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Immunization of Patients with Metastatic Melanoma Using MART-1 and GP100 Peptides Modified to Increase Binding to HLA-0201



Immunization of Patients with Metastatic Melanoma Using MART-1 and GP100 Peptides Modified to Increase Binding to HLA-0201

For Condition: Melanoma,Neoplasm Metastasis
Status: Completed
Sponsor(s): National Cancer Institute (NCI) ,
Synopsis: Patients with metastatic melanoma who are HLA-A0201 positive will be immunized with peptides from the MART-1 and gp100 molecules that are modified to increase binding to HLA-A0201 positive. These peptides will be administered either alone or in combination with high dose IL-2. Patients will be evaluated for clinical response, as well as undergo studies of the immunologic response to the peptide immunization.
Details: Patients with metastatic melanoma who are HLA-A0201 positive will be immunized with peptides from the MART-1 and gp100 molecules that are modified to increase binding to HLA-A0201 positive. These peptides will be administered either alone or in combination with high dose IL-2. Patients will be evaluated for clinical response, as well as undergo studies of the immunologic response to the peptide immunization.
Eligibility:
Study Type:
  Interventional, Treatment, Safety/Efficacy
Minimum Age/Maximum Age: /
Genders: Both
Protocol Entry Criteria: INCLUSION CRITERIA: Any patient age 16 with measurable metastatic melanoma who is HLA-A0201 positive, has failed standard treatment and has an expected survival of greater than three months will be considered. Serum creatinine of 2.0 mg/dl or less, Total bilirubin of 2.0 mg/dl or less, except for patients with Gilbert's Syndrome who must have a total bilirubin less than 3.0 mg/dl. WBC 3000/mm(3) or greater, Platelet count 90,000 mm(3) or greater, Serum AST/ALT less than three times normal, ECOG performance status of 0 or 1 or 2. Patients of both genders must be willing to practice effective birth control during this trial. EXCLUSION CRITERIA: Patients will be excluded: Who are undergoing or have undergone in the past 3 weeks any other form of therapy except surgery for their cancer. Have active systemic infections, coagulation disorders, autoimmune disease or other major medical illnesses of the cardiovascular or respiratory systems or any known immunodeficiency disease. Patients with cardiovascular disease will be eligible to receive peptide in Montanide ISA-51 alone. Who require steroid therapy. Who are pregnant. Who are known to be positive for hepatitis B(s)Ag or HIV antibody. Who have previously been immunized to the MART-1 antigen. Who have any form of primary or secondary immunodeficiency.
Total Enrollment: 103

Location and Contact Information:

National Cancer Institute (NCI)
Bethesda,  Maryland,  20892
United States
 


Additional Information:
Study ID Numbers:
  990092;  99-C-0092
Study Start Date: April 15, 1999
Record last reviewed: March 27, 2003
Additional information available at: clinicaltrials.gov
Clinicaltrials.gov Reference link: NCT00001808

Other Neoplasm Metastasis Studies:
1. Immunization of Patients with Metastatic Melanoma Using the GP100 Peptide Preceded by an Endoplasmic Reticulum Insertion Signal Sequence

2. Vaccine Plus Interleukin-2 Treatment of Metastatic Melanoma

3. Immunotherapy with Autologous Dexosomes for Patients with Stage IV Melanoma

4. gp100 and MART-1 Peptide Vaccine for Metastatic Melanoma

5. A Phase I Study of gp100 Human Melanoma Peptide Vaccine with Incomplete Freund's Adjuvant

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