UCPVAx is a therapeutic vaccine based on the telomerase-derived UCP designed to induce strong TH1 CD4 T cell responses in cancer patients. Three doses of UCPVax (0,25 mg, 0,5 mg and 1 mg) will be tested in this phase I/II study by using Continuous Reassessment Method (CRML) dose escalation design model. The phase I is a dose escalation study designed to evaluate safety of use of UCPVax and to estimate its Maximum Tolerated Dose (MTD). The phase II is a dose deescalation designed to evaluate the immunogenicity of UCPVax according to the dose level.
UCPVax study is a prospective multicenter phase I/II study: 54 patients with metastatic NSCLC will be enrolled in 5 centers in France. A translational research program will be performed to better define the eligibility criteria and predictive biomarkers needed for randomized phase II and Phase III trials.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
82
Centre Hospitalier Régional Universitaire de Besançon
Besançon, France
Centre Georges François Leclerc
Dijon, France
Hôpital Emile Muller
Mulhouse, France
St Louis Hospital
Paris, France
Dose Limiting Toxicity (DLT) of UCPVax (phase I)
The following adverse events graded according to CTCAE v 4.03 will be classified as DLTs : * Hematologic: * Grade 4 neutropenia (ANC \<0.5 x 109/L) lasting \>5 days; * Febrile neutropenia (defined as neutropenia ≥Grade 3 \[ANC \<1000 cells/mm3\] and a body temperature ≥38.5°C); * Grade ≥3 thrombocytopenia (\<50.0 - 25.0 x 109/L) with bleeding; * Grade 4 thrombocytopenia (\<25.0 x 109/L) \>5 days; * Grade 4 anemia (hemoglobin \<6.5 g/dL or 4.0 nmol/L); * Non-hematologic: o Grade ≥3 toxicities, except for alopecia and those grade 3 events that respond to treatment (eg. grade 3 nausea, vomiting, diarrhea that responds to standard medical supportive care within 48 hours will not be considered a DLT). * Immune system disorder: * Grade ≥2 allergic reaction (except for local reaction at the injection site : grade ≥ 3) * Grade ≥2 autoimmune disease (colitis, thyroidis…) * Grade ≥2 cytokine release syndrome (nausea, headache, tachycardia, hypotension, rash and shortness of breath)
Time frame: until day 57 after the first vaccination
Dose-related immunogenicity (phase II)
Antigen-specific T cell responses measured using IFN-gamma ELISPOT.
Time frame: at day 73
Tumor response
Tumor response evaluated per RECIST v1.1.
Time frame: every 8 weeks up to 15 months
Progression-free survival (PFS)
delay from the date of inclusion to the disease progression (RECIST) or death from any cause whichever occurs first,
Time frame: through study completion, an average of 2 years
Overall survival (OS)
delay from the date of inclusion to death from any cause.
Time frame: through study completion, an average of 2 years
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Hôpitaux Universitaires de Strasbourg
Strasbourg, France
Health related Quality of Life (QoL)
HrQoL will be assessed using EORTC QLQ-C30 and LC13 modules specific to lung cancer
Time frame: through study completion, an average of 2 years
Adverse Events according to NCI CTCAE v.4.03
Time frame: through study completion, an average of 2 years