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Phase I/II Trial of the Combination of Decitabine and Temozolomide in the Treatment of Patients With Metastatic Melanoma


Phase 1/Phase 2
18 Years
N/A
Open (Enrolling)
Both
Malignant Melanoma

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Trial Information

Phase I/II Trial of the Combination of Decitabine and Temozolomide in the Treatment of Patients With Metastatic Melanoma


Primary Objectives:

- Phase I: To determine the safety, tolerability, and Phase II recommended dose of the
combination of extended schedule TMZ and DAC.

- Phase II: To determine the efficacy, as measured by overall response rate, of the
combination of extended schedule TMZ and DAC given at the Phase II recommended dose to
patients with metastatic melanoma.

Secondary Objectives:

- To determine pharmacokinetics of the combination of TMZ and DAC in patients with
metastatic melanoma.

- To determine, in peripheral blood mononuclear cells (PBMC) and tumor tissue, the
pharmacodynamic effects of the combination of TMZ and DAC on promoter methylation and
expression of selected genes and correlate these with response.

- To determine the progression-free survival of patients treated with the combination of
TMZ and DAC.


Inclusion Criteria:



- Patients who have non-resectable Stage IIIB or stage IV metastatic melanoma that have
progressed despite prior therapies.

- Life expectancy of at least 12 weeks.

- ECOG performance status of 0, 1 and 2.

- ≥18 years of age.

- Patients who have not received any other chemotherapeutic, biological or
investigational agent within 28 days of study drug administration.

- First line and active brain metastases (metastatic lesions to the brain that have
been adequately treated with surgery and/or appropriate radiation therapy and that
have documented stability for >4 weeks or >2 weeks if treated with stereotactic
radiosurgery, remain eligible)

Exclusion Criteria:

- Any evidence of renal dysfunction (proteinuria, estimated creatinine clearance from
serum creatinine test of <60 ml/min).

- Impaired hepatic function (liver enzymes greater than twice the upper limit of normal
or bilirubin > 2.0 except in patients with Gilbert's syndrome).

- Prior treatment with alkylating agents (including TMZ and DTIC).

- Active brain metastases (metastatic lesions to the brain that have been adequately
treated with surgery and/or appropriate radiation therapy and that have documented
stability for >4 weeks remain eligible).

- Active infections or serious general medical conditions.

- Female patients of child-bearing age who are not on adequate contraception, or are
pregnant or breast-feeding.

Type of Study:

Interventional

Study Design:

Allocation: Non-Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment

Outcome Measure:

Phase I: Safety, tolerability and Phase II recommended dose of the combination of TMZ + DAC. Phase II: Objective response rate

Outcome Time Frame:

No more than a total of 18 patients will be treated in the phase I portion of the trial, and the MTD cannot be determined with fewer than 8 patients. The MTD is defined to be the highest dose level at which no more than 1 of 6 patients experience DLTs.

Safety Issue:

Yes

Principal Investigator

Hussein Tawbi, MD

Investigator Role:

Principal Investigator

Investigator Affiliation:

University of Pittsburgh

Authority:

United States: Institutional Review Board

Study ID:

UPCI 07-008

NCT ID:

NCT00715793

Start Date:

June 2008

Completion Date:

June 2013

Related Keywords:

  • Malignant Melanoma
  • Decitabine
  • Temozolomide
  • Metastatic
  • Melanoma
  • Non-resectable
  • Stage IIIB melanoma
  • stage IV melanoma
  • TMZ
  • DTIC
  • promoter methylation
  • skin cancer
  • chemotherapy
  • Melanoma

Name

Location

UPMC Cancer Centers Pittsburgh, Pennsylvania  15232