Melanoma Clinical Trial
Official title:
A Randomized Phase II Continuation Booster Trial After a Vaccine Combining Tyrosinase/GP100/MART-1 Peptides Emulsified With Montanide ISA 51 With or Without GM-CSF for Patients With Resected Stages IIB/C, III, and IV Melanoma
This is a study of a melanoma vaccine. Study participants will have melanoma that invaded
deeply and spread to lymph nodes or another location. Although the participants' melanoma
has been removed, there is a greater than 1 out of 2 chance it will return. There will be
approximately 40 subjects in this study. The patients will have already taken part in a
melanoma vaccine study, and in this current study, they will continue to receive booster
injections of a similar vaccine given for two additional years.
This study will test an experimental vaccine. The vaccine contains peptides which are
fragments of substances made by most melanomas. The substances are tyrosinase, gpl00 and
melanoma antigen recognized by T cells (MART-1). The vaccine also includes an assistant
called Montanide ISA 51. The assistant stimulates the immune system. This study will also
test the effects of a second assistant granulocyte-macrophage colony-stimulating factor
(GM-CSF). All participants will receive the vaccine and assistant Montanide ISA 51, but only
half will receive the assistant GM-CSF. The patients have a one in two chance of receiving
the assistant called GM-CSF. The main purpose of this study is to find out if the booster
injections increase the body's immunity to melanoma and prevent its level of immunity from
getting lower over time. The investigators also wish to know if the GM-CSF increases the
body's immunity to melanoma when given with the melanoma vaccine.
The vaccine and assistant Montanide ISA 51 are not approved by the Food and Drug
Administration (FDA). The assistant GM-CSF is approved by the FDA to increase
infection-fighting white blood cells after chemotherapy. It is not approved by the FDA for
treatment of melanoma. However, the FDA is permitting the vaccine and the assistants to be
tested in this study.
n/a
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment
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