volunteers:

    Inclusion Criteria:
    1. Patients aged 18 - 75 with pathologically confirmed advanced Esophageal Squamous Carcinoma, Gastric Adenocarcinoma, Pancreatic Adenocarcinoma and Colorectal Adenocarcinoma. 2. Patients with advanced Esophageal Squamous Carcinoma, Gastric Adenocarcinoma, Pancreatic Adenocarcinoma and Colorectal Adenocarcinoma who have disease progression with first line chemotherapy. (1) Failure of treatment is defined as disease progression, recurrence or metastatic disease, or intolerable toxicities occurred after treatment. (2) Each line of treatment during the period of disease progression includes one or more chemotherapy drugs which are administered for not less than one cycle or even longer. Neoadjuvant/adjuvant therapy can be applied at an earlier stage of treatment. If patient has developed recurrence or metastatic disease within 24 weeks of neoadjuvant/adjuvant therapy, it is considered as one line of systemic chemotherapy. (3) Therapies that can be performed at an earlier stage are chemotherapy in conjunction with molecular targeted drugs. 3. Expected survival after first dose of study drug > 24 weeks. 4. At least one measurable lesion (≥ 10 mm) for imaging assessment. 5. ECOG scores 0 - 1. 6. Fresh pathological tissue specimens can be obtained 7. White blood cells (WBCs) ≥ 2.5×10^9/L

  • Platelets (PLT) ≥ 100×10^9/L
  • Hemoglobin, Blood (Hb) ≥ 9.0 g/dL
  • MID ≥ 1.5×10^9/L
  • Lymphocyte (LY) ≥ 0.47×10^9/L
  • LY% ≥ 15% 8. Serum albumin (Alb) ≥ 30 g/L 9. Serum lipase (LPS) and serum amylase < 1.5 ULN 10. Serum creatinine ≤ 1.5 ULN 11. Alanine aminotransferase (ALT) ≤ 2.5 ULN


  • Aspartate aminotransferase (AST) ≤ 2.5 ULN
  • If osseous metastasis or liver metastasis is developed and alkaline phosphatase • (ALP) > 2.5 ULN, ALT and AST < 1.5 ULN. 12. Serum total bilirubin (TBIL) ≤ 1.5 ULN 13. Prothrombin Time (PT): International Normalized Ratio (INR) < 1.7.


  • PT < (ULN + 4) s

  • All test results should be within their normal ranges, and the patient is not receiving continuous supportive care.
    Exclusion Criteria:
    Patients with any of the following conditions are not eligible for the study.
    1. Pregnant or lactating women. 2. HIV positive, HCV positive, HBV DNA copies ≥ 10^3. 3. Uncontrolled active infection. 4. Concurrent use of systemic steroids. Recent or current use of inhaled steroids is not exclusionary. 5. Allergic to immunotherapies and related drugs. 6. Untreated brain metastases or having symptoms of brain metastases. 7. Metastases to the lung: central tumor or multiple metastases. 8. Patients with heart disease for which treatment is needed or with poorly controlled hypertension. 9. Patients with unstable or active peptic ulcer or with alimentary tract hemorrhage. 10. Patients with previous organ transplantation or in preparation for organ transplantation. 11. Patients have undertaken major surgeries or have been badly injured 4 weeks before the study (blood collection), or will undertake major surgeries during the study. 12. The judgment of investigators that the patient is not able to or not willing to follow the instructions of the protocol.

Collaborators and Investigators

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

  • Stemirna Therapeutics

  • STUDY_DIRECTOR: Xianbao Zhan, Dr., Chanhai hospital

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