e7070 in treating patients with stage iv melanoma

Conditions: Melanoma (Skin)

Summary: rationale: drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die. purpose: phase ii trial to study the effectiveness of e7070 in treating patients who have stage iv melanoma.

objectives: i. determine the therapeutic activity of e7070 in terms of objective response, duration of response, and progression-free survival of patients with metastatic melanoma. ii. determine the acute side effects of this drug in these patients. iii. determine the pharmacokinetic parameters of this drug in these patients. outline: this is a multicenter study. patients receive e7070 iv over 1 hour. treatment repeats every 3 weeks in the absence of disease progression or unacceptable toxicity. patients are followed every 6 weeks. projected accrual: a total of 19-24 patients will be accrued for this study.

Eligibility criteria:
disease characteristics: histologically confirmed stage iv melanoma metastatic disease at least 1 bidimensionally measurable target lesion by ct scan no brain metastases patient characteristics: age: 18 and over performance status: ecog 0-2 or who 0-2 life expectancy: not specified hematopoietic: hemoglobin greater than 10 g/dl neutrophil count greater than 2,000/mm3 platelet count greater than 100,000/mm3 hepatic: bilirubin less than 1.5 times upper limit of normal (uln) alkaline phosphatase no greater than 2.5 times uln (5 times uln if liver metastases present) transaminases no greater than 2.5 times uln (5 times uln if liver metastases present) renal: creatinine no greater than 1.7 mg/dl cardiovascular: clinically normal cardiac function no history of severe or unstable ischemic heart disease 12-lead ecg normal other: no history of unstable systemic disease no concurrent uncontrolled diabetes mellitus no concurrent infection no history of hypersensitivity to sulfonamides no other malignancy within the past 5 years except cone-biopsied carcinoma of the cervix or adequately treated basal cell or squamous cell skin cancer no psychological, familial, sociological, or geographical condition that would preclude study not pregnant or nursing negative pregnancy test fertile patients must use effective contraception prior concurrent therapy: biologic therapy: at least 2 weeks since prior blood transfusions at least 2 weeks since prior growth factors at least 6 weeks since prior experimental vaccine therapy no prior immunotherapy for metastatic disease no concurrent anticancer immunotherapy chemotherapy: no prior chemotherapy for metastatic disease no other concurrent anticancer chemotherapy endocrine therapy: no concurrent anticancer hormonal therapy radiotherapy: no concurrent anticancer radiotherapy except palliation for pain control or other reasons (e.g., bronchial obstruction or ulcerating skin lesions) with no curative intent surgery: not specified other: at least 6 weeks since prior adjuvant or neoadjuvant therapy at least 4 weeks since prior experimental drugs at least 2 weeks since prior and no concurrent coumarin anti-coagulants, terfenadine, cisapride, cyclosporine, tacrolimus, theophylline, diazepam, sulfonylurea anti-diabetics, phenytoin, or carbamazepine no other concurrent experimental agents

Keywords: stage iv melanoma recurrent melanoma