E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
Adult patients with pathologically proven MAGE A3-positive Non-Small Cell Lung Cancer in stage IB, II or III. |
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MedDRA Classification |
E.1.3 | Condition being studied is a rare disease | No |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
• To assess the humoral and cellular immune response induced by recMAGE-A3+AS15 in patients with MAGE-A3-positive Non-Small Cell Lung Cancer (NSCLC). • To evaluate the safety of recMAGE-A3+AS15 in patients with MAGE-A3-positive NSCLC.
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E.2.2 | Secondary objectives of the trial |
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E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
1.Written informed consent has been obtained before performance of any protocol-specific procedure. 2. Patient is at least 18 years of age at the time when informed consent is signed. 3. Pathologically proven stage IB, II or III NSCLC. 4. The patient's tumor shows expression of MAGE-A3 antigen, detected by RT-PCR. 5.The patient is free of any distant metastasis, as shown by standard procedures at the site. 6.For patients to be included in Cohort 1, all of the following. 6a. Resected stage IB, II or IIIA NSCLC. 6b. The operative technique for resection of the patient's tumor is anatomical, involving at least a lobectomy, and with a level of nodal sampling corresponding to the standard procedures at the center. 6c. ECOG performance status = 0 or 1 at the time of screening. 6d. The patient is due to receive adjuvant chemotherapy as permitted in this protocol. 6e. The patient has not received, is not receiving, and is not due to receive, adjuvant radiotherapy (this does not apply to patients in stage III). 6f. First administration of chemotherapy can be scheduled to take place within the time-window of 4–8 weeks after surgery. 7.For patients to be included in Cohort 2, all of the following. 7a. Resected stage IB, II or IIIA NSCLC. 7b. The operative technique for resection of the patient's tumor is anatomical, involving at least a lobectomy, and with a level of nodal sampling corresponding to the standard procedures at the center. 7c. ECOG performance status = 0 or 1 at the time of screening. 7d. The patient is due to receive, or is already receiving, adjuvant chemotherapy as permitted in this protocol. 7e. The patient has not received, is not receiving, and is not due to receive, adjuvant radiotherapy (this does not apply to patients in stage III). 7f. First administration of recMAGE A3+AS15 ASCI study treatment can be scheduled to take place within the time-window of 2–4 weeks after the last administration of chemotherapy 7g. The patient has received at least two cycles of standard chemotherapy before study treatment with recMAGE A3 ASCI is initiated, whereafter no further chemotherapy is planned. 8. For patients to be included in Cohort 3, all of the following. 8a. Resected stage IB, II or IIIA NSCLC. 8b. The operative technique for resection of the patient's tumor is anatomical, involving at least a lobectomy, and with a level of nodal sampling corresponding to the standard procedures at the center. 8c. ECOG performance status = 0 or 1 or 2 at the time of screening. 8d. The patient has not received, is not receiving, and is not due to receive, adjuvant chemotherapy. 8e. The patient has not received, is not receiving, and is not due to receive, adjuvant radiotherapy (this does not apply to patients in stage III). 8f. First administration of recMAGE A3+AS15 ASCI study treatment can be scheduled to take place within the time-window of 4–8 weeks after surgery. 9. For patients to be included in Cohort 4, all of the following. 9a. Unresectable stage III NSCLC. 9b. ECOG performance status = 0 or 1 or 2 at the time of screening. 9c. The patient is due to receive, or is already receiving, chemo- and radiotherapy according to standard practice at the institution. 9d. The patient has received at least two cycles of standard chemotherapy before the initiation of study treatment with recMAGE A3+AS15 ASCI, whereafter no further chemo-/radiotherapy is planned. 9e. The patient has stable disease or objective response (confirmed by CT scan) after standard chemo-/radiotherapy. 9f. Administration of recMAGE A3+AS15 ASCI study treatment can be scheduled to take place within the time-window of 2–6 weeks after the last administration of chemo-/radiotherapy. 10. Laboratory criteria (all of the following must be fulfilled at the time when study treatment is commenced): adequate bone-marrow reserve, adequate renal function and adequate hepatic function. 11. (For female patients): EITHER the patient is not of child-bearing potential (i.e., have a current tubal ligation, have had a hysterectomy or an ovarectomy, or have been post-menopausal), OR she is sexually abstinent OR all of the following: – A urine Beta-HCG pregnancy test gives a negative result. – The patient has used adequate contraceptive precautions (e.g., intrauterine contraceptive device; oral contraceptives; diaphragm or condom in combination with contraceptive jelly, cream or foam; Norplant® or DepoProvera®) for 30 days before first study treatment. – The patient agrees to continue such precautions for two months after completion of the course of study treatment. 12. In the view of the investigator, the patient can and will comply with the requirements of the protocol.
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E.4 | Principal exclusion criteria |
1. The patient has (or has had) previous or concomitant malignancies at other sites, except effectively treated malignancy that is considered by the investigator highly likely to have been cured. 2. The patient is pregnant or lactating. 3. The patient has a history of anaphylaxis or severe allergic reaction. 4. The patient has concurrent severe medical problems, unrelated to the malignancy, that would significantly limit full compliance with the study or expose the patient to unacceptable risk. 5. The patient has psychiatric or addictive disorders that may compromise his/her ability to give informed consent, or to comply with the trial procedures. 6. The patient is known to be HIV-positive. 7. The patient requires concomitant treatment with systemic corticosteroids, or any other immunosuppressive agents. [Notes: 1. The use of prednisone, or equivalent, <0.5 mg/kg/day (absolute maximum 40 mg/day), or inhaled corticosteroids for COPD or topical steroids is permitted. 2. The use of corticosteroids as anti-emetic treatment is permitted.] 8. The patient needs home oxygenation. 9. The patient has received any investigational or non-registered drug or vaccine other than the study medication within the 30 days preceding the first dose of study medication, or plans to receive such a drug during the study period. 10. The patient has a history of chronic alcohol consumption and/or drug abuse. |
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E.5 End points |
E.5.1 | Primary end point(s) |
Imunogenicity: Immunogenicity will be judged primarily after the fourth dose of ASCI, on the basis of: • The anti-MAGE-A3 seroconversion. • The anti-protein D seroconversion. • The MAGE-A3 cellular (T-cell) response. Additionally, these antibody and cellular T-cell responses will be analyzed at the end of the study.
Safety: The safety of the cancer immunotherapeutic recMAGE A3+AS15, combined or not with standard chemotherapy, will be judged on the basis of: • Occurrence of adverse events during the study, including abnormal hematological and biochemical laboratory values. • Occurrence of serious adverse events during the study.
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E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | No |
E.6.2 | Prophylaxis | No |
E.6.3 | Therapy | No |
E.6.4 | Safety | Yes |
E.6.5 | Efficacy | No |
E.6.6 | Pharmacokinetic | No |
E.6.7 | Pharmacodynamic | No |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | No |
E.6.10 | Pharmacogenetic | No |
E.6.11 | Pharmacogenomic | No |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | Yes |
E.6.13.1 | Other scope of the trial description |
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E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | Yes |
E.7.1.1 | First administration to humans | No |
E.7.1.2 | Bioequivalence study | No |
E.7.1.3 | Other | Yes |
E.7.1.3.1 | Other trial type description |
First administration of the recMAGE-A3+AS15 ASCI and chemo(-radio)therapy combination |
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E.7.2 | Therapeutic exploratory (Phase II) | Yes |
E.7.3 | Therapeutic confirmatory (Phase III) | No |
E.7.4 | Therapeutic use (Phase IV) | No |
E.8 Design of the trial |
E.8.1 | Controlled | Yes |
E.8.1.1 | Randomised | No |
E.8.1.2 | Open | Yes |
E.8.1.3 | Single blind | No |
E.8.1.4 | Double blind | No |
E.8.1.5 | Parallel group | Yes |
E.8.1.6 | Cross over | No |
E.8.1.7 | Other | No |
E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | No |
E.8.2.2 | Placebo | No |
E.8.2.3 | Other | No |
E.8.3 |
The trial involves single site in the Member State concerned
| No |
E.8.4 | The trial involves multiple sites in the Member State concerned | Yes |
E.8.4.1 | Number of sites anticipated in Member State concerned | 6 |
E.8.5 | The trial involves multiple Member States | Yes |
E.8.5.1 | Number of sites anticipated in the EEA | 20 |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | Yes |
E.8.6.2 | Trial being conducted completely outside of the EEA | Information not present in EudraCT |
E.8.6.3 | If E.8.6.1 or E.8.6.2 are Yes, specify the regions in which trial sites are planned |
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E.8.7 | Trial has a data monitoring committee | Yes |
E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
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The last study visit is scheduled for approximately 5 weeks after the last study treatment. |
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E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | 3 |
E.8.9.1 | In the Member State concerned months | 8 |
E.8.9.1 | In the Member State concerned days | 21 |
E.8.9.2 | In all countries concerned by the trial years | 3 |
E.8.9.2 | In all countries concerned by the trial months | 8 |
E.8.9.2 | In all countries concerned by the trial days | 21 |