A Phase 2 interventional study of ALVAC(2) Melanoma multi-antigen therapeutic vaccine and Intron A, Interferon alpha -2b in Melanoma and Cancer, sponsored by Sanofi Pasteur, a Sanofi Company. Terminated at 19 sites in 2 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2016-04-14.
Sponsored by Sanofi Pasteur, a Sanofi Company (part of Sanofi) · Phase 2, Interventional, and Treatment
Primary objective:
To evaluate the clinical activity of the vaccine regimen, as indicated by progression-free survival versus the clinical activity of the reference treatment.
Secondary objectives:
Safety: To describe the safety profile in both treatment groups.
Efficacy: To determine the objective clinical responses of patients in both treatment groups: complete response and partial response.
Eligible participants will be randomized to receive either a vaccine treatment consisting of a series of multi-antigen melanoma vaccine and GM-CSF injections, followed by high-dose IFN-α2b or only the high-dose IFN-α2b.
3,073 studies on the registry are indexed under Melanoma; 529 are open to participants now.
This study's enrollment of 23 is below the median of 38 across 2,400 interventional studies indexed under Melanoma.
Browse Melanoma studies →Sanofi Pasteur, a Sanofi Company is the lead sponsor of 374 studies on the registry; 4 are open to participants now.
Of its 94 completed or terminated interventional studies of FDA-regulated products, 73 (78%) have results posted.
First submitted after Sanofi Pasteur became part of Sanofi.
Counted across the registry records on this site, refreshed daily.
Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.
Exclusion Criteria :
Participants will receive a multi-antigen of modified canarypox virus (ALVAC\[2\]) melanoma vaccine and granulocyte macrophage colony stimulating factor (GM-CSF) every 3 weeks, followed by 4 weeks of high-dose interferon alpha-2b 5 times per week.
Biological: ALVAC(2) Melanoma multi-antigen therapeutic vaccine
Participants on 4 weeks of high-dose interferon alpha-2b 5 times per week. Participants who showed disease progression after Cycle 1 will be permitted to cross over to Group 1 treatment.
Biological: Intron A, Interferon alpha -2b
0.5 mL, 2 cycles
0.5 mL, 5 times per week for 4 weeks
Also known as: Intron-A®: IFN-α2b
Summary of Disease Progression in Study Participants, Intent-to-treat Population
Number of evaluable study participants who had died or experienced objective disease progression (no clinical objective response to treatment as evaluated by computed tomography \[CT\] scans or physical examination).
Time frame: Day 0 up to 35 weeks post 1st vaccination or treatment
Progression-Free Survival Time by Response Evaluation Criteria in Solid Tumor (RECIST) Criteria in the Intent-to-treat Population
Progression-Free Survival was assessed by the Response Evaluation Criteria in Solid Tumor criteria from the computed tomography (CT) scans, as per-protocol
Time frame: Day 0 - up to 35 weeks post 1st vaccination or treatment
Best Overall Objective Response as Number of Participants Responding in the Intent-to-treat Population
Objective response rate (ORR) is the sum of complete response (CR) and partial response (PR) Complete response = Disappearance of all target lesions. Partial response = At least a 30% decrease in the sum of longest diameter of target lesions, taking as reference the baseline sum longest diameter.
Time frame: Day 0 to 32 weeks post 1st vaccination or treatment
Best Overall Objective Response in the Intent-to-treat Population
Objective response rate (ORR) is the sum of complete response (CR) and partial response (PR) Complete response = Disappearance of all target lesions. Partial response = At least a 30% decrease in the sum of longest diameter of target lesions, taking as reference the baseline sum longest diameter.
Time frame: Day 0 to 32 weeks post 1st vaccination or treatment
Best Overall Objective Response as Mean Duration of Response (Weeks) in the Intent-to-treat Population
Objective response rate (ORR) is the sum of complete response (CR) and partial response (PR) Complete response = Disappearance of all target lesions. Partial response = At least a 30% decrease in the sum of longest diameter of target lesions, taking as reference the baseline sum longest diameter.
Time frame: Day 0 to 32 weeks post 1st vaccination or treatment
Number of Participants Reporting a Grade 3 or Grade 4 Adverse Events by Preferred Term
Common Terminology Criteria for Adverse Events (CTCAE) definitions: Grade 3 is a severe adverse event; Grade 4 is a life-threatening or disabling adverse event.
Time frame: Day 0 to 12 months post last vaccination
Number of Participants With a Vaccine-Induced Increase of CD8 T-Cell Positive Response by Antigen
The vaccine-induced increase of CD8 T-Cell positive response by antigen post-vaccination during the observation period compared to the screening values.
Time frame: Day 0 to 32 weeks post 1st vaccination
Number of Participants With a Vaccine-Induced Increase of CD4 T-Cell Positive Response by Antigen
The Vaccine-induced increase of CD4 T-Cell positive response by antigen post-vaccination during the observation period compared to the screening values.
Time frame: Day 0 to 32 weeks post 1st vaccination
Summary of Cellular Immune Response to the Vaccination or Treatment (Percent Regulatory T-Cells Responses)
The immunogenicity of the treatment regimens was assessed by regulatory T-cell responses as assessed primarily by the multi-parametric intracellular cytokine staining (ICS) assay.
Time frame: Day 0 to 32 weeks post 1st vaccination or treatment
Participants were enrolled from 20 May 2008 to 31 March 2009 at 8 medical centers in the US and 3 medical centers in Canada.
| Milestone | Study Group 1: ALVAC Melanoma Vaccine | Study Group 2: Interferon Alpha-2b |
|---|---|---|
| Started | 11 | 12 |
| Completed | 6 | 4 |
| Not completed | 5 | 8 |
| Withdrew: Adverse event | 2 | 1 |
| Withdrew: Disease progression | 2 | 6 |
| Withdrew: Unacceptable toxicity | 1 | 0 |
| Withdrew: Other administrative reason | 0 | 1 |
| Milestone | Study Group 1: ALVAC Melanoma Vaccine | Study Group 2: Interferon Alpha-2b |
|---|---|---|
| Started | 11 | 4 |
| Completed | 11 | 4 |
| Not completed | 0 | 0 |
The vaccine-induced increase of CD8 T-Cell positive response by antigen post-vaccination during the observation period compared to the screening values.
| Participants | Study Group 1: ALVAC Melanoma Vaccine | Study Group 2: Interferon Alpha-2b |
|---|---|---|
| Screening: gp100 pool1 | 0 | 0 |
| Screening: gp100 pool2 | 0 | 0 |
| Screening: gp100 pool3 | 0 | 0 |
| Screening: gp100 pool4 | 0 | 0 |
| Screening: gp100 pool5 | 0 | 0 |
| Screening: gp100 pool6 | 0 | 0 |
| Screening: NYESO-1 pool 1 | 0 | 0 |
| Screening: NYESO-1 pool 2 | 0 | 0 |
| Screening: Mart1 pool | 0 | 0 |
| Screening: Native 15mer pool | 0 | 0 |
| Screening: 9mer pool | 0 | 0 |
| 7 Weeks post 1st Vaccination: gp100 pool1 | 0 | 0 |
| 7 Weeks post 1st Vaccination: gp100 pool2 | 0 | 0 |
| 7 Weeks post 1st Vaccination: gp100 pool3 | 0 | 0 |
| 7 Weeks post 1st Vaccination: gp100 pool4 | 0 | 0 |
| 7 Weeks post 1st Vaccination: gp100 pool5 | 1 | 0 |
| 7 Weeks post 1st Vaccination: gp100 pool6 | 0 | 0 |
| 7 Weeks post 1st Vaccination: NYESO-1 pool 1 | 0 | 0 |
| 7 Weeks post 1st Vaccination: NYESO-1 pool 2 | 0 | 0 |
| 7 Weeks post 1st Vaccination: Mart1 pool | 0 | 0 |
| 7 Weeks post 1st Vaccination: Native 15mer pool | 0 | 0 |
| 7 Weeks post 1st Vaccination: 9mer pool | 0 | 0 |
The Vaccine-induced increase of CD4 T-Cell positive response by antigen post-vaccination during the observation period compared to the screening values.
| Participants | Study Group 1: ALVAC Melanoma Vaccine | Study Group 2: Interferon Alpha-2b |
|---|---|---|
| Screening: gp100 pool1 | 0 | 0 |
| Screening: gp100 pool2 | 0 | 0 |
| Screening: gp100 pool3 | 0 | 0 |
| Screening: gp100 pool4 | 0 | 0 |
| Screening: gp100 pool5 | 0 | 0 |
| Screening: gp100 pool6 | 0 | 0 |
| Screening: NYESO-1 pool 1 | 0 | 0 |
| Screening: NYESO-1 pool 2 | 0 | 0 |
| Screening: Mart1 pool | 0 | 0 |
| Screening: Native 15mer pool | 0 | 0 |
| Screening: 9mer pool | 0 | 0 |
| 7 Weeks post 1st Vaccination: gp100 pool1 | 0 | 1 |
| 7 Weeks post 1st Vaccination: gp100 pool2 | 0 | 0 |
| 7 Weeks post 1st Vaccination: gp100 pool3 | 0 | 0 |
| 7 Weeks post 1st Vaccination: gp100 pool4 | 0 | 0 |
| 7 Weeks post 1st Vaccination: gp100 pool5 | 1 | 0 |
| 7 Weeks post 1st Vaccination: gp100 pool6 | 0 | 0 |
| 7 Weeks post 1st Vaccination: NYESO-1 pool 1 | 0 | 0 |
| 7 Weeks post 1st Vaccination: NYESO-1 pool 2 | 0 | 0 |
| 7 Weeks post 1st Vaccination: Mart1 pool | 0 | 0 |
| 7 Weeks post 1st Vaccination: Native 15mer pool | 0 | 0 |
| 7 Weeks post 1st Vaccination: 9mer pool | 0 | 0 |
Objective response rate (ORR) is the sum of complete response (CR) and partial response (PR) Complete response = Disappearance of all target lesions. Partial response = At least a 30% decrease in the sum of longest diameter of target lesions, taking as reference the baseline sum longest diameter.
| Particpants | Study Group 1: ALVAC Melanoma Vaccine | Study Group 2: Interferon Alpha-2b |
|---|---|---|
| Participants with measurable disease at baseline | 11 | 11 |
| Complete Response (CR) | 0 | 0 |
| Partial Response (PR) | 2 | 1 |
| Stable Disease (SD) | 3 | 3 |
| Not Evaluable (NE) | 0 | 1 |
| Progression (PD) | 6 | 6 |
Objective response rate (ORR) is the sum of complete response (CR) and partial response (PR) Complete response = Disappearance of all target lesions. Partial response = At least a 30% decrease in the sum of longest diameter of target lesions, taking as reference the baseline sum longest diameter.
| Percentage of participants | Study Group 1: ALVAC Melanoma Vaccine | Study Group 2: Interferon Alpha-2b |
|---|---|---|
| Best Overall Objective Response in the Intent-to-treat Population | 18.2 | 9.1 |
Number of evaluable study participants who had died or experienced objective disease progression (no clinical objective response to treatment as evaluated by computed tomography \[CT\] scans or physical examination).
| Participants | Study Group 1: ALVAC Melanoma Vaccine | Study Group 2: Interferon Alpha-2b |
|---|---|---|
| Progressed or died due to any cause | 7 | 6 |
| Did not progress or die due to any cause | 4 | 6 |
The immunogenicity of the treatment regimens was assessed by regulatory T-cell responses as assessed primarily by the multi-parametric intracellular cytokine staining (ICS) assay.
| Percent Cell Count | Study Group 1: ALVAC Melanoma Vaccine | Study Group 2: Interferon Alpha-2b |
|---|---|---|
| Screening | 2.7 ± 1.02 | 3.4 ± 1.24 |
| Cycle 1 Week 1 | 3.3 ± 1.42 | 2.3 ± 0.65 |
| Cycle 1 Week 7 | 2.9 ± 0.83 | 3.1 ± 1.13 |
| Cycle 2 Week 23 | 3.3 ± 0.90 | 3.8 ± 0.51 |
| Cycle 2 Week 32 | 4.0 ± 0.48 | 2.6 ± 0.07 |
Progression-Free Survival was assessed by the Response Evaluation Criteria in Solid Tumor criteria from the computed tomography (CT) scans, as per-protocol
| Weeks | Study Group 1: ALVAC Melanoma Vaccine | Study Group 2: Interferon Alpha-2b |
|---|---|---|
| Progression-Free Survival Time by Response Evaluation Criteria in Solid Tumor (RECIST) Criteria in the Intent-to-treat Population | 15.9 (8.0 to NA) | 8.9 (8.3 to NA) |
Objective response rate (ORR) is the sum of complete response (CR) and partial response (PR) Complete response = Disappearance of all target lesions. Partial response = At least a 30% decrease in the sum of longest diameter of target lesions, taking as reference the baseline sum longest diameter.
| Weeks | Study Group 1: ALVAC Melanoma Vaccine | Study Group 2: Interferon Alpha-2b |
|---|---|---|
| Best Overall Objective Response as Mean Duration of Response (Weeks) in the Intent-to-treat Population | 16.3 (6.4 to 26.1) | 18.3 (18.3 to 18.3) |
Common Terminology Criteria for Adverse Events (CTCAE) definitions: Grade 3 is a severe adverse event; Grade 4 is a life-threatening or disabling adverse event.
| Participants | Study Group 1: ALVAC Melanoma Vaccine | Study Group 2: Interferon Alpha-2b |
|---|---|---|
| Anemia | 0 | 1 |
| Leukocytosis | 1 | 0 |
| Abdominal Pain Upper | 1 | 0 |
| Axillary Pain | 1 | 0 |
| Chest Discomfort | 1 | 0 |
| Chest Pain | 1 | 0 |
| Inflammation | 1 | 0 |
| Pyrexia | 0 | 1 |
| Sepsis | 1 | 0 |
| Septic Shock | 0 | 1 |
| Staphylococcal Bacteremia | 0 | 1 |
| Alanine Aminotransferase (ALT) Increased | 0 | 3 |
| Aspartate Aminotransferase (AST) Increased | 0 | 1 |
| Gamma-Glutamyl Transferase (GGT) Increased | 1 | 1 |
| Neutrophil Count Decreased | 1 | 0 |
| White Blood Cell Count Decreased | 1 | 0 |
| Hypernatremia | 1 | 0 |
| Hypoalbuminemia | 0 | 1 |
| Hypocalcemia | 0 | 1 |
| Hyponatremia | 0 | 1 |
| Joint Range of Motion Decreased | 1 | 0 |
| Metastatic Malignant Melanoma | 0 | 1 |
| Brain Edema | 1 | 0 |
| Cerebral Hemorrhage | 1 | 0 |
| Encephalopathy | 1 | 0 |
| Headache | 1 | 0 |
| Hemiplegia | 1 | 0 |
| Paraesthesia | 0 | 1 |
| Peripheral Sensory Neuropathy | 0 | 1 |
| Syncope Vasovagal | 0 | 1 |
| Polyuria | 1 | 0 |
| Hypotension | 1 | 0 |
Collected over Adverse events data were collected from the day of vaccination for 12 months post-vaccination. Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Study Group 1: ALVAC Melanoma Vaccine | — | 5/11 (45.5%) | 5/11 (45.5%) |
| Study Group 2: Interferon Alpha-2b | — | 5/12 (41.7%) | 7/12 (58.3%) |
| Event | Study Group 1: ALVAC Melanoma Vaccine | Study Group 2: Interferon Alpha-2b |
|---|---|---|
| Disease ProgressionGeneral disorders | 2/11 | 2/12 |
| Metastatic Malignant MelanomaNeoplasms benign, malignant and unspecified (incl cysts and polyps) | 2/11 | 0/12 |
| Chest PainGeneral disorders | 1/11 | 1/12 |
| SepsisInfections and infestations | 1/11 | 0/12 |
| Gastrointestinal PerforationGastrointestinal disorders | 0/11 | 1/12 |
| Septic ShockInfections and infestations | 0/11 | 1/12 |
| PneumoniaInfections and infestations | 0/11 | 1/12 |
| Event | Study Group 1: ALVAC Melanoma Vaccine | Study Group 2: Interferon Alpha-2b |
|---|---|---|
| ALT IncreasedInvestigations | 0/11 | 3/12 |
| LeukocytosisBlood and lymphatic system disorders | 1/11 | 0/12 |
| Abdominal Pain UpperGastrointestinal disorders | 1/11 | 0/12 |
| Axillary PainGeneral disorders | 1/11 | 0/12 |
| Chest DiscomfortGeneral disorders | 1/11 | 0/12 |
| InflammationGeneral disorders | 1/11 | 0/12 |
| GGT IncreasedInvestigations | 1/11 | 1/12 |
| Neutrophil Count DecreasedInvestigations | 1/11 | 0/12 |
| White Blood Cell Count DecreasedInvestigations | 1/11 | 0/12 |
| HypernatremiaMetabolism and nutrition disorders | 1/11 | 0/12 |
| Age, Categorical(Participants) | Study Group 1: ALVAC Melanoma Vaccine | Study Group 2: Interferon Alpha-2b | Total |
|---|---|---|---|
| <=18 years | 0 | 0 | 0 |
| Between 18 and 65 years | 9 | 10 | 19 |
| >=65 years | 2 | 2 | 4 |
| Age, Continuous(Years) | Study Group 1: ALVAC Melanoma Vaccine | Study Group 2: Interferon Alpha-2b | Total |
|---|---|---|---|
| Mean | 52.6 ± 14.23 | 52.9 ± 14.34 | 52.8 ± 14.3 |
| Sex: Female, Male(Participants) | Study Group 1: ALVAC Melanoma Vaccine | Study Group 2: Interferon Alpha-2b | Total |
|---|---|---|---|
| Female | 6 | 5 | 11 |
| Male | 5 | 7 | 12 |
| Region of Enrollment(participants) | Study Group 1: ALVAC Melanoma Vaccine | Study Group 2: Interferon Alpha-2b | Total |
|---|---|---|---|
| United States | 9 | 10 | 19 |
| Canada | 2 | 2 | 4 |
The record gives a start of Jun 2008, a primary completion of Apr 2010 and a completion of Jun 2010. It does not say whether these dates are actual or estimated.
Results were first posted in Dec 2010, 8 months after primary completion.
How these figures are worked out, and which studies are left out of them.
This study is terminated, as verified in Apr 2016. You cannot join it, but the record below documents what was studied.
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