Clinical trial NCT02405221: Safety and Feasibility of TA-CIN Vaccine in HPV16 Associated Cervical Cancer
Official title: A Pilot Clinical Trial Assessing the Safety and Feasibility of Intramuscular Administration of the TA-CIN Vaccine as Adjuvant Therapy for Patients With History of HPV16 Associated Cervical Cancer
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: PHASE1
Conditions: HPV16 Associated Cervical Cancer
Keywords: HPV
HPV16
Cervical Cancer
TA-CIN
Vaccine
Adjuvant
Nickles FaderPI
Lead sponsor: Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins
Sponsor class: OTHER
Collaborators: name: National Cancer Institute (NCI)
name: PapiVax Biotech, Inc.
First posted: 2015-04-01
Enrollment: 14
Sex: FEMALE
Minimum age (years): 18
Maximum age (years): 100
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: SINGLE_GROUP
Primary purpose: TREATMENT

Brief summary: This study will be looking at what dose of the TA-CIN vaccine is safe and effective in patients with a history of HPV16-associated cervical cancer.

Detailed description: This is a randomized, multi-center, open label pilot study. The primary goal of this study is to determine the safety of TA-CIN vaccine as adjuvant therapy, and to assess evidence of induction of HPV antigen-specific immunologic response when administered at different locations (arm or thigh). In this pilot study, a single dose level (100µg) assessment of the safety and tolerability of administering TA-CIN vaccine three times to either the arm versus the thigh of patients who have previously been treated for HPV16-related cervical cancer in the past year and are documented to have no evidence of disease recurrence based on standard-of-care imaging and/or clinical assessment upon eligibility.

A total of 14 patients will be enrolled to assess the safety of TA-CIN vaccine via different injection sites as adjuvant therapy. Safety assessments will continue for a period for 1 month after the last vaccination. Few or no serious adverse events (SAEs) are expected from this regimen and routes of administration. The motivation for the design is to confirm that the dose and site of injection implemented here has minimal or no systemic toxicity, as well as determining the preferred injection site that can elicit more potent immune response.

The study will consist of the following parts:

* Screening evaluation
* Dosing period and response assessments
* Follow-up visits after last dose

Screening Evaluation:

The screening visit will be performed within 60 days of the first study drug administration visit. The study team will check the results of these screening tests to see if patient qualifies to participate.

Dosing Period:

Those who meet the study requirements during the screening period will then begin the dosing phase of this study. TA-CIN will be given as a single intramuscular injection every 4 weeks for a maximum of 3 times. The location of the injection (arm or thigh) will depend on randomization. Patients will be assessed for safety and response to treatment during this period.

Follow-Up Period:

Four follow-up evaluations will be performed during a clinic visit after the last dose of the vaccine. These will take place at the following time points: (1) 1-3 weeks after the last dose of the study drug, (2) about 6 months after the last dose of the study drug, (3) about 12 months after the last dose of the study drug, and (4) about 24 months after the last dose of the study drug.

Eligibility criteria: Inclusion Criteria:

1. Patients with HPV16 related stage IB1-IV cervical cancer who completed definitive treatment within 12 months
2. Patients with no evidence of disease recurrence within 8 weeks of enrollment
3. Documented to have HPV16 nucleic acid within the cervical tumor specimen as determined by in situ hybridization
4. Fresh-frozen or paraffin-embedded material must be available for in situ hybridization testing for HPV16 nucleic acid for central confirmation
5. Eastern Cooperative Oncology Group (ECOG) Performance Status of 0 to 1
6. Adequate organ function as defined by study-specified laboratory tests
7. Ability to understand and willingness to sign a written informed consent document
8. Willing and able to comply with study schedule and other protocol requirements

Exclusion Criteria:

1. Currently have or have history of certain study-specified heart, liver, kidney, lung, neurological, immune or other medical conditions
2. Patients with a diagnosis of immunosuppression or prolonged, active use of immunosuppressive agents such as systemic steroids
3. Prior HPV vaccination
4. Had surgery, chemotherapy, or radiation therapy within 28 days prior to receiving study drug
5. Another investigational product within 28 days prior to receiving study drug
6. Active or chronic HIV, HBV, or HCV infection
7. Pregnant or lactating
8. Patients who have an active autoimmune disease
9. Patients with a recognized immunodeficiency disease or are being chronically treated with immunosuppressive drugs
10. Women of childbearing potential
11. Patients with non-healed wounds
12. A history of current or recent concurrent malignancy (≤5 years) except basal cell cancer.
13. Inability to understand or unwillingness to sign an informed consent document

Primary outcomes:
measure: Safety and feasibility as assessed by Number of Participants with treatment-related Adverse Events
timeFrame: 4 years
Secondary outcomes:
measure: Antibody Response as measured by level of circulating antibody in peripheral blood
timeFrame: up to 4 years
measure: T-Cell Response as measured by level of circulating T-cells in peripheral blood
timeFrame: up to 4 years
measure: Mononucleocyte Response
timeFrame: up to 4 years
Other outcomes:
measure: Circulating HPV16 E6-/E7-specific CD8+ T cells
timeFrame: up to 4 years
measure: Levels of HPV-specific neutralizing antibodies
timeFrame: up to 4 years
measure: Residual HPV16 Viral Load
timeFrame: 4 years
measure: Clinical Response as measured by Time to Disease Recurrence
timeFrame: 4 years
Locations:
city: Birmingham
country: United States
facility: Women & Infants Center, University of Alabama at Birmingham
state: Alabama
city: Baltimore
country: United States
facility: Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins
state: Maryland
Study officials:
affiliation: Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins
name: Stéphanie Gaillard, MD
role: PRINCIPAL_INVESTIGATOR
References: