A Prospective Natural History Study in Uveal Melanoma
- Conditions
- Uveal Melanoma
- Registration Number
- NCT04588662
- Lead Sponsor
- Columbia University
- Brief Summary
The overall objective of this proposal is to develop and utilize a multicenter UM registry that will, in a longitudinal fashion, capture prospective data in order to characterize the natural history of UM and provide data that will be used to support the development of novel therapies for this disease. The care of patients with UM requires a multi-disciplinary team of physicians that commonly requires the involvement of both radiation oncology and interventional radiology, and is typically directed by an ophthalmologic oncologist at time of initial diagnosis of primary disease. Overall management is transitioned to a medical oncologist when distant recurrence is identified. In the case that a patient presents with metastasis at the time of diagnosis, a medical oncologist typically directs overall management. The management of surveillance for the development of metastasis following the treatment of primary disease is variable and, if performed at all, is managed by either an ophthalmologic oncologist or medical oncologist. Thus, the successful development of a registry that aims to capture the data regarding the full natural history of UM requires a collaborative effort including leaders from both the UM ophthalmologic oncology and medical oncology fields. To this end, the investigators have built an initial consortium of key ophthalmologic oncology and medical oncology leaders from multiple major UM centers in the United States.
- Detailed Description
Uveal melanoma (UM) is the most common primary intraocular malignancy in adults, accounting for 85% to 95% of ocular melanoma cases. However, UM represents only about 3% to 5% of all melanomas in the United States (US). UM most commonly arises from choroidal melanocytes (85-90%), but can also arise from the iris (3-5%) and ciliary body (5-8%). The median age of diagnosis is approximately 62; however, the peak range for diagnosis is between 70 and 79. Males have a 30% greater incidence than females. A variety of putative risk factors have been identified, including the presence of light eyes, fair skin, an inability to tan, ocular melanocytosis, dysplastic nevus syndrome, and germline BRCA1-associated protein 1 (BAP1) mutations.
Importantly, there are no recent or on-going multi-center natural history studies being conducted in this disease, and this effort is the only one to be launched with the goal of capturing the complete course of this disease, from diagnosis, initial management, surveillance, and treatment of recurrent disease in a national and international setting. This registry is especially important in providing such needed data.
Recruitment & Eligibility
- Status
- RECRUITING
- Sex
- All
- Target Recruitment
- 700
Not provided
Not provided
Study & Design
- Study Type
- OBSERVATIONAL
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method Overall Survival Rate Up to Five years document the overall survival of patients with uveal melanoma from the time of diagnosis of primary disease
Relapse-free Survival Rate Up to Five years Document the relapse-free survival of patients with uveal melanoma from the time of diagnosis of primary disease
Overall Survival Rate of Patients with Uveal Melanoma Up to Five years document the overall survival of patients with uveal melanoma from the time of development of metastatic disease
- Secondary Outcome Measures
Name Time Method
Trial Locations
- Locations (17)
Thomas Jefferson University Hospital
🇺🇸Philadelphia, Pennsylvania, United States
MD Anderson Cancer Center
🇺🇸Houston, Texas, United States
Chatswood Eye Specialists
🇦🇺Chatswood, Australia
Princess Margaret Cancer Center
🇨🇦Toronto, Canada
Erlangen
🇩🇪Erlangen, Germany
Dr. Conway Private Rooms
🇦🇺Sydney, Australia
Mount Vernon Cancer Centre
🇬🇧Northwood, United Kingdom
Memorial Sloan Kettering Cancer Center
🇺🇸New York, New York, United States
Pennington Eye Clinic
🇦🇺North Adelaide, Australia
Sheffield
🇬🇧Sheffield, United Kingdom
Royal Adelaide Hospital
🇦🇺Adelaide, Australia
Royal Victorian Eve and Ear Hospital
🇦🇺East Melbourne, Australia
Massachusetts General Hospital
🇺🇸Boston, Massachusetts, United States
Western Eye Specialists
🇦🇺Maribyrnong, Australia
St. Vincent's Hospital
🇦🇺Sydney, Australia
Perth Retina
🇦🇺Subiaco, Australia
Clatterbridge Cancer Centre
🇬🇧Birkenhead, United Kingdom