A Study of Recombinant Vaccinia Virus to Treat Malignant Melanoma
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|ClinicalTrials.gov Identifier: NCT00429312|
Recruitment Status : Completed
First Posted : January 31, 2007
Last Update Posted : January 15, 2015
|Condition or disease||Intervention/treatment||Phase|
|Melanoma||Biological: JX-594||Phase 1 Phase 2|
Cancer of the skin is the most common of all cancers, probably accounting for more than 50% of all cancers. Melanoma accounts for about 4% of skin cancer cases but causes a large majority of skin cancer deaths. The American Cancer Society estimates that about 62,190 new melanomas will be diagnosed in the United States during 2006.
DTIC is the only chemotherapy drug approved by the FDA for the treatment of metastatic melanoma. The reported response rates are 5-20% without any evidence of prolonged survival in randomized clinical trials versus best supportive care. The median overall survival for melanoma patients treated with DTIC alone is approximately 8 months; PFS and TTP following treatment with DTIC is approximately 7 weeks, and the objective response rate for DTIC alone (CR+PR) is less than 10% (Millward, 2004). Other chemotherapy agents including cisplatin and carboplatin, BCNU, vindesine, paclitaxel, docetaxel, and vinorelbine have also been tested but none have improved upon the very modest activity of DTIC.
Melanoma may be the optimal target for JX-594 immunotherapy because of the relatively high rate of accessible disease for injection, the positive response of melanoma seen with IL-2 immunotherapy, and the lack of effective, tolerable therapy for patient with metastatic melanoma. Furthermore, it is speculated that JX-594 replication targets the EGFR pathway, which is highly expressed in melanocytes.
Results from an initial Phase I/II study suggest that intratumoral injection of JX-594 is safe and effective in treating both injected and distant disease in patients with surgically incurable metastatic melanoma. Response of both injected tumors (in 5 of 7 patients) and response of at least one non-injected tumor (in 4 of 7 patients) was demonstrated, including two patients who achieved a partial response (6 + months) and a complete response (4 + months) to JX-594 treatment. Particularly noteworthy is that efficacy and gene expression occurred despite pre-treatment vaccination (and, therefore, pre-existing anti-vaccinia immunity) in all patients.
|Study Type :||Interventional (Clinical Trial)|
|Actual Enrollment :||10 participants|
|Intervention Model:||Single Group Assignment|
|Masking:||None (Open Label)|
|Official Title:||A Phase I/II, Open-Label Study of JX-594 (Thymidine Kinase-deleted Vaccinia Virus Plus GM-CSF) Administered by Intratumoral Injection in Patients With Unresectable Stage 3 or Stage 4 Malignant Melanoma|
|Study Start Date :||March 2007|
|Primary Completion Date :||February 2008|
|Study Completion Date :||December 2009|
Experimental: Single Arm
Intratumoral injection(s) of Recombinant Vaccinia GM-CSF, JX-594
Thymidine kinase-deleted vaccinia virus plus GM-CSF
Other Name: JX594
- Response rate for injected tumor(s) [ Time Frame: Initial response assessment at 6 weeks ]
- Safety, as determined by incidence of treatment-related adverse events, serious adverse events (SAEs), and clinically-significant changes from baseline in routine laboratory parameters [ Time Frame: Safety evaluation throughout study period ]
- Best overall response for entire disease burden (RECIST criteria) [ Time Frame: Initial response assessment after six weeks ]
- Progression-free survival (PFS) [ Time Frame: Follow-up every three weeks until new therapy or disease progression ]
- Response rate of non-injected tumor(s) [ Time Frame: Initial response assessment at six weeks ]
To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT00429312
|United States, California|
|Los Angeles, California, United States, 90095|
|United States, Montana|
|Billings, Montana, United States, 59101|
|United States, South Carolina|
|Cancer Center of the Carolinas|
|Greenville, South Carolina, United States, 29605|
|Principal Investigator:||James Burke, M.D.||Billings Clinic|
|Study Director:||David H Kirn, M.D.||Jennerex Biotherapeutics|