Overview

Interferon Alfa With or Without Combination Chemotherapy Plus Interleukin-2 in Treating Patients With Melanoma

Status:
Completed
Trial end date:
2006-04-01
Target enrollment:
0
Participant gender:
All
Summary
RATIONALE: Interferon alfa may interfere with the growth of cancer cells. Interleukin-2 may stimulate a person's white blood cells to kill melanoma cells. It is not yet known whether interferon alfa plus combination chemotherapy and interleukin-2 is more effective than interferon alfa alone in treating patients with melanoma. PURPOSE: Randomized phase III trial to compare the effectiveness of interferon alfa with or without combination chemotherapy plus interleukin-2 in treating patients with melanoma.
Phase:
Phase 3
Accepts Healthy Volunteers?
No
Details
Lead Sponsor:
M.D. Anderson Cancer Center
Collaborator:
National Cancer Institute (NCI)
Treatments:
Aldesleukin
Cisplatin
Dacarbazine
Interferon alpha-2
Interferon-alpha
Interferons
Interleukin-2
Vinblastine
Criteria
DISEASE CHARACTERISTICS:

- Histologically diagnosed malignant melanoma with regional lymph node metastases

- Undergone complete lymph node dissection and free of any residual tumor

- No greater than 90 days from diagnosis of regional lymph nodes metastases

- No distant or resected in-transit metastases

PATIENT CHARACTERISTICS:

Age:

- 10 to 66

- 66 to 70 if in excellent physical condition

Performance status:

- 0-2

Life expectancy:

- At least 12 months

Hematopoietic:

- Hemoglobin greater than 10 g/dL

- WBC greater than 3,000/mm^3

- Platelet count greater than 100,000/mm^3

Hepatic:

- Bilirubin no greater than 1.2 mg/dL

Renal:

- Creatinine no greater than 1.5 mg/dL

Other:

- No serious intercurrent illness that would compromise tolerance of therapy and long
term survival

- Must be able to participate in follow up for minimum of 5 years

- No second malignancy except:

- In situ cervical cancer

- Basal or squamous skin cancer

- Must be able to physically and emotionally tolerate biochemotherapy

- No history of pulmonary or cardiac dysfunction, e.g., cardiac rhythm disturbance,
congestive heart failure, coronary bypass, or impaired cardiac ejection fraction

PRIOR CONCURRENT THERAPY:

Biologic therapy:

- No prior immunotherapy with interferon or IL-2

- No concurrent immunomodulators

Chemotherapy:

- No prior chemotherapy

Endocrine therapy:

- No concurrent steroids

Radiotherapy:

- Prior adjuvant local radiotherapy allowed for head and neck

Surgery:

- No greater than 8 weeks after definitive surgery for lymph node metastases

Other:

- No concurrent nonsteroid anti-inflammatory drugs, or other prostaglandin synthetase
inhibitors