Intralesional Influenza Vaccine for Patients With Melanoma

Who is this study for? Patients with melanoma
What treatments are being studied? Quadrivalent Inactivated Influenza Vaccine
Status: Recruiting
Location: See location...
Intervention Type: Biological, Procedure
Study Type: Interventional
Study Phase: Phase 1
SUMMARY

This phase I trial investigates the effects of influenza vaccine in treating patients with stage I-IV melanoma. While intramuscular administration of influenza vaccine provides immunization against the influenza virus, giving influenza vaccine directly into the tumor (intralesional) may decrease the size of the injected melanoma tumor, or the extent of the melanoma within the body.

Eligibility
Participation Requirements
Sex: All
Minimum Age: 18
Maximum Age: 99
Healthy Volunteers: f
View:

• Males or females

• 18 to 99 years of age

• Histologically confirmed cutaneous melanoma by historical pathology report review, clinical Stage I-III (Cohort #1), or Stage IV (Cohort #2) cutaneous melanoma

• At least one, biopsy-proven, palpable melanoma tumor deposit suitable for intralesional injection measuring ≥ 1 cm by digital caliper (with digital photography documentation) or ultrasound (with ultrasound image documentation)

• Eastern Cooperative Oncology Group (ECOG) performance status (PS) 0-1

• Absolute neutrophil count (ANC) \>= 1.5 x 10\^3/mm\^3 (drawn at or not more than 30 days prior to the screening visit)

• Hemoglobin (Hgb) \>= 9 g/dL (drawn at or not more than 30 days prior to the screening visit)

• Platelet count \>= 100 x 10\^3/mm\^3 (drawn at or not more than 30 days prior to the screening visit)

• Aspartate aminotransferase (AST)/alanine aminotransferase (ALT) =\< 2.5 x upper limit of normal (ULN) or =\< 5 x ULN in patients with liver metastases (Cohort 2 only) (drawn at or not more than 30 days prior to the screening visit)

• Prothrombin time =\< 1.5 x ULN (drawn at or not more than 30 days prior to the screening visit)

• Total bilirubin =\< 1.5 x ULN (unconjugated bilirubin of \< 3 x ULN for patients with known Gilbert syndrome) (drawn at or not more than 30 days prior to the screening visit)

• Creatinine clearance of \>= 50 ml/min by Cockcroft-Gault equation (drawn at or not more than 30 days prior to the screening visit)

• Women of childbearing potential (WOCBP) must agree to use effective contraceptive methods from screening until at least:

‣ Cohort 1: 14 days after the surgical resection for subjects in Cohort 1

⁃ Cohort 2:

• Nivolumab: 5 months after the last dose of either nivolumab or intralesional Flucelvax, whichever is later

∙ Pembrolizumab: 4 months after the last dose of either pembrolizumab or intralesional Flucelvax, whichever is later

∙ Ipilimumab: 3 months after the last dose of either ipilimumab or intralesional Flucelvax, whichever is later

∙ Relatlimab + nivolumab (marketed under the trade name Opdualag): 5 months after the last dose of either Opdualag or intralesional Flucelvax, whichever is later.

∙ Combination ipilimumab with other checkpoint inhibitor: Whichever is later:

‣ 3 months after the last dose of either ipilimumab or intralesional Flucelvax

⁃ Above-bulleted recommendation for nivolumab or pembrolizumab

• Non-childbearing potential is defined as a woman who meets either of the following criteria: a) postmenopausal state defined as no menses for 12 months without an alternative medical cause, or b) documented hysterectomy, bilateral tubal ligation, or bilateral oophorectomy

• Effective contraception methods are defined as one of the following:

‣ True abstinence, defined as refraining from heterosexual intercourse, when this is in line with the preferred and usual lifestyle of the subject

⁃ Periodic abstinence (e.g., calendar, ovulation, symptothermal, post-ovulation methods), declaration of abstinence for the duration of a trial, and withdrawal are not acceptable methods of contraception

⁃ Condoms and spermicide

⁃ Diaphragm and spermicide

⁃ Oral or implanted hormonal contraceptive

⁃ An intra-uterine device

• WOCBP must have a negative pregnancy test (serum or urine)

Locations
United States
Ohio
Ohio State University Comprehensive Cancer Center
RECRUITING
Columbus
Contact Information
Primary
The Ohio State University Comprehensive Cancer Center
OSUCCCClinicaltrials@osumc.edu
800-293-5066
Time Frame
Start Date: 2021-10-20
Estimated Completion Date: 2026-12-31
Participants
Target number of participants: 36
Treatments
Experimental: Cohort I (resectable Stage I-III melanoma)
Patients receive an influenza vaccine IM on day 0 and intratumorally on days 2 and 14 in the absence of disease progression or unacceptable toxicity. Patients then undergo surgery on day 28.
Experimental: Cohort II (unresectable Stage IV)
Patients receive an influenza vaccine IM on day 0 and intratumorally on days 2, 14, 28, 42, 56, 70, 84, and 98 in the absence of disease progression or unacceptable toxicity. Patients also receive standard of care (single- or dual-agent) ipilimumab, nivolumab, relatlimab, or pembrolizumab.
Related Therapeutic Areas
Sponsors
Leads: Carlo Contreras

This content was sourced from clinicaltrials.gov