Phase 1
N=34
Evaluation of a New Anti-cancer Immunotherapy After Chemotherapy in Adult Patients With Acute Myeloid Leukemia (AML)
Leukaemia, Myelocytic, Acute
Bottom Line
View on ClinicalTrials.gov: NCT00725283 ↗Enrolled (actual)
34
Serious AEs
23.5%
Results posted
Aug 2018
Primary outcome: Primary: Number of Patients With Severe Toxicities — 1; 1; 1; 1 Participants
Study Design & Population
- Study type
- Interventional
- Phase
- Phase 1
- Interventions
- GSK Biologicals' recombinant WT1 Antigen-Specific Cancer Immunotherapeutic (ASCI) (Biological)
- Age
- Adult, Older Adult · 18+ yrs
- Sex
- All
- Sponsor
- GlaxoSmithKline
- Primary completion
- Jun 2016
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Number of Patients With Severe Toxicities |
1; 1; 1; 1; 1; 1 | — |
| PRIMARY Seropositivity Rates for Anti-Wilms Tumor Antigen 1 (WT1) Antibodies |
2; 6; 21; 24; 21; 21 | — |
| PRIMARY Concentrations for Anti-WT1 Antibodies |
4.8; 6.3; 145.3; 337.6; 313.4; 296.9 | — |
| PRIMARY Number of Patients With Anti-WT1 Antibody Response |
4; 20; 22; 19; 19; 17 | — |
| SECONDARY Number of Patients With Any Unsolicited Adverse Events |
33 | — |
| SECONDARY Number of Patients With Any Serious Adverse Events (SAEs) |
8 | — |
| SECONDARY Number of Patients With Serious Adverse Events Related to Study Treatment |
3 | — |
Summary
This study is being done to evaluate the safety of a WT1 Antigen-Specific Cancer Immunotherapeutic (WT1 ASCI) as post-consolidation therapy in adult patients with WT1-positive Acute Myeloid Leukemia in first complete remission. It will also be analyzed to what extent this treatment induces an immune response, specific to the malignancy.
Eligibility Criteria
Inclusion Criteria
- The patient has cytologically proven AML, as defined by the WHO classification. The pretreatment AML karyotype should be documented.
- The leukemia could be a de novo or secondary AML.
- The patient received induction and consolidation therapy according to the Institution's standard of care.
- The patient's blasts cells show expression of WT1 tran-script, detected by quantitative RT-PCR.
- The patient is in complete remission (i.e. CR1, CR2, …):
- Written informed consent has been obtained prior to the performance of any protocol-specific procedure.
- The patient is >= 18 years of age at the time of signature of the informed consent form.
- Eastern Cooperative Oncology Group performance status of 0, 1 or 2.
- Adequate hepatic and renal function defined as:
- Serum bilirubin 50 mL/min.
- 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 con-traception for 30 days prior to treatment administration, have a negative pregnancy test and continue such pre-cautions for two months after completion of the treatment administration series.
- In the view of the investigator, the patient can and will comply with the requirements of the protocol.
Exclusion Criteria
- The patient is in morphologic leukemia-free state or in morphologic complete remission with incomplete blood count recovery (CRi).
- The patient has acute promyelocytic leukemia with t(15;17)(q22;q12), (PML/RARα) or variants.
- The patient has received, or is receiving induction chemotherapy followed by Stem Cell Transplantation.
- The patient has (or has had) previous or concomitant malignancies, except effectively treated malignancy that is considered by the investigator highly likely to have been cured.
- The patient has hypercalcemia.
- The patient is known to be HIV-positive.
- The patient has symptomatic autoimmune disease such as, but not limited to multiple sclerosis, lupus, and in-flammatory bowel disease.
- The patient has a history of allergic reactions likely to be exacerbated by any component of the study investigational product.
- The patient has other concurrent severe medical prob-lems, 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 congestive heart failure, cor-onary artery disease or previous myocardial infarction.
- The patient has psychiatric or addictive disorders that may compromise his/her ability to give informed consent, or to comply with the study procedures.
- The patient has received any investigational or non-registered medicinal product other than the study medi-cation within 30 days preceding the first dose of study medication or plans to receive such a drug during the study period.
- The patient requires concomitant treatment with systemic corticosteroids or any other immunosuppressive agents. The use of prednisone, or equivalent, <0.5 mg/kg/day (absolute maximum 40 mg/day), or inhaled corticosteroids or topical steroids is permitted.
- The patient has received intravenous administration of antibiotics within 2 weeks prior to first study treatment or oral antibiotics within 1 week prior to first study treatment.
- For female patients: the patient is pregnant or lactating.
Data sourced from ClinicalTrials.gov (NCT00725283). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.