Metastatic Melanoma Clinical Trial
Official title:
Evaluation of Disulfiram Plus Arsenic Trioxide In Patients With Metastatic Melanoma and at Least One Prior Systemic Therapy (Phase 1b)
This phase I trial is studying the side effects and best dose of arsenic trioxide when given together with disulfiram in treating patients with metastatic and progressive melanoma. Drugs used in chemotherapy, such as disulfiram and arsenic trioxide, work in different ways to stop the growth of tumor cells, either by killing the cells or by stopping them from dividing. Giving more than one drug (combination chemotherapy) may kill more tumor cells.
PRIMARY OBJECTIVES:
I. Evaluate the tolerability of disulfiram and arsenic trioxide administration as a
therapeutic combination. (Phase IB)
SECONDARY OBJECTIVES:
l. Determine the response rate (complete and partial responses) and time to progression of
previously treated patients with metastatic malignant melanoma when treated with disulfiram
plus Arsenic Trioxide. (Phase II)
OUTLINE: This is a dose-escalation study of arsenic trioxide.
Patients receive disulfiram orally (PO) twice daily and arsenic trioxide intravenously (IV)
over 1-2 hours on Monday through Friday, alternating two weeks on treatment followed by two
weeks off treatment. Courses repeat every 12 weeks in the absence of disease progression or
unacceptable toxicity.
After completion of study treatment, patients are followed up every 3 months for 2 years and
then every 6 months thereafter.
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