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Safety Study of Combined Chemotherapy and Endostar to Untreated Patients With Advanced Melanoma (melanoma)

Primary Purpose

Advanced Melanoma, Untreated Patients

Status
Unknown status
Phase
Phase 2
Locations
China
Study Type
Interventional
Intervention
dacarbazine plus Endostar (Experimental group)
dacarbazine plus placebo (control group)
Sponsored by
Simcere Pharmaceutical Co., Ltd
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Advanced Melanoma focused on measuring Endostar, advanced melanoma, combined chemotherapy

Eligibility Criteria

18 Years - 75 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Age > 18 years old, males or females;
  2. Untreated patients with advanced melanoma confirmed by histopathology or cytology;
  3. With tumor foci that can be evaluated by CT or MRI; at least one diameter ≥ 1 cm (including metastatic lymph nodes, diameter ≥ 1 cm confirmed by CT scan); or superficial focus ≥ 2 cm (confirmed by photos with calibration);
  4. No contraindication for chemotherapy, with normal peripheral hemogram, renal and hepatic function: Peripheral hemogram: WBC≥4.0×109/L,PLT≥80×109/L,Hgb≥90g/L; Renal function: serum BUN and creatinine ≤2.5×UNL; Hepatic function: transaminase≤2.5×UNL, or ≤5×UNL in patients with liver metastasis;
  5. Karnofsky performance scale≥70 (appendix 1); expected survival time≥3 months;
  6. Patients are voluntary to participate and sign the informed contents.

Exclusion Criteria:

  1. Pregnant or breast-feeding females; or females who have reproductive ability but do not take contraception method;
  2. With severe acute infection uncontrolled; purulent or chronic infection with wounds difficult to recover;
  3. With history of severe heart diseases, including congestive heart failure, uncontrolled arrhythmia with high risk, unstable angina pectoris, myocardial infarction, severe cardiac valvular diseases and refractory hypertension;
  4. Have been treated by dacarbazine or dacarbazine included combination chemotherapy;
  5. Patients with uncontrolled neurological, mental disease or psychosis, patients with poor compliance that cannot coordinate the therapy or describe the treatment response;
  6. Uncontrolled brain metastasis patients with obvious manifestations of intracranial hypertension or neurological and mental disorders;
  7. Allergic to any drug in the trial;
  8. Patients with a second tumor;
  9. Patients participating in other clinical trials;
  10. Other conditions that are regarded for exclusion by the trialists

Sites / Locations

  • Beijing tumor hospitalRecruiting

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

A

2

Arm Description

Experimental group : Endostar combined with dacarbazine

Control group : Dacarbazine combined with placebo

Outcomes

Primary Outcome Measures

Progression-free survival time , Total survival time

Secondary Outcome Measures

Tumor response rate , Disease controlled rate and adverse effects

Full Information

First Posted
December 19, 2008
Last Updated
December 6, 2009
Sponsor
Simcere Pharmaceutical Co., Ltd
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1. Study Identification

Unique Protocol Identification Number
NCT00813449
Brief Title
Safety Study of Combined Chemotherapy and Endostar to Untreated Patients With Advanced Melanoma
Acronym
melanoma
Official Title
Multicenter, Double-blinding, Randomized Controlled, Phase II Clinical Trial on Combined Chemotherapy of Endostar (Recombinant Human Endostatin) for Untreated Patients With Advanced Melanoma
Study Type
Interventional

2. Study Status

Record Verification Date
November 2009
Overall Recruitment Status
Unknown status
Study Start Date
August 2008 (undefined)
Primary Completion Date
August 2010 (Anticipated)
Study Completion Date
August 2010 (Anticipated)

3. Sponsor/Collaborators

Name of the Sponsor
Simcere Pharmaceutical Co., Ltd

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
Multicenter, double-blinding, randomized controlled, phase II clinical trial on combined chemotherapy of Endostar (Recombinant Human Endostatin) for untreated patients with advanced melanoma, To compare the efficacy and safety of Endostar combined with Dacarbazine and monotherapy of Dacarbazine for advanced melanoma
Detailed Description
Dacarbazine (DTIC) has been approved for treating metastatic melanoma in the 1970s, and as a single agent gives a response rate of about 20%. There have been efforts to ameliorate this poor result by using DTIC in different combinations without a significant improvement. In addition, new studies with melanoma cells in vitro show that DTIC combination with Endostar, suggesting a potential clinical benefit from the concomitant treatment of DTIC and antiangiogenesis therapy. Endostar is a wild spectrum and safe antiangiogenesis factor which could suppress almost 65 kinds of tumor mass in animal models and affect about 12 percent human genome. The purpose of this study is to determine whether a combination therapy of endostar and DTIC is safe and can increase response rate and progression-free survival in patients (pts) with metastatic melanoma. We will evaluate the efficacy and safety of the Endostar plus DTIC and hope provide a new hope for the advanced melanoma patients.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Advanced Melanoma, Untreated Patients
Keywords
Endostar, advanced melanoma, combined chemotherapy

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
140 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
A
Arm Type
Experimental
Arm Description
Experimental group : Endostar combined with dacarbazine
Arm Title
2
Arm Type
Placebo Comparator
Arm Description
Control group : Dacarbazine combined with placebo
Intervention Type
Drug
Intervention Name(s)
dacarbazine plus Endostar (Experimental group)
Other Intervention Name(s)
dacarbazine plus Endostar
Intervention Description
dacarbazine plus Endostar
Intervention Type
Drug
Intervention Name(s)
dacarbazine plus placebo (control group)
Other Intervention Name(s)
dacarbazine plus placebo
Intervention Description
dacarbazine plus placebo
Primary Outcome Measure Information:
Title
Progression-free survival time , Total survival time
Time Frame
2010.8
Secondary Outcome Measure Information:
Title
Tumor response rate , Disease controlled rate and adverse effects
Time Frame
2009.8

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
75 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Age > 18 years old, males or females; Untreated patients with advanced melanoma confirmed by histopathology or cytology; With tumor foci that can be evaluated by CT or MRI; at least one diameter ≥ 1 cm (including metastatic lymph nodes, diameter ≥ 1 cm confirmed by CT scan); or superficial focus ≥ 2 cm (confirmed by photos with calibration); No contraindication for chemotherapy, with normal peripheral hemogram, renal and hepatic function: Peripheral hemogram: WBC≥4.0×109/L,PLT≥80×109/L,Hgb≥90g/L; Renal function: serum BUN and creatinine ≤2.5×UNL; Hepatic function: transaminase≤2.5×UNL, or ≤5×UNL in patients with liver metastasis; Karnofsky performance scale≥70 (appendix 1); expected survival time≥3 months; Patients are voluntary to participate and sign the informed contents. Exclusion Criteria: Pregnant or breast-feeding females; or females who have reproductive ability but do not take contraception method; With severe acute infection uncontrolled; purulent or chronic infection with wounds difficult to recover; With history of severe heart diseases, including congestive heart failure, uncontrolled arrhythmia with high risk, unstable angina pectoris, myocardial infarction, severe cardiac valvular diseases and refractory hypertension; Have been treated by dacarbazine or dacarbazine included combination chemotherapy; Patients with uncontrolled neurological, mental disease or psychosis, patients with poor compliance that cannot coordinate the therapy or describe the treatment response; Uncontrolled brain metastasis patients with obvious manifestations of intracranial hypertension or neurological and mental disorders; Allergic to any drug in the trial; Patients with a second tumor; Patients participating in other clinical trials; Other conditions that are regarded for exclusion by the trialists
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Guo Jun, PI
Phone
13911233048
Ext
8610
Email
1008ccl@163.com
First Name & Middle Initial & Last Name or Official Title & Degree
Cui Ch Liang, Doctor
Phone
13691489319
Ext
8610
Email
1008ccl@163.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Guo Jun, PI
Organizational Affiliation
Expert Committee for Melanoma of CSCO
Official's Role
Principal Investigator
Facility Information:
Facility Name
Beijing tumor hospital
City
Beijing
State/Province
Beijing
ZIP/Postal Code
100036
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Jun Guo, professor
Phone
8610-88121122
Email
guoj307@126.com
First Name & Middle Initial & Last Name & Degree
liang ch Cui, doctor
Phone
8610-88121122
First Name & Middle Initial & Last Name & Degree
Jun Guo, professor

12. IPD Sharing Statement

Links:
URL
http://www.bjcancer.org/
Description
Related Info

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Safety Study of Combined Chemotherapy and Endostar to Untreated Patients With Advanced Melanoma

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