This is a single institution, open-label, single arm, study assessing the safety, feasibility, and immunogenicity of a personalized neoantigen-based vaccine in subjects with newly diagnosed, unmethylated glioblastoma.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
9
-The neoantigen DNA vaccines are also known as DNA plasmid vector expressing tumor-specific antigens.
CELLECTRA® 2000 Device is a system indicated for use to enhance the uptake and expression of plasmid-based biologics in order to enhance vaccine efficacy.
The INO-9012 vials will be supplied by Geneos Therapeutics
Washington University School of Medicine
St Louis, Missouri, United States
Safety and tolerability of a personalized neoantigen DNA vaccine as measured by dose-limiting toxicities (DLTs)
A DLT will be defined as any grade 3 toxicity or greater according to CTCAE v5 considered at least possibly related to study treatment. The DLT observation period begins with Cycle 1 Day 1 (date of first vaccine administration) and continues for 30 days
Time frame: Up to 30 days
Feasibility of generating a personalized neoantigen DNA vaccine for patients with newly diagnosed, unmethylated GBM as measured by the ability to identify candidate tumor-specific neoantigens
Time frame: 4 weeks post-completion of radiotherapy (day 1 of treatment regimen)
Feasibility of generating a personalized neoantigen DNA vaccine for patients with newly diagnosed, unmethylated GBM as measured by the ability to manufacture a neoantigen-based DNA vaccine
Time frame: 4 weeks post-completion of radiotherapy (day 1 of treatment regimen)
Feasibility of generating a personalized neoantigen DNA vaccine for patients with newly diagnosed, unmethylated GBM as measured by the ability to administer the vaccine to a patient
Time frame: 4 weeks post-completion of radiotherapy (day 1 of treatment regimen)
Immunogenicity of a personalized neoantigen DNA vaccine as measured by the ability to generate a measurable neoantigen-specific CD8 T cell response in vaccinated patients
Time frame: Week 10 post-vaccination
Immunogenicity of a personalized neoantigen DNA vaccine as measured by the number of individual neoantigens per number of neoantigens vaccinated against, with which a measurable CD8 T cell-specific response is identified
Time frame: Week 10 post-vaccination
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Number of high quality candidates neoantigens present in patients with newly diagnosed GBM
-High quality neoantigens will be defined as those that meet criteria for inclusion in a vaccine
Time frame: Week 24 post-vaccination
Progression-free survival (PFS) rate
* PFS=duration of time from start of treatment to time of progression or death, whichever occurs first. * Progression: any of the following * ≥ 25% increase in sum products of perpendicular diameters of enhancing lesions compared with the smallest tumor measurement obtained either at baseline or best response, on stable or increasing doses of corticosteroids\*. The absolute increase in any dimension must be at least 5mm when calculating the products. * Significant increase in T2/FLAIR nonenhancing lesion on stable/increasing doses of corticosteroids compared with baseline scan or best response after initiation of therapy\* not caused by comorbid events * New measureable lesion. * Clear clinical deterioration not attributable to other causes apart from the tumor (e.g. seizures, medication adverse effects, complications of therapy, cerebrovascular events, infection, and so on) or changes in corticosteroid dose.
Time frame: 6 months
Overall survival rate
Time frame: 12 months
Immunogenicity of a personalized neoantigen DNA vaccine as measured by T-cell phenotype, myeloid derived suppressor cell frequency by flow cytometry
Time frame: Week 24 post-vaccination
Immunogenicity of a personalized neoantigen DNA vaccine as measured by diversity of clonality from T cell receptor sequencing
Time frame: Week 24 post-vaccination
Immunogenicity of a personalized neoantigen DNA vaccine as measured by putative antigen specificity from T cell receptor sequencing
Time frame: Week 24 post-vaccination