Safety of UV1 Vaccination in Combination With Ipilimumab in Patients With Unresectable or Metastatic Malignant Melanoma

NCT02275416 | Completed Phase 1 DMC

• 2 other identifiers: UV1/hTERT-MM2013-005582-39
• Study Type: interventional
• Target: 12
• Locations: 1 country
• Sites: 1

Brief Summary

This study, with 20 patients participating, will examine the safety and tolerability for the ipilimumab/UV1 combination in patients with unresectable or metastatic malignant melanoma.

Conditions

Malignant Melanoma

Outcome Measures

Primary Outcomes (1)

• Safety and tolerability profile. Frequency/ severity of adverse and serious adverse events. Biochemistry and hematology results, vital signs and ECOG

  Frequency and severity of adverse events and serious adverse events. Biochemistry and hematology results, vital signs and ECOG performance status will be assessed.

  Up to 53 weeks

Secondary Outcomes (3)

• Immunological response. Number of T-cell responses including time to T-cell response, level of response and duration of response.

  Up to 53 weeks

• Treatment response. Tumour response evaluated by CT scan every 12th week.

  Up to 48 weeks

• Health Related Quality of Life (HRQL)

  Up to 53 weeks

Other Outcomes (1)

• Explore potential biomarkers for efficacy and safety of the ipilimumab/UV1 combination

  Up to 48 weeks

Study Arms (1)

Ipilimumab & UV1 vaccine & GM-CSF

EXPERIMENTAL

Ipilimumab (3 mg/kg) every 3rd week for a total of 4 doses. GM-CSF (75 μg) followed by UV1 vaccine (300 μg) will be injected intradermally in the lower abdomen before and between treatments of ipilimumab and thereafter every 4th week up to 28 weeks, and thereafter at week 36 and 48.

Drug: Ipilimumab; Biological: UV1 vaccine; Biological: GM-CSF

Interventions

Ipilimumab DRUG

Also known as: Yervoy

Ipilimumab & UV1 vaccine & GM-CSF

UV1 vaccine BIOLOGICAL

Also known as: UV1

Ipilimumab & UV1 vaccine & GM-CSF

GM-CSF BIOLOGICAL

Also known as: Leukine

Ipilimumab & UV1 vaccine & GM-CSF

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Histologically or cytologically confirmed diagnosis of unresectable or metastatic malignant melanoma, including cutaneous, ocular, mucosal and unknown primary tumour.
• Unresectable Stage III or Stage IV melanoma (AJCC 2010)
• Prior adjuvant melanoma therapy is permitted; any number of previous treatments for melanoma is permitted.
• ECOG performance status of 0 or 1 (see Error! Reference source not found.).
• Men and women ≥ 18 years of age
• Adequate hematologic, renal and hepatic function, specifically:
• WBC ≥ 2500/μL
• Absolute neutrophil count (ANC) ≥ 1000/uL
• Platelets ≥ 75 x 103/μL
• Haemoglobin ≥ 9 g/dL
• Creatinine ≤ 2.5 x ULN
• AST/ALT ≤ 3 x ULN for patients without liver metastasis; ≤ 5 x ULN for patients with liver metastasis
• Total bilirubin ≤ 3 x ULN, (except patients with Gilbert's Syndrome, who must have a total bilirubin less than 3.0 mg/dL)
• Women of childbearing potential and men must be using an acceptable method as described in the protocol to prevent pregnancy.
• Signed informed consent and expected cooperation of the patients for the treatment and follow up must be obtained and documented according to ICH GCP, and national/local regulations.

You may not qualify if:

• History of or current active autoimmune diseases, including but not limited to inflammatory bowel diseases, rheumatoid arthritis, autoimmune thyroiditis, autoimmune hepatitis, systemic sclerosis (scleroderma and variants), systemic lupus erythematosus, autoimmune vasculitis, autoimmune neuropathies (e.g. Guillain-Barre syndrome). Patients with vitiligo are not excluded.
• MRI detected active brain metastasis witch require other therapies such as surgery and/or radiation therapy. Patients already treated for their brain metastasis, surgery or radiation therapy, and have had stable disease for more than two month and NOT requiring steroids may however be included in this study.
• Uncontrolled infectious diseases - requires negative tests for clinically suspected human immunodeficiency virus (HIV), hepatitis B virus (HBV) and hepatitis C virus (HCV).
• History of or current immunodeficiency disease, splenectomy or splenic irradiation
• Prior allogeneic stem cell transplantation
• Pregnancy
• Women who are breastfeeding
• Any underlying medical or psychiatric condition, which in the opinion of the Investigator, will make the administration of study drug hazardous or obscure the interpretation of Adverse Events, such as a condition associated with frequent diarrhoea
• History of allergic reaction to parenteral administered recombinant protein product
• History of another malignancy that in the opinion of the investigator may compromise the outcome of the study
• Any reason why, in the opinion of the investigator, the patient should not participate.
• Known serious reactions or hypersensitivity to any components of the UV1 vaccine or similar peptide based vaccines
• Known hypersensitivity to GM-CSF
• Known hypersensitivity to any of the excipients of the investigational products
• Concomitant use of antithrombotic agents with the exception of platelet inhibitors.

Sponsors & Collaborators

• Ultimovacs ASA: lead
• Oslo University Hospital: collaborator

Study Sites (1)

Oslo University Hospital, Radiumhospitalet

Oslo, 0379, Norway

Location

Related Publications (2)

• Ellingsen EB, Bounova G, Kerzeli I, Anzar I, Simnica D, Aamdal E, Guren T, Clancy T, Mezheyeuski A, Inderberg EM, Mangsbo SM, Binder M, Hovig E, Gaudernack G. Characterization of the T cell receptor repertoire and melanoma tumor microenvironment upon combined treatment with ipilimumab and hTERT vaccination. J Transl Med. 2022 Sep 11;20(1):419. doi: 10.1186/s12967-022-03624-z.

  PMID: 36089578 DERIVED

• Aamdal E, Inderberg EM, Ellingsen EB, Rasch W, Brunsvig PF, Aamdal S, Heintz KM, Vodak D, Nakken S, Hovig E, Nyakas M, Guren TK, Gaudernack G. Combining a Universal Telomerase Based Cancer Vaccine With Ipilimumab in Patients With Metastatic Melanoma - Five-Year Follow Up of a Phase I/IIa Trial. Front Immunol. 2021 May 11;12:663865. doi: 10.3389/fimmu.2021.663865. eCollection 2021.

  PMID: 34046035 DERIVED

MeSH Terms

Conditions

Melanoma

Interventions

Ipilimumab; UV1 vaccine; Granulocyte-Macrophage Colony-Stimulating Factor; sargramostim

Condition Hierarchy (Ancestors)

Neuroendocrine Tumors; Neuroectodermal Tumors; Neoplasms, Germ Cell and Embryonal; Neoplasms by Histologic Type; Neoplasms; Neoplasms, Nerve Tissue; Nevi and Melanomas; Skin Neoplasms; Neoplasms by Site; Skin Diseases; Skin and Connective Tissue Diseases

Intervention Hierarchy (Ancestors)

Antibodies, Monoclonal, Humanized; Antibodies, Monoclonal; Antibodies; Immunoglobulins; Immunoproteins; Blood Proteins; Proteins; Amino Acids, Peptides, and Proteins; Serum Globulins; Globulins; Colony-Stimulating Factors; Glycoproteins; Glycoconjugates; Carbohydrates; Hematopoietic Cell Growth Factors; Cytokines; Intercellular Signaling Peptides and Proteins; Peptides; Biological Factors

Study Officials

• Tormod Guren, MD PhD

  Oslo University Hospital

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: phase 1
• Allocation: NA
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: SINGLE GROUP
• Sponsor Type: INDUSTRY
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: September 12, 2014
• First Posted: October 27, 2014
• Study Start: February 2, 2015
• Primary Completion: October 6, 2016
• Study Completion: November 3, 2020
• Last Updated: December 16, 2024

Record last verified: 2024-12

Locations

NO (1)