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The investigators hypothesize that the treatment of metastatic colorectal cancer (mCRC) patients with the combination of alpha-type-1-polarized dendritic cell (αDC1) vaccines and tumor-selective chemokine modulation (CKM) will promote the infiltration of vaccination-induced CD8+ CTLs to tumor lesions and subsequently tumor regression with improved patient survival.
Metastatic colorectal cancer is a major health concern in the United States, and the second leading cause of death due to cancer. The purpose of this trial is to see if the combination of the study vaccine and drugs in patients with this disease can prevent the growth of cancer and prevent new tumors from growing. The study drugs are a combination of celecoxib (Celebrex®), Interferon-α2b (IFN), and rintatolimod (Ampligen®), or CKM.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| αDC1 vaccine + CKM | Experimental | all subjects enrolled in study |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| αDC1 vaccine | Biological | Subjects will receive one cycle of CKM alone followed by three cycles of vaccine + CKM. |
|
| Measure | Description | Time Frame |
|---|---|---|
| overall survival | up to 36 months |
| Measure | Description | Time Frame |
|---|---|---|
| immune-related Overall Response Rate (irORR) | up to 36 months | |
| immune-related Progression-Free Survival (irPFS) | up to 36 months |
| Measure | Description | Time Frame |
|---|---|---|
| Changes of CD8+ tumor infiltrating lymphocytes (CTLs) | Changes in CD8+ CTLs in paired tumor tissues collected at pre- and post-treatment. | up to 4 months |
| Changes of tumor microenvironment | Changes of tumor microenvironment in paired tumor tissues collected at pre- and post-treatment. |
Inclusion Criteria:
Be age equal to 18 years or older.
Be able to understand and be willing to sign a written informed consent document.
Be HLA-A2 positive.
Have mCRC that has been treated with currently approved standard therapies, including fluoropyrimidine-, oxaliplatin- and irinotecan-based chemotherapy, an anti-VEGF therapy, and, if KRAS wild type, an anti-EGFR therapy.
Have at least 1 of the tumor sites that must be amenable to core needle biopsy and this may not be the site of disease used to measure antitumor response.
Have measurable disease based on irRC.
Have a performance status of ECOG 0 or 1.Have normal organ and marrow function as defined below:
Platelet ≥ 75,000/µL
Hemoglobin ≥ 9.0 g/dL
Absolute Neutrophil Count (ANC) ≥ 1500/µL
Creatinine < 1.5 x institutional upper limit of normal (ULN) OR creatinine clearance (CrCl) ≥ 50 mL/min/1.73 m2 for subjects with creatinine levels greater than 1.5 x ULN
Total bilirubin ≤ 1.5 X institutional upper limit of normal (ULN)
AST(SGOT) and ALT(SGPT) ≤ 2.5 x institutional upper limit of normal (ULN) OR
≤ 5 x ULN for subjects with liver metastases
Serum amylase and lipase within normal limits.
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| James J Lee, MD, PhD | University of Pittsburgh | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hillman Cancer Center | Pittsburgh | Pennsylvania | 15232 | United States |
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| CKM | Drug | Subjects will receive one cycle of CKM alone followed by three cycles of vaccine + CKM. |
|
|
| up to 4 months |
| ID | Term |
|---|---|
| D015179 | Colorectal Neoplasms |
| ID | Term |
|---|---|
| D007414 | Intestinal Neoplasms |
| D005770 | Gastrointestinal Neoplasms |
| D004067 | Digestive System Neoplasms |
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
| D004066 | Digestive System Diseases |
| D005767 | Gastrointestinal Diseases |
| D003108 | Colonic Diseases |
| D007410 | Intestinal Diseases |
| D012002 | Rectal Diseases |
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| ID | Term |
|---|---|
| D000068579 | Celecoxib |
| D007438 | Introns |
| C047490 | poly(I).poly(c12,U) |
| ID | Term |
|---|---|
| D000096926 | Benzenesulfonamides |
| D013449 | Sulfonamides |
| D000577 | Amides |
| D009930 | Organic Chemicals |
| D001555 | Benzene Derivatives |
| D006841 | Hydrocarbons, Aromatic |
| D006844 | Hydrocarbons, Cyclic |
| D006838 | Hydrocarbons |
| D013450 | Sulfones |
| D013457 | Sulfur Compounds |
| D011720 | Pyrazoles |
| D001393 | Azoles |
| D006573 | Heterocyclic Compounds, 1-Ring |
| D006571 | Heterocyclic Compounds |
| D021901 | DNA, Intergenic |
| D040481 | Genome Components |
| D016678 | Genome |
| D040342 | Genetic Structures |
| D055614 | Genetic Phenomena |
| D040461 | Gene Components |
| D005796 | Genes |
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