Actively Recruiting

Phase 1
Phase 2
Age: 18Years +
All Genders
NCT07288112

DOC1021 Dendritic Cell Immunotherapy for Refractory Melanoma

Led by Diakonos Oncology Corporation · Updated on 2026-04-14

35

Participants Needed

2

Research Sites

352 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

The goal of this clinical trial is to learn if DOC1021 + pIFN will be safe and will lead to tumor responses in patients with refractory melanoma. DOC1021 is a dendritic cell immunotherapy derived from a patient's own blood cells and loaded with antigens from the patient's tumor in the form of tumor lysate and mRNA. The goal is to stimulate a T cell immune response that eliminates tumor cells. The study consists of two components: an initial phase I safety study to confirm safety/tolerability of the treatment regimen, and, subsequently, a single-arm phase II cohort to assess efficacy of the treatment regimen. All participants will: * Take filgrastim subcutaneously x 5 doses and subsequently undergo a leukapheresis collection * Receive two doses of DOC1021 under image guidance 2 weeks apart * Receive subcutaneous pIFN injections weekly for a total of 4 doses in parallel with the DOC1021 injections * Undergo an optional image-guided perinodal DOC1021 booster injection approximately 6 months after the first DOC1021 dose along with additional subcutaneous pIFN injections at time of the booster and the subsequent week for a total of 2 pIFN doses * Visit the clinic regularly to assess quality of life, symptoms, medication use, imaging, bloodwork, and to receive optional treatment with anti-PD1 agents

CONDITIONS

Official Title

DOC1021 Dendritic Cell Immunotherapy for Refractory Melanoma

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Signed informed consent form
  • Willing to comply with all study procedures and available for study duration
  • Age 18 years or older
  • Diagnosed with unresectable or metastatic melanoma progressed after at least one prior systemic therapy including anti-PD-1
  • Willing and able to withhold anti-PD-1 treatment from enrollment through about 6 weeks after first DOC1021 dose
  • One or more lesions available for biopsy or resection to obtain at least 50 mg tumor tissue and at least one measurable target tumor lesion
  • Stable brain metastases after prior treatment allowed
  • Ability to receive filgrastim, leukapheresis, perinodal DOC1021 injections, and weekly pIFN for 4 weeks
  • Females of reproductive potential must have negative pregnancy test and agree to effective contraception during treatment
  • Adequate kidney, liver, bone marrow, and immune function as specified
  • ECOG Performance Score 0 or 1
Not Eligible

You will not qualify if you...

  • Pregnant or breastfeeding
  • Known active HIV or hepatitis infection (well-controlled HIV or treated hepatitis C with negative viral load allowed)
  • Severe or uncontrolled medical conditions affecting study participation including uncontrolled cardiac disease, systemic autoimmune disorders requiring immunosuppression, autoimmune thyroid disease, untreated viral hepatitis, autoimmune hepatitis
  • Residual immune-related toxicities from prior immunotherapy above Grade 1 severity (except well-controlled endocrine toxicity)
  • Treatment with another investigational drug or experimental intervention within last 30 days

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 2 locations

1

The University of Alabama at Birmingham

Birmingham, Alabama, United States, 35233

Actively Recruiting

2

City of Hope

Duarte, California, United States, 91010

Actively Recruiting

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How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

NA

Model

SINGLE_GROUP

Primary Purpose

TREATMENT

Number of Arms

1

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