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Study of the BiovaxId Tumor Derived Idiotype Vaccine in Patients with Follicular Lymphoma

This study is currently recruiting patients.

Sponsored by: Biovest International
Information provided by: Biovest International

Purpose

The primary objective of this Phase 3 study is to definitively confirm the safety and efficacy of BiovaxId, an autologous tumor derived immunoglobulin idiotype vaccine, as measured by a significant prolongation of the period of disease free survival when administered to patients with indolent follicular Non-Hodgkin's Lymphoma (NHL) during their first complete remission.

Condition Treatment or Intervention Phase
Non-Hodgkins Lymphoma
 Vaccine: tumor specific immune response
Phase III

MedlinePlus related topics:  Lymphoma

Study Type: Interventional
Study Design: Treatment, Randomized, Double-Blind, Active Control, Parallel Assignment, Safety/Efficacy Study

Official Title: Randomized Trial of Patient Specific Vaccination in First Complete Remission with Conjugated Follicular Lymphoma-Derived Idiotype with Local GM-CSF

Further Study Details: 

Primary Outcomes: To demonstrate prolongation of the period of Disease Free Survival (significant prolongation of the period of complete remission) in idiotype vaccine treated patients
Secondary Outcomes: To determine the ability of the idiotype vaccine to produce a molecular complete remission; To determine the impact of molecular disease free survival; To assess the ability of the idiotype vaccine to generate an immunologic response against the NHL tumor; To compare the overall survival of subjects randomized to receive either treatment; To confirm the safety of 5 monthly injections of the vaccine with GM-CSF

Expected Total Enrollment:  563

Study start: February 2000

Patients with Stage III-IV follicular lymphoma and tumor > 2cm (Stage II allowed if tumor > 5cm), previously untreated by other than local radiation, provide tumor material by tissue biopsy for production of a patient-specific Ig idiotype vaccine conjugated to the immunogenic protein KLH. After completing PACE chemotherapy and achieving a complete remission, followed by a waiting period to reconstitute the immune system, patients who remain in remission randomized to the active treatment arm receive a series of 5 monthly idiotype vaccinations accompanied by the immune stimulant GM-CSF. Patients randomized to the control arm receive a time-matched series of KLH injections also accompanied by GM-CSF. Patients are subsequently studied to observe their immune responses both to the non-specific immune stimulating agents and for the specific immune response to the vaccine. Patients are followed for a minimum of 4 years post-randomization or until relapse.

Eligibility

Ages Eligible for Study:  18 Years and above,  Genders Eligible for Study:  Both

Criteria

Inclusion Criteria:


Location and Contact Information


California
      San Diego Cancer Center, Vista,  California,  92081,  United States; Recruiting
Christine DeFrancisco  760-598-1700 
Alberto Bessudo, M.D.,  Principal Investigator

Florida
      Cancer and Blood Disease Center, Lecanto,  Florida,  34461,  United States; Recruiting
Cathy Worthington  352-746-0707 
Gustavo Fonseca, M.D.,  Principal Investigator

Illinois
      Robert H. Lurie Comprehensive Cancer Center-Northwestern University, Chicago,  Illinois,  60611,  United States; Recruiting
David Patton  312-695-4538 
Jane Winter, M.D.,  Principal Investigator

Indiana
      Indiana Oncology Hematology Consultants, Indianapolis,  Indiana,  46202,  United States; Not yet recruiting
Khuda Khan, M.D.,  Principal Investigator

Kansas
      Kansas University Medial Center, Kansas City,  Kansas,  66160,  United States; Recruiting
Jan Lewis  913-588-3882 
Barry Skikne, M.D.,  Principal Investigator

Maryland
      National Cancer Institute, Bethesda,  Maryland,  20892,  United States; Not yet recruiting
Thelma Watson  301-435-5608 
Barry Gause, M.D.,  Principal Investigator

      Center for Cancer and Blood Disorders, Bethesda,  Maryland,  20817,  United States; Recruiting
Natalie Bongiorno  301-571-2016 
Ralph Boccia, M.D.,  Principal Investigator

      Maryland Hematology Oncology Association, Baltimore,  Maryland,  21236,  United States; Not yet recruiting
Vicki D'Angelo  410-687-5300 
Myo Thant, M.D.,  Principal Investigator

Minnesota
      Duluth Clinic Cancer Center, Duluth,  Minnesota,  55805,  United States; Recruiting
Anne Forsman  218-786-3635 
Daniel Nikcevich, M.D.,  Principal Investigator

Missouri
      Bond Clinic, Rolla,  Missouri,  65401,  United States; Recruiting
Rhonda Drewel  573-364-8823 
Joseph Bond, Jr., M.D.,  Principal Investigator

      Captial Comprehensive Cancer Care Clinic, Jefferson City,  Missouri,  65109,  United States; Recruiting
Jeannie Chambers  573-442-6800 
Ali Khojasteh, M.D.,  Principal Investigator

New York
      NYU School of Medicine Cancer Institute, New York,  New York,  10016,  United States; Recruiting
Carol Rubenstein  212-263-4685 
Franco Muggia, M.D.,  Principal Investigator

North Carolina
      Duke Comprehensive Cancer Institute, Durham,  North Carolina,  27710,  United States; Recruiting
Sue Roth  919-681-4769 
Jon Gockerman, M.D.,  Principal Investigator

      Southern Oncology Research, Greenville,  North Carolina,  27834,  United States; Recruiting
Rosemary Wallace  252-752-4610 
Jesse Lee, M.D.,  Principal Investigator

Pennsylvania
      University of Pennsylvania, Philadelphia,  Pennsylvania,  19104,  United States; Recruiting
JoAnne Hinckle, R.N.  215-662-4712 
Stephen Schuster, M.D.,  Principal Investigator

South Carolina
      Charleston Hematology/Oncology, Charleston,  South Carolina,  29403,  United States; Not yet recruiting
Deborah McNeal  843-577-6957 
George Geils, M.D.,  Principal Investigator

More Information

Please call 1-877-654-6052 for site information in Virginia, Florida and New Jersey. Also, visit Accentia Biopharmaceuticals for more information on this study:

Publications

Hsu FJ, Caspar CB, Czerwinski D, Kwak LW, Liles TM, Syrengelas A, Taidi-Laskowski B, Levy R. Tumor-specific idiotype vaccines in the treatment of patients with B-cell lymphoma--long-term results of a clinical trial. Blood. 1997 May 1;89(9):3129-35.

Bendandi M, Gocke CD, Kobrin CB, Benko FA, Sternas LA, Pennington R, Watson TM, Reynolds CW, Gause BL, Duffey PL, Jaffe ES, Creekmore SP, Longo DL, Kwak LW. Complete molecular remissions induced by patient-specific vaccination plus granulocyte-monocyte colony-stimulating factor against lymphoma. Nat Med. 1999 Oct;5(10):1171-7.

Kwak LW, Campbell MJ, Czerwinski DK, Hart S, Miller RA, Levy R. Induction of immune responses in patients with B-cell lymphoma against the surface-immunoglobulin idiotype expressed by their tumors. N Engl J Med. 1992 Oct 22;327(17):1209-15.

Dar MM, Kwak LW. Vaccination strategies for lymphomas. Curr Oncol Rep. 2003 Sep;5(5):380-6. Review.

Study ID Numbers:  BV301; NCI 00-C-0050
Record last reviewed:  October 2004
Record first received:  September 15, 2004
ClinicalTrials.gov Identifier:  NCT00091676
Health Authority: United States: Food and Drug Administration
ClinicalTrials.gov processed this record on 2004-11-08
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