NCT02649829

Brief Summary

In this multicenter phase I/II trial, dendritic cells (DCs) loaded with the mesothelioma-associated tumor antigen WT1 will be used in conjunction with conventional chemotherapy for the frontline treatment of malignant pleural mesothelioma (MPM). The general objective is to provide the first-in-human experimental demonstration that the combination of platinum/pemetrexed-based chemotherapy with WT1-targeted DC vaccination is feasible and safe and enables the induction of both systemic and in situ mesothelioma-specific immune responses in patients with MPM.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
28

participants targeted

Target at P25-P50 for phase_1

Timeline
Completed

Started Oct 2017

Longer than P75 for phase_1

Geographic Reach
1 country

3 active sites

Status
completed

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

December 7, 2015

Completed
1 month until next milestone

First Posted

Study publicly available on registry

January 8, 2016

Completed
1.7 years until next milestone

Study Start

First participant enrolled

October 3, 2017

Completed
7.4 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

March 9, 2025

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

March 9, 2025

Completed
Last Updated

April 29, 2025

Status Verified

April 1, 2025

Enrollment Period

7.4 years

First QC Date

December 7, 2015

Last Update Submit

April 24, 2025

Conditions

Keywords

dendritic cell vaccinationchemo-immunotherapyWilms' tumor 1 (WT1)

Outcome Measures

Primary Outcomes (2)

  • Number of MPM patients with feasible and safe DC vaccine production

    Production of autologous DC vaccines from newly diagnosed MPM patients will be evaluated for: 1. Feasibility, assessed by success of leukapheresis and production of sufficient (i.e. at least 4 vaccines) and qualified (phenotypic and functional requirements) vaccines. 2. Safety, assessed by microbiological testing (bacteria, yeast, fungi, mycoplasma, endotoxin) of the DC vaccines.

    Vaccine production and quality testing (i.e. 4 weeks after leukapheresis)

  • Number of patients receiving investigational DC vaccine administration combined with standard of care chemotherapy within the proposed time frame

    Administration of 4 autologous DC vaccines combined with four 3-weekly platinum/pemetrexed-based chemotherapy cycles will be evaluated for: 1. Feasibility, assessed by successful administration of DC vaccines and prior to surgery in case of resectable disease. 2. Safety, assessed by local (e.g. skin reactions at injection site) and systemic (toxicity grading according to the latest version of the CTCAE and CTC ) tolerability to the treatment.

    After the chemoimmunotherapy treatment (+/- 15 weeks after entry to trial)

Secondary Outcomes (4)

  • Objective clinical responses by tumor evaluation (clinical efficacy)

    Through study completion, at least after 4 DC vaccinations, prior to surgery (in case of resectable disease) + three months after the last intervention and within every 12 months during follow-up

  • Overall survival (clinical efficacy)

    Through study completion, an average of 1 year

  • Systemic immunogenicity

    After the fourth DC vaccine (i.e. post chemoimmunotherapy, prior to surgery in case of resectable disease)

  • Local immunogenicity

    Upon surgery (P/D)

Study Arms (1)

Single Arm

EXPERIMENTAL

dendritic cell vaccination plus chemotherapy

Biological: dendritic cell vaccination plus chemotherapy

Interventions

A. Chemoimmunotherapy: 1. four 3-weekly cycles of platinum/pemetrexed; on day 1 of each cycle, pemetrexed 500 mg/m2 should be administered as intravenous (IV) infusion over 10 minutes followed 30 minutes later by cisplatin 75 mg/m2 as IV over approximately 2 hours. 2. four intradermal vaccinations with 8-10 x 10e6 autologous WT1 mRNA-loaded DCs; at day 14+/- 3 days after the start of each chemotherapy cycle. B. Surgery: pleurectomy/decortication; in case of resectable disease, 4-6 weeks after start of the last chemotherapy cycle.

Also known as: chemoimmunotherapy
Single Arm

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Diagnosis with histologically proven epithelial
  • Aged ≥ 18 years at the time of enrollment
  • WHO performance status 0-1 at the time of enrollment
  • Fit to undergo general anesthesia, a thoracoscopy, leukapheresis, chemotherapy, immunotherapy and P/D (in case of resectable disease)
  • No history of receiving any investigational treatment within 28 days of study enrollment
  • No history of intolerance to pemetrexed and/or cisplatin
  • Women of child bearing potential must have negative serum or urine pregnancy test at the time of screening. They should use adequate birth control measures, as defined by the investigator, during the study treatment period and for at least hundred days after the last study treatment. If pregnancy does occur within this time period, the Principal investigator must be informed as soon as possible. Female subjects who are breastfeeding should discontinue nursing prior to the first dose of study treatment and until hundred days after the last study treatment
  • Absence of any psychological, familial, sociological or geographical condition potentially hampering compliance with the study protocol and follow-up schedule; those conditions should be discusses with the patient before registration in the trial. Absence of any other inability or unwillingness to comply with the requirements of the protocol as assessed by the investigator
  • Before patient registration written informed consent must be given according to ICH/GCP, and national/local regulations

You may not qualify if:

  • Unwilling or unable to comply with the study requirements
  • Prior treatment for MPM
  • History of another malignancy within the last five years (except for carcinoma in situ of the cervix, basal cell or spinocellular carcinoma of the skin or unless the investigator rationalizes otherwise)
  • Known proven metastases
  • Known concomitant presence of any immunosuppressive disease (e.g. HIV) or any active autoimmune condition, except for vitiligo
  • Pregnant or breast-feeding

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (3)

Antwerp University Hospital

Edegem, Antwerp, 2650, Belgium

Location

AZ Middelares

Ghent, 9000, Belgium

Location

AZ Nikolaas

Sint-Niklaas, 9100, Belgium

Location

Related Publications (43)

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    BACKGROUND
  • Z. Berneman, S. Anguille, Y. Willemen, A. Van de Velde, P. Germonpré, M. Huizing, V. Van Tendeloo, K. Saevels, L. Rutsaert, K. Vermeulen, A. Snoeckx, B. Op de Beeck, N. Cools, G. Nijs, B. Stein, E. Lion, A. van Driessche, M. Peeters, E. Smits. Vaccination of cancer patients with dendritic cells electroporated with mRNA encoding the Wilms' Tumor protein (WT1): correlation of clinical effect and overall survival with T-cell response. Cytotherapy 2019, 21(5), p. S10.

    BACKGROUND

MeSH Terms

Conditions

Mesothelioma, MalignantWilms Tumor

Interventions

Drug Therapy

Condition Hierarchy (Ancestors)

MesotheliomaAdenomaNeoplasms, Glandular and EpithelialNeoplasms by Histologic TypeNeoplasmsNeoplasms, MesothelialLung NeoplasmsRespiratory Tract NeoplasmsThoracic NeoplasmsNeoplasms by SitePleural NeoplasmsLung DiseasesRespiratory Tract DiseasesNeoplasms, Complex and MixedKidney NeoplasmsUrologic NeoplasmsUrogenital NeoplasmsNeoplastic Syndromes, HereditaryFemale Urogenital DiseasesFemale Urogenital Diseases and Pregnancy ComplicationsUrogenital DiseasesKidney DiseasesUrologic DiseasesMale Urogenital DiseasesGenetic Diseases, InbornCongenital, Hereditary, and Neonatal Diseases and Abnormalities

Intervention Hierarchy (Ancestors)

Therapeutics

Study Officials

  • Zwi N Berneman, MD, PhD

    Antwerp University Hospital, Division of Hematology and Center for Cell Therapy and Regenerative Medicine

    STUDY DIRECTOR
  • Eva Lion, MSc, PhD

    University of Antwerp, Laboratory of Experimental Hematology

    PRINCIPAL INVESTIGATOR
  • Evelien LJ Smits, MSc, PhD

    University of Antwerp, Laboratory of Experimental Hematology

    PRINCIPAL INVESTIGATOR
  • Sébastien Anguille, MD, PhD

    Antwerp University Hospital, Division of Hematology

    PRINCIPAL INVESTIGATOR

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
Study coordinator

Study Record Dates

First Submitted

December 7, 2015

First Posted

January 8, 2016

Study Start

October 3, 2017

Primary Completion

March 9, 2025

Study Completion

March 9, 2025

Last Updated

April 29, 2025

Record last verified: 2025-04

Locations