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NCT01349569 · OUTCOME

Tumor-specific Immunity as Assessed by Percentage of CD3+/CSFSE-low/IFN-gamma+ Cells

Allogeneic GM-CSF Vaccine and Lenalidomide in Treating Myeloma Patients With Near Complete Remission · Source last updated 2019-01-15

Results reported by the registry submitting party. Population, time horizon, units and missing values must be read together.

Measure
MEAN
Unit
percentage of cells
Interval / dispersion
Standard Deviation
Time frame
Baseline, Cycle 3 Day 14, end of study (up to 1 year)

What was measured

Immunity is measured by the percentage of CD3+/CSFSE-low/IFN-gamma+ cells. A positive result for a given participant is defined as greater than two standard deviations above that participant's baseline. The data are presented as three groups because the responses were analyzed separately, but all participants were part of the single study arm as represented by the remainder of the record. GVAX-specific immune response and Prevnar-specific immune response was assessed in the same patient by using GVAX and Prevnar-specific co-markers.

Analysis population: Out of the 16 baseline participants, one received only one dose of vaccine and then had progression of disease. He was replaced and not included in this analysis. Only 8/15 participants experienced complete response (CR), therefore only 8 participants analyzed in the CR rows and 7 participants analyzed in the progressive disease (PD) rows.

Groups in this outcome

Pre-vaccine (Baseline)

Lenalidomide: Dosage forms: 5, 10, 15 and 25 mg capsules. Patients will be continued on the same dose of lenalidomide as they were prior to being enrolled in the study. Doses of lenalidomide for investigation can vary from 5- 25 mg/day, orally on days 1 - 21 followed by 7 days rest (28 day cycle).

GVAX Vaccine

Allogeneic Myeloma Vaccine: A total of 4 doses will be administered. The first three at monthly intervals and a booster at 6 months from the initial dose. Each vaccination will consist of five total intra-dermal injections, two each in the right and left anterior upper thighs, and one in the non-dominant upper arm (unless contraindicated). Each dose will be administered on an outpatient basis. The subject must be observed in the clinic for at least 30 minutes after vaccination is completed.

Prevnar Vaccine

Prevnar-13 will be administered at 0.5ml dose by intramuscular injection at the same time as GVAX vaccine.

Group identifiers and denominators belong to this outcome only. They may differ in another outcome or in safety reporting.

Analysis denominator · Participants

GroupSource count
Pre-vaccine (Baseline)15
GVAX Vaccine15
Prevnar Vaccine15

Reported measurements

Complete Response (CR) patients at Baseline

Analysis denominator · Participants

GroupSource count
Pre-vaccine (Baseline)8
GVAX Vaccine8
Prevnar Vaccine8
Values in percentage of cells · Interval/dispersion: Standard Deviation
GroupValueSpreadLowerUpperComment
Pre-vaccine (Baseline)1.20.4Not reportedNot reportedNot reported
GVAX Vaccine0.360.6Not reportedNot reportedNot reported
Prevnar Vaccine0NANot reportedNot reportedMean percentage of CD3+/CSFSE-low/IFN-gamma+ cells was zero, therefore no standard of deviation
CR patients at Cycle 3 Day 14

Analysis denominator · Participants

GroupSource count
Pre-vaccine (Baseline)8
GVAX Vaccine8
Prevnar Vaccine8
Values in percentage of cells · Interval/dispersion: Standard Deviation
GroupValueSpreadLowerUpperComment
Pre-vaccine (Baseline)7.32.6Not reportedNot reportedNot reported
GVAX Vaccine13.33Not reportedNot reportedNot reported
Prevnar Vaccine4.542.1Not reportedNot reportedNot reported
CR patients at end of Study

Analysis denominator · Participants

GroupSource count
Pre-vaccine (Baseline)8
GVAX Vaccine8
Prevnar Vaccine8
Values in percentage of cells · Interval/dispersion: Standard Deviation
GroupValueSpreadLowerUpperComment
Pre-vaccine (Baseline)6.31.4Not reportedNot reportedNot reported
GVAX Vaccine13.75.1Not reportedNot reportedNot reported
Prevnar Vaccine3.61.4Not reportedNot reportedNot reported
Progressive Disease (PD) patients at Baseline

Analysis denominator · Participants

GroupSource count
Pre-vaccine (Baseline)7
GVAX Vaccine7
Prevnar Vaccine7
Values in percentage of cells · Interval/dispersion: Standard Deviation
GroupValueSpreadLowerUpperComment
Pre-vaccine (Baseline)0.430.44Not reportedNot reportedNot reported
GVAX Vaccine0.450.7Not reportedNot reportedNot reported
Prevnar Vaccine0NANot reportedNot reportedMean percentage of CD3+/CSFSE-low/IFN-gamma+ cells was zero, therefore no standard of deviation
PD patients at Cycle 3 Day 14

Analysis denominator · Participants

GroupSource count
Pre-vaccine (Baseline)7
GVAX Vaccine7
Prevnar Vaccine7
Values in percentage of cells · Interval/dispersion: Standard Deviation
GroupValueSpreadLowerUpperComment
Pre-vaccine (Baseline)1.72.9Not reportedNot reportedNot reported
GVAX Vaccine5.71.4Not reportedNot reportedNot reported
Prevnar Vaccine0NANot reportedNot reportedMean percentage of CD3+/CSFSE-low/IFN-gamma+ cells was zero, therefore no standard of deviation
PD patients at end of study

Analysis denominator · Participants

GroupSource count
Pre-vaccine (Baseline)7
GVAX Vaccine7
Prevnar Vaccine7
Values in percentage of cells · Interval/dispersion: Standard Deviation
GroupValueSpreadLowerUpperComment
Pre-vaccine (Baseline)0.40Not reportedNot reportedNot reported
GVAX Vaccine0.210Not reportedNot reportedNot reported
Prevnar Vaccine1.70Not reportedNot reportedNot reported
Complete source fields
classes
  1. categories
    1. measurements
      1. group Id
        OG000
        spread
        0.4
        value
        1.2
      2. group Id
        OG001
        spread
        0.6
        value
        0.36
      3. comment
        Mean percentage of CD3+/CSFSE-low/IFN-gamma+ cells was zero, therefore no standard of deviation
        group Id
        OG002
        spread
        NA
        value
        0
    denoms
    1. counts
      1. group Id
        OG000
        value
        8
      2. group Id
        OG001
        value
        8
      3. group Id
        OG002
        value
        8
      units
      Participants
    title
    Complete Response (CR) patients at Baseline
  2. categories
    1. measurements
      1. group Id
        OG000
        spread
        2.6
        value
        7.3
      2. group Id
        OG001
        spread
        3
        value
        13.3
      3. group Id
        OG002
        spread
        2.1
        value
        4.54
    denoms
    1. counts
      1. group Id
        OG000
        value
        8
      2. group Id
        OG001
        value
        8
      3. group Id
        OG002
        value
        8
      units
      Participants
    title
    CR patients at Cycle 3 Day 14
  3. categories
    1. measurements
      1. group Id
        OG000
        spread
        1.4
        value
        6.3
      2. group Id
        OG001
        spread
        5.1
        value
        13.7
      3. group Id
        OG002
        spread
        1.4
        value
        3.6
    denoms
    1. counts
      1. group Id
        OG000
        value
        8
      2. group Id
        OG001
        value
        8
      3. group Id
        OG002
        value
        8
      units
      Participants
    title
    CR patients at end of Study
  4. categories
    1. measurements
      1. group Id
        OG000
        spread
        0.44
        value
        0.43
      2. group Id
        OG001
        spread
        0.7
        value
        0.45
      3. comment
        Mean percentage of CD3+/CSFSE-low/IFN-gamma+ cells was zero, therefore no standard of deviation
        group Id
        OG002
        spread
        NA
        value
        0
    denoms
    1. counts
      1. group Id
        OG000
        value
        7
      2. group Id
        OG001
        value
        7
      3. group Id
        OG002
        value
        7
      units
      Participants
    title
    Progressive Disease (PD) patients at Baseline
  5. categories
    1. measurements
      1. group Id
        OG000
        spread
        2.9
        value
        1.7
      2. group Id
        OG001
        spread
        1.4
        value
        5.7
      3. comment
        Mean percentage of CD3+/CSFSE-low/IFN-gamma+ cells was zero, therefore no standard of deviation
        group Id
        OG002
        spread
        NA
        value
        0
    denoms
    1. counts
      1. group Id
        OG000
        value
        7
      2. group Id
        OG001
        value
        7
      3. group Id
        OG002
        value
        7
      units
      Participants
    title
    PD patients at Cycle 3 Day 14
  6. categories
    1. measurements
      1. group Id
        OG000
        spread
        0
        value
        0.4
      2. group Id
        OG001
        spread
        0
        value
        0.21
      3. group Id
        OG002
        spread
        0
        value
        1.7
    denoms
    1. counts
      1. group Id
        OG000
        value
        7
      2. group Id
        OG001
        value
        7
      3. group Id
        OG002
        value
        7
      units
      Participants
    title
    PD patients at end of study
denoms
  1. counts
    1. group Id
      OG000
      value
      15
    2. group Id
      OG001
      value
      15
    3. group Id
      OG002
      value
      15
    units
    Participants
description
Immunity is measured by the percentage of CD3+/CSFSE-low/IFN-gamma+ cells. A positive result for a given participant is defined as greater than two standard deviations above that participant's baseline. The data are presented as three groups because the responses were analyzed separately, but all participants were part of the single study arm as represented by the remainder of the record. GVAX-specific immune response and Prevnar-specific immune response was assessed in the same patient by using GVAX and Prevnar-specific co-markers.
dispersion Type
Standard Deviation
groups
  1. description
    Lenalidomide: Dosage forms: 5, 10, 15 and 25 mg capsules. Patients will be continued on the same dose of lenalidomide as they were prior to being enrolled in the study. Doses of lenalidomide for investigation can vary from 5- 25 mg/day, orally on days 1 - 21 followed by 7 days rest (28 day cycle).
    id
    OG000
    title
    Pre-vaccine (Baseline)
  2. description
    Allogeneic Myeloma Vaccine: A total of 4 doses will be administered. The first three at monthly intervals and a booster at 6 months from the initial dose. Each vaccination will consist of five total intra-dermal injections, two each in the right and left anterior upper thighs, and one in the non-dominant upper arm (unless contraindicated). Each dose will be administered on an outpatient basis. The subject must be observed in the clinic for at least 30 minutes after vaccination is completed.
    id
    OG001
    title
    GVAX Vaccine
  3. description
    Prevnar-13 will be administered at 0.5ml dose by intramuscular injection at the same time as GVAX vaccine.
    id
    OG002
    title
    Prevnar Vaccine
param Type
MEAN
population Description
Out of the 16 baseline participants, one received only one dose of vaccine and then had progression of disease. He was replaced and not included in this analysis. Only 8/15 participants experienced complete response (CR), therefore only 8 participants analyzed in the CR rows and 7 participants analyzed in the progressive disease (PD) rows.
reporting Status
POSTED
time Frame
Baseline, Cycle 3 Day 14, end of study (up to 1 year)
title
Tumor-specific Immunity as Assessed by Percentage of CD3+/CSFSE-low/IFN-gamma+ Cells
type
SECONDARY
unit Of Measure
percentage of cells

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Preserved source evidence · Not medical advice