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BVAC-C is an immunotherapeutic vaccine using B-Cell and Monocytes as antigen-presenting cells. This study is consists of 2 parts. Phase I is for safety evaluation, and Phase IIa is for efficacy assessment.
BVAC-C is an immunotherapeutic vaccine using B-Cell and Monocytes as antigen-presenting cells. This study is consists of 2 parts(Phase I, Phase II). Phase I study is Open-label, dose-escalation, multiple dosing study to evaluate the safety, tolerability, immune response and preliminary efficacy of BVAC-C in patients with multiple metastatic progressive or recurrent HPV type 16 or 18 positive cervical cancer after failure to standard care. 9~18 patients will be enrolled In Phase IIa study, which Open-label, sequential assignment multiple dosing study, efficacy, immune response and safety will be evaluated. Total 21 patients will be enrolled in 3 groups.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| BVAC-C mono(High dose) | Experimental | BVAC-C IV injection at 0, 4, 8th weeks.(HIgh dose) |
|
| BVAC-C mono(Intermediate dose) | Experimental | BVAC-C IV injection at 0, 4, 8, 12th weeks.(Half dose) |
|
| BVAC-C + Topo Combi | Experimental | BVAC-C IV injection at 0,4,8,12th weeks.(Half dose) Topotecan IV injection at 2, 6, 10, 14th weeks |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| BVAC-C | Drug | Autologous B cells and monocytes transfected with E6E7 gene of HPV |
|
| Measure | Description | Time Frame |
|---|---|---|
| Evaluate DLT with Clinical laboratory tests [Safety] | Lymphocyte subset, Serum cytokine, NKT/NK cell assay, CD4/CD8 assay | 12th week from first injection (End of trial) |
| Incidence of Serious Adverse Events assessed with CTCAE [Safety] | 12th week from first injection (End of trial) |
| Measure | Description | Time Frame |
|---|---|---|
| Clinical laboratory tests | Blood chemistry, Serology | Screening visit and every 2 weeks from first injection (up to 12th week) |
| 12-lead ECG | Screening visit and Termination visit (12th week from first injection) |
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Inclusion Criteria:
Patients with multiple metastatic progressive or recurrent HPV type 16 or 18 positive cervical cancer
Patients has received 1 or more platinum based doublet chemotherapy as prior therapy for progressive or recurrent tumor lesion (prior therapy does not include platinum chemotherapy given with radiation therapy for 1st line treatment before progression or recurrence)
Patients with at least 1 measurable lesion according to RECIST
Female patients between ages of 20 to 70
Patients with ECOG performance status between 0 to 2
Patients meets the blood test standards in the screening test
Patients meets the blood chemistry test standards in the screening test
Patients who has agreed to a medically accepted contraceptive in this clinical trial
Patients at least three months or more of survival can be expected
Patients decided to participate in this clinical trial and signed written informed consent
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| C Y Kang, PH.D | Seoul National University | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Samsung Medical Center | Seoul | South Korea |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 38605958 | Derived | Choi CH, Lee JW, Bae DS, Kang ES, Cho D, Kim YM, Kim K, Kim JW, Kim HS, Kim YT, Lee JY, Lim MC, Oh T, Song B, Jeon I, Park M, Kim WH, Kang CY, Kim BG. Efficacy and safety of BVAC-C in HPV type 16- or 18-positive cervical carcinoma who failed 1st platinum-based chemotherapy: a phase I/IIa study. Front Immunol. 2024 Mar 28;15:1371353. doi: 10.3389/fimmu.2024.1371353. eCollection 2024. |
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| ID | Term |
|---|---|
| D002583 | Uterine Cervical Neoplasms |
| ID | Term |
|---|---|
| D014594 | Uterine Neoplasms |
| D005833 | Genital Neoplasms, Female |
| D014565 | Urogenital Neoplasms |
| D009371 | Neoplasms by Site |
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| ID | Term |
|---|---|
| D019772 | Topotecan |
| ID | Term |
|---|---|
| D002166 | Camptothecin |
| D000470 | Alkaloids |
| D006571 | Heterocyclic Compounds |
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| Topotecan | Drug |
|
| Vital signs | Blood pressure, Pulse rate, Respiratory rate, Tympanic temperature | Every 2 weeks from first injection (up to 12th week) |
| Physical examination | Body weight | Screening, 6th week from first injection, 10th week from first injection and Termination visit (12th week from first injection) |
| D009369 |
| Neoplasms |
| D002577 | Uterine Cervical Diseases |
| D014591 | Uterine Diseases |
| D005831 | Genital Diseases, Female |
| D052776 | Female Urogenital Diseases |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
| D000091662 | Genital Diseases |