Status:

COMPLETED

Vaccine Therapy in Treating Patients With Stage III or Stage IV Melanoma

Lead Sponsor:

Dartmouth-Hitchcock Medical Center

Collaborating Sponsors:

National Cancer Institute (NCI)

Conditions:

Melanoma (Skin)

Eligibility:

All Genders

18+ years

Phase:

PHASE1

Brief Summary

RATIONALE: Vaccines made from a patient's dendritic cells and tumor cells may make the body build an immune response to kill tumor cells. PURPOSE: This phase I trial is studying the side effects and ...

Detailed Description

OBJECTIVES: Primary * Determine the dose-limiting toxicity and the maximum tolerated dose of autologous dendritic cells pulsed with autologous tumor cell lysate in patients with stage III or IV mela...

Eligibility Criteria

Inclusion

  • DISEASE CHARACTERISTICS:
  • Histologically confirmed melanoma
  • Stage III (lymph node or in-transit metastases) or IV (systemic metastases) disease
  • Patients with relapsed disease OR who failed prior immunotherapy or chemotherapy are eligible (but trial not restricted to relapsed or refractory disease)
  • Tumor tissue available and properly stored for lysate preparation
  • PATIENT CHARACTERISTICS:
  • Age
  • 18 and over
  • Performance status
  • Karnofsky 60-100%
  • Life expectancy
  • At least 12 weeks
  • Hematopoietic
  • Absolute neutrophil count ≥ 1,000/mm\^3
  • Platelet count ≥ 75,000/mm\^3
  • Hepatic
  • AST ≤ 2 times upper limit of normal (ULN) (3 times ULN for liver metastases)
  • Bilirubin ≤ 2 times ULN
  • Hepatitis B surface antigen negative
  • Hepatitis C negative
  • Renal
  • Creatinine ≤ 2.0 times ULN
  • Immunologic
  • No active infection
  • No history of autoimmune disease, including any of the following:
  • Inflammatory bowel disease
  • Systemic lupus erythematosus
  • Scleroderma
  • Rheumatoid arthritis
  • Multiple sclerosis
  • No allergy to aminoglycosides or streptomycin
  • HIV negative
  • Other
  • Not pregnant or nursing
  • Negative pregnancy test
  • Fertile patients must use effective contraception
  • No significant comorbid illness
  • No other malignancy within the past 5 years except nonmelanoma skin cancer or carcinoma in situ of the cervix
  • PRIOR CONCURRENT THERAPY:
  • Biologic therapy
  • See Disease Characteristics
  • At least 10 days since prior immunotherapy
  • Chemotherapy
  • See Disease Characteristics
  • Endocrine therapy
  • At least 6 weeks since prior steroid therapy
  • No concurrent corticosteroids
  • Radiotherapy
  • At least 10 days since prior radiotherapy
  • No concurrent radiotherapy
  • Surgery
  • At least 10 days since prior surgery
  • Prior diagnostic or palliative surgery allowed provided the patient has fully recovered
  • Other
  • No concurrent immunosuppressive or potentially immunosuppressive therapy

Exclusion

    Key Trial Info

    Start Date :

    February 1 2004

    Trial Type :

    INTERVENTIONAL

    End Date :

    February 1 2006

    Estimated Enrollment :

    Patients enrolled

    Trial Details

    Trial ID

    NCT00085488

    Start Date

    February 1 2004

    End Date

    February 1 2006

    Last Update

    February 2 2015

    Active Locations (1)

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    Norris Cotton Cancer Center at Dartmouth-Hitchcock Medical Center

    Lebanon, New Hampshire, United States, 03756-0002