The purpose of this study is to evaluate the safety of an investigational DNA vaccine, pTVG-HP, a plasmid DNA encoding human prostatic acid phosphatase (PAP), in combination with nivolumab, and the efficacy of this combination in decreasing serum Prostate-Specific Antigen (PSA) in patients with non-metastatic, non-castrate prostate cancer (clinical stage D0/M0).
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
19
Plasmid DNA vaccine encoding Prostatic Acid Phosphatase (PAP)
Nivolumab is a human programmed death receptor-1 (PD-1)-blocking antibody indicated for the treatment of patients with multiple different types of cancer.
Granulocyte-macrophage colony-stimulating factor (GM-CSF) is a growth factor that supports the survival, clonal expansion and differentiation of hematopoietic progenitor cells including dendritic antigen presenting cells.
University of Wisconsin Carbone Cancer Center
Madison, Wisconsin, United States
Number of Participants Who Experienced Adverse Events Grade 3 or Higher
Subjects will be evaluated at each visit by a review of systems based on the most recent version of the NCI common toxicity criteria. Safety and Tolerability of this intervention is defined as following: a toxicity rate p0 of at most 15% of Grade ≥ 3 toxicity events (CTCAE v.4.0) will be considered as acceptable while a toxicity rate p1=35% or more will be considered as unacceptably high. See Adverse Events Section for full summary of data.
Time frame: up to 48 weeks
Prostate-Specific Antigen (PSA) Complete Response (CR) Rate
A PSA CR will be defined as the percentage of participants with a serum PSA \<0.2 ng/mL and confirmatory PSA \<0.2 ng/mL at least 4 weeks later, as per Prostate Cancer Working Group 2 (PCWG2) recommendations. To qualify as a PSA CR, there must be no evidence of radiographic progression.
Time frame: up to 48 weeks
Metastasis-free Survival Rate
The 5-year metastasis-free survival will be determined by investigator review of radiographic studies (CT/MRI and bone scintigraphy) performed 5 years after study initiation in subjects who have not already met criteria for radiographic progression.
Time frame: Up to 5 years
Median Radiographic Progression-free Survival
All participants will undergo radiographic imaging prior to treatment and at 6-month intervals (or as clinically required). The appearance of lesions consistent with metastatic disease will be used to define radiographic progression.
Time frame: Up to 5 years
PSA Doubling Time
Post-treatment doubling time will be calculated from: 1) All PSA values obtained from the same clinical laboratory using the same PSA assay beginning with the PSA value at day 1 (week 0) and continuing until the end-of study (or month 24) value (PSADT 0-24). 2) All PSA values obtained from the same clinical laboratory using the same PSA assay beginning with the PSA value at day 85 (month 3) to the day 253 (month 9) value (PSADT 3-9).
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Time frame: Up to 2 years
PSA Response Rate (</= 50% of Baseline)
The percentage of participants with PSA values less than or equal to their baseline value after 2 year.
Time frame: Up to 2 years
Number of Participants Receiving GM-CSF as an Adjuvant After Week 4
GM-CSF is used as an adjuvant if the PSA at week 4 is higher than baseline.
Time frame: up to week 4