Status:

UNKNOWN

DNA Vaccination Against Neuroblastoma

Lead Sponsor:

Belarusian Research Center for Pediatric Oncology, Hematology and Immunology

Conditions:

Relapsed Neuroblastoma

Eligibility:

All Genders

1-20 years

Phase:

EARLY_PHASE1

Brief Summary

This is pilot open-label study to evaluate the safety and immunogenicity of a DNA vaccine strategy in relapsed neuroblastoma patients following chemotherapy and HSC transplantation. The combined form ...

Detailed Description

DNA vaccine construction includes chimeric fusion of neuroblastoma-associated antigen and potato virus X coat protein (PVXCP) as an immune enhancer. In each course vaccine for one antigen is applies. ...

Eligibility Criteria

Inclusion

  • The diagnosis of neuroblastoma recurrence with morphological / cytological confirmation;
  • The presence of tumor tissue for biopsy;
  • The absence of progression or a large tumor mass (bulky disease);
  • The physical status on the scale of ECOG 0 - 2.
  • Life expectancy of at least 12 months
  • Indicators of cellular immunity of the blood: lymphocytes - at least 1 \* 10\^9;
  • Availability of written informed consent of the patient and his parents (legal representatives) to participate in this protocol.
  • Compliance of parents (legal representatives) and the patient himself with participation in the study protocol.

Exclusion

  • A. Based on the anamnesis:
  • The presence of any primary immunodeficiency;
  • The presence of a primary multiple malignant tumor;
  • The presence of autoimmune diseases in history (except thyroiditis);
  • Polyalgia;
  • Severe diseases, including those with severe symptoms, untreated inflammatory and infectious processes, due to which the patient cannot receive treatment in accordance with the study protocol.
  • Socioeconomic or geographical circumstances that cannot guarantee proper compliance with the requirements of the protocol for treatment and further observation.
  • B. based on survey data:
  • The absence of expression in the tumor tissue of two or more antigens used in the protocol;
  • The level of peripheral blood leukocytes \<1.5 × 10\^9 /L, platelet \<50.0 × 10\^9 /L, Hemoglobin less than 80 g / L;
  • Positive tests for human immunodeficiency virus (HIV), hepatitis B or C.
  • Severe impaired liver function - the levels of AST / SGOT or ALT / SGPT exceed the upper limit of normal 5 times or more.

Key Trial Info

Start Date :

January 9 2019

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

December 31 2023

Estimated Enrollment :

12 Patients enrolled

Trial Details

Trial ID

NCT04049864

Start Date

January 9 2019

End Date

December 31 2023

Last Update

March 2 2022

Active Locations (1)

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1

Belarussian Research Center for Pediatric Oncology, Hematology and Immunology

Minsk, Minsk Oblast, Belarus, 223053