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CompletedNCT03042793Updated Jul 7, 2020

Vaccination With PD-L1 Peptide Against Multiple Myeloma

A Phase 1 interventional study of PD-L1 peptide vaccine in Multiple Myeloma, sponsored by Lene Meldgaard Knudsen. Completed at 1 site in Denmark. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2020-07-07.

Sponsored by Lene Meldgaard Knudsen · Phase 1, Interventional, and Treatment

Phase
Phase 1
Study type
Interventional
Enrollment
10
Allocation
Not applicable
Ages
18 Years and older
Sex
All
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Study summary

Title: Vaccination with PD-L1 peptide with Montanide against multiple myeloma after high dose chemotherapy with stem cell support. A phase I first-in-human study.

Hypothesis: In this trial the investigators assess a new immunotherapeutic strategy targeting the immune checkpoint molecule PD-L1 to investigate the potential of vaccination against PD-L1 as a possible anticancer target.

Read the detailed description

Background: Multiple myeloma is the second most common hematologic cancer which is despite advances in treatment is still incurable for most patients.

In this trial the investigators assess a new immunotherapeutic strategy targeting the immune checkpoint molecule PD-L1 to investigate the potential of vaccination against PD-L1 as a possible anticancer target.

PD-L1 has been recognized as an important factor in immune regulation and development of immune tolerance in the microenvironment of cancer cells. Cells that express PD-L1 on their surface are known to inhibit the immune system. As seen with the recent advances in immunotherapy against cancer with antibodies against PD-L1, the the immunosuppressive role of the molecule PD-L1 can be antagonized to the benefit of patients with cancer. PD-L1 is expressed on both cancer cells, antigen presenting cells and immunosuppressive cells in the tumor micro-environment. Vaccination against PD-L1 is therefore two sided. The investigators aim to stimulate PD-L1 specific T-cells, hence eliminating both PD-L1 positive tumor cells as well as PD-L1 positive immunosuppressive and antigen presenting cells in the tumor microenvironment. The primary endpoints are safety and toxicity evaluation. Secondary endpoint is immunological response. Clinical response will be described.

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Conditions studied

  • Multiple Myeloma

Keywords

  • myeloma
  • vaccination
  • PD-L1
  • peptide vaccine
  • cancer vaccine
  • immunotherapy
03

In context

Multiple Myeloma

3,632 studies on the registry are indexed under Multiple Myeloma; 745 are open to participants now.

This study's enrollment of 10 is below the median of 41 across 2,907 interventional studies indexed under Multiple Myeloma.

Browse Multiple Myeloma studies →

Lead sponsor

Lene Meldgaard Knudsen is the lead sponsor of 2 studies on the registry; none 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 and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  1. Histologically verified multiple myeloma
  2. Newly treated with HDT and no signs of relapse
  3. Age ≥18 years
  4. Performance status ≤ 2 (ECOG-scale)
  5. Expected survival > 3 months
  6. Sufficiently regenerated bone marrow function, i.e.

    1. Leucocytes ≥ 1,5 x 109
    2. Granulocytes ≥ 1,0 x 109
    3. Thrombocytes ≥ 20 x 109
  7. Creatinine \< 2.5 upper normal limit, i.e. \< 300 μmol/l
  8. Sufficient liver function, i.e.

    1. ALAT \< 2.5 upper normal limit, i.e. ALAT \<112 U/l
    2. Bilirubin \< 30 U/l
  9. Women agreement to use contraceptive methods with a failure rate of \< 1% per year during the treatment period and for at least 120 days after the last treatment.
  10. For men: agreement to use contraceptive measures and agreement to refrain from donating sperm.

Exclusion criteria

Exclusion Criteria:

  1. Non-secretory myeloma
  2. Other malignancies in the medical history excluding squamous cell carcinoma of the skin and patients cured for another malignant disease with no sign of relapse three years after ended treatment.
  3. Significant medical condition per investigators judgement e.g. severe Asthma/COPD, poorly regulated heart condition, insulin dependent diabetes mellitus.
  4. Acute or chronic viral infection e.g. HIV, hepatitis or tuberculosis
  5. Serious known allergies or earlier anaphylactic reactions.
  6. Known sensibility towards Montanide ISA-51
  7. Any active autoimmune diseases e.g. autoimmune neutropenia, thrombocytopenia or hemolytic anemia, systemic lupus erythematosus, scleroderma, myasthenia gravis, autoimmune glomerulonephritis, autoimmune adrenal deficiency, autoimmune thyroiditis etc.
  8. Pregnant and breastfeeding women.
  9. Fertile women not using secure contraception with a failure rate less than \< 1%
  10. Patients taking immune suppressive medications incl. corticosteroids and methotrexate at the time of enrollment
  11. Psychiatric disorders that per investigator judgment could influence compliance.
  12. Treatment with other experimental drugs
  13. Treatment with other anti-cancer drugs - except bisphosphonates and denosumab
  14. Patients with active uncontrolled hypercalcemia
  15. Patients who have received chemotherapy, immune therapy, radiation therapy within the last 28 days.
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Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
10 participants (actual)

Study arms

  • Experimental
    Vaccination

    Vaccine: PD-L1 peptide.

    Biological: PD-L1 peptide vaccine

Interventions

  • BiologicalPD-L1 peptide vaccine

    PD-L1 peptide given subcutaneously with Montanide ISA-51

06

What researchers measure

Primary outcomes

  1. Incidence of toxicity

    CTCAE = Common Terminology Criteria for Adverse Events v. 4.0 will be used for registration of toxicity

    Time frame: 12 months

Secondary outcomes

  1. Evaluation of immunological responses

    Immunological assays will be used to identify immunological responses.

    Time frame: 12 months

Other outcomes

  1. Clinical response

    Will be described according to standard IMWG-criteria for multiple myeloma.

    Time frame: 12 months

07

Study locations

1 site
  • Department of Hematology, Universityhospital Herlev and Gentofte
    Herlev, 2730, Denmark
08

References and documents

Publications

  • Jorgensen NG, Klausen U, Grauslund JH, Helleberg C, Aagaard TG, Do TH, Ahmad SM, Olsen LR, Klausen TW, Breinholt MF, Hansen M, Martinenaite E, Met O, Svane IM, Knudsen LM, Andersen MH. Peptide Vaccination Against PD-L1 With IO103 a Novel Immune Modulatory Vaccine in Multiple Myeloma: A Phase I First-in-Human Trial. Front Immunol. 2020 Nov 9;11:595035. doi: 10.3389/fimmu.2020.595035. eCollection 2020. PubMed 33240282 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 7, 2020, 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
NCT03042793
Lead sponsor
Lene Meldgaard Knudsen
Responsible party
Lene Meldgaard Knudsen (MD, DMSc, Head of Department, Department of Haematology, Universityhospital Herlev and Gentofte, Herlev Hospital) — Sponsor-investigator
First posted
Feb 3, 2017
Start date
Feb 1, 2017
Primary completion
May 14, 2020
Completion
May 14, 2020
Last update
Jul 7, 2020

Study contacts

Nicolai Jørgensen, MD
principal investigator · Center for Cancer Immune Therapy, Universityhospital Herlev and Gentofte

Oversight

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

Not currently enrolling

This study is completed, as verified in Jul 2020. You cannot join it, but the record below documents what was studied.

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