Pre-Treatment of Highly Suspicious Pigmented Skin Lesions With Interleukin-2 (IL-2)
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|ClinicalTrials.gov Identifier: NCT03233828|
Recruitment Status : Recruiting
First Posted : July 31, 2017
Last Update Posted : January 26, 2021
This study is meant to assess the use of intralesional IL-2 to modulate the immunological response to suspected melanoma, or melanoma in situ, in an effort to increase lymphocyte infiltration and decrease disease metastasis.
Patients that are clinically diagnosed with suspected Melanoma or Melanoma in situ will be assigned to either a treatment or control arm. The treatment group will be subjected to two intralesional IL-2 injections, whereas the control group will be subjected to two intralesional injections of saline.
The proteomic and metabolomic profiles of both groups will be analyzed using urine and blood samples in an effort to assess the systemic immunological response, if any, to the treatment. Also, upon disease confirmation and staging by a qualified pathologist, lesions will be assessed for lymphocyte infiltration using immunohistochemical methods.
This study will determine whether pre-treatment of IL-2 on lesions (clinically diagnosed as melanoma or melanoma in situ) is effective in generating an adaptive immune response, and whether that immune response may play a role in preventing disease metastasis.
|Condition or disease||Intervention/treatment||Phase|
|Melanoma (Skin) Melanoma in Situ||Biological: Aldesleukin Other: Saline||Phase 3|
|Study Type :||Interventional (Clinical Trial)|
|Estimated Enrollment :||60 participants|
|Intervention Model:||Parallel Assignment|
|Intervention Model Description:||Patients will be given either intralesional IL-2 or intralesional saline as a control|
|Masking:||Triple (Participant, Care Provider, Investigator)|
|Official Title:||Pre-Treatment of Highly Suspicious Pigmented Skin Lesions With Interleukin-2|
|Actual Study Start Date :||December 19, 2018|
|Estimated Primary Completion Date :||December 1, 2022|
|Estimated Study Completion Date :||December 1, 2022|
Experimental: Intralesional IL-2 Injection
Two subcutaneous intralesional injections of Aldesleukin, prepared by the pharmacy such that the contents will be masked, will be administered by the care provider in a clinic seven days apart.
500,000 IU in 0.1mL
Placebo Comparator: Saline Injection
Two subcutaneous intralesional injections of Saline, prepared by the pharmacy such that the contents will be masked, will be administered by the care provider in a clinic seven days apart.
0.1 mL of sterile saline solution (0.9% m/v)
- Assessment of Number of Patients Needed to Obtain Significance [ Time Frame: 1 year ]Data will be analyzed in order to achieve a statistically significant differentiation between treatment and control outcomes in study measures including tumor infiltrating lymphocytes (TILs) and circulating immunomodulators.
- Assessment of Metastasis [ Time Frame: 5 years ]All patients will receive assessments every 4 months for 2 years and then biannual assessments for years 3-5 after the initial intervention to assess disease metastasis in treatment and control groups. Both number of new metastases (integer value) and thickness (mm) will be measured as a part of this assessment.
- Assessment of RNA genetic profile [ Time Frame: 5 years ]RNA analysis of excised tissue will be compared to unaffected patient tissue obtained from the clear margins of the excisional biopsy to assess genetic changes resulting from the melanoma and treatment/placebo injections. RNA analysis will occur at Dr. Giacomantonio's laboratory (Sir Charles Tupper Medical Building, 11F11) at Dalhousie University.
- Assessment of Systemic Immune Response: Proteomic Analysis [ Time Frame: 5 years ]Proteomic analysis will be conducted on blood samples to assess systemic immune response to both treatment and control groups. Serum collected from patient blood samples will be used for proteomic analysis to assess protein expression, including circulating immunomodulators (cytokines and chemokines) before, and after, treatment. Proteomic analysis will occur at Dalhousie's Proteomics and Mass Spectrometric Core Facility located in the Life Sciences Research Institute. This study may serve to help develop diagnostic protocols and methods of assessing response to treatments.
- Assessment of Systemic Immune Response: Metabolomic Analysis [ Time Frame: 5 years ]Metabolomic analysis will be conducted on urine samples to assess systemic immune response to both treatment and control groups. All tumor and tissue produce by products in waste that are excreted by the kidneys. Urine samples can be evaluated using techniques, such as Mass Spectrometric, to determine if biological compounds can be identified in association with the presence of a malignant process that would not be produced by normal tissue. Metabolome analysis will occur at Dalhousie's Proteomics and Mass Spectrometric Core Facility located in the Life Sciences Research Institute. This study may serve to help develop diagnostic protocols and methods of assessing response to treatments.
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): NCT03233828
|Contact: Cheryl A Dean, M.SCfirstname.lastname@example.org|
|Contact: Gordon A Simms, PhDemail@example.com|
|Principal Investigator:||Carman A Giacomantonio, MD, FRCSC||Surgical Oncologist / General Surgeon / Professor|