ClinicalTrials.gg
CompletedNCT03315871Updated Jun 19, 2025Results posted

Combination Immunotherapy in Biochemically Recurrent Prostate Cancer

A Phase 2 interventional study of Antigen direct immunotherapy: PROSTVAC-V and Antigen direct immunotherapy: PROSTVAC-F in Prostate Cancer, sponsored by National Cancer Institute (NCI). Completed at 1 site in United States. Open to male participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-06-19.

Sponsored by National Cancer Institute (NCI) · Phase 2, Interventional, and Treatment

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Phase
Phase 2
Study type
Interventional
Enrollment
40
Allocation
Non-randomized
Ages
18 Years and older
Sex
Male
01

Where this study stands

Counted across the records on this site · 2026-11-14

Among 202 studies in Prostatic Neoplasms by National Cancer Institute (NCI) — 26 open to participants now, 43 under way, none of them phase 3. Prostatic Neoplasms · National Cancer Institute (NCI).

Enrollment
85th of 166
40 · median 41
Started
2018
with 7 others
Phase 2
100 of 202
10 open now
Registered
154th of 202
by date

Among the 202 studies in Prostatic Neoplasms by National Cancer Institute (NCI), this one is the 85th largest by enrollment of the 166 interventional ones that give a count, is one of 8 that started in 2018, is one of 100 in phase 2, and was the 154th registered.

Prostatic Neoplasms

7,047 studies on the registry are indexed under Prostatic Neoplasms; 1,579 are open to participants now.

Browse Prostatic Neoplasms studies →

Open to participants now

26 of the 202 studies in Prostatic Neoplasms by National Cancer Institute (NCI) are open now, in 2 countries. Recruiting first, the newest first:

21 more — sign in →

By country, each count listing its studies:

All 26 open studies →

Who these studies take

Of the 1,228 Prostatic Neoplasms studies recruiting now, 927 (75%) set no upper age limit and 76 (6%) stop at 75 or younger; 67 take children under 18; 82 take healthy volunteers.

This study: 18 Years and older · male · no healthy volunteers.

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 202 studies in Prostatic Neoplasms by National Cancer Institute (NCI), or all of them as a file.
02

Study summary

Background:

Some people with prostate cancer have a rise in prostate-specific antigen (PSA). This can happen even after treatments like radiation and surgery. Androgen deprivation therapy (ADT) drugs and close monitoring are one standard way to treat this group of people. Another way is to monitor people and their PSA values over time. Researchers want to see if a combination of new drugs can help these people.

Objective:

To see if the combination treatment of PROSTVAC (rilimogene galvacirepvec/rilimogene glafolivec vaccinia), CV301, and MSB0011359C (M7824) can induce an anti-tumor impact in people with biochemically recurrent prostate cancer.

Eligibility:

People ages 18 and older with certain kinds of prostate cancer

Design:

Participants will be screened with

  • Medical history
  • Physical exam
  • Blood and urine tests
  • A scan of the neck, chest, abdomen, and pelvis
  • A bone scan

A sample of tissue that was already taken will be tested. This will confirm the diagnosis, stage, and disease status.

Some participants will have close monitoring with four monthly PSA checks.

All participants will get two study drugs as shots under the skin. They will get the third drug in a vein. They will get the drugs over at least 7 months. Their vital signs will be checked before they get the drugs and for up to 1 hour after.

Participants will have frequent study visits. They will have physical exams, urine and blood tests, and scans.

Participants will return to the clinic about 4 weeks after they stop taking the study drugs. They will have a medical history, physical exam, and blood tests. They may also have long-term follow-up visits.

Read the detailed description

Background:

Androgen deprivation therapy (ADT) and surveillance are treatment options for prostate cancer patients with biochemical progression after localized therapy (i.e., biochemically recurrent [BCR] prostate cancer). The primary goal in these patients is to prevent morbidity from their cancer that results from disease progression and metastatic disease on conventional imaging.

ADT can lower the prostate-specific antigen (PSA) in these patients, but because of its substantial side effect profile and ambiguous long-term impact, it is generally deferred by most patients until there is a rapid escalation in their PSA.

Immunotherapy presents an alternative option for these patients that is especially attractive because it is not associated with substantial toxicity. Also, since immunotherapy can have lasting effects after treatment due to a sustained activated immune response, patients will not be required to take these treatments indefinitely to potentially benefit clinically.

Current and previous clinical trials have demonstrated that single agent immunotherapy can impact PSA in patients in this population.

The focus of this study is to determine if combination immunotherapy with Antigen direct immunotherapy antigen directed immunotherapy can initiate an immune response in the first 4 months that is then augmented by an immune checkpoint inhibitor in the following 3 months.

In addition to PSA responses (the primary metric in this population), safety, changes in immune responses, and PSA kinetics will also be evaluated.

Objectives:

Primary Objectives:

Safety Lead-In: To evaluate the safety and tolerability of combination immunotherapy in participants with castration-resistant prostate cancer

Biochemical Recurrence: To determine if the combination immunotherapy can induce a 30% decline in PSA in 28% of participants with biochemically recurrent prostate cancer.

Eligibility Criteria (for biochemical recurrence):

Histologically confirmed adenocarcinoma of the prostate

Participants with negative computed tomography (CT) Scan and Tc-99m Bone Scan

Participants with a PSA over 0.8 ng/ml for participants following radical prostatectomy or for participants following definitive radiation therapy: a rise in PSA of >= 2 ng/mL above the nadir

Participants with a PSA doubling time of 5-15 months

No history of active autoimmune disease or history of organ compromising autoimmune disease

Eastern Cooperative Oncology Group (ECOG) 0-1

Safety lead-in cohort will evaluate 6 participants with castration resistant prostate cancer

Design:

Three-arm, non-randomized study

Accrual goal is a total of 37 evaluable participants (6 in an initial safety cohort, 6 participants who received M7824 (MSB0011359C) as part of the initial investigation and 25 homogenously treated participants without M7824) to evaluate response

Participants from a previous study (NCT02649439) with nearly identical eligibility can serve as a contemporary control for secondary endpoints

Following the safety lead-in, all participants will be enrolled and may undergo a surveillance period during which up to 4 consecutive monthly PSA values will be captured by the labs.

After surveillance period, if applicable, participants will be treated with 2 Antigen direct immunotherapy's concurrently, Prostvac (rilimogene galvacirepvec/rilimogene glafolivec) and CV301, during months 1-4. For months 5-7, MSB0011359C [an anti-programmed Cell Death Ligand 1 (PD-L1) antibody (avelumab) with TGF(Beta)-Trap molecule] will be added to the regimen.

-Effective with amendment v7/29/2021, MSB0011359C (M7824) will no longer be given as part of the treatment combination for the Biochemical Recurrence cohort (Arms 3)

Participants will be monitored for on-treatment and post-treatment PSA, immune and imaging responses.

03

Conditions studied

  • Prostate Cancer

Browse trials for

Keywords

  • Antigen direct immunotherapy
  • PSA
  • Immunotherapy
  • Immune Response
  • Checkpoint Inhibitor
04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
Male
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.

  • For Safety Lead-in

Inclusion criteria

  • Histopathological documentation of prostate cancer confirmed in either the Laboratory of Pathology at the National Institutes of Health (NIH) Clinical Center, or Walter Reed National Military Medical Center prior to enrollment. If no pathologic specimen is available, participants may enroll with a pathologist's report showing a histologic diagnosis of prostate cancer and a clinical course consistent with the disease.
  • Recovery to baseline from acute toxicity related to prior therapy, including surgery and radiation. (28 days removed from last systemic therapy, 14 days removed from last radiation therapy).
  • Hepatic function eligibility parameters (within 16 days before starting therapy):

    -- less than or equal to (ULN) (OR in participants with Gilbert's syndrome, a total bilirubin less than or equal to 3.0), (AST) and alanine aminotransferase (ALT) less than or equal to 1.5 times upper limit of normal.

  • Adequate renal function defined by an estimated > 50 mL/min according to the Cockcroft-Gault formula or by measure of creatinine clearance from 24-hour urine collection.
  • No other active within the past 36 months (with the exception of nonmelanoma skin cancers or carcinoma in situ of the bladder) or life-threatening illnesses.
  • Willing to travel to the NIH for follow-up visits.
  • 18 years of age or older.
  • Able to understand and sign .
  • The effects Prostvac (rilimogene galvacirepvec/rilimogene glafolivec) and CV301 on the developing human fetus are unknown. For this reason, men must agree to use highly effective (that is, methods with a failure rate of less than 1% per year) prior to study entry, for the duration of study therapy and at least four months after the last treatment administration. Should a woman become pregnant or suspect she is pregnant while her partner is participating in this study, she should inform her treating physician immediately.
  • Additional Inclusion Criteria Specific to Safety Lead-In Cohort

    • Castrate testosterone level (\<50ng/dl or 1.7nmol /L)
    • Progressive disease at study entry defined as one or more of the following criteria occurring in the setting of castrate levels of testosterone:

      • Radiographic progression defined as any new or enlarging bone lesions or growing lymph node disease, consistent with prostate cancer

OR

  • For Biochemical Recurrence:
  • Prostate-specific antigen (PSA) progression defined by sequence of rising values separated by >1 week (2 separate increasing values over a minimum of 2ng/ml (Prostate Cancer Working Group 2 (PCWG2) PSA eligibility criteria). If participants had been on flutamide, PSA progression is documented 4 weeks or more after withdrawal. For participants on bicalutamide or nilutamide disease progression is documented 6 or more weeks after withdrawal.

    --Participants must agree to continuation of androgen deprivation therapy (ADT) with a gonadotropin-releasing hormone agonist/antagonist or bilateral orchiectomy

  • (ECOG) performance status of 0-2 ( >80%).
  • Hematological eligibility parameters (within 16 days before starting therapy):
  • Granulocyte count greater than or equal to 1000/mm\^3
  • count greater than or equal to 100 000/mm\^3
  • (Hgb) greater than or equal to 9 g/dL
  • (PT) less than or equal to 1.5 x ULN
  • Activated partial thromboplastin time (aPTT) less than or equal to 1.5 x ULN

Additional Inclusion Criteria Specific to Biochemical Recurrence Cohort

  • Biochemical progression defined as follows:

    • For participants following definitive radiation therapy: a rise in PSA of greater than or equal to 2 ng/mL above the nadir (per Radiation Therapy Oncology Group (RTOG) -American Society for Therapeutic Radiation Oncology (ASTRO) consensus criteria)
    • For participants following radical prostatectomy: rising PSA after surgical procedure (participants must have a PSA greater than or equal to 0.8 ng/mL)
  • Participants must have a rising PSA as confirmed by 3 values a minimum of 1 week apart over at least a 1 month period of time.
  • Participants must have a PSA doubling time of 5-15 months.
  • ECOG performance status of 0-1 (Karnofsky greater than or equal to 80%).
  • Negative computed tomography (CT) scan/magnetic resonance imaging (MRI) and bone scan for prostate cancer.
  • Baseline testosterone greater than or equal to 100 ng/dl.
  • PSA less than or equal to 30 ng/mL.
  • Hematological eligibility parameters (within 16 days before starting therapy):

    • Granulocyte count greater than or equal to 1000/mm3
    • Platelet count greater than or equal to 100 000/mm3
    • Hgb greater than or equal to 10 g/dL

Exclusion criteria

EXCLUSION CRITERIA:

  • status due to:

    • (HIV) positivity.
    • Active diseases such as Addison's disease, Hashimoto's thyroiditis, systemic lupus erythematosus, Sjogren syndrome, scleroderma, myasthenia gravis, Goodpasture syndrome or active Grave's disease.

      • Participants with a history of autoimmunity that has not required systemic immunosuppressive therapy or does not threaten vital organ function including central nervous system (CNS), heart, lungs, kidneys, skin, and gastrointestinal (GI) tract will be allowed.
      • Participants with diabetes type I, vitiligo, or alopecia are allowed.
    • Other immunodeficiency diseases
    • Splenectomy
  • Receipt of any organ transplantation, including stem-cell transplantation, but with the exception of transplants that do not require immunosuppression (e.g., corneal transplant, hair transplant).
  • Chronic administration (defined as daily or every other day for continued use > 14 days) of systemic within 28 days before the first planned dose of therapy. Use of corticosteroids with minimal systemic absorption (e.g., inhaled steroids, nasal sprays, and topical agents) is allowed.
  • Serious intercurrent medical illness that, in the judgment of the investigator, would interfere with participants ability to carry out the treatment program.
  • Other medications used for urinary symptoms including 5-alpha reductase inhibitors (finasteride and dutasteride) and alternative medications known to alter PSA (e.g. phytoestrogens and saw palmetto).
  • History of prior chemotherapy (chemotherapy allowed for lead-in cohort in castration resistant disease.)
  • History of prior immunotherapy within the last 3 years (immunotherapy allowed for lead-in cohort in castration resistant disease.)
  • Receipt of an investigational agent within 28 days (or 56 days for an antibody-based therapy) before the first planned dose of study drugs.
  • Major surgery within 4 weeks prior to enrollment
  • History of allergic reactions attributed to compounds of similar chemical or biologic composition to poxviral Antigen direct immunotherapy's (e.g., vaccinia Antigen direct immunotherapy)
  • Previous serious adverse reactions to smallpox vaccination
  • History of allergic reactions attributed to monoclonal antibodies (grade 3)
  • Known allergy to eggs, egg products, aminoglycoside antibiotics (e.g., gentamicin or tobramycin).
  • History of atopic dermatitis or active skin condition (acute, chronic, exfoliative) that disrupts the epidermis
  • Unable to avoid close contact or household contact with the following high-risk individuals for three weeks after the Day 1 vaccination: (a) children less than or equal to 3 years of age, (b) pregnant or nursing women, (c) individuals with prior or concurrent extensive eczema or other eczemoid skin disorders, or (d) immunocompromised individuals, such as those with HIV.
  • Participants who test positive for virus (HBV) or virus (HCV)
  • cardiovascular/cerebrovascular disease as follows: cerebral vascular accident/stroke (\< 6 months prior to the first planned dose of study drugs), myocardial infarction (\< 6 months prior to the first planned dose of study drugs), unstable angina, congestive heart failure ( Classification Class greater than or equal to II), serious cardiac arrhythmia, or uncontrolled hypertension (systolic blood pressure (SBP)>170/diastolic blood pressure (DBP)>105).
  • Participants who have received a red cell transfusion within 2 weeks prior to enrollment.
  • Participants unwilling to accept blood products as medically indicated.
  • Individual tumor lesion(s) in the liver or chest which are 10 cm or larger.
Terms in these criteria, in plain language(23)

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.

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.

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.

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.

Creatinine clearance (CrCl)

How quickly the kidneys clear creatinine, a waste product, from the blood. A study may estimate it from a blood test with age, weight and sex (often by the Cockcroft–Gault formula), or measure it using blood and urine collected over a set time. Given in mL/min; higher is better.

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.

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.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

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.

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.

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.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

INR, PT and aPTT (clotting tests)

Blood tests of how long blood takes to clot. The INR is the prothrombin time (PT) put on a common scale; about 1 is usual for someone not taking a blood thinner.

Criteria often make an exception for people on a blood thinner such as warfarin, whose INR is raised on purpose.

Metastases

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

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Autoimmune disease

A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.

Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.

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.

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.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

NYHA class (heart failure)

The New York Heart Association’s four classes of how much heart failure limits physical activity.

I
No limits: ordinary activity causes no undue tiredness or breathlessness.
II
Slight limits: comfortable at rest, ordinary activity causes symptoms.
III
Marked limits: comfortable at rest, less than ordinary activity causes symptoms.
IV
Symptoms even at rest; any activity makes them worse.

Studies set their own limit — many outside heart failure leave out class III–IV, while heart failure studies may ask for a particular class. Check the class this study names.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
40 participants (actual)

Study arms

  • Experimental
    1/Safety Lead-in Combination Therapy (closed December 2018)

    Prostvac (rilimogene galvacirepvec/rilimogene glafolivec vaccinia) + CV301+ MSB0011359C (M7824)

    Biological: Antigen direct immunotherapy: PROSTVAC-V · Biological: Antigen direct immunotherapy: PROSTVAC-F · Drug: MSB0011359C (M7824) · Biological: Antigen direct immunotherapy: CV301 · Diagnostic Test: CT scan of chest · Diagnostic Test: CT scan of abdomen/pelvis · Diagnostic Test: MRI · Diagnostic Test: Bone scan

  • Experimental
    2/Biochemical Recurrence: Combination Therapy + Surveillance (closed)

    Surveillance followed by Prostvac ( rilimogene galvacirepvec/rilimogene glafolivec vaccinia) + CV301 then Prostvac + CV301 + MSB0011359C (M7824)

    Biological: Antigen direct immunotherapy: PROSTVAC-V · Biological: Antigen direct immunotherapy: PROSTVAC-F · Drug: MSB0011359C (M7824) · Biological: Antigen direct immunotherapy: CV301 · Diagnostic Test: CT scan of chest · Diagnostic Test: CT scan of abdomen/pelvis · Diagnostic Test: MRI · Diagnostic Test: PSMA · Diagnostic Test: Bone scan

  • Experimental
    3/Biochemical Recurrence: Combination Antigen Direct Immunotherapy +/- Surveillance

    Surveillance as needed followed by Prostvac (rilimogene galvacirepvec/rilimogene glafolivec vaccinia) + CV301

    Biological: Antigen direct immunotherapy: PROSTVAC-V · Biological: Antigen direct immunotherapy: PROSTVAC-F · Biological: Antigen direct immunotherapy: CV301 · Diagnostic Test: CT scan of chest · Diagnostic Test: CT scan of abdomen/pelvis · Diagnostic Test: MRI · Diagnostic Test: PSMA · Diagnostic Test: Bone scan

Interventions

  • Recombinant vaccinia virus vector antigen direct immunotherapy of the genus Orthopoxvirus. Administered by subcutaneous injection.

    Also known as: rilimogene galvacirepvec/rilimogene glafolivec vaccinia

  • Recombinant fowlpox virus vector Antigen direct immunotherapy of the genus Avipoxvirus. Administered by subcutaneous injection.

    Also known as: rilimogene galvacirepvec/rilimogene glafolivec fowlpox

  • Fully human bifunctional fusion protein that combines immunoglobulin G1 (IgG1) anti-programmed death-ligand 1 (PD-L1) and Transforming growth factor, beta receptor II (TGFbetaRII) as a monoclonal antibody. Administered via intravenous (IV) infusion over 1 hour.

    Also known as: M7824

  • Recombinant vaccinia virus Antigen direct immunotherapy of the genus Avipoxvirus. Administered subcutaneously.

  • Diagnostic testCT scan of chest

    Screening, prior to Antigen direct immunotherapy, end of study therapy, then every 6 months as long as participants remain in follow-up. And as clinically indicated after one year.

    Also known as: Computed tomography

  • Diagnostic testCT scan of abdomen/pelvis

    Screening, prior to Antigen direct immunotherapy, end of study therapy, then every 6 months as long as participants remain in follow-up. And as clinically indicated after one year.

  • Diagnostic testMRI

    Screening, prior to Antigen direct immunotherapy, end of study therapy, then every 6 months as long as participants remain in follow-up. And as clinically indicated after one year.

    Also known as: Magnetic resonance imaging

  • Diagnostic testPSMA

    Biochemical recurrence group only. Screening, prior to Antigen direct immunotherapy therapy, end of study therapy, then every 6 months as long as participants remain in follow-up. And as clinically indicated after one year.

    Also known as: prostate-specific membrane antigen positron emission tomography scan

  • Diagnostic testBone scan

    Screening, prior to Antigen direct immunotherapy, end of study therapy, then every 6 months as long as participants remain in follow-up. And as clinically indicated after one year.

06

What researchers measure

Primary outcomes

  1. Percentage of Participants With a Toxicity

    Percentage of participants with a toxicity assessed by the Common Terminology Criteria for Adverse Events (CTCAE v4.0). A serious adverse event is an adverse event or suspected adverse reaction that results in death, a life-threatening adverse drug experience, hospitalization, disruption of the ability to conduct normal life functions, congenital anomaly/birth defect or important medical events that jeopardize the patient or subject and may require medical or surgical intervention to prevent one of the previous outcomes mentioned.

    Time frame: At the end of therapy (7 months)

  2. Prostate Specific Antigen (PSA) Response

    Proportion of evaluable participants who experience at least a 30% decline. PSA is a tumor marker in prostate cancer and elevated in participants with this stage of disease. Declines of 30% can be associated with favorable clinical outcomes.

    Time frame: End of treatment (7 months)

Secondary outcomes

  1. Number of Participants With Related and/or Unrelated Grade 3 and Grade 4 Adverse Events.

    Number of participants with related and/or unrelated Grade 3 and Grade 4 adverse events assessed by the Common Terminology Criteria for Adverse Events (CTCAE v4.0). Reporting the grade of adverse events noted in each participant and reporting the fraction with grade 3 and grade 4 adverse events.

    Time frame: 6 weeks

  2. Number of Evaluable Participants With Biochemical Recurrence (BCR) With a 20% Change in PSA Doubling Time

    PSA Doubling Time (DT) is the time interval (measured in months) it takes for PSA levels to double. PSA DT was calculated using the Memorial Sloan Kettering online PSA Doubling Time calculator. A long PSA DT suggests more indolent disease based on published data. PSA doubling time has been associated with better clinical outcomes in BCR. Note that PSA DT is calculated on a per participant basis and thus will be presented as number of evaluable participants with a change in PSA DT. A change in 20% would be considered meaningful and not due to lab variations. Thus, the data for this outcome is presented as number of evaluable participants experiencing a 20% change in PSA DT.

    Time frame: End of treatment after 7 months

Other outcomes

  1. Number of Participants With Serious and/or Non-serious Adverse Events Assessed by the Common Terminology Criteria for Adverse Events (CTCAE v4.0)

    Here is the number of participants with serious and/or non-serious adverse events assessed by the Common Terminology Criteria for Adverse Events (CTCAE v4.0). A non-serious adverse event is any untoward medical occurrence. A serious adverse event is an adverse event or suspected adverse reaction that results in death, a life-threatening adverse drug experience, hospitalization, disruption of the ability to conduct normal life functions, congenital anomaly/birth defect or important medical events that jeopardize the patient or subject and may require medical or surgical intervention to prevent one of the previous outcomes mentioned.

    Time frame: Adverse Events was monitored/assessed from the first study intervention, Study Day 1 of Cycle 1 through 30 days after the study agent (s) was/were administered, an average of 32 weeks.

07

Results

Posted Jun 19, 2025

Participant flow

Safety Lead-In
Participant flow — Safety Lead-In
Milestone1/ Lead-In Cohort (Closed December 2018)/Arm 1/Combination Therapy [Closed December 2018]2/Biochemical Recurrence Cohort/Arm 1/Combination Therapy [Closed March 2021]2/Biochemical Recurrence Cohort/Arm2/Combo Therapy (Tx)+/Arm3/Combo Antigen Direct Immunotherapy
Started600
Completed600
Not completed000
PROSTVAC + CV301 + M7824
Participant flow — PROSTVAC + CV301 + M7824
Milestone1/ Lead-In Cohort (Closed December 2018)/Arm 1/Combination Therapy [Closed December 2018]2/Biochemical Recurrence Cohort/Arm 1/Combination Therapy [Closed March 2021]2/Biochemical Recurrence Cohort/Arm2/Combo Therapy (Tx)+/Arm3/Combo Antigen Direct Immunotherapy
Started080
Completed020
Not completed060
Withdrew: Withdrawal by subject020
Withdrew: Adverse event020
Withdrew: Physician decision010
Withdrew: Participant came off study for intercurrent medical illness.010
PROSTVAC + CV301
Participant flow — PROSTVAC + CV301
Milestone1/ Lead-In Cohort (Closed December 2018)/Arm 1/Combination Therapy [Closed December 2018]2/Biochemical Recurrence Cohort/Arm 1/Combination Therapy [Closed March 2021]2/Biochemical Recurrence Cohort/Arm2/Combo Therapy (Tx)+/Arm3/Combo Antigen Direct Immunotherapy
Started0026
Completed0024
Not completed002
Withdrew: Progressive disease001
Withdrew: An unrelated lymphoma diagnosis requiring therapy001

Outcome measures

PrimaryPercentage of Participants With a Toxicity

Percentage of participants with a toxicity assessed by the Common Terminology Criteria for Adverse Events (CTCAE v4.0). A serious adverse event is an adverse event or suspected adverse reaction that results in death, a life-threatening adverse drug experience, hospitalization, disruption of the ability to conduct normal life functions, congenital anomaly/birth defect or important medical events that jeopardize the patient or subject and may require medical or surgical intervention to prevent one of the previous outcomes mentioned.

Time frame:
At the end of therapy (7 months)
Reported as:
Number · Percentage of participants
Percentage of Participants With a Toxicity
Percentage of participants1/ Lead-In Cohort (Closed December 2018)/Arm 1/Combination Therapy [Closed December 2018]2/Biochemical Recurrence Cohort/Arm 1/Combination Therapy [Closed March 2021]2/Biochemical Recurrence Cohort/Arm2/Combo Therapy (Tx)+/Arm3/Combo Antigen Direct Immunotherapy
Percentage of Participants With a Toxicity6724
PrimaryProstate Specific Antigen (PSA) Response

Proportion of evaluable participants who experience at least a 30% decline. PSA is a tumor marker in prostate cancer and elevated in participants with this stage of disease. Declines of 30% can be associated with favorable clinical outcomes.

Time frame:
End of treatment (7 months)
Reported as:
Number · Proportion of participants
Prostate Specific Antigen (PSA) Response
Proportion of participants1/ Lead-In Cohort (Closed December 2018)/Arm 1/Combination Therapy [Closed December 2018]2/Biochemical Recurrence Cohort/Arm 1/Combination Therapy [Closed March 2021]2/Biochemical Recurrence Cohort/Arm2/Combo Therapy (Tx)+/Arm3/Combo Antigen Direct Immunotherapy
Prostate Specific Antigen (PSA) Response000
SecondaryNumber of Participants With Related and/or Unrelated Grade 3 and Grade 4 Adverse Events.

Number of participants with related and/or unrelated Grade 3 and Grade 4 adverse events assessed by the Common Terminology Criteria for Adverse Events (CTCAE v4.0). Reporting the grade of adverse events noted in each participant and reporting the fraction with grade 3 and grade 4 adverse events.

Time frame:
6 weeks
Reported as:
Count of participants · Participants
Number of Participants With Related and/or Unrelated Grade 3 and Grade 4 Adverse Events.
Participants1/ Lead-In Cohort (Closed December 2018)/Arm 1/Combination Therapy [Closed December 2018]2/Biochemical Recurrence Cohort/Arm 1/Combination Therapy [Closed March 2021]2/Biochemical Recurrence Cohort/Arm2/Combo Therapy (Tx)+/Arm3/Combo Antigen Direct Immunotherapy
Grade 3 Related110
Grade 4 Related010
Grade 3 Unrelated123
Grade 4 Unrelated000
SecondaryNumber of Evaluable Participants With Biochemical Recurrence (BCR) With a 20% Change in PSA Doubling Time

PSA Doubling Time (DT) is the time interval (measured in months) it takes for PSA levels to double. PSA DT was calculated using the Memorial Sloan Kettering online PSA Doubling Time calculator. A long PSA DT suggests more indolent disease based on published data. PSA doubling time has been associated with better clinical outcomes in BCR. Note that PSA DT is calculated on a per participant basis and thus will be presented as number of evaluable participants with a change in PSA DT. A change in 20% would be considered meaningful and not due to lab variations. Thus, the data for this outcome is presented as number of evaluable participants experiencing a 20% change in PSA DT.

Time frame:
End of treatment after 7 months
Reported as:
Count of participants · Participants
Number of Evaluable Participants With Biochemical Recurrence (BCR) With a 20% Change in PSA Doubling Time
Participants2/Biochemical Recurrence Cohort/Arm 1/Combination Therapy [Closed March 2021]2/Biochemical Recurrence Cohort/Arm2/Combo Therapy (Tx)+/Arm3/Combo Antigen Direct Immunotherapy
Participants evaluable for change in PSA Doubling Time223
Participants with greater than 20% increase in PSA Doubling Time111
Other pre-specifiedNumber of Participants With Serious and/or Non-serious Adverse Events Assessed by the Common Terminology Criteria for Adverse Events (CTCAE v4.0)

Here is the number of participants with serious and/or non-serious adverse events assessed by the Common Terminology Criteria for Adverse Events (CTCAE v4.0). A non-serious adverse event is any untoward medical occurrence. A serious adverse event is an adverse event or suspected adverse reaction that results in death, a life-threatening adverse drug experience, hospitalization, disruption of the ability to conduct normal life functions, congenital anomaly/birth defect or important medical events that jeopardize the patient or subject and may require medical or surgical intervention to prevent one of the previous outcomes mentioned.

Time frame:
Adverse Events was monitored/assessed from the first study intervention, Study Day 1 of Cycle 1 through 30 days after the study agent (s) was/were administered, an average of 32 weeks.
Reported as:
Count of participants · Participants
Number of Participants With Serious and/or Non-serious Adverse Events Assessed by the Common Terminology Criteria for Adverse Events (CTCAE v4.0)
Participants1/ Lead-In Cohort (Closed December 2018)/Arm 1/Combination Therapy [Closed December 2018]2/Biochemical Recurrence Cohort/Arm 1/Combination Therapy [Closed March 2021]2/Biochemical Recurrence Cohort/Arm2/Combo Therapy (Tx)+/Arm3/Combo Antigen Direct Immunotherapy
Number of Participants With Serious and/or Non-serious Adverse Events Assessed by the Common Terminology Criteria for Adverse Events (CTCAE v4.0)6725

Adverse events

Collected over All-Cause Mortality was monitored/assessed for an average of 32 days. Adverse Events was monitored/assessed from the first study intervention, Study Day 1 of Cycle 1 through 30 days after the study agent (s) was/were administered, an average of 32 weeks.. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
1/ Lead-In Cohort (Closed December 2018)/Arm 1/Combination Therapy [Closed December 2018]0/6 (0%)1/6 (16.7%)6/6 (100%)
2/Biochemical Recurrence Cohort/Arm 1/Combination Therapy [Closed March 2021]0/8 (0%)3/8 (37.5%)7/8 (87.5%)
2/Biochemical Recurrence Cohort/Arm2/Combo Therapy (Tx)+/Arm3/Combo Antigen Direct Immunotherapy0/26 (0%)2/26 (7.7%)25/26 (96.2%)
Most frequent serious events
Showing 10 of 11
Most frequent serious events
Event1/ Lead-In Cohort (Closed December 2018)/Arm 1/Combination Therapy [Closed December 2018]2/Biochemical Recurrence Cohort/Arm 1/Combination Therapy [Closed March 2021]2/Biochemical Recurrence Cohort/Arm2/Combo Therapy (Tx)+/Arm3/Combo Antigen Direct Immunotherapy
Cardiac disorders - Other, specify: Accelerated Junctional RhythmCardiac disorders1/60/80/26
CPK increasedInvestigations0/61/80/26
DiarrheaGastrointestinal disorders0/61/80/26
Infections and infestations - Other, specify: CovidInfections and infestations0/61/80/26
Muscle weakness lower limbMusculoskeletal and connective tissue disorders0/61/80/26
MyocarditisCardiac disorders0/61/80/26
MyositisMusculoskeletal and connective tissue disorders0/61/80/26
StrokeNervous system disorders0/61/80/26
Abdominal painGastrointestinal disorders0/60/81/26
Gastrointestinal disorders - Other, specify: DiverticulitisGastrointestinal disorders0/60/81/26
Most frequent other events
Showing 10 of 85
Most frequent other events
Event1/ Lead-In Cohort (Closed December 2018)/Arm 1/Combination Therapy [Closed December 2018]2/Biochemical Recurrence Cohort/Arm 1/Combination Therapy [Closed March 2021]2/Biochemical Recurrence Cohort/Arm2/Combo Therapy (Tx)+/Arm3/Combo Antigen Direct Immunotherapy
Injection site reactionGeneral disorders6/67/824/26
PainGeneral disorders4/60/83/26
Flu like symptomsGeneral disorders3/65/814/26
FatigueGeneral disorders2/63/814/26
Lipase increasedInvestigations1/63/80/26
Dry skinSkin and subcutaneous tissue disorders2/61/80/26
HematuriaRenal and urinary disorders2/62/81/26
Rash maculo-papularSkin and subcutaneous tissue disorders2/60/81/26
Aspartate aminotransferase increasedInvestigations0/62/80/26
DyspneaRespiratory, thoracic and mediastinal disorders0/62/80/26

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)1/ Lead-In Cohort (Closed December 2018)/Arm 1/Combination Therapy [Closed December 2018]2/Biochemical Recurrence Cohort/Arm 1/Combination Therapy [Closed March 2021]2/Biochemical Recurrence Cohort/Arm2/Combo Therapy (Tx)+/Arm3/Combo Antigen Direct ImmunotherapyTotal
<=18 years0000
Between 18 and 65 years22711
>=65 years461929
Age, Continuous
Age, Continuous(years)1/ Lead-In Cohort (Closed December 2018)/Arm 1/Combination Therapy [Closed December 2018]2/Biochemical Recurrence Cohort/Arm 1/Combination Therapy [Closed March 2021]2/Biochemical Recurrence Cohort/Arm2/Combo Therapy (Tx)+/Arm3/Combo Antigen Direct ImmunotherapyTotal
Mean64.5 ± 5.3774.41 ± 8.3869.22 ± 6.6169.55 ± 7.29
Sex: Female, Male
Sex: Female, Male(Participants)1/ Lead-In Cohort (Closed December 2018)/Arm 1/Combination Therapy [Closed December 2018]2/Biochemical Recurrence Cohort/Arm 1/Combination Therapy [Closed March 2021]2/Biochemical Recurrence Cohort/Arm2/Combo Therapy (Tx)+/Arm3/Combo Antigen Direct ImmunotherapyTotal
Female0000
Male682640
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)1/ Lead-In Cohort (Closed December 2018)/Arm 1/Combination Therapy [Closed December 2018]2/Biochemical Recurrence Cohort/Arm 1/Combination Therapy [Closed March 2021]2/Biochemical Recurrence Cohort/Arm2/Combo Therapy (Tx)+/Arm3/Combo Antigen Direct ImmunotherapyTotal
Hispanic or Latino0022
Not Hispanic or Latino582437
Unknown or Not Reported1001
Race (NIH/OMB)
Race (NIH/OMB)(Participants)1/ Lead-In Cohort (Closed December 2018)/Arm 1/Combination Therapy [Closed December 2018]2/Biochemical Recurrence Cohort/Arm 1/Combination Therapy [Closed March 2021]2/Biochemical Recurrence Cohort/Arm2/Combo Therapy (Tx)+/Arm3/Combo Antigen Direct ImmunotherapyTotal
American Indian or Alaska Native0000
Asian0000
Native Hawaiian or Other Pacific Islander0000
Black or African American1135
White572234
More than one race0000
Unknown or Not Reported0011
Region of Enrollment
Region of Enrollment(participants)1/ Lead-In Cohort (Closed December 2018)/Arm 1/Combination Therapy [Closed December 2018]2/Biochemical Recurrence Cohort/Arm 1/Combination Therapy [Closed March 2021]2/Biochemical Recurrence Cohort/Arm2/Combo Therapy (Tx)+/Arm3/Combo Antigen Direct ImmunotherapyTotal
United States682640
08

Study locations

1 site
  • National Institutes of Health Clinical Center
    Bethesda, Maryland 20892, United States
09

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: Yes — All individual participant data (IPD) recorded in the medical record will be shared with intramural investigators upon request. In addition, all large-scale genomic sequencing data will be shared with subscribers to the database of Genotypes and Phenotypes (dbGaP).

Supporting information: Study protocol, Statistical analysis plan, Informed consent form

Time frame: Clinical data available during the study and indefinitely. Genomic data are available once genomic data are uploaded per protocol Genomic Data Sharing (GDS) plan for as long as database is active.

Access criteria: Clinical data will be made available via subscription to Biomedical Translational Research Information System (BTRIS) and with the permission of the study principal investigator (PI). Genomic data are made available via the database of Genotypes and Phenotypes (dbGaP) through requests to the data custodians.

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 2018 to primary completion in Jun 2024, 74 months.

Results were first posted in Jun 2025, 1 year after primary completion.

Of 610 non-industry phase 2 interventional studies under Prostatic Neoplasms, half reached primary completion within 57 months of starting (the median), counting those still running; a quarter within 39 and three quarters within 86. This study's 74 months is above that.

Counting every sponsor, half of 724 studies reached it within 53 months; a quarter within 34 and three quarters within 81.

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

Registered
Oct 18, 2017
First posted
Oct 20, 2017
StartActual
Mar 20, 2018
Primary completionActual
Jun 4, 2024
CompletionActual
Jun 4, 2024
Results first posted
Jun 19, 2025
Last update
Jun 19, 2025
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 Jun 19, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03315871
Responsible party
Ravi A. Madan, M.D. (Principal Investigator, National Cancer Institute (NCI)) — Principal investigator
First posted
Oct 20, 2017
Start date
Mar 20, 2018
Primary completion
Jun 4, 2024
Completion
Jun 4, 2024
Results posted
Jun 19, 2025
Last update
Jun 19, 2025

Study contacts

Ravi A Madan, M.D.
principal investigator · National Cancer Institute (NCI)

Oversight

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

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This study is completed, as verified in Jun 2025. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: Bintrafusp alfa

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