An Extended Use Study of Safety and Efficacy of Talimogene Laherparepvec in Melanoma

NCT ID: NCT01368276

Last Updated: 2015-12-18

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

PHASE3

Total Enrollment

31 participants

Study Classification

INTERVENTIONAL

Study Start Date

2010-10-31

Study Completion Date

2014-09-30

Brief Summary

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The purpose of this study is to learn about the safety and the risks of using talimogene laherparepvec in patients who already received treatment with talimogene laherparepvec in study 005/05 (NCT00769704), and to see if extended treatment with talimogene laherparepvec can destroy melanoma tumors.

Detailed Description

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Conditions

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Melanoma

Keywords

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Melanoma Stage IIIb, IIIc and IV Disease oncolytic OncoVex OncoVEX^GM-CSF

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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GM-CSF

Granulocyte macrophage colony-stimulating factor (GM-CSF) was administered at a dose of 125 μg/m²/day subcutaneously for 14 consecutive days followed by 14 days of rest, in 28-day treatment cycles for up to 12 months or until a complete response, occurrence of an unacceptable toxicity, death or another criterion for withdrawal from treatment was met. Participants who demonstrated a partial response after being on treatment for 12 months could continue to be treated until disease progression or another treatment discontinuation criterion was met.

Group Type ACTIVE_COMPARATOR

Granulocyte Macrophage Colony-Stimulating Factor (GM-CSF)

Intervention Type DRUG

125 µg/m² subcutaneous injection

Talimogene Laherparepvec

Talimogene laherparepvec was administered at a concentration of 10⁸ plaque forming units (PFU)/mL injected into 1 or more skin or subcutaneous tumors on Days 1 and 15 of each 28-day cycle for up to 12 months or until a complete response, occurrence of an unacceptable toxicity, death or another criterion for withdrawal from treatment was met. Participants who demonstrated a partial response after being on treatment for 12 months could continue to be treated until disease progression or another treatment discontinuation criterion was met.

Group Type EXPERIMENTAL

Talimogene Laherparepvec

Intervention Type BIOLOGICAL

Up to 4 mL of 10⁸ pfu/mL/per intratumoral injection

Interventions

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Talimogene Laherparepvec

Up to 4 mL of 10⁸ pfu/mL/per intratumoral injection

Intervention Type BIOLOGICAL

Granulocyte Macrophage Colony-Stimulating Factor (GM-CSF)

125 µg/m² subcutaneous injection

Intervention Type DRUG

Other Intervention Names

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OncoVEX^GM-CSF IMLYGIC™

Eligibility Criteria

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Inclusion Criteria

1. Previously participated in protocol 005/05 (NCT00769704) and:

1. received the maximum number of talimogene laherparepvec treatment injections or cycles of GM-CSF allowable for that patient on study 005/05, or
2. new injectable lesion(s) appeared after previous resolution of all injectable disease while on study 005/05. New injectable lesions must have appeared within ≤ 12 months from the End of Treatment visit on the 005/05 study.
2. In the opinion of the investigator and the sponsor's medical monitor further treatment is warranted \[e.g., those patients who do not have clinically relevant progressive disease (PDr)\].
3. Performance status (Eastern Cooperative Oncology Group, ECOG) 0 or 1.
4. For patients randomized to talimogene laherparepvec only: Injectable disease (i.e. suitable for direct injection or through the use of ultrasound guidance) defined as at least 1 injectable cutaneous, subcutaneous or nodal melanoma lesion. There is no minimum size for injection.

Exclusion Criteria

1. Prior Common Terminology Criteria for Adverse Events (CTCAE) grade 3 or 4 toxicity related to talimogene laherparepvec of any organ system (with the exception of injection site reactions, fever and vomiting).
2. History of Grade 3 fatigue lasting \> 1 week while on talimogene laherparepvec treatment.
3. History of Grade 3 arthralgia/myalgias while on talimogene laherparepvec treatment.
4. History of ≥ Grade 2 autoimmune reactions, allergic reactions or urticaria or other talimogene laherparepvec related non-hematological toxicities while on talimogene laherparepvec treatment that required a dose delay or discontinuation of talimogene laherparepvec therapy.
5. PDr while participating in study 005/05
6. Patient requested to be withdrawn from study 005/05 or was unable to comply with the demands of the 005/05 trial.
7. At the discretion of the investigator, patient was withdrawn from the 005/05 trial.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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BioVex Limited

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Rush University Medical Center

Chicago, Illinois, United States

Site Status

Indiana University

Indianapolis, Indiana, United States

Site Status

University of Iowa Hospitals & Clinics

Iowa City, Iowa, United States

Site Status

James Graham Brown Cancer Center

Louisville, Kentucky, United States

Site Status

Hubert H Humphrey Cancer Center

Robbinsdale, Minnesota, United States

Site Status

University of North Carolina At Chapel Hill School of Medicine

Chapel Hill, North Carolina, United States

Site Status

Mary Crowley Medical Research Center

Dallas, Texas, United States

Site Status

Huntsman Cancer Institute

Salt Lake City, Utah, United States

Site Status

Oncology and Hematology Associates of Southwest Virginia, Inc.

Salem, Virginia, United States

Site Status

Royal Marsden Hospital

London, , United Kingdom

Site Status

Countries

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United States United Kingdom

Related Links

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http://www.biovex.com

Sponsor Website

Other Identifiers

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2010-021070-11

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

20110279

Identifier Type: OTHER

Identifier Source: secondary_id

005/05-E

Identifier Type: -

Identifier Source: org_study_id