HNCPhase II Study Designed To Evaluate Safety and Tumor Debulking Mechanism of an Individualized Cancer Vaccine (AllovaxTM) in Patients With Metastatic or Recurrent Cancer of the Head and Neck.
AlloVax
+ CRCL
+ AlloStim
Squamous Cell Carcinoma of Head and Neck+5
+ Carcinoma
+ Carcinoma, Squamous Cell
Treatment Study
Summary
Study start date: January 1, 2016
Actual date on which the first participant was enrolled.This is a Phase II study following up on a previous Phase I/II study in chemotherapy refractory metastatic disease with <90 day survival expectancy. In the Phase I/II study all patients progressed using RECIST criteria. However, 11/42 (26%) were alive at 1yr and 9/42 (21%) alive at 2 yr. Therefore, CT scans did not correlate with clinical presentation and "pseudo-progression" was suspected. This study was designed to select subjects with visible tumor burden on the head, neck or tongue that could be measured and photographed so as not to rely solely on CT scans to determine anti-tumor debulking efficacy. Subjects are initially primed with intradermal AlloStim(TM) injections creating systemic anti-allo-specific cellular immunity. Tumor biopsy samples taken prior to dosing were processed into personalized Chaperone Rich Cell Lysate (CRCL) vaccine containing enriched heat shock proteins which are believed to chaperone tumor-specific neoantigens . AlloStim(TM) was then injected with CRCL into primed subjects to create tumor-specific cellular immunity. Subsequently, subjects are infused with intravenous AlloStim(TM) to cause extravasation of memory cells to the tumor lesions. The protocol including intradermal AlloStim(TM) day 0, 3, 7, 10. Intradermal AlloStim(TM)+CRCL on days 14, 17, 21, 24. Intravenous AlloStim(TM) day 28. This experimental treatment schedule will continue for 3 cycles.
Protocol
This section provides details of the study plan, including how the study is designed and what the study is measuring.12 patients to be enrolled
Total number of participants that the clinical trial aims to recruit.Treatment Study
Eligibility
Researchers look for people who fit a certain description, called eligibility criteria: person's general health condition or prior treatments.Any sex
Biological sex of participants that are eligible to enroll.From 18 to 70 Years
Range of ages for which participants are eligible to join.Healthy volunteers not allowed
If individuals who are healthy and do not have the condition being studied can participate.Conditions
Pathology
Criteria
Inclusion Criteria: 1. Adult males and female patients aged 18 to 70 years old, inclusive, at screening visit. 2. Patients with histopatholologically or cytologically confirmed diagnosis of recurrent or metastatic squamous cell carcinoma of the head and neck (SCCHN) that is incurable with surgery, chemotherapy or radiation. No nasopharyngeal primaries. 3. Patients must have a tumor safely accessable for biopsy resulting in a minimum of 0.1 g of tumor sample for CRCL processing. 4. Patients must have visible external tumors measurable with at least one lesion deemed to be safely accessible for serial biopsy. 5. ECOG ≤2. 6. The result of screening test were in the criteria: 6.1 Adequate organ function including: A. Marrow: * WBC \>3000/mm3 * Platelets \>100,000/mm3. * Absolute neutrophil count ≥ 1,500/mm³ * Hemoglobin ≥ 10.0 g/dL (transfusion allowed) B. Hepatic: * Serum Total bilirubin \< 2 x ULN mg/dL, * ALT (SGPT) / AST (SGOT) ≤3 x upper limit of normal (ULN). C. Renal: * Serum creatinine (SCR) \<2.0 x ULN, or * Creatinine clearance (CCR) \>30 mL/min. 6.2 All patients have a pre-study echocardiogram without significant abnormalities or Ejection fraction \>50%. 6.3 All patients must be screened to be negative for HIV1, HIV2, HTLVI, HTLVII, HBV, HCV and RPR (syphilis). 6.4 Women of child-bearing potential must have a negative urine or serum pregnancy test result within 72 hours prior to the start of study drug administration. 7. All patients of child producing potential must agree to use contraception or avoidance of pregnancy measures while enrolled on study and receiving the experimental product. 8. Patients must have the ability to understand the study, its inherent risks, side effects and potential benefits and be able to give written informed consent to participate. Exclusion Criteria: 1. Clinical evidence or radiological evidence of nasopharyngeal primaries. 2. Clinical evidence or radiological evidence of brain metastasis. 3. History of severe hypersensitivity to monoclonal antibody drugs or any contraindication to any of the study drugs. 4. Concomitant active autoimmune disease (e.g., rheumatoid arthritis, multiple sclerosis, autoimmune thyroid disease, uveitis). 5. Prior experimental therapy or cancer vaccine treatment (e.g., dendritic cell therapy, heat shock vaccine). 6. Clinical requirement for systemic steroids or current immunosuppressive therapy, including: cyclosporine, antithymocyte globulin, or tacrolimus within 1 month of study entry. 7. Uncontrolled intercurrent illness including, but not limited to, ongoing or active infection, requiring parenteral antibiotics, symptomatic congestive heart failure, severe myocardial insufficiency, cardiac arrhythmia 8. All infections must be resolved and the patient must remain a febrile for seven days prior to being placed in the study. 9. History of blood transfusion reactions. 10. Psychiatric or addictive disorders or other condition that, in the opinion of the investigator, would preclude study participation. 11. Pregnant or breast feeding. The patient will discontinuation from the participation in the study: 1. Less than 12 doses of CRCL able to be produced 2. Tumor sample for CRCL processing contains less than 80% tumor.
Study Plan
Find out more about all the medication administered in this study, their detailed description and what they involve.One single intervention group is designated in this study
This study does not include a placebo group
Treatment Groups
Group I
ExperimentalStudy Objectives
Primary Objectives
Secondary Objectives
Study Centers
These are the hospitals, clinics, or research facilities where the trial is being conducted. You can find the location closest to you and its status.This study has 1 location
National Cancer Institute of Thailand
Bangkok, ThailandOpen National Cancer Institute of Thailand in Google Maps