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Cancer Vaccine

Personalized DNA Vaccine + PD-1 Blockade for Glioblastoma

Phase 1
Recruiting
Led By Tanner M Johanns, M.D., Ph.D.
Research Sponsored by Washington University School of Medicine
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Be older than 18 years old
Timeline
Screening 3 weeks
Treatment Varies
Follow Up through progression (up to 36 months)
Awards & highlights

Study Summary

This trial will test a personalized neoantigen-based DNA vaccine, combined with PD-1 blockade, to maximize tumor-specific response and minimize toxicity in people newly diagnosed with glioblastoma.

Who is the study for?
This trial is for adults with newly diagnosed, unmethylated glioblastoma who haven't had prior immunotherapy. Participants must have adequate organ function, agree to use contraception, and can consent to genome sequencing. They should not have certain other cancers within the last 3 years or conditions that could interfere with the study.Check my eligibility
What is being tested?
The trial tests a personalized neoantigen DNA vaccine combined with Retifanlimab PD-1 blockade therapy in patients with glioblastoma. It aims to enhance T cell responses against cancer while keeping side effects low and will set the stage for future efficacy studies.See study design
What are the potential side effects?
Potential side effects include immune-related reactions due to PD-1 blockade (like inflammation of organs), reactions at injection sites from the vaccine or electroporation device, fatigue, blood disorders, and increased risk of infections.

Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~through progression (up to 36 months)
This trial's timeline: 3 weeks for screening, Varies for treatment, and through progression (up to 36 months) for reporting.

Treatment Details

Study Objectives

Outcome measures can provide a clearer picture of what you can expect from a treatment.
Primary outcome measures
Safety as measured by treatment-related dose-limiting toxicity (DLT) rate related to vaccination
Secondary outcome measures
Immunogenicity as measured by T cell receptor (TCR) sequencing to assess diversity of clonality and putative antigen specificity
Immunogenicity as measured by T-cell phenotype, myeloid derived suppressor cell frequency (MDSC) assessed by flow cytometry
Immunogenicity as measured by pro- and anti-inflammatory chemokine analysis and cytokine analysis in plasma as assessed by multiplex ELISA
+6 more

Trial Design

2Treatment groups
Experimental Treatment
Group I: Cohort B: Personalized neoantigen DNA vaccine + retifanlimabExperimental Treatment3 Interventions
Cohort B will receive the personalized neoantigen DNA vaccine via electroporation mediated IM injection plus concurrent retifanlimab beginning with Dose 1 and continuing for a total of 6 doses. The personalized neoantigen DNA vaccine will be given once every 28 days for up to 6 doses. Retifanlimab is given at a fixed dose of 500 mg every 28 days. Patients may receive up to 6 doses of personalized neoantigen DNA vaccine and up to 12 months total of retifanlimab
Group II: Cohort A: Personalized neoantigen DNA vaccine + retifanlimabExperimental Treatment3 Interventions
Cohort A will receive the personalized neoantigen DNA vaccine via electroporation mediated IM injection alone during the first two priming doses, then concurrently with retifanlimab during the subsequent boosting doses (Doses 3 through 6) The personalized neoantigen DNA vaccine will be given once every 28 days for up to 6 doses. Retifanlimab is given at a fixed dose of 500 mg every 28 days. Patients may receive up to 6 doses of personalized neoantigen DNA vaccine and up to 12 months total of retifanlimab
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Retifanlimab
2018
Completed Phase 2
~320

Find a Location

Who is running the clinical trial?

Ichor Medical Systems IncorporatedIndustry Sponsor
10 Previous Clinical Trials
427 Total Patients Enrolled
Washington University School of MedicineLead Sponsor
1,937 Previous Clinical Trials
2,299,683 Total Patients Enrolled
17 Trials studying Glioblastoma
609 Patients Enrolled for Glioblastoma
Incyte CorporationIndustry Sponsor
365 Previous Clinical Trials
55,283 Total Patients Enrolled
5 Trials studying Glioblastoma
530 Patients Enrolled for Glioblastoma

Media Library

Personalized Neoantigen DNA vaccine (Cancer Vaccine) Clinical Trial Eligibility Overview. Trial Name: NCT05743595 — Phase 1
Glioblastoma Research Study Groups: Cohort A: Personalized neoantigen DNA vaccine + retifanlimab, Cohort B: Personalized neoantigen DNA vaccine + retifanlimab
Glioblastoma Clinical Trial 2023: Personalized Neoantigen DNA vaccine Highlights & Side Effects. Trial Name: NCT05743595 — Phase 1
Personalized Neoantigen DNA vaccine (Cancer Vaccine) 2023 Treatment Timeline for Medical Study. Trial Name: NCT05743595 — Phase 1

Frequently Asked Questions

These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

Are there still available positions in this clinical investigation for volunteers?

"According to clinicaltrials.gov, this medical study is no longer recruiting patients; the trial was first posted on June 30th 2023 before being updated for the last time in February 14th 2023. Nevertheless, there are still 446 other trials that require volunteers right now."

Answered by AI

Has the FDA accepted Cohort A: Personalized neoantigen DNA vaccine + retifanlimab for clinical use?

"Due to the limited clinical data concerning Cohort A: Personalized neoantigen DNA vaccine + retifanlimab, our team at Power gave it a safety score of 1. This is indicative of its Phase 1 status which means there are no prior studies that have established efficacy or safety."

Answered by AI
~7 spots leftby Jan 2025