Trial Outcomes & Findings for Phase II Study of Aldesleukin (IL-2) Following the Administration of Zanolimumab (Anti-CD4mAb) in Metastatic Melanoma and Metastatic Renal Cancer (NCT NCT01160445)

NCT ID: NCT01160445

Last Updated: 2015-10-28

Results Overview

Tumor regression was assessed by the Response Criteria in Solid Tumors (RECIST). Complete response (CR) is disappearance of all target lesions. Partial response (PR) is at least a 30% decrease in the sum of the longest diameter (LD) of target lesions taking as reference the baseline sum LD. Progressive disease (PD) is at least a 20% in the sum of the longest diameter (LD) recorded since the treatment started. Stable disease (SD) is neither sufficient shrinkage to qualify for PR, nor sufficient increase to qualify for PD taking as reference the smallest sum LD.

Recruitment status

TERMINATED

Study phase

PHASE2

Target enrollment

9 participants

Primary outcome timeframe

2 years

Results posted on

2015-10-28

Participant Flow

Participant milestones

Participant milestones
Measure
HD IL-2 + Zanolimumab - Melanoma
Patients with metastatic melanoma Zanolimumab 14 mg/kg as an intravenous infusion weekly (+/- 3 days) for 9 weeks. Aldesleukin (IL-2) 720,000 IU/kg every 8 hours for a maximum of 15 doses.
HD IL-2 + Zanolimumab - Renal Cell
Patients with metastatic renal cancer Zanolimumab 14 mg/kg as an intravenous infusion weekly (+/- 3 days) for 9 weeks. Aldesleukin (IL-2) 720,000 IU/kg every 8 hours for a maximum of 15 doses.
Overall Study
STARTED
7
2
Overall Study
COMPLETED
7
2
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Phase II Study of Aldesleukin (IL-2) Following the Administration of Zanolimumab (Anti-CD4mAb) in Metastatic Melanoma and Metastatic Renal Cancer

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
HD IL-2 + Zanolimumab - Melanoma
n=7 Participants
Patients with metastatic melanoma Zanolimumab 14 mg/kg as an intravenous infusion weekly (+/- 3 days) for 9 weeks. Aldesleukin (IL-2) 720,000 IU/kg every 8 hours for a maximum of 15 doses.
HD IL-2 + Zanolimumab - Renal Cell
n=2 Participants
Patients with metastatic renal cancer Zanolimumab 14 mg/kg as an intravenous infusion weekly (+/- 3 days) for 9 weeks. Aldesleukin (IL-2) 720,000 IU/kg every 8 hours for a maximum of 15 doses.
Total
n=9 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Age, Categorical
Between 18 and 65 years
7 Participants
n=99 Participants
1 Participants
n=107 Participants
8 Participants
n=206 Participants
Age, Categorical
>=65 years
0 Participants
n=99 Participants
1 Participants
n=107 Participants
1 Participants
n=206 Participants
Age, Continuous
47.7 years
STANDARD_DEVIATION 12.9 • n=99 Participants
61.0 years
STANDARD_DEVIATION 5.7 • n=107 Participants
50.7 years
STANDARD_DEVIATION 12.8 • n=206 Participants
Sex: Female, Male
Female
5 Participants
n=99 Participants
0 Participants
n=107 Participants
5 Participants
n=206 Participants
Sex: Female, Male
Male
2 Participants
n=99 Participants
2 Participants
n=107 Participants
4 Participants
n=206 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
7 Participants
n=99 Participants
2 Participants
n=107 Participants
9 Participants
n=206 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
Asian
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
White
7 Participants
n=99 Participants
2 Participants
n=107 Participants
9 Participants
n=206 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Region of Enrollment
United States
7 participants
n=99 Participants
2 participants
n=107 Participants
9 participants
n=206 Participants

PRIMARY outcome

Timeframe: 2 years

Tumor regression was assessed by the Response Criteria in Solid Tumors (RECIST). Complete response (CR) is disappearance of all target lesions. Partial response (PR) is at least a 30% decrease in the sum of the longest diameter (LD) of target lesions taking as reference the baseline sum LD. Progressive disease (PD) is at least a 20% in the sum of the longest diameter (LD) recorded since the treatment started. Stable disease (SD) is neither sufficient shrinkage to qualify for PR, nor sufficient increase to qualify for PD taking as reference the smallest sum LD.

Outcome measures

Outcome measures
Measure
HD IL-2 + Zanolimumab - Melanoma
n=7 Participants
Patients with metastatic melanoma Zanolimumab 14 mg/kg as an intravenous infusion weekly (+/- 3 days) for 9 weeks. Aldesleukin (IL-2) 720,000 IU/kg every 8 hours for a maximum of 15 doses.
HD IL-2 + Zanolimumab - Renal Cell
n=2 Participants
Patients with metastatic renal cancer Zanolimumab 14 mg/kg as an intravenous infusion weekly (+/- 3 days) for 9 weeks. Aldesleukin (IL-2) 720,000 IU/kg every 8 hours for a maximum of 15 doses.
The Ability of a Combination of Aldesleukin (IL-2) and Zanolimumab (Anti-CD4 mAb) Administration to Mediate Tumor Regression in Patients With Metastatic Melanoma and Metastatic Kidney Cancer.
Partial Response
0 Participants
0 Participants
The Ability of a Combination of Aldesleukin (IL-2) and Zanolimumab (Anti-CD4 mAb) Administration to Mediate Tumor Regression in Patients With Metastatic Melanoma and Metastatic Kidney Cancer.
Stable Disease
0 Participants
0 Participants
The Ability of a Combination of Aldesleukin (IL-2) and Zanolimumab (Anti-CD4 mAb) Administration to Mediate Tumor Regression in Patients With Metastatic Melanoma and Metastatic Kidney Cancer.
Complete Response
0 Participants
0 Participants
The Ability of a Combination of Aldesleukin (IL-2) and Zanolimumab (Anti-CD4 mAb) Administration to Mediate Tumor Regression in Patients With Metastatic Melanoma and Metastatic Kidney Cancer.
Progressive Disease
7 Participants
2 Participants

SECONDARY outcome

Timeframe: 10 months

Here is the number of participants with adverse events. For a detailed list of adverse events see the adverse event module.

Outcome measures

Outcome measures
Measure
HD IL-2 + Zanolimumab - Melanoma
n=7 Participants
Patients with metastatic melanoma Zanolimumab 14 mg/kg as an intravenous infusion weekly (+/- 3 days) for 9 weeks. Aldesleukin (IL-2) 720,000 IU/kg every 8 hours for a maximum of 15 doses.
HD IL-2 + Zanolimumab - Renal Cell
n=2 Participants
Patients with metastatic renal cancer Zanolimumab 14 mg/kg as an intravenous infusion weekly (+/- 3 days) for 9 weeks. Aldesleukin (IL-2) 720,000 IU/kg every 8 hours for a maximum of 15 doses.
Toxicity of Zanolimumab and IL-2 Treatment Regimen
7 Participants
2 Participants

Adverse Events

HD IL-2 + Zanolimumab - Melanoma

Serious events: 0 serious events
Other events: 7 other events
Deaths: 0 deaths

HD IL-2 + Zanolimumab - Renal Cell

Serious events: 0 serious events
Other events: 2 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
HD IL-2 + Zanolimumab - Melanoma
n=7 participants at risk
Patients with metastatic melanoma Zanolimumab 14 mg/kg as an intravenous infusion weekly (+/- 3 days) for 9 weeks. Aldesleukin (IL-2) 720,000 IU/kg every 8 hours for a maximum of 15 doses.
HD IL-2 + Zanolimumab - Renal Cell
n=2 participants at risk
Patients with metastatic renal cancer Zanolimumab 14 mg/kg as an intravenous infusion weekly (+/- 3 days) for 9 weeks. Aldesleukin (IL-2) 720,000 IU/kg every 8 hours for a maximum of 15 doses.
Blood and lymphatic system disorders
Hemoglobin
100.0%
7/7 • Number of events 14
100.0%
2/2 • Number of events 3
Blood and lymphatic system disorders
Leukocytes (total WBC)
57.1%
4/7 • Number of events 7
50.0%
1/2 • Number of events 2
Blood and lymphatic system disorders
Lymphopenia
100.0%
7/7 • Number of events 21
100.0%
2/2 • Number of events 5
Blood and lymphatic system disorders
Neutrophils/granulocytes (ANC/AGC)
57.1%
4/7 • Number of events 6
50.0%
1/2 • Number of events 1
Blood and lymphatic system disorders
Platelets
85.7%
6/7 • Number of events 9
50.0%
1/2 • Number of events 3
Cardiac disorders
Supraventricular and nodal arrhythmia
28.6%
2/7 • Number of events 3
0.00%
0/2
Cardiac disorders
Hypotension
71.4%
5/7 • Number of events 8
100.0%
2/2 • Number of events 3
Blood and lymphatic system disorders
PTT (Partial Thromboplastin Time)
100.0%
7/7 • Number of events 14
100.0%
2/2 • Number of events 5
General disorders
Fatigue
100.0%
7/7 • Number of events 17
100.0%
2/2 • Number of events 8
General disorders
Fever (in the absence of neutropenia, where neutropenia is defined as ANC <1.0 x 10e9/L)
71.4%
5/7 • Number of events 12
100.0%
2/2 • Number of events 4
General disorders
Insomnia
14.3%
1/7 • Number of events 1
0.00%
0/2
General disorders
Rigors/chills
85.7%
6/7 • Number of events 6
100.0%
2/2 • Number of events 2
General disorders
Sweating (diaphoresis)
14.3%
1/7 • Number of events 1
0.00%
0/2
Skin and subcutaneous tissue disorders
Hypopigmentation
14.3%
1/7 • Number of events 1
0.00%
0/2
Skin and subcutaneous tissue disorders
Rash/desquamation
100.0%
7/7 • Number of events 7
50.0%
1/2 • Number of events 1
Gastrointestinal disorders
Diarrhea
14.3%
1/7 • Number of events 1
50.0%
1/2 • Number of events 2
Gastrointestinal disorders
Hemorroids
14.3%
1/7 • Number of events 1
0.00%
0/2
Gastrointestinal disorders
Nausea
71.4%
5/7 • Number of events 7
50.0%
1/2 • Number of events 2
Gastrointestinal disorders
Vomiting
42.9%
3/7 • Number of events 3
50.0%
1/2 • Number of events 2
Infections and infestations
Infection with unknown ANC
28.6%
2/7 • Number of events 5
0.00%
0/2
Blood and lymphatic system disorders
Edema: limb
42.9%
3/7 • Number of events 3
0.00%
0/2
Metabolism and nutrition disorders
ALT, SGPT (serum glutamic pyruvic transaminase)
57.1%
4/7 • Number of events 12
100.0%
2/2 • Number of events 7
Metabolism and nutrition disorders
AST, SGOT(serum glutamic oxaloacetic transaminase)
85.7%
6/7 • Number of events 9
100.0%
2/2 • Number of events 4
Metabolism and nutrition disorders
Albumin, serum-low (hypoalbuminemia)
100.0%
7/7 • Number of events 15
100.0%
2/2 • Number of events 3
Metabolism and nutrition disorders
Alkaline phosphatase
57.1%
4/7 • Number of events 7
100.0%
2/2 • Number of events 2
Metabolism and nutrition disorders
Bilirubin (hyperbilirubinemia)
42.9%
3/7 • Number of events 4
50.0%
1/2 • Number of events 1
Metabolism and nutrition disorders
Calcium, serum-high (hypercalcemia)
14.3%
1/7 • Number of events 1
100.0%
2/2 • Number of events 3
Metabolism and nutrition disorders
Calcium, serum-low (hypocalcemia)
100.0%
7/7 • Number of events 12
50.0%
1/2 • Number of events 2
Metabolism and nutrition disorders
Creatinine
57.1%
4/7 • Number of events 7
100.0%
2/2 • Number of events 4
Metabolism and nutrition disorders
Magnesium, serum-high (hypermagnesemia)
28.6%
2/7 • Number of events 4
50.0%
1/2 • Number of events 1
Metabolism and nutrition disorders
Magnesium, serum-low (hypomagnesemia)
85.7%
6/7 • Number of events 15
100.0%
2/2 • Number of events 3
Metabolism and nutrition disorders
Phosphate, serum-low (hypophosphatemia)
57.1%
4/7 • Number of events 5
50.0%
1/2 • Number of events 3
Metabolism and nutrition disorders
Potassium, serum-high (hyperkalemia)
28.6%
2/7 • Number of events 2
50.0%
1/2 • Number of events 1
Metabolism and nutrition disorders
Potassium, serum-low (hypokalemia)
28.6%
2/7 • Number of events 3
0.00%
0/2
Metabolism and nutrition disorders
Sodium, serum-high (hypernatremia)
28.6%
2/7 • Number of events 2
0.00%
0/2
Metabolism and nutrition disorders
Sodium, serum-low (hyponatremia)
42.9%
3/7 • Number of events 5
100.0%
2/2 • Number of events 4
Metabolism and nutrition disorders
Uric acid, serum-high (hyperuricemia)
57.1%
4/7 • Number of events 7
0.00%
0/2
Nervous system disorders
Cognitive disturbance
14.3%
1/7 • Number of events 1
0.00%
0/2
Nervous system disorders
Confusion
14.3%
1/7 • Number of events 1
0.00%
0/2
Nervous system disorders
Dizziness
42.9%
3/7 • Number of events 3
0.00%
0/2
Nervous system disorders
Mental status
14.3%
1/7 • Number of events 1
0.00%
0/2
General disorders
Pain
71.4%
5/7 • Number of events 9
100.0%
2/2 • Number of events 5
Respiratory, thoracic and mediastinal disorders
Cough
14.3%
1/7 • Number of events 1
0.00%
0/2
Respiratory, thoracic and mediastinal disorders
Dyspnea
71.4%
5/7 • Number of events 6
100.0%
2/2 • Number of events 3
Respiratory, thoracic and mediastinal disorders
Hypoxia
14.3%
1/7 • Number of events 1
50.0%
1/2 • Number of events 2
Vascular disorders
Acute vascular leak syndrome
71.4%
5/7 • Number of events 8
50.0%
1/2 • Number of events 1
Immune system disorders
Allergic rhinitis (including sneezing, nasal stuffiness, postnasal drip)
0.00%
0/7
50.0%
1/2 • Number of events 1
Skin and subcutaneous tissue disorders
Dry skin
0.00%
0/7
50.0%
1/2 • Number of events 1
Gastrointestinal disorders
Anorexia
0.00%
0/7
50.0%
1/2 • Number of events 3
Gastrointestinal disorders
Dry mouth/salivary gland (xerostomia)
0.00%
0/7
50.0%
1/2 • Number of events 1
Eye disorders
Dry eye syndrome
0.00%
0/7
50.0%
1/2 • Number of events 1
Gastrointestinal disorders
Gastrointestinal-Other (Specify, upset stomach/gr 1)
14.3%
1/7 • Number of events 1
0.00%
0/2

Additional Information

Dr. Steven Rosenberg

National Cancer Institute, National Institutes of Health

Phone: 301-496-4164

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place