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TerminatedNCT00722098Updated Jul 8, 2013

Comparison Study of Dendritic Cell Vaccine With and Without Cyclophosphamide to Treat Stage IV Melanoma Patients

A Phase 2 interventional study of DC Vaccine & Cyclophosphamide and DC Vaccine & Placebo in Malignant Melanoma Stage IV, sponsored by Baylor Research Institute. Terminated at 1 site in United States. Open to participants aged 21 Years to 75 Years. Per ClinicalTrials.gov, last updated 2013-07-08.

Sponsored by Baylor Research Institute · Phase 2, Interventional, and Treatment

Why this study was terminated
Early termination due to lesser accrual, and data analysis not done.
Phase
Phase 2
Study type
Interventional
Enrollment
9
Allocation
Randomized
Ages
21 Years to 75 Years
Sex
All
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Study summary

The purpose of this study is to determine whether the combination of chemotherapy (Cyclophosphamide) and CD34-DC vaccines results in the improved rate of clinical responses for stage IV melanoma patients.

Read the detailed description

Vaccination of patients with metastatic melanoma using ex vivo generated dendritic cells (DCs) loaded with tumor-associated antigen(s) have been shown to induce tumor-specific immunity against melanoma antigens measured by in vitro assays and, in some cases, tumor regression. At the present time, the numbers of recorded patients with metastatic melanoma who have been treated with DC vaccinations are too small to predict with certainty the future of overall therapeutic value of DC vaccinations in the management of patients with metastatic melanoma. The purpose of this study is to gather data on feasibility and efficacy of novel combination therapy of CPA and a DC vaccine outlined in this protocol to treat metastatic melanoma.

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Conditions studied

  • Malignant Melanoma Stage IV

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Keywords

  • Melanoma
  • Dendritic Cell
  • Vaccine
  • Immunotherapy
  • Cyclophosphamide
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In context

Melanoma

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

This study's enrollment of 9 is below the median of 38 across 2,351 interventional studies indexed under Melanoma.

Browse Melanoma studies →

Lead sponsor

Baylor Research Institute is the lead sponsor of 219 studies on the registry; 49 are open to participants now.

Of its 23 completed or terminated interventional studies of FDA-regulated products, 9 (39%) have results posted.

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

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Who can participate

Ages eligible
21 Years to 75 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  1. Biopsy-proven metastatic melanoma, Stages M1a, M1b, M1c
  2. HLA-A*0201 phenotype
  3. Age: 21-75 years
  4. ECOG performance status 0-1
  5. Measurable metastatic melanoma lesions by physical examination or radiographs or scans.
  6. Adequate marrow function:

    • White count ≥ 4,000/microliter: Subjects who have recently completed chemotherapy will be allowed study entry with White count ≥ 3,500/microliter
    • Hemoglobin ≥ 10.0 gm: Subjects who have recently completed chemotherapy will be allowed study entry with Hemoglobin ≥ 9.0 gm.
    • Platelets ≥ 100,000/microliter
  7. Adequate hepatic function:

    • Bilirubin ≤ 1.5/mg/dL
    • Alkaline phosphatase ≤ 5 times the upper limit of normal
    • SGOT ≤ 5 times the upper limit of normal
    • SGPT ≤ 5 times the upper limit of normal
  8. Adequate renal function:

    • Serum creatinine ≤ 1.5/mg/dL
  9. No active CNS metastatic disease at screening.

    • Patients with a history of CNS melanoma lesions must have had lesions resected by surgery and/or gamma knife irradiation at least 3 months prior to study entry.
    • The total number of CNS lesions at diagnosis should not have exceeded 3.
  10. Written informed consent

Exclusion criteria

Exclusion Criteria:

  1. Patients who have received > 8 cycles of cytotoxic chemotherapy or metastatic melanoma
  2. Patients who have received any chemotherapy \< 4 weeks before the beginning of the trial
  3. Patients who have received interferon alpha (IFNα-2b) or sargramostim (GM-CSF) \< 4 weeks before the beginning of the trial
  4. Patients who have received high-dose interleukin-2 (IL-2) \< 4 weeks before the beginning of the trial
  5. Patients that have been diagnosed with more than 3 CNS melanoma lesions.
  6. Patients that have been diagnosed with more than 5 hepatic metastases or any hepatic metastasis > 5 cm.
  7. Baseline serum LDH > 1.1 times the upper limit of normal
  8. Patients who are HIV+ (HIV patients are often profoundly immunodeficient because of the viral infection and this additional parameter will interfere with the evaluation of DC induced immune responses in melanoma patients. Furthermore, the safety of collecting DCs, loading them with antigen and re-infusing these cells to HIV+ patients has not yet been determined.)
  9. Pregnancy (Pregnancy is associated with considerable immunosuppression 70 and this additional parameter will interfere with the evaluation of DC induced immune responses in melanoma patients. In addition, the safety and tolerability of cell body-loaded DC given subcutaneously is entirely unknown.)
  10. Patients who have received corticosteroids or other immunosuppressive agents \< 4 weeks before beginning the trial
  11. Patients with active asthma and/or on treatment for asthma
  12. Patients with angina pectoris
  13. Patients with congestive heart failure
  14. Patients with a history of autoimmune disease including lupus erythematosus, rheumatoid arthritis or thyroiditis
  15. Patients with active infections including viral hepatitis
  16. Patients with a history of neoplastic disease other than melanoma \< 5 years prior to entry on the trial except for patients with carcinomas in situ of the cervix and basal/squamous cell carcinomas of the skin. Patients who have any of these two types of cancer and melanoma can be included.
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Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Single group
Masking
Double (Participant, Investigator)
Enrollment
9 participants (actual)

Study arms

  • Experimental
    DC Vaccine & Cyclophosphamide

    Patients will receive a fixed dose of about ≥15x106 viable dendritic cells per injection. Patients will receive a total of 8 doses of the vaccination with each individual dose being administered at weeks: 0, 2, 4, 6, 10, 14, 18 and 22. Responses will be evaluated and patients with SD, PR or CR may receive 4 more vaccine at 36, 48, 72 and 96 weeks, if there is vaccine available. The vaccine will be injected subcutaneously, in 3 separate injection sites (3.3.ml per site) in the upper and lower extremities. Patients will receive either CPA 300mg/m2 for injections administered intravenously over a 2-hour infusion in the outpatient clinic 24 hours prior to DC vaccinations # 1, 3, 5, 6 and 7.

    Biological: DC Vaccine & Cyclophosphamide

  • Placebo comparator
    DC Vaccine & Placebo

    Patients will receive a fixed dose of about ≥15x106 viable dendritic cells per injection. Patients will receive a total of 8 doses of the vaccination with each individual dose being administered at weeks: 0, 2, 4, 6, 10, 14, 18 and 22. Responses will be evaluated and patients with SD, PR or CR may receive 4 more vaccine at 36, 48, 72 and 96 weeks, if there is vaccine available. The vaccine will be injected subcutaneously, in 3 separate injection sites (3.3.ml per site) in the upper and lower extremities. Patients will receive saline for injections administered intravenously over a 2-hour infusion in the outpatient clinic 24 hours prior to DC vaccinations # 1, 3, 5, 6 and 7.

    Biological: DC Vaccine & Placebo

Interventions

  • BiologicalDC Vaccine & Cyclophosphamide

    Patients will receive a fixed dose of about ≥15x106 viable dendritic cells per injection. Patients will receive a total of 8 doses of the vaccination with each individual dose being administered at weeks: 0, 2, 4, 6, 10, 14, 18 and 22. Responses will be evaluated and patients with SD, PR or CR may receive 4 more vaccine at 36, 48, 72 and 96 weeks, if there is vaccine available. The vaccine will be injected subcutaneously, in 3 separate injection sites (3.3.ml per site) in the upper and lower extremities. Patients will receive either CPA 300mg/m2 for injections administered intravenously over a 2-hour infusion in the outpatient clinic 24 hours prior to DC vaccinations # 1, 3, 5, 6 and 7.

    Also known as: Cyclophosphamide (CPA), DC Vaccine ( Dendritic cell vaccine)

  • BiologicalDC Vaccine & Placebo

    Patients will receive a fixed dose of about ≥15x106 viable dendritic cells per injection. Patients will receive a total of 8 doses of the vaccination with each individual dose being administered at weeks: 0, 2, 4, 6, 10, 14, 18 and 22. Responses will be evaluated and patients with SD, PR or CR may receive 4 more vaccine at 36, 48, 72 and 96 weeks, if there is vaccine available. The vaccine will be injected subcutaneously, in 3 separate injection sites (3.3.ml per site) in the upper and lower extremities. Patients will receive saline for injections administered intravenously over a 2-hour infusion in the outpatient clinic 24 hours prior to DC vaccinations # 1, 3, 5, 6 and 7.

    Also known as: DC Vaccine - Dendritic Cell Vaccine

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What researchers measure

Primary outcomes

  1. Induction of melanoma-specific CD8+T Cell Immunity.

    Time frame: 2 years

Secondary outcomes

  1. Rate of objective clinical responses.

    Time frame: 2 years

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Study locations

1 site
  • Baylor University Medical Center
    Dallas, Texas 75204, United States
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 8, 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
NCT00722098
Lead sponsor
Baylor Research Institute
Responsible party
Sponsor
First posted
Jul 25, 2008
Start date
Jun 2008
Primary completion
Apr 2011
Completion
Jul 2012
Last update
Jul 8, 2013

Study contacts

Joseph Fay, M.D.
principal investigator · Baylor Institute for Immunology Research: Baylor University Medical Center

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

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This study is terminated, as verified in Jul 2013. You cannot join it, but the record below documents what was studied.

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