Injection of AJCC Stage IIB, IIC, III, and IV Melanoma Patients With Human and Mouse gp100 DNA: A Phase I Trial to Assess Safety and Immune Response


Phase 1
N/A
N/A
Not Enrolling
Both
Melanoma (Skin)

Thank you

Trial Information

Injection of AJCC Stage IIB, IIC, III, and IV Melanoma Patients With Human and Mouse gp100 DNA: A Phase I Trial to Assess Safety and Immune Response


OBJECTIVES:

Primary

- Determine the safety and feasibility of vaccination with human and mouse gp100 DNA in
patients with stage IIB, IIC, III, or IV melanoma.

- Determine the maximum tolerated dose of this regimen in these patients.

- Compare the antibody and T-cell response in patients treated with two different
vaccination schedules.

Secondary

- Assess antitumor response in patients treated with this regimen.

OUTLINE: This is a randomized, crossover, dose-escalation study. Patients are randomized to
1 of 2 treatment arms.

- Arm I: Patients receive human gp100 DNA vaccine intramuscularly (IM) once in weeks 1,
4, and 7. Patients then receive mouse gp100 DNA vaccine IM once in weeks 10, 13, and
16.

- Arm II: Patients receive mouse gp100 DNA vaccine IM once in weeks 1, 4, and 7. Patients
then receive human gp100 DNA vaccine IM once in weeks 10, 13, and 16.

In both arms, treatment continues in the absence of disease progression or unacceptable
toxicity.

Cohorts of 6-9 patients (at least 3 per treatment arm) receive escalating doses of human and
mouse gp100 DNA vaccines until the maximum tolerated dose (MTD) is determined. The MTD is
defined as the dose preceding that at which 2 of 9 patients experience dose-limiting
toxicity.

After completion of study treatment, patients are followed at 3 weeks and then annually for
15 years.

PROJECTED ACCRUAL: Approximately 18-27 patients will be accrued for this study within 6-9
months.

Inclusion Criteria


DISEASE CHARACTERISTICS:

- Histologically confirmed malignant melanoma

- Stage IIB, IIC, III, or IV disease

- Patients with stage III or IV disease who are free of disease after
surgical resection* are eligible

- Patients free of disease after surgical resection* must have refused high-dose
interferon alfa OR experienced recurrent disease during prior treatment with
interferon alfa NOTE: *Patients who underwent surgical resection must have had the
surgery within the past year

- HLA-A0201 positive

- No detectable brain metastases

PATIENT CHARACTERISTICS:

Age

- Any age

Performance status

- Karnofsky 80-100%

Life expectancy

- Not specified

Hematopoietic

- WBC ≥ 3,000/mm^3

- Absolute neutrophil count ≥ 1,500/mm^3

- Platelet count ≥ 100,000/mm^3

- Hemoglobin ≥ 10 g/dL

- No active bleeding

Hepatic

- Bilirubin ≤ 1.5 times upper limit of normal (ULN)

- Albumin ≥ 3.5 g/dL

- AST and ALT ≤ 2.5 times ULN

- Lactate dehydrogenase ≤ 2 times ULN

- No clinical history of hepatitis B or C

Renal

- Creatinine ≤ 2.0 mg/dL

Immunologic

- No clinical history of HIV

- No clinical history of HTLV-1

- No active infection requiring antibiotics within the past 72 hours

- No history of collagen vascular, rheumatologic, or other autoimmune disorder

- No grade 1 fever within the past 72 hours

Other

- Not pregnant or nursing

- Negative pregnancy test

- Fertile patients must use effective contraception

- Weight ≥ 25 kg

- No serious underlying medical condition that would preclude study participation

- No preexisting uveal or choroidal eye disease

PRIOR CONCURRENT THERAPY:

Biologic therapy

- See Disease Characteristics

- More than 4 weeks since prior immunotherapy

- No prior immunization with any class of vaccine containing gp100, including whole
cell, shed antigen, or cell lysate vaccines

Chemotherapy

- More than 4 weeks since prior chemotherapy (6 weeks for nitrosoureas)

Endocrine therapy

- No concurrent corticosteroids that would preclude study participation

Radiotherapy

- More than 4 weeks since prior radiotherapy

- No concurrent radiotherapy

Surgery

- See Disease Characteristics

Other

- Recovered from all prior therapy

- No other concurrent medication that would preclude study participation

- No other concurrent investigational agents

- No other concurrent systemic therapy

Type of Study:

Interventional

Study Design:

Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Crossover Assignment, Masking: Open Label, Primary Purpose: Treatment

Outcome Measure:

safety and feasibility

Outcome Time Frame:

2 years

Safety Issue:

Yes

Principal Investigator

Jedd D. Wolchok, MD

Investigator Role:

Study Chair

Investigator Affiliation:

Memorial Sloan-Kettering Cancer Center

Authority:

United States: Food and Drug Administration

Study ID:

03-007

NCT ID:

NCT00104845

Start Date:

September 2004

Completion Date:

September 2011

Related Keywords:

  • Melanoma (Skin)
  • stage II melanoma
  • stage III melanoma
  • stage IV melanoma
  • recurrent melanoma
  • Melanoma

Name

Location
Memorial Sloan-Kettering Cancer Center New York, New York  10021