Protocol Number: 05-C-0095
Patients with advanced ocular melanoma have very few available treatment options. Early studies suggest that lenalidomide may be effective against tumors. Objectives: To determine whether lenalidomide reduces tumor size and prolongs survival in patients with advanced ocular melanoma. To study the toxicity and blood effects of lenalidomide in these patients. Eligibility: Patients 18 years of age and older with advanced ocular melanoma. Design: 76 patients with advanced ocular melanoma will be enrolled over 4 to 5 years. Participants are randomly assigned to receive one of two doses of lenalidomide by mouth in 28-day treatment cycles for up to 2 years. One cycle consists of 21 days on drug followed by a 7-day rest. Patients are monitored with the following: -Weekly blood tests -24-hour urine collection the first treatment cycle. -Periodic visits to NIH for blood tests, physical examination, and scans and x-rays to evaluate the tumor. Visits are scheduled every month for 3 months, then every 3 months until 2 years after stopping treatment, then every 4 months for 1 year and as needed after that. -Tumor biopsy (optional). -Brain magnetic resonance imaging (MRI) yearly to watch for new areas of tumor.
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