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High-Dose Interferon Alfa in Treating Patients With Stage II or StageIII Melanoma
This study is currently recruiting participants.
Verified by Hackensack University Medical Center, September 2007
Sponsors and Collaborators: Hackensack University Medical Center
National Cancer Institute (NCI)
Information provided by: Hackensack University Medical Center
ClinicalTrials.gov Identifier: NCT00447356
  Purpose

This randomized phase III trial is studying high dose interferon alfa to see how well it works compared to observation only in treating patients with stage II or stage III melanoma that has been completely removed by surgery.


Condition Intervention Phase
Melanoma (Skin)
Drug: recombinant interferon alfa
Phase III

MedlinePlus related topics: Melanoma
Drug Information available for: Interferon alfa-n1 Interferon alfa-2a Interferons
U.S. FDA Resources
Study Type: Interventional
Study Design: Treatment, Randomized, Open Label, Active Control, Parallel Assignment, Efficacy Study
Official Title: Phase III Randomized Study of Four Weeks High Dose IFN-2b in StageT3-T4 or N1 (Microscopic) Melanoma

Further study details as provided by Hackensack University Medical Center:

Estimated Enrollment: 1420
Study Start Date: January 2000
Detailed Description:

Interferon alfa may interfere with growth of cancer cells. It is not yet known whether treatment with interferon alfa is more effective than observation alone for stage II or stage III melanoma that has been completely removed surgically.

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Criteria

Inclusion Criteria:

  • Histologically confirmed primary melanoma of cutaneous origin
  • Stage II (T3 N0 M0 1.5-4.0mm Breslow depth
  • Clinically negative regional lymph node pathologic status unkown OR
  • Histologically negative regional lymph nodes
  • Stage III (T4 N0 M0)
  • Greater than 4.0mm Breslow depth OR
  • Stage III (T1-4 N1)
  • One lymph node positive microscopically
  • Patients must meet at least 1 of the following criteria
  • T2b N0 primary melanoma 1.01-2.0mm with ulceration, node negative
  • T3a-b N0 primary melanoma 2.01-4.0mm with and without ulceration, node negative
  • T4a-b N0 primary melanoma > 4.0mm with and without ulceration, node negative
  • T1aN1a-2a (microscopic)-primary melanoma of any thickness with microscopically positive lymph node (any number)
  • Note EORTC patients who are node negative T2 or T3 are ineligible
  • Patients with positive sentinel node should undergo complete lymphadenectomy of the nodal basin prior to study
  • Must complete all primary therapy (wide excision with or without lymphadenectomy) and be randomized in the study within 84 days of wide excision
  • No clinical, radiological/laboratory, or pathological evidence of incompletely resected melanoma or any distant metastatic disease
  • No clinically palpable lymphadenopathy

Age:

  • 18 and over

Performance Status:

  • ECOG 0-1

Life expectancy:

  • Not specified Hematopoietic
  • WBC at least 3,000/mm^3
  • Platelet count at least 125,000/mm^3
  • Hematocrit at least 30%

Hepatic:

  • Bilirubin no greater than 2 times the upper limit of normal (ULN)
  • AST, LDH, and Alkaline phosphate no greater than 2 times ULN
  • If lactate dehydrogenase or alkaline phosphate is above normal, a contrast enhanced CT scan or MRI of the liver is required to document the absence of tumor

Renal:

  • BUN no greater than 33mg/dl OR
  • Creatinine no greater than 1.8mg/dl

Cardiovascular:

  • No history of active ischemic heart disease
  • No cerebrovascular disease
  • No congestive heart failure(New York Heart Association class III or IV heart disease)

Exclusion Criteria:

Biologic Therapy:

  • No prior immunotherapy including tumor vaccines, interferon, interleukins,levamisole, or other biologic response modifers for melanoma Chemotherapy
  • No prior or concurrent chemotherapy Endocrine Therapy
  • No concurrent systemic corticosteriods including oral steriods (i.e., prednisone, dexamethasone), topical steroid creams or ointments, or any steriod-containing inhalers.

Radiotherapy:

  • No Prior or concurrent radiotherapy

Surgery:

  • See Disease characteristics

Other:

  • No other concurrent immunosuppressive medications
  • No other history of invasive melanoma
  • No autoimmune disorders or conditions of immunosuppression
  • No other concurrent or prior malignancies within past 5 years
  • Cancer in situ
  • Lobular carcinoma in situ of breast
  • Carcinoma in situ of the cervix
  • Atypical melanocytic hyperplasia or Clark 1 melanoma in situ
  • Basal or squamous cell skin cancer
  • No evidence of organic brain syndrome or significant impairment of basal cognitive function or any psychiatric disorder that would preclude study participation
  • No other significant medical or surgical condition, or any medication or treatment regimens, that would interfere with study participation.
  • Not pregnant or nursing
  • Negative pregnancy test
  • Fertile patients must use effective contraception during and for 6 months after study
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00447356

Contacts
Contact: Marivilla Lozada-Ebora, RN, BSN 201-996-5744
Contact: Beth Boseski, RN, BSN 201-996-5575

Locations
United States, New Jersey
The Cancer Center at Hackensack University Medical Center Recruiting
Hackensack, New Jersey, United States, 07601
Contact: Department of Clinical Cancer Research     201-996-5834        
Sponsors and Collaborators
Hackensack University Medical Center
Investigators
Principal Investigator: David S. Siegel, MD Hackensack University Medical Center
  More Information

Study ID Numbers: E1697
Study First Received: March 12, 2007
Last Updated: October 16, 2007
ClinicalTrials.gov Identifier: NCT00447356  
Health Authority: United States:National Cancer Institute

Study placed in the following topic categories:
Interferon-alpha
Neuroectodermal Tumors
Interferon Type I, Recombinant
Nevus, Pigmented
Neoplasms, Germ Cell and Embryonal
Interferons
Neuroepithelioma
Nevus
Interferon Alfa-2a
Neuroendocrine Tumors
Melanoma

Additional relevant MeSH terms:
Anti-Infective Agents
Neoplasms by Histologic Type
Immunologic Factors
Antineoplastic Agents
Growth Substances
Neoplasms, Nerve Tissue
Physiological Effects of Drugs
Antiviral Agents
Angiogenesis Inhibitors
Pharmacologic Actions
Neoplasms
Therapeutic Uses
Nevi and Melanomas
Growth Inhibitors
Angiogenesis Modulating Agents

ClinicalTrials.gov processed this record on January 16, 2009