Cancer Clinical Trial
Official title:
A Prospective Phase II Study of Radiation Therapy and Concurrent Cisplatin Chemotherapy in the Treatment of Locally Advanced or Metastatic Malignant Melanoma
The study is a prospective phase II trial of radiation therapy concurrent with cisplatin chemotherapy in the treatment of locally advanced or metastatic melanoma in patients who are deemed to require radiation therapy by treating physicians for purposes of local control or palliation. Eligibility criteria include pathologically confirmed melanoma. Patients will undergo radiation therapy (20 treatments of 2.5 Gy for a total of 50 Gy) concurrent with cisplatin chemotherapy.
This is a phase II, prospective trial designed to determine the response rate achieved with
cisplatin delivered concurrent with radiation therapy in locally advanced or metastatic
melanoma.
Radiation therapy will be delivered concurrent with cisplatin chemotherapy as outlined in
table 2. Radiation therapy dose will be 50 Gy (2.5 Gy per day, 5 days per week, for 20
treatments). Cisplatin dose will be 100 mg/m2 given i.v. every 3 weeks for a total of 2
doses (days 1 and 22) during radiation.
Surgical resection of residual (or recurrent) melanoma for cure or for palliation may be
performed following chemoradiation if deemed appropriate by the treating physicians
(surgical resection may be planned following pre-operative chemoradiation or may be
performed for salvage due to inadequate response to chemoradiation or for relapse following
chemoradiation). Surgical resection will not be performed until at least 4 weeks following
chemoradiation (unless deemed emergent by the treating physicians).
If the patient's tumor has inadequate response to chemoradiation then salvage therapies can
be used as deemed appropriate by the treating physicians. In order to allow adequate
response to radiation therapy, salvage therapies will not be utilized until at least 4 weeks
following chemoradiation unless deemed emergent by the treating physicians.
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Endpoint Classification: Safety/Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment
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