Trial Outcomes & Findings for Sipuleucel-T With Immediate vs. Delayed Cytotoxic T-Lymphocyte-Associated Protein 4 (CTLA-4) Blockade for Prostate Cancer (NCT NCT01804465)

NCT ID: NCT01804465

Last Updated: 2021-08-18

Results Overview

Immune response will be tested using the single sample binomial exact test when induction therapy is completed. The Immunoglobulin M (IgM) and Immunoglobulin G (IgG) antibody responses to PAP and/or PA2024 will be assessed by ELISA assay at baseline and week 20 after start of sipT treatment (day 113 of study treatment). A positive response is defined as a titer \> 1:400. The positive immune percentage for both IgG and IgM antibodies to PAP and to PA2024 will be used to summarize the results for each study arm.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

50 participants

Primary outcome timeframe

Up to 20 weeks

Results posted on

2021-08-18

Participant Flow

Participant milestones

Participant milestones
Measure
Immediate IpilimumabTreatment
Arm 1 (Immediate Treatment) Ipilimumab Q3wks x 4 started 1 day following the final dose of Sipuleucel-T (SipT). SipT Treatment: All patients will receive standard of care SipT treatment every two weeks for a total of 3 treatments. The three treatments usually take about 30 days to complete. SipT treatment is given in three 1 hour infusions. Each SipT treatment is generated from a standard blood cell-collection procedure (called leukapheresis) performed 2-3 days prior to the infusion. Ipilimumab: Ipilimumab will be given by IV over 90 minutes every 3 weeks. Patients will be monitored during the infusion and up to 1 hour post-infusion.
Delayed IpilimumabTreatment
Arm 2 (Delayed Treatment) Ipilimumab Q3wks x 4 started 3 weeks following the final dose of SipT. SipT Treatment: All patients will receive standard of care SipT treatment every two weeks for a total of 3 treatments. The three treatments usually take about 30 days to complete. SipT treatment is given in three 1 hour infusions. Each SipT treatment is generated from a standard blood cell-collection procedure (called leukapheresis) performed 2-3 days prior to the infusion. Ipilimumab: Ipilimumab will be given by IV over 90 minutes every 3 weeks. Patients will be monitored during the infusion and up to 1 hour post-infusion.
Overall Study
STARTED
24
26
Overall Study
COMPLETED
24
26
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Sipuleucel-T With Immediate vs. Delayed Cytotoxic T-Lymphocyte-Associated Protein 4 (CTLA-4) Blockade for Prostate Cancer

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Immediate IpilimumabTreatment
n=24 Participants
Arm 1 (Immediate Treatment) Ipilimumab Q3wks x 4 started 1 day following the final dose of SipT. SipT Treatment: All patients will receive standard of care SipT treatment every two weeks for a total of 3 treatments. The three treatments usually take about 30 days to complete. SipT treatment is given in three 1 hour infusions. Each SipT treatment is generated from a standard blood cell-collection procedure (called leukapheresis) performed 2-3 days prior to the infusion. Ipilimumab: Ipilimumab will be given by IV over 90 minutes every 3 weeks. Patients will be monitored during the infusion and up to 1 hour post-infusion.
Delayed IpilimumabTreatment
n=26 Participants
Arm 2 (Delayed Treatment) Ipilimumab Q3wks x 4 started 3 weeks following the final dose of SipT. SipT Treatment: All patients will receive standard of care SipT treatment every two weeks for a total of 3 treatments. The three treatments usually take about 30 days to complete. SipT treatment is given in three 1 hour infusions. Each SipT treatment is generated from a standard blood cell-collection procedure (called leukapheresis) performed 2-3 days prior to the infusion. Ipilimumab: Ipilimumab will be given by IV over 90 minutes every 3 weeks. Patients will be monitored during the infusion and up to 1 hour post-infusion.
Total
n=50 Participants
Total of all reporting groups
Age, Customized
50-59 years old
3 Participants
n=99 Participants
2 Participants
n=107 Participants
5 Participants
n=206 Participants
Age, Customized
60-69 years old
13 Participants
n=99 Participants
15 Participants
n=107 Participants
28 Participants
n=206 Participants
Age, Customized
70-79 years old
8 Participants
n=99 Participants
9 Participants
n=107 Participants
17 Participants
n=206 Participants
Sex: Female, Male
Female
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Sex: Female, Male
Male
24 Participants
n=99 Participants
26 Participants
n=107 Participants
50 Participants
n=206 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
2 Participants
n=99 Participants
2 Participants
n=107 Participants
4 Participants
n=206 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
18 Participants
n=99 Participants
20 Participants
n=107 Participants
38 Participants
n=206 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
4 Participants
n=99 Participants
4 Participants
n=107 Participants
8 Participants
n=206 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
Asian
2 Participants
n=99 Participants
1 Participants
n=107 Participants
3 Participants
n=206 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
Black or African American
2 Participants
n=99 Participants
1 Participants
n=107 Participants
3 Participants
n=206 Participants
Race (NIH/OMB)
White
17 Participants
n=99 Participants
23 Participants
n=107 Participants
40 Participants
n=206 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
Unknown or Not Reported
3 Participants
n=99 Participants
1 Participants
n=107 Participants
4 Participants
n=206 Participants
Region of Enrollment
United States
24 participants
n=99 Participants
26 participants
n=107 Participants
50 participants
n=206 Participants

PRIMARY outcome

Timeframe: Up to 20 weeks

Population: Only a small portion of the collected samples contained enough aliquots or tissue available for this particular analysis

Immune response will be tested using the single sample binomial exact test when induction therapy is completed. The Immunoglobulin M (IgM) and Immunoglobulin G (IgG) antibody responses to PAP and/or PA2024 will be assessed by ELISA assay at baseline and week 20 after start of sipT treatment (day 113 of study treatment). A positive response is defined as a titer \> 1:400. The positive immune percentage for both IgG and IgM antibodies to PAP and to PA2024 will be used to summarize the results for each study arm.

Outcome measures

Outcome measures
Measure
Immediate IpilimumabTreatment
n=7 Participants
Arm 1 (Immediate Treatment) Ipilimumab Q3wks x 4 started 1 day following the final dose of SipT. SipT Treatment: All patients will receive standard of care SipT treatment every two weeks for a total of 3 treatments. The three treatments usually take about 30 days to complete. SipT treatment is given in three 1 hour infusions. Each SipT treatment is generated from a standard blood cell-collection procedure (called leukapheresis) performed 2-3 days prior to the infusion. Ipilimumab: Ipilimumab will be given by IV over 90 minutes every 3 weeks. Patients will be monitored during the infusion and up to 1 hour post-infusion.
Delayed IpilimumabTreatment
n=8 Participants
Arm 2 (Delayed Treatment) Ipilimumab Q3wks x 4 started 3 weeks following the final dose of SipT. SipT Treatment: All patients will receive standard of care SipT treatment every two weeks for a total of 3 treatments. The three treatments usually take about 30 days to complete. SipT treatment is given in three 1 hour infusions. Each SipT treatment is generated from a standard blood cell-collection procedure (called leukapheresis) performed 2-3 days prior to the infusion. Ipilimumab: Ipilimumab will be given by IV over 90 minutes every 3 weeks. Patients will be monitored during the infusion and up to 1 hour post-infusion.
Percentage of Participants With an Immune Response to Prostatic Acid Phosphatase (PAP) and/or PA2024
71.4 percentage of participants
87.5 percentage of participants

PRIMARY outcome

Timeframe: Up to 20 weeks

Immune Response Adverse Events (IRAEs) will be reported for each study arm by tabulating the frequency of the maximum grade occurring for each patient for each type of iRAE using NCI Common Terminology Criteria for Adverse Events (CTCAE) v. 4.0. IRAEs will be reported as a proportion of the participants in the treatment arm with the associated highest grade IRAE occurrences during protocol therapy.

Outcome measures

Outcome measures
Measure
Immediate IpilimumabTreatment
n=24 Participants
Arm 1 (Immediate Treatment) Ipilimumab Q3wks x 4 started 1 day following the final dose of SipT. SipT Treatment: All patients will receive standard of care SipT treatment every two weeks for a total of 3 treatments. The three treatments usually take about 30 days to complete. SipT treatment is given in three 1 hour infusions. Each SipT treatment is generated from a standard blood cell-collection procedure (called leukapheresis) performed 2-3 days prior to the infusion. Ipilimumab: Ipilimumab will be given by IV over 90 minutes every 3 weeks. Patients will be monitored during the infusion and up to 1 hour post-infusion.
Delayed IpilimumabTreatment
n=26 Participants
Arm 2 (Delayed Treatment) Ipilimumab Q3wks x 4 started 3 weeks following the final dose of SipT. SipT Treatment: All patients will receive standard of care SipT treatment every two weeks for a total of 3 treatments. The three treatments usually take about 30 days to complete. SipT treatment is given in three 1 hour infusions. Each SipT treatment is generated from a standard blood cell-collection procedure (called leukapheresis) performed 2-3 days prior to the infusion. Ipilimumab: Ipilimumab will be given by IV over 90 minutes every 3 weeks. Patients will be monitored during the infusion and up to 1 hour post-infusion.
Proportion of Participants With Highest Grade, Treatment-related, Immune Response Adverse Events (IRAEs)
Grade 2 Adrenal Insufficiency
0.042 proportion of participants
0.038 proportion of participants
Proportion of Participants With Highest Grade, Treatment-related, Immune Response Adverse Events (IRAEs)
Grade 3 Adrenal insufficiency
0 proportion of participants
0.038 proportion of participants
Proportion of Participants With Highest Grade, Treatment-related, Immune Response Adverse Events (IRAEs)
Grade 3 Diarrhea
0.042 proportion of participants
0.115 proportion of participants
Proportion of Participants With Highest Grade, Treatment-related, Immune Response Adverse Events (IRAEs)
Grade 4 Diarrhea
0 proportion of participants
0.038 proportion of participants
Proportion of Participants With Highest Grade, Treatment-related, Immune Response Adverse Events (IRAEs)
Grade 2 Hyperthyroidism
0 proportion of participants
0.038 proportion of participants
Proportion of Participants With Highest Grade, Treatment-related, Immune Response Adverse Events (IRAEs)
Grade 1 Hypothyroidism
0 proportion of participants
0.038 proportion of participants
Proportion of Participants With Highest Grade, Treatment-related, Immune Response Adverse Events (IRAEs)
Grade 2 Hypothyroidism
0.042 proportion of participants
0 proportion of participants
Proportion of Participants With Highest Grade, Treatment-related, Immune Response Adverse Events (IRAEs)
Grade 3 Lipase increased
0.083 proportion of participants
0.038 proportion of participants
Proportion of Participants With Highest Grade, Treatment-related, Immune Response Adverse Events (IRAEs)
Grade 2 Rash
0.083 proportion of participants
0.038 proportion of participants
Proportion of Participants With Highest Grade, Treatment-related, Immune Response Adverse Events (IRAEs)
Grade 3 Rash
0.042 proportion of participants
0 proportion of participants

SECONDARY outcome

Timeframe: Up to 3 weeks

Descriptive statistics will be calculated to characterize the proportion of patients achieving a PSA decline of at least \>30% after 1 cycle of treatment and presented along with the 95% confidence intervals for each study arm.

Outcome measures

Outcome measures
Measure
Immediate IpilimumabTreatment
n=24 Participants
Arm 1 (Immediate Treatment) Ipilimumab Q3wks x 4 started 1 day following the final dose of SipT. SipT Treatment: All patients will receive standard of care SipT treatment every two weeks for a total of 3 treatments. The three treatments usually take about 30 days to complete. SipT treatment is given in three 1 hour infusions. Each SipT treatment is generated from a standard blood cell-collection procedure (called leukapheresis) performed 2-3 days prior to the infusion. Ipilimumab: Ipilimumab will be given by IV over 90 minutes every 3 weeks. Patients will be monitored during the infusion and up to 1 hour post-infusion.
Delayed IpilimumabTreatment
n=26 Participants
Arm 2 (Delayed Treatment) Ipilimumab Q3wks x 4 started 3 weeks following the final dose of SipT. SipT Treatment: All patients will receive standard of care SipT treatment every two weeks for a total of 3 treatments. The three treatments usually take about 30 days to complete. SipT treatment is given in three 1 hour infusions. Each SipT treatment is generated from a standard blood cell-collection procedure (called leukapheresis) performed 2-3 days prior to the infusion. Ipilimumab: Ipilimumab will be given by IV over 90 minutes every 3 weeks. Patients will be monitored during the infusion and up to 1 hour post-infusion.
Proportion of Patients Achieving a Prostate-specific Antigen (PSA) Decline of at Least 30% Below Baseline
0.125 proportion
Interval 0.026 to 0.324
0.115 proportion
Interval 0.025 to 0.302

SECONDARY outcome

Timeframe: Up to 3 weeks

Descriptive statistics will be calculated to characterize the proportion of patients achieving a PSA decline of at least \>50% and presented along with the 95% confidence intervals for each study arm.

Outcome measures

Outcome measures
Measure
Immediate IpilimumabTreatment
n=24 Participants
Arm 1 (Immediate Treatment) Ipilimumab Q3wks x 4 started 1 day following the final dose of SipT. SipT Treatment: All patients will receive standard of care SipT treatment every two weeks for a total of 3 treatments. The three treatments usually take about 30 days to complete. SipT treatment is given in three 1 hour infusions. Each SipT treatment is generated from a standard blood cell-collection procedure (called leukapheresis) performed 2-3 days prior to the infusion. Ipilimumab: Ipilimumab will be given by IV over 90 minutes every 3 weeks. Patients will be monitored during the infusion and up to 1 hour post-infusion.
Delayed IpilimumabTreatment
n=26 Participants
Arm 2 (Delayed Treatment) Ipilimumab Q3wks x 4 started 3 weeks following the final dose of SipT. SipT Treatment: All patients will receive standard of care SipT treatment every two weeks for a total of 3 treatments. The three treatments usually take about 30 days to complete. SipT treatment is given in three 1 hour infusions. Each SipT treatment is generated from a standard blood cell-collection procedure (called leukapheresis) performed 2-3 days prior to the infusion. Ipilimumab: Ipilimumab will be given by IV over 90 minutes every 3 weeks. Patients will be monitored during the infusion and up to 1 hour post-infusion.
Proportion of Patients Achieving a PSA Decline of at Least 50% Below Baseline
0.083 proportion
Interval 0.01 to 0.27
0.115 proportion
Interval 0.025 to 0.302

SECONDARY outcome

Timeframe: Up to 2 years

Proportion of patients achieving an objective response as defined by Immune-related Response Evaluation Criteria In Solid Tumors (irRECIST) as complete response (irCR), partial response (irPR) will be reported along with 95% confidence intervals

Outcome measures

Outcome measures
Measure
Immediate IpilimumabTreatment
n=24 Participants
Arm 1 (Immediate Treatment) Ipilimumab Q3wks x 4 started 1 day following the final dose of SipT. SipT Treatment: All patients will receive standard of care SipT treatment every two weeks for a total of 3 treatments. The three treatments usually take about 30 days to complete. SipT treatment is given in three 1 hour infusions. Each SipT treatment is generated from a standard blood cell-collection procedure (called leukapheresis) performed 2-3 days prior to the infusion. Ipilimumab: Ipilimumab will be given by IV over 90 minutes every 3 weeks. Patients will be monitored during the infusion and up to 1 hour post-infusion.
Delayed IpilimumabTreatment
n=26 Participants
Arm 2 (Delayed Treatment) Ipilimumab Q3wks x 4 started 3 weeks following the final dose of SipT. SipT Treatment: All patients will receive standard of care SipT treatment every two weeks for a total of 3 treatments. The three treatments usually take about 30 days to complete. SipT treatment is given in three 1 hour infusions. Each SipT treatment is generated from a standard blood cell-collection procedure (called leukapheresis) performed 2-3 days prior to the infusion. Ipilimumab: Ipilimumab will be given by IV over 90 minutes every 3 weeks. Patients will be monitored during the infusion and up to 1 hour post-infusion.
Proportion of Patients Achieving an Objective Response
0 proportion
No participants achieved an objective response so a confidence interval could not be calculated
0 proportion
No participants achieved an objective response so a confidence interval could not be calculated

SECONDARY outcome

Timeframe: Up to 2 years

Proportion of patients achieving an objective response as defined by irRECIST as irCR +irPR and stratified by history of prior RP will be reported along with 95% confidence intervals.

Outcome measures

Outcome measures
Measure
Immediate IpilimumabTreatment
n=24 Participants
Arm 1 (Immediate Treatment) Ipilimumab Q3wks x 4 started 1 day following the final dose of SipT. SipT Treatment: All patients will receive standard of care SipT treatment every two weeks for a total of 3 treatments. The three treatments usually take about 30 days to complete. SipT treatment is given in three 1 hour infusions. Each SipT treatment is generated from a standard blood cell-collection procedure (called leukapheresis) performed 2-3 days prior to the infusion. Ipilimumab: Ipilimumab will be given by IV over 90 minutes every 3 weeks. Patients will be monitored during the infusion and up to 1 hour post-infusion.
Delayed IpilimumabTreatment
n=26 Participants
Arm 2 (Delayed Treatment) Ipilimumab Q3wks x 4 started 3 weeks following the final dose of SipT. SipT Treatment: All patients will receive standard of care SipT treatment every two weeks for a total of 3 treatments. The three treatments usually take about 30 days to complete. SipT treatment is given in three 1 hour infusions. Each SipT treatment is generated from a standard blood cell-collection procedure (called leukapheresis) performed 2-3 days prior to the infusion. Ipilimumab: Ipilimumab will be given by IV over 90 minutes every 3 weeks. Patients will be monitored during the infusion and up to 1 hour post-infusion.
Proportion of Patients Achieving an Objective Response Stratified by Prior Radical Prostatectomy (RP)
0 proportion
No participants achieved an objective response so a confidence interval could not be calculated
0 proportion
No participants achieved an objective response so a confidence interval could not be calculated

SECONDARY outcome

Timeframe: Up to 2 years

Proportion of patients achieving an objective response as defined by irRECIST as irCR + irPR stratified by prior RT will be reported along with 95% confidence intervals

Outcome measures

Outcome measures
Measure
Immediate IpilimumabTreatment
n=24 Participants
Arm 1 (Immediate Treatment) Ipilimumab Q3wks x 4 started 1 day following the final dose of SipT. SipT Treatment: All patients will receive standard of care SipT treatment every two weeks for a total of 3 treatments. The three treatments usually take about 30 days to complete. SipT treatment is given in three 1 hour infusions. Each SipT treatment is generated from a standard blood cell-collection procedure (called leukapheresis) performed 2-3 days prior to the infusion. Ipilimumab: Ipilimumab will be given by IV over 90 minutes every 3 weeks. Patients will be monitored during the infusion and up to 1 hour post-infusion.
Delayed IpilimumabTreatment
n=26 Participants
Arm 2 (Delayed Treatment) Ipilimumab Q3wks x 4 started 3 weeks following the final dose of SipT. SipT Treatment: All patients will receive standard of care SipT treatment every two weeks for a total of 3 treatments. The three treatments usually take about 30 days to complete. SipT treatment is given in three 1 hour infusions. Each SipT treatment is generated from a standard blood cell-collection procedure (called leukapheresis) performed 2-3 days prior to the infusion. Ipilimumab: Ipilimumab will be given by IV over 90 minutes every 3 weeks. Patients will be monitored during the infusion and up to 1 hour post-infusion.
Proportion of Patients Achieving an Objective Response Stratified by Radiation Therapy (RT)
0 proportion
No participants achieved an objective response so a confidence interval could not be calculated
0 proportion
No participants achieved an objective response so a confidence interval could not be calculated

SECONDARY outcome

Timeframe: Up to 6 months

For each treatment arm, for patients with objective disease, using immune-related response criteria (irRC) criteria, the proportion of patients achieving a complete or partial response will be determined and reported with 95% confidence intervals

Outcome measures

Outcome measures
Measure
Immediate IpilimumabTreatment
n=24 Participants
Arm 1 (Immediate Treatment) Ipilimumab Q3wks x 4 started 1 day following the final dose of SipT. SipT Treatment: All patients will receive standard of care SipT treatment every two weeks for a total of 3 treatments. The three treatments usually take about 30 days to complete. SipT treatment is given in three 1 hour infusions. Each SipT treatment is generated from a standard blood cell-collection procedure (called leukapheresis) performed 2-3 days prior to the infusion. Ipilimumab: Ipilimumab will be given by IV over 90 minutes every 3 weeks. Patients will be monitored during the infusion and up to 1 hour post-infusion.
Delayed IpilimumabTreatment
n=26 Participants
Arm 2 (Delayed Treatment) Ipilimumab Q3wks x 4 started 3 weeks following the final dose of SipT. SipT Treatment: All patients will receive standard of care SipT treatment every two weeks for a total of 3 treatments. The three treatments usually take about 30 days to complete. SipT treatment is given in three 1 hour infusions. Each SipT treatment is generated from a standard blood cell-collection procedure (called leukapheresis) performed 2-3 days prior to the infusion. Ipilimumab: Ipilimumab will be given by IV over 90 minutes every 3 weeks. Patients will be monitored during the infusion and up to 1 hour post-infusion.
Radiographic Clinical Response Rate
0.833 proportion
Interval 0.626 to 0.953
0.769 proportion
Interval 0.564 to 0.91

SECONDARY outcome

Timeframe: Up to 12 weeks

Time to PSA progression is defined as the start of protocol therapy to progression status at the end of 4 cycles of treatment as determined by the irRECIST.

Outcome measures

Outcome measures
Measure
Immediate IpilimumabTreatment
n=24 Participants
Arm 1 (Immediate Treatment) Ipilimumab Q3wks x 4 started 1 day following the final dose of SipT. SipT Treatment: All patients will receive standard of care SipT treatment every two weeks for a total of 3 treatments. The three treatments usually take about 30 days to complete. SipT treatment is given in three 1 hour infusions. Each SipT treatment is generated from a standard blood cell-collection procedure (called leukapheresis) performed 2-3 days prior to the infusion. Ipilimumab: Ipilimumab will be given by IV over 90 minutes every 3 weeks. Patients will be monitored during the infusion and up to 1 hour post-infusion.
Delayed IpilimumabTreatment
n=26 Participants
Arm 2 (Delayed Treatment) Ipilimumab Q3wks x 4 started 3 weeks following the final dose of SipT. SipT Treatment: All patients will receive standard of care SipT treatment every two weeks for a total of 3 treatments. The three treatments usually take about 30 days to complete. SipT treatment is given in three 1 hour infusions. Each SipT treatment is generated from a standard blood cell-collection procedure (called leukapheresis) performed 2-3 days prior to the infusion. Ipilimumab: Ipilimumab will be given by IV over 90 minutes every 3 weeks. Patients will be monitored during the infusion and up to 1 hour post-infusion.
Median Time to PSA Progression
49 days
Interval -103.0 to 1092.0
47.5 days
Interval -54.0 to 414.0

Adverse Events

Immediate IpilimumabTreatment

Serious events: 1 serious events
Other events: 21 other events
Deaths: 0 deaths

Delayed IpilimumabTreatment

Serious events: 11 serious events
Other events: 26 other events
Deaths: 1 deaths

Serious adverse events

Serious adverse events
Measure
Immediate IpilimumabTreatment
n=24 participants at risk
Arm 1 (Immediate Treatment) Ipilimumab Q3wks x 4 started 1 day following the final dose of SipT. SipT Treatment: All patients will receive standard of care SipT treatment every two weeks for a total of 3 treatments. The three treatments usually take about 30 days to complete. SipT treatment is given in three 1 hour infusions. Each SipT treatment is generated from a standard blood cell-collection procedure (called leukapheresis) performed 2-3 days prior to the infusion. Ipilimumab: Ipilimumab will be given by IV over 90 minutes every 3 weeks. Patients will be monitored during the infusion and up to 1 hour post-infusion.
Delayed IpilimumabTreatment
n=26 participants at risk
Arm 2 (Delayed Treatment) Ipilimumab Q3wks x 4 started 3 weeks following the final dose of SipT. SipT Treatment: All patients will receive standard of care SipT treatment every two weeks for a total of 3 treatments. The three treatments usually take about 30 days to complete. SipT treatment is given in three 1 hour infusions. Each SipT treatment is generated from a standard blood cell-collection procedure (called leukapheresis) performed 2-3 days prior to the infusion. Ipilimumab: Ipilimumab will be given by IV over 90 minutes every 3 weeks. Patients will be monitored during the infusion and up to 1 hour post-infusion.
Endocrine disorders
Endocrine disorders - Other
0.00%
0/24 • Up to 2 years
3.8%
1/26 • Number of events 1 • Up to 2 years
Eye disorders
Retinal detachment
0.00%
0/24 • Up to 2 years
3.8%
1/26 • Number of events 1 • Up to 2 years
Eye disorders
Eye disorders - Other
0.00%
0/24 • Up to 2 years
3.8%
1/26 • Number of events 1 • Up to 2 years
Gastrointestinal disorders
Colitis
0.00%
0/24 • Up to 2 years
11.5%
3/26 • Number of events 3 • Up to 2 years
Gastrointestinal disorders
Colonic perforation
0.00%
0/24 • Up to 2 years
3.8%
1/26 • Number of events 1 • Up to 2 years
Gastrointestinal disorders
Diarrhea
0.00%
0/24 • Up to 2 years
11.5%
3/26 • Number of events 3 • Up to 2 years
Vascular disorders
Hematoma
0.00%
0/24 • Up to 2 years
3.8%
1/26 • Number of events 1 • Up to 2 years
Vascular disorders
Vascular Disorders - Other
4.2%
1/24 • Number of events 1 • Up to 2 years
0.00%
0/26 • Up to 2 years
General disorders
Chills
4.2%
1/24 • Number of events 1 • Up to 2 years
0.00%
0/26 • Up to 2 years
General disorders
Fever
4.2%
1/24 • Number of events 1 • Up to 2 years
0.00%
0/26 • Up to 2 years

Other adverse events

Other adverse events
Measure
Immediate IpilimumabTreatment
n=24 participants at risk
Arm 1 (Immediate Treatment) Ipilimumab Q3wks x 4 started 1 day following the final dose of SipT. SipT Treatment: All patients will receive standard of care SipT treatment every two weeks for a total of 3 treatments. The three treatments usually take about 30 days to complete. SipT treatment is given in three 1 hour infusions. Each SipT treatment is generated from a standard blood cell-collection procedure (called leukapheresis) performed 2-3 days prior to the infusion. Ipilimumab: Ipilimumab will be given by IV over 90 minutes every 3 weeks. Patients will be monitored during the infusion and up to 1 hour post-infusion.
Delayed IpilimumabTreatment
n=26 participants at risk
Arm 2 (Delayed Treatment) Ipilimumab Q3wks x 4 started 3 weeks following the final dose of SipT. SipT Treatment: All patients will receive standard of care SipT treatment every two weeks for a total of 3 treatments. The three treatments usually take about 30 days to complete. SipT treatment is given in three 1 hour infusions. Each SipT treatment is generated from a standard blood cell-collection procedure (called leukapheresis) performed 2-3 days prior to the infusion. Ipilimumab: Ipilimumab will be given by IV over 90 minutes every 3 weeks. Patients will be monitored during the infusion and up to 1 hour post-infusion.
Gastrointestinal disorders
Diarrhea
16.7%
4/24 • Number of events 14 • Up to 2 years
42.3%
11/26 • Number of events 19 • Up to 2 years
Gastrointestinal disorders
Nausea
12.5%
3/24 • Number of events 4 • Up to 2 years
30.8%
8/26 • Number of events 13 • Up to 2 years
Gastrointestinal disorders
Abdominal pain
8.3%
2/24 • Number of events 2 • Up to 2 years
23.1%
6/26 • Number of events 9 • Up to 2 years
Gastrointestinal disorders
Constipation
16.7%
4/24 • Number of events 4 • Up to 2 years
19.2%
5/26 • Number of events 6 • Up to 2 years
Gastrointestinal disorders
Gastrointestinal disorders - Other
4.2%
1/24 • Number of events 1 • Up to 2 years
7.7%
2/26 • Number of events 2 • Up to 2 years
Gastrointestinal disorders
Vomiting
0.00%
0/24 • Up to 2 years
7.7%
2/26 • Number of events 3 • Up to 2 years
General disorders
Fatigue
33.3%
8/24 • Number of events 8 • Up to 2 years
42.3%
11/26 • Number of events 20 • Up to 2 years
General disorders
Pain
33.3%
8/24 • Number of events 13 • Up to 2 years
23.1%
6/26 • Number of events 14 • Up to 2 years
General disorders
Fever
20.8%
5/24 • Number of events 5 • Up to 2 years
3.8%
1/26 • Number of events 2 • Up to 2 years
General disorders
Chills
0.00%
0/24 • Up to 2 years
7.7%
2/26 • Number of events 4 • Up to 2 years
Skin and subcutaneous tissue disorders
Pruritus
16.7%
4/24 • Number of events 4 • Up to 2 years
38.5%
10/26 • Number of events 13 • Up to 2 years
Skin and subcutaneous tissue disorders
Skin and subcutaneous tissue disorders - Other
20.8%
5/24 • Number of events 5 • Up to 2 years
19.2%
5/26 • Number of events 9 • Up to 2 years
Skin and subcutaneous tissue disorders
Rash maculo-papular
16.7%
4/24 • Number of events 6 • Up to 2 years
15.4%
4/26 • Number of events 9 • Up to 2 years
Skin and subcutaneous tissue disorders
Dry skin
0.00%
0/24 • Up to 2 years
11.5%
3/26 • Number of events 4 • Up to 2 years
Investigations
Lipase increased
20.8%
5/24 • Number of events 5 • Up to 2 years
15.4%
4/26 • Number of events 7 • Up to 2 years
Investigations
Investigations - Other
8.3%
2/24 • Number of events 2 • Up to 2 years
19.2%
5/26 • Number of events 8 • Up to 2 years
Investigations
Aspartate aminotransferase increased
4.2%
1/24 • Number of events 3 • Up to 2 years
11.5%
3/26 • Number of events 7 • Up to 2 years
Investigations
Lymphocyte count decreased
8.3%
2/24 • Number of events 4 • Up to 2 years
7.7%
2/26 • Number of events 2 • Up to 2 years
Investigations
Serum amylase increased
12.5%
3/24 • Number of events 3 • Up to 2 years
3.8%
1/26 • Number of events 1 • Up to 2 years
Investigations
Weight loss
8.3%
2/24 • Number of events 2 • Up to 2 years
7.7%
2/26 • Number of events 2 • Up to 2 years
Investigations
Alanine aminotransferase increased
4.2%
1/24 • Number of events 1 • Up to 2 years
7.7%
2/26 • Number of events 5 • Up to 2 years
Investigations
Alkaline phosphatase increased
8.3%
2/24 • Number of events 2 • Up to 2 years
7.7%
2/26 • Number of events 2 • Up to 2 years
Investigations
Creatinine increased
8.3%
2/24 • Number of events 2 • Up to 2 years
0.00%
0/26 • Up to 2 years
Investigations
Neutrophil count decreased
8.3%
2/24 • Number of events 2 • Up to 2 years
0.00%
0/26 • Up to 2 years
Metabolism and nutrition disorders
Hyperglycemia
12.5%
3/24 • Number of events 5 • Up to 2 years
23.1%
6/26 • Number of events 9 • Up to 2 years
Metabolism and nutrition disorders
Anorexia
12.5%
3/24 • Number of events 3 • Up to 2 years
15.4%
4/26 • Number of events 6 • Up to 2 years
Metabolism and nutrition disorders
Hyponatremia
8.3%
2/24 • Number of events 3 • Up to 2 years
7.7%
2/26 • Number of events 3 • Up to 2 years
Metabolism and nutrition disorders
Hypoalbuminemia
0.00%
0/24 • Up to 2 years
7.7%
2/26 • Number of events 2 • Up to 2 years
Metabolism and nutrition disorders
Hypokalemia
0.00%
0/24 • Up to 2 years
7.7%
2/26 • Number of events 3 • Up to 2 years
Musculoskeletal and connective tissue disorders
Back pain
16.7%
4/24 • Number of events 6 • Up to 2 years
23.1%
6/26 • Number of events 6 • Up to 2 years
Musculoskeletal and connective tissue disorders
Arthralgia
0.00%
0/24 • Up to 2 years
7.7%
2/26 • Number of events 2 • Up to 2 years
Musculoskeletal and connective tissue disorders
Chest wall pain
0.00%
0/24 • Up to 2 years
7.7%
2/26 • Number of events 3 • Up to 2 years
Musculoskeletal and connective tissue disorders
Pain in extremity
0.00%
0/24 • Up to 2 years
7.7%
2/26 • Number of events 2 • Up to 2 years
Renal and urinary disorders
Urine discoloration
16.7%
4/24 • Number of events 4 • Up to 2 years
11.5%
3/26 • Number of events 3 • Up to 2 years
Renal and urinary disorders
Hematuria
16.7%
4/24 • Number of events 5 • Up to 2 years
3.8%
1/26 • Number of events 1 • Up to 2 years
Renal and urinary disorders
Proteinuria
12.5%
3/24 • Number of events 3 • Up to 2 years
7.7%
2/26 • Number of events 2 • Up to 2 years
Renal and urinary disorders
Renal and urinary disorders - Other
4.2%
1/24 • Number of events 1 • Up to 2 years
7.7%
2/26 • Number of events 2 • Up to 2 years
Renal and urinary disorders
Urinary frequency
0.00%
0/24 • Up to 2 years
7.7%
2/26 • Number of events 3 • Up to 2 years
Nervous system disorders
Dizziness
0.00%
0/24 • Up to 2 years
11.5%
3/26 • Number of events 4 • Up to 2 years
Nervous system disorders
Headache
4.2%
1/24 • Number of events 1 • Up to 2 years
7.7%
2/26 • Number of events 2 • Up to 2 years
Nervous system disorders
Paresthesia
8.3%
2/24 • Number of events 3 • Up to 2 years
0.00%
0/26 • Up to 2 years
Respiratory, thoracic and mediastinal disorders
Cough
12.5%
3/24 • Number of events 3 • Up to 2 years
15.4%
4/26 • Number of events 8 • Up to 2 years
Respiratory, thoracic and mediastinal disorders
Dyspnea
8.3%
2/24 • Number of events 2 • Up to 2 years
3.8%
1/26 • Number of events 2 • Up to 2 years
Respiratory, thoracic and mediastinal disorders
Respiratory, thoracic and mediastinal disorders - Other
0.00%
0/24 • Up to 2 years
7.7%
2/26 • Number of events 2 • Up to 2 years
Vascular disorders
Hot flashes
12.5%
3/24 • Number of events 3 • Up to 2 years
15.4%
4/26 • Number of events 6 • Up to 2 years
Endocrine disorders
Adrenal insufficiency
4.2%
1/24 • Number of events 1 • Up to 2 years
11.5%
3/26 • Number of events 5 • Up to 2 years
Endocrine disorders
Hyperthyroidism
0.00%
0/24 • Up to 2 years
11.5%
3/26 • Number of events 3 • Up to 2 years
Endocrine disorders
Hypothyroidism
4.2%
1/24 • Number of events 1 • Up to 2 years
7.7%
2/26 • Number of events 3 • Up to 2 years
Blood and lymphatic system disorders
Anemia
8.3%
2/24 • Number of events 6 • Up to 2 years
19.2%
5/26 • Number of events 7 • Up to 2 years
Psychiatric disorders
Insomnia
12.5%
3/24 • Number of events 3 • Up to 2 years
15.4%
4/26 • Number of events 5 • Up to 2 years
Infections and infestations
Upper respiratory infection
12.5%
3/24 • Number of events 3 • Up to 2 years
3.8%
1/26 • Number of events 1 • Up to 2 years
Eye disorders
Blurred vision
4.2%
1/24 • Number of events 1 • Up to 2 years
11.5%
3/26 • Number of events 3 • Up to 2 years
Hepatobiliary disorders
Hepatobiliary disorders - Other
0.00%
0/24 • Up to 2 years
7.7%
2/26 • Number of events 3 • Up to 2 years

Additional Information

Dr. Lawrence Fong, MD

University of California, San Francisco

Phone: (415) 514-3160

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place