Recruiting at 8 sites Phase 1, Phase 2 Refractory Melanoma

Refractory Melanoma study: DOC1021 vs PIFN

Official title DOC1021 Dendritic Cell Immunotherapy for Refractory Melanoma

ClinicalTrials.gov ID: NCT07288112

What this study is testing

What is DOC1021?

DOC1021 is an investigational dendritic cell vaccine being studied as a potential treatment for refractory melanoma. DOC1021 is designed to stimulate the patient's immune system, especially T‑cells, to recognize and attack melanoma cells.

Plain-language explanation of the investigational treatment. It is being studied and is not an approved or proven therapy. The study team can confirm the details.

What it's testing
The study aims to find out if the therapy is safe and if it can cause tumors to shrink in people with refractory melanoma.
Who it's for
Adults who have melanoma that did not improve with standard treatments.
What's involved
Participants will have blood cells collected, receive two doses of the cell therapy two weeks apart, and get weekly interferon injections for four weeks; an optional booster may be given about six months later.
Time commitment
The trial lasts about six months with regular clinic visits for assessments, imaging, and blood tests.
  • Phase 2: a mid-size study of how well it works

A plain-language read of the study's public ClinicalTrials.gov listing. The study team confirms the details.

Who can take part

Ages 18 and older

You may be able to join if

  • Provision of signed and dated informed consent form
  • Stated willingness to comply with all study procedures and avail-ability for the duration of the study
  • Age 18 years or older
  • Patients diagnosed with unresectable or metastatic melanoma and progressed following ≥1 prior systemic therapy including anti-PD-1 (i.e., refractory...
  • Willing and able to withhold anti-PD-1 treatment from the time of enrollment through at least 6 weeks after the first DOC1021 administration

You likely can't join if

  • Patients who are pregnant or breastfeeding.
  • Known active HIV or hepatitis infection. Patients with HIV that is well-controlled and have undetectable viral titers remain eligible.
  • Any severe or uncontrolled medical condition or other condition that could affect participation in this study as determined by the investigator...
  • Residual immune-related toxicities from prior immunotherapy \> Grade 1 severity.
  • Treatment with another investigational drug or other experimental intervention within the last 30 days.
See the full eligibility criteria
Who can join
  • Provision of signed and dated informed consent form
  • Stated willingness to comply with all study procedures and avail-ability for the duration of the study
  • Age 18 years or older
  • Patients diagnosed with unresectable or metastatic melanoma and progressed following ≥1 prior systemic therapy including anti-PD-1 (i.e., refractory to anti-PD-1).
  • Willing and able to withhold anti-PD-1 treatment from the time of enrollment through at least 6 weeks after the first DOC1021 administration
  • One or more lesions available for biopsy or resection expected to yield at least 50 mg and preferably 100 mg of tumor for generating DOC1021 and at least 1 measurable target tumor lesion evaluable after DOC1021 by...
  • Brain metastases allowed if stable after prior treatment
  • Ability to receive leukapheresis (with filgrastim if clinically indicated) and perinodal injections of DOC1021 near regional nodes + weekly pIFN x 4 weeks (i.e., sufficient clinical stability and anticipated life...
  • Females of reproductive potential must have a negative serum pregnancy test and agree to use effective contraception (as deter-mined appropriate for the patient by the investigator) during study treatment.
  • Hemoglobin ≥ 8.0 gm/dL (use of transfusion or other intervention to achieve is acceptable)
  • Absolute neutrophil count (ANC) ≥ 1,500 cells/mm3
  • Platelet count ≥ 75,000/mm3
  • Calculated creatinine clearance (CrCl) \> 30 mL/min using Cockcroft and Gault formula: i. For males = (140 - age[years]) x (body weight [kg]) / (72 x serum creatinine [mg/dL]) ii.
  • Eastern Cooperative Oncology Group (ECOG) Performance Score 0 or 1
What rules you out
  • Patients who are pregnant or breastfeeding.
  • Known active HIV or hepatitis infection. Patients with HIV that is well-controlled and have undetectable viral titers remain eligible.
  • Any severe or uncontrolled medical condition or other condition that could affect participation in this study as determined by the investigator, including but not limited to uncontrolled or severe cardiac dis-ease...
  • Residual immune-related toxicities from prior immunotherapy \> Grade 1 severity. However, patients who experienced prior endocrine toxicity are eligible if well-controlled on replacement therapy.
  • Treatment with another investigational drug or other experimental intervention within the last 30 days.

The study team makes the final eligibility decision.

Where it is enrolling

  • Birmingham, Alabama, United States
  • Gilbert, Arizona, United States
  • Scottsdale, Arizona, United States
  • Duarte, California, United States
  • Boston, Massachusetts, United States
  • Morristown, New Jersey, United States
  • Chapel Hill, North Carolina, United States
  • Dallas, Texas, United States

Questions & answers

Do participants get paid in this trial?

This listing doesn't specify compensation. Many trials still reimburse travel or offer a stipend, so it's worth asking the study team when you connect.

Is it free to join, and do I need insurance?

Searching and applying through BridgeMD is free. In clinical trials the study-related treatment and visits are generally provided at no cost to you. You usually don't need insurance to take part, but confirm specifics with the study team.

How long does this study last?

The listing doesn't state an exact length. The study team walks you through the schedule and number of visits before you decide to enroll.

Who can join this trial?

This study is enrolling all sexes, 18 years and older. The study team makes the final eligibility decision.

Where is this trial taking place?

This study is enrolling now at Birmingham, Alabama, United States; Gilbert, Arizona, United States; Scottsdale, Arizona, United States; Duarte, California, United States; Boston, Massachusetts, United States; Morristown, New Jersey, United States and 2 more locations. Enter your location above to see the nearest enrolling site and check your eligibility.

Explore other conditions

BridgeMD is an information and trial-matching tool that is independent of the study sponsor. Details come from ClinicalTrials.gov. The study team decides eligibility, and your own doctor gives medical advice.