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PAP Vaccine in Patients With Prostate Cancer

This study is ongoing, but not recruiting participants.

Sponsors and Collaborators: University of Wisconsin, Madison
Department of Defense
Information provided by: University of Wisconsin, Madison
ClinicalTrials.gov Identifier: NCT00582140
  Purpose

We are trying to find new methods to treat prostate cancer. The approach we are taking is to try to enhance patients own immune response against the cancer. In this study we will be testing the safety of a vaccine that may be able to help the body fight prostate cancer.


Condition Intervention Phase
Prostate Cancer
Biological: pTVG-HP with rhGM-CSF
Phase I
Phase II

MedlinePlus related topics:   Cancer    Prostate Cancer   

U.S. FDA Resources

Study Type:   Interventional
Study Design:   Treatment, Non-Randomized, Open Label, Dose Comparison, Single Group Assignment, Safety/Efficacy Study
Official Title:   Phase I Study of a DNA-Based Vaccine Targeting Prostatic Acid Phosphatase (PAP) in Patients With Stage D0 Prostate Cancer

Further study details as provided by University of Wisconsin, Madison:

Primary Outcome Measures:
  • Safety [ Time Frame: During study treatment and for 15 year follow-up ] [ Designated as safety issue: Yes ]

Secondary Outcome Measures:
  • Efficacy: Immune Response and PSA response [ Time Frame: During treatment and one year follow-up ] [ Designated as safety issue: No ]

Enrollment:   22
Study Start Date:   March 2005
Estimated Study Completion Date:   August 2008
Estimated Primary Completion Date:   August 2008 (Final data collection date for primary outcome measure)

Arms Assigned Interventions
Cohort Level 1: Experimental
pTVG-HP (dose 1: 100 μg) with rhGM-CSF (200 μg); administered i.d. biweekly for 6 total doses
Biological: pTVG-HP with rhGM-CSF
pTVG-HP (dose 1: 100 μg) with rhGM-CSF (200 μg); administered i.d. biweekly for 6 total doses
Cohort Level 2: Experimental
pTVG-HP (dose 2: 500 μg) with rhGM-CSF (200 μg); administered i.d. biweekly for 6 total doses
Biological: pTVG-HP with rhGM-CSF
pTVG-HP (dose 2: 500 μg) with rhGM-CSF (200 μg); administered i.d. biweekly for 6 total doses
Cohort Level 3: Experimental
pTVG-HP (dose 3: 1,500 μg) with rhGM-CSF (200 μg); administered i.d. biweekly for 6 total doses
Biological: pTVG-HP with rhGM-CSF
pTVG-HP (dose 3: 1,500 μg) with rhGM-CSF (200 μg); administered i.d. biweekly for 6 total doses

Detailed Description:

The purpose of this research is to determine the safety of serial intradermal vaccinations of a DNA vaccine encoding human PAP, with GM-CSF as a vaccine adjuvant, in subjects with stage D0 prostate cancer. In addition, to determine whether PAP-specific IFNУ-secreting CD8+ T cells can be augmented in subjects with stage D0 prostate cancer by means of immunization with a plasmid DNA vaccine encoding PAP.

This is a phase I/II design where patients will receive the vaccine pTVG-HP with rhGM-CSF administered i.d. biweekly for 6 total doses. There will be three escalating dose cohorts. The dosing cohort considered to be the maximum tolerated dose level will be expanded up to a total of 16 patients.

  Eligibility
Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Male
Accepts Healthy Volunteers:   No

Criteria

Inclusion Criteria:

  • Must have histologic diagnosis of adenocarcinoma of the prostate
  • Must have completed local therapy by surgery and/or ablative radiation therapy at least 2 months prior to entry.
  • Must have clinical stage D0 disease defined by the following: In patients treated by surgery, serum PSA values must be > 2 ng/ml by two measurements at least two weeks apart. In patients treated with ablative radiation therapy, three consecutive increases in serum PSA must be documented, with at least a one month interval between values with the finalPSA > 2ng/ml.
  • Prior history of a second malignancy is allowed if treated with curative intent disease free for > 5 years.
  • Karnofsky performance score of > 70

Exclusion Criteria:

  • No evidence of immunosuppression or have been treated with immunosuppressive therapy, such as chemotherapy, chronic treatment dose corticosteroids (greater than the equivalent of 10 mg prednisone per day), or radiation therapy to >30% of the bone marrow, within 6 months of the first vaccination.
  • Must not be on concurrent androgen ablative (hormonal) therapy, or must have completed this therapy at least one month prior to study entry.
  • Must not have demonstrated PSA progression during any prior hormonal therapy or chemotherapy.
  • Must not have known evidence of bone metastases or non-regional lymph node involvement (stage D2 disease) as determined by bone scan or CT scan. -Must not have been treated previously with another investigational anti- tumor vaccine.
  Contacts and Locations

Please refer to this study by its ClinicalTrials.gov identifier: NCT00582140

Locations
United States, Wisconsin
University of Wisconsin    
      Madison, Wisconsin, United States, 53792

Sponsors and Collaborators
University of Wisconsin, Madison
Department of Defense

Investigators
Principal Investigator:     Douglas McNeel, MD     University of Wisconsin, Madison    
  More Information


Responsible Party:   University of Wisconsin ( Douglas McNeel MD/Principal Investigator )
Study ID Numbers:   HSC 2004-0365, CO04806, DOD-A-13390
First Received:   December 19, 2007
Last Updated:   December 19, 2007
ClinicalTrials.gov Identifier:   NCT00582140
Health Authority:   United States: Food and Drug Administration

Keywords provided by University of Wisconsin, Madison:
Prostate  
Cancer  
Stage D0  
Non-Metastatic  
Rising PSA  

Study placed in the following topic categories:
Prostatic Diseases
Genital Neoplasms, Male
Urogenital Neoplasms
Genital Diseases, Male
Prostatic Neoplasms

Additional relevant MeSH terms:
Neoplasms
Neoplasms by Site

ClinicalTrials.gov processed this record on October 31, 2008




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