ClinicalTrials.gg
CompletedNCT01266083Updated Nov 19, 2024Results posted

WT1 Vaccine Treatment of Patients in Remission From Acute Myeloid Leukemia (AML) or Acute Lymphoblastic Leukemia (ALL)

A Phase 2 interventional study of Galinpepimut-S and GM-CSF in Acute Myeloid Leukemia and Acute Lymphoblastic Leukemia, sponsored by Sellas Life Sciences Group. Completed at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2024-11-19.

Sponsored by Sellas Life Sciences Group · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
22
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

This trial will assess the safety and efficacy of vaccination with galinpepimut-S (GPS), a WT1 peptide vaccine, in patients who are in complete remission from leukemia.

Participants will receive vaccinations with GPS every 2 weeks for 10 weeks (a total of 6 vaccinations). In the absence of disease recurrence at Week 12 and if clinically stable after the first 6 vaccinations, participants may continue to receive up to six more vaccinations every month.

Read the detailed description

This clinical study is conducted in patients in complete remission from acute myeloid leukemia (AML) or acute lymphoblastic leukemia (ALL). The primary objective is to assess the effect of vaccination with galinpepimut-S (GPS) on patient survival and the safety profile.

Galinpepimut-S (GPS) consists of four WT1-derived peptides which have been chosen to strengthen antigenicity, but also broaden immunogenicity over a wide range of HLA subtypes, being able to stimulate both CD8+ (MHC Class I)- and CD4+ (MHC Class II)-dependent responses. Galinpepimut-S is administered with the adjuvant Montanide and sargramostim (GM-CSF).

Participants will receive vaccinations with GPS every 2 weeks for 10 weeks (a total of 6 vaccinations). In the absence of disease recurrence at Week 12 evaluation and if clinically stable after the first 6 vaccinations, participants may continue to receive up to six more vaccinations every month. Following the last vaccination, participants will be followed regularly (every 1 to 3 months) in an outpatinet setting for up to 3 years from the first treatment date.

02

Conditions studied

  • Acute Myeloid Leukemia
  • Acute Lymphoblastic Leukemia

Keywords

  • Galinpepimut-S
  • WT1 analog peptide vaccine
  • 10-143
  • Wilms Tumor-1 protein
  • SLS-001
  • complete remission
  • overall survival
03

In context

Leukemia, Myeloid, Acute

3,667 studies on the registry are indexed under Leukemia, Myeloid, Acute; 816 are open to participants now.

This study's enrollment of 22 is below the median of 40 across 3,005 interventional studies indexed under Leukemia, Myeloid, Acute.

Browse Leukemia, Myeloid, Acute studies →

Lead sponsor

Sellas Life Sciences Group is the lead sponsor of 7 studies on the registry; 2 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Morphologic confirmation of a diagnosis of AML or ALL at MSKCC
  • Patients will have completed induction therapy, achieved 1st CR and will have completed any planned postremission therapy. Patients are not candidates for stem cell transplantation. For purposes of this study, patients who are not candidates for allogeneic stem cell transplantation shall be defined as 1) those who do not meet the eligibility criteria of an open allogeneic transplant protocol or 2) those who do not have a suitable available HLA matched donor available or 3) those who refuse to undergo stem cell transplantation or 4) those patients whose disease is characterized by "good risk" features (For AML the following cytogenetic subtypes: t(8;21), inv (16), or t(16;16), t(15;17), normal karyotype with mutated NPM1 and negative for tandem duplication of FLT-3. For ALL: T cell phenotype of any B lineage disease exclusive of t(9;22) or t(4;11) in whom allogenic stem cell transplantation in 1st CR would not be offered as standard of care.
  • Alternatively, those patients greater than or equal to 60 years of age who have achieved 1st CR and in whom no further postremission chemotherapy is planned may be enrolled
  • Patients must have documented WT1 + disease. For purpose of this study, this is defined as detectable presence of any WT1 transcript via RT-PCR on a bone marrow performed at MSKCC within 4 weeks prior to the administration of the first dose of vaccine.
  • Patients must be within 2 years of achieving CR following chemotherapy
  • At least 4 weeks must have elapsed between the patient's last chemotherapy or radiation treatment and the first vaccination.
  • Age ≥ 18 years
  • performance status ≥ 50%
  • Hematologic parameters:

(ANC) ≥ 1000/μL

  • > 50 k/μL

Biochemical parameters:

  • Total ≤ 2.0 mg/dL and ALT ≤ 2.5 x
  • Creatinine ≤ 2.0 mg/dL

Exclusion criteria

Exclusion Criteria:

  • Pregnant or lactating women
  • Patients with documented evidence of
  • Patients who have undergone or allogeneic stem cell transplantation
  • Patients with active infection requiring systemic antimicrobials
  • Patients taking systemic
  • Patients with serious unstable medical illness
Terms in these criteria, in plain language(9)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Allogeneic and autologous transplant

Stem cell (bone marrow) transplants. Allogeneic uses cells from a donor; autologous uses your own cells, collected earlier and given back.

Karnofsky performance status (KPS)

A 0–100 scale of how well someone can carry out everyday activities. 100 is no complaints and no signs of illness; 70 is able to look after yourself but not to work or keep up normal activity; 50 is needing considerable help and frequent medical care.

Studies often ask for 60 or 70 and above. Your doctor gives the score.

Absolute neutrophil count (ANC)

The number of neutrophils, white blood cells that help fight infection, in a given amount of blood. Too few raises the risk of infection.

It is a count, not a percentage of the white cells. Limits are written in units that mean the same: ≥ 1.5 × 10⁹/L is ≥ 1,500 per mm³ (µL). Each lab has its own reference range.

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

Leptomeningeal disease

Cancer that has spread to the leptomeninges, the thin layers covering the brain and spinal cord, and the fluid between them. It is not the same as brain metastases.

Criteria often treat it separately, and many studies leave it out even where treated brain metastases are allowed.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
22 participants (actual)

Study arms

  • Experimental
    Galinpepimut-S + Montanide + GM-CSF

    Galinpepimut-S (GPS) and Montanide (in a 1 mL emulsion) are administered subcutaneously (s.c.) Q2W on weeks 0, 2, 4, 6, 8, and 10. GM-CSF (70 μg) are administered s.c. one to two days before and on the day of GPS/Montanide administration. Participants with no recurrence after Week 12 and who are clinically stable may be eligible to receive up to 6 additional monthly vaccinations.

    Biological: Galinpepimut-S · Biological: GM-CSF · Other: Montanide

Interventions

  • BiologicalGalinpepimut-S

    Galinpepimut-S admixed with the adjuvant Montanide following specified schedule

    Also known as: GPS, SLS-001

  • BiologicalGM-CSF

    subcutaneous injection

    Also known as: sargramostim

  • OtherMontanide

    adjuvant

06

What researchers measure

Primary outcomes

  1. Overall Survival

    OS at 3 years, measured from first treatment with GPS to patient's survival status at 3 years or more

    Time frame: 3 years

Secondary outcomes

  1. Progression-free Survival

    Time to PFS measured from first administration of GPS to relapse or death from any cause

    Time frame: 5 years and 8 months

07

Results

Posted Nov 19, 2024

Participant flow

Participant flow — Overall Study
MilestoneGalinpepimut-S + Montanide + GM-CSF
Started22
Eligible for additional monthly vaccinations after initial 6 vaccinations (q2w)13
Completed22
Not completed0

Outcome measures

PrimaryOverall Survival

OS at 3 years, measured from first treatment with GPS to patient's survival status at 3 years or more

Time frame:
3 years
Reported as:
Number · percentage of participants
Overall Survival
percentage of participantsGalinpepimut-S + Montanide + GM-CSF
Overall Survival47
SecondaryProgression-free Survival

Time to PFS measured from first administration of GPS to relapse or death from any cause

Time frame:
5 years and 8 months
Reported as:
Median · days
Progression-free Survival
daysGalinpepimut-S + Montanide + GM-CSF
Progression-free Survival283 (71 to NA)

Adverse events

Collected over 5 years, 8 months. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Galinpepimut-S + Montanide + GM-CSF10/22 (45.5%)1/22 (4.5%)21/22 (95.5%)
Most frequent serious events
Most frequent serious events
EventGalinpepimut-S + Montanide + GM-CSF
Non-cardiac chest painCardiac disorders1/22
Bone painMusculoskeletal and connective tissue disorders1/22
DyspneaRespiratory, thoracic and mediastinal disorders1/22
FlushingVascular disorders1/22
Most frequent other events
Showing 10 of 20
Most frequent other events
EventGalinpepimut-S + Montanide + GM-CSF
Injection Site ReactionGeneral disorders10/22
Skin IndurationSkin and subcutaneous tissue disorders7/22
FatigueGeneral disorders7/22
PruritusSkin and subcutaneous tissue disorders6/22
Lymphocyte Count DecreasedInvestigations6/22
Neutrophil Count DecreasedInvestigations6/22
White Blood Cell Count DecreasedInvestigations6/22
Platelet Count DecreasedInvestigations4/22
PainGeneral disorders3/22
Erythema MultiformeSkin and subcutaneous tissue disorders3/22

Baseline characteristics

Age, Continuous
Age, Continuous(years)Galinpepimut-S + Montanide + GM-CSF
Median64 (25 to 76)
Sex: Female, Male
Sex: Female, Male(Participants)Galinpepimut-S + Montanide + GM-CSF
Female15
Male7
Karnofsky performance status
Karnofsky performance status(scores on a scale)Galinpepimut-S + Montanide + GM-CSF
Mean93.8 ± 5.9
HLA-A* 02:01 positive
HLA-A* 02:01 positive(Participants)Galinpepimut-S + Montanide + GM-CSF
Count of participants9
08

Study locations

1 site
  • Memorial Sloan Kettering Cancer Center
    New York, New York 10065, United States
09

References and documents

Publications

  • Maslak PG, Dao T, Bernal Y, Chanel SM, Zhang R, Frattini M, Rosenblat T, Jurcic JG, Brentjens RJ, Arcila ME, Rampal R, Park JH, Douer D, Katz L, Sarlis N, Tallman MS, Scheinberg DA. Phase 2 trial of a multivalent WT1 peptide vaccine (galinpepimut-S) in acute myeloid leukemia. Blood Adv. 2018 Feb 13;2(3):224-234. doi: 10.1182/bloodadvances.2017014175. PubMed 29386195 ↗

Individual participant data

Plan to share: No

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Jan 2011 to primary completion in Sep 2016, 68 months.

Results were first posted in Nov 2024, 8 years 1 month after primary completion.

Of 57 industry-sponsored phase 2 interventional studies under Leukemia, Myeloid, Acute, half reached primary completion within 39 months of starting (the median), counting those still running; a quarter within 33 and three quarters within 55. This study's 68 months is above that.

Counting every sponsor, half of 442 studies reached it within 60 months; a quarter within 38 and three quarters within 104.

How these figures are worked out, and which studies are left out of them.

Registered
Dec 21, 2010
First posted
Dec 24, 2010
StartActual
Jan 14, 2011
Primary completionActual
Sep 30, 2016
CompletionActual
Sep 30, 2016
Results first posted
Nov 19, 2024
Last update
Nov 19, 2024
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Nov 19, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT01266083
Lead sponsor
Sellas Life Sciences Group
Responsible party
Sponsor
First posted
Dec 24, 2010
Start date
Jan 14, 2011
Primary completion
Sep 30, 2016
Completion
Sep 30, 2016
Results posted
Nov 19, 2024
Last update
Nov 19, 2024

Study contacts

Peter Maslak, MD
principal investigator · Memorial Sloan Kettering Cancer Center

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Nov 2024. You cannot join it, but the record below documents what was studied.

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Studies of the drugs tested here: Galinpepimut-s · Granulocyte-Macrophage Colony-Stimulating Factor

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