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| ID | Type | Description | Link |
|---|---|---|---|
| UKIRB 06-0716-F3R | Other Identifier | University of Kentucky | |
| ULIRB 065.07 | Other Identifier | University of Louisville | |
| CIRB 1079747 | Other Identifier | Commonwealth Cancer Center IRB |
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| Name | Class |
|---|---|
| Kentucky Lung Cancer Research Program | OTHER |
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Rationale: Vaccines made from allogeneic tumor cells may help the body build an effective immune response to kill tumor cells.
The Purpose of this study is to evaluate the effects of a lung cancer vaccine in patients with Stage I or Stage II Non-Small Cell Lung Cancer (NSCLC) after completion of initial definitive therapies.
The study is an open label investigation of the cellular vaccine called 1650-G. Patients receive 2 vaccine injections intradermally in the thigh given 4 weeks apart. Patients will be followed weekly after each vaccine injection and then monthly for 4 months. Patient follow-up continues with evaluations at 6 months and 1 year after receiving the first vaccine injection. Immunologic responses to the vaccine will be assessed from blood samples obtained at each visit following immunizations.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 1650-G Vaccine | Experimental | Patients receive 2 injections of 1650-G Vaccine given 4 weeks apart, for a total of 52 weeks on study. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| 1650-G Vaccine | Drug | .6ml injection administered intradermally in the thigh at week 0 and week 4 |
|
| Measure | Description | Time Frame |
|---|---|---|
| Number of Participants Responding to the Vaccine | The endpoint is immunologic response measured by IFN-ELISPOT. It will be reported as the percent of patients responding to vaccine (>2 Standard Deviation increase from baseline levels pre-vaccine). The number of individuals responding (> 2 SD change from baseline vaccine) will provide an approximation of biologic efficacy of the vaccine. | 16 weeks after vaccination |
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Inclusion Criteria:
Histologically confirmed Stage I or Stage II Non-Small Cell Lung Cancer
Surgically resected at least 4 weeks ago but not more than 6 months ago
Bronchoalveolar carcinomas allowed
Completion of any chemotherapy or radiation given in conjunction with Surgery (neoadjuvant or adjuvant)
No evidence of disease following initial therapy evidenced by a CXR, CT or PET scan within 6 weeks of enrollment
ECOG performance status of 0 to 2
Adequate organ and marrow function defined as follows:
Women of childbearing potential must have a negative pregnancy test and be willing to use acceptable methods of contraception through week 16.
Exclusion Criteria:
Cardiovascular disease defined as:
History of HIV, infectious hepatitis, or chronic immunosuppressive disease
concurrent shorter courses of immunosuppressive medications during and for 16 weeks after study treatment
History of an allergic reactions to any colony stimulating factor (GCSF, GMCSF)
Female patients must not be pregnant or breastfeeding.
History of participation in any investigational drug study within 4 weeks preceding initiation of study treatment.
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| Name | Affiliation | Role |
|---|---|---|
| Edward A Hirschowitz, MD | University of Kentucky | Study Chair |
| John R Yannelli, PhD | University of Kentucky | Study Chair |
| Goetz H Kloecker, MD | University of Louisville | Principal Investigator |
| Thomas R Baeker, MD | Commonwealth Cancer Center | Principal Investigator |
| Dattatraya S Prajapati, MD | Owensboro Medical Health System | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Commonwealth Cancer Center | Danville | Kentucky | 40422 | United States | ||
| University of Kentucky |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 15254048 | Background | Hirschowitz EA, Foody T, Kryscio R, Dickson L, Sturgill J, Yannelli J. Autologous dendritic cell vaccines for non-small-cell lung cancer. J Clin Oncol. 2004 Jul 15;22(14):2808-15. doi: 10.1200/JCO.2004.01.074. | |
| 17409835 | Background | Hirschowitz EA, Hiestand DM, Yannelli JR. Vaccines for lung cancer. J Thorac Oncol. 2006 Jan;1(1):93-104. |
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| ID | Title | Description |
|---|---|---|
| FG000 | 1650-G Arm | Patients receive 2 injections of 1650-G Vaccine given 4 weeks apart |
| Title | Milestones | Reasons Not Completed | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
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| ID | Title | Description |
|---|---|---|
| BG000 | 1650-G Arm | Patients receive 2 injections of 1650-G Vaccine given 4 weeks apart |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Categorical | Count of Participants |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | |||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Number of Participants Responding to the Vaccine | The endpoint is immunologic response measured by IFN-ELISPOT. It will be reported as the percent of patients responding to vaccine (>2 Standard Deviation increase from baseline levels pre-vaccine). The number of individuals responding (> 2 SD change from baseline vaccine) will provide an approximation of biologic efficacy of the vaccine. | Posted | Count of Participants | Participants | 16 weeks after vaccination |
|
|
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | 1650-G Arm | Patients receive 2 injections of 1650-G Vaccine given 4 weeks apart |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Pneumonia | Respiratory, thoracic and mediastinal disorders | Pneumonia | Systematic Assessment |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Abdominal Cramps | Gastrointestinal disorders | Systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Dr. Edward Hirschowitz | University of Kentucky | 859-323-5045 | eahirs2@uky.edu |
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| ID | Term |
|---|---|
| D002289 | Carcinoma, Non-Small-Cell Lung |
| D008175 | Lung Neoplasms |
| ID | Term |
|---|---|
| D002283 | Carcinoma, Bronchogenic |
| D001984 | Bronchial Neoplasms |
| D012142 | Respiratory Tract Neoplasms |
| D013899 | Thoracic Neoplasms |
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| ID | Term |
|---|---|
| D014612 | Vaccines |
| ID | Term |
|---|---|
| D001688 | Biological Products |
| D045424 | Complex Mixtures |
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| Lexington |
| Kentucky |
| 40536 |
| United States |
| University of Louisville Hospital | Louisville | Kentucky | 40202 | United States |
| Owensboro Medical Health System | Owensboro | Kentucky | 42303 | United States |
| 21150468 | Result | Hirschowitz EA, Mullins A, Prajapati D, Baeker T, Kloecker G, Foody T, Damron K, Love C, Yannelli JR. Pilot study of 1650-G: a simplified cellular vaccine for lung cancer. J Thorac Oncol. 2011 Jan;6(1):169-73. doi: 10.1097/JTO.0b013e3181fb5c22. |
| Participants |
|
| Age, Continuous | Mean | Standard Deviation | years |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| Region of Enrollment | Number | participants |
|
|
|
| 4 |
| 12 |
| 12 |
| 12 |
| Suicide Attempt | Psychiatric disorders | Suicide Attempt | Systematic Assessment |
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| Dyspnea | Respiratory, thoracic and mediastinal disorders | Dyspnea | Systematic Assessment |
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| Arthroplasty | Surgical and medical procedures | Arthroplasty | Systematic Assessment |
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| Abnormal absolute nymphs | Blood and lymphatic system disorders | Systematic Assessment |
|
| Abnormal Albumin | Blood and lymphatic system disorders | Systematic Assessment |
|
| Abnormal Glucose | Blood and lymphatic system disorders | Systematic Assessment |
|
| Abnormal hematocrit | Blood and lymphatic system disorders | Systematic Assessment |
|
| Abnormal hemoglobin | Blood and lymphatic system disorders | Systematic Assessment |
|
| Abnormal percent lymphs | Blood and lymphatic system disorders | Systematic Assessment |
|
| Abnormal platelets | Blood and lymphatic system disorders | Systematic Assessment |
|
| Abnormal RBC | Blood and lymphatic system disorders | Systematic Assessment |
|
| Abnormal WBC | Blood and lymphatic system disorders | Systematic Assessment |
|
| Absent Pedal Pulses | Cardiac disorders | Systematic Assessment |
|
| Achiness | General disorders | Systematic Assessment |
|
| Achy Joints | Musculoskeletal and connective tissue disorders | Systematic Assessment |
|
| Allergic Rhinitis | General disorders | Systematic Assessment |
|
| Alopecia | General disorders | Systematic Assessment |
|
| Anxiety | Psychiatric disorders | Systematic Assessment |
|
| B12 Deficiency | Blood and lymphatic system disorders | Systematic Assessment |
|
| Bilirubin | Blood and lymphatic system disorders | Systematic Assessment |
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| Constipation | Gastrointestinal disorders | Systematic Assessment |
|
| Cough | Respiratory, thoracic and mediastinal disorders | Systematic Assessment |
|
| Cyst removed left foot | Surgical and medical procedures | Systematic Assessment |
|
| Decreased range of motion (left arm) | Musculoskeletal and connective tissue disorders | Systematic Assessment |
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| Statis Ulcer | Skin and subcutaneous tissue disorders | Systematic Assessment |
|
| Diarrhea | Gastrointestinal disorders | Systematic Assessment |
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| Dyspnea | Respiratory, thoracic and mediastinal disorders | Systematic Assessment |
|
| Edema at Injection Site | Skin and subcutaneous tissue disorders | Systematic Assessment |
|
| Elevated BUN | Blood and lymphatic system disorders | Systematic Assessment |
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| Elevated Creatinine | Blood and lymphatic system disorders | Systematic Assessment |
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| Elevated Glucose | Blood and lymphatic system disorders | Systematic Assessment |
|
| Elevated Sodium | Blood and lymphatic system disorders | Systematic Assessment |
|
| Enlarged Heart | Cardiac disorders | Systematic Assessment |
|
| Episodic pain- left shoulder | Musculoskeletal and connective tissue disorders | Systematic Assessment |
|
| Faint wheeze - left lung | Respiratory, thoracic and mediastinal disorders | Systematic Assessment |
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| Fatigue | General disorders | Systematic Assessment |
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| Fever | General disorders | Systematic Assessment |
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| Flu-like Symptoms | General disorders | Systematic Assessment |
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| Headaches | Nervous system disorders | Systematic Assessment |
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| Hospitalization for Dyspnea | Respiratory, thoracic and mediastinal disorders | Systematic Assessment |
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| Hot Flashes | Endocrine disorders | Systematic Assessment |
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| Hypertension | Cardiac disorders | Systematic Assessment |
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| Hypopigmentation RT Thigh | Skin and subcutaneous tissue disorders | Systematic Assessment |
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| Induration - Left Thigh | Skin and subcutaneous tissue disorders | Systematic Assessment |
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| Induration- Right Thigh | Skin and subcutaneous tissue disorders | Systematic Assessment |
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| Injection Site Reaction- Left Thigh | Skin and subcutaneous tissue disorders | Systematic Assessment |
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| Injection Site Reaction- Right Thigh | Skin and subcutaneous tissue disorders | Systematic Assessment |
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| Insect Bite, Right Buttock | Skin and subcutaneous tissue disorders | Systematic Assessment |
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| Insomnia | General disorders | Systematic Assessment |
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| Intermittent incisional pain, right side of chest | General disorders | Systematic Assessment |
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| Itching at site of Insect bite | Skin and subcutaneous tissue disorders | Systematic Assessment |
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| Joint Aches | General disorders | Systematic Assessment |
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| Left Hip pain | General disorders | Systematic Assessment |
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| Left Shoulder Pain | General disorders | Systematic Assessment |
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| Leg Cramps | General disorders | Systematic Assessment |
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| Low/Abnormal Hemoglobin | Blood and lymphatic system disorders | Systematic Assessment |
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| Low/abnormal RBC | Blood and lymphatic system disorders | Systematic Assessment |
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| Mucosal Ulceration on Tongue | Skin and subcutaneous tissue disorders | Systematic Assessment |
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| Mucositis/Stomatitis, Pharynx | Gastrointestinal disorders | Systematic Assessment |
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| Muscle Weakness, whole body | General disorders | Systematic Assessment |
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| Musculoskeletal-other-strain | Musculoskeletal and connective tissue disorders | Systematic Assessment |
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| Nasal Congestion/Stuffiness | General disorders | Systematic Assessment |
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| Nausea | Gastrointestinal disorders | Systematic Assessment |
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| Necrosis, right buttock | Skin and subcutaneous tissue disorders | Systematic Assessment |
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| Neurological Complaint | Nervous system disorders | Systematic Assessment |
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| Pain at site of insect bite; right buttock | General disorders | Systematic Assessment |
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| Pain at Injection Site | General disorders | Systematic Assessment |
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| Pain-Gastrointestinal-abdomen | Gastrointestinal disorders | Systematic Assessment |
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| Pain in Right Breast | General disorders | Systematic Assessment |
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| Pain at Injection Site | Skin and subcutaneous tissue disorders | Systematic Assessment |
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| Pain in Left Arm | General disorders | Systematic Assessment |
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| Pleural Effusion | Respiratory, thoracic and mediastinal disorders | Systematic Assessment |
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| Pneumonia | Respiratory, thoracic and mediastinal disorders | Systematic Assessment |
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| Post Nasal Drip | General disorders | Systematic Assessment |
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| Pretibial Edema | Musculoskeletal and connective tissue disorders | Systematic Assessment |
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| Pulmonary/Upper Respiratory System Infection | Infections and infestations | Systematic Assessment |
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| Redness at Injection site | Skin and subcutaneous tissue disorders | Systematic Assessment |
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| Restless Leg Syndrome | Nervous system disorders | Systematic Assessment |
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| Ringing in Ears | Ear and labyrinth disorders | Systematic Assessment |
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| Sebaceous keratosis right temple | Skin and subcutaneous tissue disorders | Systematic Assessment |
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| Shingles | Infections and infestations | Systematic Assessment |
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| Sinus Drainage | General disorders | Systematic Assessment |
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| Sinus Pressure | General disorders | Systematic Assessment |
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| Sore Throat | Respiratory, thoracic and mediastinal disorders | Systematic Assessment |
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| Tendonitis | Musculoskeletal and connective tissue disorders | Systematic Assessment |
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| Thigh Nodule/Erythema (Right Thigh) | Skin and subcutaneous tissue disorders | Systematic Assessment |
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| Thoracotomy Pain- left side | Respiratory, thoracic and mediastinal disorders | Systematic Assessment |
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| Thrush | General disorders | Systematic Assessment |
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| Urinary Tract Infection | Infections and infestations | Systematic Assessment |
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| Vomiting | Gastrointestinal disorders | Systematic Assessment |
|
Study chair (Dr. Edward Hirschowitz) is only party available to disclose, discuss, or publish trial results or information concerning the trial after completion.
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |