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MelanomaPhase 1/2MEL60NCT02126579

Phase I/II Trial of a Long Peptide Vaccine (LPV7) Plus TLR Agonists

A Phase 1/2 study testing Peptide Vaccine (LPV7) + Tetanus peptide, PolyICLC and Resiquimod in people with Melanoma and Metastatic Melanoma, run by Craig L Slingluff, Jr at 2 sites in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The purpose of this study is to learn what effects (good and bad) an experimental vaccine (LPV7) plus tetanus peptide and other substances called polyICLC, resiquimod, and Montanide ISA-51 have on you and your melanoma. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Melanoma, Metastatic Melanoma, Mucosal Melanoma
What is being tested?
Peptide Vaccine (LPV7) + Tetanus peptide, PolyICLC and Resiquimod
Could I receive a placebo?
No, everyone receives an active treatment
How many people
50 participants
Where
2 sitesUnited States
Study dates
1 May 2014to 5 May 2021
Phase
Phase 1/2
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Histologically or cytologically proven Stage IIB - IV melanoma rendered clinically free of disease by surgery, other therapy, or spontaneous remission within 6 months prior to registration.
  • Patients may have had melanoma from a cutaneous, mucosal or unknown primary site
  • Patients with small radiologic or clinical findings may be eligible
  • Patients with treated brain metastases may be eligible if the following are true:
  • Total number of brain metastases ever is less than or equal to 3
  • The brain metastases have been completely removed by surgery or have been treated completely with stereotactic radiotherapy
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  • There has been no evident growth of any brain metastases since treatment
  • No treated brain metastases is greater than 2 cm at the time of protocol entry
  • Patients must have at least 1 intact axillary and/or inguinal lymph node basin
  • ECOG performance status of 0-1
  • Lab parameters as follows:
  • HLA-A1, A2, A3, B35, or B51
  • ANC > 1000/mm3 and Platelets > 100,000/mm3 and Hemoglobin > 9 g/dL
  • AST and ALT up to 2.5 x ULN
  • Bilirubin up to 2.5 x ULN
  • Alkaline Phosphatase up to 2.5 x ULN
  • Creatinine up to 1.5 x ULN
  • HGBA1C level ≤ 7.5%

Who cannot join

  • Patients with melanoma from a uveal or ocular primary site
  • Patients currently receiving any systemic therapy within 4 weeks of study registration. Gamma knife or stereotactic radiosurgery must not be administered within 1 week prior to study registration. Patients who are currently receiving nitrosoureas within the preceding 6 weeks.
  • Patients who have received CTLA-4, PD-1, PD-L1, CD137, or CD27 within the prior 12 months.
  • Patients with known or suspected allergy to any component of the vaccine
  • HIV positive or active Hepatitis C virus
  • Patients receiving any of the following medications within 4 weeks are excluded:
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  • Agents with immunomodulating activity (with the exception of non-steroidal anti-inflammatory agents and topical steroids)
  • Allergy desensitization injections
  • Systemic corticosteroids, administered parenterally or orally. Inhaled steroids (e.g. Advair, Flovent, Azmacort) are not permitted. Topical corticosteroids are acceptable including steroids with very low solubility administered nasally for local effects only (e.g. Nasonex)
  • Any growth factors (e.g. GM-CSF, G-CSF, erythropoietin).
  • Interferon therapy
  • Interleukin-2 or other interleukins
  • Other investigational drugs or investigational therapy if currently receiving or have received within 1 month
  • Pregnancy or the possibility of becoming pregnant during the study. And women who are breastfeeding.
  • Must not have had prior autoimmune disorders requiring cytotoxic or immunosuppressive therapy, or autoimmune disorders with visceral involvement. The following are not exclusionary:
  • Presence of laboratory evidence of autoimmune disease (e.g. positive ANA titer) without symptoms
  • Clinical evidence of vitiligo
  • Other forms of depigmenting illness
  • Mild arthritis requiring NSAID medications
  • Patients with a medical contradiction or potential problem with complying with the protocol, in the opinion of the investigator
  • Patients with Class III or IV heart disease (according to NYHA classification)
  • Patients with a body weight < 110 lbs.

Trial locations and contacts

2 sites in 1 country.

United States2 sites
  • University of Virginia

    Charlottesville, Virginia, 22908

  • MDAnderson Cancer Center

    Houston, Texas, 77030

Other trials in United States

About this study

Official title: Open Label, Randomized, Phase I/II Study of a Long Peptide Vaccine Plus TLR Agonists for Resected Stage IIb-IV Melanoma. (MEL60)

The purpose of this study is to learn what effects (good and bad) an experimental vaccine (LPV7) plus tetanus peptide and other substances called polyICLC, resiquimod, and Montanide ISA-51 have on you and your melanoma. We will also look at whether the experimental vaccine and these drugs cause any changes in your immune system.

Being tested
Peptide Vaccine (LPV7) + Tetanus peptide, PolyICLC, Resiquimod, IFA
Keywords
melanoma, neoplasms, Poly ICLC, Freund's Adjuvant, Metastatic melanoma, resiquimod, adjuvants, peptide vaccine
Medical subject headings
Melanoma, Neoplasms

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Peptide Vaccine (LPV7) + Tetanus peptideBiological

    1.5 mL administered half intradermally and half subcutaneously.

  • PolyICLCOther

    1 mL administered half intradermally and half subcutaneously

  • ResiquimodOther

    500 mg applied to vaccine site after vaccine administration

  • IFAOther

    2 mL administered half intradermally and half subcutaneously

Study groups in NCT02126579
Study groupRoleWhat they receive
Arm A (Part 1)ExperimentalPeptide Vaccine (LPV7) + Tetanus peptide + IFA administered in one skin location rotated to different sites on an extremity clinically uninvolved with melanoma. Vaccines will be administered on Days 1, 8, 15, 36, 57, and 78.
Receives: Biological: Peptide Vaccine (LPV7) + Tetanus peptide; Other: IFA
Arm B (Part 1)ExperimentalPeptide Vaccine (LPV7) + Tetanus peptide + PolyICLC vaccine administered in one skin location that is rotated to different sites on an extremity clinically uninvolved with melanoma. Vaccines will be administered on Days 1, 8, 15, 36, 57, and 78.
Receives: Biological: Peptide Vaccine (LPV7) + Tetanus peptide; Other: PolyICLC
Arm C (Part 1)ExperimentalPeptide Vaccine (LPV7) + Tetanus peptide vaccine administered in one skin location that is rotated to different sites on an extremity clinically uninvolved with melanoma. Resiquimod will be applied to the vaccine site immediately after the vaccine administration. Vaccines will be administered on Days 1, 8, 15, 36, 57, and 78.
Receives: Biological: Peptide Vaccine (LPV7) + Tetanus peptide; Other: Resiquimod
Arm D (Part 1)ExperimentalPeptide Vaccine (LPV7) + Tetanus peptide + PolyICLC vaccines administered in one skin location that is rotated to different sites on an extremity clinically uninvolved with melanoma. Resiquimod will be applied to the vaccine site immediately after vaccine administration. Vaccines will be administered on Days 1, 8, 15, 36, 57, and 78.
Receives: Biological: Peptide Vaccine (LPV7) + Tetanus peptide; Other: PolyICLC; Other: Resiquimod
Arm E (Part 1)ExperimentalPeptide Vaccine (LPV7) + Tetanus peptide + IFA + PolyICLC vaccines administered in one skin location that is rotated to different sites on an extremity clinically uninvolved with melanoma. Vaccines will be administered on Days 1, 8, 15, 36, 57, and 78.
Receives: Biological: Peptide Vaccine (LPV7) + Tetanus peptide; Other: PolyICLC; Other: IFA
Arm F (Part 1)ExperimentalPeptide Vaccine (LPV7) + Tetanus peptide + IFA vaccines administered in one skin location that is rotated to different sites on an extremity clinically uninvolved with melanoma. Resiquimod will be applied to the vaccine site immediately after vaccine administration. Vaccines will be administered on Days 1, 8, 15, 36, 57, and 78.
Receives: Biological: Peptide Vaccine (LPV7) + Tetanus peptide; Other: Resiquimod; Other: IFA
Arm G(Part 1)ExperimentalPeptide Vaccine (LPV7) + Tetanus peptide + PolyICLC + IFA vaccines administered in one skin location that is rotated to different sites on an extremity clinically uninvolved with melanoma. Resiquimod will be applied to the vaccine site immediately after vaccine administration. Vaccines will be administered on Days 1, 8, 15, 36, 57, and 78.
Receives: Biological: Peptide Vaccine (LPV7) + Tetanus peptide; Other: PolyICLC; Other: Resiquimod; Other: IFA
Arm E2ExperimentalPeptide Vaccine (LPV7) + IFA + PolyICLC vaccines administered in one skin location. Each vaccine will be administered in the same skin site for all 6 vaccines. Vaccines will be administered on Days 1, 8, 15, 36, 57, and 78.
Receives: Biological: Peptide Vaccine (LPV7) + Tetanus peptide; Other: PolyICLC; Other: IFA

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Number of Participants With Treatment-related Adverse Events Per Study Arm

    Safety and toxicity following vaccination with 7 long peptides in melanoma patients with and without TLR agonists.

    Patients are evaluated by safety labs and physical exams to assess for toxicity.

    Measured: 6 months

  2. T Cell Response in Peripheral Blood Over Duration of Study Participation

    Levels of peptide-reactive CD8+ T cells in the peripheral blood: number of participants with T cell response to minimal epitope for CD8 T cells. This was assessed by direct (ex vivo) IFN-gamma ELIspot assay for reactivity to known minimal epitopes. To be considered positive, there had to be an increase compared to the maximum negative control target by at least 2-fold and by at least 20 IFN-gamma secreting cells per 100,000 CD8 T cells evaluated.

    Measured: 6 months

Secondary outcomes (1)
  1. T Cell Response and Function in Peripheral Blood

    CD4+ T cell responses to peptides in the vaccine, and their function

    Measured: 6 months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted30 Apr 2014 (estimated)
  2. Study start1 May 2014
  3. Primary completion20 Nov 2019
  4. Study completion5 May 2021

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 1/2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
50 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02126579
Sponsor's protocol ID
15931
Other IDs
MEL60
Acronym
MEL60
Status last verified
Feb 2024
First submitted
24 Apr 2014
Last updated
28 Feb 2024
Data monitoring committee
Yes

Publications

  • Patel SP, Petroni GR, Roszik J, Olson WC, Wages NA, Chianese-Bullock KA, Smolkin M, Varhegyi N, Gaughan E, Smith KT, Haden K, Hall EH, Gnjatic S, Hwu P, Slingluff CL. Phase I/II trial of a long peptide vaccine (LPV7) plus toll-like receptor (TLR) agonists with or without incomplete Freund's adjuvant (IFA) for resected high-risk melanoma. J Immunother Cancer. 2021 Aug;9(8):e003220. doi: 10.1136/jitc-2021-003220.

    PubMed 34413169

Questions about this trial

What is this clinical trial studying?

A Phase 1/2 study testing Peptide Vaccine (LPV7) + Tetanus peptide, PolyICLC and Resiquimod in people with Melanoma and Metastatic Melanoma, run by Craig L Slingluff, Jr at 2 sites in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 18 inclusion and 22 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 28 Feb 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 2 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this combined phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 3 Nov 2023). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Number of Participants With Treatment-related Adverse Events Per Study Arm (time frame: 6 months). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT02126579, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 28 Feb 2024.

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