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Combined BRAF-Targeted Therapy & Immunotherapy for Melanoma

This study has been terminated.
(changes in available treatments for melanoma)
Sponsor:
ClinicalTrials.gov Identifier:
NCT01754376
First Posted: December 21, 2012
Last Update Posted: April 12, 2017
The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.
Information provided by (Responsible Party):
Ryan Sullivan, M.D., Massachusetts General Hospital
Results First Submitted: January 18, 2017  
Study Type: Interventional
Study Design: Intervention Model: Single Group Assignment;   Masking: None (Open Label);   Primary Purpose: Treatment
Condition: Melanoma
Interventions: Drug: Aldesleukin
Drug: Vemurafenib

  Participant Flow
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Recruitment Details
Key information relevant to the recruitment process for the overall study, such as dates of the recruitment period and locations
Patients were recruited at Massachusetts General Hospital (Boston, MA) between February and November 2013

Pre-Assignment Details
Significant events and approaches for the overall study following participant enrollment, but prior to group assignment
No text entered.

Reporting Groups
  Description
Treatment Arm

Oral vemurafenib twice a day IV infusion of aldesleukin

Aldesleukin: Intravenous therapy given every 8 hours for up to 14 doses per week.

Vemurafenib: Tablets given twice daily.


Participant Flow:   Overall Study
    Treatment Arm
STARTED   6 
Completed 2-week Lead in of Vemurafenib   6 
COMPLETED   3 
NOT COMPLETED   3 
Adverse Event                1 
Lack of Efficacy                2 



  Baseline Characteristics
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Population Description
Explanation of how the number of participants for analysis was determined. Includes whether analysis was per protocol, intention to treat, or another method. Also provides relevant details such as imputation technique, as appropriate.
No text entered.

Reporting Groups
  Description
Treatment Arm

Oral vemurafenib twice a day IV infusion of aldesleukin

Aldesleukin: Intravenous therapy given every 8 hours for up to 14 doses per week.

Vemurafenib: Tablets given twice daily.


Baseline Measures
   Treatment Arm 
Overall Participants Analyzed 
[Units: Participants]
 6 
Age 
[Units: Years]
Median (Full Range)
 42 
 (23 to 58) 
Sex: Female, Male 
[Units: Participants]
Count of Participants
 
Female      3  50.0% 
Male      3  50.0% 
Race (NIH/OMB) 
[Units: Participants]
Count of Participants
 
American Indian or Alaska Native      0   0.0% 
Asian      0   0.0% 
Native Hawaiian or Other Pacific Islander      0   0.0% 
Black or African American      0   0.0% 
White      6 100.0% 
More than one race      0   0.0% 
Unknown or Not Reported      0   0.0% 
Region of Enrollment 
[Units: Participants]
 
United States   6 
Brain Metastasis present 
[Units: Participants]
Count of Participants
 1 
ECOG Status [1] 
[Units: Participants]
Count of Participants
 
ECOG Status = 0   3 
ECOG Status = 1   3 
[1] The ECOG Scale of Performance Status describes a patient’s level of functioning in terms of their ability to care for themself, daily activity, and physical ability. A score of 0 indicates fully active, and a score of 5 indicates dead. (A score of one = Restricted in physically strenuous activity but ambulatory and able to carry out work of a light or sedentary nature, e.g., light house work, office work)
Previous treatments 
[Units: Participants]
Count of Participants
 
Surgery   6 
Adjuvant interferon-alfa   5 


  Outcome Measures
  Show All Outcome Measures

1.  Primary:   Progression Free Survival   [ Time Frame: 3 years ]

2.  Secondary:   Overall Response Rate   [ Time Frame: 2 years ]

3.  Secondary:   Overall Survival   [ Time Frame: 2 years ]

4.  Secondary:   Number of Participants Experiencing Grade 3 (Severe) Adverse Events   [ Time Frame: 2 years ]

5.  Secondary:   Mean Percentage of Aldesleukin Doses Received Per Participant   [ Time Frame: Approximately 9 months from start of treatment ]

6.  Secondary:   Ratio of CD8+ T Cells to Regulatory T Cells   [ Time Frame: Up to 8 weeks from start of treatment ]


  Serious Adverse Events


  Other Adverse Events


  Limitations and Caveats
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Limitations of the study, such as early termination leading to small numbers of participants analyzed and technical problems with measurement leading to unreliable or uninterpretable data
The protocol terminated early due to a dramatic change in the treatment landscape for treating BRAF mutant melanoma (e.g. one BRAF/MEK inhibitor combination and two anti-PD1 antibodies were approved by the FDA while this study was open).


  More Information
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Certain Agreements:  
All Principal Investigators ARE employed by the organization sponsoring the study.


Results Point of Contact:  
Name/Title: Ryan Sullivan
Organization: MGH Cancer Center
phone: 617-724-4000
e-mail: rsullivan7@mgh.harvard.edu



Responsible Party: Ryan Sullivan, M.D., Massachusetts General Hospital
ClinicalTrials.gov Identifier: NCT01754376     History of Changes
Other Study ID Numbers: 12-343
First Submitted: December 16, 2012
First Posted: December 21, 2012
Results First Submitted: January 18, 2017
Results First Posted: April 12, 2017
Last Update Posted: April 12, 2017