Melanoma Clinical Trial
Everolimus in Treating Patients With Stage IV Melanoma
Summary
RATIONALE: Drugs used in chemotherapy, such as everolimus, work in different ways to stop the growth of tumor cells, either by killing the cells or by stopping them from dividing. Everolimus may also stop the growth of melanoma by blocking blood flow to the tumor.
PURPOSE: This phase II trial is studying how well everolimus works in treating patients with stage IV melanoma.
Full Description
OBJECTIVES:
Primary
Determine the median time to disease progression in patients with stage IV malignant melanoma treated with everolimus.
Secondary
Determine the median overall survival of patients treated with this drug.
Determine the clinical benefit rates (i.e., stable disease, partial remission, and complete response rates) in patients treated with this drug.
Determine the toxicity profile of this drug in these patients.
Determine changes in serum vascular endothelial growth factor levels in patients treated with this drug.
OUTLINE: This is a multicenter study.
Patients receive oral everolimus once daily for 8 weeks. Courses repeat every 8 weeks in the absence of disease progression or unacceptable toxicity.
Patients are followed every 2 months until disease progression and then every 4 months for up to 5 years after registration.
Eligibility Criteria
DISEASE CHARACTERISTICS:
Histologically confirmed malignant melanoma for which no known standard or potentially curative therapy exists or has been proven to extend life expectancy
Stage IV disease
Measurable disease
At least 1 lesion ≥ 20 mm by CT scan or MRI OR ≥ 10 mm by spiral CT scan
No intracranial disease
PATIENT CHARACTERISTICS:
Age
18 and over
Performance status
ECOG 0-2
Life expectancy
At least 12 weeks
Hematopoietic
Absolute neutrophil count ≥ 1,500/mm^3
Platelet count ≥ 100,000/mm^3
Hemoglobin ≥ 9.0 g/dL
No bleeding diathesis
Hepatic
AST ≤ 3 times upper limit of normal (ULN)
Alkaline phosphatase ≤ 3 ULN
INR ≤ 1.5
Renal
Creatinine ≤ 1.5 times ULN
Other
Not pregnant or nursing
Negative pregnancy test
Fertile patients must use effective contraception
Willing to refrain from foods high in fat content
No uncontrolled infection
No immunosuppression from any cause (e.g., known HIV infection)
No other malignancy within the past 5 years except basal cell or squamous cell skin cancer treated with local resection only
No other severe condition that would preclude study participation or compliance
PRIOR CONCURRENT THERAPY:
Biologic therapy
More than 4 weeks since prior immunotherapy or biologic therapy
Chemotherapy
More than 4 weeks since prior chemotherapy (6 weeks for nitrosoureas or mitomycin) and recovered
No prior sirolimus or its analogues for any indication
No other concurrent chemotherapy
Endocrine therapy
No concurrent steroids
Radiotherapy
More than 4 weeks since prior radiotherapy to head and neck area
More than 4 weeks since prior radiosurgery
No prior radiotherapy to > 30% of bone marrow
No concurrent radiotherapy
Surgery
Not specified
Other
At least 1 week since prior and no concurrent CYP3A4 inducers
No concurrent warfarin
No concurrent cytotoxic agents
No other concurrent experimental drugs
No other concurrent immunosuppressive therapy
Check Your Eligibility
Let’s see if you might be eligible for this study.
What is your age and gender ?
There are 74 Locations for this study
Scottsdale Arizona, 85259, United States
Jacksonville Florida, 32224, United States
Aurora Illinois, 60507, United States
Joliet Illinois, 60435, United States
Moline Illinois, 61265, United States
Moline Illinois, 61265, United States
Urbana Illinois, 61801, United States
Urbana Illinois, 61801, United States
Michigan City Indiana, 46360, United States
Ames Iowa, 50010, United States
Bettendorf Iowa, 52722, United States
Des Moines Iowa, 50307, United States
Des Moines Iowa, 50309, United States
Des Moines Iowa, 50309, United States
Des Moines Iowa, 50309, United States
Des Moines Iowa, 50314, United States
Des Moines Iowa, 50314, United States
Des Moines Iowa, 50316, United States
Ottumwa Iowa, 52501, United States
Sioux City Iowa, 51101, United States
Sioux City Iowa, 51101, United States
Sioux City Iowa, 51104, United States
Sioux City Iowa, 51104, United States
West Des Moines Iowa, 50266, United States
Chanute Kansas, 66720, United States
Dodge City Kansas, 67801, United States
El Dorado Kansas, 67042, United States
Kingman Kansas, 67068, United States
Liberal Kansas, 67901, United States
Newton Kansas, 67114, United States
Parsons Kansas, 67357, United States
Pratt Kansas, 67124, United States
Salina Kansas, 67042, United States
Wellington Kansas, 67152, United States
Wichita Kansas, 67203, United States
Wichita Kansas, 67208, United States
Wichita Kansas, 67214, United States
Wichita Kansas, 67214, United States
Wichita Kansas, 67214, United States
Winfield Kansas, 67156, United States
Escanaba Michigan, 49431, United States
Iron Mountain Michigan, 49801, United States
Alexandria Minnesota, 56308, United States
Bemidji Minnesota, 56601, United States
Brainerd Minnesota, 56401, United States
Brainerd Minnesota, 56401, United States
Burnsville Minnesota, 55337, United States
Coon Rapids Minnesota, 55433, United States
Edina Minnesota, 55435, United States
Fergus Falls Minnesota, 56537, United States
Fridley Minnesota, 55432, United States
Hutchinson Minnesota, 55350, United States
Lichfield Minnesota, 55355, United States
Maplewood Minnesota, 55109, United States
Minneapolis Minnesota, 55407, United States
Minneapolis Minnesota, 55415, United States
Montevideo Minnesota, 56265, United States
Robbinsdale Minnesota, 55422, United States
Rochester Minnesota, 55905, United States
Saint Cloud Minnesota, 56303, United States
Saint Louis Park Minnesota, 55416, United States
Sartell Minnesota, 56377, United States
Shakopee Minnesota, 55379, United States
St Paul Minnesota, 55102, United States
St. Cloud Minnesota, 56303, United States
St. Louis Park Minnesota, 55416, United States
St. Paul Minnesota, 55101, United States
St. Paul Minnesota, 55102, United States
Waconia Minnesota, 55387, United States
Woodbury Minnesota, 55125, United States
Rutherfordton North Carolina, 28139, United States
Bismarck North Dakota, 58501, United States
Bismarck North Dakota, 58501, United States
Bismarck North Dakota, 58501, United States
Bismarck North Dakota, 58502, United States
Fargo North Dakota, 58122, United States
Fargo North Dakota, 58122, United States
Tulsa Oklahoma, 74136, United States
Allentown Pennsylvania, 18105, United States
Anderson South Carolina, 29621, United States
Spartanburg South Carolina, 29303, United States
Spartanburg South Carolina, 29303, United States
Rapid City South Dakota, 57701, United States
Sioux Falls South Dakota, 57105, United States
Sioux Falls South Dakota, 57105, United States
Sioux Falls South Dakota, 57117, United States
Green Bay Wisconsin, 54301, United States
Green Bay Wisconsin, 54303, United States
Green Bay Wisconsin, 54303, United States
Green Bay Wisconsin, 54307, United States
La Crosse Wisconsin, 54601, United States
Marinette Wisconsin, 54143, United States
Oconto Falls Wisconsin, 54154, United States
Sturgeon Bay Wisconsin, 54235, United States
How clear is this clinincal trial information?

Please confirm you are a US based health care provider:
Yes, I am a health care Provider No, I am not a health care providerSign Up Now.
Take Control of Your Disease Journey.
Sign up now for expert patient guides, personalized treatment options, and cutting-edge insights that can help you push for the best care plan.