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.
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
- Type of treatment
- Vaccines, Injection or infusion
- 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
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.
- Conditions
- Melanoma, Metastatic Melanoma, Mucosal Melanoma
- 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 group | Role | What they receive |
|---|---|---|
| Arm A (Part 1) | Experimental | Peptide 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) | Experimental | Peptide 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) | Experimental | Peptide 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) | Experimental | Peptide 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) | Experimental | Peptide 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) | Experimental | Peptide 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) | Experimental | Peptide 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 E2 | Experimental | Peptide 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.
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
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)
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.
- First posted30 Apr 2014 (estimated)
- Study start1 May 2014
- Primary completion20 Nov 2019
- Study completion5 May 2021
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for MelanomaStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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)
Sponsor and investigators
- Lead sponsor
- Craig L Slingluff, Jr
- Sponsor type
- University, hospital or other
- Collaborators
- University of Virginia
- Responsible party
- Sponsor-investigator, Craig L Slingluff, Jr, University of Virginia
- Investigators
- Craig L Slingluff, Jr., M.D., Principal investigator, University of Virginia
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
- Results posted
- Yes, on ClinicalTrials.gov
- 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
Study at a glance
From the registry record, last updated by the sponsor on 28 Feb 2024. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Open Label, Randomized, Phase I/II Study of a Long Peptide Vaccine Plus TLR Agonists for Resected Stage IIb-IV Melanoma. (MEL60)
- ClinicalTrials.gov ID
- NCT02126579
- Acronym / sponsor ID
- MEL60 / 15931
- Conditions
- Melanoma, Metastatic Melanoma, Mucosal Melanoma
- Keywords
- melanoma, neoplasms, Poly ICLC, Freund's Adjuvant, Metastatic melanoma, resiquimod, adjuvants, peptide vaccine
- Phase
- Phase 1/2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 50 participants (actual)
- Lead sponsor
- Craig L Slingluff, JrUniversity, hospital or other
- Collaborators
- University of Virginia
- Study start
- 1 May 2014 (actual)
- Primary completion
- 20 Nov 2019 (actual)
- Study completion
- 5 May 2021 (actual)
- First posted
- 30 Apr 2014 (estimated)
- Results
- Posted 3 Nov 2023
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
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.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 8
| Arm | Type | Receives |
|---|---|---|
| Arm A (Part 1) | Experimental | Biological: Peptide Vaccine (LPV7) + Tetanus peptide, Other: IFAPeptide 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. |
| Arm B (Part 1) | Experimental | Biological: Peptide Vaccine (LPV7) + Tetanus peptide, Other: PolyICLCPeptide 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. |
| Arm C (Part 1) | Experimental | Biological: Peptide Vaccine (LPV7) + Tetanus peptide, Other: ResiquimodPeptide 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. |
| Arm D (Part 1) | Experimental | Biological: Peptide Vaccine (LPV7) + Tetanus peptide, Other: PolyICLC, Other: ResiquimodPeptide 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. |
| Arm E (Part 1) | Experimental | Biological: Peptide Vaccine (LPV7) + Tetanus peptide, Other: PolyICLC, Other: IFAPeptide 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. |
| Arm F (Part 1) | Experimental | Biological: Peptide Vaccine (LPV7) + Tetanus peptide, Other: Resiquimod, Other: IFAPeptide 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. |
| Arm G(Part 1) | Experimental | Biological: Peptide Vaccine (LPV7) + Tetanus peptide, Other: PolyICLC, Other: Resiquimod, Other: IFAPeptide 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. |
| Arm E2 | Experimental | Biological: Peptide Vaccine (LPV7) + Tetanus peptide, Other: PolyICLC, Other: IFAPeptide 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. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (18 listed)
- 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 with treated brain metastases may be eligible if the following are true:
- Patients must have at least 1 intact axillary and/or inguinal lymph node basin
- ECOG performance status of 0-1
- Lab parameters as follows:
Key exclusion criteria (22 listed)
- 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
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Peptide Vaccine (LPV7) + Tetanus peptide1.5 mL administered half intradermally and half subcutaneously. | Biological | Arm A (Part 1), Arm B (Part 1), Arm C (Part 1), Arm D (Part 1), Arm E (Part 1), Arm E2, Arm F (Part 1), Arm G(Part 1) |
| PolyICLC1 mL administered half intradermally and half subcutaneously | Other | Arm B (Part 1), Arm D (Part 1), Arm E (Part 1), Arm E2, Arm G(Part 1) |
| Resiquimod500 mg applied to vaccine site after vaccine administration | Other | Arm C (Part 1), Arm D (Part 1), Arm F (Part 1), Arm G(Part 1) |
| IFA2 mL administered half intradermally and half subcutaneously | Other | Arm A (Part 1), Arm E (Part 1), Arm E2, Arm F (Part 1), Arm G(Part 1) |
Primary outcome
Number of Participants With Treatment-related Adverse Events Per Study Arm
Time frame: 6 months
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.
T Cell Response in Peripheral Blood Over Duration of Study Participation
Time frame: 6 months
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.
1 secondary outcome
T Cell Response and Function in Peripheral Blood
Time frame: 6 months
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 28 Feb 2024.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 34413169Patel 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.
- NCI websiteLink provided by the sponsor.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Craig L Slingluff, Jr., M.D. principal investigator
University of Virginia
2 sites in 1 country: see every site and its status.
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.