Title
Standard High-Dose Alpha Interferon Versus Intermittent High-Dose Alpha Interferon
Randomized, Multicenter Study for Adjuvant Treatment of Stage III Malignant Melanoma: Intermittent, High-Dose Intravenous Interferon Alpha-2b Versus Standard High-Dose Interferon Alpha-2b Therapy
Phase
Phase 3Lead Sponsor
Dermatologic Cooperative Oncology GroupStudy Type
InterventionalStatus
Unknown statusIndication/Condition
Stage III Malignant Melanoma Interferon Alpha Therapy ...Intervention/Treatment
interferon alpha-2b ...Study Participants
600The study protocol is being conducted to compare intermittent high-dose i.v. administation of interferon alpha-2b with the standard high-dose treatment by Kirkwood with distant metastasis free survival (DMFI) as a primary endpoint.
Arm A: Interferon-alpha-2b 20 MIU/m2 for 4 weeks. 5 days a week i.v followed by 48 weeks of treatment with 3 x 10 MIU/m2 s.c Arm B: Interferon-alpha-2b 20 MIU/m2 for 4 weeks. 5 days a week i.v repeated 3 times with 12 treatment-free-weeks between the cycles
Secondary endpoints: Improved overall survival rate, Assess side effects of therapy in both treatment arms, Assess time spent on sick leave, Assess number of treatment-related days in hospital, Assess overall performance status, Assess blood MX protein levels
Inclusion Criteria: Histological documentet cutaneous malognant melanoma Stage IIIa, IIIb, IIIc (AJCC 2002) R0 resection dating back no longer than 56 days Performance status (ECOG o-1) Bone marrow funktion: White cell count > 3000 cells/ul, platletts > 100000 cells/ul, hemoglobin > 10 g/dl Liver and kidney funktion: Serum creatinin < 1.5 times upper limit of normal, AST and ALT < 2.5 times upper limit of normal, Serum bilirubin < 2 times upper limit of normal Written inform consent Exclusion Criteria: Confirmed distant metastasis Choroid or mucosal melanoma Pregnant or lactating women and women of childbearing potential not using a reliable form of contraception Active autoimmun disease patients with history of neuropsychiatric disease requiring hospitalization Severe medical condition such us: Florid hepatitis Severe acute infection Myocardial infarction within the past year,symptomatic angina pectoris Grade III to IV congestive heart failure serious pulmonary disease HIV-positive patients with an AIDS - defining condition treatment in another clinical drug trial within the last 30 days A history of hypersensitivity to interferon alfa History of maignant disease during the past 5 years (except for curatively treated skin carcinoma or in situ carcinoma) Prior high dose interferon alfa therapy.Prior adjuvant low dose or intermediate-dose interferon alfa therapy is allowed