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Temozolomide and Thalidomide in Treating Patients With Brain Metastases Secondary to Melanoma
This study has been completed.
First Received: November 4, 2003   Last Updated: August 29, 2009   History of Changes
Sponsor: Cancer and Leukemia Group B
Collaborator: National Cancer Institute (NCI)
Information provided by: National Cancer Institute (NCI)
ClinicalTrials.gov Identifier: NCT00072163
  Purpose

RATIONALE: Drugs used in chemotherapy, such as temozolomide, work in different ways to stop tumor cells from dividing so they stop growing or die. Thalidomide may stop the growth of cancer by stopping blood flow to the tumor. Combining temozolomide with thalidomide may kill more tumor cells.

PURPOSE: This phase II trial is studying how well giving temozolomide together with thalidomide works in treating patients with brain metastases secondary to melanoma.


Condition Intervention Phase
Melanoma (Skin)
Metastatic Cancer
Drug: temozolomide
Drug: thalidomide
Phase II

Study Type: Interventional
Study Design: Treatment, Open Label
Official Title: A Phase II Study Of Temozolomide And Thalidomide In Patients With Metastatic Melanoma In The Brain

Resource links provided by NLM:


Further study details as provided by National Cancer Institute (NCI):

Study Start Date: October 2003
Detailed Description:

OBJECTIVES:

Primary

  • Determine the objective response rate in patients with brain metastases secondary to melanoma treated with temozolomide and thalidomide.

Secondary

  • Determine the toxic effects of and tolerance to this regimen in these patients.
  • Determine the objective response rate in extracranial metastases of patients treated with this regimen.
  • Determine the time to first disease progression (intra- or extracranial) in patients treated with this regimen.

OUTLINE: This is a multicenter study.

Patients receive oral temozolomide once daily on days 1-42 and oral thalidomide once daily on days 1-56. Courses repeat every 8 weeks in the absence of disease progression or unacceptable toxicity. Patients achieving complete response (CR) receive 2 additional courses of therapy beyond CR.

Patients are followed every 3 months for 1 year, every 6 months for 2 years, and then annually for up to 2 years.

PROJECTED ACCRUAL: A total of 21-50 patients will be accrued for this study within 1.5 years.

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

DISEASE CHARACTERISTICS:

  • Histologically or cytologically confirmed metastatic melanoma
  • Clinical evidence of brain metastases

    • At least 1 unidimensionally measurable brain lesion at least 2.0 cm by conventional techniques OR at least 1.0 cm by spiral CT scan or MRI

      • The following lesions are not considered measurable:

        • Bone lesions
        • Leptomeningeal disease
        • Ascites
        • Pleural/pericardial effusion
        • Lymphangitis cutis/pulmonis
        • Abdominal masses that are not confirmed and followed by imaging techniques
        • Cystic lesions
        • Lesions situated in a previously irradiated area, unless new growth is documented

PATIENT CHARACTERISTICS:

Age

  • 18 and over

Performance status

  • CTC 0-1

Life expectancy

  • Not specified

Hematopoietic

  • Granulocyte count at least 1,500/mm^3
  • Platelet count at least 100,000/mm^3

Hepatic

  • AST and ALT no greater than 2.5 times upper limit of normal (ULN)
  • Lactic dehydrogenase no greater than 2.5 times ULN
  • Alkaline phosphatase no greater than 2.5 times ULN

Renal

  • Creatinine no greater than 2 mg/dL

Cardiovascular

  • No history of active angina
  • No history of significant ventricular arrhythmia
  • No history of deep vein thrombosis
  • No myocardial infarction within the past 6 months
  • No acute abnormality by EKG
  • No uncontrolled arrhythmia

Pulmonary

  • No history of pulmonary embolism

Other

  • Not pregnant or nursing
  • Negative pregnancy test
  • Fertile patients must use 1 highly-effective and 1 additional method of contraception for 28 days before, during, and for 4 weeks after study participation
  • No known HIV disease
  • Thyroid-stimulating hormone normal
  • Serum anticonvulsant levels normal (for patients on anticonvulsants)
  • No frequent vomiting and/or any other medical condition (e.g., partial bowel obstruction) that would preclude oral medication intake
  • No preexisting neuropathy greater than grade 1
  • No uncontrolled seizures
  • No other concurrent medical condition that would preclude study participation

PRIOR CONCURRENT THERAPY:

Biologic therapy

  • At least 4 weeks since prior cytokines

    • Biologic agents used as adjuvants, vaccines, and cellular therapies do not require a 4-week washout period
  • No concurrent prophylactic filgrastim (G-CSF) or sargramostim (GM-CSF)

Chemotherapy

  • No more than 1 prior chemotherapy regimen
  • No prior chemotherapy for brain metastases
  • No prior continuous daily temozolomide
  • At least 4 weeks since prior chemotherapy (6 weeks for nitrosoureas or mitomycin)
  • No other concurrent chemotherapy

Endocrine therapy

  • No concurrent hormonal therapy except steroids and hormones administered for non-disease-related conditions (e.g., insulin for diabetes) or for control of intracranial edema from brain metastases

Radiotherapy

  • See Disease Characteristics
  • Prior whole brain radiotherapy (WBRT) allowed provided patient has progressive disease in a measurable CNS lesion
  • Prior stereotactic radiotherapy allowed provided patient has progressive disease in a measurable CNS lesion
  • At least 4 weeks since prior WBRT
  • At least 3 weeks since prior stereotactic radiosurgery
  • No concurrent radiotherapy

Surgery

  • At least 3 weeks since prior surgical resection

Other

  • No concurrent warfarin or heparin products or their derivatives
  • No concurrent antiplatelet therapy (e.g., daily aspirin, ibuprofen, or clopidogrel bisulfate)
  • No concurrent bisphosphonates (e.g., zoledronate)
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00072163

  Show 76 Study Locations
Sponsors and Collaborators
Cancer and Leukemia Group B
Investigators
Study Chair: Susan E. Krown, MD Memorial Sloan-Kettering Cancer Center
  More Information

Additional Information:
Publications:
Study ID Numbers: CDR0000335518, CALGB-500102
Study First Received: November 4, 2003
Last Updated: August 29, 2009
ClinicalTrials.gov Identifier: NCT00072163     History of Changes
Health Authority: United States: Federal Government

Keywords provided by National Cancer Institute (NCI):
stage IV melanoma
tumors metastatic to brain
recurrent melanoma

Additional relevant MeSH terms:
Anti-Infective Agents
Molecular Mechanisms of Pharmacological Action
Thalidomide
Immunologic Factors
Antineoplastic Agents
Neoplasms, Nerve Tissue
Physiological Effects of Drugs
Melanoma
Anti-Bacterial Agents
Neoplastic Processes
Pathologic Processes
Neoplasms, Germ Cell and Embryonal
Therapeutic Uses
Neoplasm Metastasis
Nevi and Melanomas
Angiogenesis Modulating Agents
Growth Inhibitors
Alkylating Agents
Neoplasms by Histologic Type
Growth Substances
Temozolomide
Immunosuppressive Agents
Angiogenesis Inhibitors
Pharmacologic Actions
Neuroendocrine Tumors
Neuroectodermal Tumors
Neoplasms
Antineoplastic Agents, Alkylating
Leprostatic Agents

ClinicalTrials.gov processed this record on November 25, 2009