Trial Outcomes & Findings for Chemotherapy, Irradiation, Cell Infusions, and Interleukin-2 to Treat Metastatic Melanoma (NCT NCT00314106)

NCT ID: NCT00314106

Last Updated: 2012-10-18

Results Overview

Determine if the combination of high dose aldesleukin, reinfused cells after lymphocyte depleting chemotherapy and 1200 cGy total body irradiation (TBI) is able to be associated with a modest fraction of patients with metastatic melanoma who can experience a complete response to therapy. Complete response (CR) is a disappearance of all target lesions.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

26 participants

Primary outcome timeframe

33 months

Results posted on

2012-10-18

Participant Flow

Participant milestones

Participant milestones
Measure
TBI 1200 cGy + TIL +HD IL-2, Prior IL-2
Patients that received prior interleukin 2 (IL-2) therapy will receive a myeloablative lymphocyte depleting preparative regimen consisting of cyclophosphamide (60 mg/kg/day x 2 days intravenous (IV)), fludarabine (25mg/m\^2/day IV X 5 days) and 1200 cGy total body irradiation (TBI). Following the lymphodepleting regimen, patient will receive intravenous adoptive transfer of tumor reactive lymphocytes (minimum 3 X 10 (9) and up to a maximum of 3 X 10(11) lymphocytes) followed by high-dose intravenous (IV) IL-2 (720,000 IU/kg/dose every 8 hours for up to 15 doses).
TBI 1200 cGy + TIL +HD IL-2, no Prior IL-2
Patients that have not received prior interleukin 2 (IL-2) therapy will receive a myeloablative lymphocyte depleting preparative regimen consisting of cyclophosphamide (60 mg/kg/day x 2 days intravenous (IV)), fludarabine (25mg/m\^2/day IV X 5 days) and 1200 cGy total body irradiation (TBI). Following the lymphodepleting regimen, patient will receive intravenous adoptive transfer of tumor reactive lymphocytes (minimum 3 X 10 (9) and up to a maximum of 3 X 10(11) lymphocytes) followed by high-dose intravenous (IV) IL-2 (720,000 IU/kg/dose every 8 hours for up to 15 doses)
Overall Study
STARTED
18
8
Overall Study
COMPLETED
18
8
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Chemotherapy, Irradiation, Cell Infusions, and Interleukin-2 to Treat Metastatic Melanoma

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
TBI 1200 cGy + TIL +HD IL-2, Prior IL-2
n=18 Participants
Patients that received prior interleukin 2 (IL-2) therapy will receive a myeloablative lymphocyte depleting preparative regimen consisting of cyclophosphamide (60 mg/kg/day x 2 days intravenous (IV)), fludarabine (25mg/m\^2/day IV X 5 days) and 1200 cGy total body irradiation (TBI). Following the lymphodepleting regimen, patient will receive intravenous adoptive transfer of tumor reactive lymphocytes (minimum 3 X 10 (9) and up to a maximum of 3 X 10(11) lymphocytes) followed by high-dose intravenous (IV) IL-2 (720,000 IU/kg/dose every 8 hours for up to 15 doses).
TBI 1200 cGy + TIL +HD IL-2, no Prior IL-2
n=8 Participants
Patients that have not received prior interleukin 2 (IL-2) therapy will receive a myeloablative lymphocyte depleting preparative regimen consisting of cyclophosphamide (60 mg/kg/day x 2 days intravenous (IV)), fludarabine (25mg/m\^2/day IV X 5 days) and 1200 cGy total body irradiation (TBI). Following the lymphodepleting regimen, patient will receive intravenous adoptive transfer of tumor reactive lymphocytes (minimum 3 X 10 (9) and up to a maximum of 3 X 10(11) lymphocytes) followed by high-dose intravenous (IV) IL-2 (720,000 IU/kg/dose every 8 hours for up to 15 doses)
Total
n=26 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
18 Participants
n=5 Participants
8 Participants
n=7 Participants
26 Participants
n=5 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age Continuous
43.4 years
STANDARD_DEVIATION 11.4 • n=5 Participants
48.5 years
STANDARD_DEVIATION 10.6 • n=7 Participants
44.7 years
STANDARD_DEVIATION 11.6 • n=5 Participants
Sex: Female, Male
Female
5 Participants
n=5 Participants
2 Participants
n=7 Participants
7 Participants
n=5 Participants
Sex: Female, Male
Male
13 Participants
n=5 Participants
6 Participants
n=7 Participants
19 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
18 Participants
n=5 Participants
7 Participants
n=7 Participants
25 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 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
18 Participants
n=5 Participants
8 Participants
n=7 Participants
26 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
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Region of Enrollment
United States
18 participants
n=5 Participants
8 participants
n=7 Participants
26 participants
n=5 Participants

PRIMARY outcome

Timeframe: 33 months

Determine if the combination of high dose aldesleukin, reinfused cells after lymphocyte depleting chemotherapy and 1200 cGy total body irradiation (TBI) is able to be associated with a modest fraction of patients with metastatic melanoma who can experience a complete response to therapy. Complete response (CR) is a disappearance of all target lesions.

Outcome measures

Outcome measures
Measure
TBI 1200 cGy + TIL +HD IL-2, Prior IL-2
n=18 Participants
Patients that received prior interleukin 2 (IL-2) therapy will receive a myeloablative lymphocyte depleting preparative regimen consisting of cyclophosphamide (60 mg/kg/day x 2 days intravenous (IV)), fludarabine (25mg/m\^2/day IV X 5 days) and 1200 cGy total body irradiation (TBI). Following the lymphodepleting regimen, patient will receive intravenous adoptive transfer of tumor reactive lymphocytes (minimum 3 X 10 (9) and up to a maximum of 3 X 10(11) lymphocytes) followed by high-dose intravenous (IV) IL-2 (720,000 IU/kg/dose every 8 hours for up to 15 doses).
TBI 1200 cGy + TIL +HD IL-2, no Prior IL-2
n=8 Participants
Patients that have not received prior interleukin 2 (IL-2) therapy will receive a myeloablative lymphocyte depleting preparative regimen consisting of cyclophosphamide (60 mg/kg/day x 2 days intravenous (IV)), fludarabine (25mg/m\^2/day IV X 5 days) and 1200 cGy total body irradiation (TBI). Following the lymphodepleting regimen, patient will receive intravenous adoptive transfer of tumor reactive lymphocytes (minimum 3 X 10 (9) and up to a maximum of 3 X 10(11) lymphocytes) followed by high-dose intravenous (IV) IL-2 (720,000 IU/kg/dose every 8 hours for up to 15 doses)
Complete Response
7 Participants
3 Participants

SECONDARY outcome

Timeframe: 33 months

Here is the number of participants with adverse events. For a detailed list of adverse events see the adverse event module.

Outcome measures

Outcome measures
Measure
TBI 1200 cGy + TIL +HD IL-2, Prior IL-2
n=18 Participants
Patients that received prior interleukin 2 (IL-2) therapy will receive a myeloablative lymphocyte depleting preparative regimen consisting of cyclophosphamide (60 mg/kg/day x 2 days intravenous (IV)), fludarabine (25mg/m\^2/day IV X 5 days) and 1200 cGy total body irradiation (TBI). Following the lymphodepleting regimen, patient will receive intravenous adoptive transfer of tumor reactive lymphocytes (minimum 3 X 10 (9) and up to a maximum of 3 X 10(11) lymphocytes) followed by high-dose intravenous (IV) IL-2 (720,000 IU/kg/dose every 8 hours for up to 15 doses).
TBI 1200 cGy + TIL +HD IL-2, no Prior IL-2
n=8 Participants
Patients that have not received prior interleukin 2 (IL-2) therapy will receive a myeloablative lymphocyte depleting preparative regimen consisting of cyclophosphamide (60 mg/kg/day x 2 days intravenous (IV)), fludarabine (25mg/m\^2/day IV X 5 days) and 1200 cGy total body irradiation (TBI). Following the lymphodepleting regimen, patient will receive intravenous adoptive transfer of tumor reactive lymphocytes (minimum 3 X 10 (9) and up to a maximum of 3 X 10(11) lymphocytes) followed by high-dose intravenous (IV) IL-2 (720,000 IU/kg/dose every 8 hours for up to 15 doses)
Number of Participants With Adverse Events
18 Participants
8 Participants

Adverse Events

TBI 1200 cGy + TIL +HD IL-2, Prior IL-2

Serious events: 7 serious events
Other events: 18 other events
Deaths: 0 deaths

TBI 1200 cGy + TIL +HD IL-2, no Prior IL-2

Serious events: 4 serious events
Other events: 8 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
TBI 1200 cGy + TIL +HD IL-2, Prior IL-2
n=18 participants at risk
Patients that received prior interleukin 2 (IL-2) therapy will receive a myeloablative lymphocyte depleting preparative regimen consisting of cyclophosphamide (60 mg/kg/day x 2 days intravenous (IV)), fludarabine (25mg/m\^2/day IV X 5 days) and 1200 cGy total body irradiation (TBI). Following the lymphodepleting regimen, patient will receive intravenous adoptive transfer of tumor reactive lymphocytes (minimum 3 X 10 (9) and up to a maximum of 3 X 10(11) lymphocytes) followed by high-dose intravenous (IV) IL-2 (720,000 IU/kg/dose every 8 hours for up to 15 doses).
TBI 1200 cGy + TIL +HD IL-2, no Prior IL-2
n=8 participants at risk
Patients that have not received prior interleukin 2 (IL-2) therapy will receive a myeloablative lymphocyte depleting preparative regimen consisting of cyclophosphamide (60 mg/kg/day x 2 days intravenous (IV)), fludarabine (25mg/m\^2/day IV X 5 days) and 1200 cGy total body irradiation (TBI). Following the lymphodepleting regimen, patient will receive intravenous adoptive transfer of tumor reactive lymphocytes (minimum 3 X 10 (9) and up to a maximum of 3 X 10(11) lymphocytes) followed by high-dose intravenous (IV) IL-2 (720,000 IU/kg/dose every 8 hours for up to 15 doses)
Blood and lymphatic system disorders
Thrombotic microangiopathy
11.1%
2/18 • Number of events 2
25.0%
2/8 • Number of events 2
Nervous system disorders
Somnolence/depressed level of consciousness
11.1%
2/18 • Number of events 2
25.0%
2/8 • Number of events 2
Immune system disorders
Autoimmune disorder
5.6%
1/18 • Number of events 1
0.00%
0/8
Immune system disorders
Hypersensitivity
5.6%
1/18 • Number of events 1
0.00%
0/8
Blood and lymphatic system disorders
Hemoglobin decreased
11.1%
2/18 • Number of events 2
0.00%
0/8
Blood and lymphatic system disorders
Platelet count decreased
5.6%
1/18 • Number of events 1
0.00%
0/8
Cardiac disorders
left ventricular dysfunction
5.6%
1/18 • Number of events 1
0.00%
0/8
General disorders
Weight loss
11.1%
2/18 • Number of events 2
0.00%
0/8
Gastrointestinal disorders
Anorexia
16.7%
3/18 • Number of events 3
0.00%
0/8
Infections and infestations
Sepsis
5.6%
1/18 • Number of events 1
0.00%
0/8
Infections and infestations
Urinary tract infection
5.6%
1/18 • Number of events 2
0.00%
0/8
Infections and infestations
peripheral nerve infection
11.1%
2/18 • Number of events 2
0.00%
0/8
Metabolism and nutrition disorders
Bilirubin increased
5.6%
1/18 • Number of events 1
0.00%
0/8
Metabolism and nutrition disorders
Creatinine increased
5.6%
1/18 • Number of events 1
0.00%
0/8
Musculoskeletal and connective tissue disorders
Gait abnormal
5.6%
1/18 • Number of events 1
0.00%
0/8
General disorders
Pain in extremity
5.6%
1/18 • Number of events 1
0.00%
0/8
Renal and urinary disorders
Renal failure
11.1%
2/18 • Number of events 2
0.00%
0/8

Other adverse events

Other adverse events
Measure
TBI 1200 cGy + TIL +HD IL-2, Prior IL-2
n=18 participants at risk
Patients that received prior interleukin 2 (IL-2) therapy will receive a myeloablative lymphocyte depleting preparative regimen consisting of cyclophosphamide (60 mg/kg/day x 2 days intravenous (IV)), fludarabine (25mg/m\^2/day IV X 5 days) and 1200 cGy total body irradiation (TBI). Following the lymphodepleting regimen, patient will receive intravenous adoptive transfer of tumor reactive lymphocytes (minimum 3 X 10 (9) and up to a maximum of 3 X 10(11) lymphocytes) followed by high-dose intravenous (IV) IL-2 (720,000 IU/kg/dose every 8 hours for up to 15 doses).
TBI 1200 cGy + TIL +HD IL-2, no Prior IL-2
n=8 participants at risk
Patients that have not received prior interleukin 2 (IL-2) therapy will receive a myeloablative lymphocyte depleting preparative regimen consisting of cyclophosphamide (60 mg/kg/day x 2 days intravenous (IV)), fludarabine (25mg/m\^2/day IV X 5 days) and 1200 cGy total body irradiation (TBI). Following the lymphodepleting regimen, patient will receive intravenous adoptive transfer of tumor reactive lymphocytes (minimum 3 X 10 (9) and up to a maximum of 3 X 10(11) lymphocytes) followed by high-dose intravenous (IV) IL-2 (720,000 IU/kg/dose every 8 hours for up to 15 doses)
Immune system disorders
Autoimmune disorder
11.1%
2/18 • Number of events 2
0.00%
0/8
Ear and labyrinth disorders
Tinnitus
11.1%
2/18 • Number of events 2
0.00%
0/8
Blood and lymphatic system disorders
Hemoglobin decreased
55.6%
10/18 • Number of events 13
62.5%
5/8 • Number of events 7
Blood and lymphatic system disorders
Leukocyte count decreased
94.4%
17/18 • Number of events 20
100.0%
8/8 • Number of events 10
Blood and lymphatic system disorders
Lymphocyte count decreased
100.0%
18/18 • Number of events 27
100.0%
8/8 • Number of events 12
Blood and lymphatic system disorders
Neutrophil count decreased
94.4%
17/18 • Number of events 18
100.0%
8/8 • Number of events 11
Blood and lymphatic system disorders
Platelet count decreased
88.9%
16/18 • Number of events 17
100.0%
8/8 • Number of events 8
Cardiac disorders
Hypotension
11.1%
2/18 • Number of events 2
0.00%
0/8
Blood and lymphatic system disorders
Activated partial thromboplastin time prolonged
16.7%
3/18 • Number of events 3
25.0%
2/8 • Number of events 2
General disorders
Fatigue
55.6%
10/18 • Number of events 13
12.5%
1/8 • Number of events 1
General disorders
Fever
22.2%
4/18 • Number of events 4
0.00%
0/8
General disorders
Insomnia
11.1%
2/18 • Number of events 2
0.00%
0/8
Gastrointestinal disorders
Weight loss
27.8%
5/18 • Number of events 5
75.0%
6/8 • Number of events 6
Skin and subcutaneous tissue disorders
Rash acneiform
11.1%
2/18 • Number of events 2
0.00%
0/8
Skin and subcutaneous tissue disorders
Skin hypopigmentation
22.2%
4/18 • Number of events 4
12.5%
1/8 • Number of events 1
Skin and subcutaneous tissue disorders
Rash desquamating
44.4%
8/18 • Number of events 8
25.0%
2/8 • Number of events 2
Gastrointestinal disorders
Anorexia
11.1%
2/18 • Number of events 2
0.00%
0/8
Gastrointestinal disorders
Ascites
5.6%
1/18 • Number of events 1
0.00%
0/8
Gastrointestinal disorders
Dehydration
11.1%
2/18 • Number of events 2
12.5%
1/8 • Number of events 1
Gastrointestinal disorders
Diarrhea
61.1%
11/18 • Number of events 11
50.0%
4/8 • Number of events 4
Gastrointestinal disorders
Nausea
66.7%
12/18 • Number of events 13
25.0%
2/8 • Number of events 2
Gastrointestinal disorders
Vomiting
44.4%
8/18 • Number of events 8
0.00%
0/8
Infections and infestations
Febrile Neutropenia
55.6%
10/18 • Number of events 10
75.0%
6/8 • Number of events 6
Infections and infestations
Catheter-related infection
11.1%
2/18 • Number of events 2
0.00%
0/8
Infections and infestations
vaginal infection
5.6%
1/18 • Number of events 1
0.00%
0/8
Infections and infestations
Pneumonia
5.6%
1/18 • Number of events 1
0.00%
0/8
Renal and urinary disorders
Urinary tract infection
5.6%
1/18 • Number of events 1
12.5%
1/8 • Number of events 1
Infections and infestations
Infection
5.6%
1/18 • Number of events 1
0.00%
0/8
Infections and infestations
Sepsis
5.6%
1/18 • Number of events 1
12.5%
1/8 • Number of events 1
Blood and lymphatic system disorders
Edema limbs
5.6%
1/18 • Number of events 1
0.00%
0/8
Metabolism and nutrition disorders
Serum albumin decreased
50.0%
9/18 • Number of events 10
62.5%
5/8 • Number of events 5
Metabolism and nutrition disorders
Alkaline phosphatase increased
5.6%
1/18 • Number of events 1
12.5%
1/8 • Number of events 1
Metabolism and nutrition disorders
Alanine aminotransferase increased
11.1%
2/18 • Number of events 2
0.00%
0/8
Metabolism and nutrition disorders
Aspartate aminotransferase increased
11.1%
2/18 • Number of events 2
0.00%
0/8
Metabolism and nutrition disorders
Bilirubin increased
11.1%
2/18 • Number of events 2
12.5%
1/8 • Number of events 1
Metabolism and nutrition disorders
serum calcium decreased
38.9%
7/18 • Number of events 7
37.5%
3/8 • Number of events 3
Metabolism and nutrition disorders
Creatinine increased
16.7%
3/18 • Number of events 3
25.0%
2/8 • Number of events 2
Metabolism and nutrition disorders
Serum magnesium increased
5.6%
1/18 • Number of events 1
12.5%
1/8 • Number of events 1
Metabolism and nutrition disorders
Serum phosphate decreased
33.3%
6/18 • Number of events 10
50.0%
4/8 • Number of events 5
Metabolism and nutrition disorders
Serum potassium decreased
11.1%
2/18 • Number of events 3
37.5%
3/8 • Number of events 3
Metabolism and nutrition disorders
Serum sodium decreased
22.2%
4/18 • Number of events 4
37.5%
3/8 • Number of events 3
Metabolism and nutrition disorders
Blood uric acid increased
11.1%
2/18 • Number of events 3
0.00%
0/8
Nervous system disorders
Confusion
27.8%
5/18 • Number of events 5
62.5%
5/8 • Number of events 5
Nervous system disorders
Euphoria
5.6%
1/18 • Number of events 1
0.00%
0/8
Nervous system disorders
Peripheral sensory neuropathy
5.6%
1/18 • Number of events 1
12.5%
1/8 • Number of events 1
Eye disorders
Uveitis
5.6%
1/18 • Number of events 1
0.00%
0/8
Eye disorders
Vision blurred
5.6%
1/18 • Number of events 1
25.0%
2/8 • Number of events 2
General disorders
Abdominal pain
16.7%
3/18 • Number of events 4
12.5%
1/8 • Number of events 1
General disorders
Bone pain
11.1%
2/18 • Number of events 2
0.00%
0/8
General disorders
Pain in extremity
16.7%
3/18 • Number of events 4
0.00%
0/8
General disorders
joint pain
5.6%
1/18 • Number of events 1
0.00%
0/8
General disorders
scrotal pain
5.6%
1/18 • Number of events 1
0.00%
0/8
Respiratory, thoracic and mediastinal disorders
Pharyngolaryngeal pain
5.6%
1/18 • Number of events 1
0.00%
0/8
Respiratory, thoracic and mediastinal disorders
Cough
11.1%
2/18 • Number of events 2
0.00%
0/8
Respiratory, thoracic and mediastinal disorders
Dyspnea
16.7%
3/18 • Number of events 3
25.0%
2/8 • Number of events 2
Respiratory, thoracic and mediastinal disorders
Hypoxia
5.6%
1/18 • Number of events 1
0.00%
0/8
Respiratory, thoracic and mediastinal disorders
Pneumonitis
5.6%
1/18 • Number of events 1
0.00%
0/8
Vascular disorders
Capillary leak syndrome
22.2%
4/18 • Number of events 4
50.0%
4/8 • Number of events 4
Cardiac disorders
Sinus tachycardia
0.00%
0/18
25.0%
2/8 • Number of events 2
Blood and lymphatic system disorders
Petechiae
0.00%
0/18
25.0%
2/8 • Number of events 2
Infections and infestations
Upper aerodigestive tract infection
0.00%
0/18
12.5%
1/8 • Number of events 1
Nervous system disorders
Facial nerve disorder
0.00%
0/18
12.5%
1/8 • Number of events 1
Reproductive system and breast disorders
Erectile dysfunction
0.00%
0/18
12.5%
1/8 • Number of events 1
Respiratory, thoracic and mediastinal disorders
Pleural effusion
0.00%
0/18
12.5%
1/8 • Number of events 1
Metabolism and nutrition disorders
Serum potassium increased
0.00%
0/18
12.5%
1/8 • Number of events 1

Additional Information

Steven A. Rosenberg, M.D.

National Cancer Institute, National Institutes of Health

Phone: 301-496-4164

Results disclosure agreements

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