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Dacarbazine With or Without Oblimersen (G3139) in Treating Patients With Advanced Malignant Melanoma

Primary Purpose

Melanoma (Skin)

Status
Completed
Phase
Phase 3
Locations
United States
Study Type
Interventional
Intervention
oblimersen sodium
dacarbazine
Sponsored by
Genta Incorporated
About
Eligibility
Locations
Outcomes
Full info

About this trial

This is an interventional treatment trial for Melanoma (Skin) focused on measuring stage III melanoma, stage IV melanoma, recurrent melanoma

Eligibility Criteria

undefined - undefined (Child, Adult, Older Adult)All SexesDoes not accept healthy volunteers

DISEASE CHARACTERISTICS: Histologically confirmed malignant melanoma Progressive disease that is unresectable or metastatic No primary ocular or mucosal melanoma At least 1 unidimensionally measurable lesion by physical exam or imaging studies At least 10 mm by caliper for superficial cutaneous disease At least 20 mm by contrast-enhanced or spiral CT scan for visceral or nodal/soft tissue disease No bone metastases as only site of measurable disease Lesions considered non-measurable include the following: Bone lesions Pleural/pericardial effusion Lymphangitis cutis/pulmonis Abdominal masses that are not confirmed and followed by imaging Lesions located in a previously irradiated area No brain metastases or leptomeningeal disease Considered a medical candidate for dacarbazine treatment PATIENT CHARACTERISTICS: Age: Any age Performance status: ECOG 0-2 Life expectancy: Not specified Hematopoietic: Absolute neutrophil count at least 1,500/mm^3 Platelet count at least 100,000/mm^3 Hemoglobin at least 8 g/dL (hematopoietic growth factor or transfusion independent) Hepatic: Bilirubin no greater than 1.5 times upper limit of normal (ULN) ALT/AST no greater than 2.5 times ULN Alkaline phosphatase no greater than 2.5 times ULN Albumin at least 2.5 g/dL PT/PTT no greater than 1.5 times ULN No history of chronic hepatitis or cirrhosis Renal: Creatinine no greater than 1.5 times ULN OR Creatinine clearance at least 50 mL/min Cardiovascular: No uncontrolled congestive heart failure No New York Heart Association class III or IV disease No symptomatic coronary artery disease (e.g., uncontrolled arrhythmias or recurrent chest pain despite prophylactic medication) No cardiovascular signs and symptoms at least grade 2 within the past 4 weeks Other: Intellectually, emotionally, and physically able to maintain an ambulatory infusion pump Satisfactory venous access No other significant medical disease No uncontrolled seizure disorder No active infection No uncontrolled diabetes mellitus No active autoimmune disease No other malignancy within the past 5 years except adequately treated basal cell or squamous cell skin cancer or carcinoma in situ of the cervix No known hypersensitivity to phosphorothioate-containing oligonucleotides or dacarbazine No known HIV infection Not pregnant or nursing Negative pregnancy test Fertile patients must use effective contraception PRIOR CONCURRENT THERAPY: Biologic therapy: At least 4 weeks since prior immunotherapy, cytokine, biologic, or vaccine therapy in the adjuvant and/or metastatic setting and recovered No concurrent prophylactic growth factors (e.g., filgrastim [G-CSF], sargramostim [GM-CSF] or epoetin alfa) during course 1 of study Chemotherapy: No prior cytotoxic chemotherapy, including regional perfusion Endocrine therapy: No concurrent chronic corticosteroids with an average dose of at least 20 mg of prednisone or equivalent per day Radiotherapy: See Disease Characteristics At least 4 weeks since prior radiotherapy and recovered No prior radiotherapy to measurable target lesions unless progression occurred at that site or measurable disease developed outside the treated area Surgery: At least 4 weeks since prior surgery and recovered No prior organ allografts Other: At least 3 weeks since prior experimental therapy No prior intratumoral injection therapy to measurable target lesions unless progression occurred at that site or measurable disease developed outside the treated area No concurrent immunosuppressive drugs No concurrent anticoagulation therapy except 1 mg/day of warfarin for central line prophylaxis

Sites / Locations

  • Jonsson Comprehensive Cancer Center, UCLA
  • Genta Incorporated

Outcomes

Primary Outcome Measures

Secondary Outcome Measures

Full Information

First Posted
May 6, 2001
Last Updated
January 3, 2014
Sponsor
Genta Incorporated
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1. Study Identification

Unique Protocol Identification Number
NCT00016263
Brief Title
Dacarbazine With or Without Oblimersen (G3139) in Treating Patients With Advanced Malignant Melanoma
Official Title
Randomized Study Of Dacarbazine Versus Dacarbazine Plus G3139 (Bcl-2 Antisense Oligonucleotide) In Patients With Advanced Malignant Melanoma
Study Type
Interventional

2. Study Status

Record Verification Date
October 2002
Overall Recruitment Status
Completed
Study Start Date
July 2000 (undefined)
Primary Completion Date
undefined (undefined)
Study Completion Date
December 2004 (Actual)

3. Sponsor/Collaborators

Name of the Sponsor
Genta Incorporated

4. Oversight

5. Study Description

Brief Summary
RATIONALE: Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die. Oblimersen (G3139) may help dacarbazine kill more cancer cells by making tumor cells more sensitive to the drug. It is not yet known if dacarbazine is more effective with or without oblimersen (G3139). PURPOSE: Randomized phase III trial to compare the effectiveness of dacarbazine with or without oblimersen (G3139) in treating patients who have advanced malignant melanoma.
Detailed Description
OBJECTIVES: Compare the survival of patients with advanced malignant melanoma treated with dacarbazine with or without oblimersen (G3139). Compare the response rate, durable response rate, and progression-free survival of patients treated with these regimens. Compare the safety of these regimens in this patient population. Compare the performance status, body weight, and tumor-related symptoms of patients treated with these regimens. OUTLINE: This is a randomized, open-label, multicenter study. Patients are stratified according to ECOG performance status (0 vs 1 or 2), extent of metastases and lactate dehydrogenase (LDH) level (skin subcutaneous and/or lymph node metastases without visceral involvement and normal LDH vs any visceral metastases or elevated LDH), and liver metastases (yes vs no). Patients are randomized to one of two treatment arms. Arm I: Patients receive dacarbazine IV over 60 minutes on day 1. Arm II: Patients receive oblimersen (G3139) IV continuously over days 1-6 followed by dacarbazine IV over 60 minutes on day 6. Treatment repeats every 21 days for a maximum of 8 courses in the absence of disease progression or unacceptable toxicity. Patients with stable disease or partial or complete response may be eligible for another 8 courses of treatment in an extension protocol. Patients are followed at least every 2 months for up to 2 years after study. PROJECTED ACCRUAL: A total of 750 patients (375 per arm) will be accrued for this study.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Melanoma (Skin)
Keywords
stage III melanoma, stage IV melanoma, recurrent melanoma

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Masking
None (Open Label)
Allocation
Randomized

8. Arms, Groups, and Interventions

Intervention Type
Biological
Intervention Name(s)
oblimersen sodium
Intervention Type
Drug
Intervention Name(s)
dacarbazine

10. Eligibility

Sex
All
Accepts Healthy Volunteers
No
Eligibility Criteria
DISEASE CHARACTERISTICS: Histologically confirmed malignant melanoma Progressive disease that is unresectable or metastatic No primary ocular or mucosal melanoma At least 1 unidimensionally measurable lesion by physical exam or imaging studies At least 10 mm by caliper for superficial cutaneous disease At least 20 mm by contrast-enhanced or spiral CT scan for visceral or nodal/soft tissue disease No bone metastases as only site of measurable disease Lesions considered non-measurable include the following: Bone lesions Pleural/pericardial effusion Lymphangitis cutis/pulmonis Abdominal masses that are not confirmed and followed by imaging Lesions located in a previously irradiated area No brain metastases or leptomeningeal disease Considered a medical candidate for dacarbazine treatment PATIENT CHARACTERISTICS: Age: Any age Performance status: ECOG 0-2 Life expectancy: Not specified Hematopoietic: Absolute neutrophil count at least 1,500/mm^3 Platelet count at least 100,000/mm^3 Hemoglobin at least 8 g/dL (hematopoietic growth factor or transfusion independent) Hepatic: Bilirubin no greater than 1.5 times upper limit of normal (ULN) ALT/AST no greater than 2.5 times ULN Alkaline phosphatase no greater than 2.5 times ULN Albumin at least 2.5 g/dL PT/PTT no greater than 1.5 times ULN No history of chronic hepatitis or cirrhosis Renal: Creatinine no greater than 1.5 times ULN OR Creatinine clearance at least 50 mL/min Cardiovascular: No uncontrolled congestive heart failure No New York Heart Association class III or IV disease No symptomatic coronary artery disease (e.g., uncontrolled arrhythmias or recurrent chest pain despite prophylactic medication) No cardiovascular signs and symptoms at least grade 2 within the past 4 weeks Other: Intellectually, emotionally, and physically able to maintain an ambulatory infusion pump Satisfactory venous access No other significant medical disease No uncontrolled seizure disorder No active infection No uncontrolled diabetes mellitus No active autoimmune disease No other malignancy within the past 5 years except adequately treated basal cell or squamous cell skin cancer or carcinoma in situ of the cervix No known hypersensitivity to phosphorothioate-containing oligonucleotides or dacarbazine No known HIV infection Not pregnant or nursing Negative pregnancy test Fertile patients must use effective contraception PRIOR CONCURRENT THERAPY: Biologic therapy: At least 4 weeks since prior immunotherapy, cytokine, biologic, or vaccine therapy in the adjuvant and/or metastatic setting and recovered No concurrent prophylactic growth factors (e.g., filgrastim [G-CSF], sargramostim [GM-CSF] or epoetin alfa) during course 1 of study Chemotherapy: No prior cytotoxic chemotherapy, including regional perfusion Endocrine therapy: No concurrent chronic corticosteroids with an average dose of at least 20 mg of prednisone or equivalent per day Radiotherapy: See Disease Characteristics At least 4 weeks since prior radiotherapy and recovered No prior radiotherapy to measurable target lesions unless progression occurred at that site or measurable disease developed outside the treated area Surgery: At least 4 weeks since prior surgery and recovered No prior organ allografts Other: At least 3 weeks since prior experimental therapy No prior intratumoral injection therapy to measurable target lesions unless progression occurred at that site or measurable disease developed outside the treated area No concurrent immunosuppressive drugs No concurrent anticoagulation therapy except 1 mg/day of warfarin for central line prophylaxis
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Stanley R. Frankel, MD
Organizational Affiliation
Genta Incorporated
Official's Role
Study Chair
Facility Information:
Facility Name
Jonsson Comprehensive Cancer Center, UCLA
City
Los Angeles
State/Province
California
ZIP/Postal Code
90095-1781
Country
United States
Facility Name
Genta Incorporated
City
Berkeley Heights
State/Province
New Jersey
ZIP/Postal Code
07922
Country
United States

12. IPD Sharing Statement

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Dacarbazine With or Without Oblimersen (G3139) in Treating Patients With Advanced Malignant Melanoma

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