UV1 Vaccination Plus Nivolumab and Ipilimumab in Treatment of Melanoma

NCT ID: NCT04382664

Last Updated: 2025-01-14

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

156 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-05-27

Study Completion Date

2024-04-10

Brief Summary

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This is a randomized, open label study to investigate efficacy and safety of UV1 vaccination in combination with nivolumab and ipilimumab as first line treatment of adult patients with histologically confirmed unresectable metastatic melanoma.

Detailed Description

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This is a randomized, open label study to investigate efficacy and safety of UV1 vaccination in combination with nivolumab and ipilimumab as first line treatment of adult patients with histologically confirmed unresectable metastatic melanoma.

Patients in the experimental arm will receive 8 UV1 vaccinations over 4 cycles of nivolumab and ipilimumab. Patients in the control arm will receive 4 cycles of nivolumab and ipilimumab. Patients in both arms will start maintenance therapy 6 weeks after the last dose of induction therapy, nivolumab at a dose of 480 mg every 4 weeks.

All patients will be followed up until death or until the end of the study.

To support the Extended Exploratory Cohort of the study, an additional 20 patients at selected sites will be enrolled in a single arm UV1 cohort for collection of additional biological material. These patients are in addition to the 156 randomized patients in the main part of the study and will not be included in the main analysis of the study.

Conditions

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Malignant Melanoma

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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UV1 vaccination + nivolumab and ipilimumab

UV1 vaccination + nivolumab and ipilimumab

Group Type EXPERIMENTAL

UV1

Intervention Type BIOLOGICAL

UV1 vaccine (300 μg) will be injected intradermally.

Sargramostim

Intervention Type BIOLOGICAL

Sargramostim (75 μg) is used as a vaccine adjuvant.

Ipilimumab

Intervention Type BIOLOGICAL

Ipilimumab is dosed according to label.

Nivolumab

Intervention Type BIOLOGICAL

Nivolumab is dosed according to label.

Nivolumab and ipilimumab

Nivolumab and ipilimumab

Group Type ACTIVE_COMPARATOR

Ipilimumab

Intervention Type BIOLOGICAL

Ipilimumab is dosed according to label.

Nivolumab

Intervention Type BIOLOGICAL

Nivolumab is dosed according to label.

Interventions

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UV1

UV1 vaccine (300 μg) will be injected intradermally.

Intervention Type BIOLOGICAL

Sargramostim

Sargramostim (75 μg) is used as a vaccine adjuvant.

Intervention Type BIOLOGICAL

Ipilimumab

Ipilimumab is dosed according to label.

Intervention Type BIOLOGICAL

Nivolumab

Nivolumab is dosed according to label.

Intervention Type BIOLOGICAL

Other Intervention Names

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Leukine Yervoy Opdivo

Eligibility Criteria

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Inclusion Criteria

1. Male or female patients at least 18 years of age at the time of signing the ICF.
2. Histologically confirmed diagnosis of unresectable stage IIIB D, or unresectable stage IV malignant melanoma.
3. Eligible for combination treatment with nivolumab and ipilimumab.
4. An ECOG performance status of 0 or 1.
5. Adequate organ function as indicated by the following laboratory values:

Hematological
1. Absolute neutrophil count ≥1,500/µL
2. Platelet count ≥100 x 103/µL
3. Hemoglobin ≥9 g/dL or ≥5.6 mmol/L Renal
4. Creatinine ≤1.5 x upper limit of normal (ULN) Hepatic
5. Total bilirubin ≤1.5 x ULN or direct bilirubin ≤ ULN for patients with total bilirubin levels \>1.5 ULN
6. Aspartate aminotransferase/serum glutamic oxaloacetic transaminase and alanine aminotransferase/serum glutamic pyruvic transaminase ≤2.5 x ULN for patients without liver metastasis or ≤5 x ULN for patients with liver metastasis.
6. Male patients who are sexually active with a female of childbearing potential must agree to use an adequate method of contraception.
7. Women of childbearing potential (WOCBP) must have a negative urine or serum/plasma pregnancy test.
8. WOCBP must use adequate contraception.

Exclusion Criteria

1. Previous non melanoma malignancies unless curatively treated and complete remission was achieved at least 2 years prior to randomization. Patients with prior curatively treated basal or squamous cell carcinoma of the skin, carcinoma in situ of the cervix, or carcinoma in situ of the breast, or other in situ cancers are allowed irrespective of time passed since curative treatment. Patients with prior completely resected malignant melanoma are also allowed.
2. Known brain metastases or leptomeningeal metastases. If a patient experiences neurological symptoms indicative of brain metastases, a brain MRI should be performed.
3. Diagnosis of uveal or ocular melanoma.
4. Known history or any evidence of active, non-infectious pneumonitis.
5. History of New York Heart Association class 3-4 congestive heart failure or history of myocardial infarction within 6 months of starting induction therapy.
6. Active infection requiring systemic treatment.
7. Diagnosis of immunodeficiency.
8. Known history of severe hypersensitivity reactions to nivolumab, ipilimumab, sargramostim, or their excipients.
9. Known history of human immunodeficiency virus (HIV) (HIV 1/2 antibodies).
10. History of or active hepatitis B (hepatitis B surface antigen reactive) or active hepatitis C (hepatitis C virus antibody).
11. Women who are breastfeeding.
12. Prior systemic treatment for unresectable stage IIIB D or unresectable stage IV malignant melanoma.
13. Systemic corticosteroid treatment (doses exceeding 10 mg daily of prednisone or equivalent) or any other form of immunosuppressive treatment within 7 days prior to the first dose of induction therapy.
14. Receipt of a live vaccine within 30 days prior to start of induction therapy.
15. Receipt of any other investigational treatment within 4 weeks of the first dose of induction therapy.
16. Any medical, psychological, or social condition that would make it difficult for the patient to participate in the study and comply with the study procedures, restrictions and requirements.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Ultimovacs ASA

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Karl Lewis

Role: PRINCIPAL_INVESTIGATOR

University of Colorado Hospital - Anschutz Cancer Pavilion

Locations

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Mayo Clinic Hospital

Phoenix, Arizona, United States

Site Status

Highlands Oncology Group

Fayetteville, Arkansas, United States

Site Status

University of California Irvine Health

Orange, California, United States

Site Status

California Cancer Associates for Research & Excellence (CCARE

San Marcos, California, United States

Site Status

Ridley-Tree Cancer Center

Santa Barbara, California, United States

Site Status

Saint John's Health Center - John Wayne Cancer Institute (JWCI)

Santa Monica, California, United States

Site Status

University of Colorado Hospital - Anschutz Cancer Pavilion

Aurora, Colorado, United States

Site Status

Holy Cross Medical Group

Fort Lauderdale, Florida, United States

Site Status

Sylvester Comprehensive Cancer Center

Miami, Florida, United States

Site Status

Ocala Oncology Center

Ocala, Florida, United States

Site Status

Rush University Medical Center - Rush University Cancer Center

Chicago, Illinois, United States

Site Status

NorthShore University Research Institute

Evanston, Illinois, United States

Site Status

Oncology Specialists, S.C.

Park Ridge, Illinois, United States

Site Status

Norton Cancer Institute

Louisville, Kentucky, United States

Site Status

Nebraska Cancer Specialists- Midwest Cancer Center

Papillion, Nebraska, United States

Site Status

Icahn School of Medicine at Mount Sinai

New York, New York, United States

Site Status

State University of New York (SUNY) Upstate Medical University

New York, New York, United States

Site Status

University of Rochester

Rochester, New York, United States

Site Status

NorthShore University HealthSystem

Greenville, South Carolina, United States

Site Status

Texas Oncology - Baylor Charles A. Sammons Cancer Center

Dallas, Texas, United States

Site Status

Antwerp University Hospital

Antwerp, , Belgium

Site Status

Cliniques Universitaires Saint-Luc

Brussels, , Belgium

Site Status

Leuven University Hospital

Leuven, , Belgium

Site Status

GZA Hospital Sint-Augustinus

Wilrijk, , Belgium

Site Status

Ålesund Hospital- Helse Sunnmore HF

Ålesund, , Norway

Site Status

Sykehuset Østfold HF

Grålum, , Norway

Site Status

Sørlandet Sykehus HF(SSHF)

Kristiansand, , Norway

Site Status

Oslo University Hospital - The Norwegian Radium Hospital

Oslo, , Norway

Site Status

Stavanger University Hospital

Stavanger, , Norway

Site Status

Universitetssykehuset Nord-Norge HF

Tromsø, , Norway

Site Status

St. Olavs Hospital HF

Trondheim, , Norway

Site Status

University Hospitals Bristol NHS Foundation Trust - Bristol Haematology and Oncology Centre

Bristol, , United Kingdom

Site Status

Velindre NHS Trust

Cardiff, , United Kingdom

Site Status

The Royal Free London NHS Foundation Trust - The Royal Free Hospital

London, , United Kingdom

Site Status

Royal Marsden Hospital - Institute of Cancer Research - Chelsea

London, , United Kingdom

Site Status

Cancer Research UK Manchester Institute

Manchester, , United Kingdom

Site Status

Oxford University Hospitals NHS Trust - Churchill Hospital

Oxford, , United Kingdom

Site Status

Countries

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United States Belgium Norway United Kingdom

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Other Identifiers

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UV1-202

Identifier Type: -

Identifier Source: org_study_id

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