Skip to content

Phase 2b Randomized Controlled Study of Tecemotide (L-BLP25) for Immunotherapy of NSCLC (Non-Small Cell Lung Cancer)

A Multicenter Phase IIb Randomised, Controlled Study of BLP25 Liposome Vaccine for Active Specific Immunotherapy of Non-Small Cell Lung Cancer

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00157209
Enrollment
171
Registered
2005-09-12
Start date
2000-08-31
Completion date
2012-07-31
Last updated
2015-11-18

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

Conditions

Carcinoma, Non-Small-Cell Lung, Lung Neoplasms

Brief summary

This is a prospective open label, controlled, randomized study to test the safety and efficacy of active specific immunotherapy with tecemotide (L-BLP25) for the treatment of subjects with Stage IIIB or Stage IV non-small cell lung cancer (NSCLC). To be eligible, subjects entering the trial will have to demonstrate either stable disease or a clinical response after first-line treatment (chemotherapy alone, or chemotherapy and radiotherapy) and have an Eastern Cooperative Oncology Group (ECOG) performance status of 0, 1 or 2. Following a 3 week washout period, subjects will be stratified by disease status (either Stage IIIB locoregional disease or Stage IIIB with malignant pleural effusion and Stage IV), and randomized to either best supportive care (BSC) plus tecemotide (L-BLP25) treatment or BSC alone.

Interventions

After receiving single low dose cyclophosphamide, subjects will receive 8 consecutive weekly subcutaneous vaccinations with 1000 microgram (mcg) of tecemotide (L-BLP25) at weeks 0, 1, 2, 3, 4, 5, 6 and 7 followed by maintenance vaccinations (1000 mcg of tecemotide (L-BLP25) at 6-week intervals, commencing at Week 13, until discontinuation from the study due to ECOG status of 4, participation in alternate trial, serious adverse event, or reasons that preclude assessment of clinical status in the opinion of the investigator, and in case of unavailability of study vaccine.

A single intravenous infusion of 300 milligram per square meter (mg/m\^2) (to a maximum 600 mg) of cyclophosphamide will be given 3 days before the first vaccine treatment.

OTHERBest Supportive Care (BSC)

The BSC will be provided at the investigator's discretion, and may include palliative radiation, psychosocial support, analgesics and nutritional support. Second-line chemotherapy is permitted when indicated for treatment of progressive disease.

Sponsors

Merck KGaA, Darmstadt, Germany
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE

Eligibility

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

Inclusion criteria

* Stage IIIB or Stage IV NSCLC * Stable disease or a clinical response following first-line treatment, consisting of either chemotherapy alone or chemotherapy and radiotherapy. Subjects must have completed the first-line treatment at least 3 weeks prior to study entry * Eastern Cooperative Oncology Group (ECOG) performance status of greater than or equal to (\>=) 2 * Ability to understand and willingness to sign a written informed consent * Other protocol-defined inclusion criteria could apply

Exclusion criteria

* Received immunotherapy within 4 weeks prior to study entry * Received immunosuppressive drugs within 3 weeks prior to study entry * Subjects with known brain metastases * Past or current history of neoplasm other than lung carcinoma, except for curatively treated non-melanoma skin cancer, in situ carcinoma of the cervix or other cancer curatively treated and with no evidence of disease for at least 5 years * Autoimmune disease or immunodeficiency * Clinically significant hepatic, renal or cardiac dysfunction * Subjects with clinically significant active infection * Pregnant or breast feeding women, women of childbearing potential, unless using effective contraception as determined by the investigator * Other protocol-defined

Design outcomes

Primary

MeasureTime frameDescription
Number of Participants With Treatment Emergent Adverse Events (TEAEs), Serious TEAEs, TEAEs Leading to Death, and TEAEs With Cancer and Leukemia Group B (CALGB) Toxicity Grade 3 or 4From the first dose of study drug administration until 30 days after the last dose of study drug administration or assessed until cut-off date (15 March 2006)An adverse event (AE) was defined as any new untoward medical occurrences/worsening of pre-existing medical condition, whether or not related to study drug. A serious AE was an AE that results in any of the following outcomes: death; life threatening; persistent/significant disability/incapacity; initial or prolonged inpatient hospitalization; congenital anomaly/birth defect. Treatment-emergent are events between first dose of study drug and up to 30 days after last dose that were absent before treatment or that worsened relative to pretreatment state. Number of participants with TEAEs, serious TEAEs, TEAEs leading to death, and TEAEs with CALGB toxicity Grade 3 or 4 were reported.
Overall Survival TimeTime from randomization to death or last day known to be alive, reported between day of first participant randomized that is, 08 August 2000, up to cut-off (15 March 2006)Time from randomization to death or last day known to be alive. Participants without event were censored at the last date known to be alive or at the clinical cut-off date (15 March 2006), whichever was earlier.

Secondary

MeasureTime frameDescription
Functional Assessment of Cancer Therapy (FACT-L) Questionnaire ScoreAt baseline, Week 4, Week 8 and then at 12 Week intervals beginning at week 19 until withdrawal/discontinuation from the study.Functional Assessment of Cancer Therapy - Lung cancer (FACT-L) is a valid instrument used to measure quality of life (QoL) in participants with cancer consisting of the 27-item FACT-General (G) and 9-item lung cancer subscale (LCS). FACT-G is organized into subscales: physical well-being (PWB)-7 items; social/family well-being (SWB)-7 items; emotional well-being (EWB)-6 items; functional well-being (FWB)-7 items. Each item uses a 5 point rating scale (0=not at all and 4=equals very much). FACT-L total score=4 subscales + LCS and ranges from 0 to 144. Higher scores indicate better QOL.
Number of Participants With Positive T-cell ProliferationTime from randomization until cut-off date (15 March 2006)T-cell proliferation assays were performed and the number of participants with positive mucinous glycoprotein 1 (MUC1) specific T-cell proliferative response were reported.
Number of Participants With Elevated CA27-29 Antigen LevelsStudy entry, Week 8CA 27-29 is a blood test used to monitor certain types of cancer. CA 27-29 is the name of an antigen, which is a substance that stimulates your body's defense system. CA27-29 antigen levels were determined on all participants and assessed the disease burden of participants at study entry, evaluated early recurrence, presence of residual disease, continued remission or poor prognosis.

Countries

Germany

Participant flow

Recruitment details

First/Last participant (informed consent): 08 August 2000/02 December 2002. Clinical data cut-off: 15 March 2006. Participants randomized at 17 centers in Canada and United Kingdom.

Pre-assignment details

A total of 437 participants were screened for eligibility and 171 participants were randomized.

Participants by arm

ArmCount
Tecemotide (L-BLP25) Plus Best Supportive Care (BSC)
A single intravenous infusion of 300 milligram per square meter (mg/m\^2) (to a maximum 600 mg) of cyclophosphamide was given 3 days before the first vaccine treatment. After receiving cyclophosphamide, participants received 8 consecutive weekly subcutaneous vaccinations with 1000 microgram (mcg) of tecemotide (L-BLP25) at Weeks 0, 1, 2, 3, 4, 5, 6, and 7 followed by maintenance vaccinations with 1000 mcg of tecemotide (L-BLP25) at 6-week intervals, commencing at Week 13, until discontinuation from study due to ECOG status of 4, participation in alternate trial, serious adverse event, or reasons that preclude assessment of clinical status in the opinion of investigator, and incase of unavailability of study vaccine. The Best Supportive Care (BSC) was provided at the investigator's discretion, and included palliative radiation, psychosocial support, analgesics and nutritional support as required. Second-line chemotherapy was permitted when indicated for treatment of progressive disease.
88
Best Supportive Care (BSC) Alone
The BSC was provided at the investigator's discretion, and included palliative radiation, psychosocial support, analgesics and nutritional support as required. Second-line chemotherapy was permitted when indicated for treatment of progressive disease.
83
Total171

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyOngoing at data cut-off100

Baseline characteristics

CharacteristicTecemotide (L-BLP25) Plus Best Supportive Care (BSC)Best Supportive Care (BSC) AloneTotal
Age, Continuous60.4 years
STANDARD_DEVIATION 10
58.7 years
STANDARD_DEVIATION 11.3
59.6 years
STANDARD_DEVIATION 10.7
Sex: Female, Male
Female
36 Participants40 Participants76 Participants
Sex: Female, Male
Male
52 Participants43 Participants95 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
— / —— / —
other
Total, other adverse events
88 / 8880 / 83
serious
Total, serious adverse events
29 / 8834 / 83

Outcome results

Primary

Number of Participants With Treatment Emergent Adverse Events (TEAEs), Serious TEAEs, TEAEs Leading to Death, and TEAEs With Cancer and Leukemia Group B (CALGB) Toxicity Grade 3 or 4

An adverse event (AE) was defined as any new untoward medical occurrences/worsening of pre-existing medical condition, whether or not related to study drug. A serious AE was an AE that results in any of the following outcomes: death; life threatening; persistent/significant disability/incapacity; initial or prolonged inpatient hospitalization; congenital anomaly/birth defect. Treatment-emergent are events between first dose of study drug and up to 30 days after last dose that were absent before treatment or that worsened relative to pretreatment state. Number of participants with TEAEs, serious TEAEs, TEAEs leading to death, and TEAEs with CALGB toxicity Grade 3 or 4 were reported.

Time frame: From the first dose of study drug administration until 30 days after the last dose of study drug administration or assessed until cut-off date (15 March 2006)

Population: Analysis population included all participants randomized in the study.

ArmMeasureGroupValue (NUMBER)
Tecemotide (L-BLP25) Plus Best Supportive Care (BSC)Number of Participants With Treatment Emergent Adverse Events (TEAEs), Serious TEAEs, TEAEs Leading to Death, and TEAEs With Cancer and Leukemia Group B (CALGB) Toxicity Grade 3 or 4TEAEs88 participants
Tecemotide (L-BLP25) Plus Best Supportive Care (BSC)Number of Participants With Treatment Emergent Adverse Events (TEAEs), Serious TEAEs, TEAEs Leading to Death, and TEAEs With Cancer and Leukemia Group B (CALGB) Toxicity Grade 3 or 4Serious TEAEs29 participants
Tecemotide (L-BLP25) Plus Best Supportive Care (BSC)Number of Participants With Treatment Emergent Adverse Events (TEAEs), Serious TEAEs, TEAEs Leading to Death, and TEAEs With Cancer and Leukemia Group B (CALGB) Toxicity Grade 3 or 4TEAEs leading to death13 participants
Tecemotide (L-BLP25) Plus Best Supportive Care (BSC)Number of Participants With Treatment Emergent Adverse Events (TEAEs), Serious TEAEs, TEAEs Leading to Death, and TEAEs With Cancer and Leukemia Group B (CALGB) Toxicity Grade 3 or 4TEAEs with CALGB toxicity Grade 3 or 442 participants
Best Supportive Care (BSC) AloneNumber of Participants With Treatment Emergent Adverse Events (TEAEs), Serious TEAEs, TEAEs Leading to Death, and TEAEs With Cancer and Leukemia Group B (CALGB) Toxicity Grade 3 or 4TEAEs with CALGB toxicity Grade 3 or 442 participants
Best Supportive Care (BSC) AloneNumber of Participants With Treatment Emergent Adverse Events (TEAEs), Serious TEAEs, TEAEs Leading to Death, and TEAEs With Cancer and Leukemia Group B (CALGB) Toxicity Grade 3 or 4TEAEs80 participants
Best Supportive Care (BSC) AloneNumber of Participants With Treatment Emergent Adverse Events (TEAEs), Serious TEAEs, TEAEs Leading to Death, and TEAEs With Cancer and Leukemia Group B (CALGB) Toxicity Grade 3 or 4TEAEs leading to death20 participants
Best Supportive Care (BSC) AloneNumber of Participants With Treatment Emergent Adverse Events (TEAEs), Serious TEAEs, TEAEs Leading to Death, and TEAEs With Cancer and Leukemia Group B (CALGB) Toxicity Grade 3 or 4Serious TEAEs34 participants
Primary

Overall Survival Time

Time from randomization to death or last day known to be alive. Participants without event were censored at the last date known to be alive or at the clinical cut-off date (15 March 2006), whichever was earlier.

Time frame: Time from randomization to death or last day known to be alive, reported between day of first participant randomized that is, 08 August 2000, up to cut-off (15 March 2006)

Population: Analysis population included all randomized participants.

ArmMeasureValue (MEDIAN)
Tecemotide (L-BLP25) Plus Best Supportive Care (BSC)Overall Survival Time17.2 months
Best Supportive Care (BSC) AloneOverall Survival Time13.0 months
p-value: 0.04595% CI: [0.533, 1.042]Log Rank
Secondary

Functional Assessment of Cancer Therapy (FACT-L) Questionnaire Score

Functional Assessment of Cancer Therapy - Lung cancer (FACT-L) is a valid instrument used to measure quality of life (QoL) in participants with cancer consisting of the 27-item FACT-General (G) and 9-item lung cancer subscale (LCS). FACT-G is organized into subscales: physical well-being (PWB)-7 items; social/family well-being (SWB)-7 items; emotional well-being (EWB)-6 items; functional well-being (FWB)-7 items. Each item uses a 5 point rating scale (0=not at all and 4=equals very much). FACT-L total score=4 subscales + LCS and ranges from 0 to 144. Higher scores indicate better QOL.

Time frame: At baseline, Week 4, Week 8 and then at 12 Week intervals beginning at week 19 until withdrawal/discontinuation from the study.

Population: Analysis population included all the participants with a baseline and at least one post-baseline complete FACT-L questionnaire. n signifies number of participants evaluable at each timepoint for this outcome measure, for each reporting group, respectively.

ArmMeasureGroupValue (MEAN)Dispersion
Tecemotide (L-BLP25) Plus Best Supportive Care (BSC)Functional Assessment of Cancer Therapy (FACT-L) Questionnaire ScoreBaseline (n=88, 78)109.3 Units on a scaleStandard Deviation 14.8
Tecemotide (L-BLP25) Plus Best Supportive Care (BSC)Functional Assessment of Cancer Therapy (FACT-L) Questionnaire ScoreWeek 4 (n=86, 75)109.4 Units on a scaleStandard Deviation 15.9
Tecemotide (L-BLP25) Plus Best Supportive Care (BSC)Functional Assessment of Cancer Therapy (FACT-L) Questionnaire ScoreWeek 8 (n=84, 73)108.1 Units on a scaleStandard Deviation 16.1
Tecemotide (L-BLP25) Plus Best Supportive Care (BSC)Functional Assessment of Cancer Therapy (FACT-L) Questionnaire ScoreWeek 19 (n=54, 55)108.2 Units on a scaleStandard Deviation 14.9
Tecemotide (L-BLP25) Plus Best Supportive Care (BSC)Functional Assessment of Cancer Therapy (FACT-L) Questionnaire ScoreWeek 31(n=34, 36)110.1 Units on a scaleStandard Deviation 14.7
Tecemotide (L-BLP25) Plus Best Supportive Care (BSC)Functional Assessment of Cancer Therapy (FACT-L) Questionnaire ScoreWeek 43 (n=31, 20)110.3 Units on a scaleStandard Deviation 17.4
Best Supportive Care (BSC) AloneFunctional Assessment of Cancer Therapy (FACT-L) Questionnaire ScoreWeek 31(n=34, 36)103.5 Units on a scaleStandard Deviation 19.6
Best Supportive Care (BSC) AloneFunctional Assessment of Cancer Therapy (FACT-L) Questionnaire ScoreBaseline (n=88, 78)106.4 Units on a scaleStandard Deviation 15.6
Best Supportive Care (BSC) AloneFunctional Assessment of Cancer Therapy (FACT-L) Questionnaire ScoreWeek 19 (n=54, 55)100.1 Units on a scaleStandard Deviation 20.6
Best Supportive Care (BSC) AloneFunctional Assessment of Cancer Therapy (FACT-L) Questionnaire ScoreWeek 4 (n=86, 75)104.1 Units on a scaleStandard Deviation 17
Best Supportive Care (BSC) AloneFunctional Assessment of Cancer Therapy (FACT-L) Questionnaire ScoreWeek 43 (n=31, 20)111.6 Units on a scaleStandard Deviation 12.8
Best Supportive Care (BSC) AloneFunctional Assessment of Cancer Therapy (FACT-L) Questionnaire ScoreWeek 8 (n=84, 73)101.6 Units on a scaleStandard Deviation 17.5
Secondary

Number of Participants With Elevated CA27-29 Antigen Levels

CA 27-29 is a blood test used to monitor certain types of cancer. CA 27-29 is the name of an antigen, which is a substance that stimulates your body's defense system. CA27-29 antigen levels were determined on all participants and assessed the disease burden of participants at study entry, evaluated early recurrence, presence of residual disease, continued remission or poor prognosis.

Time frame: Study entry, Week 8

Population: Analysis population included all randomized participants. n signifies number of participants evaluable at each timepoint for this outcome measure, for each reporting group, respectively.

ArmMeasureGroupValue (NUMBER)
Tecemotide (L-BLP25) Plus Best Supportive Care (BSC)Number of Participants With Elevated CA27-29 Antigen LevelsStudy entry (n=84, 82)21 participants
Tecemotide (L-BLP25) Plus Best Supportive Care (BSC)Number of Participants With Elevated CA27-29 Antigen LevelsWeek 8 (n=82, 71)20 participants
Best Supportive Care (BSC) AloneNumber of Participants With Elevated CA27-29 Antigen LevelsStudy entry (n=84, 82)21 participants
Best Supportive Care (BSC) AloneNumber of Participants With Elevated CA27-29 Antigen LevelsWeek 8 (n=82, 71)18 participants
Secondary

Number of Participants With Positive T-cell Proliferation

T-cell proliferation assays were performed and the number of participants with positive mucinous glycoprotein 1 (MUC1) specific T-cell proliferative response were reported.

Time frame: Time from randomization until cut-off date (15 March 2006)

Population: Analysis population included all randomized participants. N signifies total number of participants who were evaluable for this measure. T-cell measure was done only on arm A where subjects received tecemotide for induction of t-cell response. Therefore arm B BSC did not have any samples taken for this assessment.

ArmMeasureValue (NUMBER)
Tecemotide (L-BLP25) Plus Best Supportive Care (BSC)Number of Participants With Positive T-cell Proliferation16 participants

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