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Safety, Immune and Tumor Response to a Multi-component Immune Based Therapy (MKC1106-MT) for Patients With Melanoma

Primary Purpose

Stage III Melanoma, Stage IV Melanoma

Status
Terminated
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
MKC1106-MT
Sponsored by
Mannkind Corporation
About
Eligibility
Locations
Outcomes
Full info

About this trial

This is an interventional treatment trial for Stage III Melanoma focused on measuring Cancer Vaccine, Immunotherapy, Melanoma

Eligibility Criteria

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

Inclusion Criteria:

  • Histologically confirmed diagnosis of regional or distant metastatic melanoma (stage IIIB, IIIC, or IV) confined to skin, subcutaneous tissue, or lymph nodes that is refractory to standard of care, or for which no curative standard therapy exists (Note: Subjects who are therapy-naïve will also be eligible.)
  • Measurable disease by the Response Evaluation Criteria in Solid Tumours (RECIST) 1.1 criteria
  • ECOG performance status of 0 or 1
  • Life expectancy > or = 3 months
  • 18 years of age or older at screening evaluation
  • Subjects must be able to provide informed consent for participation in the clinical trial before any protocol-specific clinical trial procedure is performed
  • Positive for HLA-A2 and, more precisely, for expression of A*0201 as assessed by DNA typing
  • Tumor material from prior biopsy/surgical resection available for analysis of expression of melanoma specific antigens
  • Adequate coagulation function as evidenced by prothrombin time (PT) and partial thromboplastin time (PTT) values within the normal range
  • Adequate bone marrow reserve as evidenced by Absolute neutrophil count (ANC) > or = 1,000/mL; platelet count > or = 75,000/mL
  • Subjects must have recovered to at least baseline or Grade 1 toxicity from the effects of any prior surgery, radiotherapy, or other therapies including but not limited to chemotherapy
  • Women of childbearing potential as well as fertile men and their partners must agree to use an effective method of contraception or to abstain from sexual intercourse during the clinical trial and for 90 days following the last dose of the investigational drug.
  • Subjects who have received local radiation therapy (less than one-fourth of bone marrow) are eligible.

Exclusion Criteria:

  • Subjects with visceral metastasis (Note: Subjects with stable CNS metastasis or fully treated CNS metastatic disease [eg, radiation therapy] are eligible.)
  • Active infection requiring treatment
  • Systemic inflammatory disease requiring chronic maintenance or suppressive therapy
  • Positive antibody test result for HIV, hepatitis B, or hepatitis C
  • History of allogeneic transplant
  • Medical, sociological, or psychological conditions that may compromise compliance or participation or that may interfere with the interpretation of the results
  • History of receiving immunosuppressive drugs within 1 month before dosing
  • Subjects who are lactating, pregnant, or planning to become pregnant within 3 months of completing treatment
  • Subjects who received an investigational drug within the 4 weeks before dosing
  • Prior systemic radiation therapy (more than one-fourth of bone marrow)

Sites / Locations

  • The Angeles Clinic and Research Institute
  • UCLA Medical Center
  • Martin Memorial
  • Nevada Cancer Institute

Outcomes

Primary Outcome Measures

To evaluate the objective response, where response is defined as either complete response (CR), partial response (PR), or stable disease (SD) for 12 weeks or longer (CR, PR, and SD are defined according to RECIST 1.1 criteria)

Secondary Outcome Measures

To assess clinical efficacy of MKC1106-MT in subjects with advanced melanoma measured at 6 months and 1 year by (1) time to progression, progression-free survival
To identify and characterize correlations between biological activity (immune response), target antigen expression and clinical efficacy.
To further assess the safety profile and tolerability

Full Information

First Posted
December 3, 2009
Last Updated
May 10, 2012
Sponsor
Mannkind Corporation
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1. Study Identification

Unique Protocol Identification Number
NCT01026051
Brief Title
Safety, Immune and Tumor Response to a Multi-component Immune Based Therapy (MKC1106-MT) for Patients With Melanoma
Official Title
A Phase 2, Open Label, Non-Randomized Study to Evaluate the Safety, Tolerability, Immune Response and Clinical Response of Multiple Doses of MKC1106-MT in Subjects With Advanced Melanoma
Study Type
Interventional

2. Study Status

Record Verification Date
May 2012
Overall Recruitment Status
Terminated
Why Stopped
Financial/Business Reasons
Study Start Date
October 2010 (undefined)
Primary Completion Date
September 2011 (Actual)
Study Completion Date
July 2012 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Mannkind Corporation

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The clinical trial is evaluating a multi-component active immunotherapy designed to stimulate an immune reaction to specific tumor associated antigens which are highly expressed on melanoma
Detailed Description
The multi-component active immunotherapy, MKC1106-MT, consists of 1 plasmid dose and 2 peptides doses designed to stimulate an immune reaction to two tumor associated antigens (Melan-A and tyrosinase). The plasmid component will be administered on Days 1, 4, 15 and 18 of each treatment cycle followed by administration of peptides on Days 29 and 32 of the treatment cycle. All components will be administered separately into non-diseased superficial inguinal lymph nodes under ultrasound guidance

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Stage III Melanoma, Stage IV Melanoma
Keywords
Cancer Vaccine, Immunotherapy, Melanoma

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

Intervention Type
Biological
Intervention Name(s)
MKC1106-MT
Intervention Description
Cancer Vaccine, Immunotherapy, Melanoma
Primary Outcome Measure Information:
Title
To evaluate the objective response, where response is defined as either complete response (CR), partial response (PR), or stable disease (SD) for 12 weeks or longer (CR, PR, and SD are defined according to RECIST 1.1 criteria)
Time Frame
12 Months
Secondary Outcome Measure Information:
Title
To assess clinical efficacy of MKC1106-MT in subjects with advanced melanoma measured at 6 months and 1 year by (1) time to progression, progression-free survival
Time Frame
12 Months
Title
To identify and characterize correlations between biological activity (immune response), target antigen expression and clinical efficacy.
Time Frame
12 months
Title
To further assess the safety profile and tolerability
Time Frame
12 months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Histologically confirmed diagnosis of regional or distant metastatic melanoma (stage IIIB, IIIC, or IV) confined to skin, subcutaneous tissue, or lymph nodes that is refractory to standard of care, or for which no curative standard therapy exists (Note: Subjects who are therapy-naïve will also be eligible.) Measurable disease by the Response Evaluation Criteria in Solid Tumours (RECIST) 1.1 criteria ECOG performance status of 0 or 1 Life expectancy > or = 3 months 18 years of age or older at screening evaluation Subjects must be able to provide informed consent for participation in the clinical trial before any protocol-specific clinical trial procedure is performed Positive for HLA-A2 and, more precisely, for expression of A*0201 as assessed by DNA typing Tumor material from prior biopsy/surgical resection available for analysis of expression of melanoma specific antigens Adequate coagulation function as evidenced by prothrombin time (PT) and partial thromboplastin time (PTT) values within the normal range Adequate bone marrow reserve as evidenced by Absolute neutrophil count (ANC) > or = 1,000/mL; platelet count > or = 75,000/mL Subjects must have recovered to at least baseline or Grade 1 toxicity from the effects of any prior surgery, radiotherapy, or other therapies including but not limited to chemotherapy Women of childbearing potential as well as fertile men and their partners must agree to use an effective method of contraception or to abstain from sexual intercourse during the clinical trial and for 90 days following the last dose of the investigational drug. Subjects who have received local radiation therapy (less than one-fourth of bone marrow) are eligible. Exclusion Criteria: Subjects with visceral metastasis (Note: Subjects with stable CNS metastasis or fully treated CNS metastatic disease [eg, radiation therapy] are eligible.) Active infection requiring treatment Systemic inflammatory disease requiring chronic maintenance or suppressive therapy Positive antibody test result for HIV, hepatitis B, or hepatitis C History of allogeneic transplant Medical, sociological, or psychological conditions that may compromise compliance or participation or that may interfere with the interpretation of the results History of receiving immunosuppressive drugs within 1 month before dosing Subjects who are lactating, pregnant, or planning to become pregnant within 3 months of completing treatment Subjects who received an investigational drug within the 4 weeks before dosing Prior systemic radiation therapy (more than one-fourth of bone marrow)
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Chief Scientific Officer
Organizational Affiliation
Mannkind Corporation
Official's Role
Study Chair
Facility Information:
Facility Name
The Angeles Clinic and Research Institute
City
Los Angeles
State/Province
California
ZIP/Postal Code
90025
Country
United States
Facility Name
UCLA Medical Center
City
Los Angeles
State/Province
California
ZIP/Postal Code
90034
Country
United States
Facility Name
Martin Memorial
City
Stuart
State/Province
Florida
ZIP/Postal Code
34994
Country
United States
Facility Name
Nevada Cancer Institute
City
Las Vegas
State/Province
Nevada
ZIP/Postal Code
89135
Country
United States

12. IPD Sharing Statement

Learn more about this trial

Safety, Immune and Tumor Response to a Multi-component Immune Based Therapy (MKC1106-MT) for Patients With Melanoma

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