Cancer Vaccine + Lenalidomide for Multiple Myeloma

Not currently recruiting at 1 trial location
Age: 18+
Sex: Any
Trial Phase: Phase 1
Sponsor: Roswell Park Cancer Institute
Must be taking: Lenalidomide
Stay on Your Current MedsYou can continue your current medications while participating
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial tests a new vaccine, SVN53-67/M57-KLH Peptide Vaccine, combined with lenalidomide to treat multiple myeloma, a type of blood cancer. The goal is to determine if the vaccine enhances the immune system's ability to fight cancer when paired with lenalidomide. Participants will either receive the vaccine and lenalidomide together from the start or the vaccine first, followed by lenalidomide. Ideal participants are those recently diagnosed with multiple myeloma who have responded positively to initial treatment. As a Phase 1 trial, this research aims to understand how this new treatment works in people, offering participants the chance to be among the first to receive this innovative therapy.

Do I need to stop my current medications to join the trial?

The trial does not specify if you need to stop taking your current medications, but it does require that you have not received certain treatments like chemotherapy or immunotherapy within 4 weeks of starting the study. It's best to discuss your current medications with the trial team to see if they might affect your eligibility.

Is there any evidence suggesting that this trial's treatments are likely to be safe?

Research shows that the SVN53-67/M57-KLH peptide vaccine, combined with sargramostim, is undergoing testing to determine its safety for treating patients with multiple myeloma. As this vaccine is in the early testing stages, researchers focus primarily on patient tolerance and potential side effects.

Lenalidomide, another component of the treatment, has already received approval for certain cancer treatments. It can cause side effects such as tiredness and low blood cell counts, but most patients tolerate it well.

In summary, while the safety of the SVN53-67/M57-KLH vaccine remains under study, lenalidomide is generally considered safe. Researchers are carefully examining this combination to ensure patient safety.12345

Why are researchers excited about this trial's treatments?

Researchers are excited about this treatment for multiple myeloma because it combines a cancer vaccine with lenalidomide, offering a novel approach to managing the disease. Unlike current standard treatments, which typically include chemotherapy, stem cell transplants, and existing immunomodulatory drugs, this approach uses the SVN53-67/M57-KLH peptide vaccine to stimulate the immune system specifically against cancer cells. The addition of sargramostim, which boosts white blood cell production, further enhances the immune response. By integrating a vaccine with lenalidomide, which is already known for its effectiveness in maintaining remission, this treatment has the potential to provide a more targeted and sustained defense against myeloma.

What evidence suggests that this trial's treatments could be effective for multiple myeloma?

Research has shown that the SVN53-67/M57-KLH peptide vaccine might help the immune system attack cancer cells, particularly those with the protein survivin. This could benefit the treatment of multiple myeloma, a type of blood cancer. Previous patients who received a similar vaccine demonstrated an effective immune response. In this trial, participants will receive the vaccine combined with lenalidomide maintenance therapy. Lenalidomide, a drug used to maintain treatment, has slowed the progression of multiple myeloma in many patients. Studies have found that ongoing use of lenalidomide can provide significant benefits, such as longer periods without disease progression. Together, these treatments aim to enhance the body's ability to fight cancer and prevent its growth.678910

Who Is on the Research Team?

Jens Hillengass MD, PhD | Roswell Park ...

Jens Hillengass, MD, PhD

Principal Investigator

Roswell Park Cancer Institute

Are You a Good Fit for This Trial?

This trial is for newly diagnosed multiple myeloma patients who've responded to initial therapy, have specific HLA types (HLA-A*02, A*03, A*11, or A*24), and meet certain health criteria like good organ function and no serious infections. They must not be pregnant or breastfeeding and should agree to the Revlimid REMS® program's requirements.

Inclusion Criteria

Able to adhere to the study visit schedule and other protocol requirements
Your platelet count is at least 30,000 per cubic millimeter.
My multiple myeloma has partially improved after initial treatment.
See 12 more

Exclusion Criteria

You have known allergies to thalidomide, lenalidomide, Keyhole Limpet Hemocyanin (KLH), or granulocyte colony-macrophage stimulating factor (GM-CSF).
You are expected to live for less than 4 months.
Any serious medical condition, laboratory abnormality, or psychiatric illness that would prevent the subject from signing the informed consent form
See 9 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants receive SVN53-67/M57-KLH peptide vaccine and sargramostim every 2 weeks for up to 4 doses, with a booster dose at week 12 or 16, and lenalidomide maintenance therapy starting at week 0 or 4

16 weeks
5 visits (in-person)

Follow-up

Participants are monitored for safety and effectiveness after treatment

Up to 5 years
Visits at 16, 20, and 24 weeks, then every 3 months

What Are the Treatments Tested in This Trial?

Interventions

  • SVN53-67/M57-KLH Peptide Vaccine
Trial Overview The study tests a SVN53-67/M57-KLH peptide vaccine with incomplete Freund's adjuvant plus sargramostim in patients on lenalidomide maintenance therapy. The goal is to see if this combination can stimulate an immune response that targets cancer cells expressing survivin.
How Is the Trial Designed?
2Treatment groups
Experimental Treatment
Group I: Group B (vaccine and week-0 lenalidomide maintenance therapy)Experimental Treatment5 Interventions
Group II: Group A (vaccine and week-4 lenalidomide maintenance therapy)Experimental Treatment5 Interventions

Find a Clinic Near You

Who Is Running the Clinical Trial?

Roswell Park Cancer Institute

Lead Sponsor

Trials
427
Recruited
40,500+

Celgene

Industry Sponsor

Trials
649
Recruited
130,000+
Top Products
>- **Revlimid (lenalidomide)**: Multiple myeloma, myelodysplastic syndromes, and mantle cell lymphoma treatment. - **Pomalyst (pomalidomide)**: Relapsed/refractory multiple myeloma treatment. - **Otezla (apremilast)**: Psoriatic arthritis treatment. - **Thalomid (thalidomide)**: Erythema nodosum leprosum and multiple myeloma treatment.
Jay Backstrom profile image

Jay Backstrom

Celgene

Chief Medical Officer since 2016

MD

Mark Alles profile image

Mark Alles

Celgene

Chief Executive Officer since 2016

Bachelor's degree from Lock Haven University of Pennsylvania

Published Research Related to This Trial

The study involved 21 patients with high-grade serous ovarian cancer treated with a vaccine and bevacizumab, showing that the treatment was generally well tolerated, with only one case of severe toxicity and a small percentage experiencing significant side effects.
While the vaccine induced an immunogenic response in a majority of patients, this response did not correlate with improved survival outcomes, although increased levels of IL-8 were linked to better progression-free survival.
Long-term outcomes of patients with recurrent ovarian cancer treated with a polyvalent vaccine with bevacizumab combination.Kahn, RM., Ragupathi, G., Zhou, QC., et al.[2023]
In an early phase clinical trial involving patients with relapsed multiple myeloma, lenalidomide was shown to enhance immune responses to the pneumococcal vaccine, particularly when both vaccinations were given while on lenalidomide.
Patients who responded clinically to myeloma treatment exhibited increased tumor-specific immune responses, indicating that lenalidomide may not only boost vaccine efficacy but also enhance the body's ability to fight cancer.
Lenalidomide-induced immunomodulation in multiple myeloma: impact on vaccines and antitumor responses.Noonan, K., Rudraraju, L., Ferguson, A., et al.[2021]
The KRM-20 cancer vaccine, which targets 12 different tumor-associated antigens, was found to be safe in a study of 17 patients with castration-resistant prostate cancer, with no serious adverse reactions reported.
The 20 mg dose of KRM-20 showed the best immune response, leading to increased cytotoxic T lymphocyte activity and fewer immune suppressive cells, making it a promising candidate for further research.
Phase I trial of a cancer vaccine consisting of 20 mixed peptides in patients with castration-resistant prostate cancer: dose-related immune boosting and suppression.Noguchi, M., Arai, G., Matsumoto, K., et al.[2015]

Citations

Real‐world data on lenalidomide dosing and outcomes in ...The objective of our study was to understand the dosing, efficacy, and tolerability of lenalidomide among TI NDMM patients in the real‐world setting.
Characteristics and outcomes in patients with lenalidomide ...Outcomes were suboptimal: 55 % response rate, 10-mo median PFS, and 28-mo median OS. •. New, effective therapies are needed for this difficult-to-treat ...
A network meta-analysis of randomized clinical trials in ...Comparative efficacy of lenalidomide-free regimens in patients with relapsed/refractory multiple myeloma (RRMM) previously exposed to ...
Outcomes of patients with multiple myeloma refractory to ...In this study, we assessed the outcomes with subsequent therapies in patients with MM refractory to standard dose vs low dose lenalidomide.
Clinical Study Finds Continuous Lenalidomide Delivery ...Administration of lenalidomide continuously for six or more cycles shows meaningful efficacy in patients with relapsed or refractory multiple myeloma (RRMM) ...
NCT02334865 | SVN53-67/M57-KLH Peptide Vaccine in ...This phase I trial studies the safety of SVN53-67/M57-KLH peptide vaccine in incomplete Freund's adjuvant together with sargramostim in treating patients ...
SVN53-67/M57-KLH Peptide Vaccine in Treating ...This phase I trial studies the safety of SVN53-67/M57-KLH peptide vaccine in incomplete Freund's adjuvant together with sargramostim in treating patients ...
Multiple Myeloma Support + TrialsThis phase I trial studies the safety of SVN53-67/M57-KLH peptide vaccine in incomplete Freund's adjuvant together with sargramostim in treating patients ...
Cancer Vaccine + Lenalidomide for Multiple MyelomaThe KRM-20 cancer vaccine, which targets 12 different tumor-associated antigens, was found to be safe in a study of 17 patients with castration-resistant ...
Advances and challenges in anti-cancer vaccines for multiple ...The second vaccine is a peptide-based formulation known as SVN53-67/M57-KLH, derived from the survivin protein ( Table 4 ). Table 4. List of ongoing vaccine ...
Unbiased ResultsWe believe in providing patients with all the options.
Your Data Stays Your DataWe only share your information with the clinical trials you're trying to access.
Verified Trials OnlyAll of our trials are run by licensed doctors, researchers, and healthcare companies.
Terms of Service·Privacy Policy·Cookies·Security