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.
Interventional
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment
Overall survival
The method of Kaplan- Meir will be used.
Up to 5 years
No
Frank Hodi
Principal Investigator
Eastern Cooperative Oncology Group
United States: Food and Drug Administration
NCI-2011-02039
NCT01134614
December 2010
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 |