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CP-675,206 (CTLA4-Blocking Monoclonal Antibody) Combined With Dendritic Cell Vaccine Therapy in Treating Patients With Stage III or Stage IV Melanoma That Cannot Be Removed With Surgery

Primary Purpose

Melanoma (Skin)

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
maximum tolerated dose of anti-cytotoxic T-lymphocyte-associated antigen-4 monoclonal antibody
Sponsored by
Jonsson Comprehensive Cancer Center
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Melanoma (Skin) focused on measuring recurrent melanoma, stage III melanoma, stage IV melanoma

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria: Histologically confirmed cutaneous or mucosal melanoma, meeting criteria for 1 of the following: Unresectable stage III disease (locally relapsed unresectable, in-transit lesions, or unresectable draining nodes) Stage IV disease, metastatic to 1 of the following sites: Skin, subcutaneous tissues, or distant lymph nodes Lung Other visceral sites with lactic dehydrogenase ≤ 2 times upper limit of normal (unless due to liver stasis) De novo metastatic disease allowed provided patient refused any standard or approved stage-appropriate therapy for melanoma Measurable disease HLA-A2.1 positive (HLA-A*0201 by molecular subtyping) MART-1-expressing tumor by reverse transcription polymerase chain reaction or immunohistochemistry No symptomatic brain metastases and/or progression of CNS metastases within the past 4 weeks Age 18 and over Performance status ECOG 0-1 OR Karnofsky 70-100% HIV negative Negative pregnancy test Fertile patients must use effective barrier contraception during and for 3 months after study participation More than 30 days since prior immunotherapy for metastatic, relapsed, or primary melanoma More than 30 days since prior chemotherapy for metastatic, relapsed, or primary melanoma More than 4 weeks since prior corticosteroids More than 30 days since prior radiotherapy for metastatic, relapsed, or primary melanoma More than 30 days since prior surgery for metastatic, relapsed, or primary melanoma. More than 30 days since other prior therapy for metastatic, relapsed, or primary melanoma More than 14 days since prior anti-infective therapy More than 4 weeks since prior immune suppressive therapy (e.g., cyclosporine) Exclusion Criteria: chronic hepatitis B or C asthma inflammatory bowel disease celiac disease history of chronic colitis or other chronic gastrointestinal conditions associated with diarrhea or bleeding active chronic inflammatory or autoimmune disease, including any of the following: Psoriasis Rheumatoid arthritis Multiple sclerosis Hashimoto's thyroiditis Addison's disease Graves' disease Systemic lupus erythematosus active infection OR fever over 100° F within the past 3 days allergy to study drugs pregnant symptomatic seizures other medical problem that would preclude study participation prior melanoma immunotherapy containing MART-1 antigen prior anti-T-cell therapy prior anti-cytotoxic T-lymphocyte-associated antigen-4 monoclonal antibody (CP-675,206) organ allografts requiring long-term immune suppressive therapy

Sites / Locations

  • Jonsson Comprehensive Cancer Center at UCLA

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

CTLA4-Blocking Monoclonal Antibody

Arm Description

Outcomes

Primary Outcome Measures

Maximum tolerated dose of anti-cytotoxic T-lymphocyte-associated antigen-4 monoclonal antibody

Secondary Outcome Measures

Full Information

First Posted
September 7, 2004
Last Updated
July 30, 2020
Sponsor
Jonsson Comprehensive Cancer Center
Collaborators
Pfizer
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1. Study Identification

Unique Protocol Identification Number
NCT00090896
Brief Title
CP-675,206 (CTLA4-Blocking Monoclonal Antibody) Combined With Dendritic Cell Vaccine Therapy in Treating Patients With Stage III or Stage IV Melanoma That Cannot Be Removed With Surgery
Official Title
A Phase I, Open Label, Study To Evaluate The Safety And Immune Function Effects Of CP-675,206 In Combination With MART-1 Peptide-Pulsed Dendritic Cells In Patients With Advanced Melanoma
Study Type
Interventional

2. Study Status

Record Verification Date
August 2012
Overall Recruitment Status
Completed
Study Start Date
April 2004 (undefined)
Primary Completion Date
July 2008 (Actual)
Study Completion Date
October 2009 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Jonsson Comprehensive Cancer Center
Collaborators
Pfizer

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
RATIONALE: Biological therapies, such as CP-675,206, work in different ways to stimulate the immune system and stop tumor cells from growing. Vaccines may make the body build an immune response to kill tumor cells. Combining CP-675,206 with vaccine therapy may cause a stronger immune response and kill more tumor cells. PURPOSE: This phase I trial is studying the side effects and best dose of CP-675,206 when given with vaccine therapy in treating patients with stage III or stage IV melanoma that cannot be removed with surgery.
Detailed Description
OBJECTIVES: Primary Determine the safety and maximum tolerated dose of anti-cytotoxic T-lymphocyte-associated antigen-4 monoclonal antibody (CTLA4-blocking monoclonal antibody; CP-675,206) administered with autologous dendritic cells pulsed with MART-1 antigen in patients with unresectable stage III or stage IV melanoma. Determine the biological activity and immune effects of this regimen in these patients. Secondary Correlate CTLA4 genotype with safety of this regimen and/or immune response in these patients. Determine, preliminarily, the efficacy of this regimen, in terms of clinical benefit rate, in these patients. OUTLINE: This is an open-label, dose-escalation study of anti-cytotoxic T-lymphocyte-associated antigen-4 monoclonal antibody (CTLA4-blocking monoclonal antibody; CP-675,206). Patients receive CP-675,206 IV on days 0, 28, 60, and 90 and autologous dendritic cells pulsed with MART-1 antigen intradermally on days 0, 14, and 28. After day 120, patients with stable or responding disease may receive additional doses of CP-675,206 monthly in the absence of disease progression or unacceptable toxicity Cohorts of 3-6 patients receive escalating doses of CP-675,206 until the maximum tolerated dose (MTD) is determined. The MTD is defined as the dose preceding that at which 2 of 3 or 2 of 6 patients experience dose-limiting toxicity. Patients are followed every 3 months. PROJECTED ACCRUAL: A total of 3-21 patients will be accrued for this study within 3-10 months.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Melanoma (Skin)
Keywords
recurrent melanoma, stage III melanoma, stage IV melanoma

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
18 (Actual)

8. Arms, Groups, and Interventions

Arm Title
CTLA4-Blocking Monoclonal Antibody
Arm Type
Experimental
Intervention Type
Biological
Intervention Name(s)
maximum tolerated dose of anti-cytotoxic T-lymphocyte-associated antigen-4 monoclonal antibody
Primary Outcome Measure Information:
Title
Maximum tolerated dose of anti-cytotoxic T-lymphocyte-associated antigen-4 monoclonal antibody
Time Frame
3 months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Histologically confirmed cutaneous or mucosal melanoma, meeting criteria for 1 of the following: Unresectable stage III disease (locally relapsed unresectable, in-transit lesions, or unresectable draining nodes) Stage IV disease, metastatic to 1 of the following sites: Skin, subcutaneous tissues, or distant lymph nodes Lung Other visceral sites with lactic dehydrogenase ≤ 2 times upper limit of normal (unless due to liver stasis) De novo metastatic disease allowed provided patient refused any standard or approved stage-appropriate therapy for melanoma Measurable disease HLA-A2.1 positive (HLA-A*0201 by molecular subtyping) MART-1-expressing tumor by reverse transcription polymerase chain reaction or immunohistochemistry No symptomatic brain metastases and/or progression of CNS metastases within the past 4 weeks Age 18 and over Performance status ECOG 0-1 OR Karnofsky 70-100% HIV negative Negative pregnancy test Fertile patients must use effective barrier contraception during and for 3 months after study participation More than 30 days since prior immunotherapy for metastatic, relapsed, or primary melanoma More than 30 days since prior chemotherapy for metastatic, relapsed, or primary melanoma More than 4 weeks since prior corticosteroids More than 30 days since prior radiotherapy for metastatic, relapsed, or primary melanoma More than 30 days since prior surgery for metastatic, relapsed, or primary melanoma. More than 30 days since other prior therapy for metastatic, relapsed, or primary melanoma More than 14 days since prior anti-infective therapy More than 4 weeks since prior immune suppressive therapy (e.g., cyclosporine) Exclusion Criteria: chronic hepatitis B or C asthma inflammatory bowel disease celiac disease history of chronic colitis or other chronic gastrointestinal conditions associated with diarrhea or bleeding active chronic inflammatory or autoimmune disease, including any of the following: Psoriasis Rheumatoid arthritis Multiple sclerosis Hashimoto's thyroiditis Addison's disease Graves' disease Systemic lupus erythematosus active infection OR fever over 100° F within the past 3 days allergy to study drugs pregnant symptomatic seizures other medical problem that would preclude study participation prior melanoma immunotherapy containing MART-1 antigen prior anti-T-cell therapy prior anti-cytotoxic T-lymphocyte-associated antigen-4 monoclonal antibody (CP-675,206) organ allografts requiring long-term immune suppressive therapy
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Antoni Ribas, MD
Organizational Affiliation
Jonsson Comprehensive Cancer Center
Official's Role
Study Chair
Facility Information:
Facility Name
Jonsson Comprehensive Cancer Center at UCLA
City
Los Angeles
State/Province
California
ZIP/Postal Code
90095-1781
Country
United States

12. IPD Sharing Statement

Citations:
PubMed Identifier
20856802
Citation
Comin-Anduix B, Sazegar H, Chodon T, Matsunaga D, Jalil J, von Euw E, Escuin-Ordinas H, Balderas R, Chmielowski B, Gomez-Navarro J, Koya RC, Ribas A. Modulation of cell signaling networks after CTLA4 blockade in patients with metastatic melanoma. PLoS One. 2010 Sep 15;5(9):e12711. doi: 10.1371/journal.pone.0012711.
Results Reference
derived

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CP-675,206 (CTLA4-Blocking Monoclonal Antibody) Combined With Dendritic Cell Vaccine Therapy in Treating Patients With Stage III or Stage IV Melanoma That Cannot Be Removed With Surgery

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