Overview

This trial is active, not recruiting.

Condition melanoma (skin)
Treatment hu14.18-il2 fusion protein
Phase phase 2
Sponsor University of Wisconsin, Madison
Collaborator National Cancer Institute (NCI)
Start date May 2005
End date July 2007
Trial size 30 participants
Trial identifier NCT00109863, CDR0000426431, NCI-6304, WCCC-CO-04601, WCCC-H-2004-0396

Summary

RATIONALE: Biological therapies, such as hu14.18-interleukin-2 fusion protein, may stimulate the immune system in different ways and stop tumor cells from growing.

PURPOSE: This phase II trial is studying how well hu14.18-interleukin-2 fusion protein works in treating patients with advanced melanoma.

United States No locations recruiting
Other Countries No locations recruiting

Study Design

Masking open label
Primary purpose treatment

Primary Outcomes

Measure
Objective response rate and duration of response by clinical exam and radiology studies after every 2 courses
time frame:

Secondary Outcomes

Measure
Adverse events by clinical assessment daily during treatment and weekly after completion of study treatment
time frame:
Immunologic activation induced by hu14.18-interleukin-2 after every 2 courses
time frame:
Induction of anti-idiotypic antibodies on days 1, 3, 4, and 8 of each course
time frame:

Eligibility Criteria

Male or female participants at least 18 years old.

DISEASE CHARACTERISTICS: - Histologically confirmed malignant melanoma - Advanced disease - Measurable disease by clinical assessment or imaging - No known standard curative therapy exists - Disease no longer controlled by surgery, chemotherapy, or radiotherapy - No clinically detectable pleural effusion or ascites - No brain metastases PATIENT CHARACTERISTICS: Age - 18 and over Performance status - ECOG 0-1 Life expectancy - Not specified Hematopoietic - WBC ≥ 3,500/mm^3 OR - Granulocyte count ≥ 2,000/mm^3 - Platelet count ≥ 100,000/mm^3 - Hemoglobin ≥ 10.0 g/dL Hepatic - AST and ALT < 2 times normal - Bilirubin < 2.0 mg/dL - Hepatitis B surface antigen negative - No clinical evidence of hepatitis Renal - Creatinine < 2.0 mg/dL OR - Creatinine clearance ≥ 60 mL/min Cardiovascular - No ischemic cardiac disease, congestive heart failure, or myocardial infarction within the past 6 months - No uncontrolled cardiac rhythm disturbance - No myocardial ischemia or heart failure by exercise radionuclide scan for patients with a history of cardiac disease, significant risk factors for coronary artery disease, or ≥ 65 years of age Pulmonary - Pulmonary function normal by exercise radionuclide scan for patients with a history of cardiac disease, significant risk factors for coronary artery disease, or ≥ 65 years of age Immunologic - HIV negative - No known hypersensitivity to the study drug, Tween-80®, or human immunoglobulin - No uncontrolled active infection Neurologic - No seizure disorder - No objective peripheral neuropathy ≥ grade 2 - No clinically significant neurologic deficit Other - Not pregnant or nursing - Negative pregnancy test - Fertile patients must use effective contraception - Must consent to the placement of a central venous line OR demonstrate stable peripheral IV access - Must be willing and able to discontinue antihypertensive medications (if advised to do so) on the days of study drug infusion - No uncontrolled active peptic ulcer - No known grade 4 side effects related to prior interleukin-2 - No diabetes mellitus that has required systemic therapy (e.g., oral hypoglycemic agents or insulin) within the past 3 months - No other significant illness - No significant psychiatric disability PRIOR CONCURRENT THERAPY: Biologic therapy - Prior monoclonal antibodies for biologic therapy, tumor imaging, purging of autologous bone marrow/stem cells for re-infusion, or for any other reason allowed provided there is documented absence of detectable antibody to hu14.18 by serology - No concurrent growth factors Chemotherapy - No immediate requirement for palliative chemotherapy - No concurrent anticancer chemotherapy Endocrine therapy - More than 2 weeks since prior and no concurrent corticosteroids (e.g., dexamethasone) - No immediate requirement for palliative hormonal therapy Radiotherapy - No immediate requirement for palliative radiotherapy - Concurrent palliative radiotherapy to localized painful lesions allowed provided ≥ 1 measurable or evaluable lesion is not irradiated AND the irradiated lesion is not used to assess tumor response Surgery - More than 3 weeks since prior major surgery - No prior organ allografts Other - More than 2 weeks since other prior and no concurrent immunosuppressive drugs - No prior standard or experimental systemic therapy for stage IV melanoma - No concurrent myelosuppressive antineoplastic drugs

Additional Information

Official title Phase II Trial of Hu14.18-IL2 (EMD 273063) in Subjects With Advanced Melanoma
Description OBJECTIVES: Primary - Determine the clinical antitumor activity of hu14.18-interleukin-2 fusion protein in patients with advanced melanoma. - Determine the duration of response in patients treated with this drug. Secondary - Determine the adverse events in patients treated with this drug. - Determine the in vivo immunologic activation in patients treated with this drug. - Determine the induction of anti-hu14.18 and anti-interleukin-2 antibodies in patients treated with this drug. - Determine tumor antigen recognition by this drug in select patients with cutaneous metastatic tumors, as measured by binding of the drug to the cutaneous metastatic tumor and microscopic changes (including immune cell density and phenotype) of the tumor tissue. OUTLINE: Patients receive hu14.18-interleukin-2 fusion protein IV over 4 hours on days 1-3. Treatment repeats every 28 days for 2 courses in the absence of symptomatic disease progression or unacceptable toxicity. Patients then undergo disease reassessment. Patients with an objective partial or complete clinical response or stable disease receive 2 additional courses of treatment. PROJECTED ACCRUAL: A total of 14-30 patients will be accrued for this study within 7-15 months.
Trial information was received from ClinicalTrials.gov and was last updated in April 2009.
Information provided to ClinicalTrials.gov by National Cancer Institute (NCI).