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Trial Title: Basket Trial of Neoantigen Synthetic Long Peptide Vaccines in Patients With Advanced Malignancy

NCT ID: NCT05741242

Condition: Cancer
Solid Tumor

Conditions: Official terms:
Neoplasms

Conditions: Keywords:
personalized neoantigen vaccine

Study type: Interventional

Study phase: Phase 1/Phase 2

Overall status: Enrolling by invitation

Study design:

Allocation: N/A

Intervention model: Single Group Assignment

Primary purpose: Treatment

Masking: None (Open Label)

Intervention:

Intervention type: Biological
Intervention name: Personalized Synthetic Long Peptide Vaccine
Description: Personalized Synthetic Long Peptide Vaccine
Arm group label: Personalized Synthetic Long Peptide Vaccine

Summary: This is a basket trial of neoantigen synthetic long peptide vaccines in patients with advanced malignancy. Up to 20 subjects will be treated with the neoantigen synthetic long peptide vaccines.

Detailed description: This is a basket trial of neoantigen synthetic long peptide vaccines in patients with advanced malignancy. Up to 20 subjects will be treated with the neoantigen synthetic long peptide vaccines. 1. To determine the safety of neoantigen synthetic peptide vaccines. 2. To assess the immune response to neoantigen synthetic long peptide vaccines as measured by ELISPOT. Neoantigen synthetic long peptide vaccines are composed of synthetic long peptides which are 25-30 amino acids in length and designed to induce immune responses to cancer neoantigens identified by exome sequencing. Neoantigen synthetic long peptide vaccines will be co-administered with poly-ICLC, an innate immune adjuvant capable of activating TLR3 and other pathways.

Criteria for eligibility:
Criteria:
Inclusion Criteria: - 1. Patients with advanced malignancies and limited treatment options with an estimated 5 year survival of less than 50%. Patient must have advanced solid tumors that have progressed after treatment with standard FDA approved therapies, or for which no effective standard therapy is available, or the subject has a contraindication to standard therapy. Other Inclusion Criteria: - 1. >= 18 years of age. - 2. ECOG performance status ≤ 2 - 3. Adequate organ function allowing favorable benefit to risk ratio per the treating physician - 4. Systemic corticosteroid therapy is permitted provided dosing is no greater than 4 mg per day (dexamethasone or equivalent) on the day of vaccine administration. - 5. Ability to understand and willingness to sign an IRB approved written informed consent document. Exclusion Criteria: - 1. History of serious adverse reaction to vaccines such as anaphylaxis, hives, or respiratory difficulty or known allergy to a component of the neoantigen synthetic long peptide vaccine. - 2. Intercurrent illness requiring chronic use of medications that may interfere with rescue medications for treatment of vaccine-related anaphylaxis or attenuate immune response to vaccine treatment (immunosuppressive therapies). - 3. Psychiatric illness or social situations that would limit compliance with study requirements. - 4. History of pre-existing immunodeficiency disorder or autoimmune condition requiring immunosuppressive therapy that would preclude response to vaccine. - 5. Females of childbearing potential may participate provided they agree to practice abstinence; and, if heterosexually active, agree to use at least 2 highly effective contraceptive methods throughout the study and for 3 months following the last dose of study drug; and have a negative serum pregnancy test. - 6. Females of non-childbearing potential must be post-menopausal or have been surgically sterilized. - 7. Male subjects with a female partner of childbearing potential must agree to practice abstinence or to use a physician-approved contraceptive method throughout the study and for 3 months following the last dose of study drug.

Gender: All

Minimum age: 12 Years

Maximum age: 110 Years

Healthy volunteers: No

Locations:

Facility:
Name: Quest Clinical Research

Address:
City: San Francisco
Zip: 94115
Country: United States

Start date: November 30, 2022

Completion date: January 2027

Lead sponsor:
Agency: Jaime Leandro Foundation for Therapeutic Cancer Vaccines
Agency class: Other

Source: Jaime Leandro Foundation for Therapeutic Cancer Vaccines

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT05741242

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