Integration of the PD-L1 Inhibitor Atezolizumab and WT1/DC Vaccination Into Platinum/Pemetrexed-based First-line Treatment for Epithelioid Malignant Pleural Mesothelioma

Status: Recruiting
Location: See all (3) locations...
Intervention Type: Biological, Drug
Study Type: Interventional
Study Phase: Phase 1/Phase 2
SUMMARY

In this multicenter phase I/II trial, the programmed death-ligand 1 (PD-L1) inhibitor atezolizumab and dendritic cells (DCs) loaded with the mesothelioma-associated tumor antigen WT1 will be integrated into platinum/pemetrexed-based first-line chemotherapy for the treatment of epitheloid malignant pleural mesothelioma (MPM). The general objective is to provide the first-in-human experimental demonstration that the combination of platinum/pemetrexed-based chemotherapy with atezolizumab and WT1/DC vaccination is feasible and safe, has clinical activity and enables the induction of mesothelioma-specific immune responses in patients with MPM.

Eligibility
Participation Requirements
Sex: All
Minimum Age: 18
Healthy Volunteers: f
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∙ Subjects must meet all the following criteria to be eligible to participate in the study:

• Signed informed consent

• Diagnosis with histologically proven epithelioid unresectable MPM (stage I-IV)

• Age ≥ 18 years at the time of signing informed consent

• World Health Organization (WHO) performance status 0-1

• Adequate hematologic and end-organ function, defined by the following laboratory test results, obtained at the time of screening:

‣ Absolute neutrophil count (ANC) ≥ 1.5 x 10\^9/L (1500/μL) without granulocyte colony- stimulating factor support

⁃ Lymphocyte count ≥ 0.5 x 10\^9/L (500/μL)

⁃ Platelet count ≥ 100 x 10\^9/L (100,000/μL) without transfusion

⁃ Hemoglobin ≥ 90 g/L (9 g/dL) Patients may be transfused to meet this criterion

⁃ Aspartate aminotransferase (AST), alanine aminotransferase (ALT), and alkaline phosphatase (ALP) ≤ 2.5 x upper limit of normal (ULN), with the following exceptions:

⁃ Patients with documented liver metastases: AST and ALT ≤ 5 x ULN

⁃ Patients with documented liver or bone metastases: ALP ≤ 5 x ULN

⁃ Total bilirubin ≤ 1.5 x ULN with the following exception:

⁃ Patients with known Gilbert disease: total bilirubin ≤ 3 x ULN

⁃ Creatinine ≤ 1.5 x ULN

⁃ Albumin ≥ 25 g/L (2.5 g/dL)

⁃ For patients not receiving therapeutic anticoagulation: prothrombin international normalized ration (PT-INR) and activated partial thromboplastin time (APTT) ≤ 1.5 x ULN

• Negative Human Immunodeficiency Virus (HIV) test at screening

• Negative hepatitis B surface antigen (HBsAg) test at screening

• Negative total hepatitis B core antibody (HBcAb) test at screening, or positive total HBcAb test followed by a negative hepatitis B virus (HBV) DNA test at screening

‣ The HBV DNA test will be performed only for patients who have a negative HBsAg test and a positive total HBcAb test.

• Negative hepatitis C virus (HCV) antibody test at screening, or positive HCV antibody test followed by a negative HCV RNA test at screening. The HCV RNA test must be performed for patients who have a positive HCV antibody test.

• Willing and able to comply with the study protocol, as judged by the treating physician

• Women of childbearing potential must have a negative serum or urine pregnancy test at the time of screening and agree to use effective contraception (\<1% failure rate per year) before, during and for at least five months after the last atezolizumab administration or at least hundred days after the last WT1/DC vaccine administration (whichever takes longer). Men must agree to use effective contraception before, during and for at least hundred days after the last study treatment administration.

Locations
Other Locations
Belgium
Antwerp University Hospital
RECRUITING
Edegem
AZ Maria Middelares
RECRUITING
Ghent
VITAZ
RECRUITING
Sint-niklaas
Contact Information
Primary
Zwi N Berneman, MD, PhD
zwi.berneman@uza.be
0032 3 821 39 15
Backup
Barbara Stein, MSc
Barbara.Stein@uza.be
0032 3 821 31 22
Time Frame
Start Date: 2023-02-24
Estimated Completion Date: 2026-10
Participants
Target number of participants: 15
Treatments
Experimental: Single arm
Standard of care chemotherapy, complemented with atezolizumab and WT1/DC vaccination
Related Therapeutic Areas
Sponsors
Collaborators: Vitaz, Algemeen Ziekenhuis Maria Middelares, Kom Op Tegen Kanker, Roche Pharma AG
Leads: University Hospital, Antwerp

This content was sourced from clinicaltrials.gov

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