RADVAX™: A STRATIFIED PHASE I/II DOSE ESCALATION TRIAL OF HYPOFRACTIONATED RADIOTHERAPY FOLLOWED BY IPILIMUMAB IN METASTATIC MELANOMA
Status: | Active, not recruiting |
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Conditions: | Skin Cancer |
Therapuetic Areas: | Oncology |
Healthy: | No |
Age Range: | 18 - Any |
Updated: | 4/21/2016 |
Start Date: | December 2011 |
The primary objective is to determine the maximum tolerated hypofractionated radiotherapy
dose (MTD) to a solitary metastatic focus ('index lesion') when followed by ipilimumab, in
metastatic melanoma patients without brain involvement The secondary objectives are to
determine late toxicity, immune-related clinical responses and immune pharmacodynamic
changes after hypofractionated radiotherapy followed by ipilimumab
dose (MTD) to a solitary metastatic focus ('index lesion') when followed by ipilimumab, in
metastatic melanoma patients without brain involvement The secondary objectives are to
determine late toxicity, immune-related clinical responses and immune pharmacodynamic
changes after hypofractionated radiotherapy followed by ipilimumab
Inclusion Criteria
- Patient > 18 years old
- Histologically confirmed diagnosis of melanoma
- Previously treated or previously untreated metastatic melanoma by AJCC staging
criteria
- Presence of an index lesion > 1 cm amenable to hypofractionated radiotherapy and at
least one other additional lesion that can be followed for response using RECIST
criteria
- ECOG Performance status 0 or 1
- Signed informed consent document
- Ability to tolerate stereotactic body radiation therapy (e.g. lie flat and hold
position for treatment)
Exclusion Criteria
- Prior systemic therapy within 14 days of study enrollment. Patients must be
adequately recovered from prior systemic therapy side effects as deemed by the PI.
- Clinical contraindication to stereotactic body radiotherapy (e.g. active systemic
sclerosis, active inflammatory bowel disease if bowel is within target field, etc)
- Presence or history of central nervous system metastasis (including brain)
- Long-term use of systemic corticosteroids
- Prior RT that precludes the delivery of hypofractionated radiotherapy
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