Trial Outcomes & Findings for Yervoy With Sylatron Unresectable Stage 3 or 4 Melanoma (NCT NCT01496807)

NCT ID: NCT01496807

Last Updated: 2017-04-28

Results Overview

MTD of peginterferon alfa-2b (Sylatron) combined with Ipilimumab (Yervoy).

Recruitment status

COMPLETED

Study phase

PHASE1

Target enrollment

31 participants

Primary outcome timeframe

Up to 48 Months

Results posted on

2017-04-28

Participant Flow

Between February 17, 2012 and December 5, 2013, 33 patients were screened and 31 patients were enrolled on treatment at Moffitt Cancer Center.

Participant milestones

Participant milestones
Measure
Yervoy With Sylatron
Participants are given Yervoy induction every 3 weeks for four doses, for 12 weeks, and all participants simultaneously receive Sylatron induction weekly, followed by Sylatron maintenance alone for up to 144 additional weeks (total 156 weeks = 3 years).
Overall Study
STARTED
31
Overall Study
COMPLETED
1
Overall Study
NOT COMPLETED
30

Reasons for withdrawal

Reasons for withdrawal
Measure
Yervoy With Sylatron
Participants are given Yervoy induction every 3 weeks for four doses, for 12 weeks, and all participants simultaneously receive Sylatron induction weekly, followed by Sylatron maintenance alone for up to 144 additional weeks (total 156 weeks = 3 years).
Overall Study
Progressive Disease
21
Overall Study
Participant preference/toxicity
8
Overall Study
Change in diagnosis
1

Baseline Characteristics

Yervoy With Sylatron Unresectable Stage 3 or 4 Melanoma

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Yervoy With Sylatron
n=31 Participants
Participants are given Yervoy induction every 3 weeks for four doses, for 12 weeks, and all participants simultaneously receive Sylatron induction weekly, followed by Sylatron maintenance alone for up to 144 additional weeks (total 156 weeks = 3 years).
Age, Categorical
<=18 years
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
14 Participants
n=5 Participants
Age, Categorical
>=65 years
17 Participants
n=5 Participants
Age, Continuous
65 years
n=5 Participants
Sex: Female, Male
Female
13 Participants
n=5 Participants
Sex: Female, Male
Male
18 Participants
n=5 Participants
Region of Enrollment
United States
31 participants
n=5 Participants

PRIMARY outcome

Timeframe: Up to 48 Months

Population: All participants

MTD of peginterferon alfa-2b (Sylatron) combined with Ipilimumab (Yervoy).

Outcome measures

Outcome measures
Measure
Yervoy With Sylatron
n=31 Participants
Participants are given Yervoy induction every 3 weeks for four doses, for 12 weeks, and all participants simultaneously receive Sylatron induction weekly, followed by Sylatron maintenance alone for up to 144 additional weeks (total 156 weeks = 3 years).
Maximum Tolerated Dose (MTD) of Sylatron
2 μg/kg s

PRIMARY outcome

Timeframe: Up to 48 Months

Population: All participants

MTD of Ipilimumab (Yervoy) combined with peginterferon alfa-2b (Sylatron). To assess the safety, toxicities and tolerability of a regimen of 3 μg/kg weekly Sylatron with concurrent induction Yervoy at 3 mg/kg, then if well tolerated, at 10 mg/kg every three weeks four times, in participants with unresectable stages IIIC/IV melanoma, and to define a well tolerated dose of Yervoy in that combination.

Outcome measures

Outcome measures
Measure
Yervoy With Sylatron
n=31 Participants
Participants are given Yervoy induction every 3 weeks for four doses, for 12 weeks, and all participants simultaneously receive Sylatron induction weekly, followed by Sylatron maintenance alone for up to 144 additional weeks (total 156 weeks = 3 years).
Maximum Tolerated Dose (MTD) of Ipilimumab
3 mg/kg

SECONDARY outcome

Timeframe: Up to 54 Months

Population: All evaluable participants

Overall Response: Complete Response (CR) + Partial Response (PR) by immune-related response criteria (irRC). Immune Related CR (irCR): Complete disappearance of all lesions (whether measurable or not, and no new lesions, and confirmation by a repeat consecutive assessment no less than 4 weeks from date first documented. Immure Related PR (irPR): decrease in tumor burden \>50% relative to baseline confirmed by repeat consecutive assessment at least 4 weeks later.

Outcome measures

Outcome measures
Measure
Yervoy With Sylatron
n=30 Participants
Participants are given Yervoy induction every 3 weeks for four doses, for 12 weeks, and all participants simultaneously receive Sylatron induction weekly, followed by Sylatron maintenance alone for up to 144 additional weeks (total 156 weeks = 3 years).
Number of Participants With Overall Response (OR)
Complete Response
1 Participants
Number of Participants With Overall Response (OR)
Partial Response
11 Participants

SECONDARY outcome

Timeframe: Up to 54 Months

Population: All evaluable participants

Immune Related Progressive Disease (irPD): increase in tumor burden \>25% relative to nadir (minimum recorded tumor burden) confirmed by repeat consecutive assessment at least 4 weeks later.

Outcome measures

Outcome measures
Measure
Yervoy With Sylatron
n=30 Participants
Participants are given Yervoy induction every 3 weeks for four doses, for 12 weeks, and all participants simultaneously receive Sylatron induction weekly, followed by Sylatron maintenance alone for up to 144 additional weeks (total 156 weeks = 3 years).
Progression Free Survival (PFS)
5.9 months
Interval 2.8 to 11.2

SECONDARY outcome

Timeframe: Up to 54 Months

Population: All evaluable participants

OS: The length of time from either the date of diagnosis or the start of treatment for a disease, such as cancer, that patients diagnosed with the disease are still alive.

Outcome measures

Outcome measures
Measure
Yervoy With Sylatron
n=30 Participants
Participants are given Yervoy induction every 3 weeks for four doses, for 12 weeks, and all participants simultaneously receive Sylatron induction weekly, followed by Sylatron maintenance alone for up to 144 additional weeks (total 156 weeks = 3 years).
Overall Survival (OS)
NA months
Interval 29.5 to
NA: The median overall survival was not reached in this study, with 18 patients (60%) alive at the time of censoring with a median follow-up of 35.8 months (range 19.7-50.2 months).

SECONDARY outcome

Timeframe: 4 Years, 1 Month

Population: All Participants

Percentage of participants with treatment related AEs, Grade 3 to 5. All adverse events, regardless of causality are also reported in the Serious Adverse Event/Other Adverse Event reporting area.

Outcome measures

Outcome measures
Measure
Yervoy With Sylatron
n=31 Participants
Participants are given Yervoy induction every 3 weeks for four doses, for 12 weeks, and all participants simultaneously receive Sylatron induction weekly, followed by Sylatron maintenance alone for up to 144 additional weeks (total 156 weeks = 3 years).
Treatment Related Adverse Events (AEs) - Grade 3 to 5
Grade 4 Adverse Events
0 Participants
Treatment Related Adverse Events (AEs) - Grade 3 to 5
Grade 3 Adverse Events
15 Participants
Treatment Related Adverse Events (AEs) - Grade 3 to 5
Grade 5 Adverse Events
0 Participants
Treatment Related Adverse Events (AEs) - Grade 3 to 5
None Reported
16 Participants

OTHER_PRE_SPECIFIED outcome

Timeframe: Up to 54 Months

Population: All evaluable participants

Number of participants who developed a positive result during treatment for one or more antibodies of a previously negative screen. This study was not designed to statistically test the efficacy of treatment, and no inferential analyses will be performed. Investigators planned to look for evidence of serologic and clinical autoimmunity.

Outcome measures

Outcome measures
Measure
Yervoy With Sylatron
n=30 Participants
Participants are given Yervoy induction every 3 weeks for four doses, for 12 weeks, and all participants simultaneously receive Sylatron induction weekly, followed by Sylatron maintenance alone for up to 144 additional weeks (total 156 weeks = 3 years).
Count of Participants Developing Positive Autoantibody Screen
12 Participants

Adverse Events

Yervoy With Sylatron

Serious events: 14 serious events
Other events: 31 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Yervoy With Sylatron
n=31 participants at risk
Participants are given Yervoy induction every 3 weeks for four doses, for 12 weeks, and all participants simultaneously receive Sylatron induction weekly, followed by Sylatron maintenance alone for up to 144 additional weeks (total 156 weeks = 3 years).
Blood and lymphatic system disorders
Anemia
3.2%
1/31 • Number of events 1 • 4 years, 1 month
Cardiac disorders
Atrial fibrillation
3.2%
1/31 • Number of events 1 • 4 years, 1 month
Cardiac disorders
Myocardial infarction
3.2%
1/31 • Number of events 1 • 4 years, 1 month
Endocrine disorders
Endocrine disorders - Other, hypopituitarism
3.2%
1/31 • Number of events 1 • 4 years, 1 month
Endocrine disorders
Hypothyroidism
6.5%
2/31 • Number of events 2 • 4 years, 1 month
Eye disorders
Blurred vision
3.2%
1/31 • Number of events 1 • 4 years, 1 month
Gastrointestinal disorders
Abdominal pain
3.2%
1/31 • Number of events 1 • 4 years, 1 month
Gastrointestinal disorders
Colitis
3.2%
1/31 • Number of events 1 • 4 years, 1 month
Gastrointestinal disorders
Constipation
3.2%
1/31 • Number of events 1 • 4 years, 1 month
Gastrointestinal disorders
Diarrhea
9.7%
3/31 • Number of events 3 • 4 years, 1 month
Gastrointestinal disorders
Nausea
9.7%
3/31 • Number of events 3 • 4 years, 1 month
Gastrointestinal disorders
Vomiting
16.1%
5/31 • Number of events 5 • 4 years, 1 month
General disorders
Death NOS
3.2%
1/31 • Number of events 1 • 4 years, 1 month
General disorders
Fever
3.2%
1/31 • Number of events 1 • 4 years, 1 month
General disorders
Pain
6.5%
2/31 • Number of events 3 • 4 years, 1 month
Infections and infestations
Lung infection
3.2%
1/31 • Number of events 1 • 4 years, 1 month
Infections and infestations
Sepsis
3.2%
1/31 • Number of events 1 • 4 years, 1 month
Infections and infestations
Skin infection
3.2%
1/31 • Number of events 1 • 4 years, 1 month
Injury, poisoning and procedural complications
Ankle fracture
3.2%
1/31 • Number of events 1 • 4 years, 1 month
Injury, poisoning and procedural complications
Wound complication
3.2%
1/31 • Number of events 1 • 4 years, 1 month
Metabolism and nutrition disorders
Dehydration
6.5%
2/31 • Number of events 2 • 4 years, 1 month
Metabolism and nutrition disorders
Hyperglycemia
3.2%
1/31 • Number of events 1 • 4 years, 1 month
Metabolism and nutrition disorders
Hyponatremia
3.2%
1/31 • Number of events 1 • 4 years, 1 month
Nervous system disorders
Central nervous system necrosis
3.2%
1/31 • Number of events 1 • 4 years, 1 month
Nervous system disorders
Facial nerve disorder
3.2%
1/31 • Number of events 1 • 4 years, 1 month
Nervous system disorders
Intracranial hemorrhage
3.2%
1/31 • Number of events 1 • 4 years, 1 month
Nervous system disorders
Memory impairment
3.2%
1/31 • Number of events 1 • 4 years, 1 month
Nervous system disorders
Nervous system disorders - Other, Paresthesia
3.2%
1/31 • Number of events 1 • 4 years, 1 month
Nervous system disorders
Peripheral sensory neuropathy
3.2%
1/31 • Number of events 1 • 4 years, 1 month
Nervous system disorders
Stroke
3.2%
1/31 • Number of events 1 • 4 years, 1 month
Nervous system disorders
Syncope
3.2%
1/31 • Number of events 1 • 4 years, 1 month
Renal and urinary disorders
Urinary retention
3.2%
1/31 • Number of events 1 • 4 years, 1 month
Respiratory, thoracic and mediastinal disorders
Cough
3.2%
1/31 • Number of events 1 • 4 years, 1 month
Respiratory, thoracic and mediastinal disorders
Dyspnea
6.5%
2/31 • Number of events 2 • 4 years, 1 month
Respiratory, thoracic and mediastinal disorders
Pneumonitis
3.2%
1/31 • Number of events 1 • 4 years, 1 month
Vascular disorders
Hypertension
3.2%
1/31 • Number of events 1 • 4 years, 1 month

Other adverse events

Other adverse events
Measure
Yervoy With Sylatron
n=31 participants at risk
Participants are given Yervoy induction every 3 weeks for four doses, for 12 weeks, and all participants simultaneously receive Sylatron induction weekly, followed by Sylatron maintenance alone for up to 144 additional weeks (total 156 weeks = 3 years).
General disorders
Fatigue
93.5%
29/31 • Number of events 50 • 4 years, 1 month
General disorders
Chills
61.3%
19/31 • Number of events 24 • 4 years, 1 month
General disorders
Fever
48.4%
15/31 • Number of events 23 • 4 years, 1 month
General disorders
General disorders and administration site conditions - Other, Intermittent bleeding of gums
38.7%
12/31 • Number of events 18 • 4 years, 1 month
General disorders
General disorders and administration site conditions - Other, Increased appetite
38.7%
12/31 • Number of events 18 • 4 years, 1 month
General disorders
General disorders and administration site conditions - Other, Decreased appetite
38.7%
12/31 • Number of events 18 • 4 years, 1 month
General disorders
General disorders and administration site conditions - Other, Occasional chest tightness
38.7%
12/31 • Number of events 18 • 4 years, 1 month
General disorders
General disorders and administration site conditions - Other, Leg cramps
38.7%
12/31 • Number of events 18 • 4 years, 1 month
General disorders
General disorders and administration site conditions - Other, Cold sweats
38.7%
12/31 • Number of events 18 • 4 years, 1 month
General disorders
Flu like symptoms
25.8%
8/31 • Number of events 9 • 4 years, 1 month
General disorders
Injection site reaction
22.6%
7/31 • Number of events 7 • 4 years, 1 month
General disorders
Pain
19.4%
6/31 • Number of events 8 • 4 years, 1 month
General disorders
Infusion related reaction
9.7%
3/31 • Number of events 3 • 4 years, 1 month
General disorders
Malaise
9.7%
3/31 • Number of events 4 • 4 years, 1 month
General disorders
Non-cardiac chest pain
6.5%
2/31 • Number of events 2 • 4 years, 1 month
Gastrointestinal disorders
Nausea
61.3%
19/31 • Number of events 36 • 4 years, 1 month
Gastrointestinal disorders
Diarrhea
58.1%
18/31 • Number of events 41 • 4 years, 1 month
Gastrointestinal disorders
Constipation
38.7%
12/31 • Number of events 13 • 4 years, 1 month
Gastrointestinal disorders
Vomiting
32.3%
10/31 • Number of events 17 • 4 years, 1 month
Gastrointestinal disorders
Abdominal pain
19.4%
6/31 • Number of events 6 • 4 years, 1 month
Gastrointestinal disorders
Dry mouth
16.1%
5/31 • Number of events 6 • 4 years, 1 month
Gastrointestinal disorders
Gastrointestinal disorders - Other, Mouth sores
6.5%
2/31 • Number of events 2 • 4 years, 1 month
Gastrointestinal disorders
Colitis
6.5%
2/31 • Number of events 2 • 4 years, 1 month
Gastrointestinal disorders
Dysphagia
6.5%
2/31 • Number of events 3 • 4 years, 1 month
Gastrointestinal disorders
Flatulence
6.5%
2/31 • Number of events 2 • 4 years, 1 month
Gastrointestinal disorders
Mucositis oral
6.5%
2/31 • Number of events 2 • 4 years, 1 month
Skin and subcutaneous tissue disorders
Pruritus
83.9%
26/31 • Number of events 42 • 4 years, 1 month
Skin and subcutaneous tissue disorders
Rash maculo-papular
74.2%
23/31 • Number of events 45 • 4 years, 1 month
Skin and subcutaneous tissue disorders
Skin and subcutaneous tissue disorders - Other, specify
25.8%
8/31 • Number of events 10 • 4 years, 1 month
Skin and subcutaneous tissue disorders
Alopecia
19.4%
6/31 • Number of events 6 • 4 years, 1 month
Skin and subcutaneous tissue disorders
Dry skin
12.9%
4/31 • Number of events 5 • 4 years, 1 month
Skin and subcutaneous tissue disorders
Rash acneiform
12.9%
4/31 • Number of events 9 • 4 years, 1 month
Skin and subcutaneous tissue disorders
Skin hypopigmentation
9.7%
3/31 • Number of events 3 • 4 years, 1 month
Skin and subcutaneous tissue disorders
Erythema multiforme
6.5%
2/31 • Number of events 2 • 4 years, 1 month
Nervous system disorders
Headache
61.3%
19/31 • Number of events 30 • 4 years, 1 month
Nervous system disorders
Dizziness
29.0%
9/31 • Number of events 10 • 4 years, 1 month
Nervous system disorders
Dysgeusia
29.0%
9/31 • Number of events 9 • 4 years, 1 month
Nervous system disorders
Peripheral motor neuropathy
6.5%
2/31 • Number of events 2 • 4 years, 1 month
Nervous system disorders
Tremor
6.5%
2/31 • Number of events 2 • 4 years, 1 month
Metabolism and nutrition disorders
Anorexia
54.8%
17/31 • Number of events 21 • 4 years, 1 month
Metabolism and nutrition disorders
Dehydration
12.9%
4/31 • Number of events 5 • 4 years, 1 month
Metabolism and nutrition disorders
Hyponatremia
9.7%
3/31 • Number of events 4 • 4 years, 1 month
Metabolism and nutrition disorders
Hypercalcemia
6.5%
2/31 • Number of events 6 • 4 years, 1 month
Metabolism and nutrition disorders
Hypertriglyceridemia
6.5%
2/31 • Number of events 2 • 4 years, 1 month
Metabolism and nutrition disorders
Hypocalcemia
6.5%
2/31 • Number of events 5 • 4 years, 1 month
Investigations
White blood cell decreased
32.3%
10/31 • Number of events 26 • 4 years, 1 month
Investigations
Alanine aminotransferase increased
25.8%
8/31 • Number of events 9 • 4 years, 1 month
Investigations
Aspartate aminotransferase increased
25.8%
8/31 • Number of events 9 • 4 years, 1 month
Investigations
Neutrophil count decreased
19.4%
6/31 • Number of events 16 • 4 years, 1 month
Investigations
Platelet count decreased
19.4%
6/31 • Number of events 10 • 4 years, 1 month
Investigations
Lymphocyte count decreased
16.1%
5/31 • Number of events 14 • 4 years, 1 month
Investigations
Weight loss
16.1%
5/31 • Number of events 5 • 4 years, 1 month
Investigations
Alkaline phosphatase increased
6.5%
2/31 • Number of events 3 • 4 years, 1 month
Investigations
Creatinine increased
6.5%
2/31 • Number of events 2 • 4 years, 1 month
Musculoskeletal and connective tissue disorders
Arthralgia
35.5%
11/31 • Number of events 15 • 4 years, 1 month
Musculoskeletal and connective tissue disorders
Back pain
6.5%
2/31 • Number of events 2 • 4 years, 1 month
Musculoskeletal and connective tissue disorders
Generalized muscle weakness
6.5%
2/31 • Number of events 2 • 4 years, 1 month
Musculoskeletal and connective tissue disorders
Musculoskeletal and connective tissue disorder - Other, Temporomandibular joint pain
6.5%
2/31 • Number of events 2 • 4 years, 1 month
Musculoskeletal and connective tissue disorders
Musculoskeletal and connective tissue disorder - Other, Muscle spasms, Left side
6.5%
2/31 • Number of events 2 • 4 years, 1 month
Musculoskeletal and connective tissue disorders
Myalgia
6.5%
2/31 • Number of events 2 • 4 years, 1 month
Musculoskeletal and connective tissue disorders
Pain in extremity
6.5%
2/31 • Number of events 2 • 4 years, 1 month
Respiratory, thoracic and mediastinal disorders
Dyspnea
35.5%
11/31 • Number of events 16 • 4 years, 1 month
Respiratory, thoracic and mediastinal disorders
Cough
32.3%
10/31 • Number of events 14 • 4 years, 1 month
Respiratory, thoracic and mediastinal disorders
Productive cough
12.9%
4/31 • Number of events 5 • 4 years, 1 month
Respiratory, thoracic and mediastinal disorders
Sore throat
9.7%
3/31 • Number of events 3 • 4 years, 1 month
Respiratory, thoracic and mediastinal disorders
Postnasal drip
6.5%
2/31 • Number of events 2 • 4 years, 1 month
Eye disorders
Eye disorders - Other, Visual disturbance
6.5%
2/31 • Number of events 2 • 4 years, 1 month
Eye disorders
Eye disorders - Other, Double vision
6.5%
2/31 • Number of events 2 • 4 years, 1 month
Eye disorders
Eye disorders - Other, specify
22.6%
7/31 • Number of events 9 • 4 years, 1 month
Eye disorders
Blurred vision
9.7%
3/31 • Number of events 3 • 4 years, 1 month
Eye disorders
Dry eye
9.7%
3/31 • Number of events 3 • 4 years, 1 month
Psychiatric disorders
Anxiety
19.4%
6/31 • Number of events 7 • 4 years, 1 month
Psychiatric disorders
Depression
19.4%
6/31 • Number of events 8 • 4 years, 1 month
Psychiatric disorders
Confusion
6.5%
2/31 • Number of events 2 • 4 years, 1 month
Psychiatric disorders
Insomnia
6.5%
2/31 • Number of events 2 • 4 years, 1 month
Endocrine disorders
Endocrine disorders - Other, Night sweats
12.9%
4/31 • Number of events 6 • 4 years, 1 month
Blood and lymphatic system disorders
Anemia
19.4%
6/31 • Number of events 15 • 4 years, 1 month
Ear and labyrinth disorders
Hearing impaired
9.7%
3/31 • Number of events 3 • 4 years, 1 month
Ear and labyrinth disorders
Vertigo
9.7%
3/31 • Number of events 3 • 4 years, 1 month
Infections and infestations
Urinary tract infection
12.9%
4/31 • Number of events 9 • 4 years, 1 month
Vascular disorders
Hypertension
9.7%
3/31 • Number of events 6 • 4 years, 1 month
Vascular disorders
Hot flashes
6.5%
2/31 • Number of events 2 • 4 years, 1 month
Reproductive system and breast disorders
Breast pain
6.5%
2/31 • Number of events 2 • 4 years, 1 month
Renal and urinary disorders
Urinary frequency
6.5%
2/31 • Number of events 3 • 4 years, 1 month
Injury, poisoning and procedural complications
Fall
6.5%
2/31 • Number of events 3 • 4 years, 1 month

Additional Information

Dr. Andrew Brohl

H. Lee Moffitt Cancer Center and Research Institute

Phone: 813-745-3242

Results disclosure agreements

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