Cutaneous Melanoma, Stage IIMelMarT-IINCT03860883
Melanoma Margins Trial-II: 1cm v 2cm Wide Surgical Excision Margins for AJCC Stage II Primary Cutaneous Melanoma
A study testing Wide Local Excision = 1cm Margin and Wide Local Excision = 2cm Margin in people with Cutaneous Melanoma, Stage II, run by Melanoma and Skin Cancer Trials Limited at 192 sites in 10 countries.
Trial summary
Patients with a primary invasive melanoma are recommended to undergo excision of the primary lesion with a wide margin. There is evidence that less radical margins of excision may be just as safe. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Cutaneous Melanoma, Stage II
- What is being tested?
- Wide Local Excision = 1cm Margin and Wide Local Excision = 2cm Margin
- Type of treatment
- Surgery or procedure
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 2,998 participants
- Where
- 192 sitesin 10 countries
- Study dates
- 17 Dec 2019to 31 Dec 2034
- Phase
- Interventional
- Are there results?
- Not yet: the study is under way
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 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Patients may be included in the study if they meet ALL of the following criteria:
- 1. Patients must have a Stage II primary invasive cutaneous melanoma (pT2b-pT4b, AJCC 8th edition) with Breslow thickness >1.0mm to 2.0mm; >2.0mm to 4.0mm or >4.0mm with ulceration, or >2.0mm to 4.0mm; or >4.0mm without ulceration (Table 1) as determined by diagnostic biopsy (narrow excision, incision, shave or punch biopsy) and subsequent histopathological analysis.
- Must have a primary melanoma that is cutaneous (including head, neck, trunk, extremity, scalp, palm or sole).
- An uninterrupted 2cm margin must be technically feasible around biopsy scar or primary melanoma.
- 4. Surgical intervention (which refers to the staging -SLNB and WLE as these are both to be done on the same day) must be completed within 120 days of the original diagnosis. Surgical intervention must also be performed within 28 days of randomisation.
- Patients must be 18 years or older at time of consent.
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- Patient must be able to give informed consent and comply with the treatment protocol and follow up plan.
- Life expectancy of at least 5 years from the time of diagnosis, not considering the melanoma in question, as determined by the PI.
- Patients must have an ECOG performance score between 0 and 1 at screening.
- A survivor of prior cancer is eligible provided that ALL of the following criteria are met and documented:
- The patient has undergone potentially curative therapy for all prior malignancies,
- There has been no evidence of recurrence of any prior malignancies for at least FIVE years (with the exception of successfully treated uterine/cervical or non-melanoma skin cancers (SCCs/BCCs) with no evidence of recurrence), and
- The patient is deemed by their treating physician to be at low risk of recurrence from previous malignancies.
Who cannot join
- Patients will be excluded from the study for ANY of the following reasons:
- Uncertain diagnosis of melanoma i.e., so-called 'melanocytic lesion of unknown malignant potential'.
- Patient has already undergone WLE at the site of the primary index lesion.
- Patient unable or ineligible to undergo staging SLNB of the primary index lesion.
- Perineural invasion or neurotropic melanoma: Neurotropism or perineural invasion in any type of melanoma is an exclusion. Perineural invasion does not include entrapment of nerves within the main primary tumour mass.
- Desmoplastic melanoma: with any patient where pathology determines melanoma as PURE desmoplastic (as per WHO definition of >90% desmoplasia), they are not eligible for this study. However melanomas with less than 90% desmoplasia or mixed desmoplastic subtypes are eligible unless there is neurotropism present (perineural invasion).
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- Microsatellitosis (a nest of metastatic tumour cells found to be growing away from the primary tumour) as per AJCC 8th edition definition is an exclusion.
- Subungual melanoma
- Patient has already undergone a local flap reconstruction of the defect after excision of the primary and determination of an accurate excision margin is impossible.
- History of previous or concurrent (i.e. >1 primary melanoma) invasive melanoma.
- Melanoma located distal to the metacarpophalangeal joint; on the tip of the nose; the eyelids or on the ear; genitalia, perineum or anus; mucous membranes or internal viscera.
- Physical, clinical, radiographic or pathologic evidence of satellite, in-transit, regional, or distant metastatic melanoma.
- Patient has undergone surgery on a separate occasion to clear the lymph nodes of the probable draining lymphatic field, including -SLNB, of the index melanoma.
- Any additional solid tumour or hematologic malignancy during the past 5 years (with exception of non- melanoma skin cancers (T1 skin lesions of squamous cell carcinoma (SCCs), basal cell carcinoma (BCCs)), or uterine/cervical cancer).
- Melanoma-related operative procedures not corresponding to criteria described in the protocol.
- Planned adjuvant radiotherapy to the primary melanoma site after wide local excision is not permitted as part of the protocol and any patients given this treatment would be excluded from the study.
- History of organ transplantation.
- Oral or parenteral immunosuppressive agents (not topical or inhaled steroids) at enrolment or within 6 months prior to enrolment.
- Pregnancy is not a specific exclusion criterion for this trial, though it may not be clinically appropriate to perform a wide excision and SLNB until the pregnancy has been completed, which may exclude the patient due to violation of inclusion criterion 4. We would advise careful counselling of the patient prior to enrolling the patient, which would include a discussion at the treating centre's multidisciplinary team meeting or tumour board. We would strongly advise contacting the central trial office to discuss the case prior to enrolling on the study.
Trial locations and contacts
192 sites in 10 countries. Contact the study team or a site near you to ask about taking part.
192 sites in 10 countries
United States130 sites, 130 recruiting
- Recruiting
Lovelace Medical Centre-Saint Joseph Square
Albuquerque, New Mexico, 87110
Bridget Fahy, MD, BFahy@salud.unm.edu
- Recruiting
Lovelace Women's Hospital
Albuquerque, New Mexico, 87110
Bridget Fahy, MD, BFahy@salud.unm.edu
Bridget Fahy, MD
- Recruiting
St. Luke's University Health Network - Allentown Cancer Center
Allentown, Pennsylvania, 18104
Darius Desai, MD, Darius.Desai@sluhn.org
Amy Grossman, Amy.Grossman@sluhn.org
- Recruiting
University of Michigan Medical Center
Ann Arbor, Michigan, 48109
Christina Angeles, angelesc@med.umich.edu
Christina Angeles
- Recruiting
Emory University Hospital Midtown
Atlanta, Georgia, 30308
Michael Lowe, MD, mlowe3@emory.edu
Rachel Mock, rachel.ashley.mock@emory.edu
- Recruiting
Emory University
Atlanta, Georgia, 30322
Dr Michael Lowe
Dr Michael Lowe
- Recruiting
Emory Saint Joseph's Hospital
Atlanta, Georgia, 30342
Michael Lowe, MD, mlowe3@emory.edu
Charisse Ellis, chariesse.aliyya.ellis@emory.edu
- Recruiting
Northside Hospital Atlanta
Atlanta, Georgia, 30342
Nicole Kounalakis, nicole.kounalakis@northside.com
Nicole Kounalakis
- Not yet recruiting
Northside Hospital Cancer Institute
Atlanta, Georgia, 30342
Margaret Ferreira
Dr. Nicole Kounalakis
- Recruiting
University of Miami Sylvester Comprehensive Cancer Center at Aventura
Aventura, Florida, 33180
Jessica S Crystal, jxc2521@med.miami.edu
Jessica S Crystal
- Recruiting
University Hospitals Avon Health Center
Avon, Ohio, 44011
Luke Rothermel, Luke.Rothermel@UHhospitals.org
Luke Rothermel
- Recruiting
MedStar Franklin Square Medical Center
Baltimore, Maryland, 21237
Edward McCarron, edward.mccarron@medstar.net
Edward McCarron
- Recruiting
Northwell Health Imbert Cancer Center
Bay Shore, New York, 11706
Alan Kadison, MD, akadison@northwell.edu
Diane Delliliune, DDellili@northwell.edu
- Recruiting
Nebraska Medicine - Bellevue
Bellevue, Nebraska, 68123
Bradley Reames, bradley.reames@unmc.edu
Bradley Reames
- Recruiting
St Luke's University Health Network, Bethlehem Campus
Bethlehem, Pennsylvania, 18015
Darius Desai, Darius.Desai@sluhn.org
Darius Desai
- Recruiting
University of Michigan - Brighton Center for Specialty Care
Brighton, Michigan, 48116
Christina Angeles, angelesc@med.umich.edu
Christina Angeles
- Recruiting
Roswell Park Cancer Institute
Buffalo, New York, 14203
Shalana O'Brien, shalana.obrien@roswellpark.org
Shalana O'Brien
- Recruiting
University of Vermont Medical Center
Burlington, Vermont, 05401
Jessica Cintolo-Gonzalez, MD, jessica.cintolo-gonzalez@uvmhealth.org
Elizabeth Abrecht, elizabeth.abrecht@uvmhealth.org
- Recruiting
University of Vermount and Sate Agricultural College
Burlington, Vermont, 05405
Jessica Cintolo-Gonzalez, MD, jessica.cintolo-gonzalez@uvmhealth.org
Elizabeth Abrecht, elizabeth.abrecht@uvmhealth.org
- Recruiting
Miami Valley Hospital South
Centerville, Ohio, 45459
James Ouellette, jrouellett@premierhealth.com
James Ouellette
- Recruiting
University of North Carolina at Chapel Hill
Chapel Hill, North Carolina, 27599
David W Ollila, david_ollila@med.unc.edu
David W Ollila
- Recruiting
University Hospitals Geauga Medical Center
Chardon, Ohio, 44024
Luke Rothermel, Luke.Rothermel@UHhospitals.org
Luke Rothermel
- Recruiting
Medical University of South Carolina
Charleston, South Carolina, 29425
Andrea Abbott, abbottan@musc.edu
Andrea Abbott
- Recruiting
University of Virginia Health System
Charlottesville, Virginia, 22903
Lynn Dengel, LTD5B@uvahealth.org
Lynn Dengel
- Recruiting
Advocate Illinois Masonic Medical Center
Chicago, Illinois, 60657
Sigrun Hallmeyer, sigrun.hallmeyer@aah.org
Sigrun Hallmeyer
- Recruiting
University of Cincinnati
Cincinnati, Ohio, 45219
Jeffrey Sussman, sussmaj@ucmail.uc.edu
Jeffrey Sussman
- Recruiting
Kaiser Sunnyside Medical Center
Clackamas, Oregon, 97015
Sandeep Mashru, sandeep.h.mashru@kp.org
Sandeep Mashru
- Recruiting
University Hospitals Cleveland Medical Centre
Cleveland, Ohio, 44106
Luke Rothermel, Luke.Rothermel@UHhospitals.org
Luke Rothermel
- Recruiting
Ohio State University Comprehensive Cancer Center
Columbus, Ohio, 43210
Joal Joal, Joal.Beane@osumc.edu
Joal Joal
- Recruiting
University of Miami Sylvester Comprehensive Cancer Center at Coral Gables
Coral Gables, Florida, 33146
Jessica S Crystal, jxc2521@med.miami.edu
Jessica S Crystal
- Recruiting
University of Miami Sylvester Cancer Center at Coral Springs
Coral Springs, Florida, 33065
Jessica S Crystal, jxc2521@med.miami.edu
Jessica S Crystal
- Recruiting
Siteman Cancer Centre, Barnes Jewish West County
Creve Coeur, Missouri, 63141
Ryan Fields, rcfields@wustl.edu
Ryan Fields
- Recruiting
University of Miami Sylvester Comprehensive Center at Deerfield Beach
Deerfield Beach, Florida, 33442
Jessica S Crystal, jxc2521@med.miami.edu
Jessica S Crystal
- Recruiting
Northwestern Medicine Cancer Center Kishwaukee
DeKalb, Illinois, 60115
Jeffrey Wayne, jeffrey.wayne@nm.org
Jeffrey Wayne
- Recruiting
Duke University Medical Center
Durham, North Carolina, 27710
Jay Lee, jay.lee@duke.edu
Jay Lee
- Recruiting
St Luke's University Health Network, Anderson Campus
Easton, Pennsylvania, 18045
Darius Desai, Darius.Desai@sluhn.org
Darius Desai
- Recruiting
Northwestern University
Evanston, Illinois, 60208
Jeffrey Wayne, jeffrey.wayne@nm.org
Jeffrey Wayne
- Recruiting
Sanford Broadway Medical Centre
Fargo, North Dakota, 58102
Preston Steen, preston.steen@sanfordhealth.org
Preston Steen
- Recruiting
Sanford Roger Maris Cancer Centre
Fargo, North Dakota, 58102
Preston Steen, preston.steen@sanfordhealth.org
Preston Steen
- Recruiting
Northwestern Medicine Cancer Center Delnor
Geneva, Illinois, 60134
Jeffrey Wayne, jeffrey.wayne@nm.org
Jeffrey Wayne
- Recruiting
Banner MD Anderson Cancer Center
Gilbert, Arizona, 85234
Mark Gimbel, mark.gimbel@bannerhealth.com
Sandra Ortega, sandra.ortega@bannerhealth.com
- Recruiting
Mercy Health Saint Mary's
Grand Rapids, Michigan, 49503
Kathleen Yost, kyost@crcwm.org
Renee Porter, renee.porter@crcwm.org
- Recruiting
Spectrum Health at Butterworth Campus
Grand Rapids, Michigan, 49503
Kathleen Yost, Kyost@chcwm.com
Kathleen Yost
- Recruiting
East Carolina University
Greenville, North Carolina, 27858
Nasreen Vohra, joynersu@ecu.edu
Nasreen Vohra
- Recruiting
Smilow Hospital Care Center, Guilford
Guilford, Connecticut, 06437
James Clune, james.clune@yale.edu
James Clune
- Recruiting
University of North Carolina Hospitals - Hillsborough Campus
Hillsborough, North Carolina, 27278
David Ollila, david_ollila@med.unc.edu
David Ollila
- Recruiting
University of Miami Sylvester Comprehensive Center at Hollywood
Hollywood, Florida, 33021
Jessica S Crystal, jxc2521@med.miami.edu
Jessica S Crystal
- Recruiting
The University of Texas MD Anderson Cancer Center
Houston, Texas, 77030
Jeffrey Gershenwald, jgershen@mdanderson.org
Jeffrey Gershenwald
- Recruiting
Indiana University - Melvin and Bren Simon Cancer Center
Indianapolis, Indiana, 46202
Karl Bilimoria, MD
karlb@iu.edu
- Recruiting
Indiana University Melvin and Bren Simon Comprehensive Cancer Center
Indianapolis, Indiana, 46202
Karl Bilimoria, karlb@iu.edu
Karl Bilimoria
- Recruiting
Franciscan Health Indianapolis
Indianapolis, Indiana, 46237
Juliana Meyer, juliana.meyer@franciscanalliance.org
Juliana Meyer
- Recruiting
UCI Health - Chao Family Comprehensive Cancer Center and Ambulatory Care
Irvine, California, 92868
Maki Yamamoto, MD
Maki Yamamoto, MD
- Recruiting
Baptist MD Anderson Cancer Center
Jacksonville, Florida, 32207
Konstantinos Chouliaras, Konstantinos.Chouliaras@bmcjax.com
Konstantinos Chouliaras
- Recruiting
Mayo Clinic in Florida
Jacksonville, Florida, 32224
James W Jakub, Jakub.James@mayo.edu
James W Jakub
- Recruiting
West Michigan Cancer Centre
Kalamazoo, Michigan, 49007
Kathleen Yost, kyost@chcwm.com
Kathleen Yost
- Recruiting
University of Kansas Cancer Center
Kansas City, Missouri, 64154
Luke Selby, lselby@kumc.edu
Luke Selby
- Recruiting
Northwestern Medicine Cancer Center Lake Forest Hospital
Lake Forest, Illinois, 60045
Jeffrey Wayne, jeffrey.wayne@nm.org
Jeffrey Wayne
- Recruiting
Northwell Health/Center for Advanced Medicine
Lake Success, New York, 11042
Alan Kadison, MD, akadison@northwell.edu
Alexa Amoroso, aamoroso1@northwell.edu
- Recruiting
Lakeland Regional Health Hollis Cancer Center
Lakeland, Florida, 33805
Manuel Molina, manuel.molina@mylrh.org
Manuel Molina
- Recruiting
University of Kentucky
Lexington, Kentucky, 40506
Erin Burke, erin.burke@uky.edu
Erin Burke
- Recruiting
University of Arkansas for Medical Sciences
Little Rock, Arkansas, 72205
Michail Mavros, MMavros@uams.edu
Michail Mavros
- Recruiting
Cooperman Barnabas Medical Center
Livingston, New Jersey, 07039
Adam Berger, ab2047@cinj.rutgers.edu
Adam Berger
- Recruiting
Los Angeles General Medical Center
Los Angeles, California, 90033
Gino In, gino.in@med.usc.edu
Gino In
- Recruiting
Los Angeles General Medical Center
Los Angeles, California, 90033
Gino In, MD, gino.in@med.usc.edu
Gino In, MD
- Recruiting
USC Norris Comprehensive Cancer Center
Los Angeles, California, 90033
Gino In, gino.in@med.usc.edu
Gino In
- Recruiting
USC Norris Comprehensive Cancer Center
Los Angeles, California, 90033
Gino In, MD, gino.in@med.usc.edu
Gino In, MD
- Recruiting
The Angeles (Cedars-Sinai Medical Center and its Affiliates)
Los Angeles, California, 90048-1804
Dr Mark Faries
Dr Mark Faries
- Recruiting
University of Winsconsin Carbone Cancer Center-Eastpark medical Center
Madison, Wisconsin, 53718
Heather Neuman, neuman@surgery.wisc.edu
Heather Neuman, MD, neuman@surgery.wisc.edu
- Recruiting
University of Wisconsin Carbone Cancer Center
Madison, Wisconsin, 53792
Heather Neuman, neuman@surgery.wisc.edu
Sam Hanson, shhanson@wisc.ed
- Recruiting
Marshfield Medical Center - Marshfield
Marshfield, Wisconsin, 54449
Rohit Sharma, sharma.rohit@marshfieldclinic.org
Rohit Sharma
- Recruiting
University of Miami Miller School of Medicine-Sylvester Cancer Centre
Miami, Florida, 33136
Jessica S Crystal, jxc2521@med.miami.edu
Jessica S Crystal
- Recruiting
University of Miami Comprehensive Cancer Center at Kendall
Miami, Florida, 33176
Jessica S Crystal, jxc2521@med.miami.edu
Jessica S Crystal
- Recruiting
Aurora St Luke's Medical Center
Milwaukee, Wisconsin, 53215
Sigrun Hallmeyer, sigrun.hallmeyer@aah.org
Sigrun Hallmeyer
- Recruiting
Medical College of Wisconsin
Milwaukee, Wisconsin, 53226
Jennifer Bruening, jbruening@mcw.edu
Chloe Papageorgio, cpapageorgio@mcw.edu
- Recruiting
NYU Langone Medical Center (Winthrop Hospital)
Mineola, New York, 11501
Erica Friedman, mailto:Erica.Friedman@nyulangone.org
Erica Friedman
- Recruiting
University of South Alabama Mitchell Cancer Institute
Mobile, Alabama, 36604
John H Howard, MD, jhoward@health.southalabama.edu
Tiffany Fulford, tfulford@health.southalabama.edu
- Recruiting
Northern Westchester Hospital
Mount Kisco, New York, 10549
Alan Kadison, Akadison@northwell.edu
Alan Kadison
- Recruiting
Intermountain Medical Center
Murray, Utah, 84157
Tawnya Bowles, tawnya.bowles@imail.org
Kevin Adams, Kevin.Adams@imail.org
- Recruiting
Yale University
New Haven, Connecticut, 06520
James Clune, james.clune@yale.edu
James Clune
- Recruiting
Laura & Isaac Perlmutter Cancer Center at NYU Langone Health
New York, New York, 10016
Erica Friedman, mailto:Erica.Friedman@nyulangone.org
Erica Friedman
- Recruiting
NYP/Columbia University Medical Center/Herbert Irving Comprehensive Cancer Center
New York, New York, 10032
Bret Taback, bt2160@cumc.columbia.ed
Bret Taback
- Recruiting
Memorial Sloan Kettering Cancer Center
New York, New York, 10065
Associate Professor Danielle Bello
Associate Professor Danielle Bello
- Recruiting
VCU Massey Cancer Center Peninsula Cancer Institute
Newport News, Virginia, 23601
Giao Phan, giao.phan@vcuhealth.org
Giao Phan
- Recruiting
OUHSC Stephenson Cancer Center
Oklahoma City, Oklahoma, 73104
William Dooley, William-Dooley@ouhsc.edu
William Dooley
- Recruiting
Mercy Health Center - Oncology Hematology
Oklahoma City, Oklahoma, 73120-8362
Christian Ellis, DO, christian.ellis@mercy.net
Trisha Strubhar, trisha.strubhar@mercy.net
- Recruiting
Nebraska Medicine-Village Pointe
Omaha, Nebraska, 68118
Bradley Reames, bradley.reames@unmc.edu
Bradley Reames
- Recruiting
University of Nebraska Medicine
Omaha, Nebraska, 68198
Bradley Reames, bradley.reames@unmc.edu
Bradley Reames
- Recruiting
UC Irvine Health - Chao Family Comprehensive Cancer Center
Orange, California, 92868
Jeremy Harris, jpharris1@hs.uci.edu
Jeremy Harris
- Recruiting
UCI Health - Chao Family Comprehensive Cancer Center and Ambulatory Care
Orange, California, 92868
Maki Yamamoto, myamamot@hs.uci.edu
Maki Yamamoto
- Recruiting
University Hospitals Chagrin Highlands Medical Centre
Orange, Ohio, 44122
Luke Rothermel, Luke.Rothermel@UHhospitals.org
Luke Rothermel
- Recruiting
University of Kansas Hospital - Indian Creek Campus
Overland Park, Kansas, 66211
Luke Selby, lselby@kumc.edu
Luke Selby
- Recruiting
Stanford Cancer Institute
Palo Alto, California, 94304
Amanda Kirane, MD FACS, 650-725-4169, akirane@stanford.edu
Patrick Yuan, +1 650-498-7061, yuanp@stanford.edu
- Recruiting
Advocate Lutheran General Hospital
Park Ridge, Illinois, 60068
Sigrun Hallmeyer, MD, sigrun.hallmeyer@aah.org
Cheryl Korabik, cheryl.korabik@aah.org
- Recruiting
Huntington Memorial Hospital
Pasadena, California, 91105
Mark Faries, mfaries@theangelesclinic.org
Mark Faries
- Recruiting
Fox Chase Cancer Center
Philadelphia, Pennsylvania, 19111
Dr Stephanie Greco
Dr Stephanie Greco
- Recruiting
Mayo Clinic Phoenix
Phoenix, Arizona, 85054
Barbara A Pockaj, MD, pockaj.barbara@mayo.edu
Courtney Nelson, Nelson.Courtney4@mayo.edu
- Recruiting
Rutgers Cancer Institute of New Jersey
Piscataway, New Jersey, 08854
Professor Adam Berger
Professor Adam Berger
- Recruiting
University of Miami Comprehensive Cancer Center at Plantation
Plantation, Florida, 33324
Jessica S Crystal, jxc2521@med.miami.edu
Jessica S Crystal
- Recruiting
Kaiser Permanente Northwest - Oncology Clinic
Portland, Oregon, 97227
Sandeep Mashru, sandeep.h.mashru@kp.org
Sandeep Mashru
- Recruiting
Vassar Brothers Medical Center
Poughkeepsie, New York, 12601
James Nitzkorski, james.nitzkorski@nuvancehealth.org
Karley Flinn, James, karley.flinn@nuvancehealth.org
- Recruiting
St Luke's University Health Network Quakertown Campus
Quakertown, Pennsylvania, 18951
Darius Desai, Darius.Desai@sluhn.org
Darius Desai
- Recruiting
St. Luke's University Health Network - Upper Bucks
Quakertown, Pennsylvania, 18951
Darius Desai, MD, Darius.Desai@sluhn.org
Amy Grossman, Amy.Grossman@sluhn.org
- Recruiting
VCU Massey Cancer Center
Richmond, Virginia, 23298
Giao Phan, giao.phan@vcuhealth.org
Giao Phan
- Recruiting
Carilion Roanoke Memorial Hospital
Roanoke, Virginia, 24014
Giao Phan, giao.phan@vcuhealth.org
Kristin Campbell, klcampbell@vcu.edu
- Recruiting
University of Rochester
Rochester, New York, 14642
Paul Barr, paul_barr@urmc.rochester.edu
Paul Barr
- Recruiting
Huntsman Cancer Institute (The University of Utah)
Salt Lake City, Utah, 84112
Professor John Hynstrom
Professor John Hynstrom
- Recruiting
University of Texas Health Science Center at San Antonio
San Antonio, Texas, 78284-7884
Fedrico Tozzi, MD, tozzi@uthscsa.edu
Samantha Bankston, bankstonsm@uthscsa.edu
- Recruiting
Stanford Cancer Center South Bay
San Jose, California, 95124
Amanda Kirane
Amanda Kirane
- Recruiting
Nancy N and JC Lewis Cancer & Research Pavilion St. Joseph's/Candler
Savannah, Georgia, 31405
Yana Puckett, MD, drpucketty@sjchs.org
Stephanie Reyes, smiths1@sjchs.org
- Recruiting
Guthrie Medical Group PC-Robert Packer Hospital
Sayre, Pennsylvania, 18840
David Bertsch, MD, david.j.bertsch@guthrie.org
Susan Hadlock, susan.hadlock@guthrie.org
- Recruiting
Sanford Cancer Center Oncology Clinic
Sioux Falls, South Dakota, 57105,
Daniel Almquist, MD, daniel.almquist@sanfordhealth.org
Daniel Almquist, MD
- Recruiting
Sanford USD Medical Center - Sioux Falls
Sioux Falls, South Dakota, 57105,
Daniel Almquist, MD, daniel.almquist@sanfordhealth.org
Daniel Almquist, MD
- Recruiting
Phelps Memorial Hospital Center
Sleepy Hollow, New York, 10591
Alan Kadison, akadison@northwell.edu
Alan Kadison
- Recruiting
Cox South Hospital
Springfield, Missouri, 65807
Srikant Nannapaneni
Srikant Nannapaneni
- Recruiting
Washington University School of Medicine
St Louis, Missouri, 63110
Ryan Fields, rcfields@wustl.edu
Ryan Fields
- Recruiting
State University of New York Upstate Medical University
Syracuse, New York, 13210
Daniel Thomas, MD, ThomasDa@upstate.edu
Laine Abernathy, abernatl@upstate.edu
- Recruiting
State University of New York Upstate Medical Center-Community Campus
Syracuse, New York, 13215
Daniel Thomas, MD, ThomasDa@upstate.edu
Laine Abernathy, abernatl@upstate.edu
- Recruiting
Moffitt Cancer Center - McKinley Campus
Tampa, Florida, 33612
Jonathan Zager, Jonathan.zager@moffitt.org
Jonathan Zager
- Recruiting
Moffitt Cancer Center, Magnolia Campus
Tampa, Florida, 33612
Jonathan Zager, Jonathan.zager@moffitt.org
Jonathan Zager
- Recruiting
Kaiser Permanente - Vallejo Medical Center
Vallejo, California, 94589
Tatjana Kolevska, MD, Tatjana.Kolevska@kp.org
Desiree Goldstein, desiree.goldstein@kp.org
- Recruiting
Kaiser Permanente - Walnut Creek Medical Center
Walnut Creek, California, 94596
Tatjana Kolevska, MD, Tatjana.Kolevska@kp.org
Desiree Goldstein, desiree.goldstein@kp.org
- Recruiting
Northwestern Medicine Cancer Center Warrenville
Warrenville, Illinois, 60555
Jeffrey Wayne, jeffrey.wayne@nm.org
Jeffrey Wayne
- Recruiting
MedStar Georgetown University Hospital
Washington D.C., District of Columbia, 20007
Geoffrey T Gibney, geofrey.t.gibney@gunet.georgetown.edu
Geoffrey T Gibney
- Recruiting
MedStar Washington Hospital Center
Washington D.C., District of Columbia, 20010
Marc Boisvert, MD, Marc.E.Boisvert@medstar.net
Nicolas Rojas, Nicolas.Rojas@medstar.net
- Recruiting
Wilmont Cancer Institute at Webster
Webster, New York, 14580
Paul Barr, MD, paul_barr@urmc.rochester.edu
Sarah Cawley, sarah_cawley@urmc.rochester.edu
- Recruiting
West Chester Hospital (OH394)
West Chester, Ohio, 45069
Jeffrey Sussman, sussmaj@ucmail.uc.edu
Jeffrey Sussman
- Recruiting
University Hospitals St. John Medical Center
Westlake, Ohio, 44145
Luke Rothermel, Luke.Rothermel@UHhospitals.org
Luke Rothermel
- Recruiting
Marshfield Medical Center- Weston
Weston, Wisconsin, 54476
Rohit Sharma, MD, sharma.rohit@marshfieldclinic.org
Rohit Sharma, sharma.rohit@marshfieldclinic.
- Recruiting
University of Kansas Hospital- Westwood Cancer Center
Westwood, Kansas, 66205
Luke Selby, lselby@kumc.edu
Luke Selby
- Recruiting
VCU Massey Cancer Center Affiliate Valley Health
Winchester, Virginia, 22601
Giao Phan, giao.phan@vcuhealth.org
Giao Phan
United Kingdom20 sites, 20 recruiting
- Recruiting
North Bristol NHS Trust
Bristol, BS10 5NB
Ewan Wilson, Mr, Ewan.Wilson@nbt.nhs.uk
- Recruiting
Cambridge University Hospitals NHS Foundation Trust
Cambridge, CB2 0QQ
Amit Roshan, amit.roshan@addenbrookes.nhs.uk
Amit Roshan
- Recruiting
Queen Victoria Hospital NHS Foundation Trust
East Grinstead, West Sussex, RH19 3DZ
Siva Kumar, siva.kumar1@nhs.net
Siva Kumar
- Recruiting
University Hospitals Birmingham NHS Foundation Trust
Edgbaston, Birmingham, B15 2TH
Agustin Martin-Clavijo, Agustin.Martin-Clavijo@uhb.nhs.uk
Agustin Martin-Clavijo
- Recruiting
Oxford University Hospitals NHS Foundation Trust
Headington, Oxford, OX3 9DU
oliver cassell
oliver.cassell@ouh.nhs.uk
- Recruiting
Hull University Teaching Hospitals NHS Trust
Hull, East Yorkshire, HU3 2JZ
Paolo Matteucci, paolo.matteucci@hey.nhs.uk
Paolo Matteucci
- Recruiting
The Leeds Teaching Hospitals NHS Trust
Leeds, LS9 7TF
Howard Peach, Mr, h.peach@nhs.net
- Recruiting
St. Helens & Knowsley Teaching Hospitals NHS Trust
Liverpool
Rowan Pritchard Jones, Prof, Rowan.PritchardJones@sthk.nhs.uk
- Recruiting
Imperial College Healthcare NHS Trust
London, The Bays, W2 1NY
Jonathon Dunne, jonathan.dunne1@nhs.net
Mark Cabelles, mark.cabelles@nhs.net
- Recruiting
Royal Free London NHS Foundation Trust
London, NW3 2QG
Steven Hamilton, stephenhamilton@nhs.net
Steven Hamilton
- Recruiting
Guy's and St Thomas's NHS Foundation Trust, of St Thomas' Hospital
London, SE1 7EH
Jenny Geh, Ms, Jenny.Geh@gstt.nhs.uk
- Recruiting
St George's University Hospitals NHS Foundation Trust
London, SW17 0QT
Joy Odili, Ms, Joy.Odili@stgeorges.nhs.uk
- Recruiting
The Royal Marsden Hospital NHS Foundation Trust
London, SW3 6JJ
Myles Smith, Myles.Smith@rmh.nhs.uk
Myles.Smith@rmh.nhs.uk
- Recruiting
The Christie NHS Foundation Trust
Manchester, M20 4BX
Deemesh Oudit, deemesh.oudit@nhs.net
Deemesh Oudit
- Recruiting
South Tees Hospitals NHS Foundation Trust of The James Cook University Hospital
Middlesbrough, TS4 3BW
Oliver Bassett, Mr, o.bassett@nhs.net
- Recruiting
Norfolk and Norwich University Hospital NHS Trust
Norwich, NR47UY
Professor Marc Moncrieff
Professor Marc Moncrieff
- Recruiting
Nottingham University Hospitals, NHS Trust, Trust HQ, City Hospital
Nottingham, NG5 1PB
Mr Jonathon Pollock, Jonathan.Pollock@nuh.nhs.uk
- Recruiting
Lancashire Teaching Hospitals NHS Foundation Trust
Preston, Lancashire, PR2 9HT
Richard Wain, richard.wain@lthtr.nhs.uk
Richard Wain
- Recruiting
Royal Cornwall Hospital NHS Trust
Truro, Cornwall, TR1 3LJ
Polly King, polly.king1@nhs.net
Polly King
- Recruiting
MID & South Essex NHS Foundation Trust
Westcliff-on-Sea, Essex, SS0 0RY
Prof Peter Dziewulski, peter.dziewulski1@nhs.net
Peter Dziewulski
Canada12 sites, 12 recruiting
- Recruiting
Royal Victoria Regional Health Centre
Barrie, Ontario, L4M 6M2
Kelly Cruise, 705-728-9090 ext. 45639, cruisek@rvh.on.ca
Dr. Renee Hanrahan
- Recruiting
Tom Baker Cancer Centre
Calgary, Alberta, T2N 4N2
- Recruiting
Hamilton Health Sciences Centre
Hamilton, Ontario, L8V 1C3
Dr. Valerie Francescutti, 905-387-9495
Dr. Valerie Francescutti
- Recruiting
BCCA - Cancer Centre for the Southern Interior
Kelowna, British Columbia, V1Y 5L3
Christopher Baliski, cbaliski@bccancer.bc.ca
Christopher Baliski
- Recruiting
Oak Valley Health
Markham, Ontario, L3P 7P3
Jennifer Zhirui Li, enli@oakvalleyhealth.ca
Jennifer Zhirui Li
- Recruiting
Hopital Maisonneuve-Rosemont
Montreal, Quebec, H1T 2M4
Audrey Lamoureux, 514-252-3400 ext. 6258
Leïla Idrissi Kaïtouni, 514-252-3400 ext. 5853
- Recruiting
Centre Hospitalier de l'Universite de Montreal (CHUM)
Montreal, Quebec, H2X 3E4
Kerianne Boulva
Kerianna Boulva
- Recruiting
Ottawa Hospital Research Institute
Ottawa, Ontario, K1Y 4E9
Dr. Carolyn Nessim, cnessim@toh.ca
Dr. Carolyn Nessim
- Recruiting
Hotel-Dieu de Quebec
Québec, Quebec, G1R2J6
Dr Cindy Boulanger-Gobeil, cindy.boulanger-gobeil@chudequebec.ca
Dr Cindy Boulanger-Gobeil
- Recruiting
Sunnybrook Health Sciences Centre
Toronto, Ontario, M4N 3M5
Dr Frances Wright, 416-480-4210
Dr Frances Wright
- Recruiting
UHN - Princess Margaret Cancer Centre
Toronto, Ontario, M5G 2C1
Alexandra Easson, Dr, Alexandra.Easson@uhn.ca
- Recruiting
CancerCare Manitoba
Winnipeg, Manitoba, R3E 0V9
Justin Rivard, Dr, 204-787-4156
Australia10 sites, 10 recruiting
- Recruiting
Royal Adelaide Hospital
Adelaide, South Australia, 5000
Robert Whitfield, Robert.Whitfield@sa.gov.au
Robert Whitfield, MD
- Not yet recruiting
Princess Alexandra Hospital
Brisbane, Queensland, 4102
Prof Mark Smithers
Prof Mark Smithers
- Recruiting
Calvary Public Hospital Bruce
Bruce, Australian Capital Territory, 2617
Dr Rebecca Read
Dr Rebecca Read
- Not yet recruiting
The Canberra Hospital
Garran, Australian Capital Territory, 2605
Emily Baxter
Dr Krishna Rao
- Not yet recruiting
Robina Hospital
Gold Coast, Queensland, 4226
Dr Jennifer Chang
Dr Jennifer Chang
- Recruiting
Peter MacCallum Cancer Centre
Melbourne, Victoria
Michael Henderson
Prof Michael Henderson
- Recruiting
The Alfred Hospital
Melbourne, Victoria
Dr Frank Bruscino-Raiola
Dr Frank Bruscino-Raiola
- Recruiting
Westmead Hospital
Sydney, New South Wales, 2145
Pablo Fernandez-Peñas, pablo.fernandezpenas@sydney.edu.au
Prof Pablo Fernandez-Peñas
- Recruiting
Melanoma Institute Australia
Sydney, New South Wales
Andrew Spillane
Prof Andrew Spillane
- Recruiting
Royal Prince Alfred Hospital
Sydney, New South Wales
Robyn Saw
A/Prof Robyn Saw
Netherlands10 sites, 10 recruiting
- Recruiting
Flevo Hospital
Almere Stad, Flevoland
Gwen Diepenhorst
gdiepenhorst@flevoziekenhuis.nl
- Recruiting
Ziekenhuis Gelderse Vallei
Ede, Gelderland, 6716 RP
Miriam L Hoven-Gondrie, HovenM@zgv.nl
Miriam L Hoven-Gondrie
- Recruiting
Maxima Medical Centre, Eindhoven
Eindhoven, North Brabant, 5631
Sabrina Maaskant
Sabrina Maaskant
- Recruiting
University Medical Centre Groningen
Groningen, 9713
Barbara Leeuwen, b.l.van.leeuwen@umcg.nl
Barbara Leeuwen
- Recruiting
Zuyderland Medical Center
Heerlen, 6419
James van Bastelaar, Dr
- Recruiting
Maastricht University Medical Center
Maastricht, 6229 HX
Kevin Wevers, Kevin.wevers@mumc.nl
Kevin Wevers
- Recruiting
Diakonessenhuis
Utrecht, 3582 KE
Barbara Molenkamp
Barbara Molenkamp
- Recruiting
Maxima Medical Center - Veldhoven
Veldhoven, 5504
Sabrina Maaskant
Sabrina Maaskant
- Recruiting
Gelre Hospital
Zutphen, Gelderland, 7207 AE
Dominique van Uden, MD, d.van.uden@gerle.nl
Dominique van Uden, MD
- Recruiting
Isala Hospital
Zwolle, 8025
Anne-Brecht Francken
Anne-Brecht Francken
Ireland3 sites, 3 recruiting
- Recruiting
Cork University Hospital
Cork
Prof Jim Clover, BMEd Sci,BM BS,MRCS,MD,FFERCS, 0214922575
- Recruiting
Mater Misericordiae University Hospital
Dublin, D07 R2WY
Shirley Potter, shirleypott@gmail.com
Shirley Potter
- Recruiting
St James Hospital
Dublin, D08 NHY1
Marlese Dempsey, marlesedempsey@gmail.com
Marlese Dempsey
Italy3 sites, 3 recruiting
- Not yet recruiting
IOV Istituto Oncologico Veneto IRCCS-Padova
Padova, 35128
Romina Spina
Dr Simone Mocellin
- Not yet recruiting
Fondazione IRCCS Policlinico San Matteo
Pavia, 27100
Alessandra Ferrari
Prof Alessandro Testori
- Not yet recruiting
AOU Città della Salute e della Scienza di Torino
Torino, 10126
Valentina Pala
Dr. Franco Picciotto
Sweden2 sites, 2 recruiting
- Recruiting
Sahlgrenska University Hospital
Gothenburg
Roger Olofsson Bagge, (0)31-3428207 ext. +46, roger.olofsson.bagge@gu.se
Prof Roger Olofsson Bagge
- Recruiting
Central Hospital Kristianstad
Kristianstad, 29133
Dr Karolin Isaksson, karolin.isaksson@med.lu.se
Dr Karolin Isaksson
New Zealand1 site, 1 recruiting
- Recruiting
North Shore Hospital
Auckland, 0620
Dr Richard Martin
Dr Richard Martin
Slovenia1 site, 1 recruiting
- Recruiting
Institute of Oncology Ljubljana
Ljubljana, 1000
Barbara Peric, MD, PhD
Barbara Peric, MD, PhD
About this study
Official title: Melanoma Margins Trial-II - A Phase III, Multi-centre Randomised Controlled Trial Investigating 1cm v 2cm Wide Surgical Excision Margins for AJCC Stage II Primary Cutaneous Melanoma (02.18 MelMarT-II)
Patients with a primary invasive melanoma are recommended to undergo excision of the primary lesion with a wide margin. There is evidence that less radical margins of excision may be just as safe. This is a randomised controlled trial of 1 cm versus 2 cm margin of excision of the primary lesion for adult patients with stage II primary invasive cutaneous melanomas (AJCC 8th edition) to determine differences in disease-free survival. A reduction in margins is expected to improve patient quality of life.
Read the detailed description
This study will determine whether there is a difference in disease-free survival rates for patients with primary cutaneous melanoma with Breslow thickness > 2mm or 1-2mm with ulceration (pT2b-pT4b, AJCC 8th edition), treated with either a 1cm excision margin or 2cm margin. The study is designed to be able to prove or disprove that there is no difference in risk of the tumour recurring around the scar or anywhere else in the body between the two groups of patients. If the study shows no risk of tumour recurrence then we will also be able to determine how much of an impact the narrower excision has on patients in terms of improved quality of life and reduced side effects from the surgery and melanoma disease. This trial will also evaluate and determine the economic impact of narrower excision margins on the health services and society in general.
- Conditions
- Cutaneous Melanoma, Stage II
- Being tested
- Wide Local Excision = 1cm Margin, Wide Local Excision = 2cm Margin
- Keywords
- Malignant, Melanoma, Cancer, Surgery
- Medical subject headings
- Melanoma, Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Wide Local Excision = 1cm MarginProcedure or surgery
A wide local excision involves removing an extra "safety margin" of skin surrounding the original melanoma site, to ensure that any remaining scattered melanoma tumour cells that may have been left behind after the first initial biopsy/surgery are removed.
Wide Local Excision = 2cm MarginProcedure or surgery
A wide local excision involves removing an extra "safety margin" of skin surrounding the original melanoma site, to ensure that any remaining scattered melanoma tumour cells that may have been left behind after the first initial biopsy/surgery are removed.
| Study group | Role | What they receive |
|---|---|---|
| Arm A (Wide Local Excision = 1cm Margin) | Experimental | 1cm Wide Local Excision margin + Sentinel Lymph Node Biopsy +/- Reconstruction Receives: Procedure: Wide Local Excision = 1cm Margin |
| Arm B (Wide Local Excision = 2cm Margin) | Active comparator | 2 cm Wide Local Excision margin + Sentinel Lymph Node Biopsy +/- Reconstruction Receives: Procedure: Wide Local Excision = 2cm Margin |
What is being measured
The primary outcome is the main question the study is designed to answer.
Disease-Free Survival
Time from randomisation until the first clinically, histologically or radiologically confirmed recurrence of melanoma at any body site, or death from any cause.
Measured: 0-60 months
Secondary outcomes (10)
Local Recurrence
Time from randomisation to any clinically, histologically or radiologically confirmed LR of melanoma including satellite lesions and in transit metastases between the primary site and the regional draining lymph nodes or death from any cause.
Measured: Day 0-Trial Completion (max. 120 months)
Distant Disease-Free Survival
Time from randomisation to any clinically, histologically or radiologically confirmed distant recurrence of melanoma or death from any cause
Measured: Day 0-Trial Completion (max. 120 months)
Melanoma-Specific Survival
Time from randomisation to death due to melanoma
Measured: Day 0-Trial Completion (max. 120 months)
Overall Survival
Time from randomisation to death from any cause
Measured: Day 0-Trial Completion (max. 120 months)
Melanoma-specific Quality of Life: FACT-M questionnaire
Measured by FACT-M (Functional Assessment of Cancer Therapy - Melanoma) questionnaire - It consists of two subsections: The FACT-G subsection is a 27-item compilation of general questions divided into four primary QOL domains: Physical Well-Being, Social/Family Well-Being, Emotional Well-Being, and Functional Well-Being. It is considered appropriate for use with patients with any form of cancer. The Melanoma Surgery Subscale evaluates melanoma-specific symptoms such as surgical morbidity and side effects.
Measured: Baseline, 3, 6, 12 & 24 months
Neuropathic Pain: PainDetect questionnaire
Measured by PainDetect questionnaire
Measured: Baseline, 3, 6, 12 & 24 months
Health-related Quality of Life: EQ-5D-5L questionnaire
Measured by EuroQoL EQ-5D-5L questionnaire - This tool contains 5 domains including mobility, self-care, usual activities, pain/discomfort and anxiety/depression.
Measured: Baseline, 3, 6, 12 & 24 months
Surgery Related Adverse Events
The following surgical-related adverse events will be recorded from the time of surgery to 12-months following surgery (inclusive):
- wound dehiscence
- seroma/haematoma
- haemorrhage
- infection
- skin graft failure
- necrosis of flap used for reconstruction
- deep venous thrombosis
- urinary tract infection
- pneumonia
- cardiac complications
- lymphoedema
Measured: Up to 12-months from the date of surgery
Health Economic Evaluation
Data collected for economic analysis will be from hospital notes, MBS and PBS data (Australia) and patient reported outcome measures (including an employment questionnaire) at baseline, 3, 6, 12 and 24 months and at melanoma recurrence.
Measured: Baseline, 3, 6, 12 & 24 months
Serious Adverse Events
All Serious Adverse events (SAEs), will be recorded from randomisation until 12 months post the surgical intervention or until the patient withdraws or dies.
Measured: from randomisation up to 12-months post-surgery
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted4 Mar 2019
- Study start17 Dec 2019
- Primary completion31 Dec 2029 (estimated)
- Study completion31 Dec 2034 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Cutaneous Melanoma, Stage IIStudies 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 N/A
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 2,998 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Melanoma and Skin Cancer Trials Limited
- Sponsor type
- University, hospital or other
- Collaborators
- Norfolk and Norwich University Hospitals NHS Foundation Trust, Canadian Cancer Trials Group, Cancer Trials Ireland, Zuyderland Medical Centre
- Responsible party
- Sponsor
- Investigators
- Michael Henderson, Study chair, Peter MacCallum Cancer Centre, AustraliaMarc Moncrieff, Study chair, Norfolk & Norwich University Hospital
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03860883
- Sponsor's protocol ID
- 02.18
- Acronym
- MelMarT-II
- Status last verified
- Nov 2024
- First submitted
- 7 Feb 2019
- Last updated
- 27 Nov 2024
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 27 Nov 2024. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Melanoma Margins Trial-II - A Phase III, Multi-centre Randomised Controlled Trial Investigating 1cm v 2cm Wide Surgical Excision Margins for AJCC Stage II Primary Cutaneous Melanoma (02.18 MelMarT-II)
- ClinicalTrials.gov ID
- NCT03860883
- Acronym / sponsor ID
- MelMarT-II / 02.18
- Conditions
- Cutaneous Melanoma, Stage II
- Keywords
- Malignant, Melanoma, Cancer, Surgery
- Study type
- Interventional
- Recruitment status
- Recruiting
- Enrolment
- 2,998 participants (estimated)
- Lead sponsor
- Melanoma and Skin Cancer Trials LimitedUniversity, hospital or other
- Collaborators
- Norfolk and Norwich University Hospitals NHS Foundation Trust, Canadian Cancer Trials Group, Cancer Trials Ireland, Zuyderland Medical Centre
- Study start
- 17 Dec 2019 (actual)
- Primary completion
- 31 Dec 2029 (estimated)
- Study completion
- 31 Dec 2034 (estimated)
- First posted
- 4 Mar 2019 (actual)
- 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.
Patients with a primary invasive melanoma are recommended to undergo excision of the primary lesion with a wide margin. There is evidence that less radical margins of excision may be just as safe. This is a randomised controlled trial of 1 cm versus 2 cm margin of excision of the primary lesion for adult patients with stage II primary invasive cutaneous melanomas (AJCC 8th edition) to determine differences in disease-free survival. A reduction in margins is expected to improve patient quality of life.
Detailed description
This study will determine whether there is a difference in disease-free survival rates for patients with primary cutaneous melanoma with Breslow thickness > 2mm or 1-2mm with ulceration (pT2b-pT4b, AJCC 8th edition), treated with either a 1cm excision margin or 2cm margin. The study is designed to be able to prove or disprove that there is no difference in risk of the tumour recurring around the scar or anywhere else in the body between the two groups of patients. If the study shows no risk of tumour recurrence then we will also be able to determine how much of an impact the narrower excision has on patients in terms of improved quality of life and reduced side effects from the surgery and melanoma disease. This trial will also evaluate and determine the economic impact of narrower excision margins on the health services and society in general.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Arm A (Wide Local Excision = 1cm Margin) | Experimental | Procedure: Wide Local Excision = 1cm Margin1cm Wide Local Excision margin + Sentinel Lymph Node Biopsy +/- Reconstruction |
| Arm B (Wide Local Excision = 2cm Margin) | Active comparator | Procedure: Wide Local Excision = 2cm Margin2 cm Wide Local Excision margin + Sentinel Lymph Node Biopsy +/- Reconstruction |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (13 listed)
- 1. Patients must have a Stage II primary invasive cutaneous melanoma (pT2b-pT4b, AJCC 8th edition) with Breslow thickness >1.0mm to 2.0mm; >2.0mm to 4.0mm or >4.0mm with ulceration, or >2.0mm to 4.0mm; or >4.0mm without ulceration (Table 1) as determined by diagnostic biopsy (narrow excision, incision, shave or punch biopsy) and subsequent histopathological analysis.
- Must have a primary melanoma that is cutaneous (including head, neck, trunk, extremity, scalp, palm or sole).
- An uninterrupted 2cm margin must be technically feasible around biopsy scar or primary melanoma.
- 4. Surgical intervention (which refers to the staging -SLNB and WLE as these are both to be done on the same day) must be completed within 120 days of the original diagnosis. Surgical intervention must also be performed within 28 days of randomisation.
- Patients must be 18 years or older at time of consent.
Key exclusion criteria (19 listed)
- Uncertain diagnosis of melanoma i.e., so-called 'melanocytic lesion of unknown malignant potential'.
- Patient has already undergone WLE at the site of the primary index lesion.
- Patient unable or ineligible to undergo staging SLNB of the primary index lesion.
- Perineural invasion or neurotropic melanoma: Neurotropism or perineural invasion in any type of melanoma is an exclusion. Perineural invasion does not include entrapment of nerves within the main primary tumour mass.
- Desmoplastic melanoma: with any patient where pathology determines melanoma as PURE desmoplastic (as per WHO definition of >90% desmoplasia), they are not eligible for this study. However melanomas with less than 90% desmoplasia or mixed desmoplastic subtypes are eligible unless there is neurotropism present (perineural invasion).
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 |
|---|---|---|
| Wide Local Excision = 1cm MarginA wide local excision involves removing an extra "safety margin" of skin surrounding the original melanoma site, to ensure that any remaining scattered melanoma tumour cells that may have been left behind after the first initial biopsy/surgery are removed. | Procedure or surgery | Arm A (Wide Local Excision = 1cm Margin) |
| Wide Local Excision = 2cm MarginA wide local excision involves removing an extra "safety margin" of skin surrounding the original melanoma site, to ensure that any remaining scattered melanoma tumour cells that may have been left behind after the first initial biopsy/surgery are removed. | Procedure or surgery | Arm B (Wide Local Excision = 2cm Margin) |
Primary outcome
Disease-Free Survival
Time frame: 0-60 months
Time from randomisation until the first clinically, histologically or radiologically confirmed recurrence of melanoma at any body site, or death from any cause.
10 secondary outcomes
Local Recurrence
Time frame: Day 0-Trial Completion (max. 120 months)
Distant Disease-Free Survival
Time frame: Day 0-Trial Completion (max. 120 months)
Melanoma-Specific Survival
Time frame: Day 0-Trial Completion (max. 120 months)
Overall Survival
Time frame: Day 0-Trial Completion (max. 120 months)
Melanoma-specific Quality of Life: FACT-M questionnaire
Time frame: Baseline, 3, 6, 12 & 24 months
Neuropathic Pain: PainDetect questionnaire
Time frame: Baseline, 3, 6, 12 & 24 months
Health-related Quality of Life: EQ-5D-5L questionnaire
Time frame: Baseline, 3, 6, 12 & 24 months
Surgery Related Adverse Events
Time frame: Up to 12-months from the date of surgery
Health Economic Evaluation
Time frame: Baseline, 3, 6, 12 & 24 months
Serious Adverse Events
Time frame: from randomisation up to 12-months post-surgery
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 27 Nov 2024.
- Individual participant dataSharing planned: No
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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.
Michael Henderson study chair
Peter MacCallum Cancer Centre, Australia
Marc Moncrieff study chair
Norfolk & Norwich University Hospital
192 sites in 10 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Wide Local Excision = 1cm Margin and Wide Local Excision = 2cm Margin in people with Cutaneous Melanoma, Stage II, run by Melanoma and Skin Cancer Trials Limited at 192 sites in 10 countries.
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 13 inclusion and 19 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: looking for participants now, as of the sponsor's last update on 27 Nov 2024. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 192 sites in United States, United Kingdom, Canada, Australia, Netherlands and 5 more countries. 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.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact Melanoma and Skin Cancer Trials Coordinator (+61 3 9903 9022, melmart@masc.org.au), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Disease-Free Survival (time frame: 0-60 months). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
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 27 Nov 2024; AzTrials last refreshed its copy on 7 Nov 2026.