NCT02616185

Brief Summary

The study will evaluate the safety, pharmacokinetics and pharmacodynamics of increasing doses of a vaccine-based immunotherapy regimen for patients with prostate cancer.

Trial Health

57
Monitor

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
91

participants targeted

Target at P75+ for phase_1

Timeline
Completed

Started Dec 2015

Longer than P75 for phase_1

Geographic Reach
1 country

19 active sites

Status
terminated

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

November 24, 2015

Completed
2 days until next milestone

First Posted

Study publicly available on registry

November 26, 2015

Completed
1 month until next milestone

Study Start

First participant enrolled

December 30, 2015

Completed
5.2 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

February 23, 2021

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

February 23, 2021

Completed
2.7 years until next milestone

Results Posted

Study results publicly available

November 2, 2023

Completed
Last Updated

November 2, 2023

Status Verified

January 1, 2023

Enrollment Period

5.2 years

First QC Date

November 24, 2015

Results QC Date

January 18, 2022

Last Update Submit

January 18, 2023

Conditions

Outcome Measures

Primary Outcomes (4)

  • Number of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs)

    An AE was any untoward medical occurrence in a clinical investigation where participant administered a product; the event did not need to have a causal relationship with the treatment. A SAE was any untoward medical occurrence at any dose that resulted in death; was life threatening; required inpatient hospitalization or prolongation of existing hospitalization; resulted in persistent or significant disability/incapacity; resulted in congenital anomaly/birth defect. AEs included both SAEs and non-serious AEs.

    Baseline up to 6 months after End of Treatment (EOT; 52 months in maximum)

  • Number of Participants With AEs as Graded by National Cancer Institute Common Toxicity Criteria for Adverse Events Version 4.03 (NCI CTCAE v4.03) (Grade >= 3)

    An AE was any untoward medical occurrence in a clinical investigation participant administered a product; the event did not need to have a causal relationship with the treatment. Grades of AEs were defined by NCI CTCAE v 4.03. Grade 1=asymptomatic/mild symptoms, clinical or diagnostic observations only, intervention not indicated; Grade 2=minimal, local or noninvasive intervention indicated, limiting age-appropriate instrumental activity of daily living (ADL); Grade 3=severe or medically significant but not immediately life-threatening, hospitalization of prolongation of hospitalization indicated; disabling limiting self-care ADL; Grade 4=events with life-threatening consequences, urgent intervention indicated; Grade 5= death related to AE. Treatment-emergent adverse events occurred between first dose of study drug and up to 28 days after last dose that were absent before treatment or that worsened relative to pretreatment state.

    Baseline up to 6 months after EOT (52 months in maximum)

  • Number of Participants With AEs Leading to Discontinuation or Dose Reduction

    An AE was any untoward medical occurrence in a clinical investigation where participant administered a product; the event did not need to have a causal relationship with the treatment.

    Baseline up to 6 months after EOT (52 months in maximum)

  • Number of Participants With Dose-Limiting Toxicities (DLTs)

    The following AEs occurring in the first 28 days following the first AdC68 vaccination and not related to disease/progression were DLTs: (a) hematologic (Cohorts 1A to 3A and Cohorts 6A to 9A): Grade 3 neutropenia lasting \>7 days, febrile neutropenia, Grade \>=3 neutropenic infection, Grade \>=3 thrombocytopenia, Grade \>=3 anemia lasting \>7 days, Grade \>=3 lymphopenia lasting \>14 days; (b) non-hematologic (all cohorts): Grade \>=3 laboratory abnormalities either associated with symptoms or associated with worsening of an existing condition or that suggested a new disease process or that required additional active management, Grade \>=3 toxicities, Grade 3 flu like symptoms lasting \>3 days, fever of \>40.0 degree Celsius lasting \>3 days. Other clinically important or persistent toxicities at discretion of investigator and Pfizer.

    The first 28 days following the first AdC68 vaccination (on Cycle 1 Day 1)

Secondary Outcomes (37)

  • Number of Participants With Laboratory Abnormalities in Hematology (Grade 3 or 4)

    Baseline up to 6 months after EOT (52 months in maximum)

  • Number of Participants With Laboratory Abnormalities in Chemistry (Grade 3 or 4)

    Baseline up to 6 months after EOT (52 months in maximum)

  • Number of Participants With Laboratory Abnormalities in Urinalysis (Grade 3 or 4)

    Baseline up to 6 months after EOT (52 months in maximum)

  • Change From Baseline in T Cell Response to Prostate Specific Antigen (PSA) in Part A

    At screening; Cycle 1: at Day 1, Day 15, Day 29, Day 43, Day 71; Cycle 2: at Day 1, Day 29, and Day 99; at the EOT visit, and 2, 4 and 6 months after EOT.

  • Change From Baseline in T Cell Response to Prostate Stem Cell Antigen (PSCA) in Part A

    At screening; Cycle 1: at Day 1, Day 15, Day 29, Day 43, Day 71; Cycle 2: at Day 1, Day 29, and Day 99; at the EOT visit, and 2, 4 and 6 months after EOT.

  • +32 more secondary outcomes

Study Arms (1)

Dose Escalation

EXPERIMENTAL

PF-06753512

Biological: PF-06755992Biological: PF-06755990Device: TDS-IM Electroporation DeviceBiological: TremelimumabBiological: PF-06801591Biological: PF-06753512

Interventions

PF-06755992BIOLOGICAL

PF-06755992 will be administered on Day 1 of Cycles 1 and 2.

Also known as: AdC68
Dose Escalation
PF-06755990BIOLOGICAL

PF-06755990 will be administered using a device on Day 29, 57 and 85 of each cycle.

Also known as: pDNA
Dose Escalation

TDS-IM electroporation device and associated supplies will be used for PF-06755990 administration

Dose Escalation
TremelimumabBIOLOGICAL

PF-06753388 will be administered every 28 days.

Also known as: PF-06753388
Dose Escalation
PF-06801591BIOLOGICAL

PF-06801591 will be administered every 28 days.

Dose Escalation
PF-06753512BIOLOGICAL

Combination of adenovirus (AdC68) + plasmid DNA (pDNA) + tremelimumab

Also known as: VBIR-1 or PrCa VBIR
Dose Escalation

Eligibility Criteria

Age18 Years+
Sexmale(Gender-based eligibility)
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Histological or cytological diagnosis of prostate cancer
  • Adequate bone marrow, kidney and liver function
  • Hormone sensitive relapsing prostate cancer after definitive local therapy (biochemical relapse) OR
  • Failed prior therapy with a novel hormone (e.g. enzalutamide, abiraterone) with documented progressive disease (post-novel hormone therapy CRPC)

You may not qualify if:

  • ECOG performance status greater than or equal to 2
  • Concurrent immunotherapy for prostate cancer
  • History of or active autoimmune disorders (including but not limited to: myasthenia gravis, thyroiditis, pneumonitis, rheumatoid arthritis, multiple sclerosis, systemic lupus erythematosus, scleroderma) and other conditions that disorganize or alter the immune system.
  • History of inflammatory bowel disease.
  • Current use of any implanted electronic stimulation device
  • For biochemically relapsed patients, no concurrent use of ADT or orchiectomy and no known prior or current evidence of any metastatic involvement of distant organs
  • For post-novel hormone patients, no concurrent treatment with a secondary hormone (e.g. enzalutamide, abiraterone), no metastasis to the liver or brain

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (19)

Banner-University Medical Center Tucson

Tucson, Arizona, 85719, United States

Location

The University of Arizona Cancer Center-North Campus

Tucson, Arizona, 85719, United States

Location

Smilow Cancer Hospital at Yale-New Haven

New Haven, Connecticut, 06510, United States

Location

Smilow Cancer Hospital Phase 1 Unit

New Haven, Connecticut, 06511, United States

Location

National Institutes of Health Clinical Center

Bethesda, Maryland, 20892, United States

Location

GU Research Network

Omaha, Nebraska, 68130, United States

Location

Comprehensive Cancer Centers of Nevada

Las Vegas, Nevada, 89169, United States

Location

Garden State Urology

Morristown, New Jersey, 07960, United States

Location

Morristown Medical Center

Morristown, New Jersey, 07960, United States

Location

Garden State Urology

Rockaway, New Jersey, 07866, United States

Location

Garden State Urology

Whippany, New Jersey, 07981, United States

Location

Northwell Health

Lake Success, New York, 11042, United States

Location

Memorial Sloan-Kettering Cancer Center 53rd Street

New York, New York, 10022, United States

Location

Memorial Sloan Kettering Cancer Center

New York, New York, 10065, United States

Location

Memorial Sloan-Kettering Cancer Center, Sidney Kimmel Center

New York, New York, 10065, United States

Location

Duke University Medical Center

Durham, North Carolina, 27710, United States

Location

UPMC Hillman Cancer Center

Pittsburgh, Pennsylvania, 15232, United States

Location

Seattle Cancer Care Alliance

Seattle, Washington, 98109, United States

Location

University of Washington Medical Center

Seattle, Washington, 98195, United States

Location

Related Publications (1)

  • Autio KA, Higano CS, Nordquist L, Appleman LJ, Zhang T, Zhu XH, Babiker H, Vogelzang NJ, Prasad SM, Schweizer MT, Madan RA, Billotte S, Cavazos N, Bogg O, Li R, Chan K, Cho H, Kaneda M, Wang IM, Zheng J, Tang SY, Hollingsworth R, Kern KA, Petrylak DP. First-in-human, phase 1 study of PF-06753512, a vaccine-based immunotherapy regimen (VBIR), in non-metastatic hormone-sensitive biochemical recurrence and metastatic castration-resistant prostate cancer (mCRPC). J Immunother Cancer. 2023 Mar;11(3):e005702. doi: 10.1136/jitc-2022-005702.

Related Links

MeSH Terms

Conditions

Prostatic Neoplasms

Interventions

tremelimumab

Condition Hierarchy (Ancestors)

Genital Neoplasms, MaleUrogenital NeoplasmsNeoplasms by SiteNeoplasmsGenital Diseases, MaleGenital DiseasesUrogenital DiseasesProstatic DiseasesMale Urogenital Diseases

Limitations and Caveats

The study was terminated on 20 August 2020 by the sponsor. The decision to terminate this study was based on the results of a strategic evaluation of VBIR-1 within the current Pfizer oncology portfolio. This decision was not based on any safety or regulatory concerns with the treatment of participants with VBIR-1.

Results Point of Contact

Title
Pfizer ClinicalTrials.gov Call Center
Organization
Pfizer Inc.

Study Officials

  • Pfizer CT.gov Call Center

    Pfizer

    STUDY DIRECTOR

Publication Agreements

PI is Sponsor Employee
No
Restriction Type
OTHER
Restrictive Agreement
Yes

Study Design

Study Type
interventional
Phase
phase 1
Allocation
NA
Masking
NONE
Purpose
TREATMENT
Intervention Model
SEQUENTIAL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

November 24, 2015

First Posted

November 26, 2015

Study Start

December 30, 2015

Primary Completion

February 23, 2021

Study Completion

February 23, 2021

Last Updated

November 2, 2023

Results First Posted

November 2, 2023

Record last verified: 2023-01

Data Sharing

IPD Sharing
Will not share

Pfizer will provide access to individual de-identified participant data and related study documents (e.g. protocol, Statistical Analysis Plan (SAP), Clinical Study Report (CSR)) upon request from qualified researchers, and subject to certain criteria, conditions, and exceptions. Further details on Pfizer's data sharing criteria and process for requesting access can be found at: https://www.pfizer.com/science/clinical\_trials/trial\_data\_and\_results/data\_requests.

Locations