Clinical trial · Interventional
MART-1 Antigen With or Without TLR4 Agonist GLA-SE in Treating Patients With Stage II-IV Melanoma That Has Been Removed by Surgery
Peptide Vaccine With Glucopyranosyl Lipid A - Stable Oil-in-Water Emulsion (GLA-SE) for Patients With Resected Melanoma: A Pilot Study
- Source
- ClinicalTrials.gov
- Retrieved
- Sep 8, 2026
- Layer
- normalized (units and labels harmonized; values unchanged)
- Run
- ING-CLINICALTRIALS-20260908-000001
Summary
Brief summary (as posted)
This randomized pilot clinical trial studies melanoma antigen recognized by T-cells 1 (MART-1) antigen with or without toll-like receptor 4 (TLR4) agonist glucopyranosyl lipid A-stable oil-in-water emulsion (GLA-SE) in treating patients with stage II-IV melanoma that has been removed by surgery. Vaccines made from MART-1a peptide or antigen may help the body build an effective immune response to kill tumor cells. Giving TLR4 agonist GLA-SE with MART-1 antigen may help increase the immune response to MART-1a antigen.
Conditions
Conditions (7)
Free-text conditions as registered, with the CancerIndex entity they were reconciled to and the match type.
| Condition (as posted) | Mapped entity | Match | Confidence |
|---|---|---|---|
| Stage IIA Skin Melanoma | Cutaneous Melanoma | CURATED_BROADER | 0.78 |
| Stage IIB Skin Melanoma | Cutaneous Melanoma | CURATED_BROADER | 0.78 |
| Stage IIC Skin Melanoma | Cutaneous Melanoma | CURATED_BROADER | 0.78 |
| Stage IIIA Skin Melanoma | Cutaneous Melanoma | CURATED_BROADER | 0.78 |
| Stage IIIB Skin Melanoma | Cutaneous Melanoma | CURATED_BROADER | 0.78 |
| Stage IIIC Skin Melanoma | Cutaneous Melanoma | CURATED_BROADER | 0.78 |
| Stage IV Skin Melanoma | Cutaneous Melanoma | CURATED_BROADER | 0.78 |
Interventions
Interventions (3)
| Intervention | Type | Mapped drug | Match |
|---|---|---|---|
| Laboratory Biomarker Analysis | Other | — | UNRESOLVED |
| MART-1 Antigen | Biological | — | UNRESOLVED |
| TLR4 Agonist GLA-SE | Drug | — | UNRESOLVED |
Design
Arms and outcomes
Arms (2)
- type
- EXPERIMENTAL
- label
- Arm I (MART-1 antigen and TLR4 antagonist GLA-SE)
- description
- Patients receive MART-1 antigen and TLR4 antagonist GLA-SE IM on day 1. Treatment repeats every 21 days for up to 3 courses in the absence of disease progression or unacceptable toxicity.
- interventionNames
- Biological: MART-1 Antigen
- Drug: TLR4 Agonist GLA-SE
- Other: Laboratory Biomarker Analysis
- type
- EXPERIMENTAL
- label
- Arm II (MART-1 antigen)
- description
- Patients receive MART-1 antigen IM on day 1. Treatment repeats every 21 days for up to 3 courses in the absence of disease progression or unacceptable toxicity.
- interventionNames
- Biological: MART-1 Antigen
- Other: Laboratory Biomarker Analysis
Primary outcomes (1)
Eligibility
Eligibility (as posted)
- Sex
- All
- Minimum age
- 18 Years
Show eligibility criteria text
Inclusion Criteria: * Central pathology review submission; Note: this review for MART-1 positivity is mandatory prior to randomization to confirm eligibility * Human leukocyte antigen (HLA)-A2-positive * Histologic proof of stage II, III or IV melanoma that has been completely resected or completely treated with ablative therapy (ex: stereotactic body radiosurgery, radiofrequency ablation, cryoablation) with no current evidence of disease, as demonstrated by imaging within 2 months (stage III or stage IV; must be computed tomography \[CT\], magnetic resonance imaging \[MRI\], or positron emission tomography \[PET\]/CT) or 6 months (stage II; may be chest x-ray, CT, MRI, or PET/CT) * Absolute neutrophil count (ANC) \>= 1500 mL * Hemoglobin (Hgb) \> 10 g/dL * Platelets (PLT) \>= 50,000 mL * Aspartate aminotransferase (AST) =\< 3 x upper limit of normal (ULN) * Alkaline phosphatase =\< 3 x ULN * Ability to provide informed consent * Willingness to return to Mayo Clinic Rochester for follow-up * Life expectancy \>= 12 weeks * Eastern Cooperative Oncology Group (ECOG) performance status (PS) 0, 1 or 2 * For women of childbearing potential, a negative serum pregnancy test =\< 7 days prior to registration * Willingness to provide mandatory blood samples for correlative research Exclusion Criteria: * Uncontrolled or current infection * Known standard therapy for the patient's disease that is potentially curative or proven capable of extending life expectancy * Known allergy to any of the vaccine or adjuvant components, including eggs * Any of the following prior therapies with interval since most recent treatment: * Chemotherapy =\< 4 weeks prior to registration * Biologic or immunologic therapy =\< 4 weeks prior to registration * Radiation therapy =\< 4 weeks prior to registration * Failure to fully recover from side effects of prior therapy or surgery * Any of the following: * Pregnant women * Nursing women * Women of childbearing potential or their sexual partners who are unwilling to employ adequate contraception (condoms, diaphragm, birth control pills, injections, intrauterine device \[IUD\], surgical sterilization, subcutaneous implants, or abstinence, etc.) * Known immune deficiency, including human immunodeficiency virus (HIV) infection * History of systemic autoimmune disease, as patients with ongoing autoimmunity may be at an increased risk of autoimmune toxicity from the study vaccine * Current or recent (=\< 4 weeks) use of immunosuppressive medications including systemic (inhaled, oral, or intravenous \[IV\]) corticosteroids; Note: use of corticosteroids in doses not exceeding those used for adrenal replacement is acceptable * History of brain metastases; EXCEPTION: patients with a solitary brain metastasis that has been completely resected, and who have no ongoing central nervous system (CNS) symptoms and an MRI documenting no evidence of CNS disease at least 3 months after resection and within 30 days of registration, are eligible for treatment * Other active malignancy =\< 5 years prior to registration; EXCEPTIONS: non-melanotic skin cancer or carcinoma-in-situ of the cervix; NOTE: if there is a history of prior malignancy \> 5 years prior to registration, the patient must not be receiving other cancer treatment
References
Publications (2)
- DERIVEDKobayashi RH, Mandujano JF, Rehman SM, Kobayashi AL, Geng B, Atkinson TP, Melamed I, Turpel-Kantor E, Clodi E, Gupta S. Treatment of children with primary immunodeficiencies with a subcutaneous immunoglobulin 16.5% (cutaquig(R) [octanorm]). Immunotherapy. 2021 Jul;13(10):813-824. doi: 10.2217/imt-2021-0064. Epub 2021 May 6. PMID 33955240
- DERIVEDGrewal EP, Erskine CL, Nevala WK, Allred JB, Strand CA, Kottschade LA, McWilliams RR, Dronca RS, Yakovich AJ, Markovic SN, Block MS. Peptide vaccine with glucopyranosyl lipid A-stable oil-in-water emulsion for patients with resected melanoma. Immunotherapy. 2020 Sep;12(13):983-995. doi: 10.2217/imt-2020-0085. Epub 2020 Aug 5. PMID 32752904