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Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT00978913
Other study ID # AA 0914
Secondary ID
Status Completed
Phase Phase 1
First received September 16, 2009
Last updated August 18, 2015
Start date September 2009
Est. completion date May 2014

Study information

Verified date August 2015
Source Herlev Hospital
Contact n/a
Is FDA regulated No
Health authority Denmark: Danish Medicines Agency
Study type Interventional

Clinical Trial Summary

The primary aim of this study is to evaluate the toxicity of the vaccine and the combination of the vaccine and Cyclophosphamide, and to evaluate the immune response induced by the vaccine. The secondary aim is to investigate the clinical tumour response and duration of tumour and immune response.


Description:

Phase I trial. Single center study; patients will be referred to the study center from other institutions in Denmark. 14 patients will be included in this phase I trial DC vaccination regime consists of primary 6 biweekly intradermal injections with transfected dendritic cells, followed by monthly injections until progression; Cyclophosphamide is used as vaccine adjuvant.

Defined procedures are employed for generation of autologous dendritic cells for clinical application in a classified laboratory. Unmobilized leukapheresis will be used for isolation of large-scale mononuclear cells, and dendritic cells will be generated from monocytes by cytokine stimulation and transfected with mRNA encoding for hTERT, survivin and p53 if the tumour express p53. Frozen preparations of dendritic cells will be prepared using automated cryopreservation. Each patient will receive a minimum of 1x106 dendritic cells per treatment supplemented with Cyclophosphamide 50 mg twice a day every second week. Toxicity including autoimmunity will be evaluated using the Common Toxicity Criteria (CTC).


Recruitment information / eligibility

Status Completed
Enrollment 31
Est. completion date May 2014
Est. primary completion date August 2013
Accepts healthy volunteers No
Gender Both
Age group 18 Years and older
Eligibility Inclusion Criteria:

1. Histological verified metastatic breast cancer or malignant melanoma, in progression

2. = 18 years

3. the patient must be habil

4. Performance status = 1 on Zubrod-ECOG-WHO-scale

5. Leukocytes and platelets must be =normal. Hg = 6.0

6. creatinin must be normal

7. Liverparametre <2.5 x normal. Bilirubin <30

8. Expected survival > 3 months

9. Informed consent

11. At least one measurable lesion according to RECIST criteria.

Exclusion Criteria:

1. Indication for chemotherapy

2. Other malignancies

3. Brain metastases

4. severe medical condition

5. Acute/chronic infection with ex. HIV, hepatitis, tuberculose

6. Severe allergy

7. Autoimmune disease

8. Other treatment with immune suppressing agents, other anticancer agents or experimental drugs

9. Uncontrolled hypercalcemia.

Study Design

Endpoint Classification: Safety Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment


Related Conditions & MeSH terms


Intervention

Biological:
DC vaccine
DC vaccination, one vaccine biweekly

Locations

Country Name City State
Denmark Department of Oncology, Herlev University Hospital Herlev

Sponsors (1)

Lead Sponsor Collaborator
Inge Marie Svane

Country where clinical trial is conducted

Denmark, 

Outcome

Type Measure Description Time frame Safety issue
Primary to evaluate the toxicity of the vaccine in combination with Cyclophosphamide biweekly Yes
Secondary to investigate the clinical tumor response and the duration after 12 weeks No
Secondary to evaluate the duration of tumor and immunoresponse 3, 6, 9 months No
Secondary to evaluate immune response at 8 and 12 weeks No
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