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Vaccine Therapy Plus Biological Therapy in Treating Patients With Prostate Cancer

Vaccination Of Prostate Cancer Patients With A Bivalent Vaccine Containing MUC-2 Glycopeptide And Globo H Conjugates: A Dose-Escalating Trial Studying The Immunogenicity And Safety Of The Immunological Adjuvant GPI-0100

Status
Completed
Phases
Phase 1
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00016146
Enrollment
34
Registered
2003-01-27
Start date
2000-07-31
Completion date
2009-03-31
Last updated
2013-03-19

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Prostate Cancer

Keywords

recurrent prostate cancer

Brief summary

RATIONALE: Vaccines may make the body build an immune response to kill tumor cells. Biological therapies use different ways to stimulate the immune system and stop cancer cells from growing. Combining vaccine therapy with biological therapy may kill more tumor cells. PURPOSE: Phase I trial to study the effectiveness in combining vaccine therapy and biological therapy in treating patients who have relapsed prostate cancer.

Detailed description

OBJECTIVES: * Determine the optimal (in terms of antibody response) and safe dose range of glycosylated MUC-2-Globo H-KLH conjugate vaccine with adjuvant GPI-0100 in patients with biochemically relapsed prostate cancer. * Assess post-immunization changes in prostate-specific antigen levels and other objective parameters of disease in these patients. OUTLINE: This is a dose-escalation study of GPI-0100. Patients receive glycosylated MUC-2-Globo H-KLH conjugate vaccine with adjuvant GPI-0100 subcutaneously weekly on weeks 0-2, 6, 14, and 26 in the absence of unacceptable toxicity or disease progression. Cohorts of 5 patients receive escalating doses of GPI-0100 until the optimal dose, based on antibody response, is reached. Patients are followed every 3 months.

Interventions

Sponsors

National Cancer Institute (NCI)
CollaboratorNIH
Memorial Sloan Kettering Cancer Center
Lead SponsorOTHER

Study design

Allocation
NON_RANDOMIZED
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
MALE
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

DISEASE CHARACTERISTICS: * Histologically confirmed prostate cancer * Biochemically progressive disease after primary surgery or radiotherapy with or without neoadjuvant androgen ablation * Greater than 50% increase in PSA level above baseline value of 1.0 ng/mL post-prostatectomy or 2.0 ng/mL post-radiotherapy, based on 3 successive determinations taken at 2-week intervals * Patients with prior intermittent hormonal therapy and non-castrate levels of testosterone are eligible * Evaluable disease * No radiographic evidence of metastasis * No active CNS or epidural tumor * No soft tissue and/or bone disease * No androgen-independence with no evidence of radiographic disease * May not be symptomatic or anticipated to develop symptoms within 6 months of study entry * Concurrent registration to protocol MSKCC-90-040 required PATIENT CHARACTERISTICS: Age: * 18 and over Performance status: * Karnofsky 70-100% Life expectancy: * At least 6 months Hematopoietic: * WBC at least 3,500/mm\^3 * Platelet count at least 100,000/mm\^3 Hepatic: * Bilirubin less than 2.0 mg/dL OR * SGOT less than 3 times upper limit of normal Renal: * Creatinine no greater than 2.0 mg/dL OR * Creatinine clearance at least 40 mL/min Cardiovascular: * No clinically significant cardiac disease (New York Heart Association class III or IV) Pulmonary: * No severe debilitating pulmonary disease Other: * No other prior malignancy within the past 5 years except nonmelanoma skin cancer * No positive stool guaiac except hemorrhoids or history of documented radiation-induced proctitis * No narcotic-dependent pain * No infection requiring antibiotics * No requirement for immunosuppressive therapy * No allergy to seafood PRIOR CONCURRENT THERAPY: Biologic therapy: * Not specified Chemotherapy: * At least 4 weeks since prior chemotherapy Endocrine therapy: * See Disease Characteristics * At least 2 weeks since change in hormonal therapy (except to maintain castrate levels of testosterone), including prednisone or dexamethasone * At least 8 weeks since prior suramin and/or documented plasma concentration * of suramin is less than 50 micrograms/mL (replacement hydrocortisone allowed) Radiotherapy: * See Disease Characteristics * At least 4 weeks since prior radiotherapy * No concurrent radiotherapy to only measurable lesion Surgery: * See Disease Characteristics * No concurrent surgery of only measurable lesion Other: * Recovered from prior therapy * No other concurrent oncolytic agents * No concurrent immunosuppressive therapy

Design outcomes

Primary

MeasureTime frame
safety2 years

Secondary

MeasureTime frame
immune function2 years

Countries

United States

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026