Targeting Driver Oncogenes With a Peptide Vaccine Plus Durvalumab and Tremelimumab for Patients With Biliary Tract Cancers (BTC)

Trial statusRecruiting
Trial phasePhase 1
Trial typeInterventional
Biological sexAll
Age18+
SponsorSidney Kimmel Comprehensive Cancer Center at Johns Hopkins

About this trial

The purpose of this study is to evaluate the safety and the immune response of personalized mutant peptide vaccine with poly-ICLC adjuvant (mBTCvax) in combination with durvalumab and tremelimumab following front-line treatment in patients with advanced stage BTC.

Eligibility criteria

Qualifiers

Age ≥18 years

Must have a histologically- or cytologically, proven biliary tract cancer (BTC) previously treated with gemcitabine/cisplatin/anti-PD(L)1 therapy.

Must have evidence of radiological disease, must accept to have a tumor biopsy of an accessible lesion at baseline and on treatment.

Must have sufficient archival tumor tissue for next-generation sequencing (NGS) and immune-phenotyping.

Disqualifiers

Participation in another clinical study with an investigational product during the last 2 weeks.

Patient is expected to require any other form of systemic or localized antineoplastic therapy while on study.

Intranasal, inhaled, topical steroids, or local steroid injections (e.g., intra articular injection)

Systemic corticosteroids at physiologic doses not to exceed 10 mg/day of prednisone or its equivalent

Trial design

Treatments tested in this trial

  • mBTC vax [0.3 - 2.4 mg peptide + 0.5 mg Poly-ICLC (Hiltonol)]
  • Durvalumab
  • Tremelimumab

Treatment groups

25 Participants
are divided into 1 treatment group

Sponsors and collaborators

Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins

Lead sponsor

AstraZeneca

Collaborator

Private Philanthropic Funds

Collaborator