Overview

This trial is active, not recruiting.

Condition malignant melanoma
Treatments peginterferon alpha-2b, temozolomide, recombinant interferon alpha-2b
Phase phase 2
Sponsor St. Jude Children's Research Hospital
Collaborator Schering-Plough
Start date October 2007
End date September 2013
Trial size 29 participants
Trial identifier NCT00539591, MEL06

Summary

The main goal of this study is to estimate the tumor response rate of temozolomide administered in combination with peginterferon alpha-2b to pediatric patients with unresectable Stage III, metastatic, or recurrent cutaneous melanoma.

United States No locations recruiting
Other Countries No locations recruiting

Study Design

Allocation non-randomized
Intervention model parallel assignment
Masking open label
Primary purpose treatment
Arm
(Experimental)
Stratum B: Resected Stage IIIC, unresectable Stage III, Stage IV, and recurrent patients Stratum B is divided into 2 groups based on the presence (Stratum B1) or absence (Stratum B2) of measurable disease. Subjects will receive 8 weekly doses of peginterferon alpha-2b 0.5 mcg/kg/dose subcutaneously (SQ) in combination with temozolomide 75mg/m2/dose by mouth (PO) daily for 6 weeks followed by 2 week break. The duration of each treatment course will be 8 weeks. Strata B2 (no measurable disease) will proceed with 7 courses as outlined.
peginterferon alpha-2b PEG-Intron(R)
Given either IV or SQ.
temozolomide Temodar(R), SCH 52365
Given PO.
(Experimental)
Stratum A: Resected Stages IIC, IIIA, and IIIB patients will receive recombinant interferon alpha-2b 20 million units/m2/day intravenously (IV) 5 consecutive days per week for 4 weeks followed by peginterferon alpha-2b 1mcg/kg subcutaneously (SQ) once a week for 48 weeks.
peginterferon alpha-2b PEG-Intron(R)
Given either IV or SQ.
recombinant interferon alpha-2b Intron®
Given IV.

Primary Outcomes

Measure
Tumor Response Rate
time frame: 8 weeks
Number of Patients Who Experience Toxicity at or Above the Target Toxicity for Stratum B Patients
time frame: 52 weeks
Number of Patients Who Experience Toxicity at or Above the Target Toxicity for Stratum A Patients
time frame: 52 weeks

Eligibility Criteria

Male or female participants up to 21 years old.

Inclusion Criteria: - AJCC stage IIC, III, IV or recurrent cutaneous melanoma - Adequate bone marrow function - Age less than or equal to 21 years of age at diagnosis - Adequate liver and kidney function Exclusion Criteria: - Prior Therapy with dacarbazine or temozolomide - Patients who have uncontrolled infection - Patients with autoimmune hepatitis - Patients who have a history of depression or other psychiatric diseases requiring hospitalization - Patients taking systemic corticosteroids including oral steroids (i.e. prednisone, dexamethasone) or topical steroid creams/ointments. Steroid containing inhalers, steroid replacement for adrenal insufficiency and steroid premedication for prevention of transfusion or imaging contrast-agent related allergic reaction will be permitted. - Patients with hypersensitivity reaction to non-pegylated interferon α-2b are not eligible for study - Patients with diabetes mellitus not adequately controlled with medication - Patients with hypo- or hyperthyroidism not adequately controlled with medication. - Patients with a history of myocardial infarction, severe or unstable angina, or severe peripheral vascular disease.

Additional Information

Official title Phase II Study Incorporating Pegylated Interferon In the Treatment For Children With High-Risk Melanoma
Principal investigator Fariba Navid, MD
Description This study is for children with malignant melanoma and high risk features (at high risk of melanoma returning or spreading to other parts of the body) or who have recurrent disease. The study has two treatment groups based on the stage of the disease. Patients with stage IIC, IIIA or IIIB melanoma whose tumors have been removed by surgery will be treated in study group A. These patients will receive 4 weeks of high dose interferon alpha-2b followed by 48 weeks of peginterferon. Patients with stage IIIC or IV melanoma, stage III melanoma that could not be removed by surgery and those with recurrent disease will be treated in study group B. These patients will receive peginterferon alpha-2b and temozolomide. Stratum A: Resected Stages IIC, IIIA, and IIIB patients Induction therapy (weeks 1-4): Subjects will receive recombinant interferon alpha-2b 20 million units/m2 per day intravenously over 20-30 minutes on 5 consecutive days per week for 4 weeks. Subjects will receive peginterferon alpha-2b 1 mcg/kg/week subcutaneously for a total of 48 weeks. Stratum B: Resected Stage IIIC, unresectable Stage III, Stage IV, and recurrent patients Stratum B is divided into 2 groups based on the presence (Stratum B1) or absence (Stratum B2) of measurable disease. Subjects will receive 8 weekly doses of peginterferon alpha-2b 0.5 mcg/kg/dose subcutaneously in combination with temozolomide 75mg/m2/dose by mouth daily for 6 weeks followed by 2 week break. The duration of each treatment course will be 8 weeks. Strata B2 (no measurable disease) will proceed with 7 courses as outlined. Surgery interventions -Associated with both Strata A and B Surgery description: All subjects with initial presentation of melanoma (T1-4) will be treated with primary wide local excision with a minimum of 1cm margin (if anatomically feasible) surrounding the primary lesion or biopsy scar. For lesions with Breslow's thickness of > 1mm or <or= with ulceration or Clark's level IV/V, a 2 cm margin is preferred when anatomically feasible. Subjects with sentinel lymph node(s) positive for disease, will undergo complete lymph node dissection of the involved nodal basin. Additional objectives include: - To assess the safety of temozolomide administered in combination with peginterferon α-2b to pediatric patients with resected AJCC Stage IIIC, unresectable Stage III, metastatic, or recurrent cutaneous melanoma (Stratum B). - To study the feasibility and safety of administering peginterferon α-2b weekly for 48 weeks following an initial induction phase with intravenous high dose interferon α-2b for 4 weeks to pediatric patients with resected thick melanomas (> 4mm) with ulcerations (AJCC Stage IIC) and resected melanomas with regional lymph node metastases (AJCC Stage IIIA and IIIB) (Stratum A).
Trial information was received from ClinicalTrials.gov and was last updated in February 2014.
Information provided to ClinicalTrials.gov by St. Jude Children's Research Hospital.