Adjuvant, Stage III Malignant Melanoma, Interferon Alpha, Therapy
Conditions
Keywords
melanoma,adjuvant therapy,stageIII Interferon, high dose
Brief summary
The study protocol is being conducted to compare intermittent high-dose i.v. administation of interferon alpha-2b with the standard high-dose treatment by Kirkwood with distant metastasis free survival (DMFI) as a primary endpoint.
Detailed description
Arm A: Interferon-alpha-2b 20 MIU/m2 for 4 weeks. 5 days a week i.v followed by 48 weeks of treatment with 3 x 10 MIU/m2 s.c Arm B: Interferon-alpha-2b 20 MIU/m2 for 4 weeks. 5 days a week i.v repeated 3 times with 12 treatment-free-weeks between the cycles Secondary endpoints: Improved overall survival rate, Assess side effects of therapy in both treatment arms, Assess time spent on sick leave, Assess number of treatment-related days in hospital, Assess overall performance status, Assess blood MX protein levels
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Histological documentet cutaneous malognant melanoma * Stage IIIa, IIIb, IIIc (AJCC 2002) * R0 resection dating back no longer than 56 days * Performance status (ECOG o-1) * Bone marrow funktion: White cell count \> 3000 cells/ul, platletts \> 100000 cells/ul, hemoglobin \> 10 g/dl * Liver and kidney funktion: Serum creatinin \< 1.5 times upper limit of normal, AST and ALT \< 2.5 times upper limit of normal, Serum bilirubin \< 2 times upper limit of normal * Written inform consent
Exclusion criteria
* Confirmed distant metastasis * Choroid or mucosal melanoma * Pregnant or lactating women and women of childbearing potential not using a reliable form of contraception * Active autoimmun disease * patients with history of neuropsychiatric disease requiring hospitalization * Severe medical condition such us: * Florid hepatitis * Severe acute infection * Myocardial infarction within the past year,symptomatic angina pectoris * Grade III to IV congestive heart failure * serious pulmonary disease * HIV-positive patients with an AIDS - defining condition * treatment in another clinical drug trial within the last 30 days * A history of hypersensitivity to interferon alfa * History of maignant disease during the past 5 years (except for curatively treated skin carcinoma or in situ carcinoma) * Prior high dose interferon alfa therapy.Prior adjuvant low dose or intermediate-dose interferon alfa therapy is allowed
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| distant metastasis free survival/(DMFI ) | — |
Secondary
| Measure | Time frame |
|---|---|
| overall survival | — |
| time to progression | — |
| toxicity | — |
Countries
Germany