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Intravenous or Hepatic Arterial Infusion of Fotemustine in Treating Patients With Unresectable Liver Metastases From Eye Melanoma

Primary Purpose

Intraocular Melanoma, Metastatic Cancer

Status
Terminated
Phase
Phase 3
Locations
International
Study Type
Interventional
Intervention
fotemustine
isolated perfusion
Sponsored by
European Organisation for Research and Treatment of Cancer - EORTC
About
Eligibility
Locations
Outcomes
Full info

About this trial

This is an interventional treatment trial for Intraocular Melanoma focused on measuring liver metastases, ciliary body and choroid melanoma, medium/large size, iris melanoma, extraocular extension melanoma, recurrent intraocular melanoma, metastatic intraocular melanoma

Eligibility Criteria

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

DISEASE CHARACTERISTICS: Histologically or cytologically confirmed liver metastases secondary to uveal melanoma Surgically incurable or unresectable disease No detectable extrahepatic metastases PATIENT CHARACTERISTICS: Age 18 and over Performance status WHO 0-2 Life expectancy Not specified Hematopoietic Absolute neutrophil count ≥ 2,000/mm^3 Platelet count ≥ 100,000/mm^3 Hemoglobin ≥ 10 g/dL Hepatic Bilirubin < 1.5 times upper limit of normal (ULN) ALT and AST < 5 times ULN Alkaline phosphatase < 5 times ULN Gamma-glutamyltransferase < 5 times ULN Lactic dehydrogenase < 5 times ULN Renal BUN < 1.5 times ULN Creatinine ≤ 1.5 times ULN Cardiovascular No uncontrolled angina pectoris No myocardial infarction within the past 6 months No uncontrolled high blood pressure No evolutive intracranial hypertension No other severe cardiac disease Other Not pregnant or nursing Negative pregnancy test Fertile patients must use effective contraception No active gastroduodenal ulcer No diabetes No active or uncontrolled infection No psychological, familial, sociological, or geographical condition that would preclude study compliance and follow-up No other uncontrolled severe medical condition No other malignancy within the past 5 years except surgically cured carcinoma in situ of the cervix or basal cell or squamous cell skin cancer PRIOR CONCURRENT THERAPY: Biologic therapy No concurrent immunologic or biologic therapy Chemotherapy No other concurrent chemotherapy Endocrine therapy Not specified Radiotherapy No prior radiotherapy for metastatic disease No concurrent radiotherapy Surgery Recovered from prior major surgery Other No prior antineoplastic drugs for metastatic disease More than 4 weeks since prior investigational drugs No other concurrent anticancer agents or therapies

Sites / Locations

  • European Institute of Oncology
  • Istituto Nazionale per lo Studio e la Cura dei Tumori
  • Azienda Ospedaliera di Padova
  • Universita di Siena
  • Maria Sklodowska-Curie Memorial Cancer Center and Institute of Oncology - Warsaw
  • Centre Hospitalier Universitaire Vaudois
  • Clatterbridge Centre for Oncology
  • Ninewells Hospital

Outcomes

Primary Outcome Measures

Duration of survival

Secondary Outcome Measures

Progression-free survival
Best response as assessed by RECIST criteria
Duration of response
Toxicity as assessed by CTCAE v3

Full Information

First Posted
May 3, 2005
Last Updated
September 20, 2012
Sponsor
European Organisation for Research and Treatment of Cancer - EORTC
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1. Study Identification

Unique Protocol Identification Number
NCT00110123
Brief Title
Intravenous or Hepatic Arterial Infusion of Fotemustine in Treating Patients With Unresectable Liver Metastases From Eye Melanoma
Official Title
Intravenous Versus Intra-Arterial Fotemustine Chemotherapy in Patients With Liver Metastases From Uveal Melanoma: A Randomized Phase III Study of the EORTC Melanoma Group
Study Type
Interventional

2. Study Status

Record Verification Date
September 2012
Overall Recruitment Status
Terminated
Why Stopped
low accrual
Study Start Date
January 2005 (undefined)
Primary Completion Date
June 2011 (Actual)
Study Completion Date
undefined (undefined)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
European Organisation for Research and Treatment of Cancer - EORTC

4. Oversight

5. Study Description

Brief Summary
RATIONALE: Drugs used in chemotherapy, such as fotemustine, work in different ways to stop the growth of tumor cells, either by killing the cells or by stopping them from dividing. Giving the drugs in different ways may kill more tumor cells. It is not yet known whether giving fotemustine as an intravenous infusion is more effective than giving it as a hepatic arterial infusion in treating liver metastases. PURPOSE: This randomized phase III trial is studying intravenous infusion of fotemustine to see how well it works compared to hepatic arterial infusion of fotemustine in treating patients with unresectable liver metastases from eye melanoma.
Detailed Description
OBJECTIVES: Primary Compare overall survival of patients with surgically incurable or unresectable liver metastases secondary to uveal melanoma treated with fotemustine administered as an intravenous infusion vs an intra-arterial hepatic perfusion. Secondary Compare progression-free survival of patients treated with this drug. Compare the response rate in patients treated with this drug. Compare the duration of objective response in patients treated with this drug. Compare the patterns of progression in patients treated with this drug. Compare treatment-related toxic effects and catheter-related complications in patients treated with this drug. OUTLINE: This is an open-label, randomized, multicenter study. Patients are stratified according to participating center, lactic dehydrogenase level (normal vs abnormal), and WHO performance status (0 vs 1 vs 2). Patients are randomized to 1 of 2 treatment arms. Arm I: Patients receive fotemustine IV over 1 hour on days 1, 8, and 15 (induction course). Beginning on day 50, patients receive maintenance courses of fotemustine IV over 1 hour every 21 days in the absence of disease progression or unacceptable toxicity. Arm II: Patients receive fotemustine by a 4-hour intra-arterial (IA) hepatic perfusion on days 1, 8, 15, and 22 (induction course). Beginning on day 57, patients receive maintenance courses of fotemustine by a 4-hour IA hepatic perfusion every 21 days in the absence of disease progression or unacceptable toxicity. After completion of study treatment, patients are followed every 9 weeks for survival. PROJECTED ACCRUAL: A total of 262 patients (131 per treatment arm) will be accrued for this study within 3 years.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Intraocular Melanoma, Metastatic Cancer
Keywords
liver metastases, ciliary body and choroid melanoma, medium/large size, iris melanoma, extraocular extension melanoma, recurrent intraocular melanoma, metastatic intraocular melanoma

7. Study Design

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

8. Arms, Groups, and Interventions

Intervention Type
Drug
Intervention Name(s)
fotemustine
Intervention Type
Drug
Intervention Name(s)
isolated perfusion
Primary Outcome Measure Information:
Title
Duration of survival
Secondary Outcome Measure Information:
Title
Progression-free survival
Title
Best response as assessed by RECIST criteria
Title
Duration of response
Title
Toxicity as assessed by CTCAE v3

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
DISEASE CHARACTERISTICS: Histologically or cytologically confirmed liver metastases secondary to uveal melanoma Surgically incurable or unresectable disease No detectable extrahepatic metastases PATIENT CHARACTERISTICS: Age 18 and over Performance status WHO 0-2 Life expectancy Not specified Hematopoietic Absolute neutrophil count ≥ 2,000/mm^3 Platelet count ≥ 100,000/mm^3 Hemoglobin ≥ 10 g/dL Hepatic Bilirubin < 1.5 times upper limit of normal (ULN) ALT and AST < 5 times ULN Alkaline phosphatase < 5 times ULN Gamma-glutamyltransferase < 5 times ULN Lactic dehydrogenase < 5 times ULN Renal BUN < 1.5 times ULN Creatinine ≤ 1.5 times ULN Cardiovascular No uncontrolled angina pectoris No myocardial infarction within the past 6 months No uncontrolled high blood pressure No evolutive intracranial hypertension No other severe cardiac disease Other Not pregnant or nursing Negative pregnancy test Fertile patients must use effective contraception No active gastroduodenal ulcer No diabetes No active or uncontrolled infection No psychological, familial, sociological, or geographical condition that would preclude study compliance and follow-up No other uncontrolled severe medical condition No other malignancy within the past 5 years except surgically cured carcinoma in situ of the cervix or basal cell or squamous cell skin cancer PRIOR CONCURRENT THERAPY: Biologic therapy No concurrent immunologic or biologic therapy Chemotherapy No other concurrent chemotherapy Endocrine therapy Not specified Radiotherapy No prior radiotherapy for metastatic disease No concurrent radiotherapy Surgery Recovered from prior major surgery Other No prior antineoplastic drugs for metastatic disease More than 4 weeks since prior investigational drugs No other concurrent anticancer agents or therapies
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Serge Leyvraz, MD
Organizational Affiliation
Centre Hospitalier Universitaire Vaudois
Official's Role
Study Chair
Facility Information:
Facility Name
European Institute of Oncology
City
Milan
ZIP/Postal Code
20141
Country
Italy
Facility Name
Istituto Nazionale per lo Studio e la Cura dei Tumori
City
Naples
ZIP/Postal Code
80131
Country
Italy
Facility Name
Azienda Ospedaliera di Padova
City
Padova
ZIP/Postal Code
35128
Country
Italy
Facility Name
Universita di Siena
City
Siena
ZIP/Postal Code
53100
Country
Italy
Facility Name
Maria Sklodowska-Curie Memorial Cancer Center and Institute of Oncology - Warsaw
City
Warsaw
ZIP/Postal Code
02-781
Country
Poland
Facility Name
Centre Hospitalier Universitaire Vaudois
City
Lausanne
ZIP/Postal Code
CH-1011
Country
Switzerland
Facility Name
Clatterbridge Centre for Oncology
City
Merseyside
State/Province
England
ZIP/Postal Code
CH63 4JY
Country
United Kingdom
Facility Name
Ninewells Hospital
City
Dundee
State/Province
Scotland
ZIP/Postal Code
DD1 9SY
Country
United Kingdom

12. IPD Sharing Statement

Citations:
PubMed Identifier
24510314
Citation
Leyvraz S, Piperno-Neumann S, Suciu S, Baurain JF, Zdzienicki M, Testori A, Marshall E, Scheulen M, Jouary T, Negrier S, Vermorken JB, Kaempgen E, Durando X, Schadendorf D, Gurunath RK, Keilholz U. Hepatic intra-arterial versus intravenous fotemustine in patients with liver metastases from uveal melanoma (EORTC 18021): a multicentric randomized trial. Ann Oncol. 2014 Mar;25(3):742-746. doi: 10.1093/annonc/mdt585. Epub 2014 Feb 7.
Results Reference
derived
PubMed Identifier
22027909
Citation
Orcurto V, Denys A, Voelter V, Schalenbourg A, Schnyder P, Zografos L, Leyvraz S, Delaloye AB, Prior JO. (18)F-fluorodeoxyglucose positron emission tomography/computed tomography and magnetic resonance imaging in patients with liver metastases from uveal melanoma: results from a pilot study. Melanoma Res. 2012 Feb;22(1):63-9. doi: 10.1097/CMR.0b013e32834d3dcb.
Results Reference
derived

Learn more about this trial

Intravenous or Hepatic Arterial Infusion of Fotemustine in Treating Patients With Unresectable Liver Metastases From Eye Melanoma

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