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Brief Title: MDX-010 Antibody, MDX-1379 Melanoma Vaccine, or MDX-010/MDX-1379 Combination Treatment for Patients With Unresectable or Metastatic Melanoma
Official Title: A Randomized, Double-Blind, Multicenter Study Comparing MDX-010 Monotherapy, MDX-010 in Combination With a Melanoma Peptide Vaccine, and Melanoma Vaccine Monotherapy in HLA-A2*0201-Positive Patients With Previously Treated Unresectable Stage III or IV Melanoma
Study ID: NCT00094653
Brief Summary: The purpose of this study is to determine the safety and efficacy of MDX-010 (ipilimumab, BMS-734016) (anti-CTLA4) in combination with MDX-1379 (gp100, BMS-734019) in patients with previously treated, unresectable Stage III or IV melanoma. Survival time will be evaluated, as well as patient responses and time to disease progression. Eligible patients are those who in response to a single regimen containing interleukin-2 (IL-2), dacarbazine, and/or temozolomide, have 1) relapsed following an objective response (partial response/complete response \[PR/CR\]); 2) failed to demonstrate an objective response (PR/CR); or 3) could not tolerate such a regimen due to unacceptable toxicity. Patients will be randomized into one of three groups, and will receive one of the following treatments: MDX-010 alone, MDX-1379 alone, or MDX-010 in combination with MDX-1379.
Detailed Description: Melanoma accounts for approximately 5% of all skin cancers in the United States, but it accounts for about 75% of all skin cancer deaths. In 2004, the expected prevalence of melanoma is 627,252, with about 119,178 of these cases being Stage III or IV (metastatic melanoma). First line treatments for metastatic melanoma, usually IL-2, dacarbazine and/or temozolomide, are associated with significant toxicities. MDX-010 (anti-CTLA4) antibodies are designed to keep the immune system running by blocking CTLA-4 from down-regulating T cell activation. MDX-1379 is made up of two peptides that are pieces of a bigger melanoma protein (gp100). These peptides bind to HLA-A2 which is then recognized by T cells.
Minimum Age: 18 Years
Eligible Ages: ADULT, OLDER_ADULT
Sex: ALL
Healthy Volunteers: No
Arizona Cancer Center, Tucson, Arizona, United States
University Medical Center, Tucson, Arizona, United States
City of Hope National Medical Center, Duarte, California, United States
San Diego Cancer Center, Encinitas, California, United States
La Jolla Hematology and Oncology Medical Group, La Jolla, California, United States
Scripps Cancer Center, La Jolla, California, United States
Moores UCSD Cancer Center, La Jolla, California, United States
Pacific Shores Medical Group, Long Beach, California, United States
Cancer Institute Medical Group, Inc, Los Angeles, California, United States
The Angeles Clinic and Research Institute, Los Angeles, California, United States
USC/Norris Comprehensive Cancer Center, Los Angeles, California, United States
North County Oncology Medical Clinical, Inc., Oceanside, California, United States
City of Hope Medical Group, Pasadena, California, United States
University of California, San Diego, San Diego, California, United States
St. Mary's Medical Center - Northern California Melanoma Center, San Francisco, California, United States
Cancer Institute Medical Group, Inc, Santa Monica, California, United States
San Diego Cancer Center, Vista, California, United States
Anschutz Cancer Pavilion, Aurora, Colorado, United States
Rocky Mountain Cancer Centers, Aurora, Colorado, United States
University of Colorado Health Sciences Center, Aurora, Colorado, United States
Rocky Mountain Cancer Centers, Boulder, Colorado, United States
Rocky Mountain Cancer Centers, Colorado Springs, Colorado, United States
Rocky Mountain Cancer Centers, Denver, Colorado, United States
University of Colorado Hospital, Denver, Colorado, United States
Rocky Mountain Cancer Centers, Lakewood, Colorado, United States
Rocky Mountain Cancer Centers, Littleton, Colorado, United States
Rocky Mountain Cancer Centers, Lone Tree, Colorado, United States
Rocky Mountain Cancer Centers, Longmont, Colorado, United States
Yale University School of Medicine - Oncology Outpatient Clinic, New Haven, Connecticut, United States
Mount Sinai Comprehensive Cancer Center at Aventura, Aventura, Florida, United States
Memorial Regional Cancer Center, Hollywood, Florida, United States
Shands Jacksonville, Jacksonville, Florida, United States
University of Florida/Jacksonville Faculty Clinic, Jacksonville, Florida, United States
Mount Sinai Comprehensive Cancer Center, Miami Beach, Florida, United States
Mount Sinai Medical Center, Miami Beach, Florida, United States
Jackson Memorial Hospital & Clinics, Miami, Florida, United States
University of Miami Hospital & Clinics, Miami, Florida, United States
M.D. Anderson Cancer Center Orlando, Orlando, Florida, United States
Palm Beach Cancer Institute, Palm Beach Gardens, Florida, United States
H. Lee Moffitt Cancer Center & Research Institute, Tampa, Florida, United States
Palm Beach Cancer Institute, Wellington, Florida, United States
Palm Beach Cancer Institute, West Palm Beach, Florida, United States
Emory University Hospital-Winship Cancer Institute, Atlanta, Georgia, United States
Cancer Care Specialists of Central IL, Decatur, Illinois, United States
Decatur Memorial Hospital, Decatur, Illinois, United States
Cancer Care Specialists of Central IL, Effingham, Illinois, United States
Cardinal Bernardin Cancer Center, Loyola Unv. Med. Ctr., Maywood, Illinois, United States
Center for Cancer Care at Goshen Health System, Goshen, Indiana, United States
Indiana Oncology Hematology Consultants North, Indianapolis, Indiana, United States
American Health Network of IN, LLC, Indianapolis, Indiana, United States
Indiana Oncology Hematology South, Indianapolis, Indiana, United States
Indiana Oncology Hematology Consutants of Noblesville, Noblesville, Indiana, United States
Central Baptist Hospital, Lexington, Kentucky, United States
James Graham Brown Cancer Center, Louisville, Kentucky, United States
Norton Hospital, Louisville, Kentucky, United States
University of Louisville Hospital, Louisville, Kentucky, United States
Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins, Baltimore, Maryland, United States
Franklin Square Hospital Center, Baltimore, Maryland, United States
Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins, Lutherville, Maryland, United States
Beth Isreal Dec Medical Center, Boston, Massachusetts, United States
Brigham and Womens Hospital, Boston, Massachusetts, United States
Dana Farber Cancer Institute, Boston, Massachusetts, United States
Henry Ford Medical Center, Dearborn, Michigan, United States
Henry Ford Hospital, Detroit, Michigan, United States
Henry Ford Medical Center- West Bloomfield, West Bloomfield, Michigan, United States
Humphrey Cancer Center, Coon Rapids, Minnesota, United States
Humphrey Cancer Center, Fridley, Minnesota, United States
Hubert H Humphrey Cancer Center, Robbinsdale, Minnesota, United States
Family Cancer Center, Olive Branch, Mississippi, United States
Ellis Fischel Cancer Center, Columbia, Missouri, United States
St. Joseph Oncology, Inc, St. Joseph, Missouri, United States
Barnes Jewish Hospital, St. Louis, Missouri, United States
Washington Unv. School of Med./ Siteman Cancer Center, St. Louis, Missouri, United States
Hackensack University Medical Center, Hackensack, New Jersey, United States
The Cancer Center at Hackensack University Medical Center, Hackensack, New Jersey, United States
Hematology-Oncology Associates of Northern NJ, PA, Morristown, New Jersey, United States
Robert Wood Johnson University Hospital, New Brunswick, New Jersey, United States
The Cancer Institute of New Jersey, New Brunswick, New Jersey, United States
Overlook Oncology Center, Summit, New Jersey, United States
New Mexico Oncology Hematology Consultants, Ltd., Albuquerque, New Mexico, United States
Hematology-Oncology Associates of CNY, East Syracuse, New York, United States
Memorial Sloan Kettering Cancer Center, New York, New York, United States
Columbia University Medical Center, Irving Center for Clinical Research, New York, New York, United States
University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, United States
The Christ Hospital Cancer Center, Cincinnati, Ohio, United States
The Cleveland Clinic Foundation, Cleveland, Ohio, United States
Providence Portland Medical Center, Portland, Oregon, United States
The Oregon Clinical, Portland, Oregon, United States
Penn State Milton S. Hershey Medical Center, Hershey, Pennsylvania, United States
Thomas Jefferson University Hosptital, Philadelphia, Pennsylvania, United States
Fox Chase Cancer Center, Philadelphia, Pennsylvania, United States
Hillman Cancer Research Pavilion, Pittsburgh, Pennsylvania, United States
Hillman Cancer Center, Pittsburgh, Pennsylvania, United States
University of Pittsburgh Cancer Institute, Pittsburgh, Pennsylvania, United States
Cancer Centers of the Carolinas, Easley, South Carolina, United States
Cancer Centers of the Carolinas, Greenville, South Carolina, United States
Cancer Centers of the Carolinas, Seneca, South Carolina, United States
Cancer Centers of the Carolinas, Spartanburg, South Carolina, United States
Family Cancer Center, Bartlett, Tennessee, United States
Family Cancer Center, Collierville, Tennessee, United States
Family Cancer Center, Memphis, Tennessee, United States
The West Clinic, Memphis, Tennessee, United States
Vanderbilt University Medical Center, Nashville, Tennessee, United States
Arlington Cancer Center, Arlington, Texas, United States
Center for Oncology Research and Treatment, Dallas, Texas, United States
Joe Arrington Cancer Research and Treatment Center, Lubbock, Texas, United States
Center for Oncology Research and Treatment, Richardson, Texas, United States
Huntsman Cancer Institute, Salt Lake City, Utah, United States
Huntsman Cancer Institute, Salt Lake City, Utah, United States
Fletcher Allen Health Care, Burlington, Vermont, United States
Hospital Municipal de Oncoligia Maria Curie, Ciudad de Buenos Aires, Buenos Aires, Argentina
Instituto Medico Platense, La Plata, Provincia de Buenos Aires, Argentina
Hospital Militar Central, Buenos Aires, , Argentina
Instituto Medico Especializado Alexander Fleming, Buenos Aires, , Argentina
Hospital Britanico de Buenos Aires, Ciudad de Buenos Aires, , Argentina
Hospital Municipal de Oncologia Maria Curie, Ciudad de Buenos Aires, , Argentina
Hospital General de Agudos Carlos G. Durand, Ciudad de Buenos Aires, , Argentina
Instituto de Oncologia Angel H. Roffo, Ciudad de Buenos Aires, , Argentina
Hospital Militar Central, Ciudad de Buenos Aires, , Argentina
Instituto Alexander Fleming, Ciudad de Buenos Aires, , Argentina
Hospital Privado de Cordoba S.A., Cordoba, , Argentina
Hospital Privado Centro Medico de Cordoba S.A., Cordoba, , Argentina
ISIS Clinica Especializada, Santa Fe, , Argentina
ISIS Clinica Especializada, Santa Fe, , Argentina
Institut Jules Bordet, Brussels, , Belgium
Erasme Hospital, Free Universtiy of Brussels, Brussels, , Belgium
Erasme Hospital, Brussels, , Belgium
U.Z. Gent, Gent, , Belgium
Universitair Ziekenhuis Gasthuisberg, Leuven, , Belgium
Cliniques Universitaires UCL de Mont-Godinne, Yvoir, , Belgium
Hospital Araujo Jorge da Associacoa de Combate ao Cancer em Goias, Goiania, GO, Brazil
Pro Onco Centro Tratamento Oncologico, Londrina, PR, Brazil
Hospital Sao Lucas da PUCRS, Porto Alegre, RS, Brazil
Fundacao Pio XII - Hospital de Cancer de Barretos, Barretos, SP, Brazil
Fundacoa Hospital Amaral Carvalho, Jau, SP, Brazil
Santo Andre Diagnosticos aTratamentos, Santo Andre, SP, Brazil
Sociedade Beneficante de Sennores - Hospital Sino Libante, Sao Paulo, SP, Brazil
Hospital de Cancer de Barretos - Fundacao Pio XII, Barretos - SP, , Brazil
Biocor - Hosp. de Doencas Cardiovasculares Ltda., Belo Horizonte - MG, , Brazil
Hospital Araujo Jorge, Goiania - GO, , Brazil
Pro Onco Centro Tratemento Oncologico, Londrina - PR, , Brazil
Fund. SOAD / HC de Porto Alegre, Porto Alegre - RS, , Brazil
Hospital Sao Lucas - PUCRS, Porto Alegre - RS, , Brazil
Fundacao Central Sul-Americana para o Desenvolvimento de Drogas Anticancer-SOAD, Porto Alegre, , Brazil
Santo Andre Diagnosticos e Tratamentos Ltda., Santo Andre-SP, , Brazil
HC-FMUSP, Sao Paulo - SP, , Brazil
Hospital Sirio Labanes, Sao Paulo-SP, , Brazil
Tom Baker Cancer Centre, Calgary, Alberta, Canada
Cross Cancer Institute, Edmonton, Alberta, Canada
CancerCare Manitoba, Winnipeg, Manitoba, Canada
Dr. H. Bliss Murphy Cancer Centre, St. John's, Newfoundland and Labrador, Canada
Cancer Centre of Southeastern Ontario at KGH, Kingston, Ontario, Canada
London Regional Cancer Program, London, Ontario, Canada
The Ottawa Hospital Regional Cancer Centre, Ottawa, Ontario, Canada
Princess Margaret Hospital, Toronto, Ontario, Canada
Sir Mortimer B. Davis - Jewish General Hospital, Montreal, Quebec, Canada
Instituto Nacional del Cancer, Independencia, Santiago, Chile
Clinica Davila, Recoleta, Santiago, Chile
Clinica Renaca, Renaca, Vina Del Mar, Chile
Fundacion Arturo Lopez Perez, Santiago, , Chile
Hospital Barros Luco, Santiago, , Chile
Centre Oscar Lambret, Lille, , France
Centre Leon Berard, Lyon, , France
Hopital Sainte-Marguerite, Marseille, , France
Hopital Saint-Eloi, Montpellier, , France
Hotel Dieu, Nantes, , France
Centre Antoine Lacassagne, Nice cedex 2, , France
Hopital Saint-Louis, Paris, , France
Centre Eugene Marquis, Rennes, , France
Centre-Hospitalier Universitaire de Saint-Etienne, Saint-Etienne, , France
Centre Alexis Vautrin, Vandoeuvre les Nancy, , France
Institut Gustave Roussy (IGR), Villejuif, , France
Klinik fur und Poliklinik fur Dermatologie, Venerologie und Allergologie, Hufelandstr. 55, Essen, Germany
Klinikum Augsburg, Augsburg, , Germany
Charite Universitaets medizin Berlin, Berlin, , Germany
Charite-Universitaetsmedizin Berlin, Campus Benjamin Franklin, Berlin, , Germany
Universitaetsklinikum Dusseldorf, Duesseldorf, , Germany
Universitaetsklinikum Erlangen, Erlangen, , Germany
Universitaetsklinikum Essen, Essen, , Germany
Universitaetsklinikum Heidelberg, Heidelburg, , Germany
Klinikum der Friedrich-Schiller-Universitaet Jena, Jena, , Germany
Klinikum Mannheim gGmbH, Mannheim, , Germany
University of Mannheim, Mannheim, , Germany
Klinikum Rechts der Isar / TU Muenchen, Muenchen, , Germany
Universitaetsklinikum Tuebingen, Tuebingen, , Germany
Universitaetsklinikum Wuerzburg, Wuerzburg, , Germany
National Institute of Oncology, Budapest, , Hungary
University of Debrecen, Medical and Health Sciences Center, Debrecen, , Hungary
Semmelweis Hospital, Miskolc, , Hungary
University of Szeged, Albert Szent-Gyorgyi Medical and Pharmaceutical Center, Szeged, , Hungary
Antoni Van Leeuwenhoek Ziekenhuis, Amsterdam, , Netherlands
Vrije Universiteit Medisch Centrum (VUMC), Amsterdam, , Netherlands
Academisch Ziekenhuis Maastricht, Maastricht, , Netherlands
Mary Potter Oncology Centre, Groenkloof, , South Africa
GVI Oncology, Panorama, , South Africa
Mary Potter Oncology Centre, Pretoria, , South Africa
Sandton Onocology Medical Research, Sandton, , South Africa
Centre Hospitalier Universitaire Vaudois - CHUV, Lausanne, Rue du Bugnon 46, Switzerland
Centre Hospitalier Universitaire Vaudois - CHUV, Lausanne, , Switzerland
Dermatologische Klinik Universitatsspital Zurich, Zurich, , Switzerland
St. Luke's Cancer Center, The Royal Surrey County Hospital, Guildford, Surry, United Kingdom
Velindre Hospital, Cardiff, , United Kingdom
Ninewells Hospital, Dundee, , United Kingdom
Christie Hospital, Manchester, , United Kingdom
Nottingham City Hospital, Nottingham, , United Kingdom
Churchill Hospital, Oxford, , United Kingdom
Poole Hospital, Poole, , United Kingdom
Weston Park Hospital, Sheffield, , United Kingdom
Southampton General, Southampton, , United Kingdom
Name: Bristol-Myers Squibb
Affiliation: Bristol-Myers Squibb
Role: STUDY_DIRECTOR