Trial Outcomes & Findings for Chemotherapy Followed by gp100 Lymphocytes and Aldesleukin to Treat Melanoma (NCT NCT00665470)

NCT ID: NCT00665470

Last Updated: 2015-10-19

Results Overview

Response is assessed by the Response Evaluation Criteria in Solid Tumors (RECIST). Complete response (CR) is a disappearance of all target lesions. Partial response (PR) is at least a 30% decrease in the sum of the longest diameter (LD) of target lesions taking as reference the baseline sum LD. Progression (PD) is at least a 20% increase in the sum of LD of target lesions taking as reference the smallest sum LD recorded since the treatment started or the appearance of one or more lesions. Stable disease (SD) is neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD taking as references the smallest sum LD.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

10 participants

Primary outcome timeframe

30 months

Results posted on

2015-10-19

Participant Flow

All patients were enrolled into cohort I because all patients were able to receive high dose IL-2.

Participant milestones

Participant milestones
Measure
Cohort I - High Dose Aldesleukin
Patients receive high-dose aldesleukin intravenous (IV) over 15 minutes every 8 hours beginning within 24 hours after peripheral blood lymphocyte (PBL) infusion and continuing for up to 5 days (maximum of 15 doses).
Cohort II - Low Dose Aldesleukin
Beginning within 24 hours after peripheral blood lymphocyte (PBL) infusion, patients receive low-dose aldesleukin subcutaneous (SC) once daily 5 days a week for up to 6 weeks.
Overall Study
STARTED
10
0
Overall Study
COMPLETED
10
0
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Chemotherapy Followed by gp100 Lymphocytes and Aldesleukin to Treat Melanoma

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Cohort I - High Dose Aldesleukin
n=10 Participants
Patients receive high-dose aldesleukin intravenous (IV) over 15 minutes every 8 hours beginning within 24 hours after peripheral blood lymphocyte (PBL) infusion and continuing for up to 5 days (maximum of 15 doses).
Cohort II - Low Dose Aldesleukin
Beginning within 24 hours after peripheral blood lymphocyte (PBL) infusion, patients receive low-dose aldesleukin subcutaneous (SC) once daily 5 days a week for up to 6 weeks.
Total
n=10 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 participants
n=5 Participants
0 participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
9 participants
n=5 Participants
9 participants
n=5 Participants
Age, Categorical
>=65 years
1 participants
n=5 Participants
1 participants
n=5 Participants
Age, Continuous
54.36 years
STANDARD_DEVIATION 9.23 • n=5 Participants
54.36 years
STANDARD_DEVIATION 9.23 • n=5 Participants
Gender
Female
2 participants
n=5 Participants
2 participants
n=5 Participants
Gender
Male
8 participants
n=5 Participants
8 participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=5 Participants
0 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
10 Participants
n=5 Participants
10 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
1 Participants
n=5 Participants
1 Participants
n=5 Participants
Race (NIH/OMB)
White
9 Participants
n=5 Participants
9 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=5 Participants
Region of Enrollment
United States
10 participants
n=5 Participants
10 participants
n=5 Participants

PRIMARY outcome

Timeframe: 30 months

Response is assessed by the Response Evaluation Criteria in Solid Tumors (RECIST). Complete response (CR) is a disappearance of all target lesions. Partial response (PR) is at least a 30% decrease in the sum of the longest diameter (LD) of target lesions taking as reference the baseline sum LD. Progression (PD) is at least a 20% increase in the sum of LD of target lesions taking as reference the smallest sum LD recorded since the treatment started or the appearance of one or more lesions. Stable disease (SD) is neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD taking as references the smallest sum LD.

Outcome measures

Outcome measures
Measure
Cohort I - High Dose Aldesleukin
n=10 Participants
Patients receive high-dose aldesleukin intravenous (IV) over 15 minutes every 8 hours beginning within 24 hours after peripheral blood lymphocyte (PBL) infusion and continuing for up to 5 days (maximum of 15 doses).
Cohort II - Low Dose Aldesleukin
Beginning within 24 hours after peripheral blood lymphocyte (PBL) infusion, patients receive low-dose aldesleukin subcutaneous (SC) once daily 5 days a week for up to 6 weeks.
Response
Complete Response
0 Participants
Response
Partial Response
0 Participants
Response
Progression
8 Participants
Response
Stable Disease
2 Participants

PRIMARY outcome

Timeframe: 16 months

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

Outcome measures

Outcome measures
Measure
Cohort I - High Dose Aldesleukin
n=10 Participants
Patients receive high-dose aldesleukin intravenous (IV) over 15 minutes every 8 hours beginning within 24 hours after peripheral blood lymphocyte (PBL) infusion and continuing for up to 5 days (maximum of 15 doses).
Cohort II - Low Dose Aldesleukin
Beginning within 24 hours after peripheral blood lymphocyte (PBL) infusion, patients receive low-dose aldesleukin subcutaneous (SC) once daily 5 days a week for up to 6 weeks.
Toxicity as Assessed by the National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) V3.0
10 Participants

Adverse Events

Cohort I - High Dose Aldesleukin

Serious events: 3 serious events
Other events: 10 other events
Deaths: 0 deaths

Cohort II - Low Dose Aldesleukin

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

Serious adverse events

Serious adverse events
Measure
Cohort I - High Dose Aldesleukin
n=10 participants at risk
Patients receive high-dose aldesleukin intravenous (IV) over 15 minutes every 8 hours beginning within 24 hours after peripheral blood lymphocyte (PBL) infusion and continuing for up to 5 days (maximum of 15 doses).
Cohort II - Low Dose Aldesleukin
Beginning within 24 hours after peripheral blood lymphocyte (PBL) infusion, patients receive low-dose aldesleukin subcutaneous (SC) once daily 5 days a week for up to 6 weeks.
Gastrointestinal disorders
Diarrhea
10.0%
1/10 • Number of events 1
0/0
General disorders
Esophagitis
10.0%
1/10 • Number of events 1
0/0
Vascular disorders
Thromboembolic event
10.0%
1/10 • Number of events 1
0/0
Gastrointestinal disorders
Vomiting
10.0%
1/10 • Number of events 1
0/0

Other adverse events

Other adverse events
Measure
Cohort I - High Dose Aldesleukin
n=10 participants at risk
Patients receive high-dose aldesleukin intravenous (IV) over 15 minutes every 8 hours beginning within 24 hours after peripheral blood lymphocyte (PBL) infusion and continuing for up to 5 days (maximum of 15 doses).
Cohort II - Low Dose Aldesleukin
Beginning within 24 hours after peripheral blood lymphocyte (PBL) infusion, patients receive low-dose aldesleukin subcutaneous (SC) once daily 5 days a week for up to 6 weeks.
Investigations
Activated partial thromboplastin time prolonged
30.0%
3/10 • Number of events 3
0/0
Blood and lymphatic system disorders
Anemia
40.0%
4/10 • Number of events 5
0/0
Nervous system disorders
Cognitive disturbance
10.0%
1/10 • Number of events 1
0/0
Nervous system disorders
Confusion
20.0%
2/10 • Number of events 2
0/0
Metabolism and nutrition disorders
Creatinine increased
10.0%
1/10 • Number of events 1
0/0
Respiratory, thoracic and mediastinal disorders
Dyspnea
30.0%
3/10 • Number of events 3
0/0
General disorders
Fatigue
50.0%
5/10 • Number of events 5
0/0
Infections and infestations
Febrile neutropenia
50.0%
5/10 • Number of events 6
0/0
General disorders
Fever
10.0%
1/10 • Number of events 1
0/0
Ear and labyrinth disorders
Hearing impaired
10.0%
1/10 • Number of events 1
0/0
Metabolism and nutrition disorders
Hypermagnesemia
10.0%
1/10 • Number of events 1
0/0
Metabolism and nutrition disorders
Hypophosphatemia
20.0%
2/10 • Number of events 2
0/0
Cardiac disorders
Hypotension
10.0%
1/10 • Number of events 1
0/0
Respiratory, thoracic and mediastinal disorders
Hypoxia
10.0%
1/10 • Number of events 1
0/0
Infections and infestations
Infections and infestations - Other, infection: klebsiella pneumoniae
10.0%
1/10 • Number of events 1
0/0
Investigations
Lymphocyte count decreased
100.0%
10/10 • Number of events 12
0/0
Gastrointestinal disorders
Nausea
10.0%
1/10 • Number of events 1
0/0
Blood and lymphatic system disorders
Neutrophil count decreased
100.0%
10/10 • Number of events 11
0/0
Blood and lymphatic system disorders
Platelet count decreased
100.0%
10/10 • Number of events 11
0/0
Respiratory, thoracic and mediastinal disorders
Rash maculo-papular
60.0%
6/10 • Number of events 6
0/0
Blood and lymphatic system disorders
White blood cell decreased
100.0%
10/10 • Number of events 11
0/0

Additional Information

Dr. Steven Rosenberg

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