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Trial Title: Candida Therapeutic Vaccine in Head and Neck Cancer Patients to Reduce Recurrence

NCT ID: NCT05952934

Condition: Squamous Cell Carcinoma of Head and Neck

Conditions: Official terms:
Head and Neck Neoplasms
Squamous Cell Carcinoma of Head and Neck
Recurrence

Study type: Interventional

Study phase: Phase 2

Overall status: Recruiting

Study design:

Allocation: Randomized

Intervention model: Parallel Assignment

Intervention model description: This is a Phase II randomized, double-blind, placebo controlled, multi-site study of Candin.

Primary purpose: Treatment

Masking: Triple (Participant, Care Provider, Investigator)

Masking description: Each study site will received a separate randomization scheme, and the research pharmacy at each site will implement and maintain randomization schedule.

Intervention:

Intervention type: Biological
Intervention name: 0.5 mL Candin®/injection
Description: Candin or placebo injection every 3 weeks until 4 injections then every 3 months until a total of 7 injections.
Arm group label: Candin vaccine

Intervention type: Other
Intervention name: Placebo: 0.5 mL Intravenous 0.9% NaCl solution (Saline)
Description: Placebo injection every 3 weeks until 4 injections then every 3 months until a total of 7 injections.
Arm group label: Placebo

Summary: This is a Phase II randomized, double-blind, placebo controlled, multi-site study of Candin. It is designed to show the efficacy and safety of a 7-dose regimen of Candin over a two-year period in terms of reducing cancer recurrence rate by comparing the recurrence rates between the Candin and the placebo arm. The ratio of the number of subjects who will receive Candin versus placebo will be 3:1. Up to 100 subjects will be screened until 68 subjects are eligible for injection.

Detailed description: This is a Phase II study to evaluate the efficacy and safety of a therapeutic vaccine called Candin® (Nielsen Biosciences, San Diego, CA) in adults over a two (2) year period. Each subject will be receiving a total of 7 injections of Candin (0.5 mL per dose) or placebo (saline) at a 3:1 ratio in a randomized double-blinded design. Subjects will receive one injection every 3 weeks until they receive 4 injections. Then, subjects will receive one injection every 3 months until they receive a total of 7 injections. Subjects will have 2 more visits approximately 6 months apart after the last injection. Immunological assessment T-cell repertoire analysis and by fluorescent activated cell sorter analysis (FACS) will be made at 4 time points (Visits 1, 5, 7, and 8). Stool and oral wash samples will be collected at the Screening Visit, Visit 5, Visit 7 and Visit 8 for microbiome diversity analysis.

Criteria for eligibility:
Criteria:
Inclusion Criteria: - Able to provide informed consent - Male or female 18 years of age or older - Squamous cell carcinoma of the head and neck who have completed curative therapy (surgery and/or radiation and/or chemotherapy) within the previous 120 days. - No Evidence of Disease (NED) based on clinical and/or radiographic evaluations - Willing and able to comply with the requirements of the protocol Exclusion Criteria: - Positive urine pregnancy test for women of childbearing potential - Being pregnant or attempting to be pregnant with the period of study participation - Women who are breast feeding or plan to breast feed within the period of study participation - Patients who are allergic to Candin® - If in the opinion of the PIs or other Investigators, it is not in the best interest of the patient to enter or continue in this study

Gender: All

Minimum age: 18 Years

Maximum age: 100 Years

Healthy volunteers: No

Locations:

Facility:
Name: University of Arkansas for Medical Sciences

Address:
City: Little Rock
Zip: 72205
Country: United States

Status: Recruiting

Contact:
Last name: Sorena Lo
Email: SBLo@uams.edu

Contact backup:
Last name: Aaron Holley
Email: JAHolley@uams.edu

Start date: February 12, 2024

Completion date: February 1, 2029

Lead sponsor:
Agency: University of Arkansas
Agency class: Other

Source: University of Arkansas

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

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT05952934

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