Metastatic Melanoma
Conditions
Brief summary
A phase I-II study of treatment of metastatic melanoma using induction therapy with Biochemotherapy plus Bevacizumab followed by consolidation therapy with Ipilimumab (BBI).
Detailed description
A phase I-II study of treatment of metastatic melanoma using induction therapy with Biochemotherapy (Temodar,Cisplatin, Velban,IL2 and IFN)plus Bevacizumab followed by consolidation therapy with Ipilimumab (BBI)
Interventions
Bevacizumab 7.5mg/kg week 1,repeat weeks 4,7,10 (cycles 2, 3, & 4)
Sponsors
Study design
Eligibility
Inclusion criteria
1. Stage 4 or unresectable stage 3 metastatic melanoma with or without measurable disease 2. Age 18-70 years old 3. Adequate pulmonary and cardiac function for high-dose IL-2 4. PS 0-2 5. Previous ipilimumab therapy will not exclude patients, but patients with previous ipilimumab will have separate efficacy analysis
Exclusion criteria
1. Brain metastases 2. Creatinine \> 2x ULN; bilirubin \> 3, WBC \< 3500, Platelets \< 100,000, Hgb \< 9 3. Another active malignancy 4. Gastrointestinal tract metastases except rectal metastases or primary are allowable 5. Previous therapy for metastatic disease with chemotherapy of duration over 3 months or with high-dose interleukin-2 6. History of colitis or autoimmune disease such as lupus or rheumatoid arthritis 7. Bevacizumab-related contraindications: Hemoptysis or history of severe bleeding, uncontrolled hypertension, proteinuria with protein/creatinine ratio \> 1, acute myocardial infarction within 6 months
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| A phase I-II study of treatment of metastatic melanoma using induction therapy with Biochemotherapy and Bevacizumab followed by consolidation therapy with Ipilimumab (BBI) | Primary Objective | Determine the incidence of grade 4 bevacizumab-related toxicities and grade 3 proteinuria when bevacizumab is given with biochemotherapy to patients with metastatic melanoma for up to 3 years. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| A phase I-II study of treatment of metastatic melanoma using induction therapy with Biochemotherapy and Bevacizumab followed by consolidation therapy with Ipilimumab (BBI) | Secondary Objective | Compare median and overall progression-free survival to previously published historical control group of 135 patients receiving biochemotherapy followed by pulse IL-2, and also patients in the study of Weber et al (Reference 9) of ipilimumab in previously untreated patients for up to 4 years. |
Countries
United States