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Carboplatin and Temozolomide in Treating Patients With Unresectable or Metastatic Melanoma - Article


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Melanoma

Melanoma cancer 




Clinical Trial: Carboplatin and Temozolomide in Treating Patients With Unresectable or Metastatic Melanoma

This study is no longer recruiting patients.

Sponsored by: Mount Vernon Hospital
Information provided by: National Cancer Institute (NCI)

Purpose

RATIONALE: Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die. Combining more than one drug may kill more tumor cells. PURPOSE: Phase I trial to study the effectiveness of combining carboplatin and temozolomide in treating patients who have unresectable or metastatic melanoma.

Condition Treatment or Intervention Phase
Stage IV Melanoma
Recurrent Melanoma
 Drug: carboplatin
 Drug: temozolomide
Phase I

MedlinePlus related topics:  Melanoma

Study Type: Interventional
Study Design: Treatment

Official Title: Phase I Study of Carboplatin and Temozolomide in Patients with Unresectable or Metastatic Melanoma

Further Study Details: 

Study start: October 1998

OBJECTIVES: I. Determine the maximum tolerated dose of carboplatin and temozolomide in patients with unresectable or metastatic melanoma. II. Assess the safety of this cytotoxic combination in this patient population. III. Assess the preliminary evidence of efficacy of this combination in these patients.

PROTOCOL OUTLINE: This is an open label, dose escalation study. Patients receive oral temozolomide once daily on days 1-5. Carboplatin IV is administered over 1 hour on day 1. Courses are repeated every 28 days. Treatment continues for a maximum of 6 courses in the absence of toxicity and disease progression. Sequential dose escalation of carboplatin with a fixed dose of temozolomide is followed by sequential dose escalation of carboplatin at a higher fixed dose of temozolomide. Dose escalation in cohorts of 3-6 patients each continues until the maximum tolerated dose (MTD) is determined. The MTD is defined as the dose preceding that at which 2 of 3 or 2 of 6 patients experience dose limiting toxic effects. If the combination treatment with carboplatin given on day 1 of temozolomide therapy is more toxic than anticipated, then the study is repeated with carboplatin given on day 5 of temozolomide therapy. Patients are followed at least every 2 months.

PROJECTED ACCRUAL: Approximately 30 patients will be accrued for this study.

Eligibility

Ages Eligible for Study:  18 Years and above

Criteria

PROTOCOL ENTRY CRITERIA:

--Disease Characteristics--

--Prior/Concurrent Therapy--

  • Biologic therapy: At least 4 weeks since prior biologic therapy and recovered; No concurrent biologic therapy
  • Chemotherapy: At least 4 weeks since prior chemotherapy and recovered; No prior carboplatin and temozolomide; No other concurrent chemotherapy
  • Endocrine therapy: Not specified
  • Radiotherapy: At least 4 weeks since prior radiotherapy and recovered; At least 3 weeks since prior palliative radiotherapy; No concurrent radiotherapy
  • Surgery: No concurrent surgery to tumor
  • Other: No other concurrent investigational agent

--Patient Characteristics--

  • Age: Over 18
  • Performance status: ECOG 0-2
  • Life expectancy: Greater than 3 months
  • Hematopoietic: Hemoglobin greater than 10 g/dL; WBC greater than 3,000/mm3; Platelet count greater than 100,000/mm3
  • Hepatic: Bilirubin less than 1.8 mg/dL; AST less than 3 times upper limit of normal (ULN); Alkaline phosphatase less than 3 times ULN; No hepatitis B
  • Renal: Creatinine less than 1.4 mg/dL OR Creatinine clearance greater than 50 mL/min
  • Cardiovascular: No New York Heart Association class II cardiac disease
  • Pulmonary: No pulmonary disease requiring oxygen therapy
  • Other: Not pregnant; Fertile patients must use effective contraception during study and for 3 months following; No concurrent serious nonmalignant disease; No AIDS; No uncontrolled infection; No uncontrolled diabetes; No medical condition that will interfere with taking oral temozolomide

Location Information


United Kingdom, England
      Mount Vernon Hospital, Northwood,  England,  HA6 2RN,  United Kingdom

Study chairs or principal investigators

Gordon John Sampson Rustin,  Study Chair,  Mount Vernon Hospital   

More Information

Clinical trial summary from the National Cancer Institute's PDQ® database

Study ID Numbers:  CDR0000066867; MTVERNHOSP-OCT1998; EU-98069
Record last reviewed:  May 2004
Last Updated:  October 13, 2004
Record first received:  November 1, 1999
ClinicalTrials.gov Identifier:  NCT00003747
Health Authority: Unspecified
ClinicalTrials.gov processed this record on 2005-04-08


Source: ClinicalTrials.gov
Cache Date: April 8, 2005

Resources



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December 4, 2009



Page Updated: October 15, 2009
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