Ignite Creation Date:
2025-12-24 @ 4:55 PM
Ignite Modification Date:
2026-01-05 @ 6:01 PM
Study NCT ID:
NCT00991250
Status:
UNKNOWN
Last Update Posted:
2010-02-05
First Post:
2009-10-05
Is NOT Gene Therapy:
True
Has Adverse Events:
False
Brief Title:
SentoClone® Compared to Reference Treatment in Advanced Malignant Melanoma
Sponsor:
Organization:
Raw JSON
{'hasResults': False, 'derivedSection': {'miscInfoModule': {'versionHolder': '2025-12-24'}, 'conditionBrowseModule': {'meshes': [{'id': 'D008545', 'term': 'Melanoma'}], 'ancestors': [{'id': 'D018358', 'term': 'Neuroendocrine Tumors'}, {'id': 'D017599', 'term': 'Neuroectodermal Tumors'}, {'id': 'D009373', 'term': 'Neoplasms, Germ Cell and Embryonal'}, {'id': 'D009370', 'term': 'Neoplasms by Histologic Type'}, {'id': 'D009369', 'term': 'Neoplasms'}, {'id': 'D009380', 'term': 'Neoplasms, Nerve Tissue'}, {'id': 'D018326', 'term': 'Nevi and Melanomas'}, {'id': 'D012878', 'term': 'Skin Neoplasms'}, {'id': 'D009371', 'term': 'Neoplasms by Site'}, {'id': 'D012871', 'term': 'Skin Diseases'}, {'id': 'D017437', 'term': 'Skin and Connective Tissue Diseases'}]}, 'interventionBrowseModule': {'meshes': [{'id': 'D000077204', 'term': 'Temozolomide'}, {'id': 'D003606', 'term': 'Dacarbazine'}], 'ancestors': [{'id': 'D014226', 'term': 'Triazenes'}, {'id': 'D009930', 'term': 'Organic Chemicals'}, {'id': 'D007093', 'term': 'Imidazoles'}, {'id': 'D001393', 'term': 'Azoles'}, {'id': 'D006573', 'term': 'Heterocyclic Compounds, 1-Ring'}, {'id': 'D006571', 'term': 'Heterocyclic Compounds'}]}}, 'protocolSection': {'designModule': {'phases': ['PHASE2'], 'studyType': 'INTERVENTIONAL', 'designInfo': {'allocation': 'RANDOMIZED', 'maskingInfo': {'masking': 'NONE'}, 'primaryPurpose': 'TREATMENT', 'interventionModel': 'PARALLEL'}, 'enrollmentInfo': {'type': 'ESTIMATED', 'count': 140}}, 'statusModule': {'overallStatus': 'UNKNOWN', 'lastKnownStatus': 'RECRUITING', 'startDateStruct': {'date': '2009-10'}, 'expandedAccessInfo': {'hasExpandedAccess': False}, 'statusVerifiedDate': '2010-02', 'completionDateStruct': {'date': '2011-09', 'type': 'ESTIMATED'}, 'lastUpdateSubmitDate': '2010-02-04', 'studyFirstSubmitDate': '2009-10-05', 'studyFirstSubmitQcDate': '2009-10-06', 'lastUpdatePostDateStruct': {'date': '2010-02-05', 'type': 'ESTIMATED'}, 'studyFirstPostDateStruct': {'date': '2009-10-07', 'type': 'ESTIMATED'}, 'primaryCompletionDateStruct': {'date': '2011-09', 'type': 'ESTIMATED'}}, 'outcomesModule': {'primaryOutcomes': [{'measure': 'Tumour response rate, defined as complete response (CR) or partial response (PR) (i.e. at least partial response) measured using the RECIST (Response Evaluation Criteria in Solid Tumours) criteria.', 'timeFrame': 'At baseline and 18, 26 and 34 weeks after treatment'}], 'secondaryOutcomes': [{'measure': 'Progression-free survival', 'timeFrame': 'From baseline to week 34 after initiated treatment'}, {'measure': 'Overall survival', 'timeFrame': 'From baseline to week 34 after initiated treatment'}, {'measure': 'Time to tumour progression', 'timeFrame': 'From baseline to week 34 after initiated treatment'}, {'measure': 'Disease-free survival', 'timeFrame': 'From baseline to week 34 after initiated treatment'}, {'measure': 'Time to treatment failure', 'timeFrame': 'From baseline to week 34 after initiated treatment'}, {'measure': 'Duration of response', 'timeFrame': 'From baseline to week 34 after initiated treatment'}, {'measure': 'Correlation between tumour response and tumour marker S100', 'timeFrame': 'From baseline to week 34 after initiated treatment'}, {'measure': 'Proportion of patients showing toxic symptoms according to CTCAE criteria', 'timeFrame': 'From baseline to week 34 after initiated treatment'}, {'measure': 'Quality of life (EQ-5D and QLQ-C30)', 'timeFrame': 'From baseline to week 34 after initiated treatment'}, {'measure': 'Adverse Events (AEs) classified according to seriousness, causality, and intensity, clinically significant deviations in vital signs, clinical chemistry, and haematology', 'timeFrame': 'From baseline to week 34 after initiated treatment'}]}, 'oversightModule': {'oversightHasDmc': True}, 'conditionsModule': {'keywords': ['Malignant melanoma'], 'conditions': ['Malignant Melanoma']}, 'descriptionModule': {'briefSummary': 'The purpose of this study is to elucidate whether SentoClone® gives improved treatment responses in patients with advanced malignant melanoma in comparison to established reference treatment(s).', 'detailedDescription': 'Malignant melanoma is one of the most common cancer forms worldwide and WHO estimates 132,000 new cases each year. The incidence rate vary up to 150-fold between different regions and ethnicities, the highest rates are found in emigrated Caucasian populations (e.g. Australia and New Zealand).\n\nThere are few therapy alternatives for advanced malignant melanomas. At present, dacarbazine (Dacarbazine Medac®) is the most commonly used therapy. Immunotherapy with IL-2 and IFN is an alternative, but it is associated with multiple side effects. Hence, there remains a considerable need for alternative treatments.\n\nBy using SentoClone®, autologous tumour-reactive lymphocytes are expanded and infused to the patient, where they have the opportunity to seek out and attack the primary tumour and metastases. The first step is to identify the tumour draining lymph node(s), which is done in parallel to surgical resection of the primary tumour or metastasis. The sentinel and/or metinel node(s), the initial meeting place between tumour antigen and the immune system, are further dissected and collected during the surgery.\n\nIn this study SentoClone® will be compared with Dacarbazine Medac® and Temodal® which are currently regarded as standard first-line therapies in advanced malignant melanoma.'}, 'eligibilityModule': {'sex': 'ALL', 'stdAges': ['CHILD', 'ADULT', 'OLDER_ADULT'], 'healthyVolunteers': False, 'eligibilityCriteria': 'Inclusion Criteria\n\nTo be eligible for inclusion in this study, the patients must fulfil all of the following criteria:\n\n1. Surgically incurable stage III or IV malignant melanoma\n2. At least one measurable lesion\n3. WHO performance status 0-1\n4. Life expectancy \\> 3 months\n5. Diagnosed metastasis\n6. One tumour draining lymph node surgically accessible\n7. Measurable tumour manifestation after the harvest of tumour tissue and sentinel/metinel nodes(1)\n8. Signed informed consent\n\n(1) Should be fulfilled after surgery (visit 2) for patients randomised to SentoClone®.\n\nExclusion Criteria\n\nTo be eligible for inclusion in this study the patients must not meet any of the following criteria:\n\n1\\. Known allergy against used trace substance patent blue and/or albumin technetium (Nanocoll) 2. Known allergy against gentamicin and/or phenol red 3. Any condition (medical, social, psychological or legal) that influences adequate information negatively or is considered to be a problem for the patient to cope with treatment and follow-up 4. Aplastic anaemia or myelofibrosis 5. Previous treatment with temozolomide or dacarbazine, or any other chemotherapy during the last 3 months 6. Disease progression following treatment with temozolomide or dacarbazine more than 3 months back(1) 7. Previous radiotherapy of target lesion(s) or tumour draining lymph nodes which will be used for lymphocyte extraction(2) 8. Ongoing systemic steroid treatment or other treatment influencing immune defence 9. History of other malignant tumour disease apart from adequately treated basalioma or squamous cell carcinoma of the skin more than 5 years ago 10. Positive test(s) for HIV and/or Hepatitis B and/or Hepatitis C and/or syphilis 11. Condition or disease which could influence the result of the study or which indicates that the patient runs risks by participating in this study 12. Participation in any other clinical study, involving other investigational methods or products that may influence the results of this trial, within 30 days prior to participating in this trial\n\n1. Patients who responded on the treatment, terminated the treatment at least 3 months prior to the study, and later progressed do not fulfill exclusion criterion 6\n2. Irradiated lesions are not considered to be measurable and are therefore not suitable as target lesions. Lesions which have been irradiated but shown progression are considered as measurable.'}, 'identificationModule': {'nctId': 'NCT00991250', 'briefTitle': 'SentoClone® Compared to Reference Treatment in Advanced Malignant Melanoma', 'organization': {'class': 'INDUSTRY', 'fullName': 'SentoClone AB'}, 'officialTitle': 'A Multi-centre, Two-arm, Randomized, Open, Phase II Study Investigating SentoClone® Compared to Reference Treatment in Advanced Malignant Melanoma', 'orgStudyIdInfo': {'id': 'Mel-Swe-01 2009-12-17'}, 'secondaryIdInfos': [{'id': 'EudraCT No: 2008-007515-33'}]}, 'armsInterventionsModule': {'armGroups': [{'type': 'EXPERIMENTAL', 'label': 'SentoClone®', 'description': 'SentoClone®: Specific tumour-reactive lymphocytes located in lymph nodes directly draining primary tumours or metastases are identified and expanded. These lymphocytes are infused to the patient to treat metastatic disease.', 'interventionNames': ['Biological: SentoClone®']}, {'type': 'ACTIVE_COMPARATOR', 'label': 'Temodal® or Dacarbazine Medac®', 'description': 'To be decided by each centre as one of the following:\n\n1. Temodal® (temozolomide)\n2. Dacarbazine Medac® (dacarbazine) The reference treatment regimen should follow the general guiding principles for each of the two reference treatments.', 'interventionNames': ['Drug: Temodal® or Dacarbazine Medac®']}], 'interventions': [{'name': 'SentoClone®', 'type': 'BIOLOGICAL', 'description': 'SentoClone® are autologous tumour-reactive lymphocytes which are expanded and infused to the patient, where they have the opportunity to seek out and attack the primary tumour and metastases. The first step is to identify the tumour draining lymph node(s), which is done in parallel to surgical resection of the primary tumour or metastasis. The sentinel and/or metinel node(s), the initial meeting place between tumour antigen and the immune system, are further dissected and collected during the surgery. The lymphocytes are extracted from the collected lymph nodes and expanded in vitro, the lymphocytes are thereafter stimulated with tumour extract and returned to the patient intravenously as an autologous cell transfusion. The administered volume will be 100 ml for cell densities less than 3x106 cells/ml and 200 ml for cell densities of 3x106 cells/ml or more.', 'armGroupLabels': ['SentoClone®']}, {'name': 'Temodal® or Dacarbazine Medac®', 'type': 'DRUG', 'otherNames': ['DTIC', 'Dacarbazine', 'Temozolomide'], 'description': 'Dacarbazine (5-\\[3,3-Dimethyl-1-triazenyl\\]imidazole-4-carboxamide) is a widely used systemic treatment against advanced malignant melanoma. Dacarbazine is a cytostatic agent, which inhibits tumour growth by interfering with DNA-synthesises. The DNA-synthesis is inhibited by alkylation of the DNA molecule; however, it is unclear whether dacarbazine has other cytostatic impacts on cell mechanisms. Dacarbazine is inactive until liver passage, the liver converts dacarbazine to its reactive metabolites MTIC and HMMTIC, which alkylate DNA. Dacarbazine is light sensitive and needs to be administered intravenously.\n\nA newer analogue to dacarbazine, temozolomide (Temodal®), has been developed for oral administration. Temodal® is administered in capsules and is rapidly absorbed reaching peak concentrations after 20 minutes. Temodal® is converted to MTIC at physiological pH, the same reactive molecule as dacarbazine is metabolized to in the liver.', 'armGroupLabels': ['Temodal® or Dacarbazine Medac®']}]}, 'contactsLocationsModule': {'locations': [{'zip': '22185', 'city': 'Lund', 'state': 'Skåne County', 'status': 'RECRUITING', 'country': 'Sweden', 'contacts': [{'name': 'Christian Ingvar, MD', 'role': 'CONTACT', 'email': 'christian.ingvar@skane.se', 'phone': '+46 (0)46-17 10 00'}, {'name': 'Christian Ingvar, MD', 'role': 'PRINCIPAL_INVESTIGATOR'}], 'facility': 'Lunds Universitetssjukhus', 'geoPoint': {'lat': 55.70584, 'lon': 13.19321}}, {'zip': '11883', 'city': 'Stockholm', 'state': 'Stockholm County', 'status': 'RECRUITING', 'country': 'Sweden', 'contacts': [{'name': 'Peter Gillgren, MD', 'role': 'CONTACT', 'email': 'peter.gillgren@sodersjukhuset.se', 'phone': '+46 (0)8-616 23 84'}, {'name': 'Peter Gillgren, MD', 'role': 'PRINCIPAL_INVESTIGATOR'}], 'facility': 'Södersjukhuset', 'geoPoint': {'lat': 59.32938, 'lon': 18.06871}}, {'zip': '17176', 'city': 'Stockholm', 'state': 'Stockholm County', 'status': 'RECRUITING', 'country': 'Sweden', 'contacts': [{'name': 'Johan Hansson, MD', 'role': 'CONTACT', 'email': 'johan.hansson@karolinska.se', 'phone': '+46 (0)8-5177 36 40'}, {'name': 'Johan Hansson, MD', 'role': 'PRINCIPAL_INVESTIGATOR'}], 'facility': 'Karolinska Sjukhuset', 'geoPoint': {'lat': 59.32938, 'lon': 18.06871}}, {'zip': '90185', 'city': 'Umeå', 'state': 'Västerbotten County', 'status': 'RECRUITING', 'country': 'Sweden', 'contacts': [{'name': 'Peter Naredi, MD', 'role': 'CONTACT', 'email': 'peter.naredi@surgery.umu.se', 'phone': '+46 (0)90- 785 00 00'}, {'name': 'Peter Naredi, MD', 'role': 'PRINCIPAL_INVESTIGATOR'}], 'facility': 'Norrlands Universitetssjukhus', 'geoPoint': {'lat': 63.82842, 'lon': 20.25972}}, {'zip': '41685', 'city': 'Gothenburg', 'state': 'Västra Götaland County', 'status': 'NOT_YET_RECRUITING', 'country': 'Sweden', 'contacts': [{'name': 'Jan E Mattsson, MD', 'role': 'CONTACT', 'email': 'jan.e.mattsson@vgregion.se', 'phone': '+46 (0)31-342 84 58'}, {'name': 'Jan E Mattsson, MD', 'role': 'PRINCIPAL_INVESTIGATOR'}], 'facility': 'Sahlgrenska Universitetssjukhuset', 'geoPoint': {'lat': 57.70716, 'lon': 11.96679}}], 'overallOfficials': [{'name': 'Christian Ingvar, MD', 'role': 'PRINCIPAL_INVESTIGATOR', 'affiliation': 'Lund University Hospital'}]}, 'sponsorCollaboratorsModule': {'leadSponsor': {'name': 'SentoClone AB', 'class': 'INDUSTRY'}, 'responsibleParty': {'oldNameTitle': 'Freddi Lewin, Medical director', 'oldOrganization': 'SentoClone AB'}}}}