This is a Phase 1/2, open label, multi-centre study to assess the safety, tolerability, PD, and efficacy of adjuvant immunotherapy EVX-02 vaccine and anti-PD-1 (Nivolumab) in patients who have had a complete resection of a Stage IIIB/IIIC/IIID or Stage IV melanoma who are at high risk of recurrence.
This study will be conducted in two parts: a safety, efficacy and PD response part using two different drug delivery methods and an expansion cohort. All patients will be administered with anti-PD-1 once every 4 weeks for up to 1 year commencing on Day 1 and with EVX-02 vaccine as soon as it is produced. Part 1 will consist of two cohorts: Cohort A: Will receive EVX- 02A delivered by delivery methodology 1. Cohort B: Will receive EVX- 02B delivered by delivery device 2. Part 2 (Cohort C) will be an expansion cohort. In this part, only one delivery methods, either EVX-02A or EVX-02B with will be used.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
15
Liverpool Hospital
Goulburn, New South Wales, Australia
Flinders Medical Centre
Adelaide, South Australia, Australia
Monash Medical Centre
Clayton, Victoria, Australia
Ballarat Health Services
Drummond, Victoria, Australia
Safety and tolerability (Incidence of Treatment-Emergent Adverse Events)
Measure through CTCAE version 5.0
Time frame: Measurements at Baseline through study completion, an average of 1 year
Safety and tolerability (Incidence of Treatment-Emergent Adverse Events) measure through Vital Sign- blood pressure
Measured by result of the Vital Sign- blood pressure
Time frame: Measurements at Baseline through study completion, an average of 1 year
Safety and tolerability (Incidence of Treatment-Emergent Adverse Events) measure through Vital Sign-heart rate
Measured by result of the Vital Sign- heart rate
Time frame: Measurements at Baseline through study completion, an average of 1 year
Safety and tolerability (Incidence of Treatment-Emergent Adverse Events) measure through Physical exam
Measured by result of the physical exam which includes general appearance, skin, eyes/ears/nose/throat, head and neck.
Time frame: Measurements at Baseline through study completion, an average of 1 year
Pharmacodynamic response (PD) of EVX-02 assessed by IFN-y ELISPOT
The pharmacodynamic (PD) response of EVX-02 will be assessed by detecting vaccine induced circulating neoepitope-specific T cells. Blood samples will be collected prior, during and after immunization and the immunotherapy induced T cell responses will be assayed by IFN-y ELISPOT.
Time frame: Measurements at Baseline through study completion, an average of 1 year
Pharmacodynamic response (PD) of EVX-02 assessed by MHC I multimer analysis
The pharmacodynamic (PD) response of EVX-02 will be assessed by detecting vaccine induced circulating neoepitope-specific T cells. Blood samples will be collected prior, during and after immunization. The samples will be analyzed by MHC I multimer analyses detecting neoepitope-recognizing CD8+ T cells reported as frequencies of positive cell out of CD8+ T cells.
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Peter Maccallum Cancer Centre
Melbourne, Victoria, Australia
Linear Cancer Trials
Nedlands, Western Australia, Australia
Time frame: Measurements at Baseline through study completion, an average of 1 year
Pharmacodynamic response (PD) of EVX-02 by intracellular cytokine staining and flow cytometry
The pharmacodynamic (PD) response of EVX-02 will be assessed by detecting vaccine induced circulating neoepitpe-specific T cells. Blood samples will be collected prior, during and after immunization. The samples will be analysed by flow cytometry to detect vaccine induced intracellular cytokine response, reported as frequencies of neoepitope-reactive CD4+ cells and CD8+ T cells.
Time frame: Measurements at Baseline through study completion, an average of 1 year
Efficacy measure through Relapse-free survival (RFS)
Measured by result of Relapse-free survival (RFS)
Time frame: Measurements at Baseline through study completion, an average of 1 year