Metastatic MelanomaPhase 4NCT00226473
Standard Palliative Care Versus Standard Palliative Care Plus Polychemotherapy in Metastasized Malignant Melanoma
A Phase 4 study testing Cisplatin, Vindesine, Dacarbazine (drugs) in people with Metastatic Melanoma, run by Dermatologic Cooperative Oncology Group at 13 sites in Germany.
Trial summary
The purpose of this multicenter study is to examine whether the proposed randomized treatment regime results in a significantly longer survival time and higher quality of life than any additionally applied multiple chemotherapy according to the CVD- scheme. Read more about this study
- Who is it for?
- Ages 18 to 75 years
- Conditions the study is for
- Metastatic Melanoma
- What is being tested?
- Cisplatin, Vindesine, Dacarbazine (drugs)
- How many people
- 200 participants
- Where
- 13 sitesGermany
- Study dates
- Sep 2001to Sep 2005
- Phase
- Phase 4
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 75 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- histological diagnosis of metastatic melanoma (stage IV)
- progressive disease after first-line chemotherapy or immuno-chemotherapy
- Karnofsky-index > 60%
- informed consent
Who cannot join
- Uvea melanoma
- another primary malignancy except basal cell carcinoma or cervical carcinoma in situ
- severe and/or uncontrolled medical disease (diabetes mellitus, cardiac insufficiency)
Trial locations and contacts
13 sites in 1 country.
13 sites in 1 country
Germany13 sites, 13 recruiting
- Recruiting
Dept. of Dermatology, Charité Berlin
Berlin, State of Berlin, D-10098
Uwe Trefzer, MD, +49-30-450518063, uwe.trefzer@charite.de
Maja Hofmann, MD, +49-30-450518063, maja.hofmann@charite.de
- Recruiting
Dept. of Dermatology, Vivantes Clinics
Berlin, State of Berlin, D-12351
Peter Kohl, MD, +49-30-60043601, p.kohl@vivantes.de
Peter Kohl, MD
- Recruiting
Dept. of Dermatology, Medical Center Buxtehude
Buxtehude, Lower Saxony, D-21641
Peter Mohr, MD, +49-4161-7036297, mohrpe@cs.com
Peter Mohr, MD
- Recruiting
Dept. of Dermatology, Helios Clinic Erfurt
Erfurt, Thuringia, 99012
Ruthild Linse, MD, +49-361-7814300
Ruthild Linse, MD
- Recruiting
Dept. of Dermatology, University of Frankfurt
Frankfurt am Main, Hesse, D-60590
Konstanze Spieth, MD, +49-69-6301-5311, konstanze.spieth@kgu.de
Konstanze Spieth, MD
- Recruiting
Dept. of Dermatology, Hildesheim
Hildesheim, Lower Saxony, D-31134
Michael Tronnier, MD, +49-05121-894821
Michael Tronnier, MD
- Recruiting
Dept. of. Dermatology, University of Saarland, Homburg
Homburg, Saaland, D-66421
Wolfgang Tilgen, MD, +49-6841-3800, hawtil@med-rz-sb.de
Dorothea Tadler, MD
- Recruiting
Dept. of Dermatology, University of Jena
Jena, Thuringia, D-07740
Martin Kaatz, MD, +49-3641-937302, kaatz@derma.uni-jena.de
Martin Kaatz, MD
- Recruiting
Dept. of Dermatology, University of Schleswig-Holstein
Kiel, Schleswig-Holstein, D-24105
Axel Hauschild, MD, +49-431-596-1613, ahauschild@dermatology.uni.kiel.de
Axel Hauschild, MD
- Recruiting
Dept. of Dermatology, University of Schleswig-Holstein, Campus Lübeck
Lübeck, Schleswig-Holstein, D-23538
Sven Krengel, MD, +49-451-5002517, svenkrengel@gm.net
Sven Krengel, MD
- Recruiting
Dept. of Dermatology, University Otto von Guericke
Magdeburg, Saxony-Anhalt, D-39120
Jens Ulrich, MD, +49-391-6715428, jens.ulrich@medizin.uni-magdeburg.de
Vassiliki Bekou, MD, +49-391-6715264, vassiliki.bekou@medizin.uni-magdeburg.de
- Recruiting
Skin Cancer Unit, German Cancer Ressearch Center and Dept. of Dermatology, University Hospital of Mannheim
Mannheim, Baden-Wurttemberg, D-68167
Dirk Schadendorf, MD, +49-621-3832127, d.schadendorf@dkfz.de
Dirk Schadendorf, MD
- Recruiting
Dept. of Dermatology, University Hospital Tuebingen
Tübingen, Baden-Wurttemberg, D-72076
Claus Garbe, MD, +49-7071-2980872, studienzentrum-derm-onko@med.uni-tuebingen.de
Claus Garbe, MD
About this study
Official title: Standard Palliative Care Versus Standard Palliative Care Plus Polychemotherapy (CVD-Protocol) in the Second-Line Therapy of Distant Metastasized Malignant Melanoma
The purpose of this multicenter study is to examine whether the proposed randomized treatment regime results in a significantly longer survival time and higher quality of life than any additionally applied multiple chemotherapy according to the CVD- scheme. So far neither established treatment regimes nor reliable data exist for the second-line chemotherapy of metastatic malignant melanoma. Patients are therefore mostly treated with single or multiple chemotherapeutics or/and immunomodulatory therapeutics. These regimes however imply often not only a higher toxicity but show rarely a response rate higher than 10%.
- Conditions
- Metastatic Melanoma
- Being tested
- Cisplatin, Vindesine, Dacarbazine (drugs)
- Keywords
- malignant Melanoma, Chemotherapy, Metastasis, standard palliative care, best supportive care
- Medical subject headings
- Melanoma, Neoplasm Metastasis
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Cisplatin, Vindesine, Dacarbazine (drugs)Drug
What is being measured
The primary outcome is the main question the study is designed to answer.
Overall survival
Secondary outcomes (4)
Quality of life analysis
Objective tumor response rate in study arm B
Time to tumor progression
Cost analysis
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted27 Sep 2005 (estimated)
- Study startSep 2001
- Study completionSep 2005
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (7)Papers the sponsor has linked to this study.
- Other trials for Metastatic MelanomaStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 4
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 200 participants
Sponsor and investigators
- Lead sponsor
- Dermatologic Cooperative Oncology Group
- Sponsor type
- University, hospital or other
- Investigators
- Jens Ulrich, MD, Principal investigator, Dept. of Dermatology, University Otto von Guericke, Leipziger Strasse 44, D-39120 Magdeburg, GermanyAxel Hauschild, MD, Principal investigator, Dept. of Dermatology, University of Kiel, Schittenhelmstrasse 5, D-24105 Kiel, GermanyPeter Mohr, MD, Study director, Dept. of Dermatology, Medical Center Buxtehude, Krankenhausstrasse 1, D-21614 Buxtehude, Germany
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00226473
- Sponsor's protocol ID
- ADO-MM-PAL8
- Status last verified
- Sep 2005
- First submitted
- 25 Sep 2005
- Last updated
- 21 Jun 2006
- Results posted
- No
Publications
Chapman PB, Einhorn LH, Meyers ML, Saxman S, Destro AN, Panageas KS, Begg CB, Agarwala SS, Schuchter LM, Ernstoff MS, Houghton AN, Kirkwood JM. Phase III multicenter randomized trial of the Dartmouth regimen versus dacarbazine in patients with metastatic melanoma. J Clin Oncol. 1999 Sep;17(9):2745-51. doi: 10.1200/JCO.1999.17.9.2745.
PubMed 10561349Creagan ET, Suman VJ, Dalton RJ, Pitot HC, Long HJ, Veeder MH, Vukov AM, Rowland KM, Krook JE, Michalak JC. Phase III clinical trial of the combination of cisplatin, dacarbazine, and carmustine with or without tamoxifen in patients with advanced malignant melanoma. J Clin Oncol. 1999 Jun;17(6):1884-90. doi: 10.1200/JCO.1999.17.6.1884.
PubMed 10561229Cure H, Souteyrand P, Ouabdesselam R, Roche H, Ravaud A, D'incan M, Viens P, Fargeot P, Lentz MA, Fumoleau P, Hanauske A, Chollet P. Results of a phase II trial with cystemustine at 90 mg/m(2) as a first- or second-line treatment in advanced malignant melanoma: a trial of the EORTC Clinical Studies Group. Melanoma Res. 1999 Dec;9(6):607-10. doi: 10.1097/00008390-199912000-00011.
PubMed 10661773Glimelius B, Ekstrom K, Hoffman K, Graf W, Sjoden PO, Haglund U, Svensson C, Enander LK, Linne T, Sellstrom H, Heuman R. Randomized comparison between chemotherapy plus best supportive care with best supportive care in advanced gastric cancer. Ann Oncol. 1997 Feb;8(2):163-8. doi: 10.1023/a:1008243606668.
PubMed 9093725Hauschild A, Garbe C, Stolz W, Ellwanger U, Seiter S, Dummer R, Ugurel S, Sebastian G, Nashan D, Linse R, Achtelik W, Mohr P, Kaufmann R, Fey M, Ulrich J, Tilgen W. Dacarbazine and interferon alpha with or without interleukin 2 in metastatic melanoma: a randomized phase III multicentre trial of the Dermatologic Cooperative Oncology Group (DeCOG). Br J Cancer. 2001 Apr 20;84(8):1036-42. doi: 10.1054/bjoc.2001.1731.
PubMed 11308250Propper DJ, Levitt NC, O'Byrne K, Braybrooke JP, Talbot DC, Ganesan TS, Thompson CH, Rajagopalan B, Littlewood TJ, Dixon RM, Harris AL. Phase II study of the oxygen saturation curve left shifting agent BW12C in combination with the hypoxia activated drug mitomycin C in advanced colorectal cancer. Br J Cancer. 2000 Jun;82(11):1776-82. doi: 10.1054/bjoc.2000.1138.
PubMed 10839290Thongprasert S, Sanguanmitra P, Juthapan W, Clinch J. Relationship between quality of life and clinical outcomes in advanced non-small cell lung cancer: best supportive care (BSC) versus BSC plus chemotherapy. Lung Cancer. 1999 Apr;24(1):17-24. doi: 10.1016/s0169-5002(99)00017-3.
PubMed 10403690
Study at a glance
From the registry record, last updated by the sponsor on 21 Jun 2006. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Standard Palliative Care Versus Standard Palliative Care Plus Polychemotherapy (CVD-Protocol) in the Second-Line Therapy of Distant Metastasized Malignant Melanoma
- ClinicalTrials.gov ID
- NCT00226473
- Acronym / sponsor ID
- ADO-MM-PAL8
- Conditions
- Metastatic Melanoma
- Keywords
- malignant Melanoma, Chemotherapy, Metastasis, standard palliative care, best supportive care
- Phase
- Phase 4
- Study type
- Interventional
- Recruitment status
- Unknown status
- Enrolment
- 200 participants
- Lead sponsor
- Dermatologic Cooperative Oncology GroupUniversity, hospital or other
- Study start
- Sep 2001
- Study completion
- Sep 2005
- First posted
- 27 Sep 2005 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this multicenter study is to examine whether the proposed randomized treatment regime results in a significantly longer survival time and higher quality of life than any additionally applied multiple chemotherapy according to the CVD- scheme. So far neither established treatment regimes nor reliable data exist for the second-line chemotherapy of metastatic malignant melanoma. Patients are therefore mostly treated with single or multiple chemotherapeutics or/and immunomodulatory therapeutics. These regimes however imply often not only a higher toxicity but show rarely a response rate higher than 10%.
Study design
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
Who may qualify
- Ages
- 18 to 75 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (4 listed)
- histological diagnosis of metastatic melanoma (stage IV)
- progressive disease after first-line chemotherapy or immuno-chemotherapy
- Karnofsky-index > 60%
- informed consent
Key exclusion criteria (3 listed)
- Uvea melanoma
- another primary malignancy except basal cell carcinoma or cervical carcinoma in situ
- severe and/or uncontrolled medical disease (diabetes mellitus, cardiac insufficiency)
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Cisplatin, Vindesine, Dacarbazine (drugs) | Drug | – |
Primary outcome
Overall survival
4 secondary outcomes
Quality of life analysis
Objective tumor response rate in study arm B
Time to tumor progression
Cost analysis
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 21 Jun 2006.
- Background: PubMed 10561349Chapman PB, Einhorn LH, Meyers ML, Saxman S, Destro AN, Panageas KS, Begg CB, Agarwala SS, Schuchter LM, Ernstoff MS, Houghton AN, Kirkwood JM. Phase III multicenter randomized trial of the Dartmouth regimen versus dacarbazine in patients with metastatic melanoma. J Clin Oncol. 1999 Sep;17(9):2745-51. doi: 10.1200/JCO.1999.17.9.2745.
- Background: PubMed 10561229Creagan ET, Suman VJ, Dalton RJ, Pitot HC, Long HJ, Veeder MH, Vukov AM, Rowland KM, Krook JE, Michalak JC. Phase III clinical trial of the combination of cisplatin, dacarbazine, and carmustine with or without tamoxifen in patients with advanced malignant melanoma. J Clin Oncol. 1999 Jun;17(6):1884-90. doi: 10.1200/JCO.1999.17.6.1884.
- Background: PubMed 10661773Cure H, Souteyrand P, Ouabdesselam R, Roche H, Ravaud A, D'incan M, Viens P, Fargeot P, Lentz MA, Fumoleau P, Hanauske A, Chollet P. Results of a phase II trial with cystemustine at 90 mg/m(2) as a first- or second-line treatment in advanced malignant melanoma: a trial of the EORTC Clinical Studies Group. Melanoma Res. 1999 Dec;9(6):607-10. doi: 10.1097/00008390-199912000-00011.
- Background: PubMed 9093725Glimelius B, Ekstrom K, Hoffman K, Graf W, Sjoden PO, Haglund U, Svensson C, Enander LK, Linne T, Sellstrom H, Heuman R. Randomized comparison between chemotherapy plus best supportive care with best supportive care in advanced gastric cancer. Ann Oncol. 1997 Feb;8(2):163-8. doi: 10.1023/a:1008243606668.
- Background: PubMed 11308250Hauschild A, Garbe C, Stolz W, Ellwanger U, Seiter S, Dummer R, Ugurel S, Sebastian G, Nashan D, Linse R, Achtelik W, Mohr P, Kaufmann R, Fey M, Ulrich J, Tilgen W. Dacarbazine and interferon alpha with or without interleukin 2 in metastatic melanoma: a randomized phase III multicentre trial of the Dermatologic Cooperative Oncology Group (DeCOG). Br J Cancer. 2001 Apr 20;84(8):1036-42. doi: 10.1054/bjoc.2001.1731.
- Background: PubMed 10839290Propper DJ, Levitt NC, O'Byrne K, Braybrooke JP, Talbot DC, Ganesan TS, Thompson CH, Rajagopalan B, Littlewood TJ, Dixon RM, Harris AL. Phase II study of the oxygen saturation curve left shifting agent BW12C in combination with the hypoxia activated drug mitomycin C in advanced colorectal cancer. Br J Cancer. 2000 Jun;82(11):1776-82. doi: 10.1054/bjoc.2000.1138.
- Background: PubMed 10403690Thongprasert S, Sanguanmitra P, Juthapan W, Clinch J. Relationship between quality of life and clinical outcomes in advanced non-small cell lung cancer: best supportive care (BSC) versus BSC plus chemotherapy. Lung Cancer. 1999 Apr;24(1):17-24. doi: 10.1016/s0169-5002(99)00017-3.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Jens Ulrich, MD principal investigator
Dept. of Dermatology, University Otto von Guericke, Leipziger Strasse 44, D-39120 Magdeburg, Germany
Axel Hauschild, MD principal investigator
Dept. of Dermatology, University of Kiel, Schittenhelmstrasse 5, D-24105 Kiel, Germany
Peter Mohr, MD study director
Dept. of Dermatology, Medical Center Buxtehude, Krankenhausstrasse 1, D-21614 Buxtehude, Germany
13 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 4 study testing Cisplatin, Vindesine, Dacarbazine (drugs) in people with Metastatic Melanoma, run by Dermatologic Cooperative Oncology Group at 13 sites in Germany.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 4 inclusion and 3 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: status not confirmed, as of the sponsor's last update on 21 Jun 2006. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 13 sites in Germany. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 4 studies take place after a treatment is approved, to learn more about its long-term benefits and risks in everyday use.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Results are not available in the source record.
How can a doctor refer a patient or contact the research team?
Contact Jens Ulrich, MD (+49-391-6715428, jens.ulrich@medizin.uni-magdeburg.de), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Overall survival. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT00226473, which also lists 7 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 21 Jun 2006.