Study of Nivolumab in Combination With GM.CD40L Vaccine in Adenocarcinoma of the Lung

H. Lee Moffitt Cancer Center and Research Institute

Status and phase: Withdrawn; Phase 2; Phase 1

Conditions: Adenocarcinoma of the Lung; Lung Cancer

Treatments: Drug: Nivolumab; Biological: GM.CD40L Vaccine

Study type: Interventional

Funder types: Other

Identifiers

NCT02466568

1504-1392 (Other Identifier)

MCC-18147

Details and patient eligibility

About

The purpose of this study is to find out what effects (good and bad) a tumor vaccine (GM.CD40L) used in combination with Nivolumab will have on participants and their cancer. Another purpose of the study is to find out the maximum tolerated dose of nivolumab in combination with GM.CD40L vaccine. Investigators also want to find out if the combination of GM.CD40L and nivolumab can boost the immune system of participants like you, and how their immune system reacts, both before and after the treatment.

Full description

This study has two parts and participants may be involved in either Phase I part or Phase II.

Phase I: Investigators plan to enroll participants in cohorts of 6 and monitor side effects over a 21 day period to determine the maximum tolerated dose (MTD) of nivolumab, which will be given in combination with GM.CD40L. This is being done since this study involves a combination of treatments that have not been studied in humans before and to find the best dose for the Phase II part of the study.

Phase II: Investigators plan to compare any clinical benefit in the participants who receive the combination of GM.CD40L vaccine with nivolumab, to participants that receive only nivolumab.

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Histologic or cytologic diagnosis of advanced/metastatic adenocarcinoma of the lung
• Eastern Cooperative Oncology Group (ECOG) performance status of 0/1
• Chemotherapy naïve or have completed adjuvant chemotherapy for non-small cell lung cancer (NSCLC) >6 months prior
• Adequate bone marrow, renal and hepatic function
• Must have measurable metastatic disease according to Response Evaluation Criteria in Solid Tumors (RECIST) v1.1 criteria
• Mandatory archival tissue or willingness to undergo a fresh biopsy
• Life expectancy of greater than 6 months

Exclusion criteria

• Symptomatic brain metastasis or uncontrolled central nervous system (CNS) metastasis
• Pregnancy or breast feeding
• Serious uncontrolled medical disorder or active infection that would impair the participant's ability to receive study treatment
• Prior use of a PD1 or PDL1 inhibitor
• Concurrent use of other anticancer approved or investigational agents is not allowed
• Autoimmune disorders
• Prior malignancy in past 2 years
• Systemic steroids at doses greater than 10 mg/day of prednisone or the equivalent
• Any other pre-existing immunodeficiency condition (including known HIV infection)

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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0 participants in 2 patient groups

Phase I and Phase II Treatment Arm

Experimental group

Description:

Participants will receive nivolumab and GM.CD40L. Treatment will be administered on an outpatient basis. The nivolumab will be given first followed by the GM.CD40L vaccine for those enrolled on this arm.

Treatment:

Biological: GM.CD40L Vaccine

Drug: Nivolumab

Phase II Control Arm

Active Comparator group

Description:

Nivolumab treatment without GM.CD40L. Nivolumab will be given every 2 weeks at a dose of 3mg/kg.

Treatment:

Drug: Nivolumab