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Trial Title: A Study to Evaluate ATP150/ATP152, VSV-GP154 and Ezabenlimab in Patients With KRAS G12D/G12V Mutated PDAC (KISIMA-02)

NCT ID: NCT05846516

Condition: Pancreatic Ductal Adenocarcinoma

Conditions: Official terms:
Adenocarcinoma

Conditions: Keywords:
KISIMA-02
PDAC
ATP150
ATP152
Ezabenlimab
VSV-GP154
Adjuvant setting
Resected pancreatic ductal adenocarcinoma
Metastatic pancreatic ductal adenocarcinoma
Locally advanced pancreatic ductal adenocarcinoma
Resected PDAC
Metastatic PDAC
LAPC

Study type: Interventional

Study phase: Phase 1

Overall status: Recruiting

Study design:

Allocation: Non-Randomized

Intervention model: Sequential Assignment

Intervention model description: For Part C: parallel and randomized

Primary purpose: Treatment

Masking: None (Open Label)

Intervention:

Intervention type: Drug
Intervention name: VSV-GP154
Description: Injection
Arm group label: Cohort A
Arm group label: Cohort B
Arm group label: Cohort C Treatment

Intervention type: Drug
Intervention name: ATP150
Description: Injection
Arm group label: Cohort A
Arm group label: Cohort B
Arm group label: Cohort C Treatment

Intervention type: Drug
Intervention name: ATP152
Description: Injection
Arm group label: Cohort A
Arm group label: Cohort B
Arm group label: Cohort C Treatment

Intervention type: Drug
Intervention name: Ezabenlimab
Description: Infusion
Arm group label: Cohort B
Arm group label: Cohort C Treatment

Summary: The goal of this clinical trial is to test an experimental treatment (immunotherapy) in pancreatic cancer patients. The main research objectives are: - to evaluate if the KISIMA-02 treatment is safe and well-tolerated (first part) - to evaluate if the KISIMA-02 treatment has an impact on the time to observe a possible reappearance of the tumor (second part) Participants will receive: i) a therapeutic protein vaccine ATP150 or ATP 152 ii) a viral vector VSV-GP154 iii) an immune checkpoint inhibitor Ezabenlimab In the second part of the study, researchers will compare treatment group versus observational group.

Detailed description: This is an open-label, phase 1b study to evaluate the safety, tolerability, immunogenicity and preliminary efficacy of a heterologous prime-boost vaccine (protein and viral vector) regimen without/with the PD-1 inhibitor Ezabenlimab. COMPLETED - Part A (metastatic and locally advanced PDAC patients) Cohort A: ATP150/ATP152 and VSV-GP154 treatment ONGOING - Part B (locally advanced and resected PDAC patients) Cohort B: ATP150/ATP152, Ezabenlimab and VSV-GP154 treatment Cohort B1, B2, B3: dose escalation NOT STARTED YET - Part C (resected PDAC patients) Cohort C: ATP150/ATP152, Ezabenlimab and VSV-GP154 treatment (treatment versus observational arm)

Criteria for eligibility:
Criteria:
Key inclusion criteria - Histologically or cytologically confirmed pancreatic ductal adenocarcinoma (PDAC) with KRAS G12D or KRAS G12V mutation. - ECOG performance status of 0 or 1. - Patients with advanced or metastatic disease who completed at least 16 weeks of standard systemic chem-/chemoradiotherapy and achieved a partial response or stable disease. - Patients who underwent confirmed R0 or R1 resection and completed at least 3 months of combined peri-adjuvant multiagent chemotherapy. - No evidence of disease progression or recurrence. - Start of study treatment within 12 weeks from the last curative treatment (resected PDAC). - Life expectancy at least 12 months (resected PDAC), or at least 6 months (advanced/metastatic PDAC). - Archival tumor tissue availability for central KRAS analysis. Key exclusion criteria - Not yet recovered from surgery (resected PDAC). - Gastro-intestinal bowel obstruction. - Other malignancy within the last 3 years. - Prior chemotherapy or targeted small molecule therapy within 14 (locally advanced/metastatic PDAC) or 28 (resected PDAC) days from initiation of study treatment. - Prior radiotherapy within 14 (advanced/metastatic PDAC) or 28 (resected PDAC) days from initiation of study treatment. - Prior use of immunotherapeutic agents, including but not limited to checkpoint inhibitors or VSV-based agents. - Diagnosis of immunodeficiency. - Chronic systemic treatment with steroids or other immunosuppressive medications. - Active autoimmune disease requiring systemic treatment within the last 2 years. - Use of Tamoxifen within 1 month prior to start of study treatment

Gender: All

Minimum age: 18 Years

Maximum age: N/A

Healthy volunteers: No

Locations:

Facility:
Name: USC/Norris Comprehensive Center

Address:
City: Los Angeles
Zip: 90033
Country: United States

Status: Recruiting

Contact:
Last name: Victoria Soto
Email: soto_v@med.usc.edu

Investigator:
Last name: Heinz-Josef Lenz, MD
Email: Principal Investigator

Facility:
Name: University of California Los Angeles (UCLA)

Address:
City: Los Angeles
Zip: 90095
Country: United States

Status: Recruiting

Contact:
Last name: Lisa-Maria Yonemoto
Email: LYonemoto@mednet.ucla.edu

Investigator:
Last name: Zev Aryeh Wainberg, MD
Email: Principal Investigator

Facility:
Name: University of Colorado Hospital

Address:
City: Aurora
Zip: 80045
Country: United States

Status: Recruiting

Contact:
Last name: Russen McKenna
Email: Mckenna.russen@cuanschutz.edu

Investigator:
Last name: Sunnie S. Kim, MD
Email: Principal Investigator

Facility:
Name: University of Florida

Address:
City: Gainesville
Zip: 32610-0278
Country: United States

Status: Recruiting

Contact:
Last name: Britanny Lansford
Email: bpolo6962@ufl.edu

Investigator:
Last name: Thomas J. George, MD
Email: Principal Investigator

Facility:
Name: Orlando Health

Address:
City: Orlando
Zip: 32806
Country: United States

Status: Recruiting

Contact:
Last name: Melinda Janice Porter

Phone: (321)841-7246
Email: Janice.Porter@orlandohealth.com

Investigator:
Last name: Omar Kayaleh, MD
Email: Principal Investigator

Facility:
Name: Karmanos Cancer Institute

Address:
City: Detroit
Zip: 48201
Country: United States

Status: Recruiting

Contact:
Last name: Paige Buzenski
Email: buzenskp@karmanos.org

Investigator:
Last name: Anthony Shields, MD,PhD
Email: Principal Investigator

Facility:
Name: NYU Langone Health

Address:
City: New York
Zip: 10016
Country: United States

Status: Recruiting

Contact:
Last name: Pharr
Email: CancerTrials@nyulangone.org

Investigator:
Last name: Paul Oberstein, MD, MS
Email: Principal Investigator

Facility:
Name: University Hospitals Cleveland Medical Center

Address:
City: Cleveland
Zip: 44106
Country: United States

Status: Recruiting

Contact:
Last name: Layla Labbaf
Email: layla.labbaf@uhhospitals.org

Investigator:
Last name: Amit Mahipal, MD
Email: Principal Investigator

Facility:
Name: The University of Texas MD Anderson Cancer Center

Address:
City: Houston
Zip: 77030
Country: United States

Status: Recruiting

Contact:
Last name: Leena Abraham
Email: labraha@mdanderson.org

Investigator:
Last name: Shubham Pant, MD
Email: Principal Investigator

Facility:
Name: START - South Texas Accelerated Research Therapeutics

Address:
City: San Antonio
Zip: 78229
Country: United States

Status: Recruiting

Contact:
Last name: Elizabeth Gomez
Email: Elizabeth.Gomez@startsa.com

Investigator:
Last name: Drew Rasco, MD
Email: Principal Investigator

Facility:
Name: Virginia Cancer Specialists

Address:
City: Fairfax
Zip: 22031
Country: United States

Status: Recruiting

Contact:
Last name: Carrie Friedman, RN
Email: Carrie.Friedman@usoncology.com

Investigator:
Last name: Alexander Spira, MD
Email: Principal Investigator

Facility:
Name: Virginia Mason Medical Center

Address:
City: Seattle
Zip: 98101
Country: United States

Status: Recruiting

Contact:
Last name: Mannat Sukhija
Email: mannat.sukhija@virginiamason.org

Investigator:
Last name: Vincent Joseph Picozzi, MD
Email: Principal Investigator

Facility:
Name: University Hospital of Lausanne (CHUV)

Address:
City: Lausanne
Zip: 1011
Country: Switzerland

Status: Recruiting

Contact:
Last name: Anna Motterle
Email: Anna.Motterle@chuv.ch

Investigator:
Last name: Antonia Digklia, Dr
Email: Principal Investigator

Facility:
Name: University Hospital of Bern (Inselspital)

Address:
City: Bern
Zip: 3010
Country: Switzerland

Status: Recruiting

Contact:
Last name: Lena Albihn-Boland
Email: lena.albihn-boland@insel.ch

Investigator:
Last name: Martin Berger, Dr
Email: Principal Investigator

Facility:
Name: University Hospitals of Geneva (HUG)

Address:
City: Geneva
Zip: 1205
Country: Switzerland

Status: Recruiting

Contact:
Last name: Virginie Ancrenaz
Email: virginie.ancrenaz@hug.ch

Investigator:
Last name: Thibaud Koessler
Email: Principal Investigator

Start date: March 13, 2023

Completion date: March 2027

Lead sponsor:
Agency: Amal Therapeutics
Agency class: Industry

Collaborator:
Agency: Boehringer Ingelheim
Agency class: Industry

Source: Amal Therapeutics

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

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT05846516

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