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Ewing SarcomaPhase 1/2PerVisionNCT06094101

Personalized Vaccination in Fusion+ Sarcoma Patients (PerVision)

A Phase 1/2 study testing Peptide vaccine IPX in people with Ewing Sarcoma and Rhabdomyosarcoma, run by University Hospital Tuebingen at 4 sites in Germany.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

The PerVision trial utilizes an approach of a patient-individual cancer vaccine with sarcoma-specific peptides in metastasized fusion-driven sarcoma patients determined by next generation whole exome sequencing of tumor and normal tissue as well as RNA sequencing of the tumor. Read more about this study

Who is it for?
Ages 2 to 40 years
Conditions the study is for
Ewing Sarcoma, Rhabdomyosarcoma, Synovial Sarcoma
What is being tested?
Peptide vaccine IPX
Could I receive a placebo?
No, everyone receives an active treatment
How many people
30 participants
Where
4 sitesGermany
Study dates
19 Sep 2023to Sep 2027
Phase
Phase 1/2
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 2 to 40 years
  • All sexes
  • No healthy volunteers
  • Child, Adult

Who may be able to join

None listed.

Who cannot join

  • Ejection fraction < 25%
  • Creatinine-clearance < 40ml/min
  • Bilirubin > 4mg/dl
  • Alanine aminotransferase (ALT) > 400 units (U)/l and/or aspartate aminotransferase (AST) > 400 U/l
  • Severe infection (Human immunodeficiency virus (HIV): positive for the presence of human immunodeficiency virus-1 or human immunodeficiency virus-2 (positive antigen/antibody or nucleic acid tests [NAT]) and CD4-positive cells < 500/μl. Hepatitis B virus: positive for the presence of hepatitis B virus (positive for hepatitis B core antibody [HBcAb] or positive hepatitis B surface antigen [HBsAg]) and hepatitis B NAT test > 2000 IU/ml). Hepatitis C virus: positive for heavy chain only antibody [HCAb] or for nucleic acid amplification testing (NAT). Other infections that, in the opinion of the investigator, do not allow a participation in the study.)
  • Subjects with a known hypersensitivity / allergy to any component of the study drugs.
Show all 20Show fewer
  • Subjects who have received a live, attenuated vaccine within 28 days prior to the administration of the study drug (only stage 2).
  • Subjects with a prior haematopoietic stem cell transplantation / prior organ transplantation.
  • Patients suffering from other malignancies (with the exception of those with a negligible risk of metastasis or death and treated with curative outcome) within 5 years prior to study start.
  • Current or anticipated need for any of the following medications interfering with T cell function from 14 days before 1st vaccination until 28 days after 1st vaccination: Immunosuppressive agents, which influence functionality and activity of T cells, such as steroids (more than 0,5 mg/kg body weight prednisolone-equivalent), calcineurin-inhibitors, mofetil mycophenolate, sirolimus, everolimus, and cytotoxic medication. Those drugs should be avoided until 28 days after third/final vaccination but may be given after discussion with the principal investigator. Application of tyrosine kinase inhibitors is permitted during the trial (only stage 2).
  • Significant psychiatric disabilities that, in the judgment of the investigator, do not assure reliable participation in the present study.
  • Uncontrolled seizure disorders (occurrence of at least one generalized seizure in the last 3 months) or severe peripheral neuropathy/leucoencephalopathy (> grade 2 according to NCI CTCAE v5.0 neurotoxicity criteria).
  • Autoimmune disease (e.g. idiopathic thrombocytopenic purpura, autoimmune hemolytic anemia, autoimmune dermatitis) requiring immunosuppressive treatment
  • Pregnant females
  • Female subjects of childbearing potential (postmenarcheal, with an intact uterus and at least one ovary, and less than one year postmenopausal) not agreeing to use acceptable method(s) of contraception from 30 days prior to Screening stage 2 visit to 180 days after the last vaccination.
  • Male subjects of reproductive capacity not agreeing to use effective contraception from first vaccination of this study to 180 days after the last vaccination.
  • Not willing and/or not able to comply with treatment plan, scheduled visits, laboratory tests, contraceptive guidelines and other study procedures.
  • History of any illness or clinical condition that might confound the results of the study or pose an additional risk in administering study drug to the subject, according to the judgement of the investigator. This may include but is not limited to: history of central nervous system or cardiovascular disease, history of relevant drug allergies, history of psychiatric disorder, history or present of clinically significant pathology.
  • Karnofsky performance status of < 70% for subjects ≥ 16 years of age, Lansky performance status of < 70% for subjects < 16 years of age
  • Participation or intended participation in another clinical phase I or II trial with an investigational drug or product within 28 days prior to enrollment (with the exception to participation of the "frontline and relapsed rhabdomyosarcoma study"( (FaR-RMS) after completion of the maintenance therapy (EudraCT-2018-000515-24)). Commonly used drugs as per standard or phase III-trials are permitted.

Trial locations and contacts

4 sites in 1 country. Contact the study team or a site near you to ask about taking part.

Joachim Rupprecht, Dr. contact

joachim.rupprecht@med.uni-tuebingen.de

Germany4 sites, 4 recruiting
  • Pediatrics III, West German Cancer Centre, University Hospital

    Essen, 45147

    Uta Dirksen, Prof., 0049.201.7238084, uta.dirksen@uk-essen.de

    Dirk Reinhardt, 0049-201-7233784, dirk.reinhardt@uk-essen.de

    Not yet recruiting
  • Universitätsklinikum, Klinik für Kinder- und Jugendmedizin

    Frankfurt am Main, 60590

    Konrad Bochennek, Dr., +49 69 6301-5243

    Eva Rettinger, Dr., +49 69 6301-5040

    Not yet recruiting
  • Zentrum für Kinder- und Jugendmedizin, Universitätsklinikum

    Freiburg im Breisgau, 79106

    Simone Hettmer, Prof. Dr., +49 761 27043000, simone.hettmer@uniklinik-freiburg.de

    Christian Flotho, Prof. Dr., +49 761 27046280, christian.flotho@uniklinik-freiburg.de

    Not yet recruiting
  • University Children's Hostpital

    Tübingen, 72076

    Martin Ebinger, Prof. Dr., +49 7071 2983781, martin.ebinger@med.uni-tuebingen.de

    Joachim Rupprecht, Dr., joachim.rupprecht@med.uni-tuebingen.de

    Recruiting

Other trials in Germany

About this study

Official title: Prospective Phase I/II Trial of an Individualized Peptide Vaccine in Pediatric and AYA Patients With Metastasized Fusion-driven Sarcomas Following Standard Treatment

The PerVision trial utilizes an approach of a patient-individual cancer vaccine with sarcoma-specific peptides in metastasized fusion-driven sarcoma patients determined by next generation whole exome sequencing of tumor and normal tissue as well as RNA sequencing of the tumor.

This approach is applicable to all patients independent of the expression of distinct tumor associated antigens, and independent of their human leukocyte antigen-typing (HLA-typing). The results of this study can directly be translated to other tumor entities.

Read more

It is an interventional, multicenter, open-label, phase I/II feasibility and early proof of concept study evaluating a personalized peptide vaccine.

Primary objective is to evaluate safety and success of treatment, the latter be defined as vaccination-induced T-cell response without unacceptable toxicity.

Read the detailed description

The PerVision trial utilizes an approach of a patient-individual cancer vaccine with sarcoma-specific peptides (one peptide derived from the sarcoma-specific fusion breakpoint, 'fusion-peptide', and a second peptide derived from neoantigens derived from patient-specific non-synonymous mutations with the highest prediction score, 'mutation-based neopeptide') in metastasized fusion-driven sarcoma patients determined by next generation whole exome sequencing of tumor and normal tissue as well as RNA sequencing of the tumor.

This approach is applicable to all patients independent of the expression of distinct tumor associated antigens, and independent of their human leukocyte antigen-typing (HLA-typing). The results of this study can directly be translated to other tumor entities.

It is an interventional, multicenter, open-label, phase I/II feasibility and early proof of concept study evaluating a personalized peptide vaccine and the toll like receptor (TLR) 1/2 ligand XS15 emulsified in Montanide ISA 51 VG in fusion driven sarcoma patients.

The principal questions are:

  1. To investigate, whether it is possible to induce a mutation-specific immune response in sarcoma patients and young adults after salvage chemotherapy
  2. To investigate possible side effects and toxicity of the treatment
  3. To gather indications if our approach has a beneficial effect on residual disease as well as event free survival (EFS) of the patients. EFS and overall survival (OS) data will be compared within this single arm study to non-vaccinated patients of a historic control cohort.

Patients will be recruited through the Society for Pediatric Oncology/Hematology (GPOH) networks Cooperative Soft Tissue Sarcoma Group (CWS) and Cooperative Ewing Sarcoma Group (CESS) and through the "Deutsches Konsortium für Translationale Krebsforschung" (DKTK) programs MASTER and INFORM as well as HEROES-AYA. For the screening phase, n=30 patients will be recruited, n=23 patients should be treated with at least one vaccine dose, with a drop-out rate we need n=21 patients for sufficient statistical power.

Primary objective is to evaluate the safety, toxicity and in vivo immunological effects of a patient-individualized peptide vaccination (IPX vaccine) in patients with primary or relapsed metastasized fusion-driven sarcoma (FDS, rhabdomyosarcoma, Ewing- and synovial sarcoma) with an age ≥ 2 to < 40 years in first or second complete remission or stable partial remission.

Primary endpoint is "success of treatment", defined as the patient showing a vaccination-induced T cell response without unacceptable toxicity until Follow-up visit (28 ± 7 days after last vaccination).

Being tested
Peptide vaccine IPX
Keywords
metastasized fusion-driven sarcoma, clinical study, phase I/II
Medical subject headings
Sarcoma, Ewing, Rhabdomyosarcoma, Sarcoma, Synovial

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Peptide vaccine IPXBiological

    Peptide vaccine is a combination of

    1. class II peptide spanning the sarcoma-specific fusion-breakpoint (fusion-peptide)
    2. class-II neopeptide based on a patient-individual nonsynonymous mutation with a high immunogenicity (mutation-based neopeptide).
    3. control peptide derived from Survivin.
    4. adjuvant: toll like receptor (TLR) 1/2 ligand XS15.
Study groups in NCT06094101
Study groupRoleWhat they receive
Peptide vaccinationExperimentalPeptides will be administered subcutaneously (s.c.) together with the novel toll like receptor (TLR) 1/2 ligand XS15 emulsified in Montanide ISA 51 VG as adjuvant. Three vaccinations will be applied every 28 days.
Receives: Biological: Peptide vaccine IPX

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Success of treatment

    The primary composite safety/efficacy outcome of "treatment success" is defined as number of patients

    1. without unacceptable toxicity (any toxicity > grade 3 according to NCI-CTC) until Follow-up visit (28 ± 7 days after last vaccination) and
    2. with vaccination-induced response of cluster of differentiation 4+ (CD4+) and/or cluster of differentiation 8+ (CD8+) T cells to the patient-specific peptides at Follow-up visit (28 ± 7 days after last vaccination). CD4+ and CD8+ T cells will be measured by flow cytometry.

    Measured: Follow-up visit at 28 +/- 7 days after last vaccination

Secondary outcomes (6)
  1. T-cell response at follow up

    Number of patients with CD8+ and/or CD4+ T-cell responses measured 2-fold above background in response to either of the two patient-specific peptides (fusion-peptide and mutation-based neopeptide).

    Measured: Beginning of trial phase until follow-up visit at 28 +/- 7 days after last vaccination

  2. T-cell response at final follow up

    Number of patients with CD8+ and/or CD4+ T-cell responses measured 2-fold above background in response to either of the two patient-specific peptides (fusion-peptide and mutation-based neopeptide).

    Measured: Beginning of trial phase until final follow-up at 120 +/- 14 days after last vaccination

  3. Event free survival

    Rate of patients that survived without progression according to RECIST criteria, stratified for immune response yes/no

    Measured: Beginning of trial phase until final follow-up at 120 +/- 14 days after last vaccination

  4. Overall survival

    Rate of patients that survived. stratified for immune response yes/no

    Measured: Beginning of trial phase until final follow-up at 120 +/- 14 days after last vaccination

  5. Quality of life (QoL) defined as overall quality of life in children

    QoL (Quality of life) is defined as overall quality of life measured by Pediatric Quality of Life InventoryTM PedsQL (4.0). The PedsQL uses a 0 to 4 scale with 0=never and 4=almost always.

    Measured: Beginning of trial phase until final follow-up at 120 +/- 14 days after last vaccination

  6. Quality of life (QoL) defined as overall quality of life in adults

    QoL (Quality of life) is defined as overall quality of life measured by European Organisation for Research and Treatment of Cancer EORTC quality of life questionnaire (QLQ) C-30 (3.0). EORTC QLQ C-30 uses a 1-4 scale with 1=not at all and 4=very much and a 1-7 scale with 1=very poor and 7=excellent.

    Measured: Beginning of trial phase until final follow-up at 120 +/- 14 days after last vaccination

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted23 Oct 2023
  2. Study start19 Sep 2023
  3. Primary completionJun 2027 (estimated)
  4. Study completionSep 2027 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 1/2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Model description
interventional, multicenter, open-label, phase I/II feasibility and early proof of concept study
Masking
None (open label)
Enrolment
30 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06094101
Sponsor's protocol ID
2022-002793-91
Acronym
PerVision
Status last verified
Apr 2026
First submitted
25 Sep 2023
Last updated
4 May 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 1/2 study testing Peptide vaccine IPX in people with Ewing Sarcoma and Rhabdomyosarcoma, run by University Hospital Tuebingen at 4 sites in Germany.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 0 inclusion and 20 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: looking for participants now, as of the sponsor's last update on 4 May 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 4 sites in Germany. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this combined phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Martin Ebinger, Prof. Dr. (+49 7071 2983781, martin.ebinger@med.uni-tuebingen.de), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Success of treatment (time frame: Follow-up visit at 28 +/- 7 days after last vaccination). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 4 May 2026.

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