Multi-peptide Vaccination and Bispecific PSMAxCD3 Antibody Treatment in Patients With Prostate Cancer

Trial statusRecruiting
Trial phasePhase 2
Trial typeInterventional
Biological sexMale
Age18-80
SponsorUniversity Hospital Tuebingen

About this trial

This trial is a phase II, randomized, open label study designed to evaluate safety, tolerability and efficacy of CC-1, a bispecific antibody (bsAb) with PSMAxCD3 specificity, and of VACXS15-PC01, a prostate cancer (PC)-specific multi-peptide vaccine, both administered as single agent or in combination to patients affected with biochemical recurrence (BCR) of PC after local therapy with curative intent. Patients will not receive other treatments during trial participation.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Understand and voluntarily sign an IC document prior to any study related assessments/procedures

Understand and voluntarily sign an IC document prior to any study related assessments/procedures

Patient is able to understand and comply with the protocol for the duration of the study including treatment and scheduled visits and examinations

Men aged ≥ 18 and ≤80 years

Disqualifiers

• PSA >5 ng/mL (at screening)

Patients who are receiving or have previously received androgen deprivation treatment.

Patients who are planned to or are undergoing salvage therapy (e.g. radiation)

Clinically significant xerostomia (dry mouth >1grade according to CTCAE v6.0)

Trial design

Design model

Parallel

Treatments tested in this trial

  • PSMAxCD3, bispecific antibody CC-1

    Drug

    CC-1 is applied subcutaneously once per week for 12 weeks in Arm 2. Due to priming doses up to 14 applications are planned.

  • Multipeptide Vaccine VAC-XS15-PC01

    Drug

    The vaccine VAC-XS15-PC01 consists of 300 µg of each of 10 PC-associated peptides. The vaccine cocktail (final volume 500 µL) will be administered subcutaneously (SC), adjuvanted with the TLR1/2 ligand XS15 (50 µg) and emulsified in Montanide ISA 51 VG at a 1:1 ratio. A total of three vaccinations are planned in Arm 1, administered 4 weeks apart from each other.

Treatment groups

84 Participants
are divided into 3 treatment groups
Group A: Multi-peptide vaccine VAC-XS15-PC01Active comparator 1 intervention
Group B: PSMAxCD3 bispecific antibody CC-1Active comparator 1 intervention
Group C: PSMAxCD3 bispecific antibody CC-1 + Multi-peptide vaccine VAC-XS15-PC01Experimental treatment 2 interventions

Trial outcomes

Primary outcomes

1

PSA response defined as ≥50% reduction in PSA at FU1 compared to baseline.

PSA serum levels \[ng/ml\] are determined during screening, before every treatment, and then every 30 days until end of follow up. PSA serum levels for one study patient should be locally assessed in the same lab during the whole study treatment. Furthermore, 5ml serum are taken and should be processed locally and stored at -80 °C at the study site. Tübingen for central assessment of PSA.

Time frame
Screening: 21 days before Cycle (C1);C1: Day (D) -1, D0 to D3, D8, D15, and D22; C2-3: D1, D8, D15, and D22 (each cycle is 22 days); End of Treatment (EOT): D29 of C3; Follow-Up 1-5: every 30 days after the EOT; End of study (EOS): 12 months after EOT

Secondary outcomes

Other outcomes

Sponsors and contacts

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