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MAGE-A3 Antigen-Specific Cancer Immunotherapeutic in Patients With Progressive Metastatic Cutaneous Melanoma

Primary Purpose

Melanoma

Status
Terminated
Phase
Phase 2
Locations
International
Study Type
Interventional
Intervention
GSK Biologicals' Recombinant MAGE-A3 Antigen-Specific Cancer Immunotherapeutic (ASCI) GSK1203486A
Sponsored by
GlaxoSmithKline
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Melanoma focused on measuring metastatic,, Melanoma,, Antigen-Specific Cancer Immunotherapeutic,, ASCI, MAGE-A3, tumor antigen,

Eligibility Criteria

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

Inclusion Criteria:

  • Male or female patient with histologically proven, measurable metastatic cutaneous melanoma, and with documented progressive disease within the 12 weeks before the first administration of study treatment.
  • Written informed consent has been obtained from the patient before the performance of any protocol-specific procedure.
  • Patient is >= 18 years of age at the time of signature of the informed consent.
  • The patient's tumor shows expression of MAGE-A3 gene
  • ECOG performance status of 0 or 1.
  • The patient has normal organ functions
  • If the patient is female, she must be of non-childbearing potential, or if she is of childbearing potential, she must practice adequate contraception for 30 days prior to administration of study treatment, have a negative pregnancy test and continue such precautions during all study treatment period and for 2 months after completion of the injection series.
  • In the view of the investigator, the patient can and will comply with the requirements of the protocol.

Exclusion Criteria:

  • The patient has at any time received systemic (bio-)chemotherapy (except for isolated limb perfusion, as long as this was performed at least 4 weeks before first study treatment administration).
  • The patient is scheduled to receive any anti-cancer specific treatment, including radiotherapy, immunotherapy, chemotherapy and immunomodulating agents.
  • The patient requires concomitant treatment with systemic corticosteroids, or any other immunosuppressive agents.
  • The patient received any cancer immunotherapeutic containing a MAGE-A3 antigen or any cancer immunotherapeutic for his/her metastatic disease.
  • The patient has received any investigational or non-registered drug or vaccine other than the study medication within the 30 days preceding the first ASCI injection or it is planned that (s)he will receive such a drug during the study period.
  • The patient has (or has had) previous or concomitant malignancies at other sites, except effectively treated malignancy that is considered by the investigator highly likely to have been cured.
  • History of allergic disease or reactions likely to be exacerbated by any component of the study investigational product.
  • The patient has an autoimmune disease such as, but not limited to, multiple sclerosis, lupus, and inflammatory bowel disease. Patients with vitiligo are not excluded.
  • The patient has a family history of congenital or hereditary immunodeficiency.
  • The patient is known to be positive for the Human Immunodeficiency Virus (HIV).
  • The patient has psychiatric or addictive disorders that may compromise his/her ability to give informed consent, or to comply with the trial procedures.
  • The patient has concurrent severe medical problems, unrelated to the malignancy, that would significantly limit full compliance with the study or expose the patient to unacceptable risk.
  • For female patients: the patient is pregnant or lactating.

Sites / Locations

  • GSK Investigational Site
  • GSK Investigational Site
  • GSK Investigational Site
  • GSK Investigational Site
  • GSK Investigational Site
  • GSK Investigational Site

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

GSK1203486A Group

Arm Description

Patients received 4 cycles of MAGE-A3 product as follows: Cycle 1: 6 doses, each given at a 2-week interval, Cycle 2: 6 doses, each given at a 3-week interval Cycle 3: 4 doses, each given at a 6-week interval Cycle 4: 4 doses, each given at a 3-month interval followed by 4 doses, each given at a 6-month interval. The MAGE-A3 product was administered intramuscularly in the deltoid or lateral regions of the thighs, alternately on the right and left sides.

Outcomes

Primary Outcome Measures

Number of Subjects With Any Antigen-Specific Cancer Immunotherapeutic (ASCI) Related Grade 3/4 Adverse Events (AE)
The assessment was made as per the Common Terminology Criteria for Adverse Events (CTCAE) version 3.0, where Grade refers to the severity of the AE. The CTCAE version 3.0 displays Grades 1 through 5 with unique clinical descriptions of severity for each AE, as follows: Grade 1 = Mild AE; Grade 2 = Moderate AE; Grade 3 = Severe AE; Grade 4 = Life-threatening or disabling AE; Grade 5 = Death related to AE.
Number of Subjects With Any Serious Adverse Events (SAEs).
SAEs assessed include medical occurrences that result in death, are life threatening, require hospitalization or prolongation of hospitalization or result in disability/incapacity.
The Rate of Objective Clinical Response.

Secondary Outcome Measures

The Rate of Stable Disease.
The Rate of Mixed Response.
Time to Study Treatment Failure.
Progression-free Survival.
Progression-free Survival After Initial SPD.
Documentation of Any Toxicity.
Immunogenicity at Defined Time Points.

Full Information

First Posted
June 25, 2008
Last Updated
September 14, 2020
Sponsor
GlaxoSmithKline
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1. Study Identification

Unique Protocol Identification Number
NCT00706238
Brief Title
MAGE-A3 Antigen-Specific Cancer Immunotherapeutic in Patients With Progressive Metastatic Cutaneous Melanoma
Official Title
Study of GSK1203486A Antigen-Specific Cancer Immunotherapeutic in Patients With Unresectable and Progressive Metastatic Cutaneous Melanoma
Study Type
Interventional

2. Study Status

Record Verification Date
September 2020
Overall Recruitment Status
Terminated
Why Stopped
The study was terminated early due to difficulties in recruiting subjects, not following concerns for the safety or absence of clinical activity in patients.
Study Start Date
September 29, 2008 (Actual)
Primary Completion Date
January 19, 2011 (Actual)
Study Completion Date
January 19, 2011 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
GlaxoSmithKline

4. Oversight

5. Study Description

Brief Summary
This study is being done to evaluate the safety and the clinical activity of MAGE-A3 Antigen-Specific Cancer Immunotherapeutic in patients with unresectable and progressive metastatic cutaneous melanoma.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Melanoma
Keywords
metastatic,, Melanoma,, Antigen-Specific Cancer Immunotherapeutic,, ASCI, MAGE-A3, tumor antigen,

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
5 (Actual)

8. Arms, Groups, and Interventions

Arm Title
GSK1203486A Group
Arm Type
Experimental
Arm Description
Patients received 4 cycles of MAGE-A3 product as follows: Cycle 1: 6 doses, each given at a 2-week interval, Cycle 2: 6 doses, each given at a 3-week interval Cycle 3: 4 doses, each given at a 6-week interval Cycle 4: 4 doses, each given at a 3-month interval followed by 4 doses, each given at a 6-month interval. The MAGE-A3 product was administered intramuscularly in the deltoid or lateral regions of the thighs, alternately on the right and left sides.
Intervention Type
Biological
Intervention Name(s)
GSK Biologicals' Recombinant MAGE-A3 Antigen-Specific Cancer Immunotherapeutic (ASCI) GSK1203486A
Intervention Description
IM administration in the deltoid or lateral regions of the thighs, alternately on the right and left sides.
Primary Outcome Measure Information:
Title
Number of Subjects With Any Antigen-Specific Cancer Immunotherapeutic (ASCI) Related Grade 3/4 Adverse Events (AE)
Description
The assessment was made as per the Common Terminology Criteria for Adverse Events (CTCAE) version 3.0, where Grade refers to the severity of the AE. The CTCAE version 3.0 displays Grades 1 through 5 with unique clinical descriptions of severity for each AE, as follows: Grade 1 = Mild AE; Grade 2 = Moderate AE; Grade 3 = Severe AE; Grade 4 = Life-threatening or disabling AE; Grade 5 = Death related to AE.
Time Frame
During the entire study, up to 2.5 years per patient
Title
Number of Subjects With Any Serious Adverse Events (SAEs).
Description
SAEs assessed include medical occurrences that result in death, are life threatening, require hospitalization or prolongation of hospitalization or result in disability/incapacity.
Time Frame
During the entire study, up to 2.5 years per patient
Title
The Rate of Objective Clinical Response.
Time Frame
At the time of analysis.
Secondary Outcome Measure Information:
Title
The Rate of Stable Disease.
Time Frame
At the time of analysis.
Title
The Rate of Mixed Response.
Time Frame
At the time of analysis.
Title
Time to Study Treatment Failure.
Time Frame
At the time of analysis.
Title
Progression-free Survival.
Time Frame
At the time of analysis.
Title
Progression-free Survival After Initial SPD.
Time Frame
At the time of analysis.
Title
Documentation of Any Toxicity.
Time Frame
During the entire study, up to 2.5 years per patient
Title
Immunogenicity at Defined Time Points.
Time Frame
At 13 defined time points.

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Male or female patient with histologically proven, measurable metastatic cutaneous melanoma, and with documented progressive disease within the 12 weeks before the first administration of study treatment. Written informed consent has been obtained from the patient before the performance of any protocol-specific procedure. Patient is >= 18 years of age at the time of signature of the informed consent. The patient's tumor shows expression of MAGE-A3 gene ECOG performance status of 0 or 1. The patient has normal organ functions If the patient is female, she must be of non-childbearing potential, or if she is of childbearing potential, she must practice adequate contraception for 30 days prior to administration of study treatment, have a negative pregnancy test and continue such precautions during all study treatment period and for 2 months after completion of the injection series. In the view of the investigator, the patient can and will comply with the requirements of the protocol. Exclusion Criteria: The patient has at any time received systemic (bio-)chemotherapy (except for isolated limb perfusion, as long as this was performed at least 4 weeks before first study treatment administration). The patient is scheduled to receive any anti-cancer specific treatment, including radiotherapy, immunotherapy, chemotherapy and immunomodulating agents. The patient requires concomitant treatment with systemic corticosteroids, or any other immunosuppressive agents. The patient received any cancer immunotherapeutic containing a MAGE-A3 antigen or any cancer immunotherapeutic for his/her metastatic disease. The patient has received any investigational or non-registered drug or vaccine other than the study medication within the 30 days preceding the first ASCI injection or it is planned that (s)he will receive such a drug during the study period. The patient has (or has had) previous or concomitant malignancies at other sites, except effectively treated malignancy that is considered by the investigator highly likely to have been cured. History of allergic disease or reactions likely to be exacerbated by any component of the study investigational product. The patient has an autoimmune disease such as, but not limited to, multiple sclerosis, lupus, and inflammatory bowel disease. Patients with vitiligo are not excluded. The patient has a family history of congenital or hereditary immunodeficiency. The patient is known to be positive for the Human Immunodeficiency Virus (HIV). The patient has psychiatric or addictive disorders that may compromise his/her ability to give informed consent, or to comply with the trial procedures. The patient has concurrent severe medical problems, unrelated to the malignancy, that would significantly limit full compliance with the study or expose the patient to unacceptable risk. For female patients: the patient is pregnant or lactating.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
GSK Clinical Trials
Organizational Affiliation
GlaxoSmithKline
Official's Role
Study Director
Facility Information:
Facility Name
GSK Investigational Site
City
Caba
State/Province
Buenos Aires
ZIP/Postal Code
C1425DTG
Country
Argentina
Facility Name
GSK Investigational Site
City
Quilmes
State/Province
Buenos Aires
ZIP/Postal Code
1878
Country
Argentina
Facility Name
GSK Investigational Site
City
Rosario
State/Province
Santa Fe
ZIP/Postal Code
S2000KZE
Country
Argentina
Facility Name
GSK Investigational Site
City
Athens
ZIP/Postal Code
11527
Country
Greece
Facility Name
GSK Investigational Site
City
Athens
ZIP/Postal Code
185 47
Country
Greece
Facility Name
GSK Investigational Site
City
Oslo
ZIP/Postal Code
0310
Country
Norway

12. IPD Sharing Statement

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MAGE-A3 Antigen-Specific Cancer Immunotherapeutic in Patients With Progressive Metastatic Cutaneous Melanoma

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