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Safety and Feasibility of TA-CIN Vaccine in HPV16 Associated Cervical Cancer

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

Status
Completed
Phases
Phase 1
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT02405221
Enrollment
15
Registered
2015-04-01
Start date
2019-04-04
Completion date
2025-01-31
Last updated
2026-01-29

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

Conditions

HPV16 Associated Cervical Cancer

Keywords

HPV, HPV16, Cervical Cancer, TA-CIN, Vaccine, Adjuvant, Nickles FaderPI

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.

Interventions

BIOLOGICALTA-CIN (arm)

TA-CIN vaccine 100µg IM in the arm at Week 1, 5, and 9.

BIOLOGICALTA-CIN (thigh)

TA-CIN vaccine 100µg IM in the arm at Week 1, 5, and 9.

Sponsors

Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins
Lead SponsorOTHER
National Cancer Institute (NCI)
CollaboratorNIH
PapiVax Biotech, Inc.
CollaboratorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
FEMALE
Age
18 Years to 100 Years
Healthy volunteers
No

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

Design outcomes

Primary

MeasureTime frameDescription
Safety and Feasibility as Assessed by Number of Participants With Treatment-related Adverse EventsUp to 24 months following the first dose of study vaccineSafety and feasibility of intramuscular TA-CIN vaccine via arm or thigh as assessed by number of participants with with a history of HPV16 associated IB1-IV cervical cancer experiencing treatment-emergent adverse events as defined by CTCAE v4.0.

Secondary

MeasureTime frameDescription
Antibody Response as Measured by Level of Circulating Antibody in Peripheral Bloodup to 4 yearsLevel of circulating antibody to HPV16 E6, E7, and L2 in the peripheral blood pre- and post-vaccination (visualized by ELISA).
T-Cell Response as Measured by Level of Circulating T-cells in Peripheral Bloodup to 4 yearsLevel of circulating HPV16 E6- and E7- specific CD8+ T cells and/or CD4+ T cells in the peripheral blood pre- and post-vaccination (visualized by ELISPOT)
Mononucleocyte Responseup to 4 yearsProliferative responses of peripheral blood mononucleocytes pre- and post-vaccination in response to stimulation by HPV16 E6, E7 and L2

Countries

United States

Contacts

PRINCIPAL_INVESTIGATORStéphanie Gaillard, MD

Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins

Baseline characteristics

Characteristic
Adjuvant Chemo Regimen
Cisplatin
3 Participants
Adjuvant Chemo Regimen
Cisplatin/Etoposide
1 Participants
Adjuvant Chemo Regimen
None
5 Participants
Adjuvant Radiation Site
Cervix
2 Participants
Adjuvant Radiation Site
No radiation
2 Participants
Adjuvant Radiation Site
Pelvis involved
6 Participants
Adjuvant Radiation Site
Syed brachytherapy
1 Participants
Age, Continuous58 years
Cervical Cancer Stage
IB
4 Participants
Cervical Cancer Stage
IIA/IIB
1 Participants
Cervical Cancer Stage
IIIC
1 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
7 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
Histology
Adenocarcinoma (ADC)
1 Participants
Histology
Small cell carcinoma + ADC
0 Participants
Histology
Squamous cell (SCC)
5 Participants
Histology Grade
Moderately differentiated
2 Participants
Histology Grade
Poorly differentiated
1 Participants
Histology Grade
Unknown/No comment
6 Participants
Histology Grade
Well-differentiated
2 Participants
Months from end of prior treatment until first vaccination6.5 months
Primary Site Disease
Cervix, NOS
4 Participants
Primary Site Disease
Endocervix
8 Participants
Prior Treatment
ChemoRadiation only
3 Participants
Prior Treatment
Surgery + ChemoRadiation
1 Participants
Prior Treatment
Surgery only
2 Participants
Prior Treatment
Surgery + Radiation
2 Participants
Race/Ethnicity, Customized
Race
Black
3 Participants
Race/Ethnicity, Customized
Race
Other
1 Participants
Race/Ethnicity, Customized
Race
White
6 Participants
Region of Enrollment
United States
8 Participants
Sex: Female, Male
Female
8 Participants
Sex: Female, Male
Male
0 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
0 / 80 / 7
other
Total, other adverse events
8 / 87 / 7
serious
Total, serious adverse events
1 / 80 / 7

Outcome results

None listed

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