Ignite Creation Date:
2024-05-05 @ 5:15 PM
Last Modification Date:
2024-10-26 @ 9:29 AM
Study NCT ID:
NCT00412581
Status:
COMPLETED
Last Update Posted:
2016-04-29
First Post:
2006-12-14
Brief Title:
Lenalidomide and Dacarbazine DTIC in Patients With Metastatic Melanoma
Sponsor:
MD Anderson Cancer Center
Organization:
MD Anderson Cancer Center
Study Overview
Official Title:
Phase I Safety Study of the Combination of Lenalidomide and Dacarbazine DTIC in Patients With Metastatic Malignant Melanoma Previously Untreated With Systemic Chemotherapy CC-5013-MEL-003
Status:
COMPLETED
Status Verified Date:
2012-07
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
Primary Objectives
1 To determine the maximum tolerated dose MTD of intravenous DTIC during the first 2 cycles 6 weeks of treatment when administered in combination with a fixed dose of oral Lenalidomide in patients with metastatic malignant melanoma previously untreated with systemic chemotherapy
Secondary Objectives
1 To define the recommended Phase II doses of Lenalidomide and DTIC when administered as combination therapy
2 To evaluate the safety and toxicity profile of combination Lenalidomide plus DTIC
3 To evaluate the preliminary efficacy of combination Lenalidomide plus DTIC
1 To determine the maximum tolerated dose MTD of intravenous DTIC during the first 2 cycles 6 weeks of treatment when administered in combination with a fixed dose of oral Lenalidomide in patients with metastatic malignant melanoma previously untreated with systemic chemotherapy
Secondary Objectives
1 To define the recommended Phase II doses of Lenalidomide and DTIC when administered as combination therapy
2 To evaluate the safety and toxicity profile of combination Lenalidomide plus DTIC
3 To evaluate the preliminary efficacy of combination Lenalidomide plus DTIC
Detailed Description:
Lenalidomide is related to a drug called Thalidomide which is not widely used because of certain side effects Lenalidomide belongs to a family of drugs that work by acting on the bodys immune system so that it makes more anti-inflammatory cells This type of cell is normally found in the body and is believed to help reduce the growth of cancer cells and slow down the production of new cancer cells
DTIC is an anti-cancer drug It is designed to cause cancer cell death by creating DNA breaks in the nucleus of the cells
Before you can start treatment on this study you will have what are called screening tests These tests will help the doctor decide if you are eligible to take part in the study You will be asked questions about your medical history and you will have a complete physical exam which will included measurements of your temperature pulse blood pressure respiratory breathing rate weight and height You will be asked about any surgeries you have had and any medications you are taking Your ability to perform daily activities will be checked through simple physical tests such as walking or squeezing a ball You will also have blood drawn about 1 tablespoon for routine tests and tests to measure your thyroid hormones
You will have an electrocardiogram ECG - a test that measures the electrical activity of the heart You will have a chest x-ray and CT scans of the chest abdomen and pelvis below the waist You will be required to have a MRI or CT scan of the brain If your doctor feels it is necessary you may need CT scans of the head and neck or a bone scan To perform the bone scan a small dose of radioactive technetium is administered intravenously IV--through a needle in your vein The technetium will collect in the areas of bone involved with metastatic cancer to light up these areas on the bone scan The results of these tests will show if you are eligible to participate in the study Women who are able to have children must have a negative blood pregnancy test
If you are still eligible to take part in the study you will begin study treatment You will take Lenalidomide by mouth every day for 2 weeks followed by 1 week of rest This 21-day period is referred to as one study cycle You should only take Lenalidomide on an empty stomach You should fast for 1 hour before and after taking Lenalidomide
DTIC will be given by IV on Day 1 of every study cycle Three dose levels of DTIC will be tested during this study The first 3 participants will be given the first lowest dose level of DTIC After the safety of this dose of DTIC is confirmed at the starting dose level the next 3 to 6 participants will be given the second dose level of DTIC After the safety of this new dose level is confirmed the dose of DTIC will be increased to the third highest dose level tested in this study When the highest DTIC dose is found that has the fewest side effects when given with Lenalidomide 10 more patients will be treated at this best dose level Patients on the lowest dose level will not have their doses changed once the highest well tolerated dose is found Once a patient starts on a dose it will not be increased
You will receive treatment with Lenalidomide and DTIC on an outpatient basis at UT MD Anderson Cancer Center At the start of each 21-day study cycle you will come in to the clinic to receive a 14-day supply of Lenalidomide and you will receive your dose of DTIC by IV You will be provided with a study drug diary each time you are given your supply of Lenalidomide to write down any side effects you experience
During each study visit you will have a physical exam including measuring your weight and your medical history will be recorded Your doctor will ask you about any side effects you are experiencing You should bring your study drug diary any unused medication and empty packages of medication to each study visit Women who are able to have children will have a pregnancy test performed during the study visit at the beginning of each study cycle You will have blood drawn about 1 tablespoon for routine tests You will also repeat the performance status tests
During your study visit at the beginning of Cycle 3 about 6 weeks after starting treatment you will be checked to see if the disease is responding to treatment You will have a chest x-ray and CT scans of the chest abdomen and pelvis If your doctor feels it is necessary you will also have an EKG for the heart and MRI of the brain These tests may be done more often if your doctor feels it is necessary
You will continue to receive treatment as long as the disease is shrinking or does not get worse and the study doctor decides that it is safe to do so You will be taken off study if the disease progresses or intolerable side effects occur
If you are taken off study for any reason you will be scheduled for a final study visit You will have a physical exam and will be checked for side effects related to the study treatment You will have a chest x-ray CT scans an ECG and possibly an MRI as well
You will have blood drawn about 1 tablespoon for routine tests You will be asked about any new symptoms that you may have experienced after the treatment was stopped
This is an investigational study DTIC has been approved by the FDA for the treatment of metastatic melanoma The FDA has authorized Lenalidomide for use in research only Up to 28 participants will take part in this study All will be enrolled at M D Anderson
DTIC is an anti-cancer drug It is designed to cause cancer cell death by creating DNA breaks in the nucleus of the cells
Before you can start treatment on this study you will have what are called screening tests These tests will help the doctor decide if you are eligible to take part in the study You will be asked questions about your medical history and you will have a complete physical exam which will included measurements of your temperature pulse blood pressure respiratory breathing rate weight and height You will be asked about any surgeries you have had and any medications you are taking Your ability to perform daily activities will be checked through simple physical tests such as walking or squeezing a ball You will also have blood drawn about 1 tablespoon for routine tests and tests to measure your thyroid hormones
You will have an electrocardiogram ECG - a test that measures the electrical activity of the heart You will have a chest x-ray and CT scans of the chest abdomen and pelvis below the waist You will be required to have a MRI or CT scan of the brain If your doctor feels it is necessary you may need CT scans of the head and neck or a bone scan To perform the bone scan a small dose of radioactive technetium is administered intravenously IV--through a needle in your vein The technetium will collect in the areas of bone involved with metastatic cancer to light up these areas on the bone scan The results of these tests will show if you are eligible to participate in the study Women who are able to have children must have a negative blood pregnancy test
If you are still eligible to take part in the study you will begin study treatment You will take Lenalidomide by mouth every day for 2 weeks followed by 1 week of rest This 21-day period is referred to as one study cycle You should only take Lenalidomide on an empty stomach You should fast for 1 hour before and after taking Lenalidomide
DTIC will be given by IV on Day 1 of every study cycle Three dose levels of DTIC will be tested during this study The first 3 participants will be given the first lowest dose level of DTIC After the safety of this dose of DTIC is confirmed at the starting dose level the next 3 to 6 participants will be given the second dose level of DTIC After the safety of this new dose level is confirmed the dose of DTIC will be increased to the third highest dose level tested in this study When the highest DTIC dose is found that has the fewest side effects when given with Lenalidomide 10 more patients will be treated at this best dose level Patients on the lowest dose level will not have their doses changed once the highest well tolerated dose is found Once a patient starts on a dose it will not be increased
You will receive treatment with Lenalidomide and DTIC on an outpatient basis at UT MD Anderson Cancer Center At the start of each 21-day study cycle you will come in to the clinic to receive a 14-day supply of Lenalidomide and you will receive your dose of DTIC by IV You will be provided with a study drug diary each time you are given your supply of Lenalidomide to write down any side effects you experience
During each study visit you will have a physical exam including measuring your weight and your medical history will be recorded Your doctor will ask you about any side effects you are experiencing You should bring your study drug diary any unused medication and empty packages of medication to each study visit Women who are able to have children will have a pregnancy test performed during the study visit at the beginning of each study cycle You will have blood drawn about 1 tablespoon for routine tests You will also repeat the performance status tests
During your study visit at the beginning of Cycle 3 about 6 weeks after starting treatment you will be checked to see if the disease is responding to treatment You will have a chest x-ray and CT scans of the chest abdomen and pelvis If your doctor feels it is necessary you will also have an EKG for the heart and MRI of the brain These tests may be done more often if your doctor feels it is necessary
You will continue to receive treatment as long as the disease is shrinking or does not get worse and the study doctor decides that it is safe to do so You will be taken off study if the disease progresses or intolerable side effects occur
If you are taken off study for any reason you will be scheduled for a final study visit You will have a physical exam and will be checked for side effects related to the study treatment You will have a chest x-ray CT scans an ECG and possibly an MRI as well
You will have blood drawn about 1 tablespoon for routine tests You will be asked about any new symptoms that you may have experienced after the treatment was stopped
This is an investigational study DTIC has been approved by the FDA for the treatment of metastatic melanoma The FDA has authorized Lenalidomide for use in research only Up to 28 participants will take part in this study All will be enrolled at M D Anderson
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
None
Is a FDA Regulated Device?:
None
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None