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A Phase II Trial of GM-CSF Protein Plus Ipilimumab in Patients With Advanced Melanoma


Phase 2
18 Years
N/A
Open (Enrolling)
Both
Recurrent Melanoma, Stage III Melanoma, Stage IV Melanoma

Thank you

Trial Information

A Phase II Trial of GM-CSF Protein Plus Ipilimumab in Patients With Advanced Melanoma


PRIMARY OBJECTIVES:

I. To evaluate the overall survival of patients with advanced melanoma treated with
ipilimumab with versus without sargramostim.

SECONDARY OBJECTIVES:

I. To evaluate the progression-free survival of patients treated with these regimens.

II. To evaluate the response rate in patients treated with these regimens. III. To evaluate
the safety and tolerability of these regimens in these patients.

IV. To explore prospectively the utility of immune-related response criteria (irRC) of
patients receiving ipilimumab.

OUTLINE: This is a multicenter study. Patients are stratified according to disease stage
(unresectable vs M1a/1b vs M1c) and prior therapy (none vs interferon vs one investigational
therapy). Patients are randomized to 1 of 2 treatment arms.

ARM I: Patients receive induction therapy comprising ipilimumab IV over 90 minutes on day 1
and sargramostim subcutaneously (SC) once daily on days 1-14. Treatment repeats every 21
days for 4 courses. Patients with responsive or stable disease then receive maintenance
therapy comprising ipilimumab IV over 90 minutes on day 1 and sargramostim SC once daily on
days 1-14. Treatment with ipilimumab repeats every 12 weeks and treatment with sargramostim
repeats every 21 days in the absence of disease progression or unacceptable toxicity.

ARM II: Patients receive induction therapy comprising ipilimumab as in arm I. Patients with
responsive or stable disease then receive maintenance therapy comprising ipilimumab IV as in
arm I. Courses repeat every 12 weeks in the absence of disease progression or unacceptable
toxicity.

After completion of study therapy, patients are followed up every 3-6 months for up to 5
years.


Inclusion Criteria:



- Histologically confirmed metastatic melanoma

- Unresectable stage III or IV disease

- For unknown primary disease, diagnosis of metastatic disease by cytology FNA is
not acceptable

- Measurable disease

- No more than 1 prior investigational therapy or systemic therapeutic regimen*,
including any of the following:

- Chemotherapy

- Biological therapy

- Biochemotherapy

- Investigational treatment

- No CNS metastases

- ECOG performance status 0-1

- WBC ≥ 2,000/μL

- ANC ≥ 1,500/μL

- Platelet count ≥ 100,000/μL

- Hemoglobin ≥ 8 g/dL

- Creatinine ≤ 3.0 times upper limit of normal (ULN)

- AST and ALT ≤ 2.5 times ULN

- Bilirubin ≤ 3.0 times ULN (total bilirubin < 3.0 mg/dL for patients with Gilbert
syndrome)

- Not pregnant or nursing

- Negative pregnancy test

- Fertile patients must use effective contraception during and for up to 12 weeks after
completion of study

- No HIV infection

- No active infection with hepatitis B virus

- No active or chronic infection with hepatitis C virus

- No other malignancy with the past 2 years except adequately treated and cured basal
cell or squamous cell skin cancer, superficial bladder cancer, or carcinoma in situ
of the cervix

- No history of autoimmune disease, including any of the following:

- Inflammatory bowel disease

- Symptomatic disease (e.g., rheumatoid arthritis, systemic progressive
sclerosis[scleroderma])

- Systemic lupus erythematosus

- Autoimmune vasculitis (e.g., Wegener granulomatosis)

- Motor neuropathy considered of autoimmune origin (e.g., Guillain-Barre syndrome
and myasthenia gravis)

- Patients with a history of autoimmune thyroiditis are eligible if their current
thyroid disorder is treated and stable with replacement or other medical therapy

- No underlying medical or psychiatric condition that, in the opinion of the
investigator, will make the administration of study drug hazardous or obscure the
interpretation of adverse events, such as a condition associated with frequent
diarrhea

- No concurrent medical condition requiring the use of systemic steroids

- No other concurrent CTLA-4 inhibitor or agonist or CD137 agonist

- At least 4 weeks since prior and no concurrent therapy with any of the following:

- Aldesleukin (IL-2)

- Interferon

- Non-study immunotherapy regimens

- Cytotoxic chemotherapy

- Immunosuppressive agents

- Other investigational therapies

- Chronic use of systemic corticosteroids

- Concurrent inhaled or topical steroids allowed

- Concurrent physiologic replacement doses of corticosteroids allowed

- No prior non-oncology vaccine therapy for the prevention of infectious disease within
the past 28 days or after any dose of ipilimumab

- No prior ipilimumab, CD137agonist, or CTLA-4 inhibitor or agonist

- No other systemic or local anticancer medications

Type of Study:

Interventional

Study Design:

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

Outcome Measure:

Overall survival

Outcome Description:

The method of Kaplan- Meir will be used.

Outcome Time Frame:

Up to 5 years

Safety Issue:

No

Principal Investigator

Frank Hodi

Investigator Role:

Principal Investigator

Investigator Affiliation:

Eastern Cooperative Oncology Group

Authority:

United States: Food and Drug Administration

Study ID:

NCI-2011-02039

NCT ID:

NCT01134614

Start Date:

December 2010

Completion Date:

Related Keywords:

  • Recurrent Melanoma
  • Stage III Melanoma
  • Stage IV Melanoma
  • Melanoma

Name

Location

Akron City Hospital Akron, Ohio  44304
Johns Hopkins University Baltimore, Maryland  21205
Cleveland Clinic Foundation Cleveland, Ohio  44195
Abington Memorial Hospital Abington, Pennsylvania  19001
Hurley Medical Center Flint, Michigan  48503
Beth Israel Deaconess Medical Center Boston, Massachusetts  02215
Boulder Community Hospital Boulder, Colorado  80301-9019
Porter Adventist Hospital Denver, Colorado  80210
Rose Medical Center Denver, Colorado  80220
Swedish Medical Center Englewood, Colorado  80110
Sky Ridge Medical Center Lone Tree, Colorado  80124
North Suburban Medical Center Thornton, Colorado  80229
Fairview Ridges Hospital Burnsville, Minnesota  55337
Hutchinson Area Health Care Hutchinson, Minnesota  55350
United Hospital St. Paul, Minnesota  55102
Ridgeview Medical Center Waconia, Minnesota  55387
Geisinger Medical Center Danville, Pennsylvania  17822-0001
Massachusetts General Hospital Cancer Center Boston, Massachusetts  02114
Morristown Memorial Hospital Morristown, New Jersey  07962-1956
Marshfield Clinic Marshfield, Wisconsin  54449
Stanford University Stanford, California  94305
Methodist Medical Center of Illinois Peoria, Illinois  61636
Memorial Hospital of South Bend South Bend, Indiana  46601
Lehigh Valley Hospital Allentown, Pennsylvania  18103
Jackson-Madison County General Hospital Jackson, Tennessee  38301
Rush University Medical Center Chicago, Illinois  60612-3824
Dana-Farber Cancer Institute Boston, Massachusetts  02115
Cancer Institute of New Jersey New Brunswick, New Jersey  08901
Via Christi Regional Medical Center Wichita, Kansas  67214
Ochsner Clinic Foundation New Orleans, Louisiana  70121
Iowa Methodist Medical Center Des Moines, Iowa  50309
Iowa Lutheran Hospital Des Moines, Iowa  50316-2301
University of Wisconsin Hospital and Clinics Madison, Wisconsin  53792-0001
Overlook Hospital Summit, New Jersey  07902-0220
MetroHealth Medical Center Cleveland, Ohio  44109
Eisenhower Medical Center Rancho Mirage, California  92270
North Colorado Medical Center Greeley, Colorado  80631
McKee Medical Center Loveland, Colorado  80539
Cancer Center of Kansas - Chanute Chanute, Kansas  66720
Cancer Center of Kansas - Dodge City Dodge City, Kansas  67801
Cancer Center of Kansas - Newton Newton, Kansas  67114
Cancer Center of Kansas - Salina Salina, Kansas  67042
Cancer Center of Kansas - Wellington Wellington, Kansas  67152
Associates in Womens Health Wichita, Kansas  67203
Cancer Center of Kansas - Winfield Winfield, Kansas  67156
Medical X-Ray Center Sioux Falls, South Dakota  57105
University of New Mexico Cancer Center Albuquerque, New Mexico  87131-5636
Mercy Health System Janesville, Wisconsin  53545
Elkhart General Hospital Elkhart, Indiana  46515
Front Range Cancer Specialists Fort Collins, Colorado  80528
Poudre Valley Hospital Fort Collins, Colorado  80524
Memorial Hospital Carthage, Illinois  62321
Hematology and Oncology Associates Chicago, Illinois  60611
Galesburg Clinic Galesburg, Illinois  61401
Mason District Hospital Havana, Illinois  62644
McDonough District Hospital Macomb, Illinois  61455
BroMenn Regional Medical Center Normal, Illinois  61761
Proctor Hospital Peoria, Illinois  61614
Perry Memorial Hospital Princeton, Illinois  61356
Mercy Medical Center Springfield, Ohio  45504
Exempla Lutheran Medical Center Wheat Ridge, Colorado  80033
Eureka Hospital Eureka, Illinois  61530
Mercy Hospital Coon Rapids, Minnesota  55433
Graham Hospital Association Canton, Illinois  61520
Hematology Oncology Associates of Illinois-Highland Park Highland Park, Illinois  60035
Saint Joseph Medical Center Joliet, Illinois  60435
Trinity Medical Center Moline, Illinois  61265-1291
Medical Oncology and Hematology Associates Des Moines, Iowa  50309
Saint Joseph Mercy Hospital Ann Arbor, Michigan  48106
Fairview-Southdale Hospital Edina, Minnesota  55435
Abbott-Northwestern Hospital Minneapolis, Minnesota  55407
Regions Hospital Saint Paul, Minnesota  55101
Saint Francis Regional Medical Center Shakopee, Minnesota  55379
Rice Memorial Hospital Willmar, Minnesota  56201
Mary Imogene Bassett Hospital Cooperstown, New York  13326
Eastern Connecticut Hematology and Oncology Associates Norwich, Connecticut  06360
Lawrence Memorial Hospital Lawrence, Kansas  66044
Marshfield Clinic Cancer Care at Regional Cancer Center Eau Claire, Wisconsin  54701
UW Cancer Center Johnson Creek Johnson Creek, Wisconsin  53038
Marshfield Clinic - Weston Center Weston, Wisconsin  54476
Marshfield Clinic - Wisconsin Rapids Center Wisconsin Rapids, Wisconsin  54494
Longmont United Hospital Longmont, Colorado  80501
Greater Baltimore Medical Center Baltimore, Maryland  21204
Manchester Memorial Hospital Manchester, Connecticut  06040-4188
Memorial Medical Center Springfield, Illinois  62781
Doylestown Hospital Doylestown, Pennsylvania  18901
University of Virginia Charlottesville, Virginia  22908
University of Pittsburgh Pittsburgh, Pennsylvania  15261
University of Alabama at Birmingham Birmingham, Alabama  35294-3300
Vanderbilt University Nashville, Tennessee  37232-6305
Northwestern University Chicago, Illinois  60611
Hennepin County Medical Center Minneapolis, Minnesota  
VA Palo Alto Health Care System Palo Alto, California  94304-1207
Case Western Reserve University Cleveland, Ohio  44106
Yale University New Haven, Connecticut  06520
Emory University Atlanta, Georgia  30322
Indiana University Medical Center Indianapolis, Indiana  46202
Presbyterian - Saint Lukes Medical Center - Health One Denver, Colorado  80218
Wichita CCOP Wichita, Kansas  67214-3882
Flower Hospital Sylvania, Ohio  43560-2197
Metro-Minnesota CCOP St. Louis Park, Minnesota  
Lakeview Hospital Stillwater, Minnesota  55082
Decatur Memorial Hospital Decatur, Illinois  62526
San Juan Oncology Associates Farmington, New Mexico  87401
Northern Indiana Cancer Research Consortium South Bend, Indiana  
OSF Saint Francis Medical Center Peoria, Illinois  61637
The Medical Center of Aurora Aurora, Colorado  80012
Penrose-Saint Francis Healthcare Colorado Springs, Colorado  80907
Saint Anthony Central Hospital Denver, Colorado  80204
Exempla Saint Joseph Hospital Denver, Colorado  80218
Colorado Cancer Research Program CCOP Denver, Colorado  80224-2522
Saint Mary's Hospital and Regional Medical Center Grand Junction, Colorado  81502
Saint Mary Corwin Medical Center Pueblo, Colorado  81004
Saint Francis Hospital and Medical Center Hartford, Connecticut  06105
The Hospital of Central Connecticut New Britain, Connecticut  06050
Saint Joseph's-Candler Health System Savannah, Georgia  31405
Rush - Copley Medical Center Aurora, Illinois  60504
Joliet Oncology-Hematology Associates Limited Joliet, Illinois  60435
Provena Saint Mary's Hospital Kankakee, Illinois  60901
North Shore Hematology Oncology Libertyville, Illinois  60048
Community Cancer Center Foundation Normal, Illinois  61761
Ottawa Regional Hospital and Healthcare Center Ottawa, Illinois  61350
Pekin Cancer Treatment Center Pekin, Illinois  61554
Illinois Oncology Research Association CCOP Peoria, Illinois  61615
Illinois CancerCare-Peoria Peoria, Illinois  61615
Illinois Valley Hospital Peru, Illinois  61354
Hematology Oncology Associates of Illinois - Skokie Skokie, Illinois  60076
Saint Anthony Memorial Health Center Michigan City, Indiana  46360
Saint Joseph's Medical Center South Bend, Indiana  46617
McFarland Clinic Ames, Iowa  50010
Cedar Rapids Oncology Association Cedar Rapids, Iowa  52403
Mercy Hospital Cedar Rapids, Iowa  52403
Medical Oncology and Hematology Associates-West Des Moines Clive, Iowa  50325
Iowa Oncology Research Association CCOP Des Moines, Iowa  50309
Mercy Medical Center - Des Moines Des Moines, Iowa  50314
Medical Oncology and Hematology Associates-Des Moines Des Moines, Iowa  50309
Mercy Medical Center-Sioux City Sioux City, Iowa  51104
Saint Luke's Regional Medical Center Sioux City, Iowa  51104
Siouxland Hematology - Oncology Associates Sioux City, Iowa  51101
Cancer Center of Kansas - El Dorado El Dorado, Kansas  67042
Cancer Center of Kansas-Kingman Kingman, Kansas  67068
Cancer Center of Kansas - Parsons Parsons, Kansas  67357
Cancer Center of Kansas - Pratt Pratt, Kansas  67124
Cancer Center of Kansas-Wichita Medical Arts Tower Wichita, Kansas  67208
Cancer Center of Kansas - Main Office Wichita, Kansas  67214
Ochsner Clinic Foundation-Baton Rouge Baton Rouge, Louisiana  70809
Michigan Cancer Research Consortium Community Clinical Oncology Program Ann Arbor, Michigan  48106
Oakwood Hospital Dearborn, Michigan  48123
Saint John Hospital and Medical Center Detroit, Michigan  48236
Allegiance Health Jackson, Michigan  49201
Sparrow Hospital Lansing, Michigan  48912
Saint Mary Mercy Hospital Livonia, Michigan  48154
Saint Joseph Mercy Oakland Pontiac, Michigan  48341-2985
Saint Joseph Mercy Port Huron Port Huron, Michigan  48060
Saint Mary's of Michigan Saginaw, Michigan  48601
Lakeland Hospital St. Joseph, Michigan  49085
Saint John Macomb-Oakland Hospital Warren, Michigan  48093
Saint Mary's Medical Center Duluth, Minnesota  55805
Miller-Dwan Hospital Duluth, Minnesota  55805
Unity Hospital Fridley, Minnesota  55432
Saint John's Hospital - Healtheast Maplewood, Minnesota  55109
Minnesota Oncology Hematology PA-Maplewood Maplewood, Minnesota  55109
North Memorial Medical Health Center Robbinsdale, Minnesota  55422
Park Nicollet Clinic - Saint Louis Park Saint Louis Park, Minnesota  55416
Minnesota Oncology and Hematology PA-Woodbury Woodbury, Minnesota  55125
Nevada Cancer Research Foundation CCOP Las Vegas, Nevada  89106
Hunterdon Medical Center Flemington, New Jersey  08822
Fox Chase Cancer Center at Virtua Memorial Hospital of Burlington County Mount Holly, New Jersey  08060
Presbyterian Kaseman Hospital Albuquerque, New Mexico  87110
New York University Langone Medical Center New York, New York  10016
Saint Rita's Medical Center Lima, Ohio  45801
Saint Charles Hospital Oregon, Ohio  43616
The Toledo Hospital Toledo, Ohio  43606
Saint Vincent Mercy Medical Center Toledo, Ohio  43608
Saint Luke's Hospital Bethlehem, Pennsylvania  18015
Pottstown Memorial Medical Center Pottstown, Pennsylvania  19464
Geisinger Wyoming Valley Wilkes-Barre, Pennsylvania  18711
Sanford Cancer Center-Oncology Clinic Sioux Falls, South Dakota  57104
Sanford University of South Dakota Medical Center Sioux Falls, South Dakota  57117-5134
Wheeling Hospital Wheeling, West Virginia  26003
Langlade Hospital and Cancer Center Antigo, Wisconsin  54409
Saint Vincent Hospital Green Bay, Wisconsin  54301
Aurora BayCare Medical Center Green Bay, Wisconsin  54311-6519
Dean Hematology and Oncology Clinic Madison, Wisconsin  53717
Vince Lombardi Cancer Clinic-Marinette Marinette, Wisconsin  54143
Bay Area Medical Center Marinette, Wisconsin  54143
Marshfield Clinic-Minocqua Center Minocqua, Wisconsin  54548
Marshfield Clinic at James Beck Cancer Center Rhinelander, Wisconsin  54501
Marshfield Clinic-Rice Lake Center Rice Lake, Wisconsin  54868
Marshfield Clinic-Wausau Center Wausau, Wisconsin  54401
Aspirus Regional Cancer Center Wausau, Wisconsin  54401
Stony Brook University Medical Center Stony Brook, New York  11794
Northeast Georgia Cancer Care LLC Athens, Georgia  30607
DuPage Medical Group-Ogden Naperville, Illinois  60563
Cancer Center of Kansas-Liberal Liberal, Kansas  67901
Hackensack University Medical CCOP Hackensack, New Jersey  07601
Erlanger Medical Center Chattanooga, Tennessee  37403
West Virginia University Charleston Charleston, West Virginia  25304
Marshfield Clinic-Chippewa Center Chippewa Falls, Wisconsin  54729
Holy Family Memorial Hospital Manitowoc, Wisconsin  54221
Vince Lombardi Cancer Clinic-Sheboygan Sheboygan, Wisconsin  53081
Marshfield Clinic Cancer Care at Saint Michael's Hospital Stevens Point, Wisconsin  54481
Aurora Medical Center in Summit Summit, Wisconsin  53066
Vince Lombardi Cancer Clinic Two Rivers, Wisconsin  54241
Hematology Oncology Associates-Berwyn Berwyn, Illinois  60402
Ochsner North Shore Medical Center Covington, Louisiana  70433
The Christ Hospital Cincinnati, Ohio  45219
Gundersen Lutheran La Crosse, Wisconsin  54601
Saint Nicholas Hospital Madison, Wisconsin  53715
New York Oncology Hematology PC -Albany Medical Center Albany, New York  12208
Georgia Health Sciences University Augusta, Georgia  30912
Boca Raton Regional Hospital Boca Raton, Florida  33486
Carle Foundation - Carle Cancer Center Urbana, Illinois  61801
Oncology Associates at Mercy Medical Center Cedar Rapids, Iowa  52403
Marie Yeager Cancer Center Saint Joseph, Michigan  49085
Eastern Cooperative Oncology Group Boston, Massachusetts  02215
Genesys Regional Medical Center-West Flint Campus Flint, Michigan  48532
Essentia Health Duluth Clinic CCOP Duluth, Minnesota  55805
Geisinger Medical Center-Cancer Center Hazelton Hazleton, Pennsylvania  18201
Community Howard Regional Health Kokomo, Indiana  46904
Indiana University Health La Porte Hospital La Porte, Indiana  46350
Illinois Cancer Specialists-Niles Niles, Illinois  60714
Cancer Specialists of North Florida-Orange Park Orange Park, Florida  32073
Nevada Cancer Institute-Summerlin Campus Las Vegas, Nevada  89135