Study of NY-ESO-1 ISCOMATRIX® in Patients With High-risk, Resected Melanoma

NCT ID: NCT00199901

Last Updated: 2022-10-12

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

111 participants

Study Classification

INTERVENTIONAL

Study Start Date

2005-09-30

Study Completion Date

2011-12-31

Brief Summary

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The purpose of this trial is to assess whether treatment with NY-ESO-1 ISCOMATRIX® vaccine improves outcomes for people with Malignant Melanoma which has been removed, but is at high risk of relapse.

Detailed Description

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NY-ESO-1 protein is an immune target found in many cancers including melanoma. ISCOMATRIX® adjuvant enhances immune responses. This trial compares NY-ESO-1 ISCOMATRIX® vaccine with ISCOMATRIX® adjuvant alone to assess whether treatment with NY-ESO-1 ISCOMATRIX® vaccine improves outcomes for participants with Malignant Melanoma which has been removed, but is at high risk of recurrence.

Eligible participants are randomly allocated to a treatment arm. Treatment involves four intramuscular (into a muscle) injections (1 injection every 4 weeks x 3, plus 1 injection at 6 months).

Participants are assessed for recurrence of melanoma, safety and immune responses (by blood test) over the 18 month study period. Off study, their own doctor will follow them for melanoma recurrence and survival.

Conditions

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Melanoma

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Vaccine

NY-ESO-1 ISCOMATRIX® vaccine

Group Type ACTIVE_COMPARATOR

NY-ESO-1 ISCOMATRIX®

Intervention Type BIOLOGICAL

100 μg of NY-ESO-1 protein formulated with 120 μg of ISCOMATRIX® adjuvant.

Each patient will receive four intramuscular injections of NY-ESO-1 ISCOMATRIX® vaccine. The first three doses will be given at four-week intervals, days 1, 29, and 57, (± 3 days of scheduled date). The fourth injection will be given at month 6 (day 183 ± 3 days).

Adjuvant Alone

ISCOMATRIX® adjuvant alone

Group Type PLACEBO_COMPARATOR

ISCOMATRIX® adjuvant

Intervention Type BIOLOGICAL

120 μg of ISCOMATRIX® adjuvant

Each patient will receive four intramuscular injections of ISCOMATRIX® adjuvant alone. The first three doses will be given at four-week intervals, days 1, 29, and 57, (± 3 days of scheduled date). The fourth injection will be given at month 6 (day 183 ± 3 days).

Interventions

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NY-ESO-1 ISCOMATRIX®

100 μg of NY-ESO-1 protein formulated with 120 μg of ISCOMATRIX® adjuvant.

Each patient will receive four intramuscular injections of NY-ESO-1 ISCOMATRIX® vaccine. The first three doses will be given at four-week intervals, days 1, 29, and 57, (± 3 days of scheduled date). The fourth injection will be given at month 6 (day 183 ± 3 days).

Intervention Type BIOLOGICAL

ISCOMATRIX® adjuvant

120 μg of ISCOMATRIX® adjuvant

Each patient will receive four intramuscular injections of ISCOMATRIX® adjuvant alone. The first three doses will be given at four-week intervals, days 1, 29, and 57, (± 3 days of scheduled date). The fourth injection will be given at month 6 (day 183 ± 3 days).

Intervention Type BIOLOGICAL

Eligibility Criteria

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Inclusion Criteria

* Histologically proven malignant melanoma.
* Tumor expression of NY-ESO-1 antigen by immunohistochemistry.
* Fully resected AJCC stage IIc, IIIb, IIIc or IV melanoma.
* Within six months of surgery for melanoma.
* Full recovery from surgery.
* No immunotherapy or systemic adjuvant therapy for melanoma since most recent relapse and/or resection. (Previous adjuvant therapy accepted providing patient relapsed and resected after this.)
* Age 18 years or older.
* Able to give written informed consent.
* Vital laboratory parameters within normal range, or protocol specified ranges.

Exclusion Criteria

* Other serious or significant illnesses.
* Resected cerebral metastases.
* Ocular melanoma.
* Other malignancy within last 3 years, except for treated non-melanoma skin cancer and cervical cancer in situ.
* Using immunosuppressive drugs.
* Anticoagulation.
* Known HIV positivity.
* Chemotherapy or radiation therapy in last four weeks (6 weeks for nitrosourea drugs).
* Not available for immunological and clinical follow-up assessments.
* Participation in prior clinical trial involving an investigational agent within last 4 weeks.
* Previous isolated limb perfusion (ILP).
* Pregnancy or breastfeeding.
* Refusal or inability to use effective means of contraception for women of childbearing potential.
* Mental impairment that may compromise ability to give informed consent and to comply with study requirements.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Institute of Cancer Research, United Kingdom

OTHER

Sponsor Role collaborator

Ludwig Institute for Cancer Research

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Prof. Jonathan S Cebon, MBBS PhD

Role: STUDY_CHAIR

Ludwig Institute for Cancer Research

Prof. Martin Gore, MBBS PhD

Role: PRINCIPAL_INVESTIGATOR

The Royal Marsden Hospital

Locations

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Sydney Melanoma Unit - Royal Prince Alfred Hospital

Camperdown, New South Wales, Australia

Site Status

Newcastle Melanoma Unit - Newcastle Mater Misericordiae Hospital

Newcastle, New South Wales, Australia

Site Status

Mater Medical Centre, Princess Alexandra Hospital

Woolloongabba, Queensland, Australia

Site Status

Peter MacCallum Cancer Centre

East Melbourne, Victoria, Australia

Site Status

Austin Health (Ludwig Institute Oncology Unit)

Heidelberg, Victoria, Australia

Site Status

Sir Charles Gairdner Hospital

Nedlands, Western Australia, Australia

Site Status

University of Auckland (Waitemata DHB)

Auckland, , New Zealand

Site Status

University Hospital - Birmingham

Birmingham, , United Kingdom

Site Status

Addenbrooke's Hospital

Cambridge, , United Kingdom

Site Status

Western Infirmary

Glasgow, , United Kingdom

Site Status

St Georges Hospital

London, , United Kingdom

Site Status

Royal Marsden Hospital

London, , United Kingdom

Site Status

Mount Vernon Hospital

Northwood, , United Kingdom

Site Status

Weston Park Hospital

Sheffield, , United Kingdom

Site Status

Southampton University Hospitals

Southampton, , United Kingdom

Site Status

Countries

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Australia New Zealand United Kingdom

Other Identifiers

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LUD2003-009

Identifier Type: -

Identifier Source: org_study_id

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