Trial Outcomes & Findings for Aldesleukin With or Without Vaccine Therapy in Treating Patients With Locally Advanced or Metastatic Melanoma (NCT NCT00019682)

NCT ID: NCT00019682

Last Updated: 2017-11-20

Results Overview

A complete response (CR) was defined as the disappearance of all clinical evidence of disease for at least 4 weeks. A partial response (PR) was defined as a 50% or greater decrease in the sum of the products of perpendicular diameters of all measurable lesions for at least one month. No new lesions could appear, and none could increase 25% or more.

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

185 participants

Primary outcome timeframe

Up to 12 years

Results posted on

2017-11-20

Participant Flow

Participant milestones

Participant milestones
Measure
Arm I (Aldesleukin)
Patients receive aldesleukin IV over 15 minutes every 8 hours for 12 doses. Treatment repeats every 3 weeks for 2 courses in the absence of disease progression or unacceptable toxicity. Patients with stable or responding disease 3 weeks after completing 2 courses may receive a maximum of 12 additional courses. Patients with complete response may receive a maximum of 2 additional courses. Aldesleukin: Given IV Quality-of-Life Assessment: Ancillary studies Questionnaire Administration: Ancillary studies Laboratory Biomarker Analysis: Correlative studies
Arm II (gp100 Antigen in Montanide IDA-51 and Aldesleukin)
Patients receive gp100 antigen emulsified in Montanide ISA-51 SC on day 1. Patients also receive aldesleukin as in Arm I beginning on day 2. Treatment repeats every 3 weeks for 2 courses in the absence of disease progression or unacceptable toxicity. Patients with stable or responding disease 3 weeks after completing 2 courses may receive a maximum of 12 additional courses. Patients with complete response may receive a maximum of 2 additional courses. Aldesleukin: Given IV gp100 Antigen: Given SC Montanide ISA 51 VG: Given SC Quality-of-Life Assessment: Ancillary studies Questionnaire Administration: Ancillary studies Laboratory Biomarker Analysis: Correlative studies
Overall Study
STARTED
94
91
Overall Study
COMPLETED
93
85
Overall Study
NOT COMPLETED
1
6

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Aldesleukin With or Without Vaccine Therapy in Treating Patients With Locally Advanced or Metastatic Melanoma

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Arm I (Aldesleukin)
n=94 Participants
Patients receive aldesleukin IV over 15 minutes every 8 hours for 12 doses. Treatment repeats every 3 weeks for 2 courses in the absence of disease progression or unacceptable toxicity. Patients with stable or responding disease 3 weeks after completing 2 courses may receive a maximum of 12 additional courses. Patients with complete response may receive a maximum of 2 additional courses. Aldesleukin: Given IV Quality-of-Life Assessment: Ancillary studies Questionnaire Administration: Ancillary studies Laboratory Biomarker Analysis: Correlative studies
Arm II (gp100 Antigen in Montanide IDA-51 and Aldesleukin)
n=91 Participants
Patients receive gp100 antigen emulsified in Montanide ISA-51 SC on day 1. Patients also receive aldesleukin as in Arm I beginning on day 2. Treatment repeats every 3 weeks for 2 courses in the absence of disease progression or unacceptable toxicity. Patients with stable or responding disease 3 weeks after completing 2 courses may receive a maximum of 12 additional courses. Patients with complete response may receive a maximum of 2 additional courses. Aldesleukin: Given IV gp100 Antigen: Given SC Montanide ISA 51 VG: Given SC Quality-of-Life Assessment: Ancillary studies Questionnaire Administration: Ancillary studies Laboratory Biomarker Analysis: Correlative studies
Total
n=185 Participants
Total of all reporting groups
Age, Continuous
50.3 years
n=5 Participants
46.9 years
n=7 Participants
48.6 years
n=5 Participants
Sex: Female, Male
Female
31 Participants
n=5 Participants
34 Participants
n=7 Participants
65 Participants
n=5 Participants
Sex: Female, Male
Male
63 Participants
n=5 Participants
57 Participants
n=7 Participants
120 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
White
93 Participants
n=5 Participants
91 Participants
n=7 Participants
184 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Up to 12 years

A complete response (CR) was defined as the disappearance of all clinical evidence of disease for at least 4 weeks. A partial response (PR) was defined as a 50% or greater decrease in the sum of the products of perpendicular diameters of all measurable lesions for at least one month. No new lesions could appear, and none could increase 25% or more.

Outcome measures

Outcome measures
Measure
Arm I (Aldesleukin)
n=93 Participants
Patients receive aldesleukin IV over 15 minutes every 8 hours for 12 doses. Treatment repeats every 3 weeks for 2 courses in the absence of disease progression or unacceptable toxicity. Patients with stable or responding disease 3 weeks after completing 2 courses may receive a maximum of 12 additional courses. Patients with complete response may receive a maximum of 2 additional courses. Aldesleukin: Given IV Quality-of-Life Assessment: Ancillary studies Questionnaire Administration: Ancillary studies Laboratory Biomarker Analysis: Correlative studies
Arm II (gp100 Antigen in Montanide IDA-51 and Aldesleukin)
n=85 Participants
Patients receive gp100 antigen emulsified in Montanide ISA-51 SC on day 1. Patients also receive aldesleukin as in Arm I beginning on day 2. Treatment repeats every 3 weeks for 2 courses in the absence of disease progression or unacceptable toxicity. Patients with stable or responding disease 3 weeks after completing 2 courses may receive a maximum of 12 additional courses. Patients with complete response may receive a maximum of 2 additional courses. Aldesleukin: Given IV gp100 Antigen: Given SC Montanide ISA 51 VG: Given SC Quality-of-Life Assessment: Ancillary studies Questionnaire Administration: Ancillary studies Laboratory Biomarker Analysis: Correlative studies
Best Response Rate (Partial Response [PR] + Complete Response [CR])
6 Participants
14 Participants

SECONDARY outcome

Timeframe: From the date of randomization until documentation of progression or last follow up, assessed up to 12 years

Progression free survival was compared between groups by means of Kaplan-Meier curves using the log-rank test to evaluate the significance of the difference between the arms.

Outcome measures

Outcome measures
Measure
Arm I (Aldesleukin)
n=94 Participants
Patients receive aldesleukin IV over 15 minutes every 8 hours for 12 doses. Treatment repeats every 3 weeks for 2 courses in the absence of disease progression or unacceptable toxicity. Patients with stable or responding disease 3 weeks after completing 2 courses may receive a maximum of 12 additional courses. Patients with complete response may receive a maximum of 2 additional courses. Aldesleukin: Given IV Quality-of-Life Assessment: Ancillary studies Questionnaire Administration: Ancillary studies Laboratory Biomarker Analysis: Correlative studies
Arm II (gp100 Antigen in Montanide IDA-51 and Aldesleukin)
n=91 Participants
Patients receive gp100 antigen emulsified in Montanide ISA-51 SC on day 1. Patients also receive aldesleukin as in Arm I beginning on day 2. Treatment repeats every 3 weeks for 2 courses in the absence of disease progression or unacceptable toxicity. Patients with stable or responding disease 3 weeks after completing 2 courses may receive a maximum of 12 additional courses. Patients with complete response may receive a maximum of 2 additional courses. Aldesleukin: Given IV gp100 Antigen: Given SC Montanide ISA 51 VG: Given SC Quality-of-Life Assessment: Ancillary studies Questionnaire Administration: Ancillary studies Laboratory Biomarker Analysis: Correlative studies
Progression Free Survival
1.6 months
Interval 1.5 to 1.8
2.2 months
Interval 1.7 to 3.9

SECONDARY outcome

Timeframe: Baseline to up to 12 years

Population: All patients with paired cryopreserved peripheral blood lymphocytes obtained before any treatment and after completing 4 cycles of treatment.

To measure change in T-cell precursors, PBMC were tested for reactivity by measuring gamma-interferon release after overnight coculture with peptide pulsed T2 cells. PBMC obtained after 4 cycles of study treatment were compared to pre treatment PBMC. A positive assay was defined as greater than 100pg/ml gamma-interferon release and at least twice the release (including all control peptides) by post treatment PBMC compared to pre treatment PBMC.

Outcome measures

Outcome measures
Measure
Arm I (Aldesleukin)
n=12 Participants
Patients receive aldesleukin IV over 15 minutes every 8 hours for 12 doses. Treatment repeats every 3 weeks for 2 courses in the absence of disease progression or unacceptable toxicity. Patients with stable or responding disease 3 weeks after completing 2 courses may receive a maximum of 12 additional courses. Patients with complete response may receive a maximum of 2 additional courses. Aldesleukin: Given IV Quality-of-Life Assessment: Ancillary studies Questionnaire Administration: Ancillary studies Laboratory Biomarker Analysis: Correlative studies
Arm II (gp100 Antigen in Montanide IDA-51 and Aldesleukin)
n=37 Participants
Patients receive gp100 antigen emulsified in Montanide ISA-51 SC on day 1. Patients also receive aldesleukin as in Arm I beginning on day 2. Treatment repeats every 3 weeks for 2 courses in the absence of disease progression or unacceptable toxicity. Patients with stable or responding disease 3 weeks after completing 2 courses may receive a maximum of 12 additional courses. Patients with complete response may receive a maximum of 2 additional courses. Aldesleukin: Given IV gp100 Antigen: Given SC Montanide ISA 51 VG: Given SC Quality-of-Life Assessment: Ancillary studies Questionnaire Administration: Ancillary studies Laboratory Biomarker Analysis: Correlative studies
Change in T-cell Precursors
0 Participants with a positive assay
7 Participants with a positive assay

SECONDARY outcome

Timeframe: Baseline to up to 8 weeks

QOL was measured before and after 2 cycles of treatment using 4 measures: FACT-G is a 27 item measure of QOL. A total score is calculated by summing across responses on a 5 point scale and ranges from 0-135, with higher scores indicating better QOL. FACT-F is 13 item measure of fatigue. A total score is calculated by summing across responses on a 5 point scale. Total score ranges from 0-52, with higher scores indicating less fatigue. SF-36 is a 36 item measure of self-reported health status. SF-36 is comprised of 8 subscales: physical function, role physical, bodily pain vitality, role emotional function, mental health, social function and general health. Summated scores range from 0-100, with higher scores indicating a better health state. SDS is a 13 item measure of symptom distress. A total score is calculated by summing across responses on a 5 point scale. Total score ranges from 13 to 65, with higher scores indicating more symptom distress.

Outcome measures

Outcome measures
Measure
Arm I (Aldesleukin)
n=93 Participants
Patients receive aldesleukin IV over 15 minutes every 8 hours for 12 doses. Treatment repeats every 3 weeks for 2 courses in the absence of disease progression or unacceptable toxicity. Patients with stable or responding disease 3 weeks after completing 2 courses may receive a maximum of 12 additional courses. Patients with complete response may receive a maximum of 2 additional courses. Aldesleukin: Given IV Quality-of-Life Assessment: Ancillary studies Questionnaire Administration: Ancillary studies Laboratory Biomarker Analysis: Correlative studies
Arm II (gp100 Antigen in Montanide IDA-51 and Aldesleukin)
n=85 Participants
Patients receive gp100 antigen emulsified in Montanide ISA-51 SC on day 1. Patients also receive aldesleukin as in Arm I beginning on day 2. Treatment repeats every 3 weeks for 2 courses in the absence of disease progression or unacceptable toxicity. Patients with stable or responding disease 3 weeks after completing 2 courses may receive a maximum of 12 additional courses. Patients with complete response may receive a maximum of 2 additional courses. Aldesleukin: Given IV gp100 Antigen: Given SC Montanide ISA 51 VG: Given SC Quality-of-Life Assessment: Ancillary studies Questionnaire Administration: Ancillary studies Laboratory Biomarker Analysis: Correlative studies
Change in Quality of Life (QOL) Score Assessed by the FACT-G (Functional Assessment of Cancer Therapy- General), FACT-F (Functional Assessment of Cancer Therapy- Fatigue), SF-36 (Short Form 36) and SDS (Symptom Distress Scale)
Pre treatment FACT-G
84.2 units on a scale
Standard Error 2.77
83.8 units on a scale
Standard Error 2.74
Change in Quality of Life (QOL) Score Assessed by the FACT-G (Functional Assessment of Cancer Therapy- General), FACT-F (Functional Assessment of Cancer Therapy- Fatigue), SF-36 (Short Form 36) and SDS (Symptom Distress Scale)
Post treatment FACT-G
76.4 units on a scale
Standard Error 2.75
81.2 units on a scale
Standard Error 2.71
Change in Quality of Life (QOL) Score Assessed by the FACT-G (Functional Assessment of Cancer Therapy- General), FACT-F (Functional Assessment of Cancer Therapy- Fatigue), SF-36 (Short Form 36) and SDS (Symptom Distress Scale)
Pre treatment FACT-F
43.1 units on a scale
Standard Error 1.47
41.5 units on a scale
Standard Error 1.42
Change in Quality of Life (QOL) Score Assessed by the FACT-G (Functional Assessment of Cancer Therapy- General), FACT-F (Functional Assessment of Cancer Therapy- Fatigue), SF-36 (Short Form 36) and SDS (Symptom Distress Scale)
Post treatment FACT-F
36.1 units on a scale
Standard Error 1.78
36.3 units on a scale
Standard Error 1.73
Change in Quality of Life (QOL) Score Assessed by the FACT-G (Functional Assessment of Cancer Therapy- General), FACT-F (Functional Assessment of Cancer Therapy- Fatigue), SF-36 (Short Form 36) and SDS (Symptom Distress Scale)
Pre treatment SF-36
49.1 units on a scale
Standard Error 1.93
46.6 units on a scale
Standard Error 1.85
Change in Quality of Life (QOL) Score Assessed by the FACT-G (Functional Assessment of Cancer Therapy- General), FACT-F (Functional Assessment of Cancer Therapy- Fatigue), SF-36 (Short Form 36) and SDS (Symptom Distress Scale)
Post treatment SF-36
42.6 units on a scale
Standard Error 1.94
42.9 units on a scale
Standard Error 1.89
Change in Quality of Life (QOL) Score Assessed by the FACT-G (Functional Assessment of Cancer Therapy- General), FACT-F (Functional Assessment of Cancer Therapy- Fatigue), SF-36 (Short Form 36) and SDS (Symptom Distress Scale)
Pre treatment SDS
21.3 units on a scale
Standard Error 1.05
21.2 units on a scale
Standard Error 1.05
Change in Quality of Life (QOL) Score Assessed by the FACT-G (Functional Assessment of Cancer Therapy- General), FACT-F (Functional Assessment of Cancer Therapy- Fatigue), SF-36 (Short Form 36) and SDS (Symptom Distress Scale)
Post treatment SDS
24.6 units on a scale
Standard Error 1.17
22.8 units on a scale
Standard Error 1.17

Adverse Events

Arm I (Aldesleukin)

Serious events: 1 serious events
Other events: 93 other events
Deaths: 0 deaths

Arm II (gp100 Antigen in Montanide IDA-51 and Aldesleukin)

Serious events: 2 serious events
Other events: 85 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Arm I (Aldesleukin)
n=93 participants at risk
Patients receive aldesleukin IV over 15 minutes every 8 hours for 12 doses. Treatment repeats every 3 weeks for 2 courses in the absence of disease progression or unacceptable toxicity. Patients with stable or responding disease 3 weeks after completing 2 courses may receive a maximum of 12 additional courses. Patients with complete response may receive a maximum of 2 additional courses. Aldesleukin: Given IV Quality-of-Life Assessment: Ancillary studies Questionnaire Administration: Ancillary studies Laboratory Biomarker Analysis: Correlative studies
Arm II (gp100 Antigen in Montanide IDA-51 and Aldesleukin)
n=85 participants at risk
Patients receive gp100 antigen emulsified in Montanide ISA-51 SC on day 1. Patients also receive aldesleukin as in Arm I beginning on day 2. Treatment repeats every 3 weeks for 2 courses in the absence of disease progression or unacceptable toxicity. Patients with stable or responding disease 3 weeks after completing 2 courses may receive a maximum of 12 additional courses. Patients with complete response may receive a maximum of 2 additional courses. Aldesleukin: Given IV gp100 Antigen: Given SC Montanide ISA 51 VG: Given SC Quality-of-Life Assessment: Ancillary studies Questionnaire Administration: Ancillary studies Laboratory Biomarker Analysis: Correlative studies
General disorders
Death
1.1%
1/93
NCI Common Toxicity Criteria Version 2.0 were used for adverse event monitoring. For reporting purposes the individual toxicities were grouped under their respective headings.
2.4%
2/85
NCI Common Toxicity Criteria Version 2.0 were used for adverse event monitoring. For reporting purposes the individual toxicities were grouped under their respective headings.

Other adverse events

Other adverse events
Measure
Arm I (Aldesleukin)
n=93 participants at risk
Patients receive aldesleukin IV over 15 minutes every 8 hours for 12 doses. Treatment repeats every 3 weeks for 2 courses in the absence of disease progression or unacceptable toxicity. Patients with stable or responding disease 3 weeks after completing 2 courses may receive a maximum of 12 additional courses. Patients with complete response may receive a maximum of 2 additional courses. Aldesleukin: Given IV Quality-of-Life Assessment: Ancillary studies Questionnaire Administration: Ancillary studies Laboratory Biomarker Analysis: Correlative studies
Arm II (gp100 Antigen in Montanide IDA-51 and Aldesleukin)
n=85 participants at risk
Patients receive gp100 antigen emulsified in Montanide ISA-51 SC on day 1. Patients also receive aldesleukin as in Arm I beginning on day 2. Treatment repeats every 3 weeks for 2 courses in the absence of disease progression or unacceptable toxicity. Patients with stable or responding disease 3 weeks after completing 2 courses may receive a maximum of 12 additional courses. Patients with complete response may receive a maximum of 2 additional courses. Aldesleukin: Given IV gp100 Antigen: Given SC Montanide ISA 51 VG: Given SC Quality-of-Life Assessment: Ancillary studies Questionnaire Administration: Ancillary studies Laboratory Biomarker Analysis: Correlative studies
Blood and lymphatic system disorders
Blood or bone marrow
35.5%
33/93
NCI Common Toxicity Criteria Version 2.0 were used for adverse event monitoring. For reporting purposes the individual toxicities were grouped under their respective headings.
48.2%
41/85
NCI Common Toxicity Criteria Version 2.0 were used for adverse event monitoring. For reporting purposes the individual toxicities were grouped under their respective headings.
Cardiac disorders
Arrhythmia
4.3%
4/93
NCI Common Toxicity Criteria Version 2.0 were used for adverse event monitoring. For reporting purposes the individual toxicities were grouped under their respective headings.
18.8%
16/85
NCI Common Toxicity Criteria Version 2.0 were used for adverse event monitoring. For reporting purposes the individual toxicities were grouped under their respective headings.
Cardiac disorders
General
26.9%
25/93
NCI Common Toxicity Criteria Version 2.0 were used for adverse event monitoring. For reporting purposes the individual toxicities were grouped under their respective headings.
36.5%
31/85
NCI Common Toxicity Criteria Version 2.0 were used for adverse event monitoring. For reporting purposes the individual toxicities were grouped under their respective headings.
General disorders
Constitutional symptoms
16.1%
15/93
NCI Common Toxicity Criteria Version 2.0 were used for adverse event monitoring. For reporting purposes the individual toxicities were grouped under their respective headings.
28.2%
24/85
NCI Common Toxicity Criteria Version 2.0 were used for adverse event monitoring. For reporting purposes the individual toxicities were grouped under their respective headings.
Skin and subcutaneous tissue disorders
Skin
6.5%
6/93
NCI Common Toxicity Criteria Version 2.0 were used for adverse event monitoring. For reporting purposes the individual toxicities were grouped under their respective headings.
7.1%
6/85
NCI Common Toxicity Criteria Version 2.0 were used for adverse event monitoring. For reporting purposes the individual toxicities were grouped under their respective headings.
Gastrointestinal disorders
Gastrointestinal
18.3%
17/93
NCI Common Toxicity Criteria Version 2.0 were used for adverse event monitoring. For reporting purposes the individual toxicities were grouped under their respective headings.
21.2%
18/85
NCI Common Toxicity Criteria Version 2.0 were used for adverse event monitoring. For reporting purposes the individual toxicities were grouped under their respective headings.
Hepatobiliary disorders
Hepatic
38.7%
36/93
NCI Common Toxicity Criteria Version 2.0 were used for adverse event monitoring. For reporting purposes the individual toxicities were grouped under their respective headings.
40.0%
34/85
NCI Common Toxicity Criteria Version 2.0 were used for adverse event monitoring. For reporting purposes the individual toxicities were grouped under their respective headings.
Infections and infestations
Infection or febrile neutropenia
6.5%
6/93
NCI Common Toxicity Criteria Version 2.0 were used for adverse event monitoring. For reporting purposes the individual toxicities were grouped under their respective headings.
8.2%
7/85
NCI Common Toxicity Criteria Version 2.0 were used for adverse event monitoring. For reporting purposes the individual toxicities were grouped under their respective headings.
Metabolism and nutrition disorders
Metabolic or laboratory-testing result
20.4%
19/93
NCI Common Toxicity Criteria Version 2.0 were used for adverse event monitoring. For reporting purposes the individual toxicities were grouped under their respective headings.
42.4%
36/85
NCI Common Toxicity Criteria Version 2.0 were used for adverse event monitoring. For reporting purposes the individual toxicities were grouped under their respective headings.
Musculoskeletal and connective tissue disorders
Musculoskeletal
3.2%
3/93
NCI Common Toxicity Criteria Version 2.0 were used for adverse event monitoring. For reporting purposes the individual toxicities were grouped under their respective headings.
7.1%
6/85
NCI Common Toxicity Criteria Version 2.0 were used for adverse event monitoring. For reporting purposes the individual toxicities were grouped under their respective headings.
Nervous system disorders
Neurologic
11.8%
11/93
NCI Common Toxicity Criteria Version 2.0 were used for adverse event monitoring. For reporting purposes the individual toxicities were grouped under their respective headings.
25.9%
22/85
NCI Common Toxicity Criteria Version 2.0 were used for adverse event monitoring. For reporting purposes the individual toxicities were grouped under their respective headings.
Respiratory, thoracic and mediastinal disorders
Pulmonary
20.4%
19/93
NCI Common Toxicity Criteria Version 2.0 were used for adverse event monitoring. For reporting purposes the individual toxicities were grouped under their respective headings.
22.4%
19/85
NCI Common Toxicity Criteria Version 2.0 were used for adverse event monitoring. For reporting purposes the individual toxicities were grouped under their respective headings.
General disorders
Pain
10.8%
10/93
NCI Common Toxicity Criteria Version 2.0 were used for adverse event monitoring. For reporting purposes the individual toxicities were grouped under their respective headings.
12.9%
11/85
NCI Common Toxicity Criteria Version 2.0 were used for adverse event monitoring. For reporting purposes the individual toxicities were grouped under their respective headings.
Renal and urinary disorders
Renal or genitourinary
15.1%
14/93
NCI Common Toxicity Criteria Version 2.0 were used for adverse event monitoring. For reporting purposes the individual toxicities were grouped under their respective headings.
18.8%
16/85
NCI Common Toxicity Criteria Version 2.0 were used for adverse event monitoring. For reporting purposes the individual toxicities were grouped under their respective headings.

Additional Information

Dr Douglas Schwartzentruber

Indiana University Health

Phone: 317-948-6873

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place

Restriction type: LTE60