Single-arm Trial to Evaluate the Role of the Immune Response to Talimogene Laherparepvec in Unresected Melanoma

NCT ID: NCT02366195

Last Updated: 2021-11-30

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

PHASE2

Total Enrollment

112 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-04-07

Study Completion Date

2020-12-25

Brief Summary

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The study is a phase 2, multi centered, single arm study designed to evaluate the correlation between cluster of differentiation 8-positive (CD8+) cell density and objective response rate in adults with unresected stage IIIB to IVM1c melanoma. This study will also evaluate the safety and tolerability profile of talimogene laherparepvec.

Detailed Description

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The study will explore the hypothesis that intratumoral CD8+ cell density at baseline correlates with objective response rate in adults with unresected stage IIIB to IVMIc melanoma treated with talimogene laherparepvec.

Conditions

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Unresected Stage IIIb to IVM1c Melanoma

Keywords

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T-VEC CD8+ cell density objective response rate unresected Melanoma

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Talimogene Laherparepvec

Talimogene laherparepvec was administered by intralesional injection into injectable cutaneous, subcutaneous, and nodal lesions at an initial dose of 10⁶ plaque-forming units (PFU) per mL on day 1 followed by a dose of 10⁸ PFU/mL 21 days after the initial dose and every 14 days thereafter. Participants were treated with talimogene laherparepvec until they achieved a complete response, all injectable tumors had disappeared, clinically significant (resulting in clinical deterioration or requiring change of therapy) disease progression beyond 6 months of treatment, per modified World Health Organization (WHO) response criteria, or intolerance of study treatment, whichever occurred first.

Group Type EXPERIMENTAL

Talimogene Laherparepvec

Intervention Type DRUG

The initial dose of talimogene laherparepvec is up to 4.0 mL of 10\^6 PFU/mL. Subsequent doses of talimogene laherparepvec are up to 4.0 mL of 10\^8 PFU/mL.

Interventions

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Talimogene Laherparepvec

The initial dose of talimogene laherparepvec is up to 4.0 mL of 10\^6 PFU/mL. Subsequent doses of talimogene laherparepvec are up to 4.0 mL of 10\^8 PFU/mL.

Intervention Type DRUG

Other Intervention Names

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IMLYGIC®

Eligibility Criteria

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Inclusion Criteria

1. Provided informed consent prior to initiation of any study-specific activities/procedures
2. Subject with stage IIIB to IVM1c melanoma for whom surgery is not recommended
3. Candidate for intralesional therapy
4. Measurable disease with greatest diameter ≥ 10 mm
5. Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1
6. Adequate organ function

Exclusion Criteria

1. Clinically active cerebral metastases.
2. Bone metastases
3. Primary ocular or mucosal melanoma
4. Active herpetic skin lesions or prior complications of herpes simplex virus type 1 (HSV-1) infection (eg, herpetic keratitis or encephalitis)
5. Requires intermittent or chronic systemic (intravenous or oral) treatment with an antiherpetic drug (eg, acyclovir), other than intermittent topical use
6. Female subject is pregnant or breast-feeding, or planning to become pregnant during study treatment and through 3 months after the last dose of talimogene laherparepvec
7. Female subject of childbearing potential who is unwilling to use acceptable method(s) of effective contraception
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Amgen

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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MD

Role: STUDY_DIRECTOR

Amgen

Locations

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Research Site

Salt Lake City, Utah, United States

Site Status

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Salzburg, , Austria

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Vienna, , Austria

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Brussels, , Belgium

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Brussels, , Belgium

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Liège, , Belgium

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Boulogne-Billancourt, , France

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Marseille, , France

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Nantes, , France

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Paris, , France

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Poitiers, , France

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Essen, , Germany

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Frankfurt am Main, , Germany

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Hanover, , Germany

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Heidelberg, , Germany

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Athens, , Greece

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Athens, , Greece

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Heraklion - Crete, , Greece

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Pátrai, , Greece

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Thessaloniki, , Greece

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Budapest, , Hungary

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Budapest, , Hungary

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Debrecen, , Hungary

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Pécs, , Hungary

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Szeged, , Hungary

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Bergamo, , Italy

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Milan, , Italy

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Siena, , Italy

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Amsterdam, , Netherlands

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Groningen, , Netherlands

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Konin, , Poland

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Warsaw, , Poland

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Moscow, , Russia

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Saint Petersburg, , Russia

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Donostia / San Sebastian, Basque Country, Spain

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Badalona, Catalonia, Spain

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Barcelona, Catalonia, Spain

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Valencia, Valencia, Spain

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Madrid, , Spain

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Madrid, , Spain

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London, , United Kingdom

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Metropolitan Borough of Wirral, , United Kingdom

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Countries

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United States Austria Belgium France Germany Greece Hungary Italy Netherlands Poland Russia Spain United Kingdom

References

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Malvehy J, Samoylenko I, Schadendorf D, Gutzmer R, Grob JJ, Sacco JJ, Gorski KS, Anderson A, Pickett CA, Liu K, Gogas H. Talimogene laherparepvec upregulates immune-cell populations in non-injected lesions: findings from a phase II, multicenter, open-label study in patients with stage IIIB-IVM1c melanoma. J Immunother Cancer. 2021 Mar;9(3):e001621. doi: 10.1136/jitc-2020-001621.

Reference Type BACKGROUND
PMID: 33785610 (View on PubMed)

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Related Links

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http://www.amgentrials.com

AmgenTrials clinical trials website

Other Identifiers

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2013-005552-15

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

20120325

Identifier Type: -

Identifier Source: org_study_id