XP-005 Personalized Vaccine Alone or in Combination With Toripalimab for the Prevention of Relapse After Remission in Acute Myeloid Leukemia

Recruiting now · Early Phase 1

Conditions studied: Acute Myeloid Leukemia

In brief

The main objective of this study is to observe and evaluate the safety and tolerability of the XP-005 personalized tumor mRNA vaccine, either alone or in combination with toripalimab, for the treatment of acute myeloid leukemia patients who are in remission with minimal residual disease (MRD) positive but cannot undergo allogeneic hematopoietic stem cell transplantation.

Key facts

Study ID

NCT06980155

Run by

Shanghai Jiao Tong University School of Medicine

People needed

60

Starts

2025-05-30

Expected to finish

2028-08-30

Last updated by the study team

2025-05-20

Who can join

Age: 18 and older. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• Subject voluntarily signs the written informed consent form and is able to comply with the scheduled visits and related procedures specified in the protocol
• Subject must be ≥ 18 years old, with no gender restrictions
• The expected survival period is ≥3 months
• Conforming to the World Health Organization (WHO) 2022 classification criteria for Acute Myeloid Leukemia (AML).
• Subject has completed induction and consolidation chemotherapy and has achieved complete remission (CR), complete remission with partial hematologic recovery (CRh), or complete remission with incomplete hematologic recovery (CRi) according to the 2022 European LeukemiaNet (ELN) criteria. The patient does not meet the criteria for or has contraindications to stem cell transplantation.
• CR is defined as: bone marrow blasts <5%, absence of circulating blasts or blasts with Aure rods; absence of extramedullary disease, absolute neutrophil count (ANC) ≥1.0 × 10\^9/L, and platelet count ≥100 × 10\^9/L.
• CRh is defined as: ANC ≥0.5 × 10\^9/L, and platelet count ≥50 × 10\^9/L, otherwise all other CR criteria met CRi is defined as: All CR criteria except for ANC <1.0 × 10\^9/L or platelet count <100 × 10\^9/L. If both CRh and CRi are considered, CRi only includes patients who do not meet the criteria for CRh.
• MRD positivity (①when using MFC, MRD is considered positive if the proportion of immunophenotypically abnormal cells among CD45+ cells is ≥0.01%; ② when using qPCR, MRD is considered positive if the NPM1 <3log10 reduction in BM.
• NPM1 mutation classification as Type A, D, G, H, B, and J
• The peripheral blood HLA typing is HLA-A02:01
• The Eastern Cooperative Oncology Group Performance Status (ECOG PS) score is 0-2
• Subject must be willing to provide existing valid diagnostic evidence prior to treatment or undergo bone marrow aspiration and biopsy, and must also be willing to undergo bone marrow aspiration and biopsy after receiving treatment

You may not qualify if…

• Copy number variants (CNVs) or loss of heterozygosity (LOH) in HLA-related genes or chromosomal regions were detected by genetic sequencing
• Received chemotherapy, hormonal therapy, traditional Chinese medicine with anti-tumor indications, or other anti-tumor treatments within 4 weeks before the first dose (for mitomycin and nitrosoureas, within 6 weeks after the last dose), or within 5 half-lives of immunotherapy or molecular targeted therapy
• Received tumor vaccines, cellular therapy, or planned to receive other vaccines within 4 weeks before the first dose
• Subject who has undergone major surgery other than diagnostic or biopsy procedures within 4 weeks before the first dose, or who are expected to undergo major surgery during the study period
• Uncontrolled central nervous system (CNS) lymphoma
• Patients with extramedullary disease, or those deemed unsuitable for enrollment by the investigator
• Eligible for allogeneic bone marrow or allogeneic stem cell transplantation at the time of Screening
• Subject has previously undergone allogeneic hematopoietic stem cell transplantation or organ transplantation, or who is planned to undergo organ transplantation during this study
• Within 7 days before treatment, laboratory tests show:
• AST (SGOT) / ALT (SGPT) > 3 ULN
• Total bilirubin > 2 ULN
• eGFR < 45 mL/min
• SpO2 < 95% without supplemental oxygen
• DIC (Disseminated Intravascular Coagulation)
• Active malignancy
• A history of interstitial lung disease (ILD), pulmonary interstitial fibrosis, or stage III or higher chronic obstructive pulmonary disease (COPD)
• A history of severe cardiovascular and cerebrovascular diseases, including but not limited to:
• Severe cardiac rhythm or conduction abnormalities, such as ventricular arrhythmias requiring clinical intervention, second- or third-degree atrioventricular block; corrected QTc interval > 450 milliseconds for males and > 470 milliseconds for females,
• Acute coronary syndrome, congestive heart failure, aortic dissection, stroke, or other grade 3 or higher cardiovascular and cerebrovascular events within 6 months before the first dose,
• New York Heart Association (NYHA) functional class ≥ III heart failure or left ventricular ejection fraction (LVEF) < 50%
• Other severe and/or uncontrollable diseases, as determined by the investigator, that possibly affect the subject to participate in this study, including but not limited to:
• A history of severe drug allergy, or known allergy to any component of the tumor vaccine or toripalimab injection formulation; or a history of severe allergic reactions to other monoclonal antibodies,
• A history of immunodeficiency, including HIV positivity or other acquired or congenital immunodeficiency diseases,
• Evidence of severe or uncontrollable liver or kidney disease,
• Poorly controlled hypertension, diabetes, etc.,

Where it is running

• Ruijin Hospital Affiliated to Shanghai Jiao Tong University School of Medicine — Shanghai, China (enrolling)

Full record on ClinicalTrials.gov

Trial information comes from ClinicalTrials.gov and is refreshed daily. TrialsForMe does not provide medical care and does not run the studies it lists.