Melanoma (Skin) Clinical Trial
Official title:
A Pilot Study of the Adoptive Transfer of MART1/Melan-A CTL for Malignant Melanoma
RATIONALE: Cytotoxic T lymphocytes (CTL) are cells of the immune system that can fight
infections and cancer. These CTL can be manipulated in the laboratory so that they can
target an individual's cancer.
PURPOSE: This early phase trial is studying the feasibility and side effects of intravenous
infusions of CTL generated in the laboratory. To produce the CTL, the study participant's
own immune cells are collected by a procedure called a leukapheresis. The cells then undergo
laboratory processing for three weeks. Part of this processing includes mixing the patients
immune cells with a new kind of cell that has some extra genes added to it. These extra
genes are to "teach" the participant's own immune cells to become anti-tumor CTL that can
attack the melanoma.
DETAILED OUTLINE: This is an early phase pilot/feasibility trial.
Study subjects will be sequentially accrued to three cohorts. Cohorts 1 and 2 will evaluate
the safety and feasibility of infusing two different doses of CTL.
- Participants in all cohorts will undergo two CTL infusions 5 weeks apart.
- Procedures performed during the trial will include physical examinations, laboratory
tests, delayed hypersensitivity testing, and skin biopsies.
- Between 5 and 8 days after the first CTL infusion, a biopsy or excision of a melanoma
lesion may be performed.
- Three leukapheresis procedures will be performed: two to collect peripheral blood for
CTL production and one for research purposes at the end of the clinical trial.
- Radiology tests (including CT scans) will be performed prior to infusion and about 4-5
weeks after the second CTL infusion.
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Allocation: Non-Randomized, Endpoint Classification: Safety Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment
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