This study evaluates whether it is safe to administer a peptide vaccine (6MHP) with adjuvants and the CDX-1127 monoclonal antibody, and whether the adjuvants and the CDX-1127 monoclonal antibody boost immune responses to the vaccine. In this study, the adjuvants are Montanide ISA-51 and polyICLC. The investigators will monitor these effects by performing tests in the laboratory on participants' blood and tissue from a vaccine site.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
33
6 melanoma helper vaccine comprised of 6 class II MHC-restricted helper peptides
Montanide ISA-51 (Incomplete Freund's Adjuvant), local adjuvant
polyICLC, local adjuvant
University of Virginia
Charlottesville, Virginia, United States
Virginia Commonwealth University
Richmond, Virginia, United States
Safety of CDX-1127 administered with a melanoma vaccine
Number of participants with dose-limiting toxicities based on CTCAE v5.0
Time frame: 30 days after receiving the last dose of study drug
Immunogenicity-Percent of patients with persistent CD4+ T cell responses to the 6MHP vaccine
Number of participants with CD4+ T cell responses to 6 MHP persisting to day 127 or later.
Time frame: Day 127 or Day 176 or both
Immunologic effect of CDX-1127 - Impact on regulatory T cells
Number of regulatory T cells per mm2 in the vaccine site microenvironment
Time frame: Day 22 and Day 85 (Note: Day 85 biopsy not required for participants whose Day 85 visit would be due after IRB approval of Protocol v12-03-2020)
Immunologic effect of CDX-1127 - Percent of circulating regulatory T cells
Percent of circulating regulatory T cells among CD4+ T cells
Time frame: through day 176
Immunogenicity - Frequency of circulating CD4+ Th1 responses
Number of participants with circulating CD4+ Th1 responses to vaccine antigens
Time frame: through day 176
Immunogenicity-Frequency of durable CD4+ Th1 memory responses
Number of participants with durable CD4+ Th1 memory response to vaccine antigens, measured as response at two or more consecutive time points
Time frame: Day 8 to Day 85
Immunogenicity-Frequency of CD4+ Th1 memory responses
Number of participants with CD4+ Th1 memory response to vaccine antigens a week after the Day 176 booster vaccine.
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CDX-1127, anti-CD27 monoclonal antibody
Time frame: Day 183