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Phase II Study of O6-Benzylguanine and Carmustine in Patients With Unresectable Locally Recurrent or Metastatic Melanoma
Alternate Title Basic Trial Information Objectives Entry Criteria Expected Enrollment Outline Trial Contact Information Registry Information
Alternate Title
O6-benzylguanine and Carmustine in Treating Patients with Unresectable Locally Recurrent or Metastatic Melanoma
Basic Trial Information
Phase | Type | Status | Age | Protocol IDs |
---|
Phase II | Treatment | Completed | 18 and over | UCCRC-10325 CWRU-1699, NCI-T99-0111, NCT00005961, T99-0111 |
Objectives - Determine the objective clinical response rate and duration of response in patients with unresectable locally recurrent or metastatic melanoma treated with O6-benzylguanine and carmustine.
- Compare the toxicities of this regimen in patients with no prior chemotherapy vs prior chemotherapy failure.
- Correlate clinical response to this regimen in these patients with O6-alkylguanine DNA alkyltransferase (AGT) depletion and baseline AGT in peripheral blood mononuclear cells and tumor tissue.
Entry Criteria Disease Characteristics:
- Histologically proven unresectable locally recurrent or metastatic
melanoma
- Chemotherapy naive with no more than 2 prior
immunotherapy regimens
(including cytokines, vaccines, or adjuvant
interferon)
OR
- Prior chemotherapy failure with no more than 2 prior
immunotherapy regimens
(including adjuvant interferon) and no more than 1
prior chemotherapy
regimen (which may include carmustine) not including
antiangiogenesis therapy
- Measurable disease
- At least 20 mm in at least 1 dimension by
conventional technique OR
at least 10 mm in at least 1 dimension by spiral CT scan
- No disease confined only to the CNS
- No uncontrolled symptomatic brain metastases regardless of other disease
sites
Prior/Concurrent Therapy:
Biologic therapy: - See Disease Characteristics
Chemotherapy: - See Disease Characteristics
- At least 4 weeks since prior systemic chemotherapy (at least 6
weeks since prior carmustine or mitomycin) and recovered
- No other concurrent chemotherapy or investigational
antineoplastic drugs
Endocrine therapy: Radiotherapy: - At least 2 weeks since prior radiotherapy and
recovered
- No concurrent radiotherapy
Surgery: - At least 3 weeks since prior major surgery and
recovered
Other: - At least 4 weeks since other prior anticancer systemic therapy
and recovered
Patient Characteristics:
Age: Performance status: Life expectancy: Hematopoietic: - WBC at least 3,000/mm3
- Absolute neutrophil count at least 1,200/mm3
- Platelet count at least 100,000/mm3
Hepatic: - Bilirubin no greater than 1.5 mg/dL
- AST and/or ALT no greater than 3 times upper limit of
normal
- PT normal
Renal: - Creatinine no greater than 1.5 mg/dL
OR - Creatinine clearance greater than 60 mL/min
Pulmonary: - DLCO at least 70% predicted
Other: - Not pregnant or nursing
- Negative pregnancy test
- Fertile patients must use effective contraception
- No concurrent significant psychiatric or medical illness,
including active infections, that would interfere with study therapy or
increase risk
- No other malignancy within the past 5 years except curatively
treated nonmelanomatous skin cancer, carcinoma in situ of the cervix,
or superficial bladder cancer
Expected Enrollment A total of 24-41 patients will be accrued for the chemotherapy failure stratum
and a total of 18-35 patients will be accrued for the chemotherapy naive
stratum of this study. Outline This is a multicenter study. Patients are stratified according to prior
chemotherapy (chemotherapy failure vs chemotherapy naive). Patients receive O6-benzylguanine IV over 1 hour, followed 1 hour later
by carmustine IV over 1 hour on day 1. Treatment continues every 6 weeks for
a minimum of 2 courses in the absence of disease progression or unacceptable
toxicity. Patients with disease progression are followed every 6 months. All
other patients are followed every 3 months for 1 year.
Trial Contact Information
Trial Lead Organizations University of Chicago Cancer Research Center | | | Thomas Gajewski, MD, PhD, Protocol chair | | | |
Registry Information | | Official Title | | A Phase II Trial of O6-Benzylguanine (NSC 637037) and BCNU (Carmustine) in Patients with Metatstatic Melanoma | | Trial Start Date | | 2000-06-09 | | Registered in ClinicalTrials.gov | | NCT00005961 | | Date Submitted to PDQ | | 2000-05-04 | | Information Last Verified | | 2003-04-10 | | NCI Grant/Contract Number | | CA14599, CA63187 |
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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