EMD 640 744 in Montanide ISA 51 VG Administered in Subjects With Advanced Solid Tumors
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ClinicalTrials.gov Identifier: NCT01012102 |
Recruitment Status :
Completed
First Posted : November 11, 2009
Last Update Posted : February 20, 2014
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To compare 3 doses of EMD 640744 administered by subcutaneous injection in combination with Montanide® ISA 51 VG with regard to immunological efficacy.
The primary target variable is the immune response as assessed by ELISPOT before and until week 17 after vaccination with EMD 640744 in Montanide® ISA 51 VG.
Condition or disease | Intervention/treatment | Phase |
---|---|---|
Advanced Solid Tumors | Biological: EMD 640744 Other: Montanide ISA 51 VG | Phase 1 |
Study Type : | Interventional (Clinical Trial) |
Actual Enrollment : | 104 participants |
Allocation: | Randomized |
Intervention Model: | Parallel Assignment |
Masking: | None (Open Label) |
Primary Purpose: | Treatment |
Official Title: | An Open Label, Parallel Group, Randomized Phase I Study of Biological Activity, Safety, Tolerability, and Clinical Activity of Different Dose Levels of EMD 640 744 in Montanide ISA 51 VG Administered in Subjects With Advanced Solid Tumors |
Study Start Date : | April 2008 |
Actual Primary Completion Date : | October 2009 |
Actual Study Completion Date : | September 2011 |
Arm | Intervention/treatment |
---|---|
Experimental: Group 1
EMD 640744 30μg and Montanide® ISA 51 VG
|
Biological: EMD 640744
EMD 640744 30μg, weekly in initiation phase and monthly in maintenance phase (in combination with Montanide® ISA 51 VG) Other: Montanide ISA 51 VG Adjuvant. Montanide® ISA 51 VG, weekly in initiation phase and monthly in maintenance phase (in combination with EMD 640744 30ug) |
Experimental: Group 2
EMD 640744 100μg and Montanide® ISA 51 VG
|
Biological: EMD 640744
EMD 640744 100μg, weekly in initiation phase and monthly in maintenance phase (in combination with Montanide® ISA 51 VG) Other: Montanide ISA 51 VG Adjuvant. Montanide® ISA 51 VG, weekly in initiation phase and monthly in maintenance phase (in combination with EMD 640744 100ug) |
Experimental: Group 3
EMD 640744 300μg and Montanide® ISA 51 VG
|
Biological: EMD 640744
EMD 640744 300μg, weekly in initiation phase and monthly in maintenance phase (in combination with Montanide® ISA 51 VG) Other: Montanide ISA 51 VG Adjuvant. Montanide® ISA 51 VG, weekly in initiation phase and monthly in maintenance phase (in combination with EMD 640744 300ug) |
- To compare 3 doses of EMD 640744 administered by subcutaneous injection in combination with Montanide® ISA 51 VG with regard to immunological efficacy [ Time Frame: 1-4 weeks ]
- To assess the safety and tolerability of different doses of EMD 640744 in Montanide® ISA 51 VG in terms of laboratory parameters and adverse event profile. [ Time Frame: 3 months ]
- To assess the clinical efficacy in terms of the overall response, progression-free survival time, and survival time. [ Time Frame: 3 months ]

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Ages Eligible for Study: | 18 Years and older (Adult, Older Adult) |
Sexes Eligible for Study: | All |
Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Male and female subjects ≥18 years of age
- Signed written informed consent
- Histologically or cytologically documented metastatic or locally advanced survivin-expressing solid tumor for which no established therapy exists
- Disease must be measurable by RECIST criteria or evaluable by clinical, radiographic, or laboratory criteria established for the given tumor entity
- Expressing at least one of the following HLA alleles:HLA-A1,-A2,-A3,-A24, and -B7 assessed by HLAgenotyping
- ECOG performance status of ≤1, estimated life expectancy of at least 3 months
- Adequate hematological function defined by WBC ≥3 x 10x9/L, lymphocyte count ≥0.5 x 10x9/L, hemoglobin ≥10 g/dL, platelet count ≥100 x 10x9/L
- Adequate blood coagulation parameters defined as aPTT and INR ≤ 1.5 x ULN
- Adequate renal function defined by a serum creatinine ≤2 x ULN
- Adequate hepatic function defined by total bilirubin ≤2 x ULN and AST and ALT levels ≤2.5 x ULN (in subjects with liver metastases ≤5 x ULN)
- Effective contraception for female and male subjects if the risk of conception exists
Exclusion Criteria:
- Treatment in another clinical study within the past 30 days prior to the first administration of study treatment
- Previous treatment with an investigational anticancer vaccine
- Requirement of concurrent treatment with a nonpermitted drug
- Active significant autoimmune disease (with the exception of vitiligo)
- Receipt of allogeneic stem cell transplantation
- Significant acute or chronic infections (e.g. viral hepatitis, HIV)
- Primary brain tumors and brain metastases (with the exception of brain metastases that are stable after irradiation or surgically resected brain metastases if subjects have been asymptomatic for ≥6 months)
- Rapidly progressive disease (e.g. tumor lysis syndrome)
- Radiotherapy, chemotherapy, surgery (excluding prior diagnostic biopsy), immunotherapy or any investigational drug within 30 days before the start of study treatment
- Pregnancy or lactation
- Active drug or alcohol abuse
- Known hypersensitivity to the study treatment or any of its components
- Any significant disease that, in the Investigator's opinion, should exclude the subject from the study; for questions about this criterion, the Investigator should contact the sponsor.
- Persisting toxicity related to prior therapy ≥grade 2 National Cancer Institute-Common Terminology Criteria For Adverse Events version 3.0
- Legal incapacity or limited legal capacity

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT01012102
Study Director: | Jens-Peter Marschner, MD | Merck KGaA, Darmstadt |
Responsible Party: | Merck KGaA, Darmstadt, Germany |
ClinicalTrials.gov Identifier: | NCT01012102 |
Other Study ID Numbers: |
EMR 200032-001 |
First Posted: | November 11, 2009 Key Record Dates |
Last Update Posted: | February 20, 2014 |
Last Verified: | October 2011 |
EMD 640744 Montanide Advanced solid tumours |
Neoplasms Freund's Adjuvant Adjuvants, Immunologic Immunologic Factors Physiological Effects of Drugs |