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NCT01258855

Aldesleukin With or Without Ziv-Aflibercept in Treating Patients With Stage III-IV Melanoma That Cannot Be Removed by Surgery

Completed Phase 2 Results posted Last updated 10 May 2019
What this trial tests

Phase 2 trial testing Aldesleukin in Metastatic Melanoma in 84 participants. Completed in 29 March 2018.

Timeline
18 January 2011
Primary endpoint
29 March 2018
29 March 2018

Quick facts

Lead sponsorNational Cancer Institute (NCI)
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingnone
Primary purposetreatment
Enrollment84
Start date18 January 2011
Primary completion29 March 2018
Estimated completion29 March 2018
Sites21 locations across United States

Drugs / interventions tested

Conditions studied

Sponsor

National Cancer Institute (NCI)

Who can join

17 and older, any sex, with Metastatic Melanoma or Recurrent Melanoma. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Progression-free Survival Primary · The time from the date of randomization until date of progression, death, or recurrence, assessed up to 5 years

Estimated using the product-limit method of Kaplan and Meier. Progression is defined using Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.1), as a 20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a non-target lesion, or the appearance of new lesions.

GroupValue95% CI
Combination Arm (Ziv-Afilbercept+HD IL2)6.94.1 – 8.7
Mono-therapy Arm (HD IL2 Alone)2.31.6 – 3.5
Overall Survival Secondary · Until Death from any cause, up to 5 years

Estimated using the product-limit method of Kaplan and Meier.

GroupValue95% CI
Combination Arm (Ziv-Afilbercept+HD IL2)26.914.4 – 63.6
Mono-therapy Arm (HD IL2 Alone)24.211.3 – 36.4
Response Rate Secondary · Up to 5 years

Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.1) for target lesions and assessed by MRI: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), \>=30% decrease in the sum of the longest diameter of target lesions; Overall Response (RR) = CR + PR.

GroupValue95% CI
Combination Arm (Ziv-Afilbercept+HD IL2)22
Mono-therapy Arm (HD IL2 Alone)17
Count of Participants With Adverse Events Secondary · Up to 5 years

Count of the number of participants with grade 3 \& 4 adverse events attributed to treatment agents. Events are graded according to National Cancer Institute Common Terminology Criteria for Adverse Events version 4.0.

Anemia
GroupValue95% CI
Combination Arm (Ziv-Afilbercept+HD IL2)2
Mono-therapy Arm (HD IL2 Alone)0
Leukocytosis
GroupValue95% CI
Combination Arm (Ziv-Afilbercept+HD IL2)1
Mono-therapy Arm (HD IL2 Alone)0
Lymphocyte count decreased
GroupValue95% CI
Combination Arm (Ziv-Afilbercept+HD IL2)41
Mono-therapy Arm (HD IL2 Alone)20
Neutrophil count decreased
GroupValue95% CI
Combination Arm (Ziv-Afilbercept+HD IL2)2
Mono-therapy Arm (HD IL2 Alone)0
Platelet count decreased
GroupValue95% CI
Combination Arm (Ziv-Afilbercept+HD IL2)11
Mono-therapy Arm (HD IL2 Alone)9
Left ventricular systolic
GroupValue95% CI
Combination Arm (Ziv-Afilbercept+HD IL2)1
Mono-therapy Arm (HD IL2 Alone)0
Sinus tachycardia
GroupValue95% CI
Combination Arm (Ziv-Afilbercept+HD IL2)0
Mono-therapy Arm (HD IL2 Alone)1
Supraventricular tachycardia
GroupValue95% CI
Combination Arm (Ziv-Afilbercept+HD IL2)1
Mono-therapy Arm (HD IL2 Alone)1
Progression-free Survival for Patients With High Vascular Endothelial Growth Factor (VEGF) Levels Secondary · Up to 5 years

Estimated using the product-limit method of Kaplan and Meier. Progression is defined using Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0), as a 20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a non-target lesion, or the appearance of new lesions. Median baseline measure for VEGF were used as the cut point for "low" vs "high" VEGF groups.

GroupValue95% CI
Combination Arm (Ziv-Afilbercept+HD IL2)8.76.1 – 16.2
Mono-therapy Arm (HD IL2 Alone)3.11.5 – 7.4
Progression-free Survival for Patients With Low VEGF Levels Secondary · Up to 5 years

Estimated using the product-limit method of Kaplan and Meier. Progression is defined using Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0), as a 20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a non-target lesion, or the appearance of new lesions. Median baseline measure for VEGF were used as the cut point for "low" vs "high" VEGF groups.

GroupValue95% CI
Combination Arm (Ziv-Afilbercept+HD IL2)6.94.4 – 11.6
Mono-therapy Arm (HD IL2 Alone)4.01.2 – 6.9
1-year Overall Survival Rate Secondary · Until Death from any cause, up to 1 year

Estimated using the product-limit method of Kaplan and Meier.

GroupValue95% CI
Combination Arm (Ziv-Afilbercept+HD IL2)75.664.5 – 88.6
Mono-therapy Arm (HD IL2 Alone)66.851.5 – 86.5

Adverse events — posted to ClinicalTrials.gov

Time frame: Adverse events were recorded and graded throughout the study and until 30 days following the last dose of treatment agent.. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Combination Arm (Ziv-Afilbercept+HD IL2)
Serious: 28/55 (51%)
Deaths: 37/55
Mono-therapy Arm (HD IL2 Alone)
Serious: 7/29 (24%)
Deaths: 20/29

Serious adverse events (41 terms)

ReactionSystemCombination Arm (Ziv-Afilb…Mono-therapy Arm (HD IL2 A…
Lymphocyte count decreasedInvestigations
HypophosphatemiaMetabolism and nutrition disorders
Platelet count decreasedInvestigations
HypoalbuminemiaMetabolism and nutrition disorders
NauseaGastrointestinal disorders
Oral painGastrointestinal disorders
Lipase increasedInvestigations
Dry skinSkin and subcutaneous tissue disorders
Skin ulcerationSkin and subcutaneous tissue disorders
HypertensionVascular disorders
Sinus bradycardiaCardiac disorders
Abdominal distensionGastrointestinal disorders
Abdominal painGastrointestinal disorders
ColitisGastrointestinal disorders
Colonic hemorrhageGastrointestinal disorders
VomitingGastrointestinal disorders
FatigueGeneral disorders
FeverGeneral disorders
Infusion related reactionGeneral disorders
CholedocholithiasisHepatobiliary disorders
Portal vein thrombosisHepatobiliary disorders
Skin infectionInfections and infestations
Soft tissue infectionInfections and infestations
Alanine aminotransferase increasedInvestigations
Aspartate aminotransferase increasedInvestigations
Other adverse events (353 terms — click to expand)

ReactionSystemCombination Arm (Ziv-Afilb…Mono-therapy Arm (HD IL2 A…
HypoalbuminemiaMetabolism and nutrition disorders
Platelet count decreasedInvestigations
Aspartate aminotransferase increasedInvestigations
HyponatremiaMetabolism and nutrition disorders
NauseaGastrointestinal disorders
HypomagnesemiaMetabolism and nutrition disorders
AnemiaBlood and lymphatic system disorders
DiarrheaGastrointestinal disorders
ChillsGeneral disorders
Sinus tachycardiaCardiac disorders
FatigueGeneral disorders
Blood bilirubin increasedInvestigations
HypophosphatemiaMetabolism and nutrition disorders
Lymphocyte count decreasedInvestigations
Alkaline phosphatase increasedInvestigations
Weight gainInvestigations
Alanine aminotransferase increasedInvestigations
VomitingGastrointestinal disorders
HypertensionVascular disorders
FeverGeneral disorders
AnxietyPsychiatric disorders
Edema limbsGeneral disorders
Creatinine increasedInvestigations
HypocalcemiaMetabolism and nutrition disorders
ProteinuriaRenal and urinary disorders
PruritusSkin and subcutaneous tissue disorders
HypotensionVascular disorders
White blood cell decreasedInvestigations
HeadacheNervous system disorders
Dry skinSkin and subcutaneous tissue disorders
HyperkalemiaMetabolism and nutrition disorders
HypokalemiaMetabolism and nutrition disorders
DyspneaRespiratory, thoracic and mediastinal disorders
Mucositis oralGastrointestinal disorders
HoarsenessRespiratory, thoracic and mediastinal disorders
AnorexiaMetabolism and nutrition disorders
Pain in extremityMusculoskeletal and connective tissue disorders
Neutrophil count decreasedInvestigations
HypermagnesemiaMetabolism and nutrition disorders
MyalgiaMusculoskeletal and connective tissue disorders

Most-reported serious reactions: Lymphocyte count decreased, Hypophosphatemia, Platelet count decreased, Hypoalbuminemia, Nausea, Oral pain, Lipase increased, Dry skin.

Data from ClinicalTrials.gov NCT01258855 adverse events section.

Sponsor's own description

This randomized phase II trial studies how well aldesleukin with or without ziv-aflibercept works in treating patients with stage III-IV melanoma that cannot be removed by surgery. Aldesleukin may stimulate the white blood cells to kill cancer. Ziv-aflibercept may stop the growth of melanoma by blocking blood flow to the tumor. It is not yet known whether aldesleukin is more effective with or without ziv-aflibercept in treating melanoma.

Publications & conference data

5 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Hypoxia-dependent drivers of melanoma progression.
    D'Aguanno S, Mallone F, Marenco M, Del Bufalo D, et al · · 2021 · cited 67× · PMID 33964953 · DOI 10.1186/s13046-021-01926-6
  2. Update on use of aldesleukin for treatment of high-risk metastatic melanoma.
    Amaria RN, Reuben A, Cooper ZA, Wargo JA. · · 2015 · cited 30× · PMID 27471714 · DOI 10.2147/itt.s61590
  3. State of melanoma: an historic overview of a field in transition.
    Gorantla VC, Kirkwood JM. · · 2014 · cited 24× · PMID 24880939 · DOI 10.1016/j.hoc.2014.02.010
  4. 34th Annual Meeting & Pre-Conference Programs of the Society for Immunotherapy of Cancer (SITC 2019): part 1 : National Harbor, MD, USA. 6-10 November 2019.
    · 2019 · cited 19× · PMID 31694725 · DOI 10.1186/s40425-019-0763-1
  5. New therapies in the treatment of melanoma.
    Davar D, Kirkwood JM. · · 2012 · cited 7× · PMID 22876817 · DOI 10.1517/13543784.2012.713938

Verify or expand the search:

Other trials of Aldesleukin

Trials testing the same drug.

Other recruiting trials for Metastatic Melanoma

Currently open trials in the same condition.

Other National Cancer Institute (NCI) trials

Trials by the same sponsor.

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Data sources for this page

Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT01258855.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing