Trial Outcomes & Findings for Vaccine Therapy in Treating Patients With Stage IIB, Stage IIC, Stage III, or Stage IV Melanoma (NCT NCT00398073)

NCT ID: NCT00398073

Last Updated: 2017-03-16

Results Overview

All toxicity will be graded according to the National Cancer Institute (NCI) Common Toxicity Criteria v3.0.

Recruitment status

COMPLETED

Study phase

PHASE1

Target enrollment

35 participants

Primary outcome timeframe

2 years

Results posted on

2017-03-16

Participant Flow

Participant milestones

Participant milestones
Measure
1_Particle-medicated Epidermal Delivery Group (Gene Gun)
patients will be randomized to mouse gp100 DNA delivered via gold particles using the PowderMed delivery system (ND10, described above). Two actuations/day will be administered every two weeks for 4 months for a total of 16 actuations. Each actuation consists of 2 μg of plasmid DNA coated onto 1000 μg of gold. The total dose of plasmid DNA given will be 32 μg DNA on 16,000 μg gold. mouse gp100 plasmid DNA vaccine
2_IM Injection (Bioinjector)
patients will be injected with 1000 μg of mouse gp100 plasmid DNA intramuscularly. Two injections/day will be administered every two weeks for 4 months (4000 ug of mouse gp100 plasmid/month) for 16 vaccinations. mouse gp100 plasmid DNA vaccine
Overall Study
STARTED
18
17
Overall Study
COMPLETED
17
17
Overall Study
NOT COMPLETED
1
0

Reasons for withdrawal

Reasons for withdrawal
Measure
1_Particle-medicated Epidermal Delivery Group (Gene Gun)
patients will be randomized to mouse gp100 DNA delivered via gold particles using the PowderMed delivery system (ND10, described above). Two actuations/day will be administered every two weeks for 4 months for a total of 16 actuations. Each actuation consists of 2 μg of plasmid DNA coated onto 1000 μg of gold. The total dose of plasmid DNA given will be 32 μg DNA on 16,000 μg gold. mouse gp100 plasmid DNA vaccine
2_IM Injection (Bioinjector)
patients will be injected with 1000 μg of mouse gp100 plasmid DNA intramuscularly. Two injections/day will be administered every two weeks for 4 months (4000 ug of mouse gp100 plasmid/month) for 16 vaccinations. mouse gp100 plasmid DNA vaccine
Overall Study
Withdrawal by Subject
1
0

Baseline Characteristics

Vaccine Therapy in Treating Patients With Stage IIB, Stage IIC, Stage III, or Stage IV Melanoma

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
1_Particle-medicated Epidermal Delivery Group (Gene Gun)
n=17 Participants
patients will be randomized to mouse gp100 DNA delivered via gold particles using the PowderMed delivery system (ND10, described above). Two actuations/day will be administered every two weeks for 4 months for a total of 16 actuations. Each actuation consists of 2 μg of plasmid DNA coated onto 1000 μg of gold. The total dose of plasmid DNA given will be 32 μg DNA on 16,000 μg gold. mouse gp100 plasmid DNA vaccine
2_IM Injection (Bioinjector)
n=17 Participants
patients will be injected with 1000 μg of mouse gp100 plasmid DNA intramuscularly. Two injections/day will be administered every two weeks for 4 months (4000 ug of mouse gp100 plasmid/month) for 16 vaccinations. mouse gp100 plasmid DNA vaccine
Total
n=34 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
12 Participants
n=5 Participants
11 Participants
n=7 Participants
23 Participants
n=5 Participants
Age, Categorical
>=65 years
5 Participants
n=5 Participants
6 Participants
n=7 Participants
11 Participants
n=5 Participants
Sex: Female, Male
Female
2 Participants
n=5 Participants
6 Participants
n=7 Participants
8 Participants
n=5 Participants
Sex: Female, Male
Male
15 Participants
n=5 Participants
11 Participants
n=7 Participants
26 Participants
n=5 Participants
Region of Enrollment
United States
17 participants
n=5 Participants
17 participants
n=7 Participants
34 participants
n=5 Participants

PRIMARY outcome

Timeframe: 2 years

All toxicity will be graded according to the National Cancer Institute (NCI) Common Toxicity Criteria v3.0.

Outcome measures

Outcome measures
Measure
1_Particle-medicated Epidermal Delivery Group (Gene Gun)
n=17 Participants
patients will be randomized to mouse gp100 DNA delivered via gold particles using the PowderMed delivery system (ND10, described above). Two actuations/day will be administered every two weeks for 4 months for a total of 16 actuations. Each actuation consists of 2 μg of plasmid DNA coated onto 1000 μg of gold. The total dose of plasmid DNA given will be 32 μg DNA on 16,000 μg gold. mouse gp100 plasmid DNA vaccine
2_IM Injection (Bioinjector)
n=17 Participants
patients will be injected with 1000 μg of mouse gp100 plasmid DNA intramuscularly. Two injections/day will be administered every two weeks for 4 months (4000 ug of mouse gp100 plasmid/month) for 16 vaccinations. mouse gp100 plasmid DNA vaccine
Number of Patients Evulated for Toxicity and Safety
17 participants
17 participants

PRIMARY outcome

Timeframe: 2 years

T-cell response: Peripheral blood lymphocytes will be tested for reactivity against gp100 using an IFN-y ELISPOT, intracellular cytokine staining or MHC tetramer assay. If T-cell reactivity is induced, additional samples may be drawn to determine the duration of this reactivity. Follow-up blood samples require only 20-30 ml. MHC tetramer assays and intracellular flow cytometry studies may also be performed.

Outcome measures

Outcome measures
Measure
1_Particle-medicated Epidermal Delivery Group (Gene Gun)
n=17 Participants
patients will be randomized to mouse gp100 DNA delivered via gold particles using the PowderMed delivery system (ND10, described above). Two actuations/day will be administered every two weeks for 4 months for a total of 16 actuations. Each actuation consists of 2 μg of plasmid DNA coated onto 1000 μg of gold. The total dose of plasmid DNA given will be 32 μg DNA on 16,000 μg gold. mouse gp100 plasmid DNA vaccine
2_IM Injection (Bioinjector)
n=17 Participants
patients will be injected with 1000 μg of mouse gp100 plasmid DNA intramuscularly. Two injections/day will be administered every two weeks for 4 months (4000 ug of mouse gp100 plasmid/month) for 16 vaccinations. mouse gp100 plasmid DNA vaccine
Number of Participants With a T-cell Response
17 participants
17 participants

SECONDARY outcome

Timeframe: 2 years

In patients with measurable disease, the RECIST criteria for anti-tumor effect will be used. Lesions will be defined as measurable if they can be accurately measured in at least one dimension (longest diameter to be recorded) as \> 20 mm with conventional techniques or as \> 10 mm by spiral CT scan.Complete Response (CR): Disappearance of all target lesions. Partial Response (PR): At least a 30% decrease in the sum of the longest diameter (LD) of target lesions, taking as reference the baseline sum LD Progressive Disease (PD): At least a 20% increase in the sum of the LD of target lesions, taking as reference the smallest sum LD recorded since the treatment started or the appearance of one or more new lesions Stable Disease (SD): Neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD, taking as reference the smallest sum LD since the treatment started.

Outcome measures

Outcome measures
Measure
1_Particle-medicated Epidermal Delivery Group (Gene Gun)
n=17 Participants
patients will be randomized to mouse gp100 DNA delivered via gold particles using the PowderMed delivery system (ND10, described above). Two actuations/day will be administered every two weeks for 4 months for a total of 16 actuations. Each actuation consists of 2 μg of plasmid DNA coated onto 1000 μg of gold. The total dose of plasmid DNA given will be 32 μg DNA on 16,000 μg gold. mouse gp100 plasmid DNA vaccine
2_IM Injection (Bioinjector)
n=17 Participants
patients will be injected with 1000 μg of mouse gp100 plasmid DNA intramuscularly. Two injections/day will be administered every two weeks for 4 months (4000 ug of mouse gp100 plasmid/month) for 16 vaccinations. mouse gp100 plasmid DNA vaccine
Number of Participants With Response
17 participants
17 participants

Adverse Events

1_Particle-medicated Epidermal Delivery Group (Gene Gun)

Serious events: 3 serious events
Other events: 5 other events
Deaths: 0 deaths

2_IM Injection (Bioinjector)

Serious events: 1 serious events
Other events: 5 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
1_Particle-medicated Epidermal Delivery Group (Gene Gun)
n=17 participants at risk
patients will be randomized to mouse gp100 DNA delivered via gold particles using the PowderMed delivery system (ND10, described above). Two actuations/day will be administered every two weeks for 4 months for a total of 16 actuations. Each actuation consists of 2 μg of plasmid DNA coated onto 1000 μg of gold. The total dose of plasmid DNA given will be 32 μg DNA on 16,000 μg gold. mouse gp100 plasmid DNA vaccine
2_IM Injection (Bioinjector)
n=17 participants at risk
patients will be injected with 1000 μg of mouse gp100 plasmid DNA intramuscularly. Two injections/day will be administered every two weeks for 4 months (4000 ug of mouse gp100 plasmid/month) for 16 vaccinations. mouse gp100 plasmid DNA vaccine
Immune system disorders
Allergy/Immunology, other
5.9%
1/17 • Number of events 1
0.00%
0/17
Respiratory, thoracic and mediastinal disorders
Allergy/Immunology, other
5.9%
1/17
0.00%
0/17
Blood and lymphatic system disorders
Edema: limb
5.9%
1/17
0.00%
0/17
General disorders
Pain - Chest/thorax NOS
0.00%
0/17
5.9%
1/17

Other adverse events

Other adverse events
Measure
1_Particle-medicated Epidermal Delivery Group (Gene Gun)
n=17 participants at risk
patients will be randomized to mouse gp100 DNA delivered via gold particles using the PowderMed delivery system (ND10, described above). Two actuations/day will be administered every two weeks for 4 months for a total of 16 actuations. Each actuation consists of 2 μg of plasmid DNA coated onto 1000 μg of gold. The total dose of plasmid DNA given will be 32 μg DNA on 16,000 μg gold. mouse gp100 plasmid DNA vaccine
2_IM Injection (Bioinjector)
n=17 participants at risk
patients will be injected with 1000 μg of mouse gp100 plasmid DNA intramuscularly. Two injections/day will be administered every two weeks for 4 months (4000 ug of mouse gp100 plasmid/month) for 16 vaccinations. mouse gp100 plasmid DNA vaccine
Metabolism and nutrition disorders
AST, SGOT
5.9%
1/17
0.00%
0/17
Hepatobiliary disorders
Bilirubin (hyperbilirubinemia)
11.8%
2/17
17.6%
3/17
Metabolism and nutrition disorders
Glucose, high (hyperglycemia)
17.6%
3/17
17.6%
3/17
Metabolism and nutrition disorders
Potassium, high (hyperkalemia)
5.9%
1/17
0.00%
0/17

Additional Information

Jedd Wolchok, MD, Chief Attending

Memorial Sloan Kettering Cancer Center

Phone: +1646-888-2315

Results disclosure agreements

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