Clinical trial · Interventional
Vaccine Therapy in Treating Patients With Metastatic Prostate Cancer
A PHASE I TRIAL OF RECOMBINANT VACCINIA VIRUS THAT EXPRESSES PSA IN PATIENTS WITH ADENOCARCINOMA OF THE PROSTATE
NCT00004029CI-TRIAL-00009396completedPhase 1ClinicalTrials.gov clinicaltrialsProvenance
- Source
- ClinicalTrials.gov
- Retrieved
- Sep 8, 2026
- Layer
- normalized (units and labels harmonized; values unchanged)
- Run
- ING-CLINICALTRIALS-20260908-000001
Summary
Brief summary (as posted)
Phase I trial to study the effectiveness of vaccine therapy in treating patients with metastatic prostate cancer. Vaccines may make the body build an immune response to kill tumor cells.
Conditions
Conditions (1)
Free-text conditions as registered, with the CancerIndex entity they were reconciled to and the match type.
| Condition (as posted) | Mapped entity | Match | Confidence |
|---|---|---|---|
| Prostate Cancer | Malignant Prostate Neoplasm | CURATED_EXACT | 0.92 |
Interventions
Interventions (2)
| Intervention | Type | Mapped drug | Match |
|---|---|---|---|
| recombinant viral vaccine therapy | Biological | — | UNRESOLVED |
| sargramostim | Biological | — | UNRESOLVED |
Design
Arms and outcomes
Arms (1)
- type
- EXPERIMENTAL
- label
- Arm I
- description
- atients in cohorts of 3-6 receive 3 vaccinations with rV-PSA at 4-week intervals (days 1, 29, 57, and 85) in the absence of disease progression or unacceptable toxicity. Response assessment is performed at eight weeks. Patients who discontinue therapy prior to eight weeks are considered unevaluable for response. If dose limiting toxicity is observed in 2 of 6 patients entered at a dose level, no further patients are entered at that level and the MTD is defined as the preceding dose level. Ten additional patients are treated at the MTD and receive granulocyte-macrophage colony-stimulating factor (GM-CSF) administered subcutaneously on day -1 through day 2 of each cycle. Patients who are HLA-A2 positive, have received all 3 rV-PSA vaccinations without unacceptable toxicity, and have been off study for at least 30 days due to disease progression may continue treatment with rV-PSA at the highest dose level and the addition of GM-CSF.
- interventionNames
- Biological: recombinant viral vaccine therapy
- Biological: sargramostim
Primary outcomes (0)
[]Eligibility
Eligibility (as posted)
- Sex
- Male
- Minimum age
- 18 Years
Show eligibility criteria text
DISEASE CHARACTERISTICS: * Histologically proven adenocarcinoma of the prostate with evidence of metastatic disease based on any of the following: * Lymph node positive and PSA at least 10 ng/mL * Bone scan positive and PSA at least 10 ng/mL * PSA at least 2 ng/mL and rising following radical prostatectomy * PSA at least 10 ng/mL following radiotherapy * No symptomatic metastatic disease (bony pain) PATIENT CHARACTERISTICS: * Age: 18 and over * Performance status: ECOG 0 or 1 * WBC greater than 2,000/mm3 * Platelet count greater than 100,000/mm3 * Bilirubin less than 2.0 mg/dL * AST less than 4 times normal * Creatinine less than 2.0 mg/dL * Must be type HLA-A2 Prior vaccinia (smallpox) exposure required * At least normal delayed type hypersensitivity to mumps and Candida * At least normal CD4:CD8 ratio (greater than 1) * At least normal lymphocyte proliferation testing (to Con A) * At least normal immunoglobulin levels * No evidence of altered immune responsiveness or autoimmune syndromes (e.g., scleroderma, systemic lupus erythematosus) * No HIV antibody No prior splenectomy * No known allergy to eggs * No active extensive skin disorders (e.g, psoriasis, burns, impetigo, disseminated zoster) * No other serious intercurrent illness * No active infections unless cleared and at least 3 days since antibiotic therapy * No close contact for 2 weeks after each vaccination with the following people: * Children less than 3 years old * Pregnant women * Individuals with eczema or skin conditions listed above * Immunosuppressed individuals PRIOR CONCURRENT THERAPY: * No concurrent biologic therapy * No prior chemotherapy for metastatic disease * No prior hormone therapy for metastatic disease * Neoadjuvant hormone therapy prior to prostatectomy or radiotherapy allowed * No concurrent steroids or hormonal medications * Prior radiotherapy allowed * Prior surgery allowed
References
Publications (2)
- RESULTEder JP Jr, Kantoff PW, Bubley GJ, et al.: A phase I trial of recombinant prostate specific antigen expressing vaccinia virus vaccine, PROSTVAC (rV-PSA) in advanced prostate cancer. [Abstract] Proceedings of the American Society of Clinical Oncology 18: A1692, 439, 1999.
- RESULTEder JP Jr, Kantoff PW, Bubley GJ, et al.: A phase I trial of recombinant vaccinia virus, PROSTVAC that expresses prostate specific antigen (rV-PSA) as a vaccine in men with advanced prostate cancer. [Abstract] Proceedings of the American Society of Clinical Oncology 17: A1672, 434, 1998.