Interferon Alfa Following Surgery in Treating Patients With Stage III Melanoma
Melanoma (Skin)
About this trial
This is an interventional treatment trial for Melanoma (Skin) focused on measuring stage III melanoma
Eligibility Criteria
DISEASE CHARACTERISTICS: Histologically confirmed previously resected stage III primary cutaneous melanoma or unknown primary with regional lymph node involvement N1 disease Microscopic, nonpalpable nodal involvement Primary melanoma of any stage with clinically inapparent N1 regional lymph node metastases (T1-4, N1, M0) detected by elective lymph node dissection or sentinel node biopsy N2 disease Palpable nodal involvement with synchronous primary melanoma or apparent nodal disease after prior excision (any pT, N2, M0) Regional lymph node recurrence at any interval after surgery for primary melanoma of any depth (T1-4, rN2, M0) Complete resection of primary melanoma with adequate surgical margins Full lymphadenectomy must be performed within 70 days of study No mucous membrane melanoma or ocular melanoma No evidence of distant or nonregional lymph node metastases or in transit metastases (even if previously resected) No incompletely resected disease due to gross extracapsular extension PATIENT CHARACTERISTICS: Age: 18 to 70 Performance status: ECOG 0-1 Life expectancy: Not specified Hematopoietic: WBC at least 3,000/mm^3 Platelet count greater than 100,000/mm^3 Hemoglobin at least 9 g/dL Hepatic: SGOT and SGPT less than 2 times upper limit of normal No active hepatitis Renal: Creatinine less than 2.0 mg/dL Cardiovascular: No severe cardiovascular disease including the following: Arrhythmias requiring chronic treatment Congestive heart failure (New York Heart Association class III or IV) Symptomatic ischemic heart disease Other: No other prior malignancy within the past 5 years except surgically cured nonmelanomatous skin cancer or carcinoma in situ of the cervix No thyroid dysfunction unresponsive to therapy No uncontrolled diabetes mellitus No active autoimmune disease No active and/or uncontrolled infection No history of neuropsychiatric disorder requiring hospitalization No known active alcohol or drug abuse HIV negative Not pregnant or nursing Negative pregnancy test Fertile patients must use effective contraception PRIOR CONCURRENT THERAPY: Biologic therapy: No prior interferon alfa No prior immunotherapy for melanoma No other concurrent immunologic or biologic therapy No concurrent colony stimulating factors including epoetin alfa and filgrastim (G-CSF) Chemotherapy: No prior chemotherapy for melanoma No concurrent chemotherapy Endocrine therapy: No prior hormonal therapy for melanoma No concurrent hormonal therapy No concurrent chronic systemic corticosteroid therapy Radiotherapy: No prior radiotherapy for melanoma No concurrent radiotherapy Surgery: See Disease Characteristics Recovered from any prior recent surgery Other: At least 30 days since other prior experimental therapy No other concurrent investigational drugs
Sites / Locations
- Peter MacCallum Cancer Institute
- Austin and Repatriation Medical Centre
- Royal Perth Hospital
- Sir Charles Gairdner Hospital, Perth
- David Maddison Clincial Sciences
- Institut Jules Bordet
- Hopital Universitaire Erasme
- Cliniques Universitaires Saint-Luc
- Universitair Ziekenhuis Antwerpen
- Clinique Notre Dame de Grace
- U.Z. Gasthuisberg
- National Centre of Oncology
- University Hospital Sestre Milosrdnice
- Charles University Hospital
- North-Estonian Regional Hospital Cancer Centre
- Centre Hospitalier Universitare d'Amens
- CHR de Besancon - Hopital Saint-Jacques
- Hopital Saint Andre
- CHU Ambroise Pare
- CHR de Grenoble - La Tronche
- Centre Hospitalier Regional et Universitaire de Lille
- Centre Hospital Regional Universitaire de Limoges
- Centre Leon Berard
- Hopital St. Eloi
- Centre Regional de Lutte Contre le Cancer - Centre Val d'Aurelle
- Hopital L'Archet - 2
- Hopital Bichat - Claude Bernard
- Hopital Saint-Louis
- Hopital Haut Leveque
- Centre Hospitalier Universitaire
- Centre Eugene Marquis
- Centre Rene Huguenin
- Centre Hospitalier Regional et Universitaire de Saint-Etienne
- Hopitaux Universitaire de Strasbourg
- Centre Hospitalier Regional Metz Thionville
- Centre Hospitalier Universitaire Bretonneau de Tours
- Centre Alexis Vautrin
- Institut Gustave Roussy
- Robert Roessle Klinik
- Saint Josef Hospital
- Stadt. Kliniken
- Universitaet Erlangen
- Georg August Universitaet
- Haematologisch-Onkologische Praxis Altona
- Universitaets-Hautklinik Heidelberg
- Universitaet Leipzig - Chirurgische Klinik und Poliklinik I
- Otto - Von - Guericke - Universitaet Magdeburg
- Klinikum der Stadt Mannheim
- Universitaet Wuerzburg/Hautkrankheiten
- Rambam Medical Center
- Wolfson Medical Center
- Tel-Aviv Sourasky Medical Center
- Centro di Riferimento Oncologico - Aviano
- Ospendale S.M. Annunziata-A.S.DI Firenze
- Istituto Nazionale per la Ricerca sul Cancro
- Istituto Nazionale per lo Studio e la Cura dei Tumori
- European Institute of Oncology - Chemo Prevention
- Istituto Nazionale per lo Studio e la Cura dei Tumori
- Istituto Regina Elena
- Universita Degli Studi di Torino
- Vrije Universiteit Medisch Centrum
- Leiden University Medical Center
- University Medical Center Nijmegen
- Erasmus University Medical Center
- Academisch Ziekenhuis Utrecht
- Great Poland Cancer Center
- Maria Sklodowska-Curie Memorial Cancer Center and Institute of Oncology
- Instituto Portugues de Oncologia de Francisco Gentil - Centro de Lisboa
- Instituto Portugues de Oncologia Centro do Porto, SA
- Institute of Oncology, Ljubljana
- Hospital Universitario 12 de Octubre
- Hospital Clinico Universitario
- Kantonspital Aarau
- Inselspital, Bern
- Ratisches Kantons und Regionalspital
- UniversitaetsSpital
- Vakif Gureba Training Hospital
- Ege University Medical School
- Bristol Haematology and Oncology Centre
- Addenbrooke's NHS Trust
- Cheltenham General Hospital
- Royal Devon and Exeter Hospital
- Royal Surrey County Hospital
- Princess Royal Hospital
- St. James's Hospital
- Leicester Royal Infirmary
- Saint Bartholomew's Hospital
- Royal Free Hospital
- Guy's and St. Thomas' Hospitals NHS Trust
- St. George's Hospital
- Royal Marsden NHS Trust
- Clatterbridge Centre for Oncology NHS Trust
- Newcastle General Hospital
- Salisbury District Hospital
- Weston Park Hospital
- Southampton General Hospital
- Royal Marsden Hospital
- Southend NHS Trust Hospital
- Belfast City Hospital Trust
- Ninewells Hospital and Medical School
- Western Infirmary
- Velindre Cancer Center at Velinde Hospital
- Selly Oak Hospital at University Hospital NHS Trust
- Churchill Hospital
Arms of the Study
Arm 1
Arm 2
No Intervention
Experimental
observation
pegylated interferon alfa
5 years observation + 5 years follow up
5 years pegylated interferon alfa + 5 years follow up