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| ID | Type | Description | Link |
|---|---|---|---|
| CAN-NCIC-IND189 | Registry Identifier | NCI US - Physician Data Query | |
| IND.189 | Other Identifier | NCIC CTG Trial Identifier | |
| ZYMOGENETICS-CAN-NCIC-IND189 | Other Identifier | Zymogenetics | |
| CDR0000560973 | Other Identifier | PDQ |
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| Name | Class |
|---|---|
| ZymoGenetics | INDUSTRY |
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RATIONALE: Interleukin-21 may stimulate white blood cells, including natural killer cells, to kill melanoma cells.
PURPOSE: This phase II trial is studying the side effects and how well interleukin-21 works in treating patients with metastatic or recurrent malignant melanoma.
OBJECTIVES:
Primary
Secondary
OUTLINE: This is a multicenter study.
Patients receive recombinant human interleukin-21 (rIL-21) IV on days 1-5 of weeks 1, 3 and 5. Treatment repeats every 8 weeks in the absence of disease progression or unacceptable toxicity. Patients achieving a complete response (CR) or partial response (PR) receive 2 courses beyond CR or PR. Patients with stable disease receive a maximum of 3 courses of rIL-21.
Previously archived tumor tissue and blood samples are collected from patients for correlative studies. Samples are analyzed for soluble CD25, rIL-21 antibodies, circulating lymphocyte counts, preexisting immonogenicity to rIL-21 for antibody induction, and expression of common melanoma tumor antigen markers via IHC.
After completion of study treatment, patients are followed at 4 weeks.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Recombinant human interleukin-21 | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| recombinant human interleukin-21 | Biological | Patients enrolled in Part A will receive treatment daily x 5 on weeks 1, 3, and 5 of an 8 week cycle. Patients enrolled in Part B will receive treatment daily x 5 on weeks 1, and 3 of a 6 week cycle |
| Measure | Description | Time Frame |
|---|---|---|
| Objective tumor response as assessed by RECIST | after completion of treatment | |
| Overall response rate (complete and partial) | after completion of study | |
| Stable disease rate | after completion of study | |
| Progressive disease rate | after completion of study | |
| Median time to progression | after completion of study | |
| Response duration (median and range) | after completion of study |
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DISEASE CHARACTERISTICS:
Histologically confirmed cutaneous malignant melanoma
Clinically and/or radiologically documented disease defined as at least one site of disease unidimensionally measurable ≥ 20 mm by x-ray, physical exam, or nonspiral CT scan OR ≥ 10 mm by spiral CT scan
Must have nonbulky metastatic disease defined as the largest measurable lesion ≤ 50 mm in maximum diameter
Must have primary diagnosis tumor tissue or previously resected metastatic melanoma tissue available (i.e., paraffin block or unstained slides)
No known brain metastases
PATIENT CHARACTERISTICS:
ECOG performance status 0-2
Life expectancy ≥ 12 weeks
Absolute granulocytes count ≥ 1,500/mm^3
Platelet count ≥ 100,000/mm^3
Bilirubin normal
Serum creatinine ≤ 1.5 times upper limit of normal (ULN)
AST and ALT ≤ 2.5 times ULN
Negative pregnancy test
Not pregnant or nursing
Fertile patients must use effective contraception during study therapy
No uncontrolled intercurrent illness or condition including, but not limited to, any of the following:
No history of hemolysis or a hemolytic disorder including, but not limited to, any of the following:
No history of other malignancies within the past 5 years except adequately treated nonmelanoma skin cancer, curatively treated carcinoma in situ of the cervix, or other solid tumors curatively treated with no evidence of disease
No known HIV, hepatitis B, or hepatitis C infection
Patients must reside within a 2-hour drive from a participating center
PRIOR CONCURRENT THERAPY:
No previous systemic therapy for metastatic disease
At least 3 months since prior adjuvant immunotherapy for recurrent melanoma
At least 4 weeks since prior major surgery
At least 4 weeks since prior radiotherapy except low-dose, nonmyelosuppressive radiotherapy and recovered
More than 4 weeks since prior and no concurrent investigational agents or anticancer therapy
No prior chemotherapy including regional therapy
No concurrent systemic corticosteroids (e.g., prednisone or dexamethasone)
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| Name | Affiliation | Role |
|---|---|---|
| Teresa M. Petrella | Toronto Sunnybrook Regional Cancer Centre | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Cross Cancer Institute | Edmonton | Alberta | T6G 1Z2 | Canada | ||
| BCCA - Fraser Valley Cancer Centre |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 22915661 | Result | Petrella TM, Tozer R, Belanger K, Savage KJ, Wong R, Smylie M, Kamel-Reid S, Tron V, Chen BE, Hunder NN, Hagerman L, Walsh W, Eisenhauer EA. Interleukin-21 has activity in patients with metastatic melanoma: a phase II study. J Clin Oncol. 2012 Sep 20;30(27):3396-401. doi: 10.1200/JCO.2011.40.0655. Epub 2012 Aug 20. |
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| immunohistochemistry staining method | Other | Cycle 1 Day 1 and Cycle 1 Day 29 |
|
| laboratory biomarker analysis | Other | slides will be blocked for 15 minutes in 20% normal goat serum and then incubated in primary antibody |
|
| pharmacological study | Other | Starting dose of 50μg/kg/day as an IV push |
|
| Surrey |
| British Columbia |
| V3V 1Z2 |
| Canada |
| BCCA - Vancouver Cancer Centre | Vancouver | British Columbia | V5Z 4E6 | Canada |
| CancerCare Manitoba | Winnipeg | Manitoba | R3E 0V9 | Canada |
| Juravinski Cancer Centre at Hamilton Health Sciences | Hamilton | Ontario | L8V 5C2 | Canada |
| Odette Cancer Centre | Toronto | Ontario | M4N 3M5 | Canada |
| CHUM - Hopital Notre-Dame | Montreal | Quebec | H2L 4M1 | Canada |
| ID | Term |
|---|---|
| D008545 | Melanoma |
| ID | Term |
|---|---|
| D018358 | Neuroendocrine Tumors |
| D017599 | Neuroectodermal Tumors |
| D009373 | Neoplasms, Germ Cell and Embryonal |
| D009370 | Neoplasms by Histologic Type |
| 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 |
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| ID | Term |
|---|---|
| D007150 | Immunohistochemistry |
| ID | Term |
|---|---|
| D006651 | Histocytochemistry |
| D003584 | Cytological Techniques |
| D019411 | Clinical Laboratory Techniques |
| D019937 | Diagnostic Techniques and Procedures |
| D003933 | Diagnosis |
| D006652 | Histological Techniques |
| D008919 | Investigative Techniques |
| D007158 | Immunologic Techniques |
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