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Study of a Multi-Antigen Therapeutic Vaccine in Patients With Metastatic Melanoma

Phase II Study of a Multi-Antigen Therapeutic Vaccine in Patients With Metastatic Melanoma

Status
Terminated
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00613509
Enrollment
23
Registered
2008-02-13
Start date
2008-06-30
Completion date
2010-06-30
Last updated
2016-04-14

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Cancer, Melanoma

Keywords

Melanoma, Cancer

Brief summary

Primary objective: To evaluate the clinical activity of the vaccine regimen, as indicated by progression-free survival versus the clinical activity of the reference treatment. Secondary objectives: Safety: To describe the safety profile in both treatment groups. Efficacy: To determine the objective clinical responses of patients in both treatment groups: complete response and partial response.

Detailed description

Eligible participants will be randomized to receive either a vaccine treatment consisting of a series of multi-antigen melanoma vaccine and GM-CSF injections, followed by high-dose IFN-α2b or only the high-dose IFN-α2b.

Interventions

BIOLOGICALALVAC(2) Melanoma multi-antigen therapeutic vaccine

0.5 mL, 2 cycles

BIOLOGICALIntron A, Interferon alpha -2b

0.5 mL, 5 times per week for 4 weeks

Sponsors

Sanofi Pasteur, a Sanofi Company
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

: * A pathologically confirmed diagnosis of malignant melanoma with at least one measurable metastatic lesion with a minimum lesion size of 20 mm, based on radiological assessment (or 10 mm if assessed by spiral computed tomography \[CT\] scan ) as per Response Evaluation Criteria in Solid Tumors (RECIST) criteria (Stages IIIc, IVa, or IVb only, according to the American Joint Committee on Cancer (AJCC) staging system for melanoma). Cutaneous metastasis (assessed by physical examination) must be at least 10 mm. CT scan or magnetic resonance imaging (MRI) is required to rule out brain metastases. * Patients who received prior treatment for their metastatic disease must have objective evidence of disease progression. * Aged ≥ 18 years on the day of inclusion * IRB-approved informed consent form signed * Able to attend all scheduled visits and to comply with all trial procedures * For a woman, inability to bear a child or negative serum pregnancy test * For a woman of child-bearing potential, using an effective method of contraception or abstinence during the study and at least 4 weeks after the last study treatment * Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1 and a life expectancy of at least 6 months. * Adequate hematologic, hepatic, and renal function (at pre-defined laboratory values). * Fully recovered from surgery, if applicable.

Exclusion criteria

: * Receipt of two or more previous therapies for metastatic melanoma. * Receipt of chemotherapy or another therapy for metastatic melanoma within the last four weeks * Receipt of adjuvant interferon therapy within the last six months * Concurrent receipt of radiotherapy for the metastatic disease, unless for palliative purposes * Participation in another clinical trial within the four weeks preceding the first trial treatment * Planned participation in another clinical trial during the present trial period * Known Human Immunodeficiency Virus (HIV) infection or hepatitis B (Ag HBs) or hepatitis C seropositivity * Presence of active autoimmune disease (excluding vitiligo) * Systemic hypersensitivity to bovine products or to any of the vaccine components, including egg products or Neomycin (used to prepare the vaccine), or history of a life-threatening reaction to granulocyte-macrophage colony stimulating factor (GM-CSF) or interferon (IFN)-α2b * Current alcohol or drug addiction that may interfere with the ability to comply with trial procedures * Significant co-morbid medical conditions, including pre-existing renal disease, cirrhosis, or major depression, which in the estimation of the investigator would preclude safe participation in the study or the accurate interpretation of data. * A calculated glomerular filtration rate (GFR) \<60 mL/min (based on the Cockroft-Gault formula). * Previous receipt of a modified canarypox virus (ALVAC)-based vaccine.

Design outcomes

Primary

MeasureTime frameDescription
Summary of Disease Progression in Study Participants, Intent-to-treat PopulationDay 0 up to 35 weeks post 1st vaccination or treatmentNumber of evaluable study participants who had died or experienced objective disease progression (no clinical objective response to treatment as evaluated by computed tomography \[CT\] scans or physical examination).
Progression-Free Survival Time by Response Evaluation Criteria in Solid Tumor (RECIST) Criteria in the Intent-to-treat PopulationDay 0 - up to 35 weeks post 1st vaccination or treatmentProgression-Free Survival was assessed by the Response Evaluation Criteria in Solid Tumor criteria from the computed tomography (CT) scans, as per-protocol

Secondary

MeasureTime frameDescription
Best Overall Objective Response in the Intent-to-treat PopulationDay 0 to 32 weeks post 1st vaccination or treatmentObjective response rate (ORR) is the sum of complete response (CR) and partial response (PR) Complete response = Disappearance of all target lesions. Partial response = At least a 30% decrease in the sum of longest diameter of target lesions, taking as reference the baseline sum longest diameter.
Best Overall Objective Response as Number of Participants Responding in the Intent-to-treat PopulationDay 0 to 32 weeks post 1st vaccination or treatmentObjective response rate (ORR) is the sum of complete response (CR) and partial response (PR) Complete response = Disappearance of all target lesions. Partial response = At least a 30% decrease in the sum of longest diameter of target lesions, taking as reference the baseline sum longest diameter.
Best Overall Objective Response as Mean Duration of Response (Weeks) in the Intent-to-treat PopulationDay 0 to 32 weeks post 1st vaccination or treatmentObjective response rate (ORR) is the sum of complete response (CR) and partial response (PR) Complete response = Disappearance of all target lesions. Partial response = At least a 30% decrease in the sum of longest diameter of target lesions, taking as reference the baseline sum longest diameter.
Number of Participants Reporting a Grade 3 or Grade 4 Adverse Events by Preferred TermDay 0 to 12 months post last vaccinationCommon Terminology Criteria for Adverse Events (CTCAE) definitions: Grade 3 is a severe adverse event; Grade 4 is a life-threatening or disabling adverse event.

Other

MeasureTime frameDescription
Number of Participants With a Vaccine-Induced Increase of CD4 T-Cell Positive Response by AntigenDay 0 to 32 weeks post 1st vaccinationThe Vaccine-induced increase of CD4 T-Cell positive response by antigen post-vaccination during the observation period compared to the screening values.
Number of Participants With a Vaccine-Induced Increase of CD8 T-Cell Positive Response by AntigenDay 0 to 32 weeks post 1st vaccinationThe vaccine-induced increase of CD8 T-Cell positive response by antigen post-vaccination during the observation period compared to the screening values.
Summary of Cellular Immune Response to the Vaccination or Treatment (Percent Regulatory T-Cells Responses)Day 0 to 32 weeks post 1st vaccination or treatmentThe immunogenicity of the treatment regimens was assessed by regulatory T-cell responses as assessed primarily by the multi-parametric intracellular cytokine staining (ICS) assay.

Countries

Canada, United States

Participant flow

Recruitment details

Participants were enrolled from 20 May 2008 to 31 March 2009 at 8 medical centers in the US and 3 medical centers in Canada.

Pre-assignment details

A total of 23 participants who met the inclusion and exclusion criteria were enrolled and treated.

Participants by arm

ArmCount
Study Group 1: ALVAC Melanoma Vaccine
Participants received vaccine treatment consisting of 3 series of multi-antigen ALVAC-based melanoma vaccine and GM-CSF injections, followed by four weeks of high-dose IFN-α2b. (Participants that did not show disease progression were allowed a second cycle of treatment)
11
Study Group 2: Interferon Alpha-2b
Participants on Four weeks of high-dose IFN-α2b. (Participants that showed disease progression after Cycle 1 were permitted to cross over to Group 1 treatment)
12
Total23

Withdrawals & dropouts

PeriodReasonFG000FG001
Cycle 1Adverse Event21
Cycle 1Disease Progression26
Cycle 1Other administrative reason01
Cycle 1Unacceptable Toxicity10

Baseline characteristics

CharacteristicStudy Group 1: ALVAC Melanoma VaccineStudy Group 2: Interferon Alpha-2bTotal
Age, Categorical
<=18 years
0 Participants0 Participants0 Participants
Age, Categorical
>=65 years
2 Participants2 Participants4 Participants
Age, Categorical
Between 18 and 65 years
9 Participants10 Participants19 Participants
Age, Continuous52.6 Years
STANDARD_DEVIATION 14.23
52.9 Years
STANDARD_DEVIATION 14.34
52.8 Years
STANDARD_DEVIATION 14.3
Region of Enrollment
Canada
2 participants2 participants4 participants
Region of Enrollment
United States
9 participants10 participants19 participants
Sex: Female, Male
Female
6 Participants5 Participants11 Participants
Sex: Female, Male
Male
5 Participants7 Participants12 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
— / —— / —
other
Total, other adverse events
5 / 117 / 12
serious
Total, serious adverse events
5 / 115 / 12

Outcome results

Primary

Progression-Free Survival Time by Response Evaluation Criteria in Solid Tumor (RECIST) Criteria in the Intent-to-treat Population

Progression-Free Survival was assessed by the Response Evaluation Criteria in Solid Tumor criteria from the computed tomography (CT) scans, as per-protocol

Time frame: Day 0 - up to 35 weeks post 1st vaccination or treatment

Population: The Progression-Free Survival Time were assessed in the intend-to-treat (ITT) evaluable population.

ArmMeasureValue (MEDIAN)
Study Group 1: ALVAC Melanoma VaccineProgression-Free Survival Time by Response Evaluation Criteria in Solid Tumor (RECIST) Criteria in the Intent-to-treat Population15.9 Weeks
Study Group 2: Interferon Alpha-2bProgression-Free Survival Time by Response Evaluation Criteria in Solid Tumor (RECIST) Criteria in the Intent-to-treat Population8.9 Weeks
p-value: 0.9406Log Rank
p-value: 0.9179Likelihood ratio test
Primary

Summary of Disease Progression in Study Participants, Intent-to-treat Population

Number of evaluable study participants who had died or experienced objective disease progression (no clinical objective response to treatment as evaluated by computed tomography \[CT\] scans or physical examination).

Time frame: Day 0 up to 35 weeks post 1st vaccination or treatment

Population: The Progression-Free Survival Time were assessed in the intend-to-treat (ITT) evaluable population.

ArmMeasureGroupValue (NUMBER)
Study Group 1: ALVAC Melanoma VaccineSummary of Disease Progression in Study Participants, Intent-to-treat PopulationProgressed or died due to any cause7 Participants
Study Group 1: ALVAC Melanoma VaccineSummary of Disease Progression in Study Participants, Intent-to-treat PopulationDid not progress or die due to any cause4 Participants
Study Group 2: Interferon Alpha-2bSummary of Disease Progression in Study Participants, Intent-to-treat PopulationProgressed or died due to any cause6 Participants
Study Group 2: Interferon Alpha-2bSummary of Disease Progression in Study Participants, Intent-to-treat PopulationDid not progress or die due to any cause6 Participants
Secondary

Best Overall Objective Response as Mean Duration of Response (Weeks) in the Intent-to-treat Population

Objective response rate (ORR) is the sum of complete response (CR) and partial response (PR) Complete response = Disappearance of all target lesions. Partial response = At least a 30% decrease in the sum of longest diameter of target lesions, taking as reference the baseline sum longest diameter.

Time frame: Day 0 to 32 weeks post 1st vaccination or treatment

Population: The best overall objective response as mean duration of response were assessed in the intent-to-treat (ITT) evaluable population.

ArmMeasureValue (MEAN)
Study Group 1: ALVAC Melanoma VaccineBest Overall Objective Response as Mean Duration of Response (Weeks) in the Intent-to-treat Population16.3 Weeks
Study Group 2: Interferon Alpha-2bBest Overall Objective Response as Mean Duration of Response (Weeks) in the Intent-to-treat Population18.3 Weeks
Secondary

Best Overall Objective Response as Number of Participants Responding in the Intent-to-treat Population

Objective response rate (ORR) is the sum of complete response (CR) and partial response (PR) Complete response = Disappearance of all target lesions. Partial response = At least a 30% decrease in the sum of longest diameter of target lesions, taking as reference the baseline sum longest diameter.

Time frame: Day 0 to 32 weeks post 1st vaccination or treatment

Population: The best overall objective response as number of participants responding was assessed in the intent-to-treat (ITT) evaluable population.

ArmMeasureGroupValue (NUMBER)
Study Group 1: ALVAC Melanoma VaccineBest Overall Objective Response as Number of Participants Responding in the Intent-to-treat PopulationParticipants with measurable disease at baseline11 Particpants
Study Group 1: ALVAC Melanoma VaccineBest Overall Objective Response as Number of Participants Responding in the Intent-to-treat PopulationComplete Response (CR)0 Particpants
Study Group 1: ALVAC Melanoma VaccineBest Overall Objective Response as Number of Participants Responding in the Intent-to-treat PopulationPartial Response (PR)2 Particpants
Study Group 1: ALVAC Melanoma VaccineBest Overall Objective Response as Number of Participants Responding in the Intent-to-treat PopulationStable Disease (SD)3 Particpants
Study Group 1: ALVAC Melanoma VaccineBest Overall Objective Response as Number of Participants Responding in the Intent-to-treat PopulationNot Evaluable (NE)0 Particpants
Study Group 1: ALVAC Melanoma VaccineBest Overall Objective Response as Number of Participants Responding in the Intent-to-treat PopulationProgression (PD)6 Particpants
Study Group 2: Interferon Alpha-2bBest Overall Objective Response as Number of Participants Responding in the Intent-to-treat PopulationNot Evaluable (NE)1 Particpants
Study Group 2: Interferon Alpha-2bBest Overall Objective Response as Number of Participants Responding in the Intent-to-treat PopulationParticipants with measurable disease at baseline11 Particpants
Study Group 2: Interferon Alpha-2bBest Overall Objective Response as Number of Participants Responding in the Intent-to-treat PopulationStable Disease (SD)3 Particpants
Study Group 2: Interferon Alpha-2bBest Overall Objective Response as Number of Participants Responding in the Intent-to-treat PopulationComplete Response (CR)0 Particpants
Study Group 2: Interferon Alpha-2bBest Overall Objective Response as Number of Participants Responding in the Intent-to-treat PopulationProgression (PD)6 Particpants
Study Group 2: Interferon Alpha-2bBest Overall Objective Response as Number of Participants Responding in the Intent-to-treat PopulationPartial Response (PR)1 Particpants
Secondary

Best Overall Objective Response in the Intent-to-treat Population

Objective response rate (ORR) is the sum of complete response (CR) and partial response (PR) Complete response = Disappearance of all target lesions. Partial response = At least a 30% decrease in the sum of longest diameter of target lesions, taking as reference the baseline sum longest diameter.

Time frame: Day 0 to 32 weeks post 1st vaccination or treatment

Population: The best overall objective response were assessed in the intent-to-treat (ITT) evaluable population.

ArmMeasureValue (NUMBER)
Study Group 1: ALVAC Melanoma VaccineBest Overall Objective Response in the Intent-to-treat Population18.2 Percentage of participants
Study Group 2: Interferon Alpha-2bBest Overall Objective Response in the Intent-to-treat Population9.1 Percentage of participants
Secondary

Number of Participants Reporting a Grade 3 or Grade 4 Adverse Events by Preferred Term

Common Terminology Criteria for Adverse Events (CTCAE) definitions: Grade 3 is a severe adverse event; Grade 4 is a life-threatening or disabling adverse event.

Time frame: Day 0 to 12 months post last vaccination

Population: Safety assessments were conducted in the As-treated safety population.

ArmMeasureGroupValue (NUMBER)
Study Group 1: ALVAC Melanoma VaccineNumber of Participants Reporting a Grade 3 or Grade 4 Adverse Events by Preferred TermSepsis1 Participants
Study Group 1: ALVAC Melanoma VaccineNumber of Participants Reporting a Grade 3 or Grade 4 Adverse Events by Preferred TermLeukocytosis1 Participants
Study Group 1: ALVAC Melanoma VaccineNumber of Participants Reporting a Grade 3 or Grade 4 Adverse Events by Preferred TermAbdominal Pain Upper1 Participants
Study Group 1: ALVAC Melanoma VaccineNumber of Participants Reporting a Grade 3 or Grade 4 Adverse Events by Preferred TermAxillary Pain1 Participants
Study Group 1: ALVAC Melanoma VaccineNumber of Participants Reporting a Grade 3 or Grade 4 Adverse Events by Preferred TermChest Discomfort1 Participants
Study Group 1: ALVAC Melanoma VaccineNumber of Participants Reporting a Grade 3 or Grade 4 Adverse Events by Preferred TermChest Pain1 Participants
Study Group 1: ALVAC Melanoma VaccineNumber of Participants Reporting a Grade 3 or Grade 4 Adverse Events by Preferred TermInflammation1 Participants
Study Group 1: ALVAC Melanoma VaccineNumber of Participants Reporting a Grade 3 or Grade 4 Adverse Events by Preferred TermPyrexia0 Participants
Study Group 1: ALVAC Melanoma VaccineNumber of Participants Reporting a Grade 3 or Grade 4 Adverse Events by Preferred TermAnemia0 Participants
Study Group 1: ALVAC Melanoma VaccineNumber of Participants Reporting a Grade 3 or Grade 4 Adverse Events by Preferred TermSeptic Shock0 Participants
Study Group 1: ALVAC Melanoma VaccineNumber of Participants Reporting a Grade 3 or Grade 4 Adverse Events by Preferred TermStaphylococcal Bacteremia0 Participants
Study Group 1: ALVAC Melanoma VaccineNumber of Participants Reporting a Grade 3 or Grade 4 Adverse Events by Preferred TermAlanine Aminotransferase (ALT) Increased0 Participants
Study Group 1: ALVAC Melanoma VaccineNumber of Participants Reporting a Grade 3 or Grade 4 Adverse Events by Preferred TermAspartate Aminotransferase (AST) Increased0 Participants
Study Group 1: ALVAC Melanoma VaccineNumber of Participants Reporting a Grade 3 or Grade 4 Adverse Events by Preferred TermGamma-Glutamyl Transferase (GGT) Increased1 Participants
Study Group 1: ALVAC Melanoma VaccineNumber of Participants Reporting a Grade 3 or Grade 4 Adverse Events by Preferred TermNeutrophil Count Decreased1 Participants
Study Group 1: ALVAC Melanoma VaccineNumber of Participants Reporting a Grade 3 or Grade 4 Adverse Events by Preferred TermWhite Blood Cell Count Decreased1 Participants
Study Group 1: ALVAC Melanoma VaccineNumber of Participants Reporting a Grade 3 or Grade 4 Adverse Events by Preferred TermHypernatremia1 Participants
Study Group 1: ALVAC Melanoma VaccineNumber of Participants Reporting a Grade 3 or Grade 4 Adverse Events by Preferred TermHypoalbuminemia0 Participants
Study Group 1: ALVAC Melanoma VaccineNumber of Participants Reporting a Grade 3 or Grade 4 Adverse Events by Preferred TermHypocalcemia0 Participants
Study Group 1: ALVAC Melanoma VaccineNumber of Participants Reporting a Grade 3 or Grade 4 Adverse Events by Preferred TermHyponatremia0 Participants
Study Group 1: ALVAC Melanoma VaccineNumber of Participants Reporting a Grade 3 or Grade 4 Adverse Events by Preferred TermJoint Range of Motion Decreased1 Participants
Study Group 1: ALVAC Melanoma VaccineNumber of Participants Reporting a Grade 3 or Grade 4 Adverse Events by Preferred TermMetastatic Malignant Melanoma0 Participants
Study Group 1: ALVAC Melanoma VaccineNumber of Participants Reporting a Grade 3 or Grade 4 Adverse Events by Preferred TermBrain Edema1 Participants
Study Group 1: ALVAC Melanoma VaccineNumber of Participants Reporting a Grade 3 or Grade 4 Adverse Events by Preferred TermCerebral Hemorrhage1 Participants
Study Group 1: ALVAC Melanoma VaccineNumber of Participants Reporting a Grade 3 or Grade 4 Adverse Events by Preferred TermEncephalopathy1 Participants
Study Group 1: ALVAC Melanoma VaccineNumber of Participants Reporting a Grade 3 or Grade 4 Adverse Events by Preferred TermHeadache1 Participants
Study Group 1: ALVAC Melanoma VaccineNumber of Participants Reporting a Grade 3 or Grade 4 Adverse Events by Preferred TermHemiplegia1 Participants
Study Group 1: ALVAC Melanoma VaccineNumber of Participants Reporting a Grade 3 or Grade 4 Adverse Events by Preferred TermParaesthesia0 Participants
Study Group 1: ALVAC Melanoma VaccineNumber of Participants Reporting a Grade 3 or Grade 4 Adverse Events by Preferred TermPeripheral Sensory Neuropathy0 Participants
Study Group 1: ALVAC Melanoma VaccineNumber of Participants Reporting a Grade 3 or Grade 4 Adverse Events by Preferred TermSyncope Vasovagal0 Participants
Study Group 1: ALVAC Melanoma VaccineNumber of Participants Reporting a Grade 3 or Grade 4 Adverse Events by Preferred TermPolyuria1 Participants
Study Group 1: ALVAC Melanoma VaccineNumber of Participants Reporting a Grade 3 or Grade 4 Adverse Events by Preferred TermHypotension1 Participants
Study Group 2: Interferon Alpha-2bNumber of Participants Reporting a Grade 3 or Grade 4 Adverse Events by Preferred TermHypotension0 Participants
Study Group 2: Interferon Alpha-2bNumber of Participants Reporting a Grade 3 or Grade 4 Adverse Events by Preferred TermAnemia1 Participants
Study Group 2: Interferon Alpha-2bNumber of Participants Reporting a Grade 3 or Grade 4 Adverse Events by Preferred TermHypernatremia0 Participants
Study Group 2: Interferon Alpha-2bNumber of Participants Reporting a Grade 3 or Grade 4 Adverse Events by Preferred TermLeukocytosis0 Participants
Study Group 2: Interferon Alpha-2bNumber of Participants Reporting a Grade 3 or Grade 4 Adverse Events by Preferred TermEncephalopathy0 Participants
Study Group 2: Interferon Alpha-2bNumber of Participants Reporting a Grade 3 or Grade 4 Adverse Events by Preferred TermAbdominal Pain Upper0 Participants
Study Group 2: Interferon Alpha-2bNumber of Participants Reporting a Grade 3 or Grade 4 Adverse Events by Preferred TermHypoalbuminemia1 Participants
Study Group 2: Interferon Alpha-2bNumber of Participants Reporting a Grade 3 or Grade 4 Adverse Events by Preferred TermAxillary Pain0 Participants
Study Group 2: Interferon Alpha-2bNumber of Participants Reporting a Grade 3 or Grade 4 Adverse Events by Preferred TermPeripheral Sensory Neuropathy1 Participants
Study Group 2: Interferon Alpha-2bNumber of Participants Reporting a Grade 3 or Grade 4 Adverse Events by Preferred TermChest Discomfort0 Participants
Study Group 2: Interferon Alpha-2bNumber of Participants Reporting a Grade 3 or Grade 4 Adverse Events by Preferred TermHypocalcemia1 Participants
Study Group 2: Interferon Alpha-2bNumber of Participants Reporting a Grade 3 or Grade 4 Adverse Events by Preferred TermChest Pain0 Participants
Study Group 2: Interferon Alpha-2bNumber of Participants Reporting a Grade 3 or Grade 4 Adverse Events by Preferred TermHeadache0 Participants
Study Group 2: Interferon Alpha-2bNumber of Participants Reporting a Grade 3 or Grade 4 Adverse Events by Preferred TermInflammation0 Participants
Study Group 2: Interferon Alpha-2bNumber of Participants Reporting a Grade 3 or Grade 4 Adverse Events by Preferred TermHyponatremia1 Participants
Study Group 2: Interferon Alpha-2bNumber of Participants Reporting a Grade 3 or Grade 4 Adverse Events by Preferred TermPyrexia1 Participants
Study Group 2: Interferon Alpha-2bNumber of Participants Reporting a Grade 3 or Grade 4 Adverse Events by Preferred TermPolyuria0 Participants
Study Group 2: Interferon Alpha-2bNumber of Participants Reporting a Grade 3 or Grade 4 Adverse Events by Preferred TermSepsis0 Participants
Study Group 2: Interferon Alpha-2bNumber of Participants Reporting a Grade 3 or Grade 4 Adverse Events by Preferred TermJoint Range of Motion Decreased0 Participants
Study Group 2: Interferon Alpha-2bNumber of Participants Reporting a Grade 3 or Grade 4 Adverse Events by Preferred TermSeptic Shock1 Participants
Study Group 2: Interferon Alpha-2bNumber of Participants Reporting a Grade 3 or Grade 4 Adverse Events by Preferred TermHemiplegia0 Participants
Study Group 2: Interferon Alpha-2bNumber of Participants Reporting a Grade 3 or Grade 4 Adverse Events by Preferred TermStaphylococcal Bacteremia1 Participants
Study Group 2: Interferon Alpha-2bNumber of Participants Reporting a Grade 3 or Grade 4 Adverse Events by Preferred TermMetastatic Malignant Melanoma1 Participants
Study Group 2: Interferon Alpha-2bNumber of Participants Reporting a Grade 3 or Grade 4 Adverse Events by Preferred TermAlanine Aminotransferase (ALT) Increased3 Participants
Study Group 2: Interferon Alpha-2bNumber of Participants Reporting a Grade 3 or Grade 4 Adverse Events by Preferred TermSyncope Vasovagal1 Participants
Study Group 2: Interferon Alpha-2bNumber of Participants Reporting a Grade 3 or Grade 4 Adverse Events by Preferred TermAspartate Aminotransferase (AST) Increased1 Participants
Study Group 2: Interferon Alpha-2bNumber of Participants Reporting a Grade 3 or Grade 4 Adverse Events by Preferred TermBrain Edema0 Participants
Study Group 2: Interferon Alpha-2bNumber of Participants Reporting a Grade 3 or Grade 4 Adverse Events by Preferred TermGamma-Glutamyl Transferase (GGT) Increased1 Participants
Study Group 2: Interferon Alpha-2bNumber of Participants Reporting a Grade 3 or Grade 4 Adverse Events by Preferred TermParaesthesia1 Participants
Study Group 2: Interferon Alpha-2bNumber of Participants Reporting a Grade 3 or Grade 4 Adverse Events by Preferred TermNeutrophil Count Decreased0 Participants
Study Group 2: Interferon Alpha-2bNumber of Participants Reporting a Grade 3 or Grade 4 Adverse Events by Preferred TermCerebral Hemorrhage0 Participants
Study Group 2: Interferon Alpha-2bNumber of Participants Reporting a Grade 3 or Grade 4 Adverse Events by Preferred TermWhite Blood Cell Count Decreased0 Participants
Other Pre-specified

Number of Participants With a Vaccine-Induced Increase of CD4 T-Cell Positive Response by Antigen

The Vaccine-induced increase of CD4 T-Cell positive response by antigen post-vaccination during the observation period compared to the screening values.

Time frame: Day 0 to 32 weeks post 1st vaccination

Population: Immunologic responses were assessed in the Per-protocol evaluable population.

ArmMeasureGroupValue (NUMBER)
Study Group 1: ALVAC Melanoma VaccineNumber of Participants With a Vaccine-Induced Increase of CD4 T-Cell Positive Response by Antigen7 Weeks post 1st Vaccination: gp100 pool10 Participants
Study Group 1: ALVAC Melanoma VaccineNumber of Participants With a Vaccine-Induced Increase of CD4 T-Cell Positive Response by AntigenScreening: NYESO-1 pool 10 Participants
Study Group 1: ALVAC Melanoma VaccineNumber of Participants With a Vaccine-Induced Increase of CD4 T-Cell Positive Response by Antigen7 Weeks post 1st Vaccination: gp100 pool20 Participants
Study Group 1: ALVAC Melanoma VaccineNumber of Participants With a Vaccine-Induced Increase of CD4 T-Cell Positive Response by AntigenScreening: gp100 pool30 Participants
Study Group 1: ALVAC Melanoma VaccineNumber of Participants With a Vaccine-Induced Increase of CD4 T-Cell Positive Response by Antigen7 Weeks post 1st Vaccination: gp100 pool30 Participants
Study Group 1: ALVAC Melanoma VaccineNumber of Participants With a Vaccine-Induced Increase of CD4 T-Cell Positive Response by AntigenScreening: NYESO-1 pool 20 Participants
Study Group 1: ALVAC Melanoma VaccineNumber of Participants With a Vaccine-Induced Increase of CD4 T-Cell Positive Response by Antigen7 Weeks post 1st Vaccination: gp100 pool40 Participants
Study Group 1: ALVAC Melanoma VaccineNumber of Participants With a Vaccine-Induced Increase of CD4 T-Cell Positive Response by AntigenScreening: gp100 pool50 Participants
Study Group 1: ALVAC Melanoma VaccineNumber of Participants With a Vaccine-Induced Increase of CD4 T-Cell Positive Response by Antigen7 Weeks post 1st Vaccination: gp100 pool51 Participants
Study Group 1: ALVAC Melanoma VaccineNumber of Participants With a Vaccine-Induced Increase of CD4 T-Cell Positive Response by AntigenScreening: Mart1 pool0 Participants
Study Group 1: ALVAC Melanoma VaccineNumber of Participants With a Vaccine-Induced Increase of CD4 T-Cell Positive Response by Antigen7 Weeks post 1st Vaccination: gp100 pool60 Participants
Study Group 1: ALVAC Melanoma VaccineNumber of Participants With a Vaccine-Induced Increase of CD4 T-Cell Positive Response by AntigenScreening: gp100 pool20 Participants
Study Group 1: ALVAC Melanoma VaccineNumber of Participants With a Vaccine-Induced Increase of CD4 T-Cell Positive Response by Antigen7 Weeks post 1st Vaccination: NYESO-1 pool 10 Participants
Study Group 1: ALVAC Melanoma VaccineNumber of Participants With a Vaccine-Induced Increase of CD4 T-Cell Positive Response by AntigenScreening: Native 15mer pool0 Participants
Study Group 1: ALVAC Melanoma VaccineNumber of Participants With a Vaccine-Induced Increase of CD4 T-Cell Positive Response by Antigen7 Weeks post 1st Vaccination: NYESO-1 pool 20 Participants
Study Group 1: ALVAC Melanoma VaccineNumber of Participants With a Vaccine-Induced Increase of CD4 T-Cell Positive Response by AntigenScreening: gp100 pool60 Participants
Study Group 1: ALVAC Melanoma VaccineNumber of Participants With a Vaccine-Induced Increase of CD4 T-Cell Positive Response by Antigen7 Weeks post 1st Vaccination: Mart1 pool0 Participants
Study Group 1: ALVAC Melanoma VaccineNumber of Participants With a Vaccine-Induced Increase of CD4 T-Cell Positive Response by AntigenScreening: 9mer pool0 Participants
Study Group 1: ALVAC Melanoma VaccineNumber of Participants With a Vaccine-Induced Increase of CD4 T-Cell Positive Response by Antigen7 Weeks post 1st Vaccination: Native 15mer pool0 Participants
Study Group 1: ALVAC Melanoma VaccineNumber of Participants With a Vaccine-Induced Increase of CD4 T-Cell Positive Response by AntigenScreening: gp100 pool40 Participants
Study Group 1: ALVAC Melanoma VaccineNumber of Participants With a Vaccine-Induced Increase of CD4 T-Cell Positive Response by Antigen7 Weeks post 1st Vaccination: 9mer pool0 Participants
Study Group 1: ALVAC Melanoma VaccineNumber of Participants With a Vaccine-Induced Increase of CD4 T-Cell Positive Response by AntigenScreening: gp100 pool10 Participants
Study Group 2: Interferon Alpha-2bNumber of Participants With a Vaccine-Induced Increase of CD4 T-Cell Positive Response by Antigen7 Weeks post 1st Vaccination: 9mer pool0 Participants
Study Group 2: Interferon Alpha-2bNumber of Participants With a Vaccine-Induced Increase of CD4 T-Cell Positive Response by AntigenScreening: gp100 pool10 Participants
Study Group 2: Interferon Alpha-2bNumber of Participants With a Vaccine-Induced Increase of CD4 T-Cell Positive Response by AntigenScreening: gp100 pool20 Participants
Study Group 2: Interferon Alpha-2bNumber of Participants With a Vaccine-Induced Increase of CD4 T-Cell Positive Response by AntigenScreening: gp100 pool30 Participants
Study Group 2: Interferon Alpha-2bNumber of Participants With a Vaccine-Induced Increase of CD4 T-Cell Positive Response by AntigenScreening: gp100 pool40 Participants
Study Group 2: Interferon Alpha-2bNumber of Participants With a Vaccine-Induced Increase of CD4 T-Cell Positive Response by AntigenScreening: gp100 pool50 Participants
Study Group 2: Interferon Alpha-2bNumber of Participants With a Vaccine-Induced Increase of CD4 T-Cell Positive Response by AntigenScreening: gp100 pool60 Participants
Study Group 2: Interferon Alpha-2bNumber of Participants With a Vaccine-Induced Increase of CD4 T-Cell Positive Response by AntigenScreening: NYESO-1 pool 10 Participants
Study Group 2: Interferon Alpha-2bNumber of Participants With a Vaccine-Induced Increase of CD4 T-Cell Positive Response by AntigenScreening: NYESO-1 pool 20 Participants
Study Group 2: Interferon Alpha-2bNumber of Participants With a Vaccine-Induced Increase of CD4 T-Cell Positive Response by AntigenScreening: Mart1 pool0 Participants
Study Group 2: Interferon Alpha-2bNumber of Participants With a Vaccine-Induced Increase of CD4 T-Cell Positive Response by AntigenScreening: Native 15mer pool0 Participants
Study Group 2: Interferon Alpha-2bNumber of Participants With a Vaccine-Induced Increase of CD4 T-Cell Positive Response by AntigenScreening: 9mer pool0 Participants
Study Group 2: Interferon Alpha-2bNumber of Participants With a Vaccine-Induced Increase of CD4 T-Cell Positive Response by Antigen7 Weeks post 1st Vaccination: gp100 pool11 Participants
Study Group 2: Interferon Alpha-2bNumber of Participants With a Vaccine-Induced Increase of CD4 T-Cell Positive Response by Antigen7 Weeks post 1st Vaccination: gp100 pool20 Participants
Study Group 2: Interferon Alpha-2bNumber of Participants With a Vaccine-Induced Increase of CD4 T-Cell Positive Response by Antigen7 Weeks post 1st Vaccination: gp100 pool30 Participants
Study Group 2: Interferon Alpha-2bNumber of Participants With a Vaccine-Induced Increase of CD4 T-Cell Positive Response by Antigen7 Weeks post 1st Vaccination: gp100 pool40 Participants
Study Group 2: Interferon Alpha-2bNumber of Participants With a Vaccine-Induced Increase of CD4 T-Cell Positive Response by Antigen7 Weeks post 1st Vaccination: gp100 pool50 Participants
Study Group 2: Interferon Alpha-2bNumber of Participants With a Vaccine-Induced Increase of CD4 T-Cell Positive Response by Antigen7 Weeks post 1st Vaccination: gp100 pool60 Participants
Study Group 2: Interferon Alpha-2bNumber of Participants With a Vaccine-Induced Increase of CD4 T-Cell Positive Response by Antigen7 Weeks post 1st Vaccination: NYESO-1 pool 10 Participants
Study Group 2: Interferon Alpha-2bNumber of Participants With a Vaccine-Induced Increase of CD4 T-Cell Positive Response by Antigen7 Weeks post 1st Vaccination: NYESO-1 pool 20 Participants
Study Group 2: Interferon Alpha-2bNumber of Participants With a Vaccine-Induced Increase of CD4 T-Cell Positive Response by Antigen7 Weeks post 1st Vaccination: Mart1 pool0 Participants
Study Group 2: Interferon Alpha-2bNumber of Participants With a Vaccine-Induced Increase of CD4 T-Cell Positive Response by Antigen7 Weeks post 1st Vaccination: Native 15mer pool0 Participants
Other Pre-specified

Number of Participants With a Vaccine-Induced Increase of CD8 T-Cell Positive Response by Antigen

The vaccine-induced increase of CD8 T-Cell positive response by antigen post-vaccination during the observation period compared to the screening values.

Time frame: Day 0 to 32 weeks post 1st vaccination

Population: Immunologic responses were assessed in the Per-protocol evaluable population.

ArmMeasureGroupValue (NUMBER)
Study Group 1: ALVAC Melanoma VaccineNumber of Participants With a Vaccine-Induced Increase of CD8 T-Cell Positive Response by Antigen7 Weeks post 1st Vaccination: gp100 pool10 Participants
Study Group 1: ALVAC Melanoma VaccineNumber of Participants With a Vaccine-Induced Increase of CD8 T-Cell Positive Response by AntigenScreening: NYESO-1 pool 10 Participants
Study Group 1: ALVAC Melanoma VaccineNumber of Participants With a Vaccine-Induced Increase of CD8 T-Cell Positive Response by Antigen7 Weeks post 1st Vaccination: gp100 pool20 Participants
Study Group 1: ALVAC Melanoma VaccineNumber of Participants With a Vaccine-Induced Increase of CD8 T-Cell Positive Response by AntigenScreening: gp100 pool40 Participants
Study Group 1: ALVAC Melanoma VaccineNumber of Participants With a Vaccine-Induced Increase of CD8 T-Cell Positive Response by Antigen7 Weeks post 1st Vaccination: gp100 pool30 Participants
Study Group 1: ALVAC Melanoma VaccineNumber of Participants With a Vaccine-Induced Increase of CD8 T-Cell Positive Response by AntigenScreening: NYESO-1 pool 20 Participants
Study Group 1: ALVAC Melanoma VaccineNumber of Participants With a Vaccine-Induced Increase of CD8 T-Cell Positive Response by Antigen7 Weeks post 1st Vaccination: gp100 pool40 Participants
Study Group 1: ALVAC Melanoma VaccineNumber of Participants With a Vaccine-Induced Increase of CD8 T-Cell Positive Response by AntigenScreening: gp100 pool10 Participants
Study Group 1: ALVAC Melanoma VaccineNumber of Participants With a Vaccine-Induced Increase of CD8 T-Cell Positive Response by Antigen7 Weeks post 1st Vaccination: gp100 pool51 Participants
Study Group 1: ALVAC Melanoma VaccineNumber of Participants With a Vaccine-Induced Increase of CD8 T-Cell Positive Response by AntigenScreening: Mart1 pool0 Participants
Study Group 1: ALVAC Melanoma VaccineNumber of Participants With a Vaccine-Induced Increase of CD8 T-Cell Positive Response by Antigen7 Weeks post 1st Vaccination: gp100 pool60 Participants
Study Group 1: ALVAC Melanoma VaccineNumber of Participants With a Vaccine-Induced Increase of CD8 T-Cell Positive Response by AntigenScreening: gp100 pool30 Participants
Study Group 1: ALVAC Melanoma VaccineNumber of Participants With a Vaccine-Induced Increase of CD8 T-Cell Positive Response by Antigen7 Weeks post 1st Vaccination: NYESO-1 pool 10 Participants
Study Group 1: ALVAC Melanoma VaccineNumber of Participants With a Vaccine-Induced Increase of CD8 T-Cell Positive Response by AntigenScreening: Native 15mer pool0 Participants
Study Group 1: ALVAC Melanoma VaccineNumber of Participants With a Vaccine-Induced Increase of CD8 T-Cell Positive Response by Antigen7 Weeks post 1st Vaccination: NYESO-1 pool 20 Participants
Study Group 1: ALVAC Melanoma VaccineNumber of Participants With a Vaccine-Induced Increase of CD8 T-Cell Positive Response by AntigenScreening: gp100 pool60 Participants
Study Group 1: ALVAC Melanoma VaccineNumber of Participants With a Vaccine-Induced Increase of CD8 T-Cell Positive Response by Antigen7 Weeks post 1st Vaccination: Mart1 pool0 Participants
Study Group 1: ALVAC Melanoma VaccineNumber of Participants With a Vaccine-Induced Increase of CD8 T-Cell Positive Response by AntigenScreening: 9mer pool0 Participants
Study Group 1: ALVAC Melanoma VaccineNumber of Participants With a Vaccine-Induced Increase of CD8 T-Cell Positive Response by Antigen7 Weeks post 1st Vaccination: Native 15mer pool0 Participants
Study Group 1: ALVAC Melanoma VaccineNumber of Participants With a Vaccine-Induced Increase of CD8 T-Cell Positive Response by AntigenScreening: gp100 pool20 Participants
Study Group 1: ALVAC Melanoma VaccineNumber of Participants With a Vaccine-Induced Increase of CD8 T-Cell Positive Response by Antigen7 Weeks post 1st Vaccination: 9mer pool0 Participants
Study Group 1: ALVAC Melanoma VaccineNumber of Participants With a Vaccine-Induced Increase of CD8 T-Cell Positive Response by AntigenScreening: gp100 pool50 Participants
Study Group 2: Interferon Alpha-2bNumber of Participants With a Vaccine-Induced Increase of CD8 T-Cell Positive Response by Antigen7 Weeks post 1st Vaccination: 9mer pool0 Participants
Study Group 2: Interferon Alpha-2bNumber of Participants With a Vaccine-Induced Increase of CD8 T-Cell Positive Response by AntigenScreening: gp100 pool10 Participants
Study Group 2: Interferon Alpha-2bNumber of Participants With a Vaccine-Induced Increase of CD8 T-Cell Positive Response by AntigenScreening: gp100 pool20 Participants
Study Group 2: Interferon Alpha-2bNumber of Participants With a Vaccine-Induced Increase of CD8 T-Cell Positive Response by AntigenScreening: gp100 pool30 Participants
Study Group 2: Interferon Alpha-2bNumber of Participants With a Vaccine-Induced Increase of CD8 T-Cell Positive Response by AntigenScreening: gp100 pool40 Participants
Study Group 2: Interferon Alpha-2bNumber of Participants With a Vaccine-Induced Increase of CD8 T-Cell Positive Response by AntigenScreening: gp100 pool50 Participants
Study Group 2: Interferon Alpha-2bNumber of Participants With a Vaccine-Induced Increase of CD8 T-Cell Positive Response by AntigenScreening: gp100 pool60 Participants
Study Group 2: Interferon Alpha-2bNumber of Participants With a Vaccine-Induced Increase of CD8 T-Cell Positive Response by AntigenScreening: NYESO-1 pool 10 Participants
Study Group 2: Interferon Alpha-2bNumber of Participants With a Vaccine-Induced Increase of CD8 T-Cell Positive Response by AntigenScreening: NYESO-1 pool 20 Participants
Study Group 2: Interferon Alpha-2bNumber of Participants With a Vaccine-Induced Increase of CD8 T-Cell Positive Response by AntigenScreening: Mart1 pool0 Participants
Study Group 2: Interferon Alpha-2bNumber of Participants With a Vaccine-Induced Increase of CD8 T-Cell Positive Response by AntigenScreening: Native 15mer pool0 Participants
Study Group 2: Interferon Alpha-2bNumber of Participants With a Vaccine-Induced Increase of CD8 T-Cell Positive Response by AntigenScreening: 9mer pool0 Participants
Study Group 2: Interferon Alpha-2bNumber of Participants With a Vaccine-Induced Increase of CD8 T-Cell Positive Response by Antigen7 Weeks post 1st Vaccination: gp100 pool10 Participants
Study Group 2: Interferon Alpha-2bNumber of Participants With a Vaccine-Induced Increase of CD8 T-Cell Positive Response by Antigen7 Weeks post 1st Vaccination: gp100 pool20 Participants
Study Group 2: Interferon Alpha-2bNumber of Participants With a Vaccine-Induced Increase of CD8 T-Cell Positive Response by Antigen7 Weeks post 1st Vaccination: gp100 pool30 Participants
Study Group 2: Interferon Alpha-2bNumber of Participants With a Vaccine-Induced Increase of CD8 T-Cell Positive Response by Antigen7 Weeks post 1st Vaccination: gp100 pool40 Participants
Study Group 2: Interferon Alpha-2bNumber of Participants With a Vaccine-Induced Increase of CD8 T-Cell Positive Response by Antigen7 Weeks post 1st Vaccination: gp100 pool50 Participants
Study Group 2: Interferon Alpha-2bNumber of Participants With a Vaccine-Induced Increase of CD8 T-Cell Positive Response by Antigen7 Weeks post 1st Vaccination: gp100 pool60 Participants
Study Group 2: Interferon Alpha-2bNumber of Participants With a Vaccine-Induced Increase of CD8 T-Cell Positive Response by Antigen7 Weeks post 1st Vaccination: NYESO-1 pool 10 Participants
Study Group 2: Interferon Alpha-2bNumber of Participants With a Vaccine-Induced Increase of CD8 T-Cell Positive Response by Antigen7 Weeks post 1st Vaccination: NYESO-1 pool 20 Participants
Study Group 2: Interferon Alpha-2bNumber of Participants With a Vaccine-Induced Increase of CD8 T-Cell Positive Response by Antigen7 Weeks post 1st Vaccination: Mart1 pool0 Participants
Study Group 2: Interferon Alpha-2bNumber of Participants With a Vaccine-Induced Increase of CD8 T-Cell Positive Response by Antigen7 Weeks post 1st Vaccination: Native 15mer pool0 Participants
Other Pre-specified

Summary of Cellular Immune Response to the Vaccination or Treatment (Percent Regulatory T-Cells Responses)

The immunogenicity of the treatment regimens was assessed by regulatory T-cell responses as assessed primarily by the multi-parametric intracellular cytokine staining (ICS) assay.

Time frame: Day 0 to 32 weeks post 1st vaccination or treatment

Population: Immunologic responses were assessed in the per-protocol evaluable population.

ArmMeasureGroupValue (MEAN)Dispersion
Study Group 1: ALVAC Melanoma VaccineSummary of Cellular Immune Response to the Vaccination or Treatment (Percent Regulatory T-Cells Responses)Cycle 1 Week 13.3 Percent Cell CountStandard Deviation 1.42
Study Group 1: ALVAC Melanoma VaccineSummary of Cellular Immune Response to the Vaccination or Treatment (Percent Regulatory T-Cells Responses)Cycle 2 Week 233.3 Percent Cell CountStandard Deviation 0.9
Study Group 1: ALVAC Melanoma VaccineSummary of Cellular Immune Response to the Vaccination or Treatment (Percent Regulatory T-Cells Responses)Cycle 1 Week 72.9 Percent Cell CountStandard Deviation 0.83
Study Group 1: ALVAC Melanoma VaccineSummary of Cellular Immune Response to the Vaccination or Treatment (Percent Regulatory T-Cells Responses)Cycle 2 Week 324.0 Percent Cell CountStandard Deviation 0.48
Study Group 1: ALVAC Melanoma VaccineSummary of Cellular Immune Response to the Vaccination or Treatment (Percent Regulatory T-Cells Responses)Screening2.7 Percent Cell CountStandard Deviation 1.02
Study Group 2: Interferon Alpha-2bSummary of Cellular Immune Response to the Vaccination or Treatment (Percent Regulatory T-Cells Responses)Cycle 2 Week 322.6 Percent Cell CountStandard Deviation 0.07
Study Group 2: Interferon Alpha-2bSummary of Cellular Immune Response to the Vaccination or Treatment (Percent Regulatory T-Cells Responses)Screening3.4 Percent Cell CountStandard Deviation 1.24
Study Group 2: Interferon Alpha-2bSummary of Cellular Immune Response to the Vaccination or Treatment (Percent Regulatory T-Cells Responses)Cycle 1 Week 12.3 Percent Cell CountStandard Deviation 0.65
Study Group 2: Interferon Alpha-2bSummary of Cellular Immune Response to the Vaccination or Treatment (Percent Regulatory T-Cells Responses)Cycle 1 Week 73.1 Percent Cell CountStandard Deviation 1.13
Study Group 2: Interferon Alpha-2bSummary of Cellular Immune Response to the Vaccination or Treatment (Percent Regulatory T-Cells Responses)Cycle 2 Week 233.8 Percent Cell CountStandard Deviation 0.51

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026