IL15 Dendritic Cell Vaccine for Patients With Resected Stage III (A, B or C) or Stage IV Melanoma
- Conditions
- Malignant Melanoma Stage IVMalignant Melanoma Stage III
- Interventions
- Biological: IL15-DC Vaccine
- Registration Number
- NCT01189383
- Lead Sponsor
- Baylor Research Institute
- Brief Summary
The purpose of the study is to gather data on feasibility as well as immune and clinical efficacy of of a dendritic cell vaccine using IL15 in patients with resected stage III or stage IV melanoma
- Detailed Description
IL15 is a T cell growth factor that pre-clinical data overwhelmingly suggests could have a very important role in cancer immunotherapy. A desirable property for a dendritic cell vaccine directed against cancer is the ability to efficiently prime naïve, tumor associated antigen specific T cells into potent CTLs. Results of studies in healthy volunteers have shown that IL15 DCs are particularly efficient at priming functional melanoma specific CD8+ T cells. The use of IL15 in the manufacture of the DC vaccine could result in an improved immunotherapy product.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 20
- HLA A201 + phenotype
- Biopsy-proven melanoma, Stages III (A, B and C) or stage IV.- no evidence of disease at study entry
- Age: 21-75 years
- ECOG performance status 0-1
- Adequate marrow function
- Adequate hepatic function
- Adequate renal function
- Written informed consent
- Subjects with measureable non-resectable melanoma
- Subjects who have had chemotherapy less than 4 weeks before starting trial
- Subjects who received IFN-a or GM-CSF less than 4 weeks before starting trial
- Subjects who received IL2 less than 4 weeks before starting trial
- Subjects with a baseline LDH greater than 1.1 times the ULN
- Subjects who are HIV positive
- Female subjects who are pregnant
- Subjects who have received corticosteroids or other immunosuppressive agents less than 4 weeks before starting trial
- Subjects who have asthma and/or are on treatment for asthma
- Subjects with angina pectoris
- Subjects with congestive heart failure
- Subjects with history of autoimmune disease including lupus, rheumatoid arthritis or thyroiditis
- Subjects with active infections including viral hepatitis
- Subjects with a history of neoplastic disease othe than melanoma within the last 5 years
- History of neoplastic disease within the last 5 years except for carcinoma in situ of the cervix, superficial bladder cancer or basal/squamous cell carcinoma of the skin.
- Subjects who present with open wounds
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- SINGLE_GROUP
- Arm && Interventions
Group Intervention Description IL15-DC Vaccine IL15-DC Vaccine Approximately 9 x 10\^6 DCs will be injected (subcutaneously)total per vaccination visit. Patients will receive four vaccinations at weeks 0, 4, 8 and 12.At each scheduled vaccination the patient will receive a total of 3 injections, i.e., 3 mL injections at each of 3 anatomical locations.Injection sites are in upper and lower extremities. Subsequent DC injections will be rotated to different locations on the upper and lower extremities.
- Primary Outcome Measures
Name Time Method Immune response 14 weeks
- Secondary Outcome Measures
Name Time Method Breadth of melanoma specific immunity 24 weeks Quality of elicited melanoma specific CD8+ T cells 14 weeks Longevity of melanoma specific CD8+ T cell immunity 24 weeks
Trial Locations
- Locations (1)
Baylor University Medical Center
🇺🇸Dallas, Texas, United States