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CompletedNCT00004148Updated Feb 11, 2013

Vaccine Therapy in Treating Patients With Unresectable Metastatic Melanoma

A Phase 1 interventional study of recombinant vaccinia-B7.1 vaccine in Melanoma (Skin), sponsored by National Cancer Institute (NCI). Completed at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2013-02-11.

Sponsored by National Cancer Institute (NCI) · Phase 1, Interventional, and Treatment

Phase
Phase 1
Study type
Interventional
Enrollment
12
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

Phase I trial to study the effectiveness of vaccine therapy in treating patients who have unresectable metastatic melanoma. Vaccines may make the body build an immune response to kill tumor cells.

Read the detailed description

OBJECTIVES:

I. Determine the maximum tolerated dose of the rV-B7.1 vaccine that elicits a host immune response and is associated with acceptable toxicity in patients with malignant metastatic melanoma.

II. Determine all clinical toxicities associated with this regimen in this patient population.

III. Determine the safety of this regimen in this patient population. IV. Assess evidence of host antimelanoma immune reactivity following this regimen.

V. Determine the effect of this regimen on T-cell immunity. VI. Assess the clinical response in this patient population receiving this regimen.

VII. Evaluate quality of life of these patients during this regimen.

OUTLINE: This is a dose escalation study.

Patients receive rV-B7.1 intralesionally every 4 weeks for 8 weeks (weeks 0, 4, and 8). Treatment continues every 12 weeks in the absence of unacceptable toxicity or disease progression for up to 2 courses. Cohorts of 6-8 patients receive escalating doses of vaccine until the maximum tolerated dose (MTD) is determined. The MTD is defined as the dose preceding that at which 2 of 6 or 3 of 8 patients experience dose limiting toxicities.

Quality of life is assessed before treatment, every 4 weeks, and at end of treatment. Patients are followed every 3 months.

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Conditions studied

  • Melanoma (Skin)

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Keywords

  • stage III melanoma
  • stage IV melanoma
  • recurrent melanoma
03

In context

Melanoma

3,006 studies on the registry are indexed under Melanoma; 520 are open to participants now.

This study's enrollment of 12 is below the median of 38 across 2,351 interventional studies indexed under Melanoma.

Browse Melanoma studies →

Lead sponsor

National Cancer Institute (NCI) is the lead sponsor of 3,506 studies on the registry; 334 are open to participants now.

Of its 402 completed or terminated interventional studies of FDA-regulated products, 365 (91%) have results posted.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

DISEASE CHARACTERISTICS:

  • Histologically proven metastatic, unresectable melanoma Dermal, subcutaneous, or lymph node metastases
  • Accessible for injection
  • Lesions must measure at least 1 cm
  • Patients with no prior treatment allowed
  • Patients must have one of the following as proof of prior vaccinia immunization:

    • Physician certification
    • Recollection and appropriate vaccination scar site
    • No encephalitis, untreated cerebral metastases, other structural brain lesions, or leptomeningeal disease
    • No ascites or pleural effusions
    • No leukemia or lymphoma

PATIENT CHARACTERISTICS:

  • Age: Over 18
  • Performance status: ECOG 0-1 Karnofsky 80-100%
  • Life expectancy: Greater than 3 months
  • WBC greater than 4,000/mm3
  • Platelet count greater than 100,000/mm3
  • Hemoglobin greater than 10g/dL
  • Bilirubin less than 1.5 mg/dL
  • Transaminases no greater than 2 times upper limit of normal (ULN)
  • Alkaline phosphatase no greater than 2 times ULN
  • PT/PTT no greater than 2 fold elevation in patients not receiving anticoagulation medications
  • No alcoholic cirrhosis
  • Creatinine less than 2.0 mg/dL OR creatine clearance greater than 60 mL/min
  • No congestive heart failure
  • No serious cardiac arrhythmias
  • No recent prior myocardial infarction
  • No clinical coronary artery disease
  • No chronic obstructive pulmonary disease
  • Not pregnant or nursing
  • Negative pregnancy test
  • Fertile patients must use effective contraception
  • No seizure disorders
  • No underlying immunosuppressive disorder
  • No autoimmune disease HIV negative
  • No skin diseases
  • No open wounds
  • No eczema or other contraindications to vaccinia virus administration
  • Patients must be able to avoid high risk individuals (e.g., immunosuppressed patients, children under 3 years, pregnant women, patients with active or a history of eczema, or patients with other skin conditions) for 7-10 days following treatment
  • No significant allergy or hypersensitivity to eggs
  • No active or chronic infections
  • No concurrent medical illness
  • No other significant medical disease which would increase risk to patient
  • No other prior malignancy within the past 5 years except stage I carcinoma of the cervix or basal cell carcinoma

PRIOR CONCURRENT THERAPY:

  • At least 8 weeks since prior immunotherapy and recovered
  • No prior live pox virus vector
  • No more than 2 prior chemotherapy regimens
  • At least 4 weeks since prior chemotherapy and recovered
  • At least 4 weeks since prior systemic corticosteroids
  • No systemic corticosteroids for concurrent illness
  • No concurrent immunosuppressive steroids
  • At least 2 weeks since prior radiotherapy and recovered (no bone marrow toxicity)
  • At least 6 months since prior radiotherapy for brain metastases and recovered
  • At least 4 weeks since prior surgery for management of the primary or metastatic lesions and recovered with remaining measurable disease
  • At least 6 months since prior surgery for brain metastases and recovered
  • No concurrent immunosuppressive drugs
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Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
12 participants (actual)

Study arms

  • Experimental
    Arm I

    Patients receive rV-B7.1 intralesionally every 4 weeks for 8 weeks (weeks 0, 4, and 8). Treatment continues every 12 weeks in the absence of unacceptable toxicity or disease progression for up to 2 courses. Cohorts of 6-8 patients receive escalating doses of vaccine until the maximum tolerated dose (MTD) is determined. The MTD is defined as the dose preceding that at which 2 of 6 or 3 of 8 patients experience dose limiting toxicities.

    Biological: recombinant vaccinia-B7.1 vaccine

Interventions

  • Biologicalrecombinant vaccinia-B7.1 vaccine
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Study locations

1 site
  • Albert Einstein Comprehensive Cancer Center
    Bronx, New York 10461, United States
07

References and documents

Publications

  • Kaufman HL, Deraffele G, Mitcham J, Moroziewicz D, Cohen SM, Hurst-Wicker KS, Cheung K, Lee DS, Divito J, Voulo M, Donovan J, Dolan K, Manson K, Panicali D, Wang E, Horig H, Marincola FM. Targeting the local tumor microenvironment with vaccinia virus expressing B7.1 for the treatment of melanoma. J Clin Invest. 2005 Jul;115(7):1903-12. doi: 10.1172/JCI24624. Epub 2005 Jun 2. PubMed 15937544 ↗
  • Kaufman HL, Conkright W, Divito J Jr, Horig H, Kaleya R, Lee D, Mani S, Panicali D, Rajdev L, Ravikumar TS, Wise-Campbell S, Surhland MJ. A phase I trial of intra lesional RV-B7.1 vaccine in the treatment of malignant melanoma. Hum Gene Ther. 2000 May 1;11(7):1065-82. doi: 10.1089/10430340050015374. No abstract available. PubMed 10811235 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Feb 11, 2013, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT00004148
Lead sponsor
National Cancer Institute (NCI)
Responsible party
Sponsor
First posted
Feb 20, 2004
Start date
Oct 1999
Primary completion
Apr 2006
Last update
Feb 11, 2013

Study contacts

Howard L. Kaufman, MD
study chair · Albert Einstein College of Medicine
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Jun 2006. You cannot join it, but the record below documents what was studied.

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