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Status unknownNCT00530140FLIDVAX2006Updated Oct 6, 2011

Idiotypic Vaccination for Follicular Lymphoma Patients

A Phase 2 interventional study of Follicular lymphoma, patient-specific, soluble protein idiotype vaccine in Follicular Lymphoma and First Relapse/Progression, sponsored by Clinica Universidad de Navarra, Universidad de Navarra. Status unknown at 1 site in Spain. Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2011-10-06.

Sponsored by Clinica Universidad de Navarra, Universidad de Navarra · Phase 2, Interventional, and Treatment

The sponsor has not verified this record recently (last verified Oct 2011), so the status shown — last known as Recruiting — may be out of date.
Phase
Phase 2
Study type
Interventional
Enrollment
100
Allocation
Non-randomized
Ages
18 Years to 65 Years
Sex
All
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Study summary

Poor prognosis follicular lymphoma patients have an estimated median overall survival of 5-6 years. The proposed trial offers life-time idiotypic vaccination to all such patients in first relapse/progression who will achieve second (first, in the case of patients who have never achieved complete response following standard first-line treatment) complete response through autologous stem cell transplant prior to vaccination start. The ultimate goal is a cure, defined as a vaccine-maintained complete response lasting both at least 10 years and at least twice as long as each patient's first complete response.

Read the detailed description

Idiotypic vaccination has already proved capable (in responding patients) of: biological efficacy, that is the capacity of inducing an idiotype- and tumor-specific immune response (Kwak LW et al. NEJM 1992); clinical efficacy, that is the capacity of inducing specific immune responses able to kill in vivo follicular lymphoma cells that had survived pre-vaccine chemotherapy (Bendandi M et al. Nature Med 1999): clinical benefit, that is the capacity of prolonging survival of responding patients (Inoges et al. JNCI 2006). Now, we want to test whether it is also capable of contributing to the ultimate goal of preventing relapse indefinitely in responding patients.

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Conditions studied

  • Follicular Lymphoma
  • First Relapse/Progression

Keywords

  • Follicular Lymphoma
  • Idiotype vaccine
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In context

Lymphoma

5,578 studies on the registry are indexed under Lymphoma; 825 are open to participants now.

This study's planned enrollment of 100 is above the median of 40 across 4,508 interventional studies indexed under Lymphoma.

Browse Lymphoma studies →

Lead sponsor

Clinica Universidad de Navarra, Universidad de Navarra is the lead sponsor of 158 studies on the registry; 36 are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

Inclusion Criteria: at least one of the following:

  • FLIPI score 3 thru 5 at diagnosis and/or at relapse
  • First complete response shorter than 3 years, if no maintenance (Interferon, Rituximab, etc) treatment was administered, or than 5 years if maintenance treatment was administered
  • No treatment has been able to induce complete response until autologous stem cell transplant
  • Poor-prognosis genomic profiling

Exclusion Criteria: any of the following:

  • Unavailability of a harvestable lymph node of at least cm 2x2x2
  • Life expectancy \< 1 year
  • Abnormal heart or liver or kidney function
  • ECOG Performance Status > 2
  • Failure to sign informed consent before enrollment
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Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Single group
Masking
None (open label)
Enrollment
100 participants (estimated)

Study arms

  • Experimental
    A

    All patients will receive the same vaccination schedule/formulation

    Biological: Follicular lymphoma, patient-specific, soluble protein idiotype vaccine

Interventions

  • BiologicalFollicular lymphoma, patient-specific, soluble protein idiotype vaccine

    0.5 mg of idiotype conjugated to 0.5 mg of KLH + 125 mcg of GM-CSF 5 monthly vaccinations followed by 3 bi-monthly vaccinations, followed by one boost every three months until either relapse or death from cause unrelated to lymphoma

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What researchers measure

Primary outcomes

  1. Percentage of patients who both never relapse and have a second complete response longer than their first response (cured)

    Time frame: 15 years

Secondary outcomes

  1. Percentage of patients who successfully maintain a measurable, specific immune response throughout the active vaccination time frame

    Time frame: 15 years

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Study locations

1 of 1 sites recruiting
  • University of Navarra Hospital
    Pamplona, Navarra 31008, Spain
    • MAURIZIO BENDANDI, MD, PhD · Principal investigator
    Recruiting
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References and documents

Publications

  • Inoges S, Rodriguez-Calvillo M, Zabalegui N, Lopez-Diaz de Cerio A, Villanueva H, Soria E, Suarez L, Rodriguez-Caballero A, Pastor F, Garcia-Munoz R, Panizo C, Perez-Calvo J, Melero I, Rocha E, Orfao A, Bendandi M; Grupo Espanol de Linfomas/Trasplante Autologo de Medula Oseo study group; Programa para el Estudio y Tratamiento de Hemopatias Malignas study group. Clinical benefit associated with idiotypic vaccination in patients with follicular lymphoma. J Natl Cancer Inst. 2006 Sep 20;98(18):1292-301. doi: 10.1093/jnci/djj358. PubMed 16985248 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Oct 6, 2011, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT00530140
Lead sponsor
Clinica Universidad de Navarra, Universidad de Navarra
Collaborators
University of Navarrra Hospital (Clinica Universitaria), Center for Applied Medical Research (Centro de Investigación Médica Aplicada)
Responsible party
Sponsor
First posted
Sep 17, 2007
Start date
Oct 2007
Primary completion
Sep 2013 (estimated)
Completion
Sep 2022 (estimated)
Last update
Oct 6, 2011

Study contacts

MAURIZIO BENDANDI, MD, PhD
Contact
mbendandi@unav.es
+34606002087
SUSANA INOGES, MD, PhD
Contact
sinoges@unav.es
+34685972257
MAURIZIO BENDANDI, MD, PhD
principal investigator · University of Navarra

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is status unknown, as verified in Oct 2011. You cannot join it, but the record below documents what was studied.

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