Pilot Study for the Evaluation of the Efficacy of Vaccination With Autologous Tumor Cells Plus GM-CSF-in-adjuvant, Followed by Systemic Low-dose-IL-2 Administration, in Patients With High Risk Melanoma.
- Patients who have been diagnosed, by cytologic or histologic examination, with stage
III or stage IV melanoma, where sufficient resected tumor is available for vaccine
preparation (approximately 3 g tumor).
- Measurable tumor after resection is not required.
- Patients with up to 3 brain metastases may be included if the metastases are all < 2
cm in diameter, are asymptomatic, and there is no mass effect or they have been
treated successfully by surgical excision or by gamma knife radiation therapy.
- Patients who have had a larger number of brain metastases resected or treated and
resolved after gamma knife radiation therapy may be included if their status at the
time of study initiation meets these criteria.
- For those patients with resected melanoma, surgical resections must have been
performed within 6 months prior to entry. All patients must have:
- ECOG performance status 0-1, and, ability and willingness to give informed
- Laboratory parameters as follows: ANC > 1000/mm3, and Platelets > 100,000 and
Hgb > 10.
- Hepatic: AST and ALT up to 1.5 x upper limits of normal (ULN), Bilirubin within
ULN, Alkaline phosphatase up to 1.5 x ULN
- Renal: Creatinine within ULN
- Serology: HIV negative, Hepatitis C virus-negative.
- Patients who are not candidates for interferon, for people who decide not to take
interferon, or for people who have failed interferon therapy (those patients who have
progressed while on interferon therapy or who experienced a major toxicity while
- Patients who are currently receiving cytotoxic chemotherapy or radiation therapy, or
who have received that therapy within the preceding 4 weeks.
- Patients who are currently receiving investigational agents, or who have received
investigational agents within the preceding 30 days.
- Patients with known or suspected allergies to any component of the vaccine.
- Patients receiving the following medications at study entry or within 30 days are
- Allergy desensitization injections
- Corticosteroids, administered parenterally or orally.
- Topical corticosteroids are acceptable, Any growth factors, Interferons, Interleukin
- Prior melanoma vaccinations will not be an exclusion criteria if given more than 8
weeks previously, but will be recorded, and data analysis will take this into
- Other investigational drugs or investigational therapy also will not necessarily be
an exclusion criteria, but will similarly be recorded and taken into account during
- Pregnancy or the possibility of becoming pregnant during vaccine administration.
- Female patients of child-bearing potential must have a negative pregnancy test
(urinary or serum beta-HCG) prior to administration of the first vaccine dose.
- Males and females must agree, in the consent form, to use effective birth control
methods during the course of vaccination. This is consistent with existing standards
of practice for vaccine and chemotherapy protocols.
- Patients in whom there is a medical contraindication or other potential medical
problem in complying with the requirements of the protocol, in the opinion of the
- Patients classified according to the New York Heart Association classification system
as having Class II, III or IV heart disease.
- Patients with active connective tissue disease requiring medications, or other severe
- Patients who are actively hyperthyroid.
- Patients with uncontrolled diabetes.
- Patients with known allergies to penicillin, streptomycin, and amphotericin B.