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Phase II Randomized Study of Bevacizumab With or Without Low- or High-Dose Interferon alfa in Patients With Metastatic Malignant Melanoma
Alternate Title Basic Trial Information Objectives Entry Criteria Expected Enrollment Outcomes Outline Trial Contact Information Registry Information
Alternate Title
Bevacizumab With or Without Interferon alfa in Treating Patients With Metastatic Malignant Melanoma
Basic Trial Information
Phase | Type | Status | Age | Protocol IDs |
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Phase II | Treatment | Active | Over 18 | OSU-01H0185 NCI-2669, NCT00026221, 2669 |
Objectives - Compare the objective response rate and progression-free survival in patients with metastatic malignant melanoma treated with bevacizumab with or without low- or high-dose interferon alfa.
Entry Criteria Disease Characteristics:
- Histologically or cytologically confirmed cutaneous malignant melanoma
- Must meet one of the following criteria:
- Clinical evidence of metastatic disease
- Unresectable regional lymphatic disease
- Extensive in transit recurrent disease
- Measurable disease
- At least 20 mm by conventional techniques OR at least 10 mm by spiral CT scan
- No known brain metastases
- No ocular melanoma
Prior/Concurrent Therapy:
Biologic therapy: - At least 4 weeks since prior adjuvant interferon
alfa
- No prior interferon alfa for metastatic disease
- No prior cytokine therapy for metastatic disease (e.g.,
high-dose interleukin-2 [IL-2])
- Prior IL-2 allowed for patients randomized to arm III only
- No prior investigational antiangiogenic agents
Chemotherapy: - No more than 1 prior chemotherapy regimen for metastatic
disease
- At least 4 weeks since prior chemotherapy and recovered
Endocrine therapy: Radiotherapy: - At least 4 weeks since prior radiotherapy and
recovered
Surgery: Other: - No other concurrent investigational agents
Patient Characteristics:
Age: Performance status: - ECOG 0-2
OR - Karnofsky 60-100%
Life expectancy: Hematopoietic: - WBC at least 3,000/mm3
- Absolute neutrophil count at least 1,500/mm3
- Platelet count at least 100,000/mm3
- No clinical evidence of coagulopathy
Hepatic: - Bilirubin ≤ 2.0 mg/dL (3.0 mg/dL for patients with Gilbert's disease provided patient is stable and asymptomatic)
- AST/ALT no greater than 2.5 times ULN
- PT/INR less than 1.5
Renal: - Creatinine ≤ 1.5 mg/dL
OR - Creatinine clearance at least 60 mL/min
- Protein < 1,000 mg on 24-hour urine collection for patients with proteinuria ≥ 1+
Cardiovascular: - No symptomatic congestive heart failure
- No unstable angina pectoris
- No cardiac arrhythmia
- No history of thrombosis (e.g., deep vein
thrombosis), unless the following criteria are met:
- INR in normal range (usually 2-3) AND on a stable dose of warfarin or low molecular weight heparin
- No active bleeding or pathologic condition that would confer a high risk of bleeding (e.g., known varices or tumor involving major vessels)
- No uncontrolled hypertension
Other: - Not pregnant or nursing
- Negative pregnancy test
- Fertile patients must use effective contraception
- No prior allergic reactions to compounds of similar chemical
or biologic composition to bevacizumab or interferon alfa
- No ongoing or active infection
- No other concurrent uncontrolled illness
- No psychiatric illness or social situation that would preclude
study compliance
- HIV allowed provided otherwise well
Expected Enrollment 65A total of 65 patients will be accrued for this study
within 6-10 months. Outcomes Primary Outcome(s)Response rate every 3 months
Secondary Outcome(s)Progression-free survival every 3 months
Outline This is a randomized study. Patients are randomized to 1
of 3 treatment arms. - Arm I: Patients receive bevacizumab IV over 30-90 minutes on day 1.
Patients also receive low-dose interferon alfa (IFN-α) subcutaneously (SC) on days 1-14.
- Arm II: Patients receive bevacizumab as in arm I.
- Arm III: Patients receive bevacizumab as in arm I. Patients also receive high-dose IFN-α SC on days 1, 3, 5, 8, 10, and 12.
In all arms, treatment
repeats every 14 days for up to 12 courses in the absence of disease
progression or unacceptable toxicity. Patients undergo restaging at the completion of course 12. Patients with stable disease or a clinical response may continue treatment according to their assigned treatment arm for up to 1 year. Patients with stable disease after 1 year of treatment with bevacizumab and IFN-α (arms I and III) may continue to receive bevacizumab alone (as in arm II) in the absence of disease progression. Patients are followed every 3 months for 2 years.
Trial Contact Information
Trial Lead Organizations Arthur G. James Cancer Hospital and Solove Research Institute at Ohio State University Medical Center | | | William Carson, MD, Protocol chair | | | | Trial Sites
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U.S.A. |
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Ohio |
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Columbus |
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| | | | | | | | Arthur G. James Cancer Hospital and Solove Research Institute at Ohio State University Medical Center |
| | Ohio State University Cancer Clinical Trial Matching Service | |
| Email:
osu@emergingmed.com |
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Registry Information | | Official Title | | A Phase 2 Study Of Bevacizumab And Interferon-Alpha-2b In Metastatic Malignant Melanoma | | Trial Start Date | | 2001-12-01 | | Trial Completion Date | | 2002-09-27 (estimated) | | Registered in ClinicalTrials.gov | | NCT00026221 | | Date Submitted to PDQ | | 2001-08-30 | | Information Last Verified | | 2007-10-05 | | NCI Grant/Contract Number | | CA16058, CA93071 |
Note: The purpose of most clinical trials listed in this database is to test new cancer treatments, or new methods of diagnosing, screening, or preventing cancer. Because all potentially harmful side effects are not known before a trial is conducted, dose and schedule modifications may be required for participants if they develop side effects from the treatment or test. The therapy or test described in this clinical trial is intended for use by clinical oncologists in carefully structured settings, and may not prove to be more effective than standard treatment. A responsible investigator associated with this clinical trial should be consulted before using this protocol. Back to Top |
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