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Interleukin-2 With or Without Histamine Dihydrochloride in Treating Patients With Stage IV Melanoma Metastatic to the Liver

Primary Purpose

Melanoma (Skin), Metastatic Cancer

Status
Unknown status
Phase
Phase 3
Locations
International
Study Type
Interventional
Intervention
aldesleukin
histamine dihydrochloride
Sponsored by
Maxim Pharmaceuticals
About
Eligibility
Locations
Outcomes
Full info

About this trial

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

Eligibility Criteria

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

DISEASE CHARACTERISTICS: Histologically confirmed stage IV melanoma Must have radiological evidence of lesions in liver (target or non-target) At least 1 measurable lesion outside previously irradiated field At least 20 mm by contrast-enhanced CT scan, MRI, medical photography, or physical exam OR at least 10 mm by spiral CT scan No prior or concurrent clinical and/or objective evidence of brain metastasis PATIENT CHARACTERISTICS: Age: 18 and over Performance status: WHO 0-1 Life expectancy: At least 3 months Hematopoietic: Hemoglobin at least 9.5 g/dL WBC at least 3,000/mm^3 Granulocyte count at least 2,000/mm^3 Platelet count at least 100,000/mm^3 Hepatic: Bilirubin no greater than 2 times upper limit of normal (ULN) AST and ALT no greater than 4 times ULN Alkaline phosphatase no greater than 4 times ULN Hepatitis B and C negative Renal: Creatinine no greater than 1.7 mg/dL Calcium no greater than 11.5 mg/dL Cardiovascular: No abnormal thallium stress test No acute myocardial infarction within the past year No New York Heart Association class III or IV heart disease Pulmonary: No asthma requiring active treatment within the past 5 years Oxygen saturation by pulse oximeter at least 90% unless FEV_1 is greater than 2 L or at least 75% predicted Other: Not pregnant or nursing Negative pregnancy test Fertile patients must use effective contraception HIV negative Concurrent medically-controlled (except with glyburide) or diet-controlled diabetes is allowed Concurrent medically-controlled thyroid dysfunction is allowed No other active malignancy within the past 5 years except carcinoma in situ of the cervix or localized squamous cell or basal cell skin cancer No serious non-malignant medical conditions, including psychiatric disability, that would preclude study compliance No active autoimmune disease (e.g., lupus, inflammatory bowel disease, or psoriasis) No active peptic and/or esophageal ulcer disease No hypersensitivity to histamine products or urticaria No active IV drug abuse PRIOR CONCURRENT THERAPY: Biologic therapy: No prior immunotherapy with high-dose IV interleukin-2 (IL-2) No prior combination immunotherapy with chemotherapy At least 1 year since prior low-dose adjuvant IL-2 as part of vaccine therapy or as therapy for stage II or III melanoma Chemotherapy: See Biologic therapy Endocrine therapy: No chronic systemic glucocorticoid steroids Asthma inhalers, topical creams, or intra-articular injections allowed Hormonal therapy for non-melanoma-related conditions allowed Radiotherapy: See Disease Characteristics Concurrent radiotherapy as palliative therapy for isolated non-target lesions (e.g., bone lesions) allowed Surgery: Not specified Other: At least 4 weeks since prior therapy directed at malignancy At least 4 weeks since prior investigational medications or therapies At least 2 weeks since prior parenteral antioxidants and/or vitamins At least 2 weeks since prior antibiotics for active illness At least 2 weeks since prior H2 antagonists, beta-blockers, antihypertensives, antimalarials, antitrypanosomals, neuromuscular-blocking agents, tricyclic antidepressants, or alprazolam At least 24 hours since prior antihistamines No prior enrollment in any Maxim Pharmaceuticals investigational trials No concurrent anticonvulsant therapy for seizure disorder No other concurrent investigational drug No concurrent H2 antagonists, tricyclic antidepressants, alprazolam, beta- blockers, antihypertensives, antitrypanosomals, antimalarials, or monoamine oxidase inhibitors No concurrent inhibitors of diamine oxidase, monoamine oxidase, or histamine N-methyltransferase No concurrent antihistamines

Sites / Locations

  • John Wayne Cancer Institute at Saint John's Health Center
  • University of Colorado Cancer Center at University of Colorado Health Sciences Center
  • Moffitt Clinic at Tampa General Hospital
  • University of Chicago Cancer Research Center
  • James Graham Brown Cancer Center at University of Louisville
  • Ellis Fischel Cancer Center at University of Missouri - Columbia
  • Melanoma Center of St. Louis, Missouri Baptist Medical Center
  • Comprehensive Cancer Center at Our Lady of Mercy Medical Center
  • Beth Israel Medical Center
  • Memorial Sloan-Kettering Cancer Center
  • Hillman Cancer Center at University of Pittsburgh Cancer Institute
  • Cross Cancer Institute
  • Centre Hospitalier Universitaire de Quebec
  • Charite - Universitaetsmedizin Berlin
  • Universitatsklinik - Saarland
  • Kiel Universitatshautklinik
  • Klinische Kooperationseinheit fur Dermatoonkologie (DFKZ)
  • Klinikum Rechts Der Isar/Technische Universitaet Muenchen
  • Royal Marsden Hospital - Sutton

Outcomes

Primary Outcome Measures

Secondary Outcome Measures

Full Information

First Posted
June 6, 2002
Last Updated
December 17, 2013
Sponsor
Maxim Pharmaceuticals
Collaborators
National Cancer Institute (NCI)
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1. Study Identification

Unique Protocol Identification Number
NCT00039234
Brief Title
Interleukin-2 With or Without Histamine Dihydrochloride in Treating Patients With Stage IV Melanoma Metastatic to the Liver
Official Title
A Phase III, Multi-Center Controlled Trial With Stratified Randomization Comparing The Efficacy Of Interleukin-2 (IL-2) Plus Histamine Dihydrochloride (HDC) Versus IL-2 Alone To Increase The Duration Of Survival In Patients With AJCC Stage IV Malignant Melanoma With Hepatic Metastasis
Study Type
Interventional

2. Study Status

Record Verification Date
December 2003
Overall Recruitment Status
Unknown status
Study Start Date
September 2002 (undefined)
Primary Completion Date
undefined (undefined)
Study Completion Date
undefined (undefined)

3. Sponsor/Collaborators

Name of the Sponsor
Maxim Pharmaceuticals
Collaborators
National Cancer Institute (NCI)

4. Oversight

5. Study Description

Brief Summary
RATIONALE: Interleukin-2 may stimulate a person's white blood cells to kill tumor cells. Histamine dihydrochloride may help interleukin-2 kill more tumor cells by making tumor cells more sensitive to the drug. It is not yet known if interleukin-2 is more effective with or without histamine dihydrochloride in treating stage IV melanoma that is metastatic to the liver. PURPOSE: Randomized phase III trial to compare the effectiveness of interleukin-2 with or without histamine dihydrochloride in treating patients who have stage IV melanoma that is metastatic to the liver.
Detailed Description
OBJECTIVES: Compare the duration of survival in patients with stage IV melanoma with hepatic metastasis treated with interleukin-2 with or without histamine dihydrochloride. Compare the progression-free survival, response rate, response rate of hepatic tumors, and lack of disease progression in patients treated with these regimens. Determine the safety of these regimens, in terms of frequency, severity, and causal relationship of adverse events, in these patients. OUTLINE: This is a randomized, multicenter study. Patients are stratified according to participating center location (North America vs Europe), lactate dehydrogenase (less than ULN vs ULN or greater), and metastatic sites (liver only vs liver and other sites). Patients are randomized to one of two treatment arms. Arm I: Patients receive interleukin-2 (IL-2) subcutaneously (SC) twice daily on days 1 and 2 of weeks 1 and 3 and days 1-5 of weeks 2 and 4. Patients also receive histamine dihydrochloride SC over 10-30 minutes on days 1-5 of weeks 1-4. Arm II: Patients receive IL-2 as in arm I. In both arms, treatment repeats every 6 weeks for at least 8 courses in the absence of disease progression or unacceptable toxicity. Patients are followed every 3 months for 3 years and then every 6 months thereafter. PROJECTED ACCRUAL: A total of 224 patients (112 per treatment 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), Metastatic Cancer
Keywords
stage IV melanoma, recurrent melanoma, liver metastases

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Allocation
Randomized

8. Arms, Groups, and Interventions

Intervention Type
Biological
Intervention Name(s)
aldesleukin
Intervention Type
Drug
Intervention Name(s)
histamine dihydrochloride

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
DISEASE CHARACTERISTICS: Histologically confirmed stage IV melanoma Must have radiological evidence of lesions in liver (target or non-target) At least 1 measurable lesion outside previously irradiated field At least 20 mm by contrast-enhanced CT scan, MRI, medical photography, or physical exam OR at least 10 mm by spiral CT scan No prior or concurrent clinical and/or objective evidence of brain metastasis PATIENT CHARACTERISTICS: Age: 18 and over Performance status: WHO 0-1 Life expectancy: At least 3 months Hematopoietic: Hemoglobin at least 9.5 g/dL WBC at least 3,000/mm^3 Granulocyte count at least 2,000/mm^3 Platelet count at least 100,000/mm^3 Hepatic: Bilirubin no greater than 2 times upper limit of normal (ULN) AST and ALT no greater than 4 times ULN Alkaline phosphatase no greater than 4 times ULN Hepatitis B and C negative Renal: Creatinine no greater than 1.7 mg/dL Calcium no greater than 11.5 mg/dL Cardiovascular: No abnormal thallium stress test No acute myocardial infarction within the past year No New York Heart Association class III or IV heart disease Pulmonary: No asthma requiring active treatment within the past 5 years Oxygen saturation by pulse oximeter at least 90% unless FEV_1 is greater than 2 L or at least 75% predicted Other: Not pregnant or nursing Negative pregnancy test Fertile patients must use effective contraception HIV negative Concurrent medically-controlled (except with glyburide) or diet-controlled diabetes is allowed Concurrent medically-controlled thyroid dysfunction is allowed No other active malignancy within the past 5 years except carcinoma in situ of the cervix or localized squamous cell or basal cell skin cancer No serious non-malignant medical conditions, including psychiatric disability, that would preclude study compliance No active autoimmune disease (e.g., lupus, inflammatory bowel disease, or psoriasis) No active peptic and/or esophageal ulcer disease No hypersensitivity to histamine products or urticaria No active IV drug abuse PRIOR CONCURRENT THERAPY: Biologic therapy: No prior immunotherapy with high-dose IV interleukin-2 (IL-2) No prior combination immunotherapy with chemotherapy At least 1 year since prior low-dose adjuvant IL-2 as part of vaccine therapy or as therapy for stage II or III melanoma Chemotherapy: See Biologic therapy Endocrine therapy: No chronic systemic glucocorticoid steroids Asthma inhalers, topical creams, or intra-articular injections allowed Hormonal therapy for non-melanoma-related conditions allowed Radiotherapy: See Disease Characteristics Concurrent radiotherapy as palliative therapy for isolated non-target lesions (e.g., bone lesions) allowed Surgery: Not specified Other: At least 4 weeks since prior therapy directed at malignancy At least 4 weeks since prior investigational medications or therapies At least 2 weeks since prior parenteral antioxidants and/or vitamins At least 2 weeks since prior antibiotics for active illness At least 2 weeks since prior H2 antagonists, beta-blockers, antihypertensives, antimalarials, antitrypanosomals, neuromuscular-blocking agents, tricyclic antidepressants, or alprazolam At least 24 hours since prior antihistamines No prior enrollment in any Maxim Pharmaceuticals investigational trials No concurrent anticonvulsant therapy for seizure disorder No other concurrent investigational drug No concurrent H2 antagonists, tricyclic antidepressants, alprazolam, beta- blockers, antihypertensives, antitrypanosomals, antimalarials, or monoamine oxidase inhibitors No concurrent inhibitors of diamine oxidase, monoamine oxidase, or histamine N-methyltransferase No concurrent antihistamines
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
John A. Glaspy, MD, MPH
Organizational Affiliation
Jonsson Comprehensive Cancer Center
Official's Role
Study Chair
Facility Information:
Facility Name
John Wayne Cancer Institute at Saint John's Health Center
City
Santa Monica
State/Province
California
ZIP/Postal Code
90404
Country
United States
Facility Name
University of Colorado Cancer Center at University of Colorado Health Sciences Center
City
Aurora
State/Province
Colorado
ZIP/Postal Code
80010
Country
United States
Facility Name
Moffitt Clinic at Tampa General Hospital
City
Tampa
State/Province
Florida
ZIP/Postal Code
33612
Country
United States
Facility Name
University of Chicago Cancer Research Center
City
Chicago
State/Province
Illinois
ZIP/Postal Code
60637-1470
Country
United States
Facility Name
James Graham Brown Cancer Center at University of Louisville
City
Louisville
State/Province
Kentucky
ZIP/Postal Code
40202
Country
United States
Facility Name
Ellis Fischel Cancer Center at University of Missouri - Columbia
City
Columbia
State/Province
Missouri
ZIP/Postal Code
65203
Country
United States
Facility Name
Melanoma Center of St. Louis, Missouri Baptist Medical Center
City
Saint Louis
State/Province
Missouri
ZIP/Postal Code
63131
Country
United States
Facility Name
Comprehensive Cancer Center at Our Lady of Mercy Medical Center
City
Bronx
State/Province
New York
ZIP/Postal Code
10466
Country
United States
Facility Name
Beth Israel Medical Center
City
New York
State/Province
New York
ZIP/Postal Code
10003
Country
United States
Facility Name
Memorial Sloan-Kettering Cancer Center
City
New York
State/Province
New York
ZIP/Postal Code
10021
Country
United States
Facility Name
Hillman Cancer Center at University of Pittsburgh Cancer Institute
City
Pittsburgh
State/Province
Pennsylvania
ZIP/Postal Code
15213-3489
Country
United States
Facility Name
Cross Cancer Institute
City
Edmonton
State/Province
Alberta
ZIP/Postal Code
T6G 1Z2
Country
Canada
Facility Name
Centre Hospitalier Universitaire de Quebec
City
Quebec City
State/Province
Quebec
ZIP/Postal Code
G1R 2J6
Country
Canada
Facility Name
Charite - Universitaetsmedizin Berlin
City
Berlin
ZIP/Postal Code
D-12200
Country
Germany
Facility Name
Universitatsklinik - Saarland
City
Homburg/Saar
ZIP/Postal Code
D-66421
Country
Germany
Facility Name
Kiel Universitatshautklinik
City
Kiel
ZIP/Postal Code
DOH-24105
Country
Germany
Facility Name
Klinische Kooperationseinheit fur Dermatoonkologie (DFKZ)
City
Mannheim
ZIP/Postal Code
68135
Country
Germany
Facility Name
Klinikum Rechts Der Isar/Technische Universitaet Muenchen
City
Munich
ZIP/Postal Code
D-81675
Country
Germany
Facility Name
Royal Marsden Hospital - Sutton
City
London
State/Province
England
ZIP/Postal Code
SW3 6JJ
Country
United Kingdom

12. IPD Sharing Statement

Learn more about this trial

Interleukin-2 With or Without Histamine Dihydrochloride in Treating Patients With Stage IV Melanoma Metastatic to the Liver

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