About the OPTiM trial (OncoVEXGM-CSF Pivotal
Trial in Melanoma)
As of March 1, 2009, the OncoVEXGM-CSF protocol
is the most recently added Phase 3 study for patients with advanced
melanoma on ClinicalTrials.gov web site (Study identifier: NCT00769704).
The study will begin actively recruiting
patients in the US in April 2009, and in the United Kingdom
in subsequent months.
The trial is a multi-national, open-label, randomized Phase
3 study to assess OncoVEXGM-CSF monotherapy
or control in patients with unresectable, stage IIIb, IIIc or stage
IV melanoma (Figure
1). Patients who have
participated in prior investigational studies are qualified for enrollment.
Figure 1: Study
Design

OncoVEXGM-CSF will be administered by intra-tumoral
injection into cutaneous, sub-cutaneous or nodal masses, including
through the use of ultrasound guidance for non-palpable masses not
located in vital organs (i.e. lung or liver). The control treatment
is GM-CSF (administered subcutaneously for 14 consecutive days every
month). The primary objective is achieving a statistically greater
proportion of durable objective responses (maintained for 6 months)
than the control therapy.
The design of the OncoVEX Pivotal Trial in Melanoma study is based on a 50-patient
Phase 2 study in which treatment with OncoVEXGM-CSF monotherapy
resulted in a 26% objective response rate (CRs and PRs) with impressive duration
of response and survival data.
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