HD IL-2 + Ipilimumab in Patients With Metastatic Melanoma

NCT ID: NCT01856023

Last Updated: 2023-12-05

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

TERMINATED

Clinical Phase

PHASE4

Total Enrollment

29 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-05-31

Study Completion Date

2015-07-31

Brief Summary

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Phase IV, open-label, randomized, two-arm, multi-center study in patients with metastatic melanoma who are treatment naïve or have previously received a single non-immunologic therapy.

Treatment Arm 1: "HD IL-2 first, then ipilimumab" Patients will receive two courses (four cycles) of High Dose Interleukin-2 (HD IL-2) followed by one course (four doses) of ipilimumab.

Treatment Arm 2: Ipilimumab first then HD IL-2 Patients will receive one course (four doses) of ipilimumab followed by two courses (four cycles) of HD IL-2.

Detailed Description

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All patients will receive IL-2 at 600,000 international units per kilogram (kg) by intravenous bolus (IVB) every 8 hours for up to 14 planned doses with an additional cycle 14 days after the first.

Ipilimumab 3mg/kg IV infusion Q3 weeks up to 4 doses4 doses A 3-6 week interval been the administration of the two drugs to allow for resolution of treatment-related toxicities.

If corticosteroids were required during Ipilimumab administration, a 2-week period from discontinuation of steroid treatment to start of HD IL-2.

Conditions

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Metastatic Melanoma

Keywords

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melanoma metastatic skin cancer Stage IV interleukin-2

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

SEQUENTIAL

assess the sequenced use of HD IL2 and IPI in metastatic melanoma patients
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Treatment Arm 1

Patients will receive two courses (four cycles) of High Dose Interleukin-2 (HD IL-2) followed by one course (four doses) of ipilimumab.

Group Type ACTIVE_COMPARATOR

High Dose Interleukin-2

Intervention Type DRUG

Ipilimumab

Intervention Type DRUG

Treatment Arm 2

Patients will receive one course (four doses) of ipilimumab followed by two courses (four cycles) of HD IL-2.

Group Type ACTIVE_COMPARATOR

High Dose Interleukin-2

Intervention Type DRUG

Ipilimumab

Intervention Type DRUG

Interventions

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High Dose Interleukin-2

Intervention Type DRUG

Ipilimumab

Intervention Type DRUG

Other Intervention Names

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Aldesleukin Proleukin interleukin Yervoy anti-CTLA4

Eligibility Criteria

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Inclusion Criteria

* Male or female patients 18 years or older
* Confirmed and measurable metastatic melanoma with at least one measurable lesion for evaluation of response
* Meets the requirements for HD IL-2 therapy per Institutional guidelines
* Meets the requirements for ipilimumab therapy per Institutional guidelines
* Treatment naïve or has received only one systemic therapy apart from adjuvant therapy.
* At least 4 weeks since last adjuvant therapy or other cancer treatment
* Willing and able to give informed consent and participate in study procedures as described in the 12PLK02 and 10PLK13 protocols. Patients consented for 12PLK02 will also be asked to participate in the 10PLK13 PROCLAIM registry study.

Exclusion Criteria

* Patients with known or suspected infection with human immunodeficiency virus (HIV), hepatitis C virus (HCV), hepatitis B virus (HBV) or other infectious hepatitis
* Pregnant, nursing or planning to become pregnant
* Untreated brain metastases. (Brain metastases that have been treated, which no longer require corticosteroid therapy and are without progression by MRI at least 6 weeks after definitive therapy are acceptable.)
* Received prior ipilimumab therapy (Prior Adjuvant Ipilimumab and Adjuvant Interferon are permitted with a minimum 4 week washout)
* Received prior HD IL-2 therapy.
* Received investigational drug within 30 days prior to study dosing. Patients may participate in non-interventional or observational clinical studies, including the 10PLK13 PROCLAIM registry study.
* Concomitant disease or condition that would interfere with the conduct of the study or that would, in the opinion of the Investigator, pose an unacceptable risk to the patient in this study.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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M.D. Anderson Cancer Center

OTHER

Sponsor Role collaborator

Johns Hopkins University

OTHER

Sponsor Role collaborator

Clinigen, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Sapna Patel, MD

Role: PRINCIPAL_INVESTIGATOR

MD Anderson

William Sharfman, MD

Role: PRINCIPAL_INVESTIGATOR

Johns Hopkins University

James Lowder, MD

Role: PRINCIPAL_INVESTIGATOR

Prometheus Labs

Locations

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The University of Arizona Cancer Center

Tucson, Arizona, United States

Site Status

Moores UCSD Cancer Center

La Jolla, California, United States

Site Status

MSMC Research Program

Miami Beach, Florida, United States

Site Status

Oncology Specialists, SC

Park Ridge, Illinois, United States

Site Status

University of Iowa Hospitals & Clinics

Iowa City, Iowa, United States

Site Status

Johns Hopkins Medicine

Lutherville, Maryland, United States

Site Status

Karmanos Cancer Institute

Detroit, Michigan, United States

Site Status

Nebraska Cancer Specialists, Midwest Cancer Center - Legacy

Omaha, Nebraska, United States

Site Status

Columbia University Medical Center, Herbert Irving Comprehensive Cancer Center

New York, New York, United States

Site Status

Duke University Health System

Durham, North Carolina, United States

Site Status

The Christ Hospital

Cincinnati, Ohio, United States

Site Status

MD Anderson Cancer Center

Houston, Texas, United States

Site Status

Countries

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United States

Other Identifiers

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12PLK02

Identifier Type: -

Identifier Source: org_study_id