DC Vaccination for Postremission Therapy in AML
Active Immunotherapy of Patients With Acute Myeloid Leukemia Using Autologous Dendritic Cells Transfected With RNA Encoding Leukemia-associated Antigens
1 other identifier
interventional
13
1 country
1
Brief Summary
The aim of this study is to determine the feasibility and safety of an autologous DC immunotherapy in patients with AML of non-favorable risk profile.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for phase_1
Started Nov 2013
Longer than P75 for phase_1
1 active site
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
First Submitted
Initial submission to the registry
October 17, 2012
CompletedFirst Posted
Study publicly available on registry
November 27, 2012
CompletedStudy Start
First participant enrolled
November 5, 2013
CompletedPrimary Completion
Last participant's last visit for primary outcome
March 31, 2018
CompletedStudy Completion
Last participant's last visit for all outcomes
September 30, 2018
CompletedOctober 12, 2018
October 1, 2018
4.4 years
October 17, 2012
October 10, 2018
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
% of grade I/II and grade III/IV toxicities
30 weeks
Secondary Outcomes (4)
Immune responses to applied antigens
30 weeks
Control of minimal residual disease
30 weeks
Time to progression of disease
30 weeks
ECOG performance status
30 weeks
Study Arms (1)
DC vaccination
EXPERIMENTALVaccination with TLR7/8-matured DCs electroporated with mRNA encoding WT1, PRAME, and CMVpp65
Interventions
Vaccination with TLR7/8-matured DCs electroporated with mRNA encoding WT1, PRAME, and CMVpp65
Eligibility Criteria
You may qualify if:
- Patients male or female, age ≥ 18 years, biological age ≤ 75 years
- Patients with AML of non-favorable risk profile or with AML and sole NPM1 mutation and confirmed increase of MRD load as detected by RQ-PCR (in two measurements at least four weeks apart)
- CR or CRi after intensive induction chemotherapy (TAD, HAM, sHAM, 3+7 anthracycline + cytarabine regimen, or equivalent)
- Negative HIV test, negative hepatitis B and C test
- Negative pregnancy test in women of childbearing potential
- Ability to understand and willingness to sign a written informed consent
You may not qualify if:
- Patients suitable for allogeneic HSCT (indication for allogeneic HSCT, adequate donor, no contraindication for allogeneic HSCT)
- Patients with AML with favorable risk profile:
- APL (AML M3)
- inv(16), t(16;16), or del(16) as sole anomaly
- t(8;21) as sole anomaly
- biallelic CEBPA mutation as sole anomaly
- NPM1 mutation as sole anomaly, unless with confirmed increase of MRD load
- Prior allogeneic HSCT
- Anemia (Hb \< 9,0 mg/dl)
- Leukopenia (\< 4,0 G/l)
- Transfusion refractory thrombocytopenia (\< 30 G/l platelets despite adequate number of transfusions)
- Active clinically relevant autoimmune disease
- Active immunodeficiency syndromes
- Known allergy to GM-CSF, TNF, IFN-γ, IL-4, IL-1 beta, PGE2, R848, Human AB Serum, DMSO, HSA
- Continuous therapy with corticosteroids or other immunosuppressive drugs during the trial
- +11 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Hospital of the University of Munich, LMU; Department od Medicine III
Munich, 81377, Germany
Related Publications (1)
Lichtenegger FS, Schnorfeil FM, Rothe M, Deiser K, Altmann T, Bucklein VL, Kohnke T, Augsberger C, Konstandin NP, Spiekermann K, Moosmann A, Boehm S, Boxberg M, Heemskerk MH, Goerlich D, Wittmann G, Wagner B, Hiddemann W, Schendel DJ, Kvalheim G, Bigalke I, Subklewe M. Toll-like receptor 7/8-matured RNA-transduced dendritic cells as post-remission therapy in acute myeloid leukaemia: results of a phase I trial. Clin Transl Immunology. 2020 Mar 3;9(3):e1117. doi: 10.1002/cti2.1117. eCollection 2020.
PMID: 32153780DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Marion Subklewe, PD Dr
Department of Medicine III; Hospital of the University of Munich,
Study Design
- Study Type
- interventional
- Phase
- phase 1
- Allocation
- NA
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Prof. Dr. med. Marion Subklewe
Study Record Dates
First Submitted
October 17, 2012
First Posted
November 27, 2012
Study Start
November 5, 2013
Primary Completion
March 31, 2018
Study Completion
September 30, 2018
Last Updated
October 12, 2018
Record last verified: 2018-10