Trial of Autologous, Hapten-Modified Vaccine in Patients With Stage III or IV Melanoma
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Purpose
The purpose of this study is to determine whether a vaccine composed of patients' own melanoma cells treated with the chemical, dinitrophenyl (DNP)(called a hapten), is safe and stimulates an immune response to patients' own cancer cells.
| Condition | Intervention | Phase |
|---|---|---|
|
Melanoma |
Biological: Autologous, DNP-modified vaccine (M-Vax) Biological: Autologous, DNP-Modified Melanoma Vaccine Biological: Autologous, DNP-Modified Vaccine |
Phase 1 Phase 2 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Parallel Assignment Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor) Primary Purpose: Treatment |
| Official Title: | M-Vax: A Feasibility and Bio-Equivalence Study Using a DNP-Modified Autologous Melanoma Tumor Cell Vaccine as Therapy in Patients With Stage III or IV Melanoma |
- Immune response to patients' own melanoma cells [ Time Frame: 2 months ] [ Designated as safety issue: No ]
- Safety [ Time Frame: 9 months ] [ Designated as safety issue: Yes ]
| Enrollment: | 82 |
| Study Start Date: | June 2005 |
| Study Completion Date: | June 2008 |
| Primary Completion Date: | June 2008 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: A
'Autologous, DNP-modified vaccine (M-Vax)'
|
Biological: Autologous, DNP-modified vaccine (M-Vax)
5.0, 2.5, 0.5, or 0 cells
Biological: Autologous, DNP-Modified Melanoma Vaccine
5 million cells
Other Name: MVax
|
|
Experimental: B
Autologous, DNP-Modified Vaccine (MVax)
|
Biological: Autologous, DNP-modified vaccine (M-Vax)
5.0, 2.5, 0.5, or 0 cells
Biological: Autologous, DNP-Modified Vaccine
2.5 million cells
Other Name: MVax
|
|
Experimental: C
Autologous, DNP-Modified Vaccine (MVax)
|
Biological: Autologous, DNP-modified vaccine (M-Vax)
5.0, 2.5, 0.5, or 0 cells
Biological: Autologous, DNP-Modified Vaccine
0.5 million cells
Other Name: MVax
|
|
Placebo Comparator: D
0 cells
|
Biological: Autologous, DNP-Modified Vaccine
0 cells
Other Name: MVax
|
Detailed Description:
Patients with stage III or IV melanoma need to have at least one tumor mass of at least 2.5 cm (about 1 inch) diameter than can be removed for vaccine production. If the vaccine is successfully made and if the patient is eligible, the patient will be assigned to receive one of 4 doses of the vaccine, include one group that will receive a zero dose. All patients will receive injections of their vaccine as part of immune system testing and will receive low dose cyclophosphamide and BCG. Eight injections of the vaccine will be administered as an injection into the skin of the arm over a 6 month period. Before and after vaccine administration, patients will be tested for immunity to their own melanoma cells by DTH testing, which is similar to a tuberculosis test. All side effects caused by the vaccine will be recorded.
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- stage III or IV melanoma at least one tumor mass of at least 2.5 cm diameter that can be excised to make vaccine good performance status
Exclusion Criteria:
- brain metastases need for steroids or other immunosuppressive drugs positive PPD tests positive test for HIV, hepatitis B (antigen), or hepatitis C other serious medical illnesses
Contacts and Locations| United States, Arizona | |
| University of Arizona Cancer Center | |
| Tucson, Arizona, United States | |
| United States, California | |
| Pacific Oncology and Hematology Associates | |
| San Diego, California, United States, 92024 | |
| United States, Illinois | |
| University of Illinois School of Medicine | |
| Chicago, Illinois, United States, 60612 | |
| United States, Kentucky | |
| University of Louisville | |
| Louisville, Kentucky, United States | |
| United States, Pennsylvania | |
| Hospital of the University of Pennsylvania | |
| Philadelphia, Pennsylvania, United States, 19104 | |
| Thomas Jefferson University | |
| Philadelphia, Pennsylvania, United States, 19107 | |
| United States, Texas | |
| MD Anderson Cancer Center | |
| Houston, Texas, United States, 77030 | |
| Principal Investigator: | David Berd, MD | AVAX Technologies |
More Information
Publications:
| Responsible Party: | AVAX Technologies |
| ClinicalTrials.gov Identifier: | NCT00257465 History of Changes |
| Other Study ID Numbers: | A/100/0401 |
| Study First Received: | November 22, 2005 |
| Last Updated: | December 1, 2011 |
| Health Authority: | United States: Food and Drug Administration |
Keywords provided by AVAX Technologies:
|
melanoma metastatic vaccine immunotherapy autologous |
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 |
ClinicalTrials.gov processed this record on May 22, 2013