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Completed

NCT Number: NCT00859729

Dose Finding Study of a DNA Vaccine Delivered With Intradermal Electroporation in Patients With Prostate Cancer

This study will assess the feasibility and safety of vaccination with increasing doses of xenogenic DNA administered intradermally in combination with electroporation in patients with relapse of prostate cancer. The DNA encodes prostate specific antigen (PSA) from Rhesus Macaque (Macaca mulatta), a protein that is 89% homologous to human PSA. The study will also assess the safety and functionality of the DERMA VAX™ (Cyto Pulse Sciences) DNA vaccine delivery system.

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Key information

Age range

18 year and older

Sex eligibility

Male

Study type

Interventional

Phase

Phase 1 / Phase 2

Primary location

Department of Oncology, University Hospital Uppsala

Uppsala, 751 85, Sweden

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Male patients. Age >18 years.
  • HLA-A*0201 positive.
  • Histologically confirmed prostate cancer.
  • Minimum two (2) and maximum four (4) years after treatment with curative or salvage radiotherapy.
  • Serum testosterone within normal range.
  • Increasing PSA from a previous reference value on two (2) consecutive occasions at least one month apart and with a minimum of 2 ng/mL above nadir.
  • PSA doubling time is one (1) year or less.
  • No evidence of metastatic prostate cancer.
  • Karnofsky performance status ≥ 80.
  • Adequate organ function:
  • AST and ALT ≤ 2.0 x upper limit of normal (ULN); total serum bilirubin ≤ 1.5 x ULN
  • Calcium ≤ 2.6 mmol/L, serum creatinine ≤ 1.5 x ULN
  • Hb ≥ 100 g/L; absolute leukocyte count ≥ 3.0 x 109 /L; platelets ≥100 x 109 /L
  • Life expectancy ≥ 12 months.
  • Swedish or English speaking subjects only.
  • Written informed consent (subjects must be capable of providing their own informed consent).

Exclusion criteria

  • Previous ablation of testis.
  • Radiologic evidence of metastatic disease.
  • Prior chemotherapy or investigational therapy/agents within 4 weeks.
  • Active bacterial, viral or fungal infection.
  • Carrier of HIV, HBV, or HCV.
  • Immunosuppressed (post splenectomy, post stem cell transplantation) or on immunosuppressive therapy other than inhaled or replacement corticosteroids.
  • Any other major illness or peripheral blood vein status that, in the investigator's judgement, will substantially increase the risk associated with sampling or participation in this study.
  • Subjects with cardiac demand pacemakers.
  • Any reason why, in the opinion of the investigator, the patient should not participate.

Treatment and study plan

pVAXrcPSAv53l (DNA encoding rhesus PSA)

Biological

5 doses, 4 weeks apart

Other names: rhPSA

DERMA VAX™ intradermal DNA delivery system

Device

in vivo electroporation is applied after each DNA injection

Other names: Derma Vax

Primary outcomes

  1. Assess the feasibility and safety of escalating doses of pVAXrcPSAv53l DNA vaccine, administered intradermally in combination with electroporation in patients with relapse of prostate cancer.

    Time frame: From start of treatment to 30 days (safety) or up to 12 months (immunological & clinical) post last vaccination

Secondary outcomes

  1. Assess the safety and functionality of the DERMA VAX™ in vivo electroporation DNA vaccine delivery system.

    Time frame: From start of treatment to 30 days (safety) or up to 12 months (immunological & clinical) post last vaccination

  2. Evaluate the PSA-specific immune response induced by the vaccine.

    Time frame: From start of treatment to 30 days (safety) or up to 12 months (immunological & clinical) post last vaccination

  3. Identify an anti-tumor effect of the vaccine.

    Time frame: From start of treatment to 30 days (safety) or up to 12 months (immunological & clinical) post last vaccination

Sponsors and collaborators

Lead sponsor

Uppsala University

Other

Collaborators

  • Cyto Pulse Sciences, Inc.
  • Karolinska Institutet

Registry information

Official study title

DNA Vaccine Coding for the Rhesus Prostate Specific Antigen (rhPSA) and Electroporation in Patients With Relapsed Prostate Cancer. A Phase I/II Study

Important dates

Study start
2008
Primary completion
2011
Study completion
2011
First posted
Mar 11, 2009
Registry last updated
Mar 17, 2014

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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