Immunotherapy of HLA-A2 Positive Stage III/IV Melanoma Patients

NCT ID: NCT00112229

Last Updated: 2013-04-22

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE1

Total Enrollment

29 participants

Study Classification

INTERVENTIONAL

Study Start Date

2003-04-30

Study Completion Date

2012-06-30

Brief Summary

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The purpose of this study is to determine whether vaccination with tumor antigenic peptides and both CpG and Montanide adjuvants can induce an immune response in melanoma patients and to assess the safety of this vaccination.

Detailed Description

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Immune therapy with tumor antigenic peptides is generally quite well tolerated. However, immune activation is often only weak or even undetectable, and clinical responses (supposedly corresponding to protective immunity) are unfortunately infrequent. Further progress is required to improve the vaccines, with the goal to increase the strength of immune activation.

The tumor antigenic peptides Melan-A/Mart-1 (EAA and ELA) and Tyrosinase (YMD) are combined with two drugs in this study, both of which are known to enhance immune responses: first, CpG 7909 oligodeoxynucleotides, and second, Montanide ISA-51.

* Group 1: vaccination with Melan-A analog peptide + CpG and Montanide adjuvants;
* Group 2: vaccination with Melan-A natural peptide + CpG and Montanide adjuvants;
* Group 3 : vaccination with Melan-A natural and Tyrosinase peptides + CpG and Montanide adjuvants;
* Group 4 : vaccination with Melan-A analog and Tyrosinase peptides + CpG and Montanide adjuvants.

Conditions

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Melanoma

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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group 1

Melan-A analog peptide + CpG + Montanide

Group Type EXPERIMENTAL

group 1

Intervention Type BIOLOGICAL

Melan-A analog peptide + CpG + Montanide

group 2

Melan-A natural peptide + CpG + Montanide

Group Type EXPERIMENTAL

group 2

Intervention Type BIOLOGICAL

Melan-A natural peptide + CpG + Montanide

group 3

Melan-A natural peptide + Tyrosinase YMD peptide + CpG + Montanide

Group Type EXPERIMENTAL

group 3

Intervention Type BIOLOGICAL

Melan-A natural peptide + Tyrosinase YMD peptide + CpG + Montanide

group 4

Melan-A analog peptide + Tyrosinase YMD peptide + CpG + Montanide

Group Type EXPERIMENTAL

group 4

Intervention Type BIOLOGICAL

Melan-A analog peptide + Tyrosinase YMD peptide + CpG + Montanide

Interventions

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group 1

Melan-A analog peptide + CpG + Montanide

Intervention Type BIOLOGICAL

group 2

Melan-A natural peptide + CpG + Montanide

Intervention Type BIOLOGICAL

group 3

Melan-A natural peptide + Tyrosinase YMD peptide + CpG + Montanide

Intervention Type BIOLOGICAL

group 4

Melan-A analog peptide + Tyrosinase YMD peptide + CpG + Montanide

Intervention Type BIOLOGICAL

Eligibility Criteria

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Inclusion Criteria

* Histologically confirmed stage III or stage IV melanoma
* Tumor expression of Melan-A +/- Tyrosinase
* Human leukocyte antigen-A2 (HLA-A2) positive

Exclusion Criteria

* Clinically significant heart disease
* Serious illnesses, eg, serious infections requiring antibiotics, bleeding disorders or uncontrolled peptic ulcer, or seizure or central nervous system disorders
* History of immunodeficiency disease or autoimmune disease
* Coagulation or bleeding disorders
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Ludwig Institute for Cancer Research

OTHER

Sponsor Role collaborator

Centre Hospitalier Universitaire Vaudois

OTHER

Sponsor Role lead

Responsible Party

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Prof Olivier Michielin, M.D., Ph.D.

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Olivier Michielin, MD

Role: PRINCIPAL_INVESTIGATOR

Ludwig Institute for Cancer Research

Locations

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Ludwig Institute for Cancer Research + Multidisciplinary Oncology Center at the Centre Hospitalier Universitaire Vaudois

Lausanne, Canton of Vaud, Switzerland

Site Status

Countries

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Switzerland

References

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Speiser DE, Lienard D, Rufer N, Rubio-Godoy V, Rimoldi D, Lejeune F, Krieg AM, Cerottini JC, Romero P. Rapid and strong human CD8+ T cell responses to vaccination with peptide, IFA, and CpG oligodeoxynucleotide 7909. J Clin Invest. 2005 Mar;115(3):739-46. doi: 10.1172/JCI23373.

Reference Type RESULT
PMID: 15696196 (View on PubMed)

Baumgaertner P, Jandus C, Rivals JP, Derre L, Lovgren T, Baitsch L, Guillaume P, Luescher IF, Berthod G, Matter M, Rufer N, Michielin O, Speiser DE. Vaccination-induced functional competence of circulating human tumor-specific CD8 T-cells. Int J Cancer. 2012 Jun 1;130(11):2607-17. doi: 10.1002/ijc.26297. Epub 2011 Aug 24.

Reference Type RESULT
PMID: 21796616 (View on PubMed)

Other Identifiers

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LUD 2000-018

Identifier Type: -

Identifier Source: org_study_id

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