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TerminatedNCT00685750Updated Jun 20, 2019Results posted

Expression Analysis of Specific Markers in Non-small Cell Lung Cancer or Melanoma

An interventional study of Collection of tumor and blood samples in Lung Cancer, Non-Small Cell, sponsored by GlaxoSmithKline. Terminated at 34 sites in 5 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2019-06-20.

Sponsored by GlaxoSmithKline · Not applicable, Interventional, and Screening

Why this study was terminated
Slow enrolment over the last 2 years with none in the past 1 year. No increase in the number of completed subjects for 1 year and no more ongoing study subjects
Phase
Not applicable
Study type
Interventional
Enrollment
88
Allocation
Non-randomized
Ages
18 Years and older
Sex
All
01

Study summary

This study intends to analyze the expression of specific sets of markers in tumor samples and in serum from patients with Non-Small Cell lung Cancer (NSCLC) or Stage III or IV melanoma. The data obtained in this study will be used to guide future development of immunotherapies for melanoma or NSCLC patients. Moreover, the analyses will contribute to definition of markers potentially predictive of clinical response to specific anticancer therapies.

Read the detailed description

This protocol posting has been updated due to a protocol amendment.

02

Conditions studied

  • Lung Cancer, Non-Small Cell

Keywords

  • tumor antigen
  • biomarkers
03

In context

Lung Neoplasms

7,243 studies on the registry are indexed under Lung Neoplasms; 1,557 are open to participants now.

This study's enrollment of 88 is above the median of 60 across 5,295 interventional studies indexed under Lung Neoplasms.

Browse Lung Neoplasms studies →

Lead sponsor

GlaxoSmithKline is the lead sponsor of 3,562 studies on the registry; 117 are open to participants now.

Of its 258 completed or terminated interventional studies of FDA-regulated products, 232 (90%) have results posted.

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

04

Who can participate

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

Inclusion criteria

  • The patient (male or female) is at least 18 years of age.
  • The investigator believes that the patient can and will comply with the requirements of the protocol.
  • The patient has given his/her written informed consent to take part in the study.
  • The investigator believes that it will be possible to obtain a tumor tissue sample of at least 3 mm3 before treatment and all required tumor tissues several weeks after the initiation of the treatment.
  • The patient has cancer in one of the following histological types, fulfilling all of the characteristics listed for the respective cancer type:

Cutaneous Melanoma, unresectable stage III or stage IV • The patient has histologically documented unresectable stage III or stage IV metastatic cutaneous melanoma.

AND

  • The patient is a candidate for one of the following treatments:
  • First-line chemotherapy with DTIC or TMZ as monotherapy [group ME1],
  • First-line chemotherapy with an agent other than DTIC/TMZ as monotherapy or a combination (that may, but need not, include DTIC, TMZ, IL-2 or IFNγ) [group ME2],
  • Second- or higherline chemotherapy with any agent or combination of agents (that may, but need not, include DTIC, TMZ, IL-2 or IFNγ ; i.e., systemic chemotherapy after isolated limb perfusion should be considered as second-line) [group ME3],
  • Palliative irradiation of skin lesion(s)/region, irrespective of what line of treatment is planned [group ME4],
  • Topical palliative treatment by imiquimod of skin lesion(s), irrespective of what line of treatment is planned [group ME5].
  • First or higher line treatment with ipilimumab [group ME6].

NSCLC, any stage if the patient is eligible for neo-adjuvant chemotherapy with subsequent resection • The patient has NSCLC at any stage (as defined by the International Staging System) if the patient is eligible for neo-adjuvant chemotherapy with subsequent resection.

AND

  • The patient is a candidate for chemo(radio)-therapy induction doublet neoadjuvant chemotherapy with platinum plus a second chemotherapy drug.

[Note: Induction radiotherapy is permitted.]

The recruitment of patients to the NSCLC group has been ended prematurely.

Exclusion criteria

Exclusion Criteria:

  • The patient has any family history of congenital or hereditary immunodeficiency.
  • The patient has in the two weeks before baseline received any of the following:
  • Chemotherapeutic agents,
  • Immune-modulating agents such as (but not confined to) IFN-α, IL-2, BCG and anti-cancer therapeutic vaccines,
  • Immunosuppressive agents such as corticosteroids [except for prednisone, or equivalent, \<0.5 mg/kg/day (absolute maximum 40 mg/day, maximum duration of treatment three weeks), and inhaled and topical steroids, which are allowed].
  • The patient is currently receiving an anti cancer treatment in another clinical trial. However, if the patient has finished the drug administration phase of that trial and has entered the follow-up phase, this patient can be included.
05

Study design

Phase
Not applicable
Primary purpose
Screening
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
88 participants (actual)

Study arms

  • Other
    ME1

    Patients with cutaneous metastatic melanoma receiving dacarbazine or temozolomide as first line treatment

    Procedure: Collection of tumor and blood samples

  • Other
    ME2

    Patients with cutaneous metastatic melanoma receiving first line treatment other than dacarbazine or temozolomide only

    Procedure: Collection of tumor and blood samples

  • Other
    ME3

    Patients with cutaneous metastatic melanoma receiving any second-or higherline chemotherapy treatment

    Procedure: Collection of tumor and blood samples

  • Other
    ME4

    Patients with cutaneous metastatic melanoma receiving local irradiation of cutaneous/subcutaneous tumor lesions

    Procedure: Collection of tumor and blood samples

  • Other
    ME5

    Patients with cutaneous metastatic melanoma receiving local imiquimod

    Procedure: Collection of tumor and blood samples

  • Other
    NSC

    Non-small cell lung cancer patients

    Procedure: Collection of tumor and blood samples

  • Other
    ME6

    Patients with cutaneous metastatic melanoma receiving ipilimumab

    Procedure: Collection of tumor and blood samples

Interventions

  • ProcedureCollection of tumor and blood samples

    Samples will be collected before and after standard treatment

06

What researchers measure

Primary outcomes

  1. Number of Subjects With Expression of Tumor Antigens

    The outcome presents the number of participants with expression of MAGE-A3 and NY-ESO-1 tumor antigens, after administration of standard of care treatment course compared to before administration

    Time frame: Before and after administration of standard of care treatment course, up to 3 months

  2. Number of Subjects With a Pre-identified Gene Signature (GS) to the recMAGE-A3 Cancer Immunotherapeutic

    The outcome presents the number of participants with a pre-identified gene signature (GS) to the recMAGE-A3 cancer immunotherapeutic from before and after standard cancer treatment, for comparison.

    Time frame: Before and after administration of standard of care treatment course, up to 3 months

  3. The Serum Proteome

    Time frame: After administration of standard of care treatment course

  4. Correlation of Relevant Markers of the Pre-identified Gene-expression Signature as Measured by Immunohistochemical Methods and by Quantitative PCR.

    Time frame: After administration of standard of care treatment course

  5. Number of NSCLC Patients With Gene-expression Signature and Tumor Antigens in Distinct Concomitant Tumor Lesions Obtained at the Same Time From the Same Patient.

    Time frame: After administration of standard of care treatment course

  6. Number of Patients Responding to Treatment, by Best Clinical Response Type

    This outcome was assessed for metastatic melanoma patients treated with ipilimumab, in order to explore the predictive value to clinical activity of pre-identified immune-related gene-expression signature, by evaluating the patient's best clinical response to this treatment. Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0) for target lesions and assessed by MRI and/or CT: Partial Response (PR), \>=30% decrease in the sum of the longest diameter of target lesions; Stable Disease (SD), neither sufficient shrinkage to qualify for a Partial Response nor sufficient increase to qualify for Progression of Disease (POD); POD, 20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a non-target lesion, or the appearance of new lesions; Complete Response (CR), Disappearance of all target lesions.

    Time frame: At 6 months after the initiation of the ipilimumab therapy

07

Results

Posted Jun 20, 2019
Limitations and caveats
The study was terminated prematurely and, as a consequence, all the study objectives were not fully assessed as specified in the protocol.

Participant flow

Participant flow — Overall Study
MilestoneMelanoma 1 GroupMelanoma 2 GroupMelanoma 3 GroupMelanoma 4 GroupMelanoma 5 GroupMelanoma 6 GroupNon-Small Cell Group
Started173212152010
Completed17319215209
Not completed0020001
Withdrew: Tumor sampling failure0010000
Withdrew: Patient didn't receive the treatment0000001
Withdrew: Eligibility criteria not fulfilled0010000

Outcome measures

PrimaryNumber of Subjects With Expression of Tumor Antigens

The outcome presents the number of participants with expression of MAGE-A3 and NY-ESO-1 tumor antigens, after administration of standard of care treatment course compared to before administration

Time frame:
Before and after administration of standard of care treatment course, up to 3 months
Reported as:
Count of participants · Participants
Number of Subjects With Expression of Tumor Antigens
ParticipantsMelanoma 1 GroupMelanoma 2 GroupMelanoma 3 GroupMelanoma 4 GroupMelanoma 5 GroupMelanoma 6 GroupNon-Small Cell Group
MAGE-A3 — Remained Positive80111561
MAGE-A3 — Remained negative7000565
MAGE-A3 — Turned Positive0000110
MAGE-A3 — Turned Negative0290232
MAGE-A3 — Not tested1001210
MAGE-A3 — Invalid testing1110032
NY-ESO-01 — Remained Positive412144NA
NY-ESO-01 — Remained negative91140611NA
NY-ESO-01 — Turned Positive101011NA
NY-ESO-01 — Turned Negative001020NA
NY-ESO-01 — Not tested202121NA
NY-ESO-01 — Invalid testing111003NA
PrimaryNumber of Subjects With a Pre-identified Gene Signature (GS) to the recMAGE-A3 Cancer Immunotherapeutic

The outcome presents the number of participants with a pre-identified gene signature (GS) to the recMAGE-A3 cancer immunotherapeutic from before and after standard cancer treatment, for comparison.

Time frame:
Before and after administration of standard of care treatment course, up to 3 months
Reported as:
Count of participants · Participants
Number of Subjects With a Pre-identified Gene Signature (GS) to the recMAGE-A3 Cancer Immunotherapeutic
ParticipantsMelanoma 1 GroupMelanoma 2 GroupMelanoma 3 GroupMelanoma 4 GroupMelanoma 5 GroupMelanoma 6 Group
Remained positive404046
Remained Negative907035
Turned Positive012042
Turned Negative111114
Not tested206130
Invalid testing111003
PrimaryThe Serum Proteome
Time frame:
After administration of standard of care treatment course

No measurements were reported for this outcome.

PrimaryCorrelation of Relevant Markers of the Pre-identified Gene-expression Signature as Measured by Immunohistochemical Methods and by Quantitative PCR.
Time frame:
After administration of standard of care treatment course

No measurements were reported for this outcome.

PrimaryNumber of NSCLC Patients With Gene-expression Signature and Tumor Antigens in Distinct Concomitant Tumor Lesions Obtained at the Same Time From the Same Patient.
Time frame:
After administration of standard of care treatment course

No measurements were reported for this outcome.

PrimaryNumber of Patients Responding to Treatment, by Best Clinical Response Type

This outcome was assessed for metastatic melanoma patients treated with ipilimumab, in order to explore the predictive value to clinical activity of pre-identified immune-related gene-expression signature, by evaluating the patient's best clinical response to this treatment. Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0) for target lesions and assessed by MRI and/or CT: Partial Response (PR), \>=30% decrease in the sum of the longest diameter of target lesions; Stable Disease (SD), neither sufficient shrinkage to qualify for a Partial Response nor sufficient increase to qualify for Progression of Disease (POD); POD, 20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a non-target lesion, or the appearance of new lesions; Complete Response (CR), Disappearance of all target lesions.

Time frame:
At 6 months after the initiation of the ipilimumab therapy
Reported as:
Count of participants · Participants
Number of Patients Responding to Treatment, by Best Clinical Response Type
ParticipantsGS-positive GroupGS-negative GroupGS-invalid Group
Complete response000
Partial response100
Stable Disease341
Progressive Disease940
Not evaluable120

Adverse events

Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Melanoma 1 Group———
Melanoma 2 Group———
Melanoma 3 Group———
Melanoma 4 Group———
Melanoma 5 Group———
Melanoma 6 Group———
Non-Small Cell Group———

Baseline characteristics

Age, Continuous
Age, Continuous(Years)Melanoma 1 GroupMelanoma 2 GroupMelanoma 3 GroupMelanoma 4 GroupMelanoma 5 GroupMelanoma 6 GroupNon-Small Cell GroupTotal
Mean67.4 ± 12.150.7 ± 12.564.5 ± 11.577.0 ± 5.765.5 ± 13.561.8 ± 16.759.5 ± 9.763.8 ± 13.3
Sex: Female, Male
Sex: Female, Male(Participants)Melanoma 1 GroupMelanoma 2 GroupMelanoma 3 GroupMelanoma 4 GroupMelanoma 5 GroupMelanoma 6 GroupNon-Small Cell GroupTotal
Female11390911245
Male6012269843
Race and Ethnicity Not Collected
Race and Ethnicity Not Collected(Participants)Melanoma 1 GroupMelanoma 2 GroupMelanoma 3 GroupMelanoma 4 GroupMelanoma 5 GroupMelanoma 6 GroupNon-Small Cell GroupTotal
Count of participants———————0
08

Study locations

34 sites
  • GSK Investigational Site
    Los Angeles, California 90025, United States
  • GSK Investigational Site
    Park Ridge, Illinois 60068, United States
  • GSK Investigational Site
    Saint Louis, Missouri 63110, United States
  • GSK Investigational Site
    Murray, Utah 84107, United States
  • GSK Investigational Site
    Dijon, 21079, France
  • GSK Investigational Site
    Lille, 59037, France
  • GSK Investigational Site
    Marseille Cedex 5, 13385, France
  • GSK Investigational Site
    Marseille, 13274, France
  • GSK Investigational Site
    Montpellier, 34295, France
  • GSK Investigational Site
    Nantes, 44093, France
  • GSK Investigational Site
    Paris, 75012, France
  • GSK Investigational Site
    Freiburg, Baden-Wuerttemberg 79106, Germany
  • GSK Investigational Site
    Heidelberg, Baden-Wuerttemberg 69126, Germany
  • GSK Investigational Site
    Mannheim, Baden-Wuerttemberg 68167, Germany
  • GSK Investigational Site
    Tuebingen, Baden-Wuerttemberg 72076, Germany
  • GSK Investigational Site
    Regensburg, Bayern 93049, Germany
  • GSK Investigational Site
    Wuerzburg, Bayern 97080, Germany
  • GSK Investigational Site
    Greifswald, Mecklenburg-Vorpommern 17487, Germany
  • GSK Investigational Site
    Hannover, Niedersachsen 30625, Germany
  • GSK Investigational Site
    Ostercappeln, Niedersachsen 49179, Germany
  • GSK Investigational Site
    Hemer, Nordrhein-Westfalen 58675, Germany
  • GSK Investigational Site
    Koeln, Nordrhein-Westfalen 51109, Germany
  • GSK Investigational Site
    Mainz, Rheinland-Pfalz 55131, Germany
  • GSK Investigational Site
    Grosshansdorf, Schleswig-Holstein 22927, Germany
  • GSK Investigational Site
    Kiel, Schleswig-Holstein 24105, Germany
  • GSK Investigational Site
    Berlin, 12200, Germany
  • GSK Investigational Site
    Hamburg, 20246, Germany
  • GSK Investigational Site
    Napoli, Campania 80131, Italy
  • GSK Investigational Site
    Milano, Lombardia 20141, Italy
  • GSK Investigational Site
    Siena, Toscana 53100, Italy
  • GSK Investigational Site
    Padova, Veneto 35128, Italy
  • GSK Investigational Site
    Göteborg, SE-413 45, Sweden
  • GSK Investigational Site
    Lund, SE-221 85, Sweden
  • GSK Investigational Site
    Stockholm, SE-171 76, Sweden
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 20, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT00685750
Lead sponsor
GlaxoSmithKline
Responsible party
Sponsor
First posted
May 28, 2008
Start date
Apr 28, 2008
Primary completion
Dec 17, 2013
Completion
Dec 17, 2013
Results posted
Jun 20, 2019
Last update
Jun 20, 2019

Study contacts

GSK Clinical Trials
study director · GlaxoSmithKline
View the source record on ClinicalTrials.gov ↗

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