melanoma
Conditions
Interventions
None listed
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: - Metastasized melanoma or unresectable malignant melanoma - Scheduled for treatment with nivolumab and ipilimumab - Age > 18 years - At least one measurable lesion - WHO performance status 0 or 1
Exclusion criteria
Exclusion criteria: - Previous exposure to ipilimumab - Pregnant or breast feeding women - Concurrent anticancer chemotherapy, immunotherapy or investigational drug during the study or within 4 weeks after starting study drug - Radiotherapy on target lesions during the study or within 4 weeks after starting study drug
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary endpoint is: 1. The detection (visual and quantitative) of 89Zr-ipilimumab in tumor lesions (the short axis diameter of a measurable tumor lesion is >=1 cm. The five largest lesions will be used for evaluation). | — |
Secondary
| Measure | Time frame |
|---|---|
| The secondary endpoints are: 1. Clinical outcome (response and survival): - Response after starting therapy with ipilimumab at 12 and 24 weeks and every 12 weeks thereafter - Overall survival 2. The detection (visual and quantitative) of 89Zr-ipilimumab in normal tissue after the first injection of nivolumab/ipilimumab: - visual - quantitative - Visual differences between a regular scanner, with limited field of view, and a long axial field of view PET/CT (total body/Quadra) 3. Side effects: - Adverse events using Common Terminology Criteria Adverse Events, version 4.0 (CTCAE 4.0) - Correlation between side effects of ipilimumab and uptake of 89Zr-ipilimumab in normal tissue 4. Other study parameters: - CTLA-4+CD4+ expression of PBMCs (before start of ipilimumab and during treatment) - Pharmacokinetics of 89Zr-ipilimumab | — |
Countries
Netherlands