Phase I Study To Evaluate The Toxicity And Feasibility Of Intra-Tumoral Injection Of Alpha-Gal Glycosphingolipids In Patients With Advanced Or Refractory Solid Tumors
Intratumoral injection of alpha gal glycolipid in experimental knockout mouse model systems
incorporates into tumor cell membranes and presents these xeno-transplantation epitopes to
antigen presenting cells with that particular tumor's tumor associated antigens (TAA). Thus
this maneuver converts any individual tumor into an in situ tumor vaccine without the need
to isolate, purify or supply TAA exogenously. The effects in these model systems
demonstrate both the upregulation of cytotoxic T cells which react against the particular
tumor's TAA, as well as resolution of injected primary tumor and eradication and prevention
of metastatic disease at distant sites. This current study was undertaken to investigate
the safety and feasibility of such an approach in humans. The major toxicity concerns are
acute allergic or complement activation reactions or development of autoimmunity. The
primary treatment is a single intratumoral injection of alpha gal glycolipid. The study
design is a standard dose escalation design and the primary endpoint is Dose limiting
toxicity at one month after injection (grade 3 or 4. Subjects are followed until death
utilizing standard clinical imaging and evaluation to judge overall tumor response.
Interventional
Endpoint Classification: Safety/Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label
Number of Subjects With Greater Than Grade 3 or 4 Toxicity
Grade 3/4 Toxicity occurring in a participant within a month of intratumoral injection
1 month
Yes
Giles Whalen, MD
Principal Investigator
University of Massachusetts, Worcester
United States: Food and Drug Administration
UM200702
NCT00668382
July 2007
July 2011
Name | Location |
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University of Massachusetts Medical School | Worcester, Massachusetts 01605 |