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O6-benzylguanine and Carmustine in Treating Patients With Unresectable Locally Recurrent or Metastatic Melanoma

Phase 2
Completed
Conditions
Melanoma (Skin)
Interventions
Registration Number
NCT00005961
Lead Sponsor
National Cancer Institute (NCI)
Brief Summary

Phase II trial to study the effectiveness of O6-benzylguanine and carmustine in treating patients who have unresectable locally recurrent or metastatic melanoma. Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die. Combining more than once chemotherapy drug may kill more tumor cells.

Detailed Description

OBJECTIVES:

I. Determine the objective clinical response rate and duration of response in patients with unresectable locally recurrent or metastatic melanoma treated with O6-benzylguanine and carmustine.

II. Compare the toxicities of this regimen in patients with no prior chemotherapy vs prior chemotherapy failure.

III. Correlate clinical response to this regimen in these patients with O6-alkylguanine DNA alkyltransferase (AGT) depletion and baseline AGT in peripheral blood mononuclear cells and tumor tissue.

OUTLINE: This is a multicenter study. Patients are stratified according to prior chemotherapy (chemotherapy failure vs chemotherapy naive).

Patients receive O6-benzylguanine IV over 1 hour, followed 1 hour later by carmustine IV over 1 hour on day 1. Treatment continues every 6 weeks for a minimum of 2 courses in the absence of disease progression or unacceptable toxicity.

Patients with disease progression are followed every 6 months. All other patients are followed every 3 months for 1 year.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
40
Inclusion Criteria

Not provided

Exclusion Criteria

Not provided

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
Arm IO6-benzylguaninePatients receive O6-benzylguanine IV over 1 hour, followed 1 hour later by carmustine IV over 1 hour on day 1. Treatment continues every 6 weeks for a minimum of 2 courses in the absence of disease progression or unacceptable toxicity.
Arm IcarmustinePatients receive O6-benzylguanine IV over 1 hour, followed 1 hour later by carmustine IV over 1 hour on day 1. Treatment continues every 6 weeks for a minimum of 2 courses in the absence of disease progression or unacceptable toxicity.
Primary Outcome Measures
NameTimeMethod
Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (13)

University of Illinois at Chicago Health Sciences Center

🇺🇸

Chicago, Illinois, United States

Louis A. Weiss Memorial Hospital

🇺🇸

Chicago, Illinois, United States

Evanston Northwestern Health Care

🇺🇸

Evanston, Illinois, United States

Loyola University Medical Center

🇺🇸

Maywood, Illinois, United States

Lutheran General Cancer Care Center

🇺🇸

Park Ridge, Illinois, United States

Michiana Hematology/Oncology P.C.

🇺🇸

South Bend, Indiana, United States

Mercy Ireland Cancer Center

🇺🇸

Canton, Ohio, United States

Decatur Memorial Hospital Cancer Care Institute

🇺🇸

Decatur, Illinois, United States

Central Illinois Hematology Oncology Center

🇺🇸

Springfield, Illinois, United States

Oncology/Hematology Associates of Central Illinois, P.C.

🇺🇸

Peoria, Illinois, United States

Fort Wayne Medical Oncology and Hematology, Incorporated

🇺🇸

Fort Wayne, Indiana, United States

Ireland Cancer Center

🇺🇸

Cleveland, Ohio, United States

University of Chicago Cancer Research Center

🇺🇸

Chicago, Illinois, United States

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