Clinical trial NCT00085306: Interferon Beta in Treating Patients With Metastatic Cutaneous Melanoma or Ocular Melanoma
Official title: Phase II Trial Of Interferon-B In Patients With Metastatic Cutaneous Melanoma And Metastatic Ocular Melanoma
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: PHASE2
Conditions: Stage IV Melanoma
Recurrent Melanoma
Keywords: recurrent melanoma
stage IV melanoma
iris melanoma
ciliary body and choroid melanoma, medium/large size
extraocular extension melanoma
recurrent intraocular melanoma
Lead sponsor: Case Comprehensive Cancer Center
Sponsor class: OTHER
Collaborators: name: National Cancer Institute (NCI)
First posted: 2004-06-11
Enrollment: 21
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: NON_RANDOMIZED
Intervention model: SINGLE_GROUP
Primary purpose: TREATMENT

Brief summary: RATIONALE: Interferon beta may interfere with the growth of tumor cells.

PURPOSE: This phase II trial is studying how well interferon beta works in treating patients with metastatic cutaneous (skin) melanoma or ocular (eye) melanoma.

Detailed description: OBJECTIVES:

* Determine the objective clinical response rate in patients with metastatic cutaneous or ocular melanoma treated with interferon beta.
* Determine the frequency and degree of apoptosis induction in patients treated with this drug.
* Determine the safety and tolerability of this drug in these patients.

OUTLINE: This is an open-label study. Patients are stratified according to type of melanoma (ocular vs cutaneous).

Patients receive interferon beta subcutaneously once daily in the absence of disease progression or unacceptable toxicity.

Patients are followed within 3 days after completion of study treatment and then for survival.

PROJECTED ACCRUAL: A total of 28-56 patients (14-28 per stratum) will be accrued for this study.

Eligibility criteria: DISEASE CHARACTERISTICS:

* Histologically confirmed metastatic melanoma

  * Cutaneous or ocular disease
* Measurable disease
* No active unstable CNS metastases by neurologic exam AND CT scan or MRI

  * Irradiated and/or resected CNS lesions allowed if there is no evidence of disease by head MRI or CT scan for \> 6 months after surgery and/or radiotherapy
  * Patients with cutaneous metastases and previously irradiated and/or resected CNS metastases are eligible if the CNS metastases are controlled and do not require dexamethasone

PATIENT CHARACTERISTICS:

Age

* 18 and over

Performance status

* ECOG 0-1 (0-2 for patients with cutaneous metastases)

Life expectancy

* At least 3 months

Hematopoietic

* Absolute neutrophil count ≥ 1,200/mm\^3
* Platelet count ≥ 100,000/mm\^3
* Hemoglobin ≥ 9.5 g/dL

Hepatic

* Bilirubin ≤ 1.5 mg/dL
* AST ≤ 3.0 times normal
* Alkaline phosphatase ≤ 2.5 times normal (10 times normal if due to bone metastases)
* Hepatitis B surface antigen negative

Renal

* Creatinine ≤ 1.5 mg/dL

Cardiovascular

* No serious cardiac arrhythmia requiring treatment
* No congestive heart failure
* No angina pectoris
* No New York Heart Association class II-IV heart disease
* No other severe cardiovascular disease

Other

* HIV negative
* No other malignancy within the past 3 years except basal cell or squamous cell skin cancer or carcinoma in situ of the uterine cervix
* No history of seizure disorder
* No severe psychiatric disorder
* Not pregnant or nursing
* Negative pregnancy test
* Fertile patients must use effective contraception

PRIOR CONCURRENT THERAPY:

Biologic therapy

* More than 12 months since prior adjuvant interferon alfa-2 (IFNα-2) therapy
* More than 30 days since prior IFNα-2 therapy for metastatic disease (6 months for patients with cutaneous metastases)
* No more than 1 prior systemic regimen (chemotherapy or biologic) for metastatic disease (3 regimens for patients with cutaneous metastases)

Chemotherapy

* See Biologic therapy
* No concurrent chemotherapy

Endocrine therapy

* See Disease Characteristics
* Concurrent replacement therapy with physiologic doses of corticosteroids allowed

  * No concurrent dexamethasone or other steroidal antiemetics or anti-inflammatories
* No other concurrent hormonal agents except steroids administered for preexisting adrenal failure or hormones administered for non-disease-related conditions (e.g., insulin for diabetes)

Radiotherapy

* See Disease Characteristics
* More than 28 days since prior radiotherapy and recovered
* No concurrent palliative radiotherapy

Surgery

* See Disease Characteristics
* No prior organ allograft
* More than 28 days since prior major surgery requiring general anesthesia

Other

* More than 28 days since prior antibiotics for local or systemic infection
* No concurrent aspirin
* No concurrent barbiturates
* No other concurrent investigational agents

Primary outcomes:
measure: Objective clinical response rate to IFN-B the maximum tolerated dose as measured by a CTC Grade III hematologic or a Grade IV granulocyte toxicity which persists > 3 days at 1 week after each course
Secondary outcomes:
Other outcomes:
Locations:
city: Cleveland
country: United States
facility: Cleveland Clinic Taussig Cancer Institute, Case Comprehensive Cancer Center
state: Ohio
Study officials:
affiliation: Cleveland Clinic Taussig Cancer Institute, Case Comprehensive Cancer Center
name: Ernest C. Borden, MD
role: STUDY_CHAIR
References: