A Pilot Study of Pivanex in Patients With Malignant Melanoma

Inclusion Criteria: Histologically or cytologically confirmed melanoma, previously treated with chemotherapy or IL-2 Recurrent or progressive disease after treatment. Measurable disease. Males and females, age ≥ 18 years. Adequate renal function with creatinine ≥ 1.5 mg/dl. Adequate liver function with alkaline phosphatase <= 2.5 X upper limit of normal, SGOT and SGPT <= 1.5 X upper limit of normal and total bilirubin <= 1.5 X upper limit of normal. Adequate bone marrow function: platelets ≥ 100,000/mm3, hemoglobin ≥ 9 g/dL, and absolute neutrophil count (ANC)≥ 1,500 cells/mm3. Able to give informed consent. Must have discontinued previous surgery, radiation therapy or cancer chemotherapy at least four weeks prior to randomization (six weeks if a prior nitrosourea or mitomycin C), with recovery from treatment-associated toxicity. Localized palliative radiation therapy to non-target lesions is permitted within the four weeks prior to randomization. A predicted life expectancy of at least 6 months. Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1. Exclusion Criteria: Receipt of more than three (3) systemic treatment regimens for malignant melanoma (including IL-2). A second malignancy within the last 5 years other than curatively treated carcinoma-in-situ or non-melanoma skin cancer. Pregnant or lactating females. Females of childbearing potential must have a negative pregnancy test and all male and female patients of reproductive potential must agree to use adequate birth control. Known HIV-positive patients. Acute medical problems, such as ischemic heart or lung disease or uncontrolled systemic infection. Patients with any underlying medical conditions or circumstance, which would contraindicate therapy with study treatment, affect compliance or impair evaluation of study endpoints. Patients receiving investigational agents within 4 weeks of randomization. Known allergy to reagents in the study. Symptomatic or untreated brain metastases - Patients with brain metastases are eligible if they are clinically and neurologically stable for ≥ 4 weeks since therapy (radiation therapy, radiosurgery/gamma knife, surgical resection) as determined by the investigator and either off corticosteroids or on a stable dose of corticosteroids.