Melanoma (Skin)
Conditions
Keywords
stage IV melanoma, recurrent melanoma
Brief summary
RATIONALE: Vaccines made from a patient's white blood cells mixed with tumor antigens may make the body build an immune response to kill tumor cells. PURPOSE: Phase I trial to study the effectiveness of vaccine therapy in treating patients who have metastatic melanoma.
Detailed description
OBJECTIVES: * Determine the safety and tolerability of antigen-pulsed dendritic cell vaccine in patients with metastatic melanoma. * Determine the longevity of melanoma-specific immunity in patients treated with this regimen. * Perform serial analysis of T-cell and B-cell function in patients treated with this regimen. OUTLINE: Patients receive filgrastim (G-CSF) subcutaneously (SC) once daily on days 1-6 or 1-7. Patients undergo apheresis on days 6 and 7 or 6-8 to obtain peripheral blood mononuclear cells (PBMC). PBMC are processed for CD34+ cell isolation. These autologous CD34+ hematopoietic progenitor cells are cultured to generate dendritic cells (DC). DC are then pulsed with endotoxin-free keyhole limpet hemocyanin and HLA-A2-01 restricted flu-matrix peptides derived from melanoma-associated tumor antigens (MART-1:27-35, gp100:209-217, and MAGE-3). Antigen-pulsed DC are incubated with interferon alfa to induce DC maturation. Patients receive priming injections of antigen-pulsed DC vaccine SC once every 2 weeks for 8 weeks. Treatment repeats at 2, 3, 4, and 5 months after the last priming injection in the absence of unacceptable toxicity or disease progression. Patients are followed at 2 and 4 weeks and then every 3 months for 1.5 years. PROJECTED ACCRUAL: A total of 18 patients will be accrued for this study.
Interventions
BIOLOGICALfilgrastim
BIOLOGICALtherapeutic autologous dendritic cells
Sponsors
National Cancer Institute (NCI)
Baylor Health Care System
Study design
Primary purpose
TREATMENT
Eligibility
Sex/Gender
ALL
Age
21 Years to No maximum
Healthy volunteers
No
Inclusion criteria
DISEASE CHARACTERISTICS: * Histologically confirmed metastatic melanoma * HLA-A2-01 phenotype * Measurable disease * No active CNS or hepatic metastases PATIENT CHARACTERISTICS: Age: * 21 and over Performance status: * Karnofsky 80-100% Life expectancy: * Not specified Hematopoietic: * Not specified Hepatic: * See Disease Characteristics * No viral hepatitis Renal: * Not specified Cardiovascular: * No prior venous thrombosis, angina pectoris, or congestive heart failure * Lactate dehydrogenase less than 2 times normal Pulmonary: * No prior asthma Immunologic: * Intradermal skin test positivity to mumps, Candida, or streptokinase antigen * No known sensitivity to E. coli drug preparations * No prior allergy to influenza vaccine * No active infection * No prior autoimmune disease (e.g., lupus erythematosus, rheumatoid arthritis, or thyroiditis) Other: * HIV negative * Not pregnant or nursing * Negative pregnancy test * Fertile patients must use effective contraception PRIOR CONCURRENT THERAPY: Biologic therapy: * At least 8 weeks since prior interleukin-2 * At least 4 weeks since prior interferon alfa Chemotherapy: * At least 8 weeks since prior chemotherapy Endocrine therapy: * At least 2 weeks since prior corticosteroids * No concurrent corticosteroids Radiotherapy: * Not specified Surgery: * Not specified Other: * No concurrent immunosuppressive agents * At least 2 weeks since prior immunosuppressive agents
Countries
United States
Outcome results
None listed