Melanoma
Conditions
Keywords
melanoma, vaccine, peptides, adjuvant, immunogenicity, stage IIB, stage III or resected stage IV
Brief summary
This clinical pilot study will test the hypothesis that systemic low-dose IL-2 therapy significantly enhances the immunologic efficacy of a vaccine comprising melanoma peptides plus GM-CSF-in-adjuvant.
Interventions
low-dose IL-2, administered daily for 6 weeks, to begin either at week 1 (group 1) or week 4 (group 2)
six melanoma vaccines given over a 6-week period
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients who have been diagnosed, by cytologic or histologic examination, with AJCC stage IIB, stage III or resected stage IV melanoma. * Patients with up to 2 brain metastases less than or equal to 2 cm that have been surgically removed or treated successfully with the gamma-knife are eligible. Surgical resections must have been performed within 6 months prior to entry. * All patients must have: 1. ECOG performance status 0-1, and, 2. Ability and willingness to give informed consent. * Laboratory parameters as follows: * HLA-A1, A2 or A3 (+) * gp100 (+) and/or tyrosinase (+) tumor cells * ANC \> 1000/mm3, and Platelets \> 100,000 and Hgb \> 9 * Hepatic: AST and ALT up to 2.5 x upper limits of normal (ULN), Bilirubin up to 2.5 x ULN, Alkaline phosphatase up to 2.5 x ULN * Renal: Creatinine up to 1.5 x ULN * Serology: HIV negative, Hepatitis C negative
Exclusion criteria
* Patients who are currently receiving cytotoxic Chemotherapy or radiation or who have received that therapy within the preceding 4 weeks. * Patients with known or suspected allergies to any component of the vaccine. * Patients receiving the following medications at study entry or within the preceding 30 days are excluded: * Agents with putative immunomodulating activity (with the exception of non-steroidal anti-inflammatory agents) * Allergy desensitization injections * Corticosteroids, administered parenterally or orally - topical corticosteroids are acceptable * Any growth factors, Interleukin 2, Interferon alfa. * Prior melanoma vaccinations will not be an
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To evaluate the effect of systemic low-dose IL-2 on the immunogenicity of a vaccine comprising synthetic melanoma peptides plus GM-CSF-in-adjuvant. | — |
Secondary
| Measure | Time frame |
|---|---|
| Changes in disease, analysis of melanoma antigen (gp100, tyrosinase, MART-1) expression on melanoma cells from metastatic sites, Vitiligo. | — |