Status:

COMPLETED

Toll-like Receptor (TLR) Ligand Matured Dendritic Cell Vaccination in Melanoma Patients

Lead Sponsor:

Radboud University Medical Center

Conditions:

Melanoma

Eligibility:

All Genders

18-70 years

Phase:

PHASE1

PHASE2

Brief Summary

Objectives: This is an exploratory study, consisting of two parts. In part I a dose escalation is performed and the primary objective is the safety of different doses of TLR-dendritic cell (TLR-DC). ...

Detailed Description

1. Rationale Immunotherapy applying ex vivo generated and tumor-antigen-loaded dendritic cells (DC) has now successfully been introduced in the clinic. A limited, but consistent, number of objecti...

Eligibility Criteria

Inclusion

  • All patients:
  • histologically documented evidence of melanoma
  • stage III or IV melanoma according to the 2001 AJCC criteria
  • HLA-A2.1 phenotype melanoma expressing gp100 (compulsory) and tyrosinase (non- compulsory)
  • WHO performance status 0-1 (Karnofsky 100-70)
  • life expectancy \> 3 months
  • age 18-70 years
  • no clinical signs or symptoms of CNS metastases
  • WBC \> 3.0x109/l, lymphocytes \> 0.8x109/l, platelets \> 100x109/l, serum creatinine \< 150 µmol/l, serum bilirubin \< 25 µmol/l
  • normal serum LDH (\< 450 U/l)
  • expected adequacy of follow-up
  • no pregnant or lactating women
  • written informed consent
  • And in addition for Part I + II:
  • stage III melanoma: radical regional lymphnode dissection is planned or performed
  • stage IV melanoma: at least one unidimensional measurable target lesions according to RECIST, not previously irradiated, and no significant symptoms of disease requiring other palliative treatments

Exclusion

  • prior chemotherapy, immunotherapy or radiotherapy \< 4 weeks prior to planned vaccination or presence of treatment-related toxicity
  • history of any second malignancy in the previous 5 years, with the exception of adequately treated basal cell carcinoma or carcinoma in situ of the cervix serious active infections, HbsAg or HIV positive or autoimmune diseases or organ allografts
  • concomitant use of immunosuppressive drugs
  • known allergy to shell fish (since it contains KLH)
  • rapidly progressive disease
  • any serious clinical condition that may interfere with the safe administration of DC

Key Trial Info

Start Date :

June 1 2009

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

November 1 2014

Estimated Enrollment :

20 Patients enrolled

Trial Details

Trial ID

NCT00940004

Start Date

June 1 2009

End Date

November 1 2014

Last Update

April 17 2017

Active Locations (1)

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Radboud University Nijmegen Medical Centre

Nijmegen, Gelderland, Netherlands, 6500HB