Melanoma |
Melanoma cancer |
Clinical Trial: Gene Therapy in Treating Patients With Stage III or Stage IV Melanoma
This study is no longer recruiting patients.
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Purpose
RATIONALE: Injecting allovectin-7 into a person's melanoma cells may make the body build an immune response that will kill tumor cells. PURPOSE: Phase II trial to study the effectiveness of gene therapy in treating patients who have stage III or stage IV melanoma that has not responded to previous treatment.
| Condition | Treatment or Intervention | Phase |
|---|---|---|
| Stage IV Melanoma stage III melanoma Recurrent Melanoma | Drug: allovectin-7 | Phase II |
MedlinePlus related topics: Melanoma
Study Type: Interventional
Study Design: Treatment
Official Title: Phase II Study of Allovectin-7 as an Immunotherapeutic Agent in Patients with Stages III and IV Melanoma
Study start: October 1998
OBJECTIVES: I. Demonstrate an objective clinical response (partial or complete) with a median duration of at least 4 months in 15% of patients with stage III or IV melanoma treated with Allovectin-7. Allovectin-7 is a direct gene transfer immunotherapeutic agent. II. Determine the benefits, risks, and side effects of Allovectin-7 in this patient population.
PROTOCOL OUTLINE: This is a multicenter study. Patients receive an intratumoral injection of Allovectin-7 once weekly for 6 weeks. At week 9, a complete disease status assessment is performed. Patients with stable or responding disease may receive additional courses of 6 injections.
PROJECTED ACCRUAL: A total of 70 patients will be accrued for this study.
Eligibility
Ages Eligible for Study: 18 Years and above
Criteria
PROTOCOL ENTRY CRITERIA:
--Disease Characteristics--
- Histologically confirmed melanoma; Stage III with locoregional disease, in transit metastasis, or nodal disease OR Stage IV metastatic disease in skin, subcutaneous tissue, lymph node(s), and/or lung
- At least 1 metastasis for which surgery is not deemed to be a curative option
- Relapsed from or has not responded to frontline chemotherapy or biotherapy
- At least 1 measurable tumor at least 1 cm by 1 cm, but less than 5 cm by 5 cm
- No history of brain metastases or visceral metastases other than lung metastases
--Prior/Concurrent Therapy--
- Biologic therapy: See Disease Characteristics; At least 4 weeks since prior biologic therapy
- Chemotherapy: See Disease Characteristics; At least 4 weeks since prior chemotherapy
- Endocrine therapy: No concurrent immunosuppressive drugs
- Radiotherapy: At least 4 weeks since prior radiotherapy
- Surgery: At least 2 weeks since prior major surgery
- Other: No other concurrent anticancer drug therapy, or any other experimental therapy
--Patient Characteristics--
- Age: 18 and over
- Performance status: Karnofsky 80-100%
- Life expectancy: At least 6 months
- Hematopoietic: WBC at least 3,000/mm3; Platelet count at least 100,000/mm3; Hemoglobin at least 9 g/dL
- Hepatic: Bilirubin no greater than 2.0 mg/dL; SGOT/SGPT less than 3 times upper limit of normal; PT/PTT normal LDH and albumin normal
- Renal: Creatinine no greater than 2.0 mg/dL
- Cardiovascular: No uncontrolled hypertension; No New York Heart Association class III or IV disease
- Other: HIV negative; Negative pregnancy test; Fertile patients must use effective contraception; No active autoimmune disease; No active infection requiring parenteral antibiotics; No uncontrolled diabetes mellitus; No other prior malignancy in the past 5 years except skin cancer or stage 0-II cervical cancer; No significant psychiatric disorders
Location Information
Minnesota
Mayo Clinic Cancer Center, Rochester, Minnesota, 55905, United States
New York
Roswell Park Cancer Institute, Buffalo, New York, 14263-0001, United States
Texas
Physician Reliance Network, Inc., Dallas, Texas, 75246, United States
Jennifer Fernandez, Study Chair, Vical
More Information
Clinical trial summary from the National Cancer Institute's PDQ® database
Record last reviewed: April 2004
Last Updated: October 13, 2004
Record first received: November 1, 1999
ClinicalTrials.gov Identifier: NCT00003646
Health Authority: Unspecified
ClinicalTrials.gov processed this record on 2005-04-08
Source: ClinicalTrials.gov
Cache Date: April 9, 2005
Resources
- "Hidden" Melanomas (American Academy of Dermatology)
- ABCDs of Melanoma Detection (American Academy of Dermatology)

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