Efficacy and Safety Study of Talimogene Laherparepvec Compared to Granulocyte Macrophage Colony Stimulating Factor (GM-CSF) in Melanoma
Melanoma

About this trial
This is an interventional treatment trial for Melanoma focused on measuring Melanoma, OncoVEX^GM-CSF, GM-CSF, Stage IIIb, IIIc and IV Disease, oncolytic, OncoVex, T-Vec, talimogene laherparepvec
Eligibility Criteria
Inclusion Criteria:
- Males or females age ≥ 18 years
- Stage IIIb, IIIc or stage IV disease that is not surgically resectable
- Injectable disease (i.e. suitable for direct injection or through the use of ultrasound guidance)
- At least 1 injectable cutaneous, subcutaneous or nodal melanoma lesion >= 10 mm in longest diameter or, multiple injectable melanoma lesions which in aggregate have a longest diameter of >= 10 mm
- Serum lactate dehydrogenase (LDH) levels less than 1.5 x upper limit of normal (ULN)
- Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1
- Prolongation in International Normalized Ratio (INR), Prothrombin Time (PT), and Partial Thromboplastin Time (PTT) when the result is from therapeutic anticoagulation treatment are permitted for patients whose injectable lesions are cutaneous and/or subcutaneous such that direct pressure could be applied in the event of excessive bleeding
Exclusion Criteria:
- Clinically active cerebral or any bone metastases. Patients with up to 3 (neurological performance status of 0) cerebral metastases may be enrolled, provided that all lesions have been adequately treated with stereotactic radiation therapy, craniotomy, gammaknife therapy, with no evidence of progression, and have not required steroids, for at least two (2) months prior to randomization
- Greater than 3 visceral metastases (this does not include lung metastases or nodal metastases associated with visceral organs). For patients with < 3 visceral metastases, no lesion > 3 cm, and liver lesions must meet Response Evaluation Criteria In Solid Tumors (RECIST) criteria for stable disease for at least 1 month prior to randomization
Sites / Locations
- University of Arizona Cancer Center
- University of Arkansas for Medical Sciences
- University of California San Diego, Moores Cancer Center
- UCLA Medical Center
- San Francisco Oncology Associates
- Northern California Melanoma Center, St. Mary's Medical Center
- John Wayne Cancer Institute
- Redwood Regional Medical Group Inc, North Bay Melanoma Program
- University of Colorado Cancer Center
- Baptist Cancer Institute
- Lakeland Regional Cancer Center
- Mount Sinai Medical Center CCOP
- University of Miami
- MD Anderson Cancer Center Orlando
- H. Lee Moffitt Cancer Center
- Palm Beach Cancer Institute
- Emory University
- Rush University Medical Center
- Cancer Care Center at Lutheran General Hospital
- Indiana University
- Investigative Clinical Research of Indiana
- University of Iowa Hospitals & Clinics
- University of Kansas Medical Center
- James Graham Brown Cancer Center
- Massachusetts General Hospital Cancer Center
- Hubert H Humphrey Cancer Center
- Mayo Clinic
- Kansas City Cancer Center
- Washington University School of Medicine
- St. Louis University Hospital
- Methodist Estabrook Cancer Center
- Mountainside Hospital
- New Mexico Cancer Care Alliance
- Roswell Park Cancer Institute
- Columbia Medical University
- Mount Sinai School of Medicine
- University of North Carolina At Chapel Hill School of Medicine
- Duke University Medical Center
- Wake Forest University School of Medicine
- Gabrail Cancer Center
- Barrett Cancer Center
- Cleveland Clinic Foundation, Taussig Cancer Center
- Earle A Chiles Research Institute, Providence Cancer Center
- St Luke's Hospital & Health Network
- Thomas Jefferson University
- Rhode Island Hospital
- Medical University of South Carolina
- Institute for Translational Oncology Research
- Vanderbilt Ingram Cancer Center
- Texas Cancer Center, Abilene
- Mary Crowley Medical Research Center
- University of Texas - MD Anderson
- Texas Oncology, Allison Cancer Center
- Intermountain Medical Center
- Huntsman Cancer Institute
- Oncology and Hematology Associates of Southwest Virginia, Inc.
- Aurora/St. Luke's Medical Center
- Cross Cancer Institute
- Princess Margaret Hospital
- Jewish General Hospital
- GVI Oncology
- Dr. Fourie & Bonnet
- Medical Oncology Centre of Rosebank
- Wits Donald Gordon Clinical Trial Site
- University of Pretoria
- Mary Potter Oncology Centre
- Hopelands Cancer Centre
- Wilgers Oncology Center
- GVI Onocology Clinical Trials Unit
- GVI Oncology Centre
- University of Birmingham
- Addenbrookes Hospital
- Broomfield Hospital
- St. James's University Hospital
- Leicester Royal Infirmary
- Royal Free Hospital
- St. George's University of London
- Royal Marsden Hospital
- Freeman Hospital
- Nottingham City Hospital
- Churchill Hospital
- Southampton General Hospital
- Clatterbridge Centre for Oncology
Arms of the Study
Arm 1
Arm 2
Active Comparator
Experimental
GM-CSF
Talimogene Laherparepvec
Granulocyte macrophage colony-stimulating factor (GM-CSF) was administered at a dose of 125 μg/m²/day subcutaneously for 14 days, followed by a 14-day rest period for 24 weeks. Participants could continue treatment until clinically relevant disease progression, intolerability, withdrawal of consent, complete remission, or lack of response by 12 months, for a maximum of 18 months.
Participants received talimogene laherparepvec on Days 1 and 15 of each 28-day cycle for 24 weeks. The initial dose of talimogene laherparepvec was at a concentration of 10⁶ plaque forming units (PFU)/mL, injected into 1 or more skin, subcutaneous or nodal tumors. Subsequent doses began at least 3 weeks after the first dose and consisted of talimogene laherparepvec at a concentration of 10⁸ PFU/mL. Participants could continue treatment until clinically relevant disease progression, intolerability, withdrawal of consent, complete remission, lack of response by 12 months, or disappearance of all injectable lesions, for a maximum of 18 months.