Tests nivolumab with limb perfusion for melanoma spread in the limb
Tests nivolumab added to limb perfusion in adults with melanoma spread in a limb.
Plain-language title generated from the registry record
Registry title: Evaluating the Effect of Nivolumab for Patients With In-transit Metastases Treated With Isolated Limb Perfusion
Key facts
- Where
- Amsterdam and Rotterdam, NetherlandsSee the 2 sites
- Phase
- Phase 1/2
Where in Netherlands
- Netherlands Cancer InstituteAmsterdam, NetherlandsTaking people
- Erasmus Universitair Medisch Centrum Rotterdam (Erasmus MC)Rotterdam, NetherlandsTaking people
Questions to ask the study team
- How often do I need to come in, and for how long each time?
- Are travel costs paid?
- Can I keep my own doctor?
- What happens if I want to stop?
Trial details
- Who runs it
- Vastra Gotaland Region
- Trial code
- NCT03685890EU 2023-509265-21-00
- Record updated
- 25 April 2024
- Original description
To evaluate safety and the effect of isolated limb perfusion together with nivolumab as a way to increase efficacy and give further insights in early immunological mechanisms.Read full original descriptionShow less
A Phase Ib/II Randomized Double-blind Placebo Controlled Trial Evaluating the Effect of Nivolumab for Patients With In-transit Melanoma Metastases Treated With Isolated Limb Perfusion - the NivoILP Trial
To evaluate safety and the effect of isolated limb perfusion together with nivolumab as a way to increase efficacy and give further insights in early immunological mechanisms.
In the first phase Ib part, 20 patients will be enrolled and followed for a minimum of 3 months. An independent data safety monitoring board (DSMB) will continuously review safety and judge the seriousness of the events and also recommend the study to stop if necessary. If the DSMB do not find safety issues, the trial will continue as a phase II trial.
Inclusion: Male or female aged above 18 years; Signed and dated written informed consent before the start of specific protocol procedures; Histologically or cytologically proven in-transit metastases of malignant melanoma with or without regional lymph node metastases (AJCC v8 stage N1c, N2c and N3c); Measurable disease with at least 1 metastasis measuring at least 5mm; ECOG performance status of 0-2.
Exclusion: Pregnant or breast-feeding. Women of childbearing potential must have a negative pregnancy test performed within 24 hours before the administration of study drug; A condition requiring systemic treatment with either corticosteroids (>10 mg daily prednisone equivalents) or other immunosuppressive medications within 30 days of study drug administration. Inhaled or topical steroids and adrenal replacement doses >10 mg daily prednisone equivalents are permitted; Has received a live vaccine within 30 days prior to the first dose of trial treatment and 3 months after treatment; Concomitant therapy with any of the following: IL 2 or other non-study immunotherapy regimens; cytotoxic chemotherapy except melphalan (ILP); other investigational therapies within 30 days before trial treatment and 3 months after trial treatment; Active cardiac conditions, including unstable coronary syndromes (unstable or severe angina, recent myocardial infarction), significant arrhythmias and severe valvular disease that precludes general anaesthesia; History or evidence of clinically significant pulmonary disease e.g., severe COPD that precludes general anesthesia; Active, autoimmune disease. Subjects are permitted to enrolment if they have vitiligo, type I diabetes mellitus, residual hypothyroidism due to autoimmune condition only requiring hormone replacement, psoriasis not requiring systemic treatment, or conditions not expected to recur in the absence of an external trigger; Has evidence of interstitial lung disease or active, non-infectious pneumonitis; Has an active infection requiring systemic therapy; Reduced renal function defined as S-Creatinine >=1.5xULN; Reduced hepatic function (defined as ASAT, ALAT, bilirubin >1.5 ULN and PK-INR >1.5) or a medical history of liver cirrhosis or portal hypertension; Reduced blood leukocytes or platelets defined as a leucocyte count < 2.0x109/L and thrombocyte count <100x109/L; 1. Life expectancy of less than 6 months; Inability to understand given information or undergo study procedures according to protocol; Patients must agree to follow instructions for method of contraception for 5 months (women) and 7 months (males) after treatment.