Vaccine Therapy and Interleukin-2 in Treating Patients With Metastatic Melanoma
Study Details
Study Description
Brief Summary
RATIONALE: Vaccines may make the body build an immune response that will kill tumor cells. Interleukin-2 may stimulate a person's white blood cells to kill melanoma cells.
PURPOSE: Phase II trial to study the effectiveness of combining vaccine therapy with interleukin-2 in treating patients who have metastatic melanoma.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
Phase 2 |
Detailed Description
OBJECTIVES:
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Determine the response rate (partial response or complete remission) in patients with metastatic melanoma treated with vaccinia-tyrosinase vaccine, fowlpox-tyrosinase vaccine, and high-dose interleukin-2.
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Determine the immunologic response, measured by the reactivity of CD4+ and CD8+ T cells and serum immunoglobulins against tyrosinase and melanoma cells, in patients treated with this regimen.
OUTLINE: Patients receive vaccinia-tyrosinase vaccine intramuscularly (IM) on day 1 followed by fowlpox-tyrosinase vaccine IM on days 15 and 29. Patients then receive high-dose interleukin-2 (IL-2) IV over 15 minutes every 8 hours beginning on day 30 for up to 12 doses and again beginning approximately 3 weeks after the initial dose. Patients with stable disease or a minor, mixed, or partial response may receive additional courses of fowlpox-tyrosinase vaccine (2 doses) and IL-2 as above in the absence of disease progression or unacceptable toxicity. Patients with a complete response (CR) receive 1 additional course beyond achieving CR.
Patients are followed annually for at least 5 years.
PROJECTED ACCRUAL: A total of 19-35 patients will be accrued for this study within 2 years.
Study Design
Outcome Measures
Primary Outcome Measures
Eligibility Criteria
Criteria
DISEASE CHARACTERISTICS:
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Diagnosis of metastatic melanoma
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Measurable disease
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Disease progression while receiving prior standard treatment
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No ocular or mucosal primary site
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No uncontrolled brain metastases
PATIENT CHARACTERISTICS:
Age
- 16 and over
Performance status
- ECOG 0-1
Life expectancy
- More than 3 months
Hematopoietic
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WBC at least 3,000/mm^3
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Platelet count at least 90,000/mm^3
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No coagulation disorders
Hepatic
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Bilirubin no greater than 1.6 mg/dL (less than 3.0 mg/dL in patients with Gilbert's syndrome)
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AST/ALT less than 3 times normal
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Hepatitis B surface antigen negative
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Hepatitis C antibody negative
Renal
- Creatinine no greater than 1.6 mg/dL
Cardiovascular
- No major cardiovascular illness
Pulmonary
- No major respiratory illness
Immunologic
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HIV negative
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No autoimmune disease
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No active systemic infections
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No primary or secondary immunodeficiency (e.g., hereditary disorders such as ataxia-telangiectasia or Wiskott-Aldrich syndrome or acquired immunodeficiencies after bone marrow transplantation)
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No allergy to eggs
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No prior allergy or untoward reaction to smallpox vaccination (if previously vaccinated)
Other
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Not pregnant or nursing
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Negative pregnancy test
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Fertile patients must use effective contraception
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No close contact with the following individuals for 2 weeks after vaccinia vaccination:
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Children under 5 years of age
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Pregnant women
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Individuals with prior or active eczema or other eczematoid skin disorders
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Individuals with other acute, chronic, or exfoliative skin conditions (e.g., burns, impetigo, varicella zoster, severe acne, or other open rashes or wounds)
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Immunosuppressed individuals
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No active atopic dermatitis
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No prior or active eczema
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No active cases of the following conditions:
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Extensive psoriasis
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Severe acneiform rash
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Impetigo
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Varicella zoster
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Burns
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Traumatic or pruritic skin conditions
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Open wounds
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No unhealed surgical scars
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Healed surgical stomas (e.g., colostomy) allowed
PRIOR CONCURRENT THERAPY:
Biologic therapy
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No prior recombinant vaccinia or fowlpox vaccines for melanoma
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No prior vaccination with full length tyrosinase protein, or a vector encoding the full length protein for melanoma
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Prior individual tyrosinase peptides are allowed
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No prior high-dose interleukin-2
Chemotherapy
- Not specified
Endocrine therapy
- No concurrent oral, IV, topical, or inhaled steroids
Radiotherapy
- Not specified
Surgery
- Recovered from prior surgery
Other
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Recovered from prior therapy for melanoma
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More than 3 weeks since prior systemic therapy for melanoma
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No other concurrent systemic therapy for melanoma
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | Warren Grant Magnuson Clinical Center - NCI Clinical Studies Support | Bethesda | Maryland | United States | 20892-1182 |
Sponsors and Collaborators
- National Cancer Institute (NCI)
Investigators
- Study Chair: Suzanne L. Topalian, MD, NCI - Surgery Branch
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- CDR0000270794
- NCI-03-C-0080
- NCI-6119
- NCT00051610