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Phase II Study of Immunization Using gp100:44-59, gp100:209-217 (210M), and MART-1:26-35 (27L) Antigen Peptides in HLA-DRB1*0401 Positive Patients With Metastatic Melanoma
Alternate Title Basic Trial Information Objectives Entry Criteria Expected Enrollment Outline Related Publications Trial Contact Information Registry Information
Alternate Title
Vaccine Therapy in Treating Patients With Metastatic Melanoma
Basic Trial Information
Phase | Type | Status | Age | Protocol IDs |
---|
Phase II | Treatment | Completed | 16 and over | NCI-99-C-0159 NCI-T99-0079, T99-0079, NCT00019994 |
Objectives - Determine the clinical response to immunization using gp100:44-59 antigen peptide plus gp100:209-217 (210M) and MART-1:26-35 (27L) antigen peptides in patients with metastatic melanoma who are HLA-DRB1*0401 and HLA-A0201 positive.
- Determine the clinical response to immunization using gp100:44-59 antigen peptide alone in patients with metastatic melanoma who are HLA-DRB1*0401 positive but HLA-A0201 negative.
- Determine the immunologic response in patients treated with these regimens as measured by changes in T-cell precursors from before to after treatment.
- Evaluate the toxicity profiles of these regimens in these patients.
Entry Criteria Disease Characteristics:
- Histologically proven metastatic melanoma that has failed standard
treatment
- HLA-DRB1*0401 positive
- Known HLA-A0201 status
Prior/Concurrent Therapy:
Biologic therapy: - No prior immunization to the entire gp100 molecule
- At least 3 weeks since prior gp100:209-217 antigen peptide
- At least 3 weeks since other prior biologic therapy
Chemotherapy: - At least 3 weeks since prior chemotherapy
Endocrine therapy: - At least 3 weeks since prior endocrine therapy
- No concurrent steroid therapy
Radiotherapy: - At least 3 weeks since prior radiotherapy
Surgery: - Prior surgery for cancer allowed
Other: - At least 3 weeks since any prior therapy except surgery for
cancer
Patient Characteristics:
Age: Performance status: Life expectancy: Hematopoietic: - WBC at least 3,000/mm3
- Platelet count at least 90,000/mm3
Hepatic: - Bilirubin no greater than 2.0 mg/dL
- AST or ALT less than 3 times normal
- Hepatitis B surface antigen negative
Renal: - Creatinine no greater than 2.0 mg/dL
Cardiovascular: - No symptomatic cardiac disease
Immunologic: - No autoimmune disease
- No primary or secondary immunodeficiency disease
- HIV negative
Other: - Not pregnant or nursing
- Negative pregnancy test
- Fertile patients must use effective contraception
- No active systemic infection
Expected Enrollment A total of 45-75 patients (15-25 per immunization group) will be accrued for
this study within 2 years. Outline Patients are assigned to one of three immunization groups based on
HLA-A0201 status and prior gp100:209-217 (210M) antigen peptide
immunization: - Group 1 (HLA-A0201 positive and no prior gp100:209-217 [210M] antigen
peptide): Patients receive gp100:44-59 and gp100:209-217 (210M) antigen
peptides emulsified together in Montanide ISA-51 (ISA-51) subcutaneously (SC)
and gp100:44-59 and MART-1:26-35 (27L) antigen peptides emulsified together in
ISA-51 SC.
- Group 2 (HLA-A0201 positive and prior gp100:209-217 [210M] antigen
peptide): Patients receive treatment as in group 1.
- Group 3 (HLA-A0201 negative and no prior gp100:209-217 [210M] antigen
peptide): Patients receive gp100:44-59 antigen peptide emulsified in ISA-51 SC
alone.
- All groups: Treatment repeats every 3 weeks for 4 doses in the absence
of disease progression or unacceptable toxicity. Patients with complete
response after 4 doses receive a maximum of 2 additional doses. Patients with
stable disease or minor, mixed, or partial response after 4 doses receive a
maximum of 12 additional doses. Patients with no response after 4 doses
receive immunization with the same peptides and interleukin-2 IV over 15
minutes every 8 hours for a maximum of 12 doses beginning 1 day after each
immunization.
Patients are followed at 3-4 weeks. Related PublicationsPhan GQ, Touloukian CE, Yang JC, et al.: Immunization of patients with metastatic melanoma using both class I- and class II-restricted peptides from melanoma-associated antigens. J Immunother 26 (4): 349-56, 2003 Jul-Aug.[PUBMED Abstract]
Trial Contact Information
Trial Lead Organizations NCI - Center for Cancer Research ![](https://webarchive.library.unt.edu/eot2008/20090513014919im_/http://www.cancer.gov/images/spacer.gif) | ![](https://webarchive.library.unt.edu/eot2008/20090513014919im_/http://www.cancer.gov/images/spacer.gif) | ![](https://webarchive.library.unt.edu/eot2008/20090513014919im_/http://www.cancer.gov/images/spacer.gif) | Steven Rosenberg, MD, PhD, Protocol chair | ![](https://webarchive.library.unt.edu/eot2008/20090513014919im_/http://www.cancer.gov/images/spacer.gif) | | ![](https://webarchive.library.unt.edu/eot2008/20090513014919im_/http://www.cancer.gov/images/spacer.gif) |
Registry Information | ![](https://webarchive.library.unt.edu/eot2008/20090513014919im_/http://www.cancer.gov/images/spacer.gif) | Official Title | | Immunization of Patients with Metastatic Melanoma Using a Class II Restricted Peptide from the GP100 Antigen and Class I Restricted Peptides from the GP100 and MART-1 Antigens | ![](https://webarchive.library.unt.edu/eot2008/20090513014919im_/http://www.cancer.gov/images/spacer.gif) | Trial Start Date | | 1999-10-21 | ![](https://webarchive.library.unt.edu/eot2008/20090513014919im_/http://www.cancer.gov/images/spacer.gif) | Registered in ClinicalTrials.gov | | NCT00019994 | ![](https://webarchive.library.unt.edu/eot2008/20090513014919im_/http://www.cancer.gov/images/spacer.gif) | Date Submitted to PDQ | | 1999-10-27 | ![](https://webarchive.library.unt.edu/eot2008/20090513014919im_/http://www.cancer.gov/images/spacer.gif) | Information Last Verified | | 2003-03-14 |
Note: The purpose of most clinical trials listed in this database is to test new cancer treatments, or new methods of diagnosing, screening, or preventing cancer. Because all potentially harmful side effects are not known before a trial is conducted, dose and schedule modifications may be required for participants if they develop side effects from the treatment or test. The therapy or test described in this clinical trial is intended for use by clinical oncologists in carefully structured settings, and may not prove to be more effective than standard treatment. A responsible investigator associated with this clinical trial should be consulted before using this protocol. Back to Top |
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