Phase I of Human Papillomavirus (HPV) DNA Plasmid (VGX-3100) + Electroporation for CIN 2 or 3
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Purpose
DNA vaccines, which are small pieces of DNA also known as plasmids, have several advantages over traditional vaccines such as live attenuated virus and recombinant protein-based vaccines. DNA vaccines appear to be well tolerated in humans. Therefore, we have developed our DNA vaccine, VGX-3100, to include plasmids targeting E6 and E7 proteins of both HPV subtypes 16 and 18. We have chosen to deliver our candidate vaccines via electroporation (EP) using the CELLECTRA™ constant current device to deliver a small electric charge following intramuscular (IM) injection, since animal studies have shown that this delivery method increases the immune response to our DNA vaccine leading to a decrease in the size of tumors caused by HPV 16 and 18. The vaccine is proposed to be given to patients with a history of CIN 2 and 3 that have been treated by surgery. We will determine which dose the DNA vaccine will be the best tolerated and elicit the strongest immune response.
| Condition | Intervention | Phase |
|---|---|---|
|
Papillomavirus Infections |
Biological: VGX-3100 |
Phase 1 |
| Study Type: | Interventional |
| Study Design: | Allocation: Non-Randomized Endpoint Classification: Safety Study Intervention Model: Single Group Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | Phase I Open Label, Dose Escalation Study to Evaluate the Safety, Tolerability and Immunogenicity of Human Papillomavirus (HPV) DNA Plasmid (VGX-3100) + Electroporation (EP) in Adult Females Post Surgical or Ablative Treatment of Grade 2 or 3 Cervical Intraepithelial Neoplasia (CIN) |
- Safety and tolerability of escalating doses of VGX-3100, administered by IM injection with EP to adult female subjects post surgical or ablative treatment of grade 2 or 3 CIN. [ Time Frame: Through Month 4 ] [ Designated as safety issue: Yes ]
- Humoral and cellular immune responses to VGX-3100 in blood samples obtained from study subjects after each dose of a 3-dose series of VGX-3100 containing 0.6, 2 or 6 mg of DNA/dose. [ Time Frame: At end of study ] [ Designated as safety issue: No ]
| Enrollment: | 18 |
| Study Start Date: | May 2008 |
| Study Completion Date: | March 2011 |
| Primary Completion Date: | January 2011 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: 0.6mg of DNA/dose
Subjects will receive a 3 dose series of VGX-3100 containing 0.6mg DNA/dose administered via IM injection + electroporation at Day 0, Month 1 and Month 3
|
Biological: VGX-3100
DNA plasmid delivered via IM injection + electroporation using CELLECTRA device
|
|
Experimental: 2mg of DNA/dose
Subjects will receive a 3 dose series of VGX-3100 containing 2mg of DNA/dose administered via IM injection + electroporation at Day 0, Month 1 and Month 3
|
Biological: VGX-3100
DNA plasmid delivered via IM injection + electroporation using CELLECTRA device
|
|
Experimental: 6mg of DNA/dose
Subjects will receive a 3 dose series of VGX-3100 containing 6mg DNA/dose administered via IM injection + electroporation at Day 0, Month 1 and Month 3
|
Biological: VGX-3100
DNA plasmid delivered via IM injection + electroporation using CELLECTRA device
|
Eligibility| Ages Eligible for Study: | 18 Years to 45 Years |
| Genders Eligible for Study: | Female |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Written informed consent in accordance with institutional guidelines;
- Female 18-45 years of age;
- Post surgical (including LEEP and conization) or ablative treatment and a diagnosis of CIN 2 or 3, while under physician care as per ASCCP guidelines (Appendix D);
- Normal ECG and normal laboratory values as judged by Grade 0-1 as per Toxicity Grading Scale for Healthy Adults (Appendix C) for CBC, CPK, SMA-12 and urinalysis evaluations done up to 30 days prior to administration of study treatment;
- Body mass index (BMI) ≤30 kg/m2;
- Women of child-bearing potential (WOCBP) agree to remain sexually abstinent, use medically effective contraception (oral contraception, barrier methods, spermicide, etc), or have a partner who is sterile (i.e., vasectomy) from enrollment to 3 months after the last injection (~6 months);
- Able and willing to comply with all study procedures.
Exclusion Criteria:
- Active infection with herpes simplex virus (HSV);
- Positive serological test for HIV virus, hepatitis C virus or Hepatitis B virus surface antigen (HBsAg);
- Pregnant or breastfeeding subjects;
- Any concurrent condition requiring the continued use of systemic or topical steroids (excluding inhaled and eye drop-containing corticosteroids) or the use of immunosuppressive agents. All other corticosteroids must be discontinued > 4 weeks prior to Day 1 of treatment;;
- Administration of any blood product within 3 months of enrollment;
- Administration of any vaccine within 6 weeks of enrollment;
- Patient is currently participating or has participated in a study with an investigational compound or device within 30 days of signing informed consent;
- Metal implants at the site of injection;
- Active drug or alcohol use or dependence that, in the opinion of the investigator, would interfere with adherence to study requirements;
- Prisoners or subjects who are compulsorily detained (involuntarily incarcerated) for treatment of either a psychiatric or physical (i.e. infections disease) illness must not be enrolled into this study;
- Any other conditions judged by the investigator that would limit the evaluation of a subject.
Contacts and Locations| United States, North Carolina | |
| Lyndhurst Gynecologic Associates | |
| Winston-Salem, North Carolina, United States, 27103 | |
| United States, Pennsylvania | |
| Laurel Highlands, OB/GYN, P.C. | |
| Hopwood, Pennsylvania, United States, 15445 | |
| University of Pennsylvania | |
| Philadelphia, Pennsylvania, United States, 19104 | |
| Puerto Rico | |
| Clinical Research Puerto Rico | |
| San Juan, Puerto Rico, 00909 | |
| Principal Investigator: | Christina Chu, MD | University of Pennsylvania |
| Principal Investigator: | Robert Parker, MD | Lyndhurst Gynecologic Associates |
| Principal Investigator: | John Sunyecz, MD | Laurel Highlands, OB/GYN, P.C. |
| Principal Investigator: | Javier Morales, MD | Clinical Research Puerto Rico |
More Information
No publications provided
| Responsible Party: | Inovio Pharmaceuticals |
| ClinicalTrials.gov Identifier: | NCT00685412 History of Changes |
| Other Study ID Numbers: | HPV001 |
| Study First Received: | May 22, 2008 |
| Last Updated: | December 8, 2011 |
| Health Authority: | United States: Food and Drug Administration |
Keywords provided by Inovio Pharmaceuticals:
|
CIN 2 or 3 cervical cancer |
Additional relevant MeSH terms:
|
Cervical Intraepithelial Neoplasia Papillomavirus Infections Carcinoma in Situ Carcinoma Neoplasms, Glandular and Epithelial |
Neoplasms by Histologic Type Neoplasms DNA Virus Infections Virus Diseases Tumor Virus Infections |
ClinicalTrials.gov processed this record on May 22, 2013