Viewing Study NCT00022438



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Last Modification Date: 2024-10-26 @ 9:06 AM
Study NCT ID: NCT00022438
Status: COMPLETED
Last Update Posted: 2013-06-19
First Post: 2001-08-10

Brief Title: Vaccine Therapy With or Without Interleukin-2 in Treating Patients With Metastatic Melanoma That Has Not Responded to Previous Treatment
Sponsor: National Cancer Institute NCI
Organization: National Cancer Institute NCI

Study Overview

Official Title: Immunization of HLA-0201 Positive Patients With Metastatic Melanoma Using a Peptide From Tyrosinase-related Protein 2 TRP-2
Status: COMPLETED
Status Verified Date: 2004-07
Last Known Status: None
Delayed Posting: No
If Stopped, Why?: Not Stopped
Has Expanded Access: False
If Expanded Access, NCT#: N/A
Has Expanded Access, NCT# Status: N/A
Acronym: None
Brief Summary: RATIONALE Vaccines may make the body build an immune response to kill tumor cells Interleukin-2 may stimulate a persons white blood cells to kill tumor cells Combining vaccine therapy with interleukin-2 may be an effective treatment for metastatic melanoma

PURPOSE Randomized phase II trial to compare the effectiveness of vaccine therapy plus interleukin-2 to that of vaccine therapy alone in treating patients who have metastatic melanoma that has not responded to previous treatment
Detailed Description: OBJECTIVES

Determine the clinical responses in patients with HLA-A0201-positive refractory metastatic melanoma treated with tyrosinase-related protein-2180-188 peptide vaccine alone
Determine the clinical response rate of patients who have an immediate need to receive interleukin-2 IL-2 in addition to this vaccine
Compare the immunologic response in terms of changes in T-cell precursors before and after treatment in patients treated with this vaccine with or without IL-2
Compare the toxicity profile of these regimens in these patients

OUTLINE This is a randomized open-label study

Patients who need immediate interleukin-2 IL-2 receive tyrosinase-related protein-2 TRP-2180-188 peptide vaccine emulsified with Montanide ISA-51 on day 1 and high-dose IL-2 IV over 15 minutes once every 8 hours on days 2-5 Treatment repeats every 3 weeks for up to 4 courses in the absence of disease progression or unacceptable toxicity

Patients who do not need immediate IL-2 are randomized to 1 of 2 treatment arms

Arm I Patients receive TRP-2180-188 peptide vaccine emulsified with Montanide ISA-51 subcutaneously SC on day 1 Treatment repeats every 3 weeks for up to 4 courses in the absence of disease progression or unacceptable toxicity
Arm II Patients receive TRP-2180-188 peptide vaccine emulsified with Montanide ISA-51 SC once weekly on weeks 1-4 Treatment repeats every 7 weeks for up to 4 courses in the absence of disease progression or unacceptable toxicity

Patients who have a complete response CR receive 1 additional course after achieving CR Patients who have progressive disease while receiving vaccine alone may cross over to receive peptide vaccine with IL-2 for at least 2 courses

Patients are followed at 3 weeks

PROJECTED ACCRUAL A maximum of 83 patients 19-33 who need immediate interleukin-2 IL-2 15-25 per treatment arm who do not need immediate IL-2 will be accrued for this study within 1 year

Study Oversight

Has Oversight DMC:
Is a FDA Regulated Drug?:
Is a FDA Regulated Device?:
Is an Unapproved Device?:
Is a PPSD?:
Is a US Export?:
Is an FDA AA801 Violation?:
Secondary IDs
Secondary ID Type Domain Link
NCI-5369 None None None
NCI-01-C-0193 None None None