Locally Advanced or Metastatic Melanoma
Conditions
Keywords
melanoma, oncolytic, adenovirus, virotherapy, locally advanced, metastatic
Brief summary
The investigators will evaluate the safety of a single endovenous infusion of ICOVIR5 in adults with locally advanced and metastatic melanoma. ICOVIR5 consists in a conditionally replicative or oncolytic adenovirus.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Malignant melanoma advanced or metastatic. * Other than 18 years * Karnofsky index \> 60 % * Life expectancy \> 3 months * ALT/AST \<=2.5 times the upper normal limit * Creatinine clearance \>= 50 ml/min. * Bilirubin \<25 umol/l * Alkaline phosphatase \<= 2.5 time upper normal limit * Normal bone marrow function: Neutrophils \>=1.5 E9/L, platelets \>= 1E11/L, hemoglobin \>= 100 g/l, Normal prothrombin time and thromboplastin time, * HIV negative * Measurable disease * Signed informed consent.
Exclusion criteria
* Geographical, social or psychological conditions that may impair the protocol compliance. * Active infections or other severe medical status. * History of liver disease. * Other or concomitant treatments for melanoma or investigational product. * Previous participation in studies with adenovirus. * Virus diseases diagnosed two weeks before inclusion. * Immunosuppressive concomitant treatments * Concomitant malignant haematological disease. * Patients having family members with immunodeficient status or disease * Patients with Li Fraumeni syndrome or germinal retinoblastoma gene defects.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Maximum tolerated dose | 4 weeks | The highest dose where less than two out of three or six patients suffered dose limiting toxicity. |
Secondary
| Measure | Time frame |
|---|---|
| Recommended dose | 4 weeks |
| Anti-tumour activity | 4 weeks |
Other
| Measure | Time frame | Description |
|---|---|---|
| Viral pharmacokinetics | 1 day | Viremia at 0 minutes, 30 minutes, 1 hour, 2 hours, 4 hours, 6 hours and 24 hours after endovenous injection. |
| Viral pharmacodynamics | 5 days | Virus presence in tumors at day 5 post-administration. |
Countries
Spain