ClinicalTrials.gg
CompletedNCT02164461Updated May 20, 2024Results posted

Axalimogene Filolisbac (ADXS11-001) High Dose in Women With Human Papillomavirus (HPV) + Cervical Cancer

A Phase 1 interventional study of Axalimogene filolisbac in Effects of Immunotherapy, Metastatic/Recurrent Cervical Cancer and Cervical Adenocarcinoma, sponsored by Advaxis, Inc.. Completed at 2 sites in United States. Open to female participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2024-05-20.

Sponsored by Advaxis, Inc. · Phase 1, Interventional, and Treatment

Phase
Phase 1
Study type
Interventional
Enrollment
12
Allocation
Non-randomized
Ages
18 Years and older
Sex
Female
01

Study summary

To evaluate the tolerability and safety of axalimogene filolisbac 1 x 10\^10 colony forming units (cfu) administered with prophylactic premedication in repeating 3-dose study cycles in women with persistent, metastatic, or recurrent squamous and non-squamous carcinoma, adenosquamous, or adenocarcinoma of the cervix. To evaluate tumor response and progression-free survival (PFS) by Response Evaluation Criteria in Solid Tumors (RECIST) 1.1 and immune-related Response Evaluation Criteria in Solid Tumors (irRECIST).

Read the detailed description

In this Phase 1, open-label, multicenter dose-escalation study, participants with persistent, metastatic, or recurrent carcinoma of the cervix who failed conventional therapy received axalimogene filolisbac every 3 weeks in repeating 12-week treatment cycles. Axalimogene filolisbac was administered intravenously (IV) on Day 1 of Weeks 1, 4, 7, and 10 of each cycle. Participants received a prophylactic regimen that was completed prior to each axalimogene filolisbac infusion to mitigate and manage potential immune responses seen with immunotherapy administration. The pretreatment prophylaxis regimen included commercially available antihistamines, nonsteroidal anti-inflammatory drugs (NSAIDs), antiemetics, histamine H2-receptor antagonists, and IV hydration. Additional NSAID doses and antiemetic administration were given post initial administration on Day 1 and Day 2, at the discretion of the investigator.

Participants received a 7-day course of oral antibiotic therapy starting approximately 72 hours (Day 4) after each administration of axalimogene filolisbac. Antibiotic therapy consisted of trimethoprim (80 mg)/sulfamethoxazole (400 mg) tablets (Bactrim) or trimethoprim (160 mg)/ sulfamethoxazole (800 mg) tablets (Bactrim DS), administered 3 times during the 7 consecutive days or ampicillin 500 mg 4 times daily for 7 consecutive days for participants with sulfa allergy.

Axalimogene filolisbac doses were to be escalated/de-escalated in the standard 3 + 3 fashion, starting with 5x10\^9 cfu to a maximum dose level of 1x10\^10 cfu. Dose cohorts of 3 participants each were to be treated. All decisions regarding dose escalation/de-escalation were made by the sponsor in consultation with investigators. In the absence of dose-limiting toxicity (DLT) assessed during the first 28 days in Cycle 1, the dose was to be escalated to the next dose level for the next 3 participants. If DLT was seen in 1 of 3 participants, another 3 participants were to be treated at that same dose. If DLT was seen in 2 of 6 participants, then that dose level was considered the Maximum Tolerated Dose (MTD) and the previous dose level was selected as the Recommended Phase 2 dose (RP2D). Specific hematologic and non-hematologic DLT criteria were prospectively defined in protocol. The RP2D was to be selected based on an observed DLT rate of \<33%.

Additional participants were to be enrolled into an expansion cohort to allow approximately 15 participants to be treated at that dose level.

Treatment cycles were repeated at the RP2D (or less) for an individual participant until a discontinuation criterion was met. Discontinuation criteria included documented disease progression, intolerable side effects not resolved with dose reduction or change in premedication or the participant completed 1 cycle of treatment post observation of complete response (CR per RECIST 1.1 and immune-realted complete response [irCR] per irRECIST). Participants who experienced a DLT during the dose-escalation portion of the study or experienced events meeting the definition of a DLT as described in the protocol in any subsequent treatment cycle were to be discontinued from study treatment. However, if a participant who experienced a DLT showed significant response to axalimogene filolisbac, the participant could receive subsequent axalimogene filolisbac treatment at a lower dose level following discussion and agreement between the investigator and sponsor.

Efficacy was assessed by tumor imaging at the end of every cycle. Safety was assessed by analyzing treatment-related adverse events (AEs), changes in physical examinations, vital sign measurements, and clinical laboratory abnormalities. All toxicities were graded using Common Terminology Criteria for Adverse Events (CTCAE) 4.03.

After the study treatment period, all participants were to participate in a 3-year Lm surveillance monitoring period that included a 6-month course of antibiotics to be initiated 72 hours after completion of treatment or immediately following study discontinuation and monitoring (Complete blood count [CBC], comprehensive metabolic panel, and blood cultures for the detection of Lm) every 3 months (±2 weeks).

02

Conditions studied

  • Effects of Immunotherapy
  • Metastatic/Recurrent Cervical Cancer
  • Cervical Adenocarcinoma
  • Cervical Adenosquamous Cell Carcinoma
  • Cervical Squamous Cell Carcinoma
  • Cervical Small Cell Carcinoma
  • Stage III Cervical Cancer
  • Stage IVA Cervical Cancer
  • Stage IVB Cervical Cancer

Keywords

  • Adenocarcinoma
  • Carcinoma
  • Carcinoma, Squamous Cell
  • Uterine Cervical Neoplasms
  • Small Cell Lung Carcinoma
  • Carcinoma, Small Cell
  • Carcinoma, Adenosquamous
  • Neoplasms, Glandular and Epithelial
  • Neoplasms by Histologic Type
  • Neoplasms
  • Neoplasms, Squamous Cell
  • Uterine Neoplasms
  • Genital Neoplasms, Female
  • Urogenital Neoplasms
  • Neoplasms by Site
  • Uterine Cervical Diseases
  • Uterine Diseases
  • Genital Diseases, Female
03

In context

Uterine Cervical Neoplasms

2,366 studies on the registry are indexed under Uterine Cervical Neoplasms; 677 are open to participants now.

This study's enrollment of 12 is below the median of 100 across 1,738 interventional studies indexed under Uterine Cervical Neoplasms.

Browse Uterine Cervical Neoplasms studies →

Lead sponsor

Advaxis, Inc. is the lead sponsor of 10 studies on the registry; none are open to participants now.

Of its 7 completed or terminated interventional studies of FDA-regulated products, 6 (86%) have results posted.

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

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
Female
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

  • Participants with -confirmed, persistent, or recurrent squamous or non-squamous cell carcinoma, adenosquamous carcinoma, or adenocarcinoma of the cervix with documented disease progression (disease not amenable to surgery or standard radiotherapy).
  • Participants who have received no more than 1 prior cytotoxic treatment regimen.
  • Participant may have received ≤2 prior regimens for the treatment of their metastatic disease.
  • Participant is able to provide written .
  • Participant must have an (ECOG) performance status of 0 or 1.

Exclusion criteria

Exclusion Criteria:

  • In the opinion of the investigator, participant has rapidly progressing disease, OR has of less than 6 months, OR would be unable to receive at least one cycle of therapy.
  • Participant has received chemotherapy and/or radiation therapy (except palliative radiation therapy for disease-related pain) within ≤2 weeks of first axalimogene filolisbac infusion.
  • Participant has a known additional that is progressing or requires active treatment. Exceptions include basal cell carcinoma of the skin, squamous cell carcinoma of the skin, or in situ cervical cancer that has undergone potentially curative therapy.
  • Has a to administration of trimethoprim/sulfamethoxazole or ampicillin.
  • Has implanted medical device(s) that pose a high risk for colonization and/or cannot be easily removed (e.g., prosthetic joints, artificial heart valves, pacemakers, orthopedic screw(s), metal plate(s), bone graft(s), or other exogenous implant(s). NOTE: More common devices and prosthetics which include arterial and venous stents, dental and breast implants, and venous access devices (e.g., Port-a-Cath or Mediport) are permitted. Sponsor must be contacted prior to consenting any participant who has any other device and/or implant.
Terms in these criteria, in plain language(7)

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.

Histologically or cytologically confirmed

The diagnosis was confirmed by looking at a sample under a microscope: tissue from a biopsy or surgery (histology), or cells from a fluid or needle sample (cytology).

Your pathology report is the document that shows this.

Metastases

Cancer that has spread from where it began to other parts of the body. “Metastatic” cancer is cancer that has spread this way.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

ECOG performance status

A scale of how much an illness limits everyday activity. For people being assessed to join a study, scores run from 0 (fully active) to 4; lower is more active.

0
Fully active, no restrictions.
1
Limited in strenuous activity, but walking and able to do light work, such as housework or office work.
2
Walking and able to look after yourself, but unable to work; up and about more than half of waking hours.
3
Able to look after yourself only in part; in bed or a chair more than half of waking hours.
4
Unable to look after yourself at all; in bed or a chair all day.

Studies most often ask for 0–1 or 0–2. Your doctor gives the score; the WHO scale uses the same steps. The full scale also has 5, which records death.

Life expectancy

The study doctor’s estimate of how long someone is likely to live. Criteria use it so that people can stay in the study long enough for it to answer its question.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Sequential assignment
Masking
None (open label)
Enrollment
12 participants (actual)

Study arms

  • Experimental
    Axalimogene filolisbac 1x10^9 cfu

    Participants with persistent, metastatic, or recurrent carcinoma of the cervix who failed conventional therapy received axalimogene filolisbac at dose of 1x10\^9 colony forming units (cfu) by intravenous infusion, over 60 minutes duration, every 3 weeks (Q3W) in repeating 12-week treatment cycles (Day 1 of Weeks 1, 4, 7, and 10 of each cycle) until a discontinuation criterion was met. Participants received a 7-day course of oral antibiotic therapy starting approximately 72 hours (Day 4) after each administration of axalimogene filolisbac. Antibiotic therapy consisted of trimethoprim (80 mg)/sulfamethoxazole (400 mg) tablets (Bactrim) or trimethoprim (160 mg)/ sulfamethoxazole (800 mg) tablets (Bactrim DS), administered 3 times during the 7 consecutive days or ampicillin 500 mg 4 times daily for 7 consecutive days for participants with sulfa allergy.

    Biological: Axalimogene filolisbac

  • Experimental
    Axalimogene filolisbac 5x10^9 cfu

    Participants with persistent, metastatic, or recurrent carcinoma of the cervix who failed conventional therapy received axalimogene filolisbac at dose of 5x10\^9 cfu by intravenous infusion, over 60 minutes duration, Q3W in repeating 12-week treatment cycles (Day 1 of Weeks 1, 4, 7, and 10 of each cycle) until a discontinuation criterion was met. Participants received a 7-day course of oral antibiotic therapy starting approximately 72 hours (Day 4) after each administration of axalimogene filolisbac. Antibiotic therapy consisted of trimethoprim (80 mg)/sulfamethoxazole (400 mg) tablets (Bactrim) or trimethoprim (160 mg)/ sulfamethoxazole (800 mg) tablets (Bactrim DS), administered 3 times during the 7 consecutive days or ampicillin 500 mg 4 times daily for 7 consecutive days for participants with sulfa allergy.

    Biological: Axalimogene filolisbac

  • Experimental
    Axalimogene filolisbac 1x10^10 cfu

    Participants with persistent, metastatic, or recurrent carcinoma of the cervix who failed conventional therapy received axalimogene filolisbac at dose of 1x10\^10 cfu by intravenous infusion, over 60 minutes duration, Q3W in repeating 12-week treatment cycles (Day 1 of Weeks 1, 4, 7, and 10 of each cycle) until a discontinuation criterion was met. Participants received a 7-day course of oral antibiotic therapy starting approximately 72 hours (Day 4) after each administration of axalimogene filolisbac. Antibiotic therapy consisted of trimethoprim (80 mg)/sulfamethoxazole (400 mg) tablets (Bactrim) or trimethoprim (160 mg)/ sulfamethoxazole (800 mg) tablets (Bactrim DS), administered 3 times during the 7 consecutive days or ampicillin 500 mg 4 times daily for 7 consecutive days for participants with sulfa allergy.

    Biological: Axalimogene filolisbac

Interventions

06

What researchers measure

Primary outcomes

  1. Number of Participants With Dose Limiting Toxicities (DLTs)

    DLT was defined as occurrence of any of the following toxicities that are possibly, probably or definitely related to therapy. Hematologic: 1. Grade 4 hematologic toxicity. 2. Febrile neutropenia, defined as absolute neutrophil count (ANC) \< 1000/mm\^3 with a single temperature of \>38.3° C (101° F) or a sustained temperature of \>38° C (100.4° F) for more than 1 hour. 3. Grade 3 thrombocytopenia lasting \>72 hours. 4. Grade 4 thrombocytopenia. Non-Hematologic: 1. ≥Grade 3 non-hematologic toxicity 2. Grade 3 non hematologic laboratory values. 3. Listeremia: positive blood cultures along with persistent (for 72 hours post dose) symptoms consistent with listeremia (e.g., fever and muscle aches, often preceded by diarrhea or other gastrointestinal symptoms). 4. ≥Grade 3 flu-like symptoms or cytokine release symptoms that persist for \>24 hours after study treatment administration despite symptomatic treatment.

    Time frame: Up to 28 days in Cycle 1 (12 weeks cycle)

  2. Listeria Monocytogenes Surveillance

    Number of participants with delayed listeria infection was reported.

    Time frame: Up to 120 days post dose

  3. Number of Participants With Adverse Events

    Adverse event (AE): any untoward medical occurrence in a participant administered a study treatment \& which did not necessarily have to have a causal relationship with the study treatment. An AE is, any unfavorable \& unintended sign, symptom, or disease temporally associated with the use of a medicinal product or protocol-specified procedure, whether or not considered related to the medicinal product or protocol-specified procedure. Any worsening of a preexisting condition that was temporally associated with the use of study treatment. AE with onset on or after the date of first administration of the study treatment until the end of the Listeria Monocytogenes (Lm) surveillance period.

    Time frame: From first dose up to 2.3 years

Secondary outcomes

  1. Objective Response Rate (ORR) as Per Response Evaluation Criteria in Solid Tumors (RECIST) 1.1

    ORR as per RECIST 1.1 was defined as the percentage of participants who achieved complete response (CR) or partial response (PR). CR was defined as disappearance of all lesions. PR was defined as ≥30% decrease in the sum of the longest diameter of all target lesions compared with baseline, in absence of new lesions or unequivocal progression of non-target lesions.

    Time frame: From first dose until end of treatment (Maximum duration: 1.5 years)

  2. Duration of Tumor Response as Per RECIST 1.1

    Duration of response as per RECIST 1.1 was defined as the time interval from CR or PR to disease progression or death. CR was defined as disappearance of all lesions. PR was defined as ≥30% decrease in the sum of the longest diameter of all target lesions compared with baseline, in absence of new lesions or unequivocal progression of non-target lesions. Progressive disease (PD) was defined as at least 20% increase in sum of diameters of target lesions, taking as reference the smallest sum on study. In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5mm. The appearance of one or more new lesions is also considered progression .Kaplan-Meier method was used to estimate median and 95% confidence interval (CI).

    Time frame: From first objective response to disease progression or death (Maximum duration: 1.5 years)

  3. Progression Free Survival (PFS) as Per RECIST 1.1

    PFS as per RECIST 1.1 was defined as the time interval from study enrollment to disease progression or death. Participants who were alive with no disease progression were censored at the date of the last tumor assessment. PD was defined as at least 20% increase in sum of diameters of target lesions, taking as reference the smallest sum on study. In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5mm. The appearance of one or more new lesions is also considered progression.The Kaplan-Meier method was used to estimate median and 95% CI.

    Time frame: From study enrollment to disease progression or death (Maximum duration: 1.5 years)

  4. ORR as Per Immune-related Response Evaluation Criteria in Solid Tumors (irRECIST)

    ORR as per irRECIST was defined as the percent of participants who achieved immune response complete response (irCR) or immune response partial response (irPR). irCR was defined as disappearance of all lesions. irPR was defined as ≥30% decrease in tumor burden compared with baseline.

    Time frame: From first dose until end of treatment (Maximum duration was 1.5 years)

  5. Duration of Tumor Response as Per irRECIST

    Duration of response as per irRECIST 1.1 was defined as the time interval from irCR or irPR to disease progression or death. irCR was defined as disappearance of all lesions. irPR was defined as ≥30% decrease in tumor burden compared with baseline. Immune response progressive disease (irPD) was defined as at least 20% increase in tumor burden compared with nadir (at any single time point). The Kaplan-Meier method was used to estimate median and 95% CI.

    Time frame: From first objective response to disease progression or death (Maximum duration: 1.5 years)

  6. PFS as Per irRECIST

    PFS as per irRECIST 1.1 was defined as the time interval from study enrollment to disease progression or death. Participants who were alive with no disease progression were censored at the date of the last tumor assessment. irPD was defined as at least 20% increase in tumor burden compared with nadir (at any single time point). The Kaplan-Meier method was used to estimate median and 95% CI.

    Time frame: From study enrollment to disease progression or death (Maximum duration: 1.5 years)

07

Results

Posted May 20, 2024

Participant flow

Participants with persistent, metastatic, or recurrent carcinoma of the cervix who failed conventional therapy were enrolled in this study.

Participant flow — Overall Study
MilestoneAxalimogene Filolisbac 1x10^9 CfuAxalimogene Filolisbac 5x10^9 CfuAxalimogene Filolisbac 1x10^10 Cfu
Started165
Enrolled participants066
Treated participants165
Completed000
Not completed165
Withdrew: Adverse event001
Withdrew: Disease progression134
Withdrew: Withdrawal by subject030

Outcome measures

PrimaryNumber of Participants With Dose Limiting Toxicities (DLTs)

DLT was defined as occurrence of any of the following toxicities that are possibly, probably or definitely related to therapy. Hematologic: 1. Grade 4 hematologic toxicity. 2. Febrile neutropenia, defined as absolute neutrophil count (ANC) \< 1000/mm\^3 with a single temperature of \>38.3° C (101° F) or a sustained temperature of \>38° C (100.4° F) for more than 1 hour. 3. Grade 3 thrombocytopenia lasting \>72 hours. 4. Grade 4 thrombocytopenia. Non-Hematologic: 1. ≥Grade 3 non-hematologic toxicity 2. Grade 3 non hematologic laboratory values. 3. Listeremia: positive blood cultures along with persistent (for 72 hours post dose) symptoms consistent with listeremia (e.g., fever and muscle aches, often preceded by diarrhea or other gastrointestinal symptoms). 4. ≥Grade 3 flu-like symptoms or cytokine release symptoms that persist for \>24 hours after study treatment administration despite symptomatic treatment.

Time frame:
Up to 28 days in Cycle 1 (12 weeks cycle)
Reported as:
Count of participants · Participants
Number of Participants With Dose Limiting Toxicities (DLTs)
ParticipantsAxalimogene Filolisbac 1x10^9 CfuAxalimogene Filolisbac 5x10^9 CfuAxalimogene Filolisbac 1x10^10 Cfu
Number of Participants With Dose Limiting Toxicities (DLTs)010
PrimaryListeria Monocytogenes Surveillance

Number of participants with delayed listeria infection was reported.

Time frame:
Up to 120 days post dose
Reported as:
Number · participants
Listeria Monocytogenes Surveillance
participantsAxalimogene Filolisbac 1x10^9 CfuAxalimogene Filolisbac 5x10^9 CfuAxalimogene Filolisbac 1x10^10 Cfu
Listeria Monocytogenes Surveillance000
PrimaryNumber of Participants With Adverse Events

Adverse event (AE): any untoward medical occurrence in a participant administered a study treatment \& which did not necessarily have to have a causal relationship with the study treatment. An AE is, any unfavorable \& unintended sign, symptom, or disease temporally associated with the use of a medicinal product or protocol-specified procedure, whether or not considered related to the medicinal product or protocol-specified procedure. Any worsening of a preexisting condition that was temporally associated with the use of study treatment. AE with onset on or after the date of first administration of the study treatment until the end of the Listeria Monocytogenes (Lm) surveillance period.

Time frame:
From first dose up to 2.3 years
Reported as:
Count of participants · Participants
Number of Participants With Adverse Events
ParticipantsAxalimogene Filolisbac 1x10^9 CfuAxalimogene Filolisbac 5x10^9 CfuAxalimogene Filolisbac 1x10^10 Cfu
Number of Participants With Adverse Events165
SecondaryObjective Response Rate (ORR) as Per Response Evaluation Criteria in Solid Tumors (RECIST) 1.1

ORR as per RECIST 1.1 was defined as the percentage of participants who achieved complete response (CR) or partial response (PR). CR was defined as disappearance of all lesions. PR was defined as ≥30% decrease in the sum of the longest diameter of all target lesions compared with baseline, in absence of new lesions or unequivocal progression of non-target lesions.

Time frame:
From first dose until end of treatment (Maximum duration: 1.5 years)
Reported as:
Number · percentage of participants
Objective Response Rate (ORR) as Per Response Evaluation Criteria in Solid Tumors (RECIST) 1.1
percentage of participantsAxalimogene Filolisbac 1x10^9 CfuAxalimogene Filolisbac 5x10^9 CfuAxalimogene Filolisbac 1x10^10 Cfu
Objective Response Rate (ORR) as Per Response Evaluation Criteria in Solid Tumors (RECIST) 1.10.00 (0.00 to 97.50)0.00 (0.00 to 45.93)20.00 (0.51 to 71.64)
SecondaryDuration of Tumor Response as Per RECIST 1.1

Duration of response as per RECIST 1.1 was defined as the time interval from CR or PR to disease progression or death. CR was defined as disappearance of all lesions. PR was defined as ≥30% decrease in the sum of the longest diameter of all target lesions compared with baseline, in absence of new lesions or unequivocal progression of non-target lesions. Progressive disease (PD) was defined as at least 20% increase in sum of diameters of target lesions, taking as reference the smallest sum on study. In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5mm. The appearance of one or more new lesions is also considered progression .Kaplan-Meier method was used to estimate median and 95% confidence interval (CI).

Time frame:
From first objective response to disease progression or death (Maximum duration: 1.5 years)
Reported as:
Median · days
Duration of Tumor Response as Per RECIST 1.1
daysAxalimogene Filolisbac 1x10^9 CfuAxalimogene Filolisbac 5x10^9 CfuAxalimogene Filolisbac 1x10^10 Cfu
Duration of Tumor Response as Per RECIST 1.1NA (NA to NA)NA (NA to NA)269.0 (NA to NA)
SecondaryProgression Free Survival (PFS) as Per RECIST 1.1

PFS as per RECIST 1.1 was defined as the time interval from study enrollment to disease progression or death. Participants who were alive with no disease progression were censored at the date of the last tumor assessment. PD was defined as at least 20% increase in sum of diameters of target lesions, taking as reference the smallest sum on study. In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5mm. The appearance of one or more new lesions is also considered progression.The Kaplan-Meier method was used to estimate median and 95% CI.

Time frame:
From study enrollment to disease progression or death (Maximum duration: 1.5 years)
Reported as:
Median · days
Progression Free Survival (PFS) as Per RECIST 1.1
daysAxalimogene Filolisbac 1x10^9 CfuAxalimogene Filolisbac 5x10^9 CfuAxalimogene Filolisbac 1x10^10 Cfu
Progression Free Survival (PFS) as Per RECIST 1.1124.0 (NA to NA)85.0 (80.0 to 99.0)176.5 (78.0 to 528.0)
SecondaryORR as Per Immune-related Response Evaluation Criteria in Solid Tumors (irRECIST)

ORR as per irRECIST was defined as the percent of participants who achieved immune response complete response (irCR) or immune response partial response (irPR). irCR was defined as disappearance of all lesions. irPR was defined as ≥30% decrease in tumor burden compared with baseline.

Time frame:
From first dose until end of treatment (Maximum duration was 1.5 years)
Reported as:
Number · percentage of participants
ORR as Per Immune-related Response Evaluation Criteria in Solid Tumors (irRECIST)
percentage of participantsAxalimogene Filolisbac 1x10^9 CfuAxalimogene Filolisbac 5x10^9 CfuAxalimogene Filolisbac 1x10^10 Cfu
ORR as Per Immune-related Response Evaluation Criteria in Solid Tumors (irRECIST)0.00 (0.00 to 97.50)0.00 (0.00 to 45.93)20.00 (0.51 to 71.64)
SecondaryDuration of Tumor Response as Per irRECIST

Duration of response as per irRECIST 1.1 was defined as the time interval from irCR or irPR to disease progression or death. irCR was defined as disappearance of all lesions. irPR was defined as ≥30% decrease in tumor burden compared with baseline. Immune response progressive disease (irPD) was defined as at least 20% increase in tumor burden compared with nadir (at any single time point). The Kaplan-Meier method was used to estimate median and 95% CI.

Time frame:
From first objective response to disease progression or death (Maximum duration: 1.5 years)
Reported as:
Median · days
Duration of Tumor Response as Per irRECIST
daysAxalimogene Filolisbac 1x10^9 CfuAxalimogene Filolisbac 5x10^9 CfuAxalimogene Filolisbac 1x10^10 Cfu
Duration of Tumor Response as Per irRECISTNA (NA to NA)NA (NA to NA)269.0 (NA to NA)
SecondaryPFS as Per irRECIST

PFS as per irRECIST 1.1 was defined as the time interval from study enrollment to disease progression or death. Participants who were alive with no disease progression were censored at the date of the last tumor assessment. irPD was defined as at least 20% increase in tumor burden compared with nadir (at any single time point). The Kaplan-Meier method was used to estimate median and 95% CI.

Time frame:
From study enrollment to disease progression or death (Maximum duration: 1.5 years)
Reported as:
Median · days
PFS as Per irRECIST
daysAxalimogene Filolisbac 1x10^9 CfuAxalimogene Filolisbac 5x10^9 CfuAxalimogene Filolisbac 1x10^10 Cfu
PFS as Per irRECIST124.0 (NA to NA)85.0 (80.0 to 99.0)176.5 (78.0 to 528.0)

Adverse events

Collected over 2 years and 3 days.. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Axalimogene Filolisbac 1x10^9 Cfu1/1 (100%)1/1 (100%)1/1 (100%)
Axalimogene Filolisbac 5x10^9 Cfu0/6 (0%)2/6 (33.3%)6/6 (100%)
Axalimogene Filolisbac 1x10^10 Cfu2/5 (40%)1/5 (20%)5/5 (100%)
Most frequent serious events
Most frequent serious events
EventAxalimogene Filolisbac 1x10^9 CfuAxalimogene Filolisbac 5x10^9 CfuAxalimogene Filolisbac 1x10^10 Cfu
HypotensionVascular disorders1/11/60/5
Rectal haemorrhageGastrointestinal disorders0/10/61/5
Vaginal haemorrhageReproductive system and breast disorders0/10/61/5
EmbolismVascular disorders0/10/61/5
AnaemiaBlood and lymphatic system disorders0/11/60/5
Abdominal painGastrointestinal disorders0/11/60/5
Urinary tract obstructionRenal and urinary disorders0/11/60/5
Most frequent other events
Showing 10 of 85
Most frequent other events
EventAxalimogene Filolisbac 1x10^9 CfuAxalimogene Filolisbac 5x10^9 CfuAxalimogene Filolisbac 1x10^10 Cfu
TachycardiaCardiac disorders1/12/62/5
PyrexiaGeneral disorders1/12/64/5
Vulvovaginal discomfortReproductive system and breast disorders1/10/60/5
HypotensionVascular disorders1/14/61/5
Pelvic painReproductive system and breast disorders1/11/61/5
ChillsGeneral disorders0/14/63/5
NauseaGastrointestinal disorders0/12/63/5
PainGeneral disorders0/10/63/5
AnaemiaBlood and lymphatic system disorders0/13/61/5
Abdominal painGastrointestinal disorders0/13/60/5

Baseline characteristics

The All Treated population included participants who received at least 1 dose of study drug.

Age, Continuous
Age, Continuous(years)Axalimogene Filolisbac 1x10^9 CfuAxalimogene Filolisbac 5x10^9 CfuAxalimogene Filolisbac 1x10^10 CfuTotal
Mean39.051.3 ± 11.2259.2 ± 19.1053.6 ± 15.04
Sex: Female, Male
Sex: Female, Male(Participants)Axalimogene Filolisbac 1x10^9 CfuAxalimogene Filolisbac 5x10^9 CfuAxalimogene Filolisbac 1x10^10 CfuTotal
Female16512
Male0000
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Axalimogene Filolisbac 1x10^9 CfuAxalimogene Filolisbac 5x10^9 CfuAxalimogene Filolisbac 1x10^10 CfuTotal
Hispanic or Latino0011
Not Hispanic or Latino16411
Unknown or Not Reported0000
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Axalimogene Filolisbac 1x10^9 CfuAxalimogene Filolisbac 5x10^9 CfuAxalimogene Filolisbac 1x10^10 CfuTotal
American Indian or Alaska Native0000
Asian0000
Native Hawaiian or Other Pacific Islander0000
Black or African American0235
White1427
More than one race0000
Unknown or Not Reported0000
08

Study locations

2 sites
  • Augusta, Georgia 30912, United States
  • Charlottesville, Virginia, United States
09

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

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 Mar 2015 to primary completion in Mar 2017, 24 months.

Results were first posted in May 2024, 7 years 2 months after primary completion.

Of 84 industry-sponsored phase 1 interventional studies under Uterine Cervical Neoplasms, half reached primary completion within 46 months of starting (the median), counting those still running; a quarter within 29 and three quarters within 57. This study's 24 months is below that.

Counting every sponsor, half of 142 studies reached it within 48 months; a quarter within 27 and three quarters within 68.

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

Registered
Jun 13, 2014
First posted
Jun 16, 2014
StartActual
Mar 4, 2015
Primary completionActual
Mar 8, 2017
CompletionActual
Mar 8, 2017
Results first posted
May 20, 2024
Last update
May 20, 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 May 20, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT02164461
Lead sponsor
Advaxis, Inc.
Responsible party
Sponsor
First posted
Jun 16, 2014
Start date
Mar 4, 2015
Primary completion
Mar 8, 2017
Completion
Mar 8, 2017
Results posted
May 20, 2024
Last update
May 20, 2024

Oversight

Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Dec 2023. You cannot join it, but the record below documents what was studied.

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Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

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Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Studies of the drug tested here: Axalimogene filolisbac

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