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Home > "I" Clinical Trials Conditions > Interferon alfa Following Surgery in Treating Patients With Stage III Melanoma

Interferon alfa Following Surgery in Treating Patients With Stage III Melanoma



Interferon alfa Following Surgery in Treating Patients With Stage III Melanoma

For Condition: stage 3 melanoma
Status: No longer recruiting
Sponsor(s): EORTC Melanoma Cooperative Group ,
Synopsis: RATIONALE: Interferon alfa may interfere with the growth of the cancer cells. It is not yet known if this treatment is more effective than observation following surgery for stage III melanoma. PURPOSE: Randomized phase III trial to determine the effectiveness of interferon alfa in treating patients who have undergone surgery for stage III melanoma.
Details: OBJECTIVES: - Compare the effect of adjuvant therapy with pegylated interferon alfa vs observation, in terms of distant metastases-free survival, in patients with previously resected stage III melanoma. - Compare the overall survival in these patients after treatment with pegylated interferon alfa vs observation. - Determine the toxicity of pegylated interferon alfa in these patients. - Determine the compliance of these patients treated with pegylated interferon alfa. - Compare the quality of life in these patients after treatment with pegylated interferon alfa vs observation. OUTLINE: This is a randomized, multicenter study. Patients are stratified according to type of nodal involvement (N1 vs N2), number of positive nodes (1 vs 2-4 vs 5 or more vs not assessed), Breslow primary (T1-2 vs T3 vs T4 vs unknown), ulceration of primary tumor (absent vs present vs unknown), sex, and center. Patients are randomized to one of two treatment arms. - Arm I: Patients receive pegylated interferon alfa subcutaneously weekly for 5 years. - Arm II: Patients undergo observation only. Treatment continues in the absence of distant metastases or unacceptable toxicity. Quality of life is assessed at baseline, and then at months 3, 12, 24, 36, 48, and 60. Patients are followed every 6 months for 5 years. PROJECTED ACCRUAL: A total of 1,200 patients (600 per treatment arm) will be accrued for this study within 1.5-2 years.
Eligibility:
Study Type:
  Interventional, Treatment
Minimum Age/Maximum Age: 18 Years/70 Years
Genders: Both
Protocol Entry Criteria: DISEASE CHARACTERISTICS: - Histologically confirmed previously resected stage III primary cutaneous melanoma or unknown primary with regional lymph node involvement - N1 disease - Microscopic, nonpalpable nodal involvement - Primary melanoma of any stage with clinically inapparent N1 regional lymph node metastases (T1-4, N1, M0) detected by elective lymph node dissection or sentinel node biopsy - N2 disease - Palpable nodal involvement with synchronous primary melanoma or apparent nodal disease after prior excision (any pT, N2, M0) - Regional lymph node recurrence at any interval after surgery for primary melanoma of any depth (T1-4, rN2, M0) - Complete resection of primary melanoma with adequate surgical margins - Full lymphadenectomy must be performed within 70 days of study - No mucous membrane melanoma or ocular melanoma - No evidence of distant or nonregional lymph node metastases or in transit metastases (even if previously resected) - No incompletely resected disease due to gross extracapsular extension PATIENT CHARACTERISTICS: Age: - 18 to 70 Performance status: - ECOG 0-1 Life expectancy: - Not specified Hematopoietic: - WBC at least 3,000/mm^3 - Platelet count greater than 100,000/mm^3 - Hemoglobin at least 9 g/dL Hepatic: - SGOT and SGPT less than 2 times upper limit of normal - No active hepatitis Renal: - Creatinine less than 2.0 mg/dL Cardiovascular: - No severe cardiovascular disease including the following: - Arrhythmias requiring chronic treatment - Congestive heart failure (New York Heart Association class III or IV) - Symptomatic ischemic heart disease Other: - No other prior malignancy within the past 5 years except surgically cured nonmelanomatous skin cancer or carcinoma in situ of the cervix - No thyroid dysfunction unresponsive to therapy - No uncontrolled diabetes mellitus - No active autoimmune disease - No active and/or uncontrolled infection - No history of neuropsychiatric disorder requiring hospitalization - No known active alcohol or drug abuse - HIV negative - Not pregnant or nursing - Negative pregnancy test - Fertile patients must use effective contraception PRIOR CONCURRENT THERAPY: Biologic therapy: - No prior interferon alfa - No prior immunotherapy for melanoma - No other concurrent immunologic or biologic therapy - No concurrent colony stimulating factors including epoetin alfa and filgrastim (G-CSF) Chemotherapy: - No prior chemotherapy for melanoma - No concurrent chemotherapy Endocrine therapy: - No prior hormonal therapy for melanoma - No concurrent hormonal therapy - No concurrent chronic systemic corticosteroid therapy Radiotherapy: - No prior radiotherapy for melanoma - No concurrent radiotherapy Surgery: - See Disease Characteristics - Recovered from any prior recent surgery Other: - At least 30 days since other prior experimental therapy - No other concurrent investigational drugs
Total Enrollment: 

Location and Contact Information:

Overall Study Official:
AlexanderEggermont,  ,  Erasmus University Medical Center

Centre Hospitalier Regional Metz Thionville
Thionville,  ,  57126
France
 

Universitaet Wuerzburg/Hautkrankheiten
Wuerzburg,  ,  D-97080
Germany
 

Instituto Portugues de Oncologia Centro do Porto, SA
Porto,  ,  4200
Portugal
 

Maria Sklodowska-Curie Memorial Cancer Center and Institute of Oncology
Warsaw,  ,  02-781
Poland
 

Hopital L'Archet - 2
Nice,  ,  F-06202
France
 

Istituto Regina Elena
Rome,  ,  00161
Italy
 

Great Poland Cancer Center
Poznan,  ,  61 866
Poland
 

Stadt. Kliniken
Dortmund,  ,  44123
Germany
 

Centre Leon Berard
Lyon,  ,  69373
France
 

Erasmus University Medical Center
Rotterdam,  ,  3075 EA
Netherlands
 

European Institute of Oncology - Chemo Prevention
Milano,  ,  20141
Italy
 

Hopital St. Eloi
Montpellier,  ,  34295
France
 

University Hospital Sestre Milosrdnice
Zagreb,  ,  10000
Croatia
 

Centre Regional de Lutte Contre le Cancer - Centre Val d'Aurelle
Montpellier,  ,  34298
France
 

Universitaets-Hautklinik Heidelberg
Heidelberg,  ,  D-69115
Germany
 

Universitaet Leipzig - Chirurgische Klinik und Poliklinik I
Leipzig,  ,  D-04103
Germany
 

Wolfson Medical Center
Holon,  ,  58100
Israel
 

Universitaet Erlangen
Erlangen,  ,  D-91054
Germany
 

Centre Alexis Vautrin
Vandoeuvre-les-Nancy,  ,  54511
France
 

Otto - Von - Guericke - Universitaet Magdeburg
Magdeburg,  ,  D-39120
Germany
 

Centro di Riferimento Oncologico - Aviano
Aviano,  ,  33081
Italy
 

Newcastle General Hospital
Newcastle upon Tyne,  England,  NE4 6BE
United Kingdom
 

Universitair Ziekenhuis Antwerpen
Edegem,  ,  B-2650
Belgium
 

Instituto Portugues de Oncologia de Francisco Gentil - Centro de Lisboa
Lisbon,  ,  1099-023 Codex
Portugal
 

Clatterbridge Centre for Oncology NHS Trust
Merseyside,  England,  CH63 4JY
United Kingdom
 

Royal Perth Hospital
Perth,  Western Australia,  6000
Australia
 

Robert Roessle Klinik
Berlin,  ,  D-13122
Germany
 

Churchill Hospital
Oxford,  ,  OX3 7LJ
United Kingdom
 

Centre Hospitalier Regional et Universitaire de Saint-Etienne
Saint-Priest-en-Jarez,  ,  42277
France
 

Istituto Nazionale per la Ricerca sul Cancro
Genoa (Genova),  ,  16132
Italy
 

Selly Oak Hospital at University Hospital NHS Trust
Birmingham,  ,  B29 6JD
United Kingdom
 

Royal Free Hospital
London,  England,  NW3 2QG
United Kingdom
 

Southampton General Hospital
Southampton,  England,  SO16 6YD
United Kingdom
 

Hopital Saint Andre
Bordeaux,  ,  33075
France
 

St. George's Hospital
London,  England,  SW17 0QT
United Kingdom
 

Hopital Haut Leveque
Pessac,  ,  33604
France
 

Kantonspital Aarau
AARAU,  ,  5001
Switzerland
 

Royal Devon and Exeter Hospital
Exeter,  England,  EX2 5DW
United Kingdom
 

Velindre Cancer Center at Velinde Hospital
Cardiff,  Wales,  CF4 7XL
United Kingdom
 

Ospendale S.M. Annunziata-A.S.DI Firenze
Firenze,  ,  I-50011
Italy
 

U.Z. Gasthuisberg
Leuven,  ,  B-3000
Belgium
 

Centre Rene Huguenin
Saint Cloud,  ,  92211
France
 

Guy's and St. Thomas' Hospitals NHS Trust
London,  England,  SE1 9RT
United Kingdom
 

Vakif Gureba Training Hospital
Istanbul,  ,  34296
Turkey
 

Tel-Aviv Sourasky Medical Center
Tel Aviv,  ,  64239
Israel
 

UniversitaetsSpital
Zurich,  ,  CH-8091
Switzerland
 

David Maddison Clincial Sciences
Newcastle,  ,  NSW 2300
Australia
 

Addenbrooke's NHS Trust
Cambridge,  England,  CB2 2QQ
United Kingdom
 

Saint Josef Hospital
Bochum 1,  ,  D-44791
Germany
 

Hopitaux Universitaire de Strasbourg
Strasbourg,  ,  67091
France
 

Salisbury District Hospital
Salisbury,  England,  SP2 8BJ
United Kingdom
 

Royal Surrey County Hospital
Guildford,  England,  GU2 5XX
United Kingdom
 

Istituto Nazionale per lo Studio e la Cura dei Tumori
Milano (Milan),  ,  20133
Italy
 

CHR de Grenoble - La Tronche
Grenoble,  ,  38043
France
 

Centre Hospitalier Universitaire Bretonneau de Tours
Tours,  ,  37044
France
 

Southend NHS Trust Hospital
Westcliff-On-Sea,  England,  SS0 0RY
United Kingdom
 

Institut Jules Bordet
Brussels,  ,  1000
Belgium
 

Western Infirmary
Glasgow,  Scotland,  G11 6NT
United Kingdom
 

Hopital Universitaire Erasme
Brussels,  ,  1070
Belgium
 

Leicester Royal Infirmary
Leicester,  England,  LE1 5WW
United Kingdom
 

Centre Hospital Regional Universitaire de Limoges
Limoges,  ,  87042
France
 

Rambam Medical Center
Haifa,  ,  31096
Israel
 

Peter MacCallum Cancer Institute
East Melbourne,  Victoria,  8006
Australia
 

CHU Ambroise Pare
Boulogne-Billancourt,  ,  F-92104
France
 

Ratisches Kantons und Regionalspital
Chur,  ,  CH-7000
Switzerland
 

Ninewells Hospital and Medical School
Dundee,  Scotland,  DD1 9SY
United Kingdom
 

Centre Eugene Marquis
Rennes,  ,  35042
France
 

Charles University Hospital
Prague (Praha),  ,  128 08
Czech Republic
 

Institute of Oncology, Ljubljana
LJUBLJANA,  ,  Sl-1000
Slovenia
 

Centre Hospitalier Universitare d'Amens
Amiens,  ,  80054
France
 

Academisch Ziekenhuis Utrecht
Utrecht,  ,  3584 CX
Netherlands
 

Cliniques Universitaires Saint-Luc
Brussels,  ,  1200
Belgium
 

Centre Hospitalier Universitaire
Reims,  ,  51092
France
 

Sir Charles Gairdner Hospital, Perth
Perth,  Western Australia,  6009
Australia
 

Institut Gustave Roussy
Villejuif,  ,  F-94805
France
 

St. James's Hospital
Leeds,  England,  LS9 7TF
United Kingdom
 

Universita Degli Studi di Torino
Torino,  ,  10126
Italy
 

Hopital Bichat - Claude Bernard
Paris,  ,  75018
France
 

University Medical Center Nijmegen
Nijmegen,  ,  NL-6500 HB
Netherlands
 

Clinique Notre Dame de Grace
Gosselies,  ,  6041
Belgium
 

CHR de Besancon - Hopital Saint-Jacques
Besancon,  ,  25030
France
 

Haematologisch-Onkologische Praxis Altona
Hamburg,  ,  D-22765
Germany
 

Bristol Haematology and Oncology Centre
Bristol,  England,  BS2 8ED
United Kingdom
 

Hospital Clinico Universitario
Zaragoza,  ,  50009
Spain
 

Vrije Universiteit Medisch Centrum
Amsterdam,  ,  1007 MB
Netherlands
 

Austin and Repatriation Medical Centre
Heidelberg West,  Victoria,  3081
Australia
 

Leiden University Medical Center
Leiden,  ,  2300 CA
Netherlands
 

Hospital Universitario 12 de Octubre
Madrid,  ,  28041
Spain
 

National Centre of Oncology
Sofia,  ,  1756
Bulgaria
 

North-Estonian Regional Hospital Cancer Centre
Tallinn,  ,  11619
Estonia
 

Centre Hospitalier Regional et Universitaire de Lille
Lille,  ,  59037
France
 

Ege University Medical School
Izmir,  ,  35220
Turkey
 

Georg August Universitaet
Goettingen,  ,  D-37075
Germany
 

Istituto Nazionale per lo Studio e la Cura dei Tumori
Naples,  ,  80131
Italy
 

Weston Park Hospital
Sheffield,  England,  S1O 2SJ
United Kingdom
 

Inselspital, Bern
BERN,  ,  CH-3010
Switzerland
 

Klinikum der Stadt Mannheim
Mannheim,  ,  D-68135
Germany
 

Princess Royal Hospital
Hull,  England,  HU8 9HE
United Kingdom
 

Royal Marsden NHS Trust
London,  England,  SW3 6JJ
United Kingdom
 

Cheltenham General Hospital
Cheltenham,  England,  GL53 7AN
United Kingdom
 

Saint Bartholomew's Hospital
London,  England,  EC1A 7BE
United Kingdom
 

Hopital Saint-Louis
Paris,  ,  75475
France
 

Royal Marsden Hospital
Sutton,  England,  SM2 5PT
United Kingdom
 

Belfast City Hospital Trust
Belfast,  Northern Ireland,  BT9 7AB
United Kingdom
 


Additional Information:
Study ID Numbers:
  CDR0000068181;  EORTC-18991
Study Start Date: 
Record last reviewed: October 2003
Additional information available at: clinicaltrials.gov
Clinicaltrials.gov Reference link: NCT00006249

Other Stage 3 Melanoma Studies:
1. Interleukin-2 Plus Bryostatin 1 in Treating Patients With Melanoma or Kidney Cancer

2. Detection of Melanoma Markers in Lymph Nodes or Peripheral Blood of Patients With Melanoma

3. High-Dose Interferon alfa in Treating Patients With Stage II or Stage III Melanoma

4. Interferon alfa or No Further Therapy Following Surgery in Treating Patients With Stage II, Stage III, or Recurrent Melanoma

5. Vaccine Therapy in Treating Patients With Unresectable Metastatic Melanoma

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Interferon alfa Following Surgery in Treating Patients With Stage III Melanoma

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