Trial of pTVG-HP+Nivo+Targeted Ablation of Resistant Lesions in Non-Castrate RecurrentOMPC

NCT07090148 | Recruiting Phase 1 DMC FDA Drug

• 6 other identifiers: 2025-0825HT94252411043A533300SMPH/HUMAN ONCOLOGY/HUMAN ONCOUW25025Protocol Version 12/27/2025
• Study Type: interventional
• Target: 14
• Locations: 1 country
• Sites: 1

Brief Summary

The goal of this clinical trial is to learn whether an experimental vaccine called pTVG-HP ("vaccine" or "DNA vaccine"), combined with a drug called nivolumab can increase the cancer-fighting ability of a person's immune cells. The main question it aims to answer is whether the combination of medicines can get rid of metastatic tumors in participants with non-castrate, recurrent, oligometastatic prostate cancer. Participants will undergo:

• Treatment with pTVG-HP
• Treatment with Nivolumab
• Radiation Therapy

Conditions

Non-castrate Prostate Cancer; Recurrent Prostate Cancer; Oligometastatic Prostate Cancer (OMPC); Prostate Cancer Patients

Outcome Measures

Primary Outcomes (3)

• PSA (prostate-specific antigen) complete response rate

  Defined as a serum PSA \<0.2 ng/mL at 1 year after prostatectomy

  12 months

• Incidence of Adverse Events

  Adverse events will be evaluated using the most recent version of the Common Terminology Criteria for Adverse Events (CTCAE).

  5 years

• Toxicity Rates

  Toxicity rates (grade 2, grade 3, grade 4, grade ≥ 2, grade ≥ 3, etc.) will be calculated for each study arm and reported along the corresponding 95% confidence intervals. The 95% confidence intervals will be constructed using the Wilson score method.

  5 years

Secondary Outcomes (6)

• Metastasis-free survival rate at 1 year

  12 months

• Metastasis-free survival rate at 2 years

  2 years

• Progression-free survival (PSA) at 5 years

  5 years

• Change in PSA doubling time

  Baseline to 5 years

• Change in PSA slope

  Baseline to 5 years

Study Arms (1)

Participants with non-castrate, recurrent, oligometastatic prostate cancer

EXPERIMENTAL

Participants will receive a combination of vaccine and immunotherapy.

Biological: pTVG-HP DNA vaccine; Drug: Anti-PD-1 monoclonal antibody

Interventions

pTVG-HP DNA vaccine BIOLOGICAL

The vaccine will be injected into the outer side of the upper area of the arm in two adjacent sites, with 0.25 mL administered at each site.

Participants with non-castrate, recurrent, oligometastatic prostate cancer

Anti-PD-1 monoclonal antibody DRUG

Nivolumab is a potent human immunoglobulin G4 (IgG4) monoclonal antibody (mAb). Participants will receive two 10mg doses.

Also known as: Opdivo, nivolumab

Participants with non-castrate, recurrent, oligometastatic prostate cancer

Eligibility Criteria

• Age: 18 Years+
• Sex: male
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Participants must be at least 18 years of age with a histologic diagnosis of adenocarcinoma of the prostate
• Participants must have undergone radical prostatectomy
• Participants must have completed local therapy by surgery, and any adjuvant/salvage radiation therapy (if required), at least 3 months prior to entry, with removal or ablation of all visible disease, including seminal vesical and/or local lymph node involvement.
• Participants must have biochemically recurrent disease defined by the following:
• PSA doubling time, calculated from most recent 4 serum PSA values (collected up to one year prior to enrollment, at least 2 weeks apart, and all from the same clinical laboratory), must be a positive number (i.e. evidence of PSA rise over time).
• Participants must have oligometastatic disease, defined as:
• \< 3 lesions consistent with metastases as detected by CT of the abdomen/pelvis and bone scintigraphy (bone scan)
• Lesions consistent with metastatic prostate cancer as detected by PSMA PET/CT
• Participants who are sexually active must use a reliable form of contraception while on study and for 4 weeks after the last immunization.
• ECOG performance score \< 2 and life expectancy of at least 12 months.
• Participants must have normal hematologic, renal and liver function
• Participants must be informed of the experimental nature of the study and its potential risks and must sign an IRB-approved written informed consent form indicating such an understanding.
• Willingness to provide blood samples for immune studies, per study calendar, up to one year after study, even if off treatment.

You may not qualify if:

• Small cell or other variant prostate cancer histology
• Participants cannot have evidence of immunosuppression or have been treated with immunosuppressive therapy, such as chemotherapy or chronic treatment dose corticosteroids (greater than the equivalent of 10 mg prednisone per day), within 3 months of the first vaccination.
• Seropositive for HIV, hepatitis B (HBV) or hepatitis C (HCV) per patient history due to the immunosuppressive features of these diseases.
• Prior treatment with an LHRH agonist or nonsteroidal antiandrogen, except in the following circumstances: Neoadjuvant/adjuvant androgen deprivation therapy administered with radiation therapy or at the time of prostatectomy is acceptable, provided that there was no evidence of PSA progression while on treatment. In this situation, patients must not have received more than 24 months of androgen deprivation treatment. Other treatment with androgen deprivation therapy is prohibited.
• Serum testosterone at screening \< 50 ng/dL.
• Participants must not be concurrently taking other medications or supplements with known hormonal effects, including PC-SPES, megestrol acetate, finasteride, ketoconazole, estradiol, or Saw Palmetto. All other medications with possible anti-cancer effects must be discussed with the PI prior to study entry.
• Participants previously treated with other potential or experimental therapies for prostate cancer must have discontinued these treatments and completed at least a 4 week washout prior to beginning treatment.
• Participants must not have known psychological or sociological conditions, addictive disorders or family problems, which would preclude compliance with the protocol.
• Participants with unstable or severe intercurrent medical conditions or laboratory abnormalities that would impart, in the judgment of the PI, excess risk associated with study participation or study agent administration.
• Participants who have concurrent enrollment on other phase I, II, or III investigational therapeutic treatment studies for prostate cancer cannot be actively receiving treatment and the last dose cannot be within 4 weeks of day 1. They must be in the follow up phase of the study.

Sponsors & Collaborators

• University of Wisconsin, Madison: lead
• United States Department of Defense: collaborator

Study Sites (1)

University of Wisconsin - Madison

Madison, Wisconsin, 53705, United States

RECRUITING

MeSH Terms

Conditions

Prostatic Neoplasms

Interventions

spartalizumab; Nivolumab

Condition Hierarchy (Ancestors)

Genital Neoplasms, Male; Urogenital Neoplasms; Neoplasms by Site; Neoplasms; Genital Diseases, Male; Genital Diseases; Urogenital Diseases; Prostatic Diseases; Male Urogenital Diseases

Intervention Hierarchy (Ancestors)

Antibodies, Monoclonal, Humanized; Antibodies, Monoclonal; Antibodies; Immunoglobulins; Immunoproteins; Blood Proteins; Proteins; Amino Acids, Peptides, and Proteins; Serum Globulins; Globulins

Study Officials

• Douglas McNeel, MD, PhD

  University of Wisconsin, Madison

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Cancer Connect

CONTACT

800-622-8922; clinicaltrials@cancer.wisc.edu

Study Design

• Study Type: interventional
• Phase: phase 1
• Allocation: NA
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: July 22, 2025
• First Posted: July 29, 2025
• Study Start: March 3, 2026
• Primary Completion (Estimated): October 1, 2030
• Study Completion (Estimated): October 1, 2030
• Last Updated: March 11, 2026

Record last verified: 2026-03

Data Sharing

• IPD Sharing: Will share

Locations

US (1)