Efficacy and Safety of High-dose Treatment With the Immunomodulator Interferon-α-2b (Intron A®) for the Adjuvant Treatment of Malignant Melanoma.
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 138
- 主要终点
- Number of Participants With Disease Recurrence
研究概览
简要总结
The aim of this observational study is to document the efficacy and tolerability of high-dose interferon therapy in adult participants with malignant melanoma at high risk of relapse and to compare them with the survival times and relapse rates in previous studies (historical control).
详细描述
Observational study to evaluate the tolerability and efficacy (vs historical controls) of a high-dose therapy scheme with interferon-α-2b (IntronA®):
Adjuvant treatment with interferon-α-2 has been demonstrated in a number of studies to have an antiproliferative effect on malignant melanoma. In these cases a response rate of up to 20% could be achieved with a dose of 10 million IU or more 3x/week or daily. Kirkwood et al. showed in a study carried out in ECOG (the Eastern Cooperative Oncology Group, study no. 1684) that there was a clear and significant survival advantage versus the observation group with the following dose:
20 mio IU/m² interferon-α-2b (IntronA®) 5x/week iv over the course of one month followed by 11 months with 10 mio IU/m² 3x/week sc.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 70 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Male and female participants
- •Age 18-70 years
- •Malignant melanoma stage II or III (>/= 1.5 mm tumor thickness, no distant metastases or Malignant melanoma with lymph node metastases or Lymph node metastases with unknown primary tumor
- •An excision border of at least 2 cm around the primary tumor
- •Therapy must start within 12 weeks after surgery of the tumor/of the lymph node metastases
- •ECOG status 0-1 (= Karnofsky Index >/= 80)
- •Laboratory parameters
- •Hematocrit >= 33%
- •Leukocytes >= 3000/μl
- •Thrombocytes >= 100000/μl
- •Alanine aminotransferase(ALT) <= 2x normal values
- •Bilirubin <= 2x normal values
排除标准
- •Known allergy to one of the medications or any of its component parts
- •Refusal on the part of participants capable of childbearing to use a reliable contraceptive
- •Lactating mothers
- •Presence of distant metastases
- •Another primary tumor of different histological origin than corresponding to the indication (except when the relapse-free interval is > 5 years, or the tumor is a cervical carcinoma in situ, a basal cell carcinoma or cutaneous squamous cell carcinoma)
- •Participants on corticosteroid treatment or treatment with an immunomodulating substance
- •Preexisting psychiatric illness, particularly serious depression
- •Prior adjuvant radio-, chemo-, or immuno-therapy
- •Treatment with an investigational drug within the prior 30 days
- •Participant history that includes cardiac arrhythmia, cardiac insufficiency requiring treatment, or anthracycline administration
- •Myocardial infarction within the prior year
- •An unstable medical condition (apart from the indication) that in the judgment of the investigating physician excludes the participants from the study
- •Psoriasis (a relative exclusion criterion, since interferon can aggravate psoriasis; decision to be based on risk/benefit analysis)
结局指标
主要结局
Number of Participants With Disease Recurrence
时间窗: Throughout 12 months of treatment and 24 months of follow-up
Number of participants with disease recurrence was being measured.
Relapse Free Survival Time
时间窗: Throughout 12 months of treatment and 24 months of follow-up
Median time to recurrence according to Kaplan Maier evaluation
次要结局
未报告次要终点