* Open label * Enrollment in the order of confirmation of eligibility and HPV+ tumor status * Prospective stratification based on 3 factors, epidermal growth factor receptor (EGFR) mutation status, performance status and first-line induction chemotherapy outcome; * Randomization (2:1 ratio): (82 patients receiving the combination of pemetrexed plus ADXS11-001 vs. 42 patients receiving pemetrexed alone) * Treatment Arm: Pemetrexed plus ADXS11-001 immunotherapy * Control Arm: Pemetrexed only * Positive control: pemetrexed chemotherapy
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
ADXS11-001 is a live attenuated Listeria monocytogenes (Lm) bacteria bioengineered to secrete an antigen-adjuvant fusion protein (tLLO¬HPV-E7) consisting of a truncated fragment of the listeriolysin O (tLLO) fused to the full length E7 peptide of HPV-16.
Chemotherapy
Number of study participants with objective tumor response as assessed by Response Evaluation Criteria in Solid Tumors (RECIST), version 1.1 and Immune-Related Response Evaluation Criteria in Solid Tumors (irRECIST)
Time frame: 2 years
Number of study participants with progression free survival as assessed by Response Evaluation Criteria in Solid Tumors (RECIST), version 1.1 and Immune-Related Response Evaluation Criteria in Solid Tumors (irRECIST)
Time frame: 2 years
Distribution of overall response rate (ORR) as assessed by RECIST v1.1 and irRECIST
Time frame: 2 years
Distribution of duration of response (DR) as assessed by RECIST v1.1 and irRECIST
Time frame: 2 years
Distribution of disease stabilization (SD) as assessed by RECIST v1.1 and irRECIST
Time frame: 2 years
Distribution of overall survival (OS) as assessed by RECIST v1.1 and irRECIST
Time frame: 2 years
Frequency and severity of treatment related adverse events (AEs) as assessed by Common Terminology Criteria for Adverse Events (CTCAE) v4.03 for study participants on the combination arm
Time frame: 2 years
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