Status:

WITHDRAWN

Study of Immune Responses in Patients With Metastatic Melanoma

Lead Sponsor:

Providence Health & Services

Conditions:

Metastatic Melanoma

Eligibility:

All Genders

18+ years

Phase:

PHASE2

Brief Summary

In this study, anti-OX40 will be given to patients with melanoma to find out how the immune system responds to treatment with anti-OX40. It is hoped that this treatment will cause an immune response a...

Eligibility Criteria

Inclusion

  • Patients with measurable or evaluable unresectable, stage IV metastatic melanoma. Either histologic or cytologic diagnosis is acceptable.
  • Eastern Cooperative Oncology Group (ECOG) performance status 0, or 1 (Appendix A.)
  • Age 18 years or above.
  • Laboratory values (performed within 28 days prior to enrollment) as follows:
  • WBC ≥2000/microliter
  • Absolute lymphocyte count \>300/mm3
  • Serum creatinine \<1.5 X upper limit of laboratory normal
  • Hgb \>8g/dl (patients may be transfused to reach this level)
  • Hct \> 24%
  • Platelets \>100,000 cells/mm3
  • Total bilirubin \<1.5 X upper limit of laboratory normal, unless due to Gilbert's disease
  • AST (SGOT)/ALT (SGPT) \<2.5 X upper limit of laboratory normal
  • Alkaline phosphatase \<2.5 X upper limit of laboratory normal
  • HIV Negative
  • Hepatitis B surface antigen Negative
  • Hepatitis C antibody Negative
  • Women of childbearing potential must have a negative pregnancy test and must avoid becoming pregnant while on treatment. Men must avoid fathering a child while on treatment. This exclusion is required due to the unknown toxicities that anti-OX40 may have on the forming fetus, spermatogenesis or the nursing child. Also, because pregnancy may impair immune function it may limit the treatment efficacy.
  • Ability to give informed consent and comply with the protocol. Patients with a history of psychiatric illness must be judged able to understand fully the investigational nature of the study and the risks associated with the therapy.
  • No active bleeding.
  • No clinical coagulopathy (INR \<1.5, PT \<16 seconds, PTT \< 38 seconds).
  • Anticipated lifespan greater than 12 weeks.
  • Failed at least one prior medical therapy for metastatic melanoma.

Exclusion

  • Active infection.
  • History of or active autoimmune disease.
  • Prior mouse monoclonal antibody treatment.
  • Pregnant or lactating women, as treatment involves unforeseeable risks to the embryo or fetus.
  • Need for chronic maintenance oral steroids.
  • Active brain metastatic disease. Treated brain metastases with surgery, gamma-knife radiosurgery and/or whole brain radiation and stable for at least 4 weeks and off steroids are eligible.
  • Any medical or psychiatric condition that in the opinion of the PI would preclude compliance with study procedures.

Key Trial Info

Start Date :

September 1 2012

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

September 1 2012

Estimated Enrollment :

Patients enrolled

Trial Details

Trial ID

NCT01416844

Start Date

September 1 2012

End Date

September 1 2012

Last Update

March 7 2013

Active Locations (1)

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Providence Portland Medical Center

Portland, Oregon, United States, 97213