NCT00026221

Brief Summary

This randomized phase II trial is studying giving bevacizumab together with interferon alpha to see how well it works compared to giving bevacizumab alone in treating patients with metastatic malignant melanoma. Monoclonal antibodies, such as bevacizumab, can block cancer growth in different ways. Some block the ability of cancer cells to grow and spread. Others find cancer cells and help kill them or deliver cancer-killing substances to them. Interferon alpha may interfere with the growth of the cancer cells and slow the growth of the tumor. Combining bevacizumab with interferon alpha may kill more tumor cells.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
57

participants targeted

Target at P25-P50 for phase_2

Timeline
Completed

Started Nov 2001

Longer than P75 for phase_2

Geographic Reach
1 country

2 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

November 1, 2001

Completed
8 days until next milestone

First Submitted

Initial submission to the registry

November 9, 2001

Completed
1.2 years until next milestone

First Posted

Study publicly available on registry

January 27, 2003

Completed
10.8 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

November 1, 2013

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

November 1, 2013

Completed
2.4 years until next milestone

Results Posted

Study results publicly available

March 17, 2016

Completed
Last Updated

March 17, 2016

Status Verified

February 1, 2016

Enrollment Period

12 years

First QC Date

November 9, 2001

Results QC Date

December 16, 2015

Last Update Submit

February 18, 2016

Conditions

Outcome Measures

Primary Outcomes (2)

  • Objective Response Rate

    Measured from the time measurement criteria are met for complete response (CR) or partial response (PR) (whichever is first recorded) until the first date that recurrent or progressive disease is objectively documented. Evaluated using the new international criteria proposed by the Response Evaluation Criteria in Solid Tumors (RECIST) Committee. Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0) for target lesions and assessed by MRI: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), \>=30% decrease in the sum of the longest diameter of target lesions; Objective Response (OR) = CR + PR.

    Up to 2 years

  • Progression-free Survival

    Defined as the time from treatment start date until documentation of progressive disease. Evaluated using the new international criteria proposed by the RECIST Committee. Progression is defined using Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0), as a 20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a non-target lesion, or the appearance of new lesions

    Up to 2 years

Secondary Outcomes (2)

  • Comparison of Plasma Levels of VEGF Following Administration of Bevacizumab Alone or in Combination With IFN-alfa

    At baseline

  • New Vessel Formation in Patient Tumor Samples

    Up to 2 years

Other Outcomes (1)

  • Toxicity

    Continuously from the start of treatment to the end of study

Study Arms (3)

Arm I (monoclonal antibody and biological therapy)

EXPERIMENTAL

Patients receive bevacizumab IV over 30-90 minutes on day 1. Patients also receive low-dose interferon alfa (IFN-alpha) SC on days 1-14.

Biological: Recombinant Interferon AlfaBiological: Bevacizumab

Arm II (monoclonal antibody)

EXPERIMENTAL

Patients receive bevacizumab as in arm I.

Biological: Bevacizumab

Arm III (monoclonal antibody and biological therapy)

EXPERIMENTAL

Patients receive bevacizumab as in arm I. Patients also receive high-dose IFN-alpha SC on days 1, 3, 5, 8, 10, and 12.

Biological: Recombinant Interferon AlfaBiological: Bevacizumab

Interventions

Given SC

Also known as: IFN-A
Arm I (monoclonal antibody and biological therapy)Arm III (monoclonal antibody and biological therapy)
BevacizumabBIOLOGICAL

Given IV

Also known as: Avastin, rhuMab-VEGF
Arm I (monoclonal antibody and biological therapy)Arm II (monoclonal antibody)Arm III (monoclonal antibody and biological therapy)

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Histologically or cytologically confirmed cutaneous malignant melanoma
  • Must meet one of the following criteria:
  • Clinical evidence of metastatic disease
  • Unresectable regional lymphatic disease
  • Extensive in transit recurrent disease
  • Measurable disease
  • At least 20 mm by conventional techniques OR at least 10 mm by spiral computed tomography (CT) scan
  • No known brain metastases
  • No ocular melanoma
  • Performance status - Eastern Cooperative Oncology Group (ECOG) 0-2
  • Performance status - Karnofsky 60-100%
  • More than 6 months
  • White blood cells (WBC) at least 3,000/mm\^3
  • Absolute neutrophil count at least 1,500/mm\^3
  • Platelet count at least 100,000/mm\^3
  • +31 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (2)

University of Cincinnati

Cincinnati, Ohio, 45267, United States

Location

Ohio State University Comprehensive Cancer Center

Columbus, Ohio, 43210, United States

Location

MeSH Terms

Conditions

Melanoma

Interventions

Interferon-alphaBevacizumab

Condition Hierarchy (Ancestors)

Neuroendocrine TumorsNeuroectodermal TumorsNeoplasms, Germ Cell and EmbryonalNeoplasms by Histologic TypeNeoplasmsNeoplasms, Nerve TissueNevi and MelanomasSkin NeoplasmsNeoplasms by SiteSkin DiseasesSkin and Connective Tissue Diseases

Intervention Hierarchy (Ancestors)

Interferon Type IInterferonsCytokinesIntercellular Signaling Peptides and ProteinsPeptidesAmino Acids, Peptides, and ProteinsProteinsBiological FactorsAntibodies, Monoclonal, HumanizedAntibodies, MonoclonalAntibodiesImmunoglobulinsImmunoproteinsBlood ProteinsSerum GlobulinsGlobulins

Results Point of Contact

Title
William E. Carson III, MD
Organization
The Ohio State University Comprehensive Cancer Center

Study Officials

  • William Carson

    Ohio State University Comprehensive Cancer Center

    PRINCIPAL INVESTIGATOR

Publication Agreements

PI is Sponsor Employee
No
Restriction Type
LTE60
Restrictive Agreement
Yes

Study Design

Study Type
interventional
Phase
phase 2
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
NIH
Responsible Party
SPONSOR

Study Record Dates

First Submitted

November 9, 2001

First Posted

January 27, 2003

Study Start

November 1, 2001

Primary Completion

November 1, 2013

Study Completion

November 1, 2013

Last Updated

March 17, 2016

Results First Posted

March 17, 2016

Record last verified: 2016-02

Locations