This is a randomized, open-label, multi-site Phase II study of a personalized neoantigen DNA vaccine (GNOS-PV02) and plasmid encoded IL-12 (INO-9012) in subjects with histologically or cytologically confirmed diagnosis of HCC based on pathology report, who were eligible to undergo definitive resection, have demonstrated laboratory, radiographic and/or pathologic high-risk criteria for recurrence (described under eligibility), have no evidence of disease (NED) as per MRI approximately 28 days post resection, and are able to provide a tissue sample for personalized neoantigen DNA vaccine development.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
90
delivered by intradermal injection and electroporation
GNOS-PV02 + INO-9012 ID followed by electroporation
cytokine interleukin-12 (IL-12), a vaccine adjuvant
Emory University
Atlanta, Georgia, United States
NOT_YET_RECRUITINGLouisiana State University Health Sciences Center
New Orleans, Louisiana, United States
RECRUITINGJohns Hopkins University
Baltimore, Maryland, United States
RECRUITINGUniversity of Michigan
Ann Arbor, Michigan, United States
NOT_YET_RECRUITINGNew York Presbyterian Hospital-Columbia University Irving Medical Center
New York, New York, United States
NOT_YET_RECRUITINGIcahn School of Medicine at Mount Sinai
New York, New York, United States
RECRUITINGMD Anderson Cancer Center
Houston, Texas, United States
NOT_YET_RECRUITINGFred Hutchinson Cancer Center
Seattle, Washington, United States
NOT_YET_RECRUITINGAuckland City Hospital (Te Toka Tumai)
Auckland, New Zealand
RECRUITINGRecurrence-free survival
RFS is defined as the time from randomization to any recurrence (local, locoregional, regional or distant), occurrence of new primary HCC, as assessed by the investigator, or death due to any cause, whichever occurs first.
Time frame: Up to 5 years
Incidence of treatment emergent adverse events (safety and tolerability)
Summary adverse events according to CTCAE 6.0
Time frame: Up to 5 years
Time to extra-hepatic spread or macro-vascular invasion
Time to extra-hepatic spread or macro-vascular invasion (TTEHS/MVI)
Time frame: Up to 5 years
Overall survival
OS is defined as time from randomization to death of any cause
Time frame: Up to 5 years on study + 3 years follow up
RFS rate at 12, 18 and 24 months as assessed by the investigator
The proportion of patients who remain free from disease recurrence after treatment over a specified period
Time frame: Randomization up to 12 months, 18 and 24 months
RFS rate at 12, 18 and 24 months as assessed by the BIRC
The proportion of patients who remain free from disease recurrence after treatment over a specified period
Time frame: Randomization up to 12 months, 18 months and 24 months
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