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Trial registered on ANZCTR
Registration number
ACTRN12608000174381
Ethics application status
Approved
Date submitted
12/02/2008
Date registered
9/04/2008
Date last updated
21/11/2008
Type of registration
Retrospectively registered
Titles & IDs
Public title
A pilot study of dendritic cell vaccination for stage IV melanoma following combination lymphodepleting chemotherapy.
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Scientific title
A pilot study of dendritic cell (DC) vaccination using DCs pulsed with cell derived tumour antigen for stage IV melanoma following immune modulatory doses of chemotherapy to determine safety and tolerability.
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Stage IV Melanoma
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Condition category
Condition code
Cancer
2959
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Malignant melanoma
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Cyclophosphamide oral 200mg/day for 28 days,
8 x Tumour-pulsed dendritic cells (up to 6 x10E6 cells per injection) given intradermally at 2 weekly intervals.
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Intervention code [1]
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Treatment: Other
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Comparator / control treatment
Not applicable
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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The primary outcome of this study will be the safety and tolerability profile of combination immunodepleting chemotherapy and immunotherapy with autologous or allogeneic tumour pulsed DC. Safety and tolerability will be assessed using the national Cancer Institute Common Termionology Criteria for Adverse Events v3.0 (CTCAE)
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Assessment method [1]
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Timepoint [1]
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Day 0, 7, 14, 21, weeks 4, 6, 8, 10, 12, 14, 16, 18.
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Secondary outcome [1]
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Disease response will be documented using Response Evaluation Criteria in Solid Tumour (RECIST criteria) to provide preliminary clinical information on efficacy of study therapy
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Assessment method [1]
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Timepoint [1]
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Day0, week 4, 10, 18
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Eligibility
Key inclusion criteria
All subjects
1. Patients with metastatic stage IV metastatic melanoma not curable with standard therapy (radiotherapy or chemotherapy) and/or in whom standard therapy does not have proven survival benefits. This is relevant to the clinical state of the patient at the time of enrolment.
2. Written informed consent
3. Eastern Cooperative Oncology Group (ECOG) performance status 0, 1 or 2 (see Appendix 2)
4. Subject judged to be able to safely undergo leukapheresis
5. Age > 16.
6. Life expectancy estimated to be greater than 4 months
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Minimum age
16
Years
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Maximum age
Not stated
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
1. Any concurrent therapy with possible activity against the patient’s malignancy with the exception of aminobisphosphonates
(local radiotherapy on lesions not essential for study evaluation is allowed)
2. Concurrent therapy with any agent known to have immune modulating activity
3. Any therapy with possible activity against the patient’s malignancy in the month preceding administration of first dose of study therapy
4. Patient unable to undergo leukapheresis due to serious co-existing medical conditions
(particularly cardiac or cardiovascular) or for other reasons
5. ECOG > 2
6. Pregnant or breast feeding or at risk for becoming pregnant within 3 months of enrolment
7. HIV, Hepatitis B or Hepatitis C positive
8. Patients who need immediate therapy because of a disease related complication or in whom a complication is predicted on clinical suspicion, and for whom some standard therapy is available and appropriate in the clinical condition. This does not apply to disease symptoms for which non disease specific therapy (e.g. analgesia) would be routinely offered. Patients excluded because of these criteria can become eligible after the immediate medical need has been fully treated with standard therapy and one month has elapsed.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
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Who is / are masked / blinded?
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Intervention assignment
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Other design features
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Phase
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Recruiting
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Date of first participant enrolment
Anticipated
21/01/2008
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
20
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
QLD
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Funding & Sponsors
Funding source category [1]
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Self funded/Unfunded
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Name [1]
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Address [1]
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Country [1]
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Funding source category [2]
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University
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Name [2]
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University of Queensland
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Address [2]
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St Lucia, Queensland, Australia
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Country [2]
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Australia
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Primary sponsor type
University
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Name
University of Queensland
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Address
St Lucia, Brisbane
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
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Country [1]
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Ethics approval
Ethics application status
Approved
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Summary
Brief summary
The proposed research involves combining immunodepleting and immune modulatory chemotherapy with tumour specific immune therapy involving autologous dendritic cells. Hypothesis: 1. Pre-treatment with immunodepleting chemotherapy reduces the regulatory T-cell population 2. Reduction of regulatory T cell population augments the anticancer activities of immune therapy with DCs The aim of this pilot study is to provide information on the safety and tolerability of this regimen in patients with advanced melanoma whilst obtaining immunological data crucial to the design of larger studies evaluating this approach. We also hope to obtain preliminary information on whether pretreating patients with lymphodepleting chemotherapy augments the anticancer activities of immune therapy with DCs.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Sharon Senini
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Address
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Centre for Immune and Targeted Therapy
Greenslopes Private Hospital\
Greenslopes 4120
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Country
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Australia
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Phone
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07 3394 7074
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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A/Prof Andrew Nicol
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Address
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Centre for Immune and Targeted Therapy
Greenslopes Private Hospital\
Greenslopes 4120
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Country
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Australia
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Phone
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07 33241233
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Fax
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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