Dendritic Cells Plus Autologous Tumor RNA in Uveal Melanoma
A NON-COMMERCIAL, MULTICENTER, RANDOMIZED, TWO-ARMED, OPEN-LABEL PHASE III STUDY TO EVALUATE THE ADJUVANT VACCINATION WITH TUMOR RNA-LOADED AUTOLOGOUS DENDRITIC CELLS VERSUS OBSERVATION OF PATIENTS WITH RESECTED MONOSOMY 3 UVEAL MELANOMA
1 other identifier
interventional
200
1 country
8
Brief Summary
Patients suffering from uveal melanoma (typed positive for monosomy 3 and without evidence for metastases) will be vaccinated over a period of 2 years with Dendritic Cell loaded with autologous Tumor RNA. 200 patients will be included. The Trial is an open multicenter Phase III Trial.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for phase_3
Started Aug 2014
Longer than P75 for phase_3
8 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
September 17, 2013
CompletedFirst Posted
Study publicly available on registry
November 14, 2013
CompletedStudy Start
First participant enrolled
August 5, 2014
CompletedPrimary Completion
Last participant's last visit for primary outcome
August 31, 2024
CompletedStudy Completion
Last participant's last visit for all outcomes
December 3, 2024
CompletedJanuary 28, 2026
March 1, 2025
10.1 years
September 17, 2013
January 26, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Prolongation of Overall survival
Clinical staging every 3 months from date of randomization until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 36 months, followed by telephone interviews.
Assessment every 3 months
Secondary Outcomes (1)
Prolongation of disease free survival
Assessment every 3 months
Other Outcomes (1)
Assessment for induction of immune responses
The induction of immune responses will be researched in selected patients (in a minimum of 15 survivors per trial arm) 2 years after randomization.
Study Arms (2)
A
EXPERIMENTALBiological/Vaccine; Autologous Dendritic Cells loaded with autologous Tumor RNA
B
NO INTERVENTIONControl, Standard of care, which is clinical control every 3 months
Interventions
Eligibility Criteria
You may qualify if:
- Patients must suffer from melanoma of the uvea (stage T2, T3 and T4 \[AJCC TNM grading 2009\]).
- Uveal melanoma must be resected and display a monosomy for chromosome 3 (will be determined by a validated qualitative analysis of loss of heterozygosity). Tumor material has to be stored appropriately in RNAlater solution for RNA preparation.
- The patient has to be free of detectable tumor at the time point of study enrollment (adjuvant setting), as assessed by clinical inspection, abdominal sonography, chest X-ray and evaluation of the tumor-marker S-100..
- Patients must have a WHO performance status of 0, 1 or 2 and must be in stable medical condition.
- Patients must be between 18 and 75 years old and must be able and willing to give informed consent.
- Women of child-bearing age must have a negative pregnancy test, and must oblige to use effective contraception until at least 4 weeks after the last vaccination.
- Patients must be willing to get hospitalized for at least 4 hours following vaccination(s), and to cooperate for the whole period of the trial.
- Patients must have fully recovered from surgery.
- Signed informed consent
You may not qualify if:
- Any other major serious illness \[e.g. active systemic infections, immunodeficiency disease, clinically significant heart disease, respiratory disease, bleeding disorders, cancer etc.\] or a contraindication to leukapheresis.
- Evidence for HIV-1, HIV -2, HTLV-1, HBV, or HCV infection.
- Previous splenectomy or radiation therapy to the spleen.
- Patients with organ allografts.
- Concomitant treatment with chemotherapy, immunotherapy, any investigational drug and paramedical substances. Patients may receive concomitant medications to control symptoms such as analgetics, antihypertensive medication, etc.
- History of other active malignant neoplasm within the preceding 5 years (excluding non-melanoma skin cancer or carcinoma in situ of the cervix).
- Organic brain syndrome or significant psychiatric abnormality which would impede informed consent and / or AND preclude participation in the full protocol and follow up.
- Positive pregnancy test / Pregnancy or lactation. If pregnancy occurs during the course of the trial to female patients in arm A or B, the patient has to be excluded.
- Detection of metastases. If uveal melanoma metastases appear during the course of the trial, the patient has to be excluded.
- Lack of compliance of the patient.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- University Hospital Erlangenlead
- University Hospital Lübeckcollaborator
- University Hospital Munichcollaborator
- Universitätsklinikum Hamburg-Eppendorfcollaborator
- University Hospital Homburg/Saarcollaborator
- Universitätsklinikum Kölncollaborator
- University Hospital Tuebingencollaborator
- University Hospital, Essencollaborator
- Wuerzburg University Hospitalcollaborator
Study Sites (8)
Dept. of Dermatology, University Hospital
Erlangen, Bavaria, 90154, Germany
University Hospital Department of Ophtalmology
Erlangen, Bavaria, 91054, Germany
University Hospital Department of Ophtalmology
Würzburg, Bavaria, 97080, Germany
Städtisches Klinikum
Dessau, 06847, Germany
University Hospital Department of Ophtalmology
Essen, 45122, Germany
University Hospital Department of Ophtalmology
Homburg/Saar, 66421, Germany
University Hospital Department of Ophtalmology
Lübeck, 23538, Germany
University Hospital Department of Ophtalmology
Tübingen, 72076, Germany
Related Publications (1)
Schuler-Thurner B, Bartz-Schmidt KU, Bornfeld N, Cursiefen C, Fuisting B, Grisanti S, Heindl LM, Holbach L, Keseru M, Knorr H, Koch K, Kruse F, Meiller R, Metz C, Meyer-ter-Vehn T, Much M, Reinsberg M, Schliep S, Seitz B, Schuler G, Susskind D, Viestenz A, Wagenfeld L, Zeschnigk M. [Immunotherapy of uveal melanoma: vaccination against cancer. Multicenter adjuvant phase 3 vaccination study using dendritic cells laden with tumor RNA for large newly diagnosed uveal melanoma]. Ophthalmologe. 2015 Dec;112(12):1017-21. doi: 10.1007/s00347-015-0162-z. German.
PMID: 26602097BACKGROUND
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Beatrice Schuler-Thurner, MD
University Hospital Erlangen
Study Design
- Study Type
- interventional
- Phase
- phase 3
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Coordinating Investigator
Study Record Dates
First Submitted
September 17, 2013
First Posted
November 14, 2013
Study Start
August 5, 2014
Primary Completion
August 31, 2024
Study Completion
December 3, 2024
Last Updated
January 28, 2026
Record last verified: 2025-03