Melanoma Clinical Trial
Official title:
A Phase I Trial Testing Multiple Antigen-Engineered DC Followed by IFNa2b Boost for Immunization of HLA-Unrestricted Melanoma Patients
This clinical trial is to determine if the addition of a standard of care drug,
interferon-alfa 2b (IFN), with an investigation vaccine will have any affect on the immune
system and/or your cancer. The investigational vaccine will be made with genes that are
specific to melanoma and will be given intradermally (i.d.) every two weeks for a total of 3
vaccines.
After the vaccines, subjects will be randomized to either receive a boost of high dose IFN or
no boost. IFN will be administered intravenously (into a vein) for 5 consecutive days (Monday
through Friday) every week for 4 weeks. Administration will begin approximately 30 days (± 7
days) after the 3rd vaccine. The first dose of IFNα2b may begin within 10 business days of
randomization. All subsequent procedure dates for Group A will be based on the date of the
first dose of IFNα2b.
This is a Phase I, single site study to evaluate the immunological effects of autologous DC
transduced with the MART-1, tyrosinase and MAGE-A6 (melanoma associated antigens, MAA) genes
in 30 subjects with recurrent, unresectable stage III, IV metastatic melanoma (M1a, M1b,
M1c). AdVTMM2-transduced DC, 10e7, will be given intradermally (i.d.) every two weeks for a
total of 3 vaccines.
After the DC vaccines, subjects will be randomized to either receive a boost of high dose
IFNa2b or no boost.
Subjects randomized to receive the IFNa2b boost will receive Interferon-a2b, 20 MU/m2/d
(rounded to the nearest 1 million units) administered intravenously for 5 consecutive days
(Monday through Friday) every week for 4 weeks (induction). Administration will begin
approximately 30 days (± 7 days) after the 3rd vaccine. The first dose of IFNα2b may begin
within 10 business days of randomization. All subsequent procedure dates for Group A will be
based on the date of the first dose of IFNα2b..
The end-points of this study are local and systemic toxicity, immunological response,
generation of determinant spreading and anti-tumor immunity, and clinical response.
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