A Phase I Study of Intratumoral Injection of Interleukin-2 and Ipilimumab in Patients With Unresectable Stages III-IV Melanoma

University of Utah1 site in 1 country12 target enrollmentSeptember 2012

ConditionsMelanoma

InterventionsIntratumoral Ipilimumab and Interleukin-2

DrugsIntratumoral Ipilimumab and Interleukin-2

Overview

Phase: Phase 1
Intervention: Intratumoral Ipilimumab and Interleukin-2
Conditions: Melanoma
Sponsor: University of Utah
Enrollment: 12
Locations: 1
Primary Endpoint: Number of Adverse Events per patient
Status: Completed
Last Updated: 10 years ago

Overview Investigators Eligibility Criteria Arms & Interventions Outcomes Sites Similar Trials

Overview

Brief Summary

This is a single center, open phase I dose escalation study. This study will assess the highest tolerable intratumoral dose of ipilimumab (Yervoy) in combination with IL-2 (Proleukin) in patients with unresectable stages III-IV melanoma with accessible cutaneous, subcutaneous, and/or nodal lesions. The objective is to primarily assess the safety of the drug combination, and to secondarily obtain preliminary data on the clinical efficacy of the combination.

Registry

clinicaltrials.gov

Start Date

September 2012

End Date

August 2014

Last Updated

10 years ago

Study Type

Interventional

Study Design

Single Group

Sex

All

Investigators

Sponsor

University of Utah

Responsible Party

Sponsor

Eligibility Criteria

Inclusion Criteria

•Histological diagnosis of melanoma, unresectable stages III-IV with accessible cutaneous, subcutaneous, and/or nodal lesions , according to the AJCC Staging Manual, 7th Edition,
•Note: Patients who are considered to have resectable disease but decline resection are eligible.
•At least one lesion \> 0.5 cm and \< 2 cm
•ECOG performance status 0, 1 or 2
•Negative pregnancy test for women of childbearing potential within 7 days of enrollment on study.
•WBC \> 2,000/mm3; ANC \> 1,000/mm3; platelet \> 100,000/mm3;hemoglobin \> 9 gm/dL (may be transfused)
•Serum bilirubin levels \<1.5 mg/dL except for patients with Gilbert's syndrome.
•Serum aspartate transaminase (AST) and serum alanine transaminase (ALT) \< 2.5 X upper limit of normal, alkaline phosphatase \< 2.5 X upper limit of normal.
•Serum creatinine levels \<1.5 mg/dL
•Women of childbearing potential should be advised to avoid becoming pregnant and men should be advised to not father a child while receiving treatment with ipilimumab or interleukin-

Exclusion Criteria

•Concurrent therapy with any other non-protocol anti-cancer therapy
•Prior local therapy within 2 weeks or prior systemic therapy within 4 weeks of starting protocol treatment
•History of any other malignancy requiring active treatment
•Pre-existing autoimmunity: History of inflammatory bowel disease; history of symptomatic autoimmune disease (e.g., rheumatoid arthritis, systemic progressive sclerosis \[scleroderma\], systemic lupus erythematosus, autoimmune vasculitis \[e.g., Wegener's Granulomatosis\]); motor neuropathy considered of autoimmune origin (e.g., Guillain-Barre Syndrome). History of vitiligo is allowed.
•Chronic use immunosuppressants or systemic corticosteroids. Note: Chronic use is defined as requiring corticosteroids for greater than one month prior to enrollment on study. Corticosteroid use for less than 1 month prior to enrollment is allowed, but use must stop prior to starting study treatment.
•Clinically significant cardiovascular disease (e.g., uncontrolled hypertension \[BP \>150/100\], myocardial infarction or stroke within 6 months, unstable angina), New York Heart Association (NYHA) Grade II or greater congestive heart failure, or serious cardiac arrhythmia requiring medication
•Currently active systemic infection
•Known history of HIV infection or chronic hepatitis B or C.
•The presence of any other medical or psychiatric disorder that, in the opinion of the treating physician, would contraindicate the use of the drugs in this protocol or place the subject at undue risk for treatment complications
•Pregnancy or breast feeding