Pseudovax - A Cancer Vaccine for Patients With Pseudomyxoma Peritonei

Trial statusRecruiting
Trial phaseEarly Phase 1
Trial typeInterventional
Biological sexAll
Age18+
SponsorOslo University Hospital

About this trial

Participants will receive vaccination with Pseudovax/GM-CSF in combination with PD-1 inhibitor tislelizumab over a period of up to two years. The vaccine is expected to reactivate measurable immune response, and tislelizumab to restore anticancer immunity in patients with GNAS mutated pseudomyxoma peritonei.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

The subject is ≥ 18 years of age on the day of signing the informed consent form, able to provide written informed consent and can understand and agree to comply with the requirements of the study and the schedule of assessments.

Confirmed diagnosis of recurrent or non-resectable PMP with no other available treatment options that are expected to be efficacious.

The subject's tumor must carry a mutation in the GNAS oncogene*

Subjects must have peritoneal tumor distribution at screening that, in the opinion of the Investigator, is suitable for repeat biopsies: Up to 3 biopsies of target tissue are planned for subjects that complete the study.

Disqualifiers

Patient has Eastern Cooperative Oncology Group performance status 2 or worse.

Blood transfusion or growth factor support ≤ 14 days before sample collection at screening.

Active malignancy the past 3 years except for the specific cancer under investigation in this study and any locally recurring cancer that has been treated curatively (e.g., resected basal or squamous cell skin cancer, superficial bladder cancer, carcinoma in situ of the cervix or breast)

Enrollment in another interventional trial that, in the opinion of the Investigator, could influence the outcome of this study.

Trial design

Design model

Single group

Treatments tested in this trial

  • Pseudovax

    Other intervention

    Pseudovax peptide dissolved in 0.5 mL water for injection to 1 mg/mL (+/- 0.1 mg/mL)

  • Molgramostim

    Biological/Vaccine

    Molgramostim, 100 μg recombinant human GM-CSF, powder, to be reconstituted in 0.33 mL water for injection

  • Tislelizumab

    Biological/Vaccine

    100 mg of humanized IgG4 mAb in 10 mL of isotonic solution

Treatment groups

10 Participants
are divided into 1 treatment group
Group A: Pseudovax peptide, adjuvant and PD-1 inhibitorExperimental treatment 3 interventions

Trial outcomes

Primary outcomes

1

Safety and tolerability of sequential treatment with Pseudovax/GM-CSF and tislelizumab

Incidence of Investigative Medicinal Product-related adverse events. All ≥ Grade 3 adverse events and all grades vaccine-related adverse events will be reported and graded using CTCAE v 5.0.

Time frame
From start treatment to 6 months after last dose of study drug.
2

Immune responses following sequential treatment with Pseudovax/GM-CSF and tislelizumab

Count of circulating vaccine-specific T cells

Time frame
From enrollment to end of treatment (2 years).

Secondary outcomes

1

Progression-free survival, measured as the number of months from date of first treatment until disease progression or death from any cause

Assessment of preliminary efficacy of study treatment with Pseudovax/GM-CSF and Tislelizumab, measured as the number of months from date of first treatment until disease progression or death from any cause

Time frame
From start treatment to disease progression, death or last follow-up 6 months after last dose of study drug (whichever comes first).

Other outcomes

Sponsors and contacts

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