Pilot Study Of Safety And Feasibility Of GI-4000, An Inactivated Recombinant Saccharomyces Cerevisiae Expressing Mutant Ras Protein Combined With Adoptive Transfer And Chemoradiation in Locally Advanced Pancreatic Cancer
This Phase I/Pilot study will assess the safety and feasibility of the GI-4000 series
vaccine with or without adoptive T cell transfer in subjects with locally advanced
pancreatic cancer undergoing chemotherapy, radiotherapy, and surgical resection. Subjects
will be randomized to either ARM A (GI-4000vaccine) or ARM B (GI-4000 vaccine and activated
T cell transfer). All subjects will undergo apheresis of mononuclear cells immediately
before receiving four cycles of gemcitabine/oxaliplatin (GemOx) chemotherapy ("immune
preservation phase"). After the completion of chemotherapy, the apheresis product will be
reinfused, and the subjects will enter the "priming phase," in which two biweekly doses
(dose #1 and #2) of the appropriate GI-4000 vaccine (the one that best matches the mutations
found in the patient's tumor) and a single dose of the Prevnar pneumococcal conjugate
vaccine will be administered. At this time, those subjects who have not developed distant
metastatic disease by CT/MRI will undergo chemoradiation, with ARM B subjects receiving a
second apheresis immediately prior to the initiation of the chemoradiation. The pheresed
product will be activated and expanded ex vivo and reinfused after chemoradiation is
completed. All subjects will receive two more biweekly boosts of the GI-4000 vaccine (doses
#3 and #4) while undergoing restaging with CT/MRI ("boosting phase"). Those who have not
developed metastatic disease will undergo surgical evaluation for tumor resection. Patients
who undergo R0 or R1 resection will receive up to three more weekly doses of GI-4000 prior
to the initiation of adjuvant gemcitabine, monthly doses of GI-4000 during the four cycles
of gemcitabine chemotherapy, and monthly GI-4000 doses thereafter. At the end of
gemcitabine chemotherapy, apheresis will be performed for endpoint correlative studies.
Those who are not candidates for surgery or whose tumors are not completely resected will
continue to receive GI-4000 monthly booster vaccination.
Interventional
Allocation: Non-Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment
To evaluate the feasibility of incorporating GI-4000 vaccine and activated T-cell infusion into a regimen of chemotherapy, radiation, and surgical resection to treat locally advanced pancreatic cancer.
1 year
Yes
Peter J. O'Dwyer, MD
Principal Investigator
University of Pennsylvania
United States: Food and Drug Administration
806693
NCT00837135
January 2008
October 2009
Name | Location |
---|