CClinicalTrials.gg
WithdrawnNCT01861938Updated Oct 2, 2025

Modified Melanoma Vaccine for High Risk or Low Residual Disease Patients

A Phase 2/3 interventional study of Melanoma vaccine modified to express HLA A2/4-1BB ligand in High Risk HLA-A2+ Melanoma and Metastatic Disease, sponsored by Hadassah Medical Organization. Withdrawn. Per ClinicalTrials.gov, last updated 2025-10-02.

Sponsored by Hadassah Medical Organization · Phase 2/3, Interventional, and Treatment

Why this study was withdrawn
The study was withdrawn because no participants enrolled
Phase
Phase 2/3
Study type
Interventional
Enrollment
0
Allocation
Not applicable
Sex
All
01

Study summary

This study is based on the hypothesis that stimulation of the immune response against the tumor can help destroy residual tumor in melanoma patients with very high risk for disease recurrence and in patients with relatively low tumor burden who already got first line treatment for their disease.

Ongoing clinical trials in the Hadassah Hospital have shown that vaccination of patients with a cell line of tumor cells from the patient himself, or with a combination of three cell lines that partially match the patient's cell characteristics, could improve the immune response against the tumor, was associated with improved disease-free and overall survival.

In this study, the investigators will evaluate the efficacy of a modified tumor cell vaccine, in terms of immune response,improved disease-free and overall survival. The vaccine consists of a cell line that has a high expression level of melanoma molecules, and has been genetically modified to induce a strong immune response.

02

Conditions studied

  • High Risk HLA-A2+ Melanoma
  • Metastatic Disease

Keywords

  • melanoma
  • vaccine
  • Resectable AJCC stage IV
  • AJCC stages IIb-c, III
  • Patients with low-burden
  • failed
  • respond
  • one treatment line
03

In context

Neoplasm Metastasis

3,517 studies on the registry are indexed under Neoplasm Metastasis; 885 are open to participants now.

Browse Neoplasm Metastasis studies →

Lead sponsor

Hadassah Medical Organization is the lead sponsor of 659 studies on the registry; 54 are open to participants now.

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

04

Who can participate

Ages eligible
Child (0–17), Adult (18–64), Older adult (65+)
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  1. Patients included in this protocol must carry one or more of the following tissue typing alleles: HLA-A2, -A24, -A33, -B35, -B49, -CW04/12(04/08). We estimate that 50% of melanoma patients will be eligible.
  2. Cutaneous malignant melanoma AJCC stage IIb (over 4 mm) or IIc (ulcerated melanoma over 4mm).
  3. Metastatic melanoma AJCC stage III (nodal involvement, N1-3a,b) post surgical removal of lymph nodes.
  4. Metastatic melanoma AJCC stage IV, completely resected.
  5. Non cutaneous malignant melanoma of respective stages including uveal and mucosal melanoma.
  6. Melanoma can be of either mutant or wild-type B-RAF.
  7. Karnofsky performance status over 80 (Normal activity with effort).
  8. No active cardio-respiratory disease.
  9. Hematocrit over 25% and WBC over 3000.
  10. Informed consent of the patient.

Exclusion criteria

Exclusion Criteria:

  1. Administration of cytotoxic drugs or extensive radiotherapy less than 28 days prior to protocol administration.
  2. Active brain metastases requiring cortico-steroids.
  3. Concurrent malignancy (other than skin cancer, carcinoma in situ of cervix and early stage prostate cancer).
  4. Active serious infection.
  5. Allergy to penicillin.
  6. Patient's wish to withdraw from the study at any stage.
05

Study design

Phase
Phase 2 / Phase 3
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
0 participants (actual)

Study arms

  • Experimental
    Melanoma vaccine

    Biological: Melanoma vaccine modified to express HLA A2/4-1BB ligand

Interventions

  • BiologicalMelanoma vaccine modified to express HLA A2/4-1BB ligand

    This study is designed for patients who had malignant melanoma and, following tumor removal, are now free of disease, or have only very minor residual disease, and are at a very high risk of disease recurrence. These patients will be treated with the A2/4-1BBL melanoma vaccine, a compatible melanoma cell line that has been engineered to express a molecule termed 4-1BBL, which enhances the chances of the cell line to be recognized by the patient's immune system, and to induce its stimulation. The hypothesis that drives the study states that the immune response against the cell line will also be effective against the residual tumor that may still be present in the body.

06

What researchers measure

Primary outcomes

  1. Number of adverse effects

    Time frame: For 20 weeks from the start of treatment

Secondary outcomes

  1. Overall and disease free survival

    Time frame: For at least five years

Other outcomes

  1. Emergence of anti-tumor T cell reactivity

    Time frame: To be measured one month after the last vaccine was admininstered, on average 18-20 weeks after treatment start

07

Study locations

No study locations are listed for this record.

08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Oct 2, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT01861938
Lead sponsor
Hadassah Medical Organization
Responsible party
Sponsor
First posted
May 24, 2013
Start date
Mar 2017 (estimated)
Primary completion
Mar 2019 (estimated)
Completion
Mar 2019 (estimated)
Last update
Oct 2, 2025

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is withdrawn, as verified in Mar 2017. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion