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Study Summary
No. 2006-0812:.......Melanoma......Wen-Jen Hwu......Melanoma Medical Oncology
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Study Summary Title
Study Summary
Number:
2006-0812
Study Title:A Pharmacokinetic Study of PEG-Intron, Administered Weekly in Subjects with High Risk Melanoma
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Physician New Patient Referral
Name:Wen-Jen HwuPatients Call:800-392-1611 (in U.S.A.) 713-792-6161 (outside U.S.A.)
Dept:Melanoma Medical OncologyReferring MD
Call:
800-392-1611 (in U.S.A.) 713-792-6161 (outside U.S.A.)
Phone:713-792-2121
Contact us about clinical trials
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General Information
Disease Group:MelanomaSupported By:N/A
Phase of Study:Phase IReturn
Visit:
1-2 times per week
Treatment
Agents:
Peg IntronHome Care:N/A
Treatment Loc:Independent Multicenter Arrangements
Estimated
Length of Stay
in Houston:
N/A
Description/
Intervention:
The goal of this clinical research study is to look at the pharmacokinetics
(PKs) of PEG-Intron when it is given at the dose and schedule used in another
current study
(EORTC 18991/P00435) involving the study drug. PK testing is done to learn how
a drug acts in the body over time, including how it is absorbed into the body,
how it moves throughout the body, and how the body gets rid of it. The safety
of this dose and schedule of PEG-Intron given to patients at high risk for
reappearance of melanoma will also be studied.
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Study Objectives / Outcomes
Primary Objective: To establish the PK of PEG-Intron when administered at the dose and schedule used in an ongoing Phase 3 trial entitled "ADJUVANT PEG-INTRON TREATMENT IN STAGE III MELANOMA - PEG-INTRON VERSUS OBSERVATION AFTER REGIONAL LYMPH NODE DISSECTION IN AJCC STAGE III [TXN1-2M0] MELANOMA PATIENTS: A RANDOMIZED PHASE 3 TRIAL" (EORTC 18991/P00435).

Secondary Objective: To assess the safety of this regimen of PEG-Intron in subjects with high risk melanoma.
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Study Status Information
Study Activation / Registration Date:04/04/2007
IRB Review and Approval Date:04/04/2007
Study Type:Phase I
Recruitment Status:Closed
Projected Accrual:30
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Enrollment Eligibility
If you do not meet the enrollment eligibility, there may be other treatment options for you. Please Contact the Referral Office for more information.

Inclusion Criteria:1) Subjects at least 18 years of age, of either sex, and of any race.

2) Subjects must have cytologically or histologically-confirmed melanoma, arising from a cutaneous or unknown site of origin, and meeting one of the following AJCC staging criteria: a) AJCC Stage IIB (Tsubscript3b,Nsubscript0,Msubscript0 or Tsubscript4a,Nsubscript0,Msubscript0) or Stage IIC (Tsubscript4b,Nsubscript0,Msubscript0) patients without regional lymph node involvement as determined by elective lymph node dissection or sentinel node biopsy.

3) #2 Contd. b) AJCC Stage IIIA patients with nonpalpable (ie, microscopic) nodal involvement (TsubscriptanyNsubscript1a,2subscripta Msubscript0). These patients, referred to as "N1" patients in the EORTC 18991 protocol, have primary melanoma of any stage in the presence of regional lymph node involvement that has been detected by elective lymph node dissection or sentinel lymph node biopsy (by definition such patients have synchronous regional lymph node metastases).

4) #2 Contd c) AJCC Stage IIIB or IIIC patients with palpable nodal involvement (TsubscriptanyNsubscript1b,subscript2b,subscript3bMsubscript0). These patients, referred to as "N2" patients in the EORTC 18991 protocol, may have: (a) clinically apparent regional lymph node involvement at the time of resection of the primary melanoma (ie, synchronous regional lymph node metastases), or (b) regional lymph node recurrence at any interval after surgical excision of the primary melanoma (ie, non-synchronous lymph node metastases).

5) Subjects must have adequate hepatic, renal and bone marrow function as defined by the following parameters obtained within 4 weeks prior to initiation of study treatment: Hematologic Criteria: a. WBC >/= 3.0 x 10^9/L, b. Platelet > 100 x 10^9/L, c. Hemoglobin >/= 9 g/dL or 5.6 mmol/L. Renal and Hepatic Functional Criteria: a. Serum creatinine < 2.0 mg/dL or < 140 µmol/L, b. SGOT and SGPT < 2 times upper normal limit of laboratory normal (ULN)

6) Subjects presenting with synchronous primary and regional melanoma must have had adequate surgical margins surrounding the primary lesion.

7) Full lymphadenectomy must be performed within 90 days prior to initiation of study treatment.

8) Subjects must have an ECOG performance status of 0 or 1.

9) Subjects must give informed consent according to ICH-GCP or national/local policy. Subjects will be made aware of the ongoing EORTC 18991 trial as part of the informed consent.

10) Subjects must be able to adhere to dose and visit schedules.

11) Subjects must be willing to give written informed consent and must be able to adhere to dose and visit schedules

12) Female subjects of childbearing potential must be using a medically accepted method of birth control prior to Screening and agree to continue its use during the study or be surgically sterilized (eg, hysterectomy or tubal ligation). Females of childbearing potential should be counseled in the appropriate use of birth control while in this study. Females who are not currently sexually active must agree and consent to use one of the above-mentioned methods should they become sexually active while participating in the study.

13) Female subjects of childbearing potential must have a negative serum pregnancy test (beta-hCG) at Screening.

Exclusion Criteria:1) Female subjects who are pregnant, intend to become pregnant, or are breastfeeding.

2) Subjects previously treated with interferon alpha, chemotherapy, or immunotherapy for melanoma.

3) Subjects with ocular melanoma, or melanoma of the mucous membranes.

4) Subjects who have evidence of distant or non-regional lymph node metastases.

5) Subjects with in-transit melanoma (ie, TsubscriptanyNsubscript2c,subscript3 Msubscript0) at study entry are not eligible, even if the lesion has been resected

6) Subjects whose disease cannot be completely surgically resected, because of extensive extracapsular extension.

7) Subjects who have not recovered from the effects of recent surgery.

8) Subjects with a history of prior malignancy within the past 5 years other than surgically cured squamous cell carcinoma of the skin,successfully resected early stage cutaneous melanoma (ie, Tsubscript0, Tsubscript1, Tsubscript2A ), or cervical carcinoma in situ.

9) Subjects who have severe cardiovascular disease, ie, arrhythmias requiring chronic treatment, congestive heart failure (NYHA Class III or IV) or symptomatic ischemic heart disease.

10) Subjects with thyroid dysfunction not responsive to therapy.

11) Subjects who, in the opinion of the investigator, have uncontrolled diabetes mellitus.

12) Subjects suffering from an active autoimmune disease.

13) Subjects with active and/or uncontrolled infection, including active hepatitis.

14) Subjects who have a history of seropositivity for HIV.

15) Subjects with pre-existing psychiatric condition, including but not limited to: a. History of severe depression including the following 1) Hospitalization for depression 2) Electroconvulsive therapy for depression 3) Depression that resulted in a prolonged absence from work and/or significant disruption of daily functions b. Suicidal or homicidal ideation and/or suicidal or homicidal attempt c. History of severe psychiatric disorders (eg, psychosis, post-traumatic stress disorder or mania) d. Past history or current use of lithium and/or antipsychotic drugs

16) Subjects with a clinical diagnosis of substance abuse of the one or more of the following drugs, within the following timeframes, (not including time spent in detoxification, hospitalization or incarceration): a. Alcohol, intravenous drug use (IVDU), inhalational, psychotropics, narcotics, cocaine, prescription or over-the-counter drugs: within 1 year of the Screening visit.

17) #17 Contd. b. Subjects receiving methadone, buprenorphine HCL, and/or butorphanol tartrate within 1 year of Screening visit, unless subject has drug screen negative for other (non-narcotic) drugs documented in past year and repeated negative within 2 months of Screening visit. c. Multi-drug abuse (2 or more substances): within 3 years of Screening visit.

18) #17 Contd. d.If the subject's historic marijuana use is deemed excessive by the principal investigator (or medically qualified individual) or is interfering with the subject's life, then the subject is not eligible and should not be screened. If subject's marijuana use is not deemed excessive by PI and does not interfere with life, subject must be instructed to discontinue any current use of recreational marijuana prior to entry into study.

19) Subjects with a medical condition requiring chronic systemic corticosteroids.

20) Subjects known to be allergic to the drug substance or any of the excipients in the PEG-Intron formulation.

21) Subjects who are in a situation or have any condition that, in the opinion of the investigator, may interfere with optimal participation in the study.

22) Subjects who have used any investigational drugs within 30 days of study entry.

23) Subjects who are participating in any other clinical studies of investigational treatments.

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Links
Registration Number: NCT00457418
Study Information on Clinical Trials Registry (clinicaltrials.gov)

Other Links:
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Results


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