Cancer- Patients with histopathologically-proven malignant melanoma with presence of measurable and injectable dermal or subcutaneous metastases either in clinical stage III or stage IV MedDRA version: 14.0 Level: PT Classification code 10025671 Term: Malignant melanoma stage IV System Organ Class: 10029104 - Neoplasms benign, malignant and unspecified (incl cysts and polyps) MedDRA version: 14.0 Level: PT Classification code 10025670 Term: Malignant melanoma stage III System Organ Class: 1002
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: • Histopathologically proven malignant melanoma • Presence of measurable and injectable soft tissue metastases either in clinical stage III or stage IV M1a without visceral metastases • Males or females, age > 18 years • Either without or after one line of prior systemic treatment for metastatic disease. • ECOG performance status 1.5 x 109/L, hemoglobin > 9.0 g/dL and platelets > 100 x 109/L • Negative serum pregnancy test (for women of child-bearing potential only) at screening • If of childbearing potential, agreement to use adequate contraceptive methods (e.g., oral contraceptives, condoms, or other adequate barrier controls, intrauterine contraceptive devices, or sterilization) beginning at the screening visit and continuing until 3 months following last treatment with study drug. • Able to provide written Informed Consent. • Willingness and ability to comply with the scheduled visits, treatment plan, laboratory tests and other study procedures. Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range 20 F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range 20
Exclusion criteria
Exclusion criteria: • Primary ocular melanoma • Presence of visceral metastases at screening • Evidence of active brain metastases at screening. • History of HIV infection or infectious hepatitis B or C • Presence of active infections (e.g. requiring antimicrobial therapy) or other severe concurrent disease, which, in the opinion of the investigator, would place the patient at undue risk or interfere with the study. • Inadequately controlled cardiac arrhythmias including atrial fibrillation • Heart insufficiency (> Grade II, New York Heart Association (NYHA) criteria) • Uncontrolled hypertension • Ischemic peripheral vascular disease (Grade IIb-IV) • Active autoimmune disease • History of organ allograft or stem cell transplantation • Known history of allergy to IL2, or other intravenously administered human proteins/peptides/antibodies. • Breast feeding female • Growth factors or immunomodulatory agents within 7 days of the administration of study treatment • Patients in need of systemic treatment for rapidly progressive systemic disease during study treatment and up to 2 weeks after injection of L19IL2.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: Rate of patients with complete response (CR) of L19IL2 treated metastases at week 12 ;Secondary Objective: Safety of intratumoral administration of L19IL2 Rate of patients with CR, partial response (PR) and stable disease (SD) of L19IL2 treated metastases at week 12 (objective response rate and disease control rate of L19IL2 treated metastases) Duration of objective response and disease control of L19IL2 treated metastases Rate of patients with CR, PR and SD of all metastases at week 12 (objective response rate and disease control rate of all metastases) Duration of objective response and disease control of all metastases Overall survival (OS) Objective response rate of all metastases at week 24 and 36 according to RECIST vs. 1.1 Disease control rate of all metastases at week 24 and 36 according to RECIST vs. 1.1 ;Primary end point(s): Rate of patients with complete response(CR) of L19IL2 treated metastases at week 12 ;Timepoint(s) of evaluation of this end point: week 12 | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): Safety of intratumoral administration of L19IL2 - Rate of patients with CR, partial response (PR) and stable disease (SD) of L19IL2 treated metastases at week 12 (objective response rate and disease control rate of L19IL2 treated metastases) - Duration of objective response and disease control of L19IL2 treated metastases - Rate of patients with CR, PR and SD of all metastases at week 12 (objective response rate and disease control rate of all metastases) - Duration of objective response and disease control of all metastases - Overall survival (OS) Objective response rate of all metastases at week 24 and 36 according to RECIST vs. 1.1 Disease control rate of all metastases at week 24 and 36 according to RECIST vs. 1.1 ;Timepoint(s) of evaluation of this end point: For objective response rates at week 12 For OS and Duration of response up to 1 year | — |
Countries
Austria, Germany, Italy
Contacts
Philogen S.p.A