Clinical Research on the Treatments on Advanced Malignant Melanoma by Combining in Situ Immunotherapy and Laser Therapy

NCT ID: NCT02372708

Last Updated: 2015-02-26

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

72 participants

Study Classification

OBSERVATIONAL

Study Start Date

2008-08-31

Study Completion Date

2014-05-31

Brief Summary

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To evaluate the therapeutic efficacy and the safety for the treatments on malignant melanoma by combining semiantigen dinitrophenyl (DNP) in situ immunotherapy and laser therapy, and carry out monitoring on related immunological parameters of the patients.

72 patients with stage III (b or c) or stage IV skin (which could not be excised by operations) malignant melanoma were treated by combining simple semiantigen DNP in situ immunotherapy and laser therapy respectively. The changes in peripheral blood CD4+CD25+Treg regulatory T cells (Treg), CD8+T, CD4+ T effector cells, IL-10, TGF-β and other inhibitory cytokines of the patients were detected, the changes in anti-DNP IgG antibody titer was monitored, the relationship between delayed-type hypersensitivity (DTH) and survival was observed, and results of clinical follow-ups were also examined.

Detailed Description

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Conditions

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Melanoma

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Experimental

diluted dinitrophenyl(DNP) Vaseline (which equaled to 2% DNP 0.1ml) was started to be directly spread on the surfaces of primary or metastatic tumors of malignant melanoma patients since the first day of every circle of chemotherapy, simultaneously laser irradiation was carried out for 10 min, the power density of laser irradiation was 1W/cm2. The tumors were wrapped and blocked for two days to induce contact dermatitis. If lymph nodes had been cleared, sensibilization of 2×2cm was performed at occipital region. It was repeated once a week.

dinitrophenyl(DNP)

Intervention Type DRUG

Radiation

Intervention Type RADIATION

laser irradiation was carried out for 10 min, the power density of laser irradiation was 1W/cm2

Control

only diluted DNP Vaseline was spread and the operation were the same with the treatment group

dinitrophenyl(DNP)

Intervention Type DRUG

Interventions

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dinitrophenyl(DNP)

Intervention Type DRUG

Radiation

laser irradiation was carried out for 10 min, the power density of laser irradiation was 1W/cm2

Intervention Type RADIATION

Eligibility Criteria

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Inclusion Criteria

* pathologically diagnosed as malignant melanoma, HMB45 (+~++++), S100 (+~++++);
* Basically normal hepatic and renal functions as well as results for blood routine examinations;
* Karnofsky score ≥ 60;
* Anticipated life span for more than three months;
* They were all malignant melanoma patients suffering from skin malignant melanoma of local or distal metastasis unsuitable for operations in their skin;
* The therapeutic efficacy was objectively evaluated with reference to the criteria from WHO;
* All of the subjects had signed the informed consent and had been submitted and approved by the ethic committee of the hospital, the compliance was good and follow-ups can be easily carried out.
Minimum Eligible Age

18 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Chinese PLA General Hospital

OTHER

Sponsor Role lead

Responsible Party

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DuNan

professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Nan Du, PHD

Role: PRINCIPAL_INVESTIGATOR

First Affiliated Hospital, Chinese PLA General Hospital

Locations

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First Affiliated Hospital, Chinese PLA General Hospital

Beijing, Beijing Municipality, China

Site Status

Countries

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China

Other Identifiers

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ML125396

Identifier Type: -

Identifier Source: org_study_id

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