Tumor Infiltrating Lymphocytes Adjuvant Therapy of Melanoma (TIL)
Melanoma

About this trial
This is an interventional treatment trial for Melanoma focused on measuring Adjuvant therapy, immunotherapy, TIL, melanoma
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.
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
Experimental
No Intervention
TIL+IL2
control
TIL + IL2
Patients are not treated