Vaccine Therapy in Treating Patients With Melanoma
Recruitment status was Active, not recruiting
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Purpose
RATIONALE: Vaccines made from peptides may make the body build an immune response to kill tumor cells. Giving booster vaccinations may make a stronger immune response and prevent or delay the recurrence of cancer.
PURPOSE: Phase I trial to study the effectiveness of booster vaccinations in preventing cancer recurrence in patients who have melanoma.
| Condition | Intervention | Phase |
|---|---|---|
|
Melanoma (Skin) |
Biological: HPV 16 E7:12-20 peptide vaccine Biological: gp100 antigen Biological: incomplete Freund's adjuvant Procedure: adjuvant therapy |
Phase 1 |
| Study Type: | Interventional |
| Study Design: | Masking: Open Label Primary Purpose: Treatment |
| Official Title: | A Pilot Study To Access The Immunologic Response To Booster Vaccination With A Modified gp100 Melanoma Peptide (209-2M) Vaccine In Previously Vaccinated HLA-A2.1+ Patients With Melanoma |
| Study Start Date: | October 2002 |
OBJECTIVES:
- Determine the toxicity of booster vaccination with gp100:209-217 (210M) peptide and HPV-16 E7 (12-20) peptide vaccine emulsified in Montanide ISA-51 administered at least 12 months after prior vaccination in patients with melanoma.
- Determine T-cell response to modified gp100: 209-217 (210M) peptide and unmodified native gp100 peptide in these patients.
- Determine T-cell response to the control HLA-A2-restricted CD8 epitope of HPV-16 E7 (12-20) peptide vaccine in these patients.
OUTLINE: Patients undergo leukapheresis on day 0. Patients receive vaccination comprising gp100:209-217 (210M) and HPV-16 E7 (12-20) peptide vaccine emulsified in Montanide ISA-51 subcutaneously (SC) on day 1 and between days 25-30 in the absence of disease progression or unacceptable toxicity. Patients undergo a second leukapheresis 2-4 weeks after the second vaccination.
Patients who remain disease free for 6 months after the second vaccination may receive additional booster vaccinations SC every 6 months for 3 years.
Patients are followed at 3 and 6 months after the second vaccination and then every 6 months thereafter.
PROJECTED ACCRUAL: A total of 30 patients will be accrued for this study within 1.5 years.
Eligibility| Ages Eligible for Study: | 16 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
DISEASE CHARACTERISTICS:
Completed treatment on PPMC-IRB-99-9*
- At least 12 months since last vaccination NOTE: *Patients are not required to have received every planned vaccine as long as the reason for stopping was not disease progression or dose-limiting toxicity
No current evidence of melanoma, as defined by one of the following:
- Disease-free since completion of PPMC-IRB-99-9
- Recurrence occurred but was completely resected
PATIENT CHARACTERISTICS:
Age
- Over 16
Performance status
- Karnofsky 80-100%
Life expectancy
- Not specified
Hematopoietic
- WBC at least 3,500/mm^3
- Platelet count at least 100,000/mm^3
- Hemoglobin at least 9 g/dL
Hepatic
- Bilirubin no greater than 2 mg/dL
Renal
- Creatinine no greater than 2 mg/dL
Other
- Not pregnant or nursing
- Negative pregnancy test
- Fertile patients must use effective contraception during and for at least 6 months after study participation
- No other concurrent medical or psychiatric illness that would preclude study participation
- No concurrent significant systemic infection
- No other concurrent cancer or at low risk for recurrence of prior cancers
PRIOR CONCURRENT THERAPY:
Biologic therapy
- See Disease Characteristics
Chemotherapy
- Not specified
Endocrine therapy
- No concurrent systemic corticosteroids for intercurrent illness
Radiotherapy
- Not specified
Surgery
- Recovered from prior major surgery
Contacts and Locations| United States, Oregon | |
| Earle A. Chiles Research Institute at Providence Portland Medical Center | |
| Portland, Oregon, United States, 97213-2967 | |
| Study Chair: | Walter J. Urba, MD, PhD | Providence Cancer Center, Earle A. Chiles Research Institute |
More Information
Additional Information:
No publications provided
| ClinicalTrials.gov Identifier: | NCT00052988 History of Changes |
| Other Study ID Numbers: | CDR0000258479, PPMC-IRB-02-63, NCI-5925 |
| Study First Received: | January 27, 2003 |
| Last Updated: | May 14, 2013 |
| Health Authority: | United States: Federal Government |
Keywords provided by National Cancer Institute (NCI):
|
stage I melanoma stage II melanoma stage III melanoma |
Additional relevant MeSH terms:
|
Melanoma Neuroendocrine Tumors Neuroectodermal Tumors Neoplasms, Germ Cell and Embryonal Neoplasms by Histologic Type Neoplasms Neoplasms, Nerve Tissue |
Nevi and Melanomas Adjuvants, Immunologic Freund's Adjuvant Immunologic Factors Physiological Effects of Drugs Pharmacologic Actions |
ClinicalTrials.gov processed this record on May 16, 2013