Immunotherapy With TG4010 in Patients With Advanced Non-Small Cell Lung Cancer
A Phase IIb Multicentric Controlled Study Evaluating the Therapeutic Vaccine TG4010(MVA-MUC1-IL2) as an Adjunct to Standard Chemotherapy in Advanced Non Small Cell Lung Cancer
1 other identifier
interventional
148
4 countries
23
Brief Summary
The primary Objective is to assess the efficacy of TG4010 combined to chemotherapy in comparison with chemotherapy alone in patients with advanced non small cell lung cancer.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_2
Started Dec 2005
Typical duration for phase_2
23 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
December 1, 2005
CompletedFirst Submitted
Initial submission to the registry
December 22, 2006
CompletedFirst Posted
Study publicly available on registry
December 25, 2006
CompletedPrimary Completion
Last participant's last visit for primary outcome
March 1, 2010
CompletedStudy Completion
Last participant's last visit for all outcomes
March 1, 2010
CompletedJuly 16, 2014
July 1, 2014
4.2 years
December 22, 2006
July 15, 2014
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Progression free survival at 6 months
6 months
Secondary Outcomes (4)
Response Rate according to WHO criteria
6 months
Time to progression
6 months
Overall survival
Quality of life
every 6 weeks
Study Arms (2)
Arm 1
EXPERIMENTALMVA-MUC1-IL2 in combination with 1st line Chemotherapy
Arm 2
ACTIVE COMPARATOR1st line Chemotherapy without a MVA-MUC1-IL2 combination
Interventions
MVA-MUC1-IL2: Dose of 10exp8 plaque forming units (pfu). Chemotherapy: Arm 1 and Arm 2 Intravenous CT: cisplatin (75mg/m² at Day 1) and gemcitabine (1250mg/m² at Days 1 and 8) every 3 weeks, for up to six cycles or until progressive disease, whichever occurred first.
Eligibility Criteria
You may qualify if:
- Histologically confirmed non-small cell carcinoma of the lung (adenocarcinoma, squamous cell carcinoma, or large cell carcinoma);
- Histological documentation of MUC1 antigen expression on the primary tumor or on metastasis, as defined by a positive staining by immuno-histo-chemistry in at least 25% of the tumor cells in the conditions described in the technical documentation of the monoclonal antibody;
- Patients will have stage IIIb "wet" (with pleural or pericardial effusion) or IV disease, with no prior systemic therapy for advanced disease except for adjuvant treatment. Prior surgery or radiation therapy aimed at local palliation or attempted local disease control is permitted;
- At least one measurable lesion by Computed Tomography (CT-scanner) according to WHO criteria (lesion accurately measured in two dimensions with longest diameter equal or greater to 10 mm with spiral CT scan);
- Adequate hematological, hepatic, and renal function:
- Hemoglobin \>= 10.0 g/dL; WBC \>= 3.0x10e9/L including neutrophils \>= 1.5x10e9/L and total lymphocytes count \>= 0.5x10e9/L; platelets count \>= 100x10e9/L;
- Bilirubin =\< 2x the upper limit of normal and serum transaminases =\< 3x the upper limit of normal;
- Glomerular Filtration Rate higher than 60 ml/mn according to Cockcroft formula;
- Performance status 0 or 1 on the ECOG scale (Appendix 2);
- Minimum estimated life expectancy of 4 months;
- Written informed consent from patient.
You may not qualify if:
- Concomitant brain metastases. If previous brain metastases were treated, the absence of evolution is to be demonstrated by the MRI or scanner performed at baseline;
- Prior history of other malignancy except basal cell carcinoma and intra-epithelial cervical cancer or other cancer with complete response since at least 5 years;
- History of any form of systemic therapy for advanced non-small cell cancer of the lung except for (neo)adjuvant treatment;
- Previous (within 4 weeks prior to day 1) or concomitant long term treatment with systemic steroids, immunosuppressive / immunomodulating drugs (e.g. Cyclosporine, corticoïds);
- Positive serology for HIV or HCV; positive antigens for hepatitis B;
- Serious concomitant medical disorder;
- Major surgery within 4 weeks prior to day 1;
- Patient with an organ allograft;
- Allergy to eggs;
- Participation in another experimental protocol during the study period, or within 4 weeks prior to day 1;
- Pregnancy at the entry or women who are breast feeding;
- Patient without adequate protection against pregnancy during the conduct of the study and for 3 months after the last injection of TG4010 and/or chemotherapy;
- History of substance abuse;
- Patient unable or unwilling to comply with the protocol requirements.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Transgenelead
Study Sites (23)
Centre Hospitalier Belfort-Montbeliard
Belfort, 90016, France
CHU, Service de Pneumologie
Besançon, 25000, France
Centre Hospitalier Général, Service de Pneumologie
Briey, 54151, France
Centre François Baclesse
Caen, 14076, France
Hôpital Pasteur - Service de médecine F- Pavillon 43
Colmar, 68000, France
Centre Oscar Lambret
Lille, 59020, France
Institut Paoli-Calmettes, Service d'oncologie médicale
Marseille, 13273, France
Centre Hospitalier Lyon Sud
Pierre-Bénite, 69495, France
CHRU Hôpital de Pontchaillou
Rennes, 35033, France
Hôpital Lyautey - Service de Pneumologie
Strasbourg, 67100, France
Centre Hospitalier de la Haute Saône, Service de Pneumologie - Allergologie
Vesoul, 70014, France
Lungenklinik Krankenhaus Merheim
Cologne, 51109, Germany
Asklepios Fachkliniken, Zentrum für Pneumonologie
Gauting, 82131, Germany
Thoraxklinik Heidelberg
Heidelberg, 69126, Germany
Klinikum Mannheim der Ruprecht-Karls
Mannheim, 68167, Germany
Klinikum Offenburg, Medizinische Klinik II
Offenburg, 77654, Germany
Fejér Megyei Szent György Kórház
Székesfehérvár, 8000, Hungary
Oddział II Chorób Płuc i Gruźlicy
Bialystok, 15-540, Poland
Kujawsko-Pomorskie Centrum Pulmonologii
Bydgoszcz, 85-326, Poland
Oddział Chemioterapii
Krakow, 31-826, Poland
Oddział III Chorób Płuc i Gruźlicy
Otwock, 05-400, Poland
Oddział Onkologii Klinicznej
Poznan, 60-569, Poland
Dolnośląskie Centrum
Wroclaw, 53-439, Poland
Related Publications (1)
Quoix E, Ramlau R, Westeel V, Papai Z, Madroszyk A, Riviere A, Koralewski P, Breton JL, Stoelben E, Braun D, Debieuvre D, Lena H, Buyse M, Chenard MP, Acres B, Lacoste G, Bastien B, Tavernaro A, Bizouarne N, Bonnefoy JY, Limacher JM. Therapeutic vaccination with TG4010 and first-line chemotherapy in advanced non-small-cell lung cancer: a controlled phase 2B trial. Lancet Oncol. 2011 Nov;12(12):1125-33. doi: 10.1016/S1470-2045(11)70259-5. Epub 2011 Oct 21.
PMID: 22019520RESULT
Related Links
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Elisabeth QUOIX, M.D.
Hôpital Lyautey, Service de Pneumologie
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
December 22, 2006
First Posted
December 25, 2006
Study Start
December 1, 2005
Primary Completion
March 1, 2010
Study Completion
March 1, 2010
Last Updated
July 16, 2014
Record last verified: 2014-07