Status:

COMPLETED

Hu14.18-Interleukin-2 Fusion Protein in Treating Patients With Advanced Melanoma

Lead Sponsor:

University of Wisconsin, Madison

Collaborating Sponsors:

National Cancer Institute (NCI)

Conditions:

Melanoma (Skin)

Eligibility:

All Genders

18+ years

Phase:

PHASE2

Brief Summary

RATIONALE: Biological therapies, such as hu14.18-interleukin-2 fusion protein, may stimulate the immune system in different ways and stop tumor cells from growing. PURPOSE: This phase II trial is stu...

Detailed Description

OBJECTIVES: Primary * Determine the clinical antitumor activity of hu14.18-interleukin-2 fusion protein in patients with advanced melanoma. * Determine the duration of response in patients treated w...

Eligibility Criteria

Inclusion

  • DISEASE CHARACTERISTICS:
  • Histologically confirmed malignant melanoma
  • Advanced disease
  • Measurable disease by clinical assessment or imaging
  • No known standard curative therapy exists
  • Disease no longer controlled by surgery, chemotherapy, or radiotherapy
  • No clinically detectable pleural effusion or ascites
  • No brain metastases
  • PATIENT CHARACTERISTICS:
  • Age
  • 18 and over
  • Performance status
  • ECOG 0-1
  • Life expectancy
  • Not specified
  • Hematopoietic
  • WBC ≥ 3,500/mm\^3 OR
  • Granulocyte count ≥ 2,000/mm\^3
  • Platelet count ≥ 100,000/mm\^3
  • Hemoglobin ≥ 10.0 g/dL
  • Hepatic
  • AST and ALT \< 2 times normal
  • Bilirubin \< 2.0 mg/dL
  • Hepatitis B surface antigen negative
  • No clinical evidence of hepatitis
  • Renal
  • Creatinine \< 2.0 mg/dL OR
  • Creatinine clearance ≥ 60 mL/min
  • Cardiovascular
  • No ischemic cardiac disease, congestive heart failure, or myocardial infarction within the past 6 months
  • No uncontrolled cardiac rhythm disturbance
  • No myocardial ischemia or heart failure by exercise radionuclide scan for patients with a history of cardiac disease, significant risk factors for coronary artery disease, or ≥ 65 years of age
  • Pulmonary
  • Pulmonary function normal by exercise radionuclide scan for patients with a history of cardiac disease, significant risk factors for coronary artery disease, or ≥ 65 years of age
  • Immunologic
  • HIV negative
  • No known hypersensitivity to the study drug, Tween-80®, or human immunoglobulin
  • No uncontrolled active infection
  • Neurologic
  • No seizure disorder
  • No objective peripheral neuropathy ≥ grade 2
  • No clinically significant neurologic deficit
  • Other
  • Not pregnant or nursing
  • Negative pregnancy test
  • Fertile patients must use effective contraception
  • Must consent to the placement of a central venous line OR demonstrate stable peripheral IV access
  • Must be willing and able to discontinue antihypertensive medications (if advised to do so) on the days of study drug infusion
  • No uncontrolled active peptic ulcer
  • No known grade 4 side effects related to prior interleukin-2
  • No diabetes mellitus that has required systemic therapy (e.g., oral hypoglycemic agents or insulin) within the past 3 months
  • No other significant illness
  • No significant psychiatric disability
  • PRIOR CONCURRENT THERAPY:
  • Biologic therapy
  • Prior monoclonal antibodies for biologic therapy, tumor imaging, purging of autologous bone marrow/stem cells for re-infusion, or for any other reason allowed provided there is documented absence of detectable antibody to hu14.18 by serology
  • No concurrent growth factors
  • Chemotherapy
  • No immediate requirement for palliative chemotherapy
  • No concurrent anticancer chemotherapy
  • Endocrine therapy
  • More than 2 weeks since prior and no concurrent corticosteroids (e.g., dexamethasone)
  • No immediate requirement for palliative hormonal therapy
  • Radiotherapy
  • No immediate requirement for palliative radiotherapy
  • Concurrent palliative radiotherapy to localized painful lesions allowed provided ≥ 1 measurable or evaluable lesion is not irradiated AND the irradiated lesion is not used to assess tumor response
  • Surgery
  • More than 3 weeks since prior major surgery
  • No prior organ allografts
  • Other
  • More than 2 weeks since other prior and no concurrent immunosuppressive drugs
  • No prior standard or experimental systemic therapy for stage IV melanoma
  • No concurrent myelosuppressive antineoplastic drugs

Exclusion

    Key Trial Info

    Start Date :

    May 1 2005

    Trial Type :

    INTERVENTIONAL

    Allocation :

    ACTUAL

    End Date :

    February 1 2014

    Estimated Enrollment :

    14 Patients enrolled

    Trial Details

    Trial ID

    NCT00109863

    Start Date

    May 1 2005

    End Date

    February 1 2014

    Last Update

    November 19 2019

    Active Locations (1)

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    University of Wisconsin Paul P. Carbone Comprehensive Cancer Center

    Madison, Wisconsin, United States, 53792-6164