- ICH GCP
- US Clinical Trials Registry
- Klinisk utprøving NCT00707161
Radiation Therapy and Concurrent Cisplatin Chemotherapy for Locally Advanced or Metastatic Malignant Melanoma
A Prospective Phase II Study of Radiation Therapy and Concurrent Cisplatin Chemotherapy in the Treatment of Locally Advanced or Metastatic Malignant Melanoma
Studieoversikt
Status
Intervensjon / Behandling
Detaljert beskrivelse
This is a phase II, prospective trial designed to determine the response rate achieved with cisplatin delivered concurrent with radiation therapy in locally advanced or metastatic melanoma.
Radiation therapy will be delivered concurrent with cisplatin chemotherapy as outlined in table 2. Radiation therapy dose will be 50 Gy (2.5 Gy per day, 5 days per week, for 20 treatments). Cisplatin dose will be 100 mg/m2 given i.v. every 3 weeks for a total of 2 doses (days 1 and 22) during radiation.
Surgical resection of residual (or recurrent) melanoma for cure or for palliation may be performed following chemoradiation if deemed appropriate by the treating physicians (surgical resection may be planned following pre-operative chemoradiation or may be performed for salvage due to inadequate response to chemoradiation or for relapse following chemoradiation). Surgical resection will not be performed until at least 4 weeks following chemoradiation (unless deemed emergent by the treating physicians).
If the patient's tumor has inadequate response to chemoradiation then salvage therapies can be used as deemed appropriate by the treating physicians. In order to allow adequate response to radiation therapy, salvage therapies will not be utilized until at least 4 weeks following chemoradiation unless deemed emergent by the treating physicians.
Studietype
Registrering (Faktiske)
Fase
- Fase 2
Kontakter og plasseringer
Studiesteder
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Utah
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Salt Lake City, Utah, Forente stater, 84112
- Huntsman Cancer Institute
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Salt Lake City, Utah, Forente stater, 84143
- LDS Hospital
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Deltakelseskriterier
Kvalifikasjonskriterier
Alder som er kvalifisert for studier
Tar imot friske frivillige
Kjønn som er kvalifisert for studier
Beskrivelse
Inclusion criteria:
- Signed study-specific consent form prior to registration.
- Pathologically confirmed malignant melanoma.
- Measurable melanoma lesion deemed to require radiation by treating physicians for purposes of local control or palliation. The lesion may be the primary melanoma, a nodal metastasis, or a distant metastasis. Recurrent lesions are allowed.
- Lesion has to be measurable clinically or radiographically in 2 dimensions.
- Karnofsky Performance Scale (KPS) > 70.
Laboratory values
- White blood cells (WBC) > 3000/mm3
- Absolute granulocyte count > 1,500
- Platelets > 100,000/mm3
- Total bilirubin < 2.0 x institutional upper limit of normal
- AST or ALT (aminotransferase/alanine aminotransferase) < 2.5 x institutional upper limit of normal
- Serum calcium < 1.3 x institutional upper limit of normal
- Serum creatinine < 1.5 mg/dL or Creatinine clearance > 50 cc/min,calculated as follows: CCr = 0.85 x (140-age) x (weight in kg) 72 x serum creatinine in mg/dL
Exclusion criteria:
- Systemic therapy for malignant melanoma within one month preceding trial enrollment.
- Prior irradiation to the planned field.
- Concomitant chemotherapy (in addition to cisplatin) or biologic therapy is allowed.
- Significant infection or other co-existent medical condition which would prevent the use of full dose chemotherapy.
- Pre-existing sensory neuropathy (CTC 3.0 ≥ Grade II)
- Pregnancy or lactation.
Studieplan
Hvordan er studiet utformet?
Designdetaljer
- Primært formål: Behandling
- Tildeling: N/A
- Intervensjonsmodell: Enkeltgruppeoppdrag
- Masking: Ingen (Open Label)
Våpen og intervensjoner
Deltakergruppe / Arm |
Intervensjon / Behandling |
---|---|
Eksperimentell: Alle deltakere
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Radiation therapy will be delivered concurrent with cisplatin chemotherapy as outlined in table 2. Radiation therapy dose will be 50 Gy (2.5 Gy per day, 5 days per week, for 20 treatments).
Cisplatin dose will be 100 mg/m2 given i.v.
every 3 weeks for a total of 2 doses (days 1 and 22) during radiation.
Andre navn:
Surgical resection of residual (or recurrent) melanoma for cure or for palliation may be performed following chemoradiation if deemed appropriate by the treating physicians (surgical resection may be planned following pre-operative chemoradiation or may be performed for salvage due to inadequate response to chemoradiation or for relapse following chemoradiation).
Surgical resection will not be performed until at least 4 weeks following chemoradiation (unless deemed emergent by the treating physicians).
Andre navn:
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Hva måler studien?
Primære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
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Response Rate of Melanoma Lesions
Tidsramme: 2005-2010
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Response rate of melanoma lesions was measured after treated with the trial agent.
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2005-2010
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Samarbeidspartnere og etterforskere
Sponsor
Etterforskere
- Hovedetterforsker: Dennis Shrieve, MD, Huntsman Cancer Institute
Studierekorddatoer
Studer hoveddatoer
Studiestart
Primær fullføring (Faktiske)
Studiet fullført (Faktiske)
Datoer for studieregistrering
Først innsendt
Først innsendt som oppfylte QC-kriteriene
Først lagt ut (Anslag)
Oppdateringer av studieposter
Sist oppdatering lagt ut (Faktiske)
Siste oppdatering sendt inn som oppfylte QC-kriteriene
Sist bekreftet
Mer informasjon
Begreper knyttet til denne studien
Ytterligere relevante MeSH-vilkår
Andre studie-ID-numre
- HCI15461
Plan for individuelle deltakerdata (IPD)
Planlegger du å dele individuelle deltakerdata (IPD)?
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Kliniske studier på Melanom
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H. Lee Moffitt Cancer Center and Research InstituteTurnstone Biologics, Corp.RekrutteringMetastatisk melanom | Konjunktivalt melanom | Okulært melanom | Uopererbart melanom | Uveal melanom | Kutant melanom | Slimhinne melanom | Iris melanom | Akralt melanom | Ikke-kutant melanomForente stater
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National Cancer Institute (NCI)FullførtTilbakevendende melanom | Stadium IIIA melanom | Stadium IIIB melanom | Stage IIIC melanom | Stage IIB melanom | Stage IIC melanom | Stadium IA melanom | Stage IB melanom | Stage IIA melanomForente stater
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MelanomaPRO, RussiaRekrutteringMelanom | Melanom (hud) | Melanom stadium IV | Melanom stadium III | Melanom, stadium II | Melanom, Uveal | Melanom in situ | Melanom, okulærDen russiske føderasjonen
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University of Southern CaliforniaNational Cancer Institute (NCI)FullførtTilbakevendende melanom | Stage IV melanom | Slimhinne melanom | Ciliary Body og Choroid Melanom, Medium/Large Størrelse | Ciliary Body og Choroid Melanom, liten størrelse | Iris melanom | Metastatisk intraokulært melanom | Tilbakevendende intraokulært melanom | Stage IV Intraokulært melanom | Stadium IIIA... og andre forholdForente stater
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Mayo ClinicNational Cancer Institute (NCI)FullførtTilbakevendende melanom | Stage IV melanom | Stadium IIIA melanom | Stadium IIIB melanom | Stage IIIC melanom | Stage IIB melanom | Stage IIC melanom | Stage IIA melanomForente stater
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National Cancer Institute (NCI)FullførtStage IV melanom | Ciliary Body og Choroid Melanom, Medium/Large Størrelse | Iris melanom | Stadium IIIA melanom | Stadium IIIB melanom | Stage IIIC melanom | Ekstraokulært ekstensjonsmelanom | Stage IIB melanom | Stage IIC melanomForente stater
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Roswell Park Cancer InstituteNational Cancer Institute (NCI); National Comprehensive Cancer NetworkAvsluttetTilbakevendende melanom | Stage IV melanom | Metastatisk intraokulært melanom | Tilbakevendende intraokulært melanom | Stage IV Intraokulært melanom | Stadium IIIA melanom | Stadium IIIB melanom | Stage IIIC melanom | Ekstraokulært ekstensjonsmelanom | Stadium IIIA Intraokulært melanom | Stadium IIIB Intraokulært... og andre forholdForente stater
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BiocadRekrutteringMelanom | Melanom (hud) | Melanom stadium IV | Melanom stadium III | Melanom Metastatisk | Melanom uoperabelt | Melanom avansertIndia, Den russiske føderasjonen, Hviterussland
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ECOG-ACRIN Cancer Research GroupNational Cancer Institute (NCI)RekrutteringUopererbart melanom | Klinisk stadium III kutant melanom AJCC v8 | Melanom hos ukjent primær | Patologisk stadium IIIB kutant melanom AJCC v8 | Patologisk stadium IIIC kutant melanom AJCC v8 | Patologisk stadium IIID kutant melanom AJCC v8 | Klinisk stadium IV kutant melanom AJCC v8 | Patologisk stadium... og andre forholdForente stater
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National Cancer Institute (NCI)FullførtTilbakevendende melanom | Stage IV melanom | Stadium IIIA melanom | Stadium IIIB melanom | Stage IIIC melanom | Akralt lentiginøst malignt melanomForente stater
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Alpha Tau Medical LTD.RekrutteringHudkreft | Slimhinneneoplasma i munnhulen | MykvevsneoplasmaItalia
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