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NCT01460875

Recombinant Interferon Alfa-2b in Treating Patients With Melanoma

Completed NA Results posted Last updated 2 November 2018
What this trial tests

NA trial testing recombinant interferon alfa-2b in Stage IA Skin Melanoma in 34 participants. Completed in 5 January 2014.

Timeline
22 April 2008
Primary endpoint
5 January 2014
5 January 2014

Quick facts

Lead sponsorWilliam Carson
PhaseNA
StatusCompleted
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment34
Start date22 April 2008
Primary completion5 January 2014
Estimated completion5 January 2014
Sites1 location across United States

Drugs / interventions tested

Conditions studied

Sponsor

William Carson

Who can join

12 and older, any sex, with Stage IA Skin Melanoma or Stage IB Skin 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.

Level of Activated STAT1(Phospho-STAT1) Primary · up to 4 weeks

Mean and 95% confidence interval will be summarized for phospho-STAT1 at a lower dose and the standard dose. The phospho-STAT1 will also be compared between the dose levels.

Dose I (10 MU/m2)
GroupValue95% CI
Treatment (Interferon Therapy)5.960.31 – 19.1
Dose II (4 MU/m2)
GroupValue95% CI
Treatment (Interferon Therapy)4.800.11 – 21.17
Number of Patients With Adverse Events Secondary · up to 1 year

Determine the tolerability of adjuvant IFN-α-2b administered at an optimized dose in terms of the toxicities that are observed and the ability of patients to receive a full year of therapy.

GroupValue95% CI
Treatment (Interferon Therapy)15
Percentage of Patients With Correlation Between STAT1 Phosphorylation and Interferon Alfa Gene Regulation Secondary · Prior to treatment and 1 and 4 hours post therapy on day 1 every other week during the first 12 weeks, and then every 3 months

Levels of p-STAT1 in PBMCs were analyzed just prior to IFN-a-2b administration to determine levels that remained stable or increased over the course of dose reduction.

GroupValue95% CI
Treatment (Interferon Therapy)71
Effect of Dose-reduction on Expression of Interferon Alfa Stimulated Genes Secondary · 1 hour post therapy

Evaluated using microarray analysis of patient PBMCs. Compared using the Wilcoxon signed rank test for the dose 10MU/m2

SOCS1-1 hour post 10MU-
GroupValue95% CI
Treatment (Interferon Therapy)1.50.6 – 6.2
OAS1-1 hour post 10MU-
GroupValue95% CI
Treatment (Interferon Therapy)1.60.5 – 24.8
CXCL10-1 hour post 10MU
GroupValue95% CI
Treatment (Interferon Therapy)28.70.2 – 5128.0
CD69-1 hour post 10MU
GroupValue95% CI
Treatment (Interferon Therapy)1.30.4 – 12.1
Effect of Dose-reduction on Interferon Alfa Gene Expression Secondary · 1 hour post therapy

Evaluated using microarray analysis of patient PBMCs. Compared using the Wilcoxon signed rank test for the dose 4MU/m2

SOCS1-1 hour post 4MU
GroupValue95% CI
Treatment (Interferon Therapy)1.20.4 – 17.7
OAS1-1 hour post 4MU
GroupValue95% CI
Treatment (Interferon Therapy)1.60.5 – 5.1
CXCL10-1 hour post 4MU
GroupValue95% CI
Treatment (Interferon Therapy)6.00.0 – 386.4
CD69-1 hour post 4MU
GroupValue95% CI
Treatment (Interferon Therapy)1.30.4 – 2.1
Effect of Dose-reduction on Interferon Alfa Gene Expression Through Marker CD69 Secondary · 4 hours post therapy

Evaluated using microarray analysis of patient PBMCs. Compared between doses using the Wilcoxon signed rank test.

SOCS1- 4 hour post-10MU
GroupValue95% CI
Treatment (Interferon Therapy)1.50.6 – 6.2
OAS1-4 hour post -10MU
GroupValue95% CI
Treatment (Interferon Therapy)1.60.5 – 24.8
CXCL10-4 hour post- 10MU
GroupValue95% CI
Treatment (Interferon Therapy)28.70.2 – 5128.0
CD69-4 hour post- 10MU
GroupValue95% CI
Treatment (Interferon Therapy)1.30.4 – 12.1
Effect of Dose-reduction on Interferon Alfa Gene Expression at Dose Level 4MU Secondary · 4 hours post therapy

Evaluated using microarray analysis of patient PBMCs. Compared between doses using the Wilcoxon signed rank test.

SOCS1-4 hour post 4MU-
GroupValue95% CI
Treatment (Interferon Therapy)1.60.4 – 8.8
OAS1-4 hour post 4MU
GroupValue95% CI
Treatment (Interferon Therapy)3.90.4 – 19.1
CXCL10-4 hour post 4MU
GroupValue95% CI
Treatment (Interferon Therapy)112.90.0 – 2898.0
CD69-4 hour post 4MU
GroupValue95% CI
Treatment (Interferon Therapy)1.50.4 – 4.5

Adverse events — posted to ClinicalTrials.gov

Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Treatment (Interferon Therapy)
Serious: 22/34 (65%)
Deaths:

Serious adverse events (6 terms)

ReactionSystemTreatment (Interferon Ther…
MyelosuppressionBlood and lymphatic system disorders
FatigueGeneral disorders
Electrolyte AbnormalitiesMetabolism and nutrition disorders
Increased ASTInvestigations
Neuropsychiatric SystemsPsychiatric disorders
NauseaGastrointestinal disorders
Other adverse events (13 terms — click to expand)

ReactionSystemTreatment (Interferon Ther…
MyalgiaMusculoskeletal and connective tissue disorders
FatigueGeneral disorders
MylosuppressionBlood and lymphatic system disorders
Electrolyte AbnormalitiesMetabolism and nutrition disorders
Increased ASTInvestigations
Rigors/ChillsGeneral disorders
NauseaGastrointestinal disorders
Neuropsychiatric SymptomsPsychiatric disorders
HyperglycemiaMetabolism and nutrition disorders
AlopeciaSkin and subcutaneous tissue disorders
DiarrheaGastrointestinal disorders
FeverGeneral disorders
VomitingGastrointestinal disorders

Most-reported serious reactions: Myelosuppression, Fatigue, Electrolyte Abnormalities, Increased AST, Neuropsychiatric Systems, Nausea.

Data from ClinicalTrials.gov NCT01460875 adverse events section.

Sponsor's own description

This pilot clinical trial studies recombinant interferon alfa-2b in treating patients with melanoma. Recombinant interferon alfa-2b may interfere with the growth of tumor cells and slow the growth of melanoma

Publications & conference data

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

  1. Therapeutic modulators of STAT signalling for human diseases.
    Miklossy G, Hilliard TS, Turkson J. · · 2013 · cited 343× · PMID 23903221 · DOI 10.1038/nrd4088
  2. Type I Interferon (IFN)-Regulated Activation of Canonical and Non-Canonical Signaling Pathways.
    Mazewski C, Perez RE, Fish EN, Platanias LC. · · 2020 · cited 159× · PMID 33329603 · DOI 10.3389/fimmu.2020.606456
  3. A pilot study of interferon-alpha-2b dose reduction in the adjuvant therapy of high-risk melanoma.
    Suarez-Kelly LP, Levine KM, Olencki TE, Del Campo SEM, et al · · 2019 · cited 7× · PMID 30725205 · DOI 10.1007/s00262-019-02308-w

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