Overview

QUILT-2.008: Study of ALT-801 With Cisplatin in Patients With Metastatic Melanoma

Status:
Completed
Trial end date:
2013-09-01
Target enrollment:
0
Participant gender:
All
Summary
This is a Phase Ib/II, open-label, multi-center, competitive enrollment and dose-escalation study of ALT-801 combined with cisplatin. The purpose of this study is to evaluate the safety, determine the Maximum-Tolerated Dose (MTD), and characterize the pharmacokinetic profile of ALT-801 given with cisplatin in patients who are chemotherapy naïve and have metastatic melanoma that is considered surgically incurable. The anti-tumor responses of ALT-801 with cisplatin will also be assessed in this trial.
Phase:
Phase 1/Phase 2
Accepts Healthy Volunteers?
No
Details
Lead Sponsor:
Altor BioScience
Altor Bioscience Corporation
Collaborator:
National Cancer Institute (NCI)
Treatments:
Cisplatin
Interleukin-2
Criteria
ENTRY CRITERIA:

DISEASE CHARACTERISTICS:

- Locally advanced or metastatic melanoma

- Measurable

- Histologically or cytologically confirmed

- Surgically incurable

- HLA-A2 positive and tumors that present HLA-A2.1/p53aa264-272 complexes

PRIOR/CONCURRENT THERAPY:

- If prior Proleukin treatment, must have had clinical benefit

- No prior systemic cytotoxic chemotherapy for melanoma

- No concurrent radiotherapy, chemotherapy, or other immunotherapy

- More than 4 weeks since prior major radiotherapy

- More than 8 weeks since prior CTLA-4 antagonist immunotherapy

- Not receiving other investigational agents

PATIENT CHARACTERISTICS:

Life expectancy

- > 3 months

Performance status

- ECOG 0 or 1

Bone marrow reserve

- Absolute neutrophil count (AGC/ANC) ≥ 1,500/uL

- Platelets ≥100,000/uL

- Hemoglobin ≥ 10g/dL

Renal function

- Serum creatinine ≤ 1.5 mg/dL

Hepatic function

- Total bilirubin ≤ 1.5 X ULN

- AST ≤ 2.5 X ULN

- Alkaline phosphatase ≤ 2.5 X ULN

- PT INR ≤ 1.5 X ULN

- aPTT ≤ 1.5 X ULN

Cardiovascular

- May be safely tapered off anti-hypertensives if currently on anti-hypertensives

- New York Heart Association classification I or II

- No congestive heart failure <6 months

- No unstable angina pectoris <6 months

- No myocardial infarction <6 months

- No history of ventricular arrhythmias

- Normal cardiac stress test required if any of the following is present:

- Age ≥ 50

- History of abnormal EKG

- Symptoms of cardiac ischemia or arrhythmia

Pulmonary

- Normal pulmonary function test (FEV1 ≥ 70% of predicted value) if any of the following
is present:

- Prolonged history of cigarette smoking

- Symptoms of respiratory dysfunction

Other

- No known autoimmune disease

- No known HIV positive

- No psychiatric illness/social situations that would limit study compliance

- No history or evidence of CNS disease

- No active systemic infection requiring parental antibiotic therapy

- No systemic steroid therapy required

- No prior organ allograft or allogeneic transplantation

- Not receiving chronic medication for asthma

- Not pregnant or nursing

- Fertile patients must use effective contraception