Title

INVAC-1 Anti-Cancer hTERT DNA Immunotherapy
A First in Human Phase I Study of INVAC-1 as a Single Agent in Patients With Advanced Cancer
  • Phase

    Phase 1
  • Study Type

    Interventional
  • Status

    Completed No Results Posted
  • Intervention/Treatment

    invac-1 ...
  • Study Participants

    26
INVAC-1 is intended to be used for the treatment of adult patients with advanced solid tumors unresponsive to currently available therapies, or for whom no standard therapy is available.
This is the first-in-patient study of INVAC-1, a DNA vaccine encoding human telomerase reverse transcriptase (hTERT). hTERT is the catalytic subunit of the telomerase complex which synthesizes telomeric DNA at the chromosome ends. hTERT is overexpressed in most human tumors and virtually all types of cancers.

INVAC-1 is developed for cancer therapy. Stimulation of the immune system directed against telomerase expressing cancer cells has the potential to generate tumor responses.

The study is designed to evaluate the safety and pharmacodynamics (PD) of INVAC-1 administered alone by intradermal route to adults with solid tumor malignancies.

As shown in non-clinical studies, the efficacy of the vaccine is enhanced by electroporation, which thus will be combined with the vaccination in the present study.

The general clinical plan includes development of INVAC-1 in both hematologic malignancies and solid tumors, as a single agent and in combination with other targeted anticancer agents such as check-points inhibitors, radiotherapy or chemotherapies.
Study Started
Nov 30
2014
Primary Completion
Feb 28
2018
Study Completion
Jun 01
2018
Last Update
Feb 26
2019

Biological INVAC-1

intradermal injection combined with electroporation

INVAC-1 Experimental

INVAC-1 at escalating doses of 100, 400 and 800 µg will be given as a single agent by intradermal injection (Q 4 weeks x 3 cycles), always combined with electroporation. Each patient will receive 3 cycles, unless motivated treatment interruption.

Criteria

Inclusion Criteria:

Histological diagnosis of advanced/metastatic solid tumor malignancy
Relapsed or refractory to standard treatment and for whom standard curative options do not exist
Life-expectancy > 4 months
Age 18 years or older
Eastern Cooperative Oncology Group (ECOG) performance status ≤1
A delay of at least 3 weeks between last specific anticancer treatment and first INVAC-1 injection
Adequate skin status
Lack of biologically documented inflammation: C Reactive Protein < 15 mg/L
No medical history of auto-immune disease
Adequate bone marrow function
Total white cells count ≤ 10 x 109/L (≤ 10,000/µL),
Serum albuminemia > 30 g/L
Adequate renal function, with an estimated creatinine clearance ≥ 50 mL/min as calculated using the Cockroft & Gault method
Adequate liver function
Adequate cardiac function
Resolved acute effects of any prior therapy to baseline severity or Grade ≤ 1 CTCAE v. 4.03 except for Adverse Events not constituting a safety risk by investigator judgment
Lack of immune-suppressive drugs and of high-dose corticoid treatment within 8 weeks prior to entering the study (prednisone or prednisolone ≤ 10 mg/day is allowed)
Serum pregnancy test (for females of childbearing potential) negative within 7 days of first dose of study drug
Female patients must be surgically sterile or be postmenopausal, or must agree to use effective contraception during the period of the trial and for at least 90 days after completion of treatment. Male patients must be surgically sterile or must agree to use effective contraception during the period of the trial and for at least 90 days after completion of treatment. The decision of effective contraception will be based on the judgment of the principal investigator.
Provision of written informed consent indicating that the patient has been informed of all the pertinent aspects of the trial to be followed
Willingness and ability to comply with the study scheduled visits, treatment plans, laboratory tests and other procedures.

Exclusion Criteria:

Central Nervous System (CNS) primary or CNS metastatic malignancies
Prior allogeneic hematopoietic stem cell transplant
Chemotherapy, cancer immunosuppressive therapy, growth factors, systemic steroids, or investigational agents within 28 days before the first dose of study treatment
Prior therapy with a compound of the same mechanism (immunomodulation) in the last 90 days prior to first dose of study drug
Participation to a clinical trial of an experimental medication in the last 30 days prior to first dose of study drug
Major surgery within 28 days of starting study treatment
Radiation therapy within 28 days of starting study treatment
Autoimmune disorders (eg, Crohn's Disease, rheumatoid arthritis, scleroderma, systemic lupus erythematosus) and other diseases that compromise or impair the immune system.
Contra-indications to electroporation: cardiac pacemaker, any previous cardiac rhythm disorder, epilepsy.
Active and clinically significant bacterial, fungal or viral infection including hepatitis B (HBV), hepatitis C (HCV), known human immunodeficiency virus (HIV) or acquired immunodeficiency syndrome (AIDS)-related illness (HIV testing is not required).
Unstable or serious concurrent medical conditions in the previous 12 months.
Concurrent active malignancy other than non-melanoma skin cancer or carcinoma in situ of the cervix.
Patients who are pregnant or breastfeeding.
Other severe acute or chronic medical or psychiatric condition or laboratory abnormality.
Patients who are investigational site staff members or patients who are Invectys employees directly involved in the conduct of the trial.
No Results Posted