Stage IV Skin Melanoma Clinical Trial
Official title:
Pilot Study of IFN-alpha-2b Dose Reduction With Dose Optimization
This pilot clinical trial studies recombinant interferon alfa-2b in treating patients with melanoma. Recombinant interferon alfa-2b may interfere with the growth of tumor cells and slow the growth of melanoma
PRIMARY OBJECTIVES:
I. To determine whether selection of the optimal IFN-alpha-2b (recombinant interferon
alfa-2b) dose can be made using signal transduction data.
SECONDARY OBJECTIVES:
I. To determine the tolerability of adjuvant IFN-alpha-2b administered at an optimized dose
in terms of the toxicities that are observed and the ability of patients to receive a full
year of therapy.
II. The transcription of a panel of IFN-alpha-induced genes previously identified by
microarray analysis will be determined by Real-Time reverse transcriptase-polymerase chain
reaction (RT PCR) in order that the correlation between signal transducer and activator of
transcription 1 (STAT1) phosphorylation and IFN-alpha gene regulation can be evaluated.
III. Microarray analysis of patient peripheral blood mononuclear cells (PBMCs) will be used
to evaluate the effect of dose-reduction on IFN-alpha gene expression.
IV. In order to define the clinical role of tumor sensitivity to IFN-alpha, patient tumor
biopsies taken prior to the administration of IFN-alpha will be systematically evaluated for
cellular levels of janus kinase (Jak)-STAT signaling intermediates.
OUTLINE:
Patients receive recombinant interferon alfa-2b subcutaneously (SC) thrice weekly. Treatment
continues for 11 months in the absence of disease progression or unacceptable toxicity.
After completion of study treatment, patients are followed up every 3-6 months for 2 years.
;
Status | Clinical Trial | Phase | |
---|---|---|---|
Completed |
NCT01886235 -
Intravital Microscopy for Identifying Tumor Vessels in Patients With Stage IA-IV Melanoma That is Being Removed by Surgery
|
N/A | |
Completed |
NCT01961115 -
Epacadostat and Vaccine Therapy in Treating Patients With Stage III-IV Melanoma
|
Phase 2 | |
Completed |
NCT02858869 -
Pembrolizumab and Stereotactic Radiosurgery for Melanoma or Non-Small Cell Lung Cancer Brain Metastases
|
Phase 1 | |
Completed |
NCT03229278 -
Trigriluzole With Nivolumab and Pembrolizumab in Treating Patients With Metastatic or Unresectable Solid Malignancies or Lymphoma
|
Phase 1 | |
Completed |
NCT01989559 -
Booster Vaccination in Preventing Disease Recurrence in Previously Vaccinated Patients With Melanoma That Has Been Removed By Surgery
|
Phase 1 | |
Withdrawn |
NCT02812693 -
Pembrolizumab and Imatinib in Patients With Locally Advanced/Metastatic Melanoma With c-KIT Mutation/Amplification
|
Phase 1/Phase 2 | |
Completed |
NCT00026221 -
Bevacizumab With or Without Interferon Alfa in Treating Patients With Metastatic Malignant Melanoma
|
Phase 2 | |
Active, not recruiting |
NCT02876068 -
Cediranib Maleate and Selumetinib in Treating Patients With Solid Malignancies
|
Phase 1 | |
Completed |
NCT01131234 -
Gamma-Secretase Inhibitor RO4929097 and Cediranib Maleate in Treating Patients With Advanced Solid Tumors
|
Phase 1 | |
Completed |
NCT00397982 -
Temsirolimus and Bevacizumab in Treating Patients With Stage III or Stage IV Malignant Melanoma
|
Phase 2 | |
Terminated |
NCT01744171 -
Vaccine Therapy in Treating Patients With Advanced Stage III-IV Melanoma
|
Phase 1 | |
Terminated |
NCT02748564 -
Aldesleukin and Pembrolizumab in Treating Patients With Stage III-IV Melanoma
|
Phase 2 | |
Completed |
NCT02941744 -
A Clinical Trial: Adjuvant Low-dose Ipilimumab + Nivolumab After Resection of Melanoma Macrometastases
|
Phase 1/Phase 2 | |
Terminated |
NCT01970527 -
Phase II Trial of Stereotactic Body Radiotherapy Followed by Ipilimumab in Treating Patients With Stage IV Melanoma
|
Phase 2 | |
Completed |
NCT01789827 -
Aldesleukin Imaging in Viewing Tumor Growth in Patients With Stage IV Melanoma Receiving Ipilimumab or Pembrolizumab Therapy
|
Early Phase 1 | |
Active, not recruiting |
NCT02654821 -
Study With T-cel Receptor Gene Therapy in Metastatic Melanoma
|
Phase 1/Phase 2 | |
Completed |
NCT01522820 -
Vaccine Therapy With or Without Sirolimus in Treating Patients With NY-ESO-1 Expressing Solid Tumors
|
Phase 1 | |
Completed |
NCT00866177 -
MEK Inhibitor AZD6244 in Treating Patients With Stage III or Stage IV Melanoma
|
Phase 2 | |
Active, not recruiting |
NCT03719131 -
Rituximab and Hyaluronidase Human in Patients With Advanced Melanoma Undergoing Nivolumab and Ipilimumab Therapy
|
Phase 2 | |
Completed |
NCT02716948 -
SRS and Nivolumab in Treating Patients With Newly Diagnosed Melanoma Metastases in the Brain or Spine
|
Phase 1 |