Clinical Trials Logo

Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT00988559
Other study ID # J0866
Secondary ID P50CA0982521R21C
Status Completed
Phase Phase 1
First received
Last updated
Start date September 2009
Est. completion date July 2016

Study information

Verified date July 2018
Source Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

This study will test the efficacy and safety of different routes of administration of a DNA vaccine in patients with HPV16+ CIN2/3. Subjects will be enrolled in one of six treatment groups. Subjects enrolled in the first two groups will receive vaccination intradermally with a needle-free delivery device. Subjects enrolled in groups 3 and 4 will receive vaccination intramuscularly. Subjects enrolled in groups 5 and 6 will receive vaccine intralesionally.


Description:

Primary Objectives

- To evaluate the feasibility and toxicity of vaccination in women with CIN2/3 caused by HPV16

- To evaluate the effect of vaccination on histology

- To compare immunogenicity of three different routes of administration: intradermal (ID), intramuscular (IM), intralesional (IL).

Secondary Objectives:

- To evaluate changes in HPV viral load

- To evaluate the cellular immune response to vaccination

- To evaluate the humoral immune response to vaccination

- To evaluate local tissue immune response

- To correlate measures of immune response with clinical response

- To correlate measures of immune response with those observed in the preclinical model


Recruitment information / eligibility

Status Completed
Enrollment 132
Est. completion date July 2016
Est. primary completion date July 2016
Accepts healthy volunteers No
Gender Female
Age group 18 Years and older
Eligibility Inclusion Criteria:

- patients with high grade cervical intraepithelial lesions (CIN2/3)

- patients whose lesions are HPV16+

- patients who are age 18 or older

- patients who are able to give informed consent

- patients who are immunocompetent

- patients who are not pregnant, committed to using adequate contraception if of childbearing age

- patients who have a minimum hemoglobin level of 9

Exclusion Criteria:

- Patients with cytologic evidence of glandular dysplasia

- Patients with cytologic evidence of adenocarcinoma in situ

- Patients who are pregnant

- Patients with an active autoimmune disease

- Patients who are taking immunosuppressive medication

- Patients with concurrent malignancy except for nonmelanoma skin lesions

- Patients who have an allergy to gold.

- Patients with any evidence of damaged skin, or moles, scars, tattoos or marks at the proposed site(s) of administration that might interfere with the interpretation of local skin reactions.

- History or evidence of a physician-diagnosed chronic or recurrent inflammatory skin disease (e.g. psoriasis, eczema, atopic dermatitis, hypersensitivity) at the proposed site of administration in the past 5 years.

- Patients who have an active autoimmune disease or history of autoimmune disease requiring medical treatment with systemic immunosuppressants, including: inflammatory bowel disease, systemic vasculitis, scleroderma, psoriasis, multiple sclerosis, hemolytic anemic, or immune thrombocytopenia, rheumatoid arthritis, SLE, and Sjogren's syndrome, sarcoidosis. Asthma or COPD that does not require systemic corticosteroids or routine use of inhaled steroids is acceptable

- Patients who have received prior chrysotherapy (administration of gold salts to treat rheumatoid arthritis).

- Patients with a history of arterial or venous thrombosis

- Patients with non-healed wounds.

- Patients with a history of keloid formation ( ID delivery group only)

- Patients with a history of hepatitis B with persistent infection.

Study Design


Intervention

Biological:
DNA vaccination
vaccination with pNGVL4a-CRT/E7(detox)
Device:
Gene gun vaccine
8 micrograms (group 1) or 16 micrograms (group 2)
Biological:
intramuscular vaccination
1mg (group 3) or 3mg (group 4) of pNGVLra-CRT/E7(detox) administered intramuscularly
intra-lesional vaccine administration
1mg (group 5) or 3mg (group 6) of pNGVL4a-CRT/E7(detox)administered intra-lesionally
Procedure:
therapeutic resection of the lesion
at week 15, all residual lesions will be resected
Drug:
imiquimod
imiquimod applied to the cervix by the physician

Locations

Country Name City State
United States Johns Hopkins Bayview Medical Center Baltimore Maryland
United States Johns Hopkins Outpatient Center Baltimore Maryland
United States University of Alabama at Birmingham Birmingham Alabama

Sponsors (3)

Lead Sponsor Collaborator
Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins National Cancer Institute (NCI), National Institutes of Health (NIH)

Country where clinical trial is conducted

United States, 

Outcome

Type Measure Description Time frame Safety issue
Primary Number of Participants With Related Serious Adverse Events Presence of intervention-related serious adverse events as defined by CTCAE 9 months
Secondary Absence of CIN2/3 Lesion by Week 15 Number of participants with no CIN2/3 lesion at the week 15 visit 15 weeks
See also
  Status Clinical Trial Phase
Active, not recruiting NCT03669718 - A Randomized Phase 2 Study of Cemiplimab ± ISA101b in HPV16-Positive OPC Phase 2