SIDNEY: A Novel Vaccine (EO2463) as Monotherapy and in Combination, for Treatment of Patients With Indolent Non-Hodgkin Lymphoma
Study Details
Study Description
Brief Summary
The purpose of this study is to define the recommended Phase 2 Dose, safety, tolerability, immunogenicity, and preliminary efficacy of EO2463 during monotherapy and in combination with lenalidomide and/or rituximab in patients with indolent NHL
Condition or Disease | Intervention/Treatment | Phase |
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Phase 1/Phase 2 |
Detailed Description
EO2463 Is an innovative cancer peptide therapeutic vaccine based on the homologies between tumor associated antigens and microbiome-derived peptides that will be administered alone and in combination with lenalidomide, rituximab, and lenalidomide/rituximab to generate safety and preliminary efficacy data in patients with indolent NHL
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Experimental: Cohort 1 Safety Lead-In, Dose-Finding, Cohort, with a 3-by-3 design of EO2463 for 6 weeks followed by addition of lenalidomide week 7 and rituximab week 19 (depending on response). Four to 18 evaluable (previously treated) patients with Follicular Lymphoma (FL) or Marginal Zone Lymphoma (MZL) will be Included based on safety findings |
Biological: EO2463
Multiple dose of EO2463
Drug: lenalidomide
D1-21 of 4-weekly cycles
Other Names:
Biological: rituximab
Multiple doses of rituximab
Other Names:
|
Experimental: Cohort 2 15 Previously untreated patients with FL Or MZL. Evaluation of EO2463 monotherapy at the established dose in Cohort 1 |
Biological: EO2463
Multiple dose of EO2463
|
Experimental: Cohort 3 15 Previously untreated patients with FL or MZL. Evaluation of EO2463 at the established dose in cohort 1 as monotherapy for 6 weeks and in combination with rituximab from week 7 |
Biological: EO2463
Multiple dose of EO2463
Biological: rituximab
Multiple doses of rituximab
Other Names:
|
Experimental: Cohort 4 15 Previously treated patients with FL Or MZL. Evaluation of EO2463 at the established dose in Cohort 1 in combination with lenalidomide and with addition of rituximab from week 19 onwards (depending on response) |
Biological: EO2463
Multiple dose of EO2463
Drug: lenalidomide
D1-21 of 4-weekly cycles
Other Names:
Biological: rituximab
Multiple doses of rituximab
Other Names:
|
Outcome Measures
Primary Outcome Measures
- Phase 1: Recommended Phase 2 Dose | Adverse Events Assessment | [Up to 24 months]
Incidences of adverse events, Treatment-Emergent Adverse events, Serious Adverse Events, Deaths, and Laboratory Abnormalities Using the National Cancer Institute-Common Terminology Criteria for Adverse events (NCI-CTCAE) V5.0.
- Phase 2: Overall Response Rate [Up to 24 months]
Overall Response Rate According to the Lugano Classification 2014 during EO2463 Monotherapy
Secondary Outcome Measures
- Safety and Tolerability for EO2463 Administered as Monotherapy and in Combination with Lenalidomide, Rituximab and Lenalidomide/Rituximab [Up to 24 months]
Incidences Of Adverse Events, Treatment-Emergent Adverse events, Serious Adverse events, Deaths, Treatment Discontinuations/Delays, And Laboratory Abnormalities Using The NCI-CTCAE V5.0 Grading System
- Assessment of the Immunogenicity in Relation to OMP72, OMP64, OMP65, OMP66, and UCP2 that Compose EO2463 [Up to 24 months]
Immunogenicity will be assessed by interferon-Gamma (IFN-Γ) enzyme-Linked immunospot , and by intracellular cytokines staining, and multimers staining assays
- Overall Response Rate [Up to 24 months]
Overall Response Rate as described by the Lugano Classification 2014, and by the Lymphoma Response to Immunomodulatory Therapy Criteria (Lyric) 2016 by trial cohort
- Duration of response [Up to 7 years after last patient enrolled]
Duration of Response as described by the Lugano Classification 2014, and by the Lymphoma Response to Immunomodulatory Therapy Criteria (Lyric) 2016 by trial cohort
- Evaluation of Overall Survival [Up to 7 years after last patient enrolled]
The time interval from the date of first study treatment administration to the date of death due to any cause
Eligibility Criteria
Criteria
Inclusion Criteria:
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For inclusion in Cohorts 1 and 4 patients should have relapsed/refractory, biopsy-proven grade 1, 2 or 3A, FL or MZL, ECOG performance status 0 to 2, and have received at least one prior line of treatment.
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For inclusion in Cohort 2 patients should have newly diagnosed, previously untreated (radiotherapy as only prior treatment is allowed), biopsy-proven grade 1, 2 or 3A, FL or MZL. ECOG performance status 0 or 1, and not be in need of standard of care therapy according to the assessment of the treating physician.
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Patients with only one prior treatment and a high-risk profile as defined by first progression of disease within 24 months of diagnosis (the exclusion is not applicable for patients with more than one prior line treatment).
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For inclusion in Cohort 3 patients should have newly diagnosed, previously untreated (radiotherapy as only prior treatment is allowed), biopsy-proven grade 1, 2 or 3A, FL or MZL. ECOG performance status 0 or 1, low tumor burden by Groupe d'Etude des Lymphomes Folliculaires criteria and be in need of therapy according to the assessment of the treating physician.
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Patients with an age ≥ 18 years old.
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Patients who are human leukocyte antigen (HLA)-A2 positive.
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Patients should have radiologically measurable disease with a lymph node or tumor mass greater than or equal to 1.5 cm in at least one dimension.
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Males or non-pregnant, non-lactating, females.
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Patients willing and able to comply with the scheduled visits, treatment plan, laboratory tests, and other study procedures indicated in the protocol.
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Patients having received the information sheet and who have provided written informed consent prior to any study-related procedures.
Exclusion Criteria:
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Patients treated with dexamethasone > 2 mg/day or equivalent (i.e. 13 mg/day of prednisone, or 53 mg/day of hydrocortisone) within 14 days before the first EO2463 administration, unless required to treat an adverse event.
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Patients with grade 3B FL or transformation to an aggressive lymphoma subtype.
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Patients with only one prior treatment and a high-risk profile as defined by first progression of disease within 24 months of diagnosis (the exclusion is not applicable for patients with more than one prior line treatment).
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Patients with prior exposure to EO2463.
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Patients treated with immunotherapy (meaning immunostimulatory or immunosuppressive therapy; beside excluded, or allowed, compounds per other inclusion/exclusion criteria specifications), radionuclide therapy, radiotherapy, cytoreductive therapy, or received treatment with any other investigational agent within 28 days before the first EO2463 administration.
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Patients to be included in Cohorts 1 and 4, and who have received rituximab or other B cell ablation therapy within 8 weeks of start of study treatment.
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Patients with abnormal laboratory values.
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Patients with persistent Grade 3 or 4 toxicities.
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Uncontrolled central nervous system (CNS) metastasis.
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Other malignancy or prior malignancy with a disease-free interval of less than 3 years.
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Patients with clinically significant disease.
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Patients with suspected autoimmune or active autoimmune disorder or known history of an autoimmune neurologic condition (e.g. Guillain-Barré syndrome).
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Patients with history of solid organ transplantation or hematopoietic stem cell transplantation.
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Pregnant and breastfeeding patients.
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Patients with history or presence of human immunodeficiency virus and/or potentially active hepatitis B virus/hepatitis C virus infection.
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Dana Farber Cancer Institute | Boston | Massachusetts | United States | 02215 |
2 | Mayo Clinic | Rochester | Minnesota | United States | 55905 |
3 | University of Rochester Medical Center (URMC) - Wilmot Cancer Institute (WCI) (James P. Wilmot Cancer Center) | Rochester | New York | United States | 14642 |
4 | University of Washington-Seattle Cancer Care Alliance | Seattle | Washington | United States | 98109 |
5 | University of Bologna | Bologna | Italy | ||
6 | IRCCS Policlinico San Matteo Foundation - University of Pavia | Naples | Italy | ||
7 | IRCCS Policlinico San Matteo Foundation - University of Pavia | Pavia | Italy | ||
8 | University Hospital Vall d'Hebron, Institute of Oncology | Barcelona | Spain | ||
9 | Clinica Universidad de Navarra | Madrid | Spain | ||
10 | Hospital Clinico Universitario de Salamanca | Salamanca | Spain |
Sponsors and Collaborators
- Enterome
Investigators
- Study Director: Jan Fagerberg, MD, Enterome
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- EONHL1-20