CCI-779 in Treating Patients With Metastatic Melanoma
Study Details
Study Description
Brief Summary
RATIONALE: Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die.
PURPOSE: Phase II trial to study the effectiveness of CCI-779 in treating patients who have metastatic melanoma.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
Phase 2 |
Detailed Description
OBJECTIVES:
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Determine the anti-tumor activity of CCI-779, in terms of progression-free survival, in patients with metastatic melanoma.
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Determine the toxic effects of this regimen in these patients.
OUTLINE: This is a multicenter study.
Patients receive CCI-779 IV over 30 minutes on day 1. Courses repeat every 7 days in the absence of disease progression or unacceptable toxicity.
Patients are followed for survival.
PROJECTED ACCRUAL: Approximately 40-50 patients will be accrued for this study within 12 months.
Study Design
Outcome Measures
Primary Outcome Measures
Eligibility Criteria
Criteria
DISEASE CHARACTERISTICS:
-
Histologically or cytologically confirmed metastatic melanoma that is incurable by surgery, radiotherapy, or limb perfusion
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Measurable disease
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At least 20 mm by conventional techniques OR
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At least 10 mm by spiral CT scan
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The following are not considered measurable:
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Bone lesions
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Leptomeningeal disease
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Ascites
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Pleural/pericardial effusion
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Inflammatory breast disease
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Lymphangitis cutis/pulmonis
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Abdominal masses not confirmed and followed by imaging techniques
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Cystic lesions
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Progressive disease
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No prior or concurrent CNS metastasis
PATIENT CHARACTERISTICS:
Age:
- 18 and over
Performance status:
- ECOG 0-2
Life expectancy:
- More than 4 months
Hematopoietic:
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WBC at least 3,000/mm^3
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Absolute neutrophil count at least 1,500/mm^3
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Platelet count at least 100,000/mm^3
Hepatic:
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Bilirubin normal
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AST and ALT no greater than 2.5 times upper limit of normal
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Cholesterol no greater than 350 mg/dL (lipid-lowering therapy allowed)
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Triglycerides no greater than 300 mg/dL except for hydroxymethyl-glutaryl-coenzyme A reductase inhibitors
Renal:
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Creatinine normal OR
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Creatinine clearance at least 60 mL/min
Cardiovascular:
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No symptomatic congestive heart failure
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No unstable angina pectoris
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No cardiac arrhythmia
Other:
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Not pregnant or nursing
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Negative pregnancy test
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Fertile patients must use effective contraception
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HIV negative
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No prior allergic reactions to compounds of similar chemical or biological composition to study drug
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No ongoing or active infection
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No seizure disorder
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No autoimmune disease
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No psychiatric illness or social situation that would preclude study
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No other concurrent uncontrolled illness that would preclude study
PRIOR CONCURRENT THERAPY:
Biologic therapy:
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No more than 1 prior adjuvant biological therapy regimen
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No more than 1 prior biological therapy regimen for advanced disease
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At least 6 months since prior biological therapy or biochemotherapy and recovered
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Prior isolated limb perfusion with biological agent allowed if not to sole site of disease
Chemotherapy:
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See Biologic therapy
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Prior isolated limb perfusion with chemotherapy allowed if not to sole site of disease
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No more than 1 prior chemotherapy-containing regimen for advanced disease, regardless of adjuvant therapy
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May be in addition to 1 prior biologic regimen for advanced disease OR
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May have had 1 prior biochemotherapy regimen for advanced disease
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At least 3 weeks since prior chemotherapy and recovered
Endocrine therapy:
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At least 1 week since prior dexamethasone
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No concurrent glucocorticosteroid therapy
Radiotherapy:
- See Disease Characteristics
Surgery:
- See Disease Characteristics
Other:
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At least 1 week since prior phenobarbital, phenytoin, carbamazepine, or rifampin
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At least 3 weeks since other prior agents to treat malignancy
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At least 3 weeks since prior investigational agents
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No other concurrent investigational agents
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No concurrent drugs that are metabolized by or alter the level of cytochrome P450-3A
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | City of Hope Comprehensive Cancer Center | Duarte | California | United States | 91010-0269 |
2 | USC/Norris Comprehensive Cancer Center and Hospital | Los Angeles | California | United States | 90089 |
3 | City of Hope Medical Group | Pasadena | California | United States | 91105 |
4 | University of California Davis Cancer Center | Sacramento | California | United States | 95817 |
5 | University of Chicago Cancer Research Center | Chicago | Illinois | United States | 60637-1470 |
6 | Louis A. Weiss Memorial Hospital | Chicago | Illinois | United States | 60640 |
7 | Decatur Memorial Hospital Cancer Care Institute | Decatur | Illinois | United States | 62526 |
8 | Evanston Northwestern Health Care - Evanston Hospital | Evanston | Illinois | United States | 60201 |
9 | Ingalls Memorial Hospital | Harvey | Illinois | United States | 60426 |
10 | LaGrange Memorial Hospital | LaGrange | Illinois | United States | 60525 |
11 | Loyola University Medical Center | Maywood | Illinois | United States | 60153 |
12 | Oncology/Hematology Associates of Central Illinois, P.C. | Peoria | Illinois | United States | 61602 |
13 | Central Illinois Hematology Oncology Center | Springfield | Illinois | United States | 62701 |
14 | Fort Wayne Medical Oncology and Hematology, Incorporated | Fort Wayne | Indiana | United States | 46885-5099 |
15 | CCOP - Northern Indiana CR Consortium | South Bend | Indiana | United States | 46601 |
16 | North Shore University Hospital | Manhasset | New York | United States | 11030 |
17 | Weill Medical College of Cornell University | New York | New York | United States | 10021 |
18 | Abramson Cancer Center of the University of Pennsylvania | Philadelphia | Pennsylvania | United States | 19104-4283 |
19 | Cancer Care Ontario-Hamilton Regional Cancer Centre | Hamilton | Ontario | Canada | L8V 5C2 |
20 | Cancer Care Ontario-London Regional Cancer Centre | London | Ontario | Canada | N6A 4L6 |
21 | Princess Margaret Hospital | Toronto | Ontario | Canada | M5G 2M9 |
Sponsors and Collaborators
- City of Hope Medical Center
- National Cancer Institute (NCI)
Investigators
- Study Chair: Kim A. Margolin, MD, City of Hope Comprehensive Cancer Center
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- CDR0000068820
- U01CA063265
- P30CA033572
- CHNMC-PHII-27
- CHNMC-IRB-99167
- NCI-29