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Tumor Infiltrating Lymphocytes Adjuvant Therapy of Melanoma (TIL)

Primary Purpose

Melanoma

Status
Completed
Phase
Phase 3
Locations
France
Study Type
Interventional
Intervention
TIL + IL2
Sponsored by
Nantes University Hospital
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Melanoma focused on measuring Adjuvant therapy, immunotherapy, TIL, melanoma

Eligibility Criteria

undefined - 75 Years (Child, Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria: Melanoma stage III (regional lymph node recurrence). Will be selected the patients with only one invaded lymph node confirmed by anatomopathological exam after lymph nodes excision. Absence of visceral metastases verified by physical examination, chest radiography, liver echography and brain-chest-liver CT-Scan. Age < 75 years, both genders ECOG 0-2, Karnofsky > 80%. Negative pregnancy test performed at the screening visit for fertile women. The potentially fertile women must use an oral contraception or an intra-uterine device (IUD) until three months following the last injection of the study treatment. The patients must have fully recovered from surgery. HIV 1/2: The patients must be negative for antibodies HIV 1 and HIV 2 and for Ag P24 or DGV HIV. HBV: The patients must be negative for the antigen, but can be positive for the antibodies but with a negative DNA PCR. HCV: The patients must be negative for the antibodies. HTLV ½: The patients must be negative for the antibodies. Following laboratory results: Hemoglobin: ≥ 10 g/dl WBC: ≥ 4000/µl Lymphocytes: ≥ 700/µl Platelet count: ≥ 100.000/µl Serum creatinine: < 2.0 mg/dl or £ 177 mmol/l Serum Bilirubin: < 2.0 mg/dl or £ 34.2 mmol/l ASAT and ALAT: < 2.5 x the upper limit of normal. Exclusion criteria: Patient with more than one invaded lymph node confirmed by anatomopathological exam. Presence of melanoma metastases discovered by clinical or radiological examination at the screening visit. Patients must not have received any Chemotherapy, immunotherapy or radiotherapy within the preceding 4 weeks (6 weeks since prior nitrosurea and mitomycin C therapies). Presence of cardiac affections (congestive cardiac insufficiency, coronaropathy, not controlled HTA). Any serious active medical illnesses, for example: Active systemic infections requiring of antibiotics, coagulation disorders or any other condition which requires concomitant medications not allowed during this study. Presence of the second active cancer other than surgically cured non-melanoma skin cancer or cervical carcinoma in-situ. Any affection requiring a systemic corticotherapy or a treatment by Interferon A. Any active auto-immune disease including the insulin-dependent diabetes or a immunodeficiency. The vitiligo is not an exclusion criteria. Thyroid dysfunction not responsive to therapy. Positive Serology for HIV, HVB, HVC or HTLV1/2. Woman pregnant or nursing or without an effective contraception. Incapacity to give written consent.

Sites / Locations

  • CHU Angers
  • CHU Caen
  • Grenoble University Hospital
  • CH Le Mans
  • Montpellier University Hospital
  • Nantes University Hospital
  • CHU Poitiers
  • CHU Rennes
  • CHRU Tours

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

No Intervention

Arm Label

TIL+IL2

control

Arm Description

TIL + IL2

Patients are not treated

Outcomes

Primary Outcome Measures

Determination of the duration of the relapse-free interval.
Physical examination, every 2 months until M18 then every 3 months until M36 then every 4 months up to 5 years, then once per year with a clinical examination only.
Abdominal echography will be performed at the screening visit, M4, M8, M12 and then every 6 months until 5ans.
CT-Scan will be performed before the first administration of study treatment (at the time of screening visit), every 6 months during 2 years and then every years up to 5 years.

Secondary Outcome Measures

Determine of overall survival
To define safety and toxicity of TIL/IL2 treatment
Evaluation of immunological responses
Analysis of the clinical, biological and histological factors on the survival of the patients

Full Information

First Posted
September 12, 2005
Last Updated
May 31, 2017
Sponsor
Nantes University Hospital
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1. Study Identification

Unique Protocol Identification Number
NCT00200577
Brief Title
Tumor Infiltrating Lymphocytes Adjuvant Therapy of Melanoma
Acronym
TIL
Official Title
TIL (Tumor Infiltrating Lymphocytes) and IL2 (Interleukin 2) Versus Abstention as Adjuvant Treatment in Melanoma With Only One Invaded Lymphnode After Lymphnodes Excision
Study Type
Interventional

2. Study Status

Record Verification Date
May 2017
Overall Recruitment Status
Completed
Study Start Date
May 2005 (undefined)
Primary Completion Date
March 2012 (Actual)
Study Completion Date
March 2012 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Nantes University Hospital

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The objective of this multicentric Phase III study is to confirm the results of the phase I-II study (Dreno B & Al. Cancer Immunol Immunother 2002; 51: 539-456) which demonstrated the preventive effect of a treatment by TIL (Tumor Infiltrating Lymphocytes) combined with IL2 (Interleukin 2; low dose injected subcutaneously) on the metastatic relapse in the stage III melanoma patients with only one invaded lymphnode.
Detailed Description
In this open, multicentric (Grenoble, Montpellier, Nantes, Angers, Caen, Le Mans, Poitiers, Rennes, Tours) randomized study, selected patients with only one invaded lymphnode confirmed by anatomopathological exam will be randomized to one of the following arms: 1-Control group: patients of this group will not receive any treatment and will have the same clinical follow-up as the treated group. 2- TIL-IL2 group: treated patients will receive two injections of TIL combined with IL2. Tumor Infiltrating Lymphocytes will be obtained from a small piece of tumour tissue removed from the invaded lymphnode after surgery. TIL will be grown in larger number in laboratory during 6 weeks. Patients randomized in treatment arm will receive two injection of TIL (the first about 6 and the second about 10 weeks post-surgery). Administration of TIL will be combined with a low dose of IL2 (6 million U.I. per day) injected subcutaneously from J1 to J5 and J8 to J12 following the day of TIL infusion. The same dose and duration of IL2 treatment will be used for the second injection of TIL performed one month later. After 2 months adjuvant therapy, patients received no other treatment. Only a regular follow-up was performed.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Melanoma
Keywords
Adjuvant therapy, immunotherapy, TIL, melanoma

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
70 (Actual)

8. Arms, Groups, and Interventions

Arm Title
TIL+IL2
Arm Type
Experimental
Arm Description
TIL + IL2
Arm Title
control
Arm Type
No Intervention
Arm Description
Patients are not treated
Intervention Type
Drug
Intervention Name(s)
TIL + IL2
Intervention Description
Patients are treated with 2 injections Of TIL (1st injection M1 and the second M2)The received concomitant IL2 at M1 and M2 on days Jo (injection TIL) to J5 and J8 to J12
Primary Outcome Measure Information:
Title
Determination of the duration of the relapse-free interval.
Time Frame
5 years
Title
Physical examination, every 2 months until M18 then every 3 months until M36 then every 4 months up to 5 years, then once per year with a clinical examination only.
Time Frame
every 2 months until M18then every 3 months until M36 then every 4 months up to 5 years
Title
Abdominal echography will be performed at the screening visit, M4, M8, M12 and then every 6 months until 5ans.
Time Frame
M4, M8, M12 and then every 6 months until 5ans.
Title
CT-Scan will be performed before the first administration of study treatment (at the time of screening visit), every 6 months during 2 years and then every years up to 5 years.
Time Frame
every 6 months during 2 years and then every years up to 5 years.
Secondary Outcome Measure Information:
Title
Determine of overall survival
Time Frame
5 years
Title
To define safety and toxicity of TIL/IL2 treatment
Time Frame
5 years
Title
Evaluation of immunological responses
Time Frame
M0, J56, M12
Title
Analysis of the clinical, biological and histological factors on the survival of the patients
Time Frame
at inclusion and each month

10. Eligibility

Sex
All
Maximum Age & Unit of Time
75 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Melanoma stage III (regional lymph node recurrence). Will be selected the patients with only one invaded lymph node confirmed by anatomopathological exam after lymph nodes excision. Absence of visceral metastases verified by physical examination, chest radiography, liver echography and brain-chest-liver CT-Scan. Age < 75 years, both genders ECOG 0-2, Karnofsky > 80%. Negative pregnancy test performed at the screening visit for fertile women. The potentially fertile women must use an oral contraception or an intra-uterine device (IUD) until three months following the last injection of the study treatment. The patients must have fully recovered from surgery. HIV 1/2: The patients must be negative for antibodies HIV 1 and HIV 2 and for Ag P24 or DGV HIV. HBV: The patients must be negative for the antigen, but can be positive for the antibodies but with a negative DNA PCR. HCV: The patients must be negative for the antibodies. HTLV ½: The patients must be negative for the antibodies. Following laboratory results: Hemoglobin: ≥ 10 g/dl WBC: ≥ 4000/µl Lymphocytes: ≥ 700/µl Platelet count: ≥ 100.000/µl Serum creatinine: < 2.0 mg/dl or £ 177 mmol/l Serum Bilirubin: < 2.0 mg/dl or £ 34.2 mmol/l ASAT and ALAT: < 2.5 x the upper limit of normal. Exclusion criteria: Patient with more than one invaded lymph node confirmed by anatomopathological exam. Presence of melanoma metastases discovered by clinical or radiological examination at the screening visit. Patients must not have received any Chemotherapy, immunotherapy or radiotherapy within the preceding 4 weeks (6 weeks since prior nitrosurea and mitomycin C therapies). Presence of cardiac affections (congestive cardiac insufficiency, coronaropathy, not controlled HTA). Any serious active medical illnesses, for example: Active systemic infections requiring of antibiotics, coagulation disorders or any other condition which requires concomitant medications not allowed during this study. Presence of the second active cancer other than surgically cured non-melanoma skin cancer or cervical carcinoma in-situ. Any affection requiring a systemic corticotherapy or a treatment by Interferon A. Any active auto-immune disease including the insulin-dependent diabetes or a immunodeficiency. The vitiligo is not an exclusion criteria. Thyroid dysfunction not responsive to therapy. Positive Serology for HIV, HVB, HVC or HTLV1/2. Woman pregnant or nursing or without an effective contraception. Incapacity to give written consent.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Brigitte DRENO, MD
Organizational Affiliation
Nantes University Hospital
Official's Role
Principal Investigator
Facility Information:
Facility Name
CHU Angers
City
Angers
Country
France
Facility Name
CHU Caen
City
Caen
Country
France
Facility Name
Grenoble University Hospital
City
Grenoble
Country
France
Facility Name
CH Le Mans
City
Le Mans
Country
France
Facility Name
Montpellier University Hospital
City
Montpellier
Country
France
Facility Name
Nantes University Hospital
City
Nantes
ZIP/Postal Code
44093
Country
France
Facility Name
CHU Poitiers
City
Poitiers
Country
France
Facility Name
CHU Rennes
City
Rennes
Country
France
Facility Name
CHRU Tours
City
Tours
Country
France

12. IPD Sharing Statement

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Tumor Infiltrating Lymphocytes Adjuvant Therapy of Melanoma

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