Diagnostic Study to Predict the Risk of Developing Metastatic Cancer in Patients With Stage I or Stage II Melanoma
Study Details
Study Description
Brief Summary
RATIONALE: Diagnostic procedures that analyze surgically-removed tumor tissue and lymph node samples may help doctors identify patients with melanoma who are at risk for developing metastatic cancer.
PURPOSE: This clinical trial is studying tumor tissue and lymph node samples to see how well they work in predicting the development of metastatic cancer in patients with stage I or stage II melanoma.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
N/A |
Detailed Description
OBJECTIVES:
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Correlate degree of melastatin gene expression with risk of developing local regional metastases in patients with primary stage I or II melanoma.
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Correlate melastatin expression prospectively with event-free survival of these patients.
OUTLINE: This is a multicenter study.
Melastatin mRNA expression is determined by in situ hybridization using tissue from primary tumor and lymph nodes. Tissue is also examined by immunohistochemical staining using antibodies to S-100 and MART-1. Patients do not receive the results of these tests nor do the results influence individual therapy.
Patients are followed every 4 months for 3.5 years.
PROJECTED ACCRUAL: A total of 300 patients will be accrued for this study within 3.5 years.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Experimental: Group 1 Melastatin mRNA expression is determined by in situ hybridization using tissue from primary tumor and lymph nodes. Tissue is also examined by immunohistochemical staining using antibodies to S-100 and MART-1. Patients do not receive the results of these tests nor do the results influence individual therapy. Patients are followed every 4 months for 3.5 years. |
Genetic: comparative genomic hybridization
Genetic: cytogenetic analysis
Genetic: fluorescence in situ hybridization
Other: immunohistochemistry staining method
|
Outcome Measures
Primary Outcome Measures
- Relapse-free survival [Up to 3.5 years]
Eligibility Criteria
Criteria
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Histologically documented primary AJCC stage I or II melanoma. Evidence of ulceration, vertical growth phase, regression, lymphocytic infiltration, vascular invasion, microscopic satellitosis, and mitotic rate shall be noted.
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Patients planning to undergo a sentinel lymph node biopsy, or an elective lymph node dissection of an anatomic draining region from the index primary melanoma.
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≥18 years of age
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Patients must be registered prior to planned surgery. The surgery must be performed within 45 days following registration.
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No concurrent active malignancy other than carcinoma in situ of the cervix and basal cell carcinoma of the skin, or history of any other primary malignancy including previously primary melanoma.
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Tissue blocks: one of primary tumor tissue taken from region of greatest Breslow thickness. Note: If blocks cannot be sent due to institutional policy, slides may be substituted for the locks per the protocol.
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | University of Chicago Cancer Research Center | Chicago | Illinois | United States | 60637-1470 |
2 | Iowa Blood and Cancer Care | Cedar Rapids | Iowa | United States | 52402 |
3 | St. Luke's Hospital | Cedar Rapids | Iowa | United States | 52402 |
4 | Mercy Regional Cancer Center at Mercy Medical Center | Cedar Rapids | Iowa | United States | 52403 |
5 | Massachusetts General Hospital Cancer Center | Boston | Massachusetts | United States | 02114 |
6 | Brigham and Women's Hospital | Boston | Massachusetts | United States | 02115 |
7 | Dana-Farber/Harvard Cancer Center at Dana Farber Cancer Institute | Boston | Massachusetts | United States | 02115 |
8 | Commonwealth Hematology-Oncology P.C. - Worcester | Worcester | Massachusetts | United States | 01605 |
9 | Fairview University Medical Center - University Campus | Minneapolis | Minnesota | United States | 55455 |
10 | Ellis Fischel Cancer Center at University of Missouri - Columbia | Columbia | Missouri | United States | 65203 |
11 | Capital Region Cancer Center | Jefferson City | Missouri | United States | 65101 |
12 | Kingsbury Center for Cancer Care at Cheshire Medical Center | Keene | New Hampshire | United States | 03431 |
13 | Norris Cotton Cancer Center at Dartmouth-Hitchcock Medical Center | Lebanon | New Hampshire | United States | 03756-0002 |
14 | Charles R. Wood Cancer Center at Glens Falls Hospital | Glens Falls | New York | United States | 12801 |
15 | Memorial Sloan-Kettering Cancer Center | New York | New York | United States | 10021 |
16 | CCOP - Hematology-Oncology Associates of Central New York | Syracuse | New York | United States | 13057 |
17 | Community General Hospital of Greater Syracuse | Syracuse | New York | United States | 13215 |
18 | Wayne Memorial Hospital, Incorporated | Goldsboro | North Carolina | United States | 27534 |
19 | Wayne Radiation Oncology | Goldsboro | North Carolina | United States | 27534 |
20 | Wilson Medical Center | Wilson | North Carolina | United States | 27893-3428 |
21 | Wake Forest University Comprehensive Cancer Center | Winston-Salem | North Carolina | United States | 27157-1096 |
22 | Rhode Island Hospital | Providence | Rhode Island | United States | 02903 |
23 | Miriam Hospital at Lifespan | Providence | Rhode Island | United States | 02906 |
24 | Roper St. Francis Cancer Center at Roper Hospital | Charleston | South Carolina | United States | 29401 |
25 | Mountainview Medical | Berlin | Vermont | United States | 05602 |
26 | Fletcher Allen Health Care - University Health Center Campus | Burlington | Vermont | United States | 05401 |
27 | Danville Regional Medical Center | Danville | Virginia | United States | 24541 |
Sponsors and Collaborators
- Alliance for Clinical Trials in Oncology
- National Cancer Institute (NCI)
Investigators
- Study Chair: F. Stephen Hodi, MD, Dana-Farber Cancer Institute
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- CALGB-500105
- U10CA031946
- CALGB-500105
- CDR0000257230