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| ID | Type | Description | Link |
|---|---|---|---|
| UCLA-9707074 | |||
| NCI-G02-2077 |
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| Name | Class |
|---|---|
| National Institutes of Health (NIH) | NIH |
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RATIONALE: Vaccines made by inserting a laboratory-treated gene into a person's white blood cells may make the body build an immune response to kill tumor cells.
PURPOSE: This phase I/II trial is studying the side effects and best dose of vaccine therapy and to see how well it works in treating patients with stage IV or recurrent malignant melanoma.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Group A - first dose for phase 1 | Experimental | A*0201 positive subjects will receive MART-1 adenovirus-transduced dendritic cells (DC)at dose of 10^6. Subjects will receive a total of three biweekly vaccinations given intradermally. If significant clinical or immunological response (to be defined later) is noted, subjects will be eligible for up to 6 additional monthly vaccine administrations. |
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| Arm B - dose increase for phase 1 | Experimental | A*0201 positive subjects will receive MART-1 adenovirus-transduced dendritic cells (DC)at dose of 10^7. Subjects will receive a total of three biweekly vaccinations given intradermally. If significant clinical or immunological response (to be defined later) is noted, subjects will be eligible for up to 6 additional monthly vaccine administrations. |
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| Arm C - A*0201+/DR*04+ subjects - Phase II | Experimental | Subjects will receive MART-1 adenovirus-transduced dendritic cells (DC)at dose of 10^7. Subjects will receive a total of three biweekly vaccinations given intradermally. If significant clinical or immunological response (to be defined later) is noted, subjects will be eligible for up to 6 additional monthly vaccine administrations. |
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| Arm D - A*0201+/DR*04- - phase 2 | Experimental | Subjects will receive MART-1 adenovirus-transduced dendritic cells (DC)at dose of 10^7. Subjects will receive a total of three biweekly vaccinations given intradermally. If significant clinical or immunological response (to be defined later) is noted, subjects will be eligible for up to 6 additional monthly vaccine administrations. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| dendritic cell-MART-1 peptide vaccine | Biological | Subjects will receive MART-1 adenovirus-transduced dendritic cells (DC)at dose of 10^6 (for arm A) or 10^7 (for arms B-E). Subjects will receive a total of three biweekly vaccinations given intradermally. If significant clinical or immunological response (to be defined later) is noted, subjects will be eligible for up to 6 additional monthly vaccine administrations. |
| Measure | Description | Time Frame |
|---|---|---|
| Optimal dose | 7 months |
| Measure | Description | Time Frame |
|---|---|---|
| Safety of administering MART-1 adenovirus transduced dendritic cells | 7 months | |
| Immunological response (peptide-specific T cell generation, skin test immunohistology) | 7 months | |
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Inclusion Criteria
This study is confined to adults over the age of 18 with histologically proven malignant melanoma.
MART-1, as assessed by either RT-PCR or by immunohistochemistry.
Subjects must be typed for HLA-A*0201 for the phase I part of the study, and HLA-A*0201 and/or DR*04 for the phase II part.
Stage with unresectable measurable melanoma (stage IV or stage III unresectable). Patients previously treated with any form of therapy (including chemotherapy, radiation therapy, immunotherapy or surgery) for either metastatic, relapsed or primary melanoma are eligible for this trial, provided that previous the previous treatment was completed > 30 days prior to first vaccine.
Both male and female patients may be enrolled. Premenopausal females must have a negative pregnancy test prior to treatment.
Karnofsky Performance Status greater than or equal to 70 percent, or ECOG greater than 2.
No previous evidence of class 3 or greater New York Heart Association cardiac insufficiency or coronary artery disease.
No previous evidence of opportunistic infection.
A minimum of 30 days must have elapsed since the completion of prior chemotherapy, immunotherapy or radiation therapy.
Adequate baseline hematological function as assessed by the following laboratory values within 30 days prior to study entry:
Ability to give informed consent.
Exclusion Criteria
Patients who meet any one of the following criteria will be excluded from study entry:
All allowed medications or treatments should be kept to a minimum and recorded. All questions regarding concomitant medications should be referred to the study chair or investigator.
Medications and Treatments Not Allowed
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| Name | Affiliation | Role |
|---|---|---|
| James S. Economou, MD | Jonsson Comprehensive Cancer Center | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Jonsson Comprehensive Cancer Center at UCLA | Los Angeles | California | 90095-1781 | United States |
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| ID | Term |
|---|---|
| D008545 | Melanoma |
| ID | Term |
|---|---|
| D018358 | Neuroendocrine Tumors |
| D017599 | Neuroectodermal Tumors |
| D009373 | Neoplasms, Germ Cell and Embryonal |
| D009370 | Neoplasms by Histologic Type |
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| Arm E - A*0201-/DR*04+ - phase 2 | Experimental | Subjects will receive MART-1 adenovirus-transduced dendritic cells (DC)at dose of 10^7. Subjects will receive a total of three biweekly vaccinations given intradermally. If significant clinical or immunological response (to be defined later) is noted, subjects will be eligible for up to 6 additional monthly vaccine administrations. |
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| Clinical response (disease improvement or disease progression) |
| 7 months |
| D009369 | Neoplasms |
| D009380 | Neoplasms, Nerve Tissue |
| D018326 | Nevi and Melanomas |
| D012878 | Skin Neoplasms |
| D009371 | Neoplasms by Site |
| D012871 | Skin Diseases |
| D017437 | Skin and Connective Tissue Diseases |