MedPath

D

Conditions
Patients with clinical evidence of metastatic melanoma and/or unresectable regional lymphatic disease and/or extensive in transit recurrent disease.
MedDRA version: 14.1Level: PTClassification code 10027480Term: Metastatic malignant melanomaSystem Organ Class: 10029104 - Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Therapeutic area: Diseases [C] - Cancer [C04]
Registration Number
EUCTR2005-003416-30-IT
Lead Sponsor
ROCHE
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
ot Recruiting
Sex
All
Target Recruitment
Not specified
Inclusion Criteria

1. Histologically or cytologically confirmed cutaneous malignant melanoma 2. Clinical evidence of metastatic disease and/or unresectable regional lymphatic disease and/or extensive in transit recurrent disease 3. Age = 18 4. ECOG Performance Status 0-1 5. Life expectancy of at least 12 weeks 6. Measurable and/or evaluable lesions according to RECIST criteria 7. Laboratory requirements: - Neutrophils =1.5 x 109/L and Platelets =100 x 109/L - Total bilirubin =1.5 time the upper-normal limits (UNL) of the Institutional normal values and ASAT (SGOT) and/or ALAT (SGPT) =2.5 x UNL, or =5 x UNL in case of liver metastases, alkaline phosphatase =2.5 x UNL, = 5 x UNL in case of liver metastases, =10 x UNL in case of bone metastases. - Creatinine clearance >50 mL/min or serum creatinine =1.5 x UNL) - Urine dipstick of proteinuria <2+. Patients discovered to have =2+ proteinuria on dipstick urinalysis at baseline, should undergo a 24-hour urine collection and must demonstrate =1 g of protein/24 hr. 8. Written informed consent. 9. Patients must be accessible for treatment and follow up. Patients registered on this trial must be treated and followed at the participating center
Are the trial subjects under 18? no
Number of subjects for this age range: 0
F.1.2 Adults (18-64 years) yes
F.1.2.1 Number of subjects for this age range 26
F.1.3 Elderly (>=65 years) yes
F.1.3.1 Number of subjects for this age range 13

Exclusion Criteria

1. At least 4 weeks since prior adjuvant therapy with interferon alfa 2. Prior interferon alfa and/or cytokine therapy (e.g., high dose interleukin-2) for metastatic disease 3. Prior investigational antiangiogenic agents 4. Prior chemotherapy regimen for metastatic disease 5. Radiotherapy to any site within 4 weeks before the study. 6. Symptomatic and/or unstable pre-existing brain metastases (CT or MRI of the head is required within 4 weeks prior to treatment start). 7. History of inflammatory bowel disease and/or acute/subacute bowel occlusion. 8. Serious non-healing wound or ulcer. 9. Evidence of bleeding diathesis or coagulopathy. 10. Uncontrolled hypertension. 11. Clinically significant (i.e. active) cardiovascular disease for example cerebrovascular accidents (=6 months), myocardial infarction (= 6 months), unstable angina, New York Heart Association (NYHA) grade II or greater congestive heart failure, serious cardiac arrhythmia requiring medication. 12. Current or recent (within 10 days prior to study treatment start) ongoing treatment with anticoagulants for therapeutic purposes. 13. Chronic, daily treatment with high-dose aspirin (>325 mg/day) or other medications known to predispose to gastrointestinal ulceration. 14. Patients with known allergy to Chinese hamster ovary cell proteins, or any of the components of the study medications 15. Other co-existing malignancies or malignancies diagnosed within the last 5 years with the exception of basal cell carcinoma or cervical cancer in situ 16. Major surgical procedure, open biopsy, or significant traumatic injury within 28 days prior to study treatment start, or anticipation of the need for major surgical procedure during the course of the study. 17. Pregnant or lactating women. Women of childbearing potential with either a positive or no pregnancy test at baseline. Postmenopausal women must have been amenorrheic for at least 12 months to be considered of non-childbearing potential. Sexually active males and females (of childbearing potential) unwilling to practice contraception during the study.

Study & Design

Study Type
Interventional clinical trial of medicinal product
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Main Objective: To assess the preliminary antitumor activity in terms of overall response rate (complete and partial responses) of bevacizumab in combination with dacarbazine.;Secondary Objective: - To evaluate toxicity and the safety profile of the combination. - To evaluate duration of response (DR), time to progression (TTP), time to treatment failure (TTF) and overall survival.;Primary end point(s): Best tumor response at any time during therapy.;Timepoint(s) of evaluation of this end point: nd
Secondary Outcome Measures
NameTimeMethod
Secondary end point(s): .;Timepoint(s) of evaluation of this end point: nd
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