MelanomaPhase 3NCT00796445
A Phase III Study to Test the Benefit of a New Kind of Anti-cancer Treatment in Patients With Melanoma, After Surgical Removal of Their Tumor
A Phase 3 study testing GSK 2132231A in people with Melanoma, run by GlaxoSmithKline at 257 sites in 32 countries.
Trial summary
The purpose of this clinical trial is to evaluate the benefit of the immunotherapeutic product GSK 2132231A in preventing disease relapse when given to melanoma patients, after surgical removal of their tumor. This Protocol Posting has been updated following Amendments 1 of the Protocol, March 2010. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Melanoma
- What is being tested?
- GSK 2132231A
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 1,351 participants
- Where
- 257 sitesin 32 countries
- Study dates
- 1 Dec 2008to 27 Jan 2016
- Phase
- Phase 3
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Written informed consent signed.
- Male or female patient with histologically proven stage IIIB or IIIC cutaneous melanoma presenting with macroscopic lymph node involvement suitable for surgery.
- The patient must have been surgically rendered free of disease before the randomization.
- Patient is ≥ 18 years old at the time of signing the informed consent form.
- The patient's lymph node tumor shows expression of the MAGE-A3 gene.
- The patient has fully recovered from surgery.
Show all 10Show fewer
- ECOG performance status of 0 or 1 at the time of randomization.
- The patient must have adequate organ functions as assessed by standard laboratory criteria.
- If the patient is female, she must be of non-childbearing potential, or practice adequate contraception.
- In the opinion of the investigator, the patient can and will comply with all the requirements of the protocol.
Who cannot join
- The patient suffers from a mucosal or ocular melanoma.
- The patient has or has had any history of in-transit metastases
- The patient has been treated or is scheduled to be treated with an adjuvant anticancer therapy after the surgery that qualifies the patient for inclusion in the present trial.
- The patient requires concomitant chronic treatment with systemic corticosteroids or any other immunosuppressive agents.
- Use of any investigational or non-registered product (drug or vaccine) other than the study treatment.
- The patient has a history of autoimmune disease.
Show all 14Show fewer
- The patient has a family history of congenital or hereditary immunodeficiency.
- The patient is known to be positive for Human Immunodeficiency Virus (HIV) or has another confirmed or suspected immunosuppressive or immunodeficient condition.
- History of allergic disease or reactions likely to be exacerbated by any component of the treatments.
- The patient has psychiatric or addictive disorders that may compromise his/her ability to give informed consent or to comply with the trial procedures.
- The patient has concurrent severe medical problems, unrelated to the malignancy, that would significantly limit full compliance with the study or expose the patient to unacceptable risk.
- The patient has previous or concomitant malignancies at other sites, except effectively treated non-melanoma skin cancers or carcinoma in situ of the cervix or effectively treated malignancy that has been in remission for over 5 years and is highly likely to have been cured.
- The patient has an uncontrolled bleeding disorder.
- For female patients: the patient is pregnant or lactating.
Trial locations and contacts
257 sites in 32 countries.
257 sites in 32 countries
United States74 sites
GSK Investigational Site
Albany, New York, 12206
GSK Investigational Site
Amarillo, Texas, 79106
GSK Investigational Site
Ann Arbor, Michigan, 48019
GSK Investigational Site
Atlanta, Georgia, 30309
GSK Investigational Site
Atlanta, Georgia, 30322
GSK Investigational Site
Aurora, Colorado, 80045
GSK Investigational Site
Austin, Texas, 78759
GSK Investigational Site
Baltimore, Maryland, 21231
GSK Investigational Site
Baltimore, Maryland, 21237
GSK Investigational Site
Bedford, Texas, 76022
GSK Investigational Site
Birmingham, Alabama, 35243
GSK Investigational Site
Boston, Massachusetts, 02118
GSK Investigational Site
Boston, Massachusetts, 02215
GSK Investigational Site
Chapel Hill, North Carolina, 27599-7305
GSK Investigational Site
Charleston, South Carolina, 29406
GSK Investigational Site
Charleston, South Carolina, 29425
GSK Investigational Site
Charlotte, North Carolina, 28204
GSK Investigational Site
Charlottesville, Virginia, 22903
GSK Investigational Site
Chicago, Illinois, 60611-2906
GSK Investigational Site
Chicago, Illinois, 60612-7323
GSK Investigational Site
Chicago, Illinois, 60612
GSK Investigational Site
Chicago, Illinois, 60637
GSK Investigational Site
Cincinnati, Ohio, 45219
GSK Investigational Site
Cleveland, Ohio, 44106
GSK Investigational Site
Dallas, Texas, 75230
GSK Investigational Site
Dallas, Texas, 75246
GSK Investigational Site
Durham, North Carolina, 27710
GSK Investigational Site
Fort Worth, Texas, 76104
GSK Investigational Site
Fridley, Minnesota, 55432
GSK Investigational Site
Grand Rapids, Michigan, 49503
GSK Investigational Site
Hackensack, New Jersey, 07601
GSK Investigational Site
Houston, Texas, 77030
GSK Investigational Site
Indianapolis, Indiana, 46202
GSK Investigational Site
Jacksonville, Florida, 32204
GSK Investigational Site
Jacksonville, Florida, 32207
GSK Investigational Site
La Jolla, California, 92093-0987
GSK Investigational Site
Las Vegas, Nevada, 89169
GSK Investigational Site
Latham, New York, 12110
GSK Investigational Site
Little Rock, Arkansas, 72205
GSK Investigational Site
Los Angeles, California, 90025
GSK Investigational Site
Los Angeles, California, 90095
GSK Investigational Site
Louisville, Kentucky, 40202
GSK Investigational Site
Lubbock, Texas, 79410
GSK Investigational Site
Memphis, Tennessee, 38104
GSK Investigational Site
Metairie, Louisiana, 70006
GSK Investigational Site
Miami, Florida, 33136-1002
GSK Investigational Site
Milwaukee, Wisconsin, 53215
GSK Investigational Site
Minneapolis, Minnesota, 55455
GSK Investigational Site
Morgantown, West Virginia, 26506
GSK Investigational Site
Morristown, New Jersey, 07962-1956
GSK Investigational Site
Murray, Utah, 84107
GSK Investigational Site
Nashville, Tennessee, 37232-6307
GSK Investigational Site
New York, New York, 10016
GSK Investigational Site
Orange, California, 92868
GSK Investigational Site
Orange Park, Florida, 32073
GSK Investigational Site
Orlando, Florida, 32806
GSK Investigational Site
Philadelphia, Pennsylvania, 19104
GSK Investigational Site
Philadelphia, Pennsylvania, 19107
GSK Investigational Site
Philadelphia, Pennsylvania, 19111
GSK Investigational Site
Pittsburgh, Pennsylvania, 15213-2584
GSK Investigational Site
Plano, Texas, 75093
GSK Investigational Site
Portland, Oregon, 97213
GSK Investigational Site
Riverside, California, 92505
GSK Investigational Site
Saint Louis Park, Minnesota, 55426
GSK Investigational Site
San Francisco, California, 94117-1079
GSK Investigational Site
Santa Rosa, California, 95403-1757
GSK Investigational Site
Sayre, Pennsylvania, 18840
GSK Investigational Site
Seattle, Washington, 98109
GSK Investigational Site
St Louis, Missouri, 63110
GSK Investigational Site
Stuart, Florida, 34994
GSK Investigational Site
Tucson, Arizona, 85724-5024
GSK Investigational Site
Tyler, Texas, 75702
GSK Investigational Site
Vancouver, Washington, 98684
GSK Investigational Site
Winston-Salem, North Carolina, 27157
Germany37 sites
GSK Investigational Site
Berlin, 10117
GSK Investigational Site
Berlin, 10249
GSK Investigational Site
Berlin, 13585
GSK Investigational Site
Bonn, North Rhine-Westphalia, 53127
GSK Investigational Site
Buxtehude, Lower Saxony, 21614
GSK Investigational Site
Cologne, North Rhine-Westphalia, 50937
GSK Investigational Site
Dresden, Saxony, 01307
GSK Investigational Site
Erfurt, Thuringia, 99089
GSK Investigational Site
Essen, North Rhine-Westphalia, 45122
GSK Investigational Site
Frankfurt am Main, Hesse, 60590
GSK Investigational Site
Freiburg im Breisgau, Baden-Wurttemberg, 79104
GSK Investigational Site
Greifswald, Mecklenburg-Vorpommern, 17475
GSK Investigational Site
Hanover, Lower Saxony, 30625
GSK Investigational Site
Heidelberg, Baden-Wurttemberg, 69120
GSK Investigational Site
Homburg, Saarland, 66421
GSK Investigational Site
Jena, Thuringia, 07740
GSK Investigational Site
Kassel, Hesse, 34125
GSK Investigational Site
Kiel, Schleswig-Holstein, 24105
GSK Investigational Site
Leipzig, Saxony, 04103
GSK Investigational Site
Lübeck, Schleswig-Holstein, 23538
GSK Investigational Site
Ludwigshafen am Rhein, Rhineland-Palatinate, 67063
GSK Investigational Site
Magdeburg, Saxony-Anhalt, 39120
GSK Investigational Site
Mainz, Rhineland-Palatinate, 55131
GSK Investigational Site
Mannheim, Baden-Wurttemberg, 68167
GSK Investigational Site
Marburg, Hesse, 35033
GSK Investigational Site
Minden, North Rhine-Westphalia, 32429
GSK Investigational Site
Munich, Bavaria, 80337
GSK Investigational Site
Munich, Bavaria, 80802
GSK Investigational Site
Münster, North Rhine-Westphalia, 48149
GSK Investigational Site
Nuremberg, Bavaria, 90419
GSK Investigational Site
Oldenburg, Lower Saxony, 26133
GSK Investigational Site
Quedlinburg, Saxony-Anhalt, 06484
GSK Investigational Site
Regensburg, Bavaria, 93053
GSK Investigational Site
Tübingen, Baden-Wurttemberg, 72076
GSK Investigational Site
Ulm, Baden-Wurttemberg, 89081
GSK Investigational Site
Wiesbaden, Hesse, 65191
GSK Investigational Site
Würzburg, Bavaria, 97080
France25 sites
GSK Investigational Site
Besançon, 25030
GSK Investigational Site
Bordeaux, 33075
GSK Investigational Site
Boulogne, 92104
GSK Investigational Site
Brest, 29609
GSK Investigational Site
Dijon, 21079
GSK Investigational Site
Grenoble, 38043
GSK Investigational Site
Le Mans, 72000
GSK Investigational Site
Lille, 59037
GSK Investigational Site
Limoges, 87042
GSK Investigational Site
Marseille, 13385
GSK Investigational Site
Montpellier, 34295
GSK Investigational Site
Nantes, 44093
GSK Investigational Site
Nice, 06202
GSK Investigational Site
Paris, 75006
GSK Investigational Site
Paris, 75018
GSK Investigational Site
Paris, 75475
GSK Investigational Site
Pierre-Bénite, 69495
GSK Investigational Site
Poitiers, 86021
GSK Investigational Site
Reims, 51092
GSK Investigational Site
Rennes, 35042
GSK Investigational Site
Rouen, 76031
GSK Investigational Site
Saint-Etienne, 42055
GSK Investigational Site
Toulouse, 31059
GSK Investigational Site
Tours, 37044
GSK Investigational Site
Villejuif, 94805
Italy12 sites
GSK Investigational Site
Aviano (PN), Friuli Venezia Giulia, 33081
GSK Investigational Site
Bari, Apulia, 70124
GSK Investigational Site
Genoa, Liguria, 16132
GSK Investigational Site
Meldola (FC), Emilia-Romagna, 47014
GSK Investigational Site
Milan, Lombardy, 20133
GSK Investigational Site
Milan, Lombardy, 20141
GSK Investigational Site
Modena, Emilia-Romagna, 41124
GSK Investigational Site
Naples, Campania, 80131
GSK Investigational Site
Padova, Veneto, 35128
GSK Investigational Site
Pisa, Tuscany, 56125
GSK Investigational Site
Rome, Lazio, 00144
GSK Investigational Site
Siena, Tuscany, 53100
Australia9 sites
GSK Investigational Site
Adelaide, South Australia, 5000
GSK Investigational Site
Brisbane, Queensland, 4102
GSK Investigational Site
Camperdown, New South Wales, 2060
GSK Investigational Site
East Melbourne, Victoria, 3002
GSK Investigational Site
Heidelberg, Victoria, 3084
GSK Investigational Site
Hobart, Tasmania, 7000
GSK Investigational Site
North Sydney, New South Wales, 2060
GSK Investigational Site
Waratah, New South Wales, 2298
GSK Investigational Site
Westmead, New South Wales, 2145
Austria8 sites
GSK Investigational Site
Feldkirch, A-6800
GSK Investigational Site
Graz, A-8036
GSK Investigational Site
Linz, A-4010
GSK Investigational Site
Salzburg, A-5020
GSK Investigational Site
Vienna, A-1030
GSK Investigational Site
Vienna, A-1090
GSK Investigational Site
Vienna, A-1220
GSK Investigational Site
Wels, A-4600
Poland8 sites
GSK Investigational Site
Bydgoszcz, 85-796
GSK Investigational Site
Gdansk, 80-215
GSK Investigational Site
Krakow, 31-108
GSK Investigational Site
Olsztyn, 10-228
GSK Investigational Site
Poznan, 61-866
GSK Investigational Site
Słupsk, 76-200
GSK Investigational Site
Warsaw, 02-781
GSK Investigational Site
Warsaw, 04-125
Russia7 sites
GSK Investigational Site
Chelyabinsk, 454087
GSK Investigational Site
Kursk, 305035
GSK Investigational Site
Moscow, 115478
GSK Investigational Site
Omsk, 644013
GSK Investigational Site
Saint Petersburg, 197758
GSK Investigational Site
Saint Petersburg, 198255
GSK Investigational Site
Stavropol, 355047
United Kingdom7 sites
GSK Investigational Site
Belfast, Northern Ireland, BT9 7AB
GSK Investigational Site
Chelmsford, Essex, CM1 7ET
GSK Investigational Site
Colchester, CO3 3NB
GSK Investigational Site
Dundee, DD1 9SY
GSK Investigational Site
London, SW17 0RE
GSK Investigational Site
Poole, Dorset, BH15 2JB
GSK Investigational Site
Salisbury, SP2 8BJ
Ireland6 sites
GSK Investigational Site
Cork
GSK Investigational Site
Dublin, 4
GSK Investigational Site
Dublin, 7
GSK Investigational Site
Dublin, 8
GSK Investigational Site
Dublin, 9
GSK Investigational Site
Galway, Co Galway
Ukraine6 sites
GSK Investigational Site
Dnipropetrovsk, 49100
GSK Investigational Site
Dnipropetrovsk, 49102
GSK Investigational Site
Donetsk, 83092
GSK Investigational Site
Kryvyi Rih, 50048
GSK Investigational Site
Kyiv, 03022
GSK Investigational Site
Lviv, 79031
Belgium5 sites
GSK Investigational Site
Brussels, 1070
GSK Investigational Site
Brussels, 1180
GSK Investigational Site
Brussels, 1200
GSK Investigational Site
Liège, 4000
GSK Investigational Site
Wilrijk, 2610
Czechia5 sites
GSK Investigational Site
Brno, 656 53
GSK Investigational Site
Hradec Králové, 500 05
GSK Investigational Site
Ostrava, 708 52
GSK Investigational Site
Prague, 100 34
GSK Investigational Site
Prague, 128 08
Spain5 sites
GSK Investigational Site
Barcelona, 08036
GSK Investigational Site
Madrid, 28040
GSK Investigational Site
Pamplona, 31008
GSK Investigational Site
Seville, 41009
GSK Investigational Site
Valencia, 46014
Argentina4 sites
GSK Investigational Site
Buenos Aires, C1121ABE
GSK Investigational Site
Cipolletti, Río Negro Province, R8324EMB
GSK Investigational Site
Ciudad Autónoma de Buenos Aires, Buenos Aires, C1050AAK
GSK Investigational Site
Rosario, Santa Fe Province, S2000KZE
Brazil3 sites
GSK Investigational Site
Belo Horizonte, Minas Gerais, 30.140-001
GSK Investigational Site
Porto Alegre, Rio Grande do Sul, 90610-000
GSK Investigational Site
São Paulo, 03102-002
Israel3 sites
GSK Investigational Site
Haifa, 31096
GSK Investigational Site
Petah Tikva, 49100
GSK Investigational Site
Ramat Gan, 52621
New Zealand3 sites
GSK Investigational Site
Auckland, 0622
GSK Investigational Site
Christchurch, 8011
GSK Investigational Site
Wellington, 6021
Romania3 sites
GSK Investigational Site
Baia Mare, 430031
GSK Investigational Site
Cluj-Napoca
GSK Investigational Site
Craiova, Dolj, 200535
Serbia3 sites
GSK Investigational Site
Belgrade, 11 000
GSK Investigational Site
Belgrade
GSK Investigational Site
Kamenitz, 21204
Sweden3 sites
GSK Investigational Site
Gothenburg, SE-413 45
GSK Investigational Site
Malmö, SE-205 20
GSK Investigational Site
Uppsala, SE-751 85
Taiwan3 sites
GSK Investigational Site
Kaohsiung City, 807
GSK Investigational Site
Taipei, 112
GSK Investigational Site
Taoyuan Hsien, 333
Bulgaria2 sites
GSK Investigational Site
Plovdiv, 4000
GSK Investigational Site
Sofia, 1756
Canada2 sites
GSK Investigational Site
Ottawa, Ontario, K1H 8L6
GSK Investigational Site
Winnipeg, Manitoba, R3E 0V9
Estonia2 sites
GSK Investigational Site
Tallinn, 13419
GSK Investigational Site
Tartu, 51014
Greece2 sites
GSK Investigational Site
Athens, 11527
GSK Investigational Site
Athens, 185 47
Japan2 sites
GSK Investigational Site
Shizuoka, 411-8777
GSK Investigational Site
Tokyo, 104-0045
Netherlands2 sites
GSK Investigational Site
Nijmegen, 6525 GA
GSK Investigational Site
Rotterdam, 3075 EA
South Korea2 sites
GSK Investigational Site
Seoul, 05505
GSK Investigational Site
Seoul, 06351
Switzerland2 sites
GSK Investigational Site
Basel, 4031
GSK Investigational Site
Zurich, 8091
About this study
Official title: GSK 2132231A Antigen-Specific Cancer Immunotherapeutic as Adjuvant Therapy in Patients With Resected Melanoma
The purpose of this clinical trial is to evaluate the benefit of the immunotherapeutic product GSK 2132231A in preventing disease relapse when given to melanoma patients, after surgical removal of their tumor.
This Protocol Posting has been updated following Amendments 1 of the Protocol, March 2010. The impacted sections are outcome measures and entry criteria.
- Conditions
- Melanoma
- Being tested
- GSK 2132231A, Placebo
- Keywords
- DERMA, Tumor antigen, Immunotherapeutic, Adjuvant cancer therapy, Melanoma, ASCI
- Medical subject headings
- Melanoma
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
GSK 2132231ADrug
IM solution, a course of 13 injections administered over 27 months
PlaceboDrug
IM solution, a course of 13 injections administered over 27 months
| Study group | Role | What they receive |
|---|---|---|
| MAGE-A3 Group | Experimental | Patients who received up to 13 doses of recMAGE-A3 + AS15 ASCI. Study products were administered as intramuscular (IM) injections in the deltoid or the lateral region of the thigh (not in anatomical regions where lymph nodes had been excised): 5 doses of ASCI product at 3-week intervals, followed by 8 doses of ASCI product at 12-week intervals. Receives: Drug: GSK 2132231A |
| Placebo Group | Placebo comparator | Patients who received up to 13 doses of placebo. Study products were administered as intramuscular (IM) injections in the deltoid or the lateral region of the thigh (not in anatomical regions where lymph nodes had been excised): 5 doses of placebo at 3-week intervals, followed by 8 doses of placebo at 12-week intervals. Receives: Drug: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Disease Free Survival (DFS)
DFS = time to event from randomization to the date of first disease recurrence (as assessed by investigator) or the date of death (whatever cause), whichever occurred first. DFS was expressed as the person-year rate i.e. the number of patients with at least one event (n) over the sum of the follow-up periods in years (T), until the first occurrence of a recurrence/death. Types of recurrence to be considered as an event included loco-regional and distant metastases. Any death occurring without prior documentation of tumor recurrence was considered as an event (not censored in the stat. analysis) as this approach was less prone to introduce bias. If no event occurred by the time of analysis, then the time to event was censored at the last assessment date (tumor assessment/visit) of the patient. Any new primary cancer at another site, including second primary melanoma, was not considered as a recurrence and had to be reported as a Serious Adverse Event (SAE).
Measured: At Final analysis (Month 30 = Year 2.5)
Disease Free Survival (DFS)
DFS = time to event from randomization to the date of first disease recurrence (as assessed by investigator) or the date of death (whatever cause), whichever occurred first. DFS was expressed as the person-year rate i.e. the number of patients with at least one event (n) over the sum of the follow-up periods in years (T), until the first occurrence of a recurrence/death. Types of recurrence to be considered as an event included loco-regional and distant metastases. Any death occurring without prior documentation of tumor recurrence was considered as an event (not censored in the stat. analysis) as this approach was less prone to introduce bias. If no event occurred by the time of analysis, then the time to event was censored at the last assessment date (tumor assessment/visit) of the patient. Any new primary cancer at another site, including second primary melanoma, was not considered as a recurrence and had to be reported as a Serious Adverse Event (SAE).
Measured: At follow-up analysis (up to Year 5)
Secondary outcomes (11)
Overall Survival (OS)
Overall Survival (OS) was defined as the time to event from randomization to the date of death, irrespective of the cause of death. OS was expressed as the person-year rate i.e. the number of patients with death (n) over the sum of the follow-up periods in years (T). Patients alive at the time of the analysis were censored on the date last known to be alive.
Measured: At Final analysis (Month 30 = Year 2.5) and at follow-up analysis (up to Year 5)
Disease-free Specific Survival (DFSS)
Disease Free Specific Survival (DFSS) was defined as the time to event from randomization to the date of first recurrence of disease or date of death due to melanoma (cause as assessed by investigator), whichever occurred first. DFSS was expressed as the person-year rate i.e. the number of patients with at least one event (n) over the sum of the follow-up periods in years (T), until the first occurrence of a recurrence/death. Patients who died due to a cause other than the disease under study and patients alive at the time of analysis were censored on the date of last assessment (visit or tumor assessment).
Measured: At Final analysis (Month 30 = Year 2.5)
Distant Metastasis-free Survival (DMFS)
Distant Metastasis Free Survival (DMFS) was defined as the time to event from randomization to the date of first distant metastasis or date of death, whichever occurred first. DMFS was expressed as the person-year rate i.e. the number of patients with at least one event (n) over the sum of the follow-up periods in years (T), until the first occurrence of distant metastasis/death. Patients alive and without distant metastases were censored at the date of last assessment (visit or tumor assessment, or date of last tumor assessment as documented during the yearly contact follow-up period).
Measured: At Final analysis (Month 30 = Year 2.5)
Health-related Quality of Life
The assessment of health-related quality of life was restricted to patients who consented to study participation after Protocol Amendment 1 became effective at their study site, and for whom a validated version of the Euro Quality of Life-5D (EQ-5D) questionnaire was available in their native language. The EQ-5D comprises a 5-dimensional descriptive system (mobility, self-care, usual activities, pain/discomfort and anxiety/depression), where each item has 3 levels and together they define 243 possible health states. For each health state, a value (utility) was determined by using an additive algorithm. These utility scores were calculated for each patient at each timepoint at which an EQ-5D questionnaire was completed. The score had a maximum value of 1.0 corresponding to full health level, while lower scores, down to a minimum value of 0.0 reflected degradation in the health-related quality of life.
Measured: At Weeks 0, 6, 12 [on the day of and the day after treatment administration (TA)], at Month 6, 9, 12, 24, at the Concluding visit (Month 30) + 6 months and +12 Months and at disease recurrence
Number of Subjects With Anti-MAGE-A3 Antibody Concentrations Above the Cut-off Value
The cut-off value was 27 Enzyme-Linked Immunosorbent Assay (ELISA) units per milliliter (EL.U/mL).
Measured: At Weeks 0, 6, 12, 36, 48 72, 120 (Concluding visit) and at Week 120 + 6 months
Anti-MAGE-A3 Antibody Geometric Mean Concentrations
Anti-MAGE-A3 antibody concentrations were presented as geometric mean concentrations (GMC) and expressed in EL.U/mL.
Measured: At Weeks 0, 6, 12, 36, 48 72, 120 (Concluding visit) and at Month 120 + 6 months
Number of Subjects With Anti-MAGE-A3 Antibody Response
Treatment response defined as: - For initially seronegative patients: post-treatment antibody concentration ≥ 27 EL.U/mL; - For initially seropositive patients: post-treatment antibody concentration ≥ 2 fold the pre-treatment antibody concentration.
Measured: At Weeks 6, 12, 36, 48 72, 120 (Concluding visit) and at Month 120 + 6 months
Number of Subjects With Abnormal Haematological and Biochemical Parameters
Laboratory abnormalities belong to hematological and biochemical parameters such as: alanine aminotransferase [ALT], asparatate aminostransferase [AST], alkaline phoshatase [AP], bilirubin [BIL], creatinine [CREA], hemoglobin [HGB], leukocytes [LEU], lymphopenia [LYMPH], neutrophils [NEU], platelets [PLA]. Parameter grades (Grade [G] 0, 1, 2, 3, 4, Unknown) were compared to each baseline parameter grade (G Unknown, 0, 1, 2, 3), as defined by the Common Terminology Criteria for Adverse Events (CTCAE), version 3.0 of August 9, 2006.
Measured: Within the 31-day (Days 0-30) post-treatment period
Number of Subjects With Any Adverse Events (AEs)
An unsolicited AE covers any untoward medical occurrence in a clinical investigation subject temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product and reported in addition to those solicited during the clinical study and any solicited symptom with onset outside the specified period of follow-up for solicited symptoms. Any was defined as the occurrence of any unsolicited AE regardless of intensity grade or relation to vaccination.
Measured: Within the 31-day (Days 0-30) follow-up period after treatment
Number of Subjects With Any Serious Adverse Events (SAEs)
Serious adverse events (SAEs) assessed include medical occurrences that result in death, are life-threatening, require hospitalization or prolongation of hospitalization or result in disability/incapacity.
Measured: From Day 0 up to study end (up to 5 years)
Number of Subjects With Potential Immune-mediated Diseases (pIMDs)
Potential immune-mediated diseases (pIMDs) are a subset of AEs that include autoimmune diseases and other inflammatory and/or neurologic disorders of interest which may or may not have an autoimmune aetiology.
Measured: From Day 0 up to study end (up to 5 years)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted24 Nov 2008 (estimated)
- Study start1 Dec 2008
- Primary completion27 Jan 2016
- Study completion27 Jan 2016
Why it stopped: The study was terminated early following assessment of the two co-primary endpoints showing the lack of efficacy of the study product.
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (2)Papers the sponsor has linked to this study.
- Other trials for MelanomaStudies of the same condition, open and under way.
- More trials run by GlaxoSmithKlineThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind
- Who is masked
- Participant, Investigator, Outcomes assessor
- Enrolment
- 1,351 participants (actual)
Sponsor and investigators
- Lead sponsor
- GlaxoSmithKline
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- GSK Clinical Trials, Study director, GlaxoSmithKline
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00796445
- Sponsor's protocol ID
- 111482
- Other IDs
- 2008-002447-16, 2008
- Status last verified
- Feb 2021
- First submitted
- 21 Nov 2008
- Last updated
- 5 Mar 2021
- Results posted
- Yes, on ClinicalTrials.gov
- Individual data sharing
- Yes: IPD is available via the Clinical Study Data Request site (click on the link provided below)
Publications
Dreno B, Thompson JF, Smithers BM, Santinami M, Jouary T, Gutzmer R, Levchenko E, Rutkowski P, Grob JJ, Korovin S, Drucis K, Grange F, Machet L, Hersey P, Krajsova I, Testori A, Conry R, Guillot B, Kruit WHJ, Demidov L, Thompson JA, Bondarenko I, Jaroszek J, Puig S, Cinat G, Hauschild A, Goeman JJ, van Houwelingen HC, Ulloa-Montoya F, Callegaro A, Dizier B, Spiessens B, Debois M, Brichard VG, Louahed J, Therasse P, Debruyne C, Kirkwood JM. MAGE-A3 immunotherapeutic as adjuvant therapy for patients with resected, MAGE-A3-positive, stage III melanoma (DERMA): a double-blind, randomised, placebo-controlled, phase 3 trial. Lancet Oncol. 2018 Jul;19(7):916-929. doi: 10.1016/S1470-2045(18)30254-7. Epub 2018 Jun 13.
PubMed 29908991Dizier B, Callegaro A, Debois M, Dreno B, Hersey P, Gogas HJ, Kirkwood JM, Vansteenkiste JF, Sequist LV, Atanackovic D, Goeman J, van Houwelingen H, Salceda S, Wang F, Therasse P, Debruyne C, Spiessens B, Brichard VG, Louahed J, Ulloa-Montoya F. A Th1/IFNgamma Gene Signature Is Prognostic in the Adjuvant Setting of Resectable High-Risk Melanoma but Not in Non-Small Cell Lung Cancer. Clin Cancer Res. 2020 Apr 1;26(7):1725-1735. doi: 10.1158/1078-0432.CCR-18-3717. Epub 2019 Nov 15.
PubMed 31732522
Study at a glance
From the registry record, last updated by the sponsor on 5 Mar 2021. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- GSK 2132231A Antigen-Specific Cancer Immunotherapeutic as Adjuvant Therapy in Patients With Resected Melanoma
- ClinicalTrials.gov ID
- NCT00796445
- Acronym / sponsor ID
- 111482
- Conditions
- Melanoma
- Keywords
- DERMA, Tumor antigen, Immunotherapeutic, Adjuvant cancer therapy, Melanoma, ASCI
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- TerminatedReason stopped: The study was terminated early following assessment of the two co-primary endpoints showing the lack of efficacy of the study product.
- Enrolment
- 1,351 participants (actual)
- Lead sponsor
- GlaxoSmithKlineIndustry (pharma, biotech, devices)
- Study start
- 1 Dec 2008 (actual)
- Primary completion
- 27 Jan 2016 (actual)
- Study completion
- 27 Jan 2016 (actual)
- First posted
- 24 Nov 2008 (estimated)
- Results
- Posted 19 Mar 2019
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this clinical trial is to evaluate the benefit of the immunotherapeutic product GSK 2132231A in preventing disease relapse when given to melanoma patients, after surgical removal of their tumor.
This Protocol Posting has been updated following Amendments 1 of the Protocol, March 2010. The impacted sections are outcome measures and entry criteria.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind (participant, investigator, outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| MAGE-A3 Group | Experimental | Drug: GSK 2132231APatients who received up to 13 doses of recMAGE-A3 + AS15 ASCI. Study products were administered as intramuscular (IM) injections in the deltoid or the lateral region of the thigh (not in anatomical regions where lymph nodes had been excised): 5 doses of ASCI product at 3-week intervals, followed by 8 doses of ASCI product at 12-week intervals. |
| Placebo Group | Placebo comparator | Drug: PlaceboPatients who received up to 13 doses of placebo. Study products were administered as intramuscular (IM) injections in the deltoid or the lateral region of the thigh (not in anatomical regions where lymph nodes had been excised): 5 doses of placebo at 3-week intervals, followed by 8 doses of placebo at 12-week intervals. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (10 listed)
- Written informed consent signed.
- Male or female patient with histologically proven stage IIIB or IIIC cutaneous melanoma presenting with macroscopic lymph node involvement suitable for surgery.
- The patient must have been surgically rendered free of disease before the randomization.
- Patient is ≥ 18 years old at the time of signing the informed consent form.
- The patient's lymph node tumor shows expression of the MAGE-A3 gene.
Key exclusion criteria (14 listed)
- The patient suffers from a mucosal or ocular melanoma.
- The patient has or has had any history of in-transit metastases
- The patient has been treated or is scheduled to be treated with an adjuvant anticancer therapy after the surgery that qualifies the patient for inclusion in the present trial.
- The patient requires concomitant chronic treatment with systemic corticosteroids or any other immunosuppressive agents.
- Use of any investigational or non-registered product (drug or vaccine) other than the study treatment.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| GSK 2132231AIM solution, a course of 13 injections administered over 27 months | Drug | MAGE-A3 Group |
| PlaceboIM solution, a course of 13 injections administered over 27 months | Drug | Placebo Group |
Primary outcome
Disease Free Survival (DFS)
Time frame: At Final analysis (Month 30 = Year 2.5)
DFS = time to event from randomization to the date of first disease recurrence (as assessed by investigator) or the date of death (whatever cause), whichever occurred first. DFS was expressed as the person-year rate i.e. the number of patients with at least one event (n) over the sum of the follow-up periods in years (T), until the first occurrence of a recurrence/death. Types of recurrence to be considered as an event included loco-regional and distant metastases. Any death occurring without prior documentation of tumor recurrence was considered as an event (not censored in the stat. analysis) as this approach was less prone to introduce bias. If no event occurred by the time of analysis, then the time to event was censored at the last assessment date (tumor assessment/visit) of the patient. Any new primary cancer at another site, including second primary melanoma, was not considered as a recurrence and had to be reported as a Serious Adverse Event (SAE).
Disease Free Survival (DFS)
Time frame: At follow-up analysis (up to Year 5)
DFS = time to event from randomization to the date of first disease recurrence (as assessed by investigator) or the date of death (whatever cause), whichever occurred first. DFS was expressed as the person-year rate i.e. the number of patients with at least one event (n) over the sum of the follow-up periods in years (T), until the first occurrence of a recurrence/death. Types of recurrence to be considered as an event included loco-regional and distant metastases. Any death occurring without prior documentation of tumor recurrence was considered as an event (not censored in the stat. analysis) as this approach was less prone to introduce bias. If no event occurred by the time of analysis, then the time to event was censored at the last assessment date (tumor assessment/visit) of the patient. Any new primary cancer at another site, including second primary melanoma, was not considered as a recurrence and had to be reported as a Serious Adverse Event (SAE).
11 secondary outcomes
Overall Survival (OS)
Time frame: At Final analysis (Month 30 = Year 2.5) and at follow-up analysis (up to Year 5)
Disease-free Specific Survival (DFSS)
Time frame: At Final analysis (Month 30 = Year 2.5)
Distant Metastasis-free Survival (DMFS)
Time frame: At Final analysis (Month 30 = Year 2.5)
Health-related Quality of Life
Time frame: At Weeks 0, 6, 12 [on the day of and the day after treatment administration (TA)], at Month 6, 9, 12, 24, at the Concluding visit (Month 30) + 6 months and +12 Months and at disease recurrence
Number of Subjects With Anti-MAGE-A3 Antibody Concentrations Above the Cut-off Value
Time frame: At Weeks 0, 6, 12, 36, 48 72, 120 (Concluding visit) and at Week 120 + 6 months
Anti-MAGE-A3 Antibody Geometric Mean Concentrations
Time frame: At Weeks 0, 6, 12, 36, 48 72, 120 (Concluding visit) and at Month 120 + 6 months
Number of Subjects With Anti-MAGE-A3 Antibody Response
Time frame: At Weeks 6, 12, 36, 48 72, 120 (Concluding visit) and at Month 120 + 6 months
Number of Subjects With Abnormal Haematological and Biochemical Parameters
Time frame: Within the 31-day (Days 0-30) post-treatment period
Number of Subjects With Any Adverse Events (AEs)
Time frame: Within the 31-day (Days 0-30) follow-up period after treatment
Number of Subjects With Any Serious Adverse Events (SAEs)
Time frame: From Day 0 up to study end (up to 5 years)
Number of Subjects With Potential Immune-mediated Diseases (pIMDs)
Time frame: From Day 0 up to study end (up to 5 years)
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 5 Mar 2021.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Background: PubMed 29908991Dreno B, Thompson JF, Smithers BM, Santinami M, Jouary T, Gutzmer R, Levchenko E, Rutkowski P, Grob JJ, Korovin S, Drucis K, Grange F, Machet L, Hersey P, Krajsova I, Testori A, Conry R, Guillot B, Kruit WHJ, Demidov L, Thompson JA, Bondarenko I, Jaroszek J, Puig S, Cinat G, Hauschild A, Goeman JJ, van Houwelingen HC, Ulloa-Montoya F, Callegaro A, Dizier B, Spiessens B, Debois M, Brichard VG, Louahed J, Therasse P, Debruyne C, Kirkwood JM. MAGE-A3 immunotherapeutic as adjuvant therapy for patients with resected, MAGE-A3-positive, stage III melanoma (DERMA): a double-blind, randomised, placebo-controlled, phase 3 trial. Lancet Oncol. 2018 Jul;19(7):916-929. doi: 10.1016/S1470-2045(18)30254-7. Epub 2018 Jun 13.
- Background: PubMed 31732522Dizier B, Callegaro A, Debois M, Dreno B, Hersey P, Gogas HJ, Kirkwood JM, Vansteenkiste JF, Sequist LV, Atanackovic D, Goeman J, van Houwelingen H, Salceda S, Wang F, Therasse P, Debruyne C, Spiessens B, Brichard VG, Louahed J, Ulloa-Montoya F. A Th1/IFNgamma Gene Signature Is Prognostic in the Adjuvant Setting of Resectable High-Risk Melanoma but Not in Non-Small Cell Lung Cancer. Clin Cancer Res. 2020 Apr 1;26(7):1725-1735. doi: 10.1158/1078-0432.CCR-18-3717. Epub 2019 Nov 15.
- IPD for this study will be made available via the Clinical Study Data Request site.Link provided by the sponsor.
- Individual participant dataSharing planned: Yes. IPD is available via the Clinical Study Data Request site (click on the link provided below)
Related trials for Melanoma
RecruitingPhase 1/2
Study of INBRX-106 and INBRX-106 in Combination With Pembrolizumab (Keytruda®) in Subjects With Locally Advanced or Metastatic Solid Tumors (Hexavalent OX40 Agonist)
Solid Tumor, Non-Small Cell Lung Cancer
RecruitingPhase 1
IL-17 Blockade to Decrease irAEs (REPLAY)
Metastatic Melanoma
Enrolling by invitationObservational study
Natural History Study of Early Life Exposures in Agriculture (ELEA)
Prostate Cancer, Leukemia
RecruitingPhase 1
A Feasibility Study Utilizing Immune Recall to Increase Response to Checkpoint Therapy
Melanoma
Active, not recruitingPhase 1/2
A Study of Dapansutrile Plus Pembrolizumab in Patients With PD-1 Refractory Advanced Melanoma
Melanoma
Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
GSK Clinical Trials study director
GlaxoSmithKline
257 sites in 32 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing GSK 2132231A in people with Melanoma, run by GlaxoSmithKline at 257 sites in 32 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 10 inclusion and 14 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: stopped early, as of the sponsor's last update on 5 Mar 2021. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 257 sites in United States, Germany, France, Italy, Australia and 27 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 19 Mar 2019). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Disease Free Survival (DFS) (time frame: At Final analysis (Month 30 = Year 2.5)). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT00796445, which also lists 2 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 5 Mar 2021.