Description:
Mucosal melanoma is rare and associated with extremely poor prognosis.No effective treatment
for advanced mucosal melanoma patients.Investigators conducted a randomized phase II study in
patients with previously untreated metastatic mucosal melanoma to characterize the efficacy
and safety of bevacizumab when combined with carboplatin plus paclitaxel.
Title
- Brief Title: Bevacizumab Combined With Carboplatin Plus Paclitaxel Chemotherapy to Treat Metastatic Mucosal Melanoma
- Official Title: A Randomized Phase II Study Evaluating the Activity of Bevacizumab in Combination With Carboplatin Plus Paclitaxel in Patients With Previously Untreated Advanced Mucosal Melanoma
Clinical Trial IDs
- ORG STUDY ID:
BCH-MM-131101
- NCT ID:
NCT02023710
Conditions
Interventions
Drug | Synonyms | Arms |
---|
Paclitaxel | Taxel | BEV plus Chemotherapy |
Carboplatin | CBP | BEV plus Chemotherapy |
Bevacizumab | BEV | BEV plus Chemotherapy |
Purpose
Mucosal melanoma is rare and associated with extremely poor prognosis.No effective treatment
for advanced mucosal melanoma patients.Investigators conducted a randomized phase II study in
patients with previously untreated metastatic mucosal melanoma to characterize the efficacy
and safety of bevacizumab when combined with carboplatin plus paclitaxel.
Detailed Description
Mucosal melanoma is rare and associated with extremely poor prognosis.It is the second most
common subtype in Asians.No effective treatment for advanced mucosal melanoma
patients.Malignant melanoma is a highly vascular tumor in which vascular endothelial growth
factor(VEGF) is strongly expressed and seems to play an important role in disease
progression.A randomized phase II study evaluated the activity of Bevacizumab in combination
with carboplatin plus paclitaxel(CPB arm) in patients with previously untreated advanced
melanoma.Overall response rates was 25.5%,median overall survival time(OS) was 12.3 months in
the CPB arm. Investigators conducted a randomized phase II study in patients with previously
untreated metastatic mucosal melanoma to characterize the efficacy and safety of bevacizumab
when combined with carboplatin plus paclitaxel.
Trial Arms
Name | Type | Description | Interventions |
---|
BEV plus Chemotherapy | Experimental | Paclitaxel 175mg/m2, d1; Carboplatin AUC=5, d1; Bevacizumab 5mg/kg, d1、15; 28 days a cycle | - Paclitaxel
- Carboplatin
- Bevacizumab
|
Chemotherapy alone | Active Comparator | Paclitaxel 175mg/m2, d1; Carboplatin AUC=5, d1; 28 days a cycle | |
Eligibility Criteria
Inclusion Criteria:
1. Histologically confirmed mucosal melanoma with metastases and has no received any
systemic treatment.
2. ECOG performance status 0, 1
3. Estimated life expectancy of 12 weeks or greater
4. Age 18 years or older, male or female
5. At least one measurable site (diameter≥1cm) of disease (RECIST 1.1).
6. Adequate organ function
7. Without symptoms of brain metastases and stable in neuro-functions.
8. Willingness and ability to comply with scheduled visits, treatment plans, laboratory
tests, and other study procedures
Exclusion Criteria:
1. Mutations in C-KIT or BRAF-V600E, asked for other target treatments
2. Pregnant or lactation women
3. Acute infections without control.
4. Heart disease history, cardiac function class≥NYHA II.
5. HIV positive or chronic HBV/HCV in active stage.
6. Brain metastases or primary tumor with positive symptoms
7. Need anti-epileptic treatments
8. Organ transplantation history
9. Hemorrhagic tendency or related history
10. Renal dialysis patients
11. Diagnosis of any second malignancy within the last 3 years, except for adequately
treated.
12. Current treatment on another clinical trial
13. The other improper situations which investigator judged.
Maximum Eligible Age: | 70 Years |
Minimum Eligible Age: | 18 Years |
Eligible Gender: | All |
Healthy Volunteers: | No |
Primary Outcome Measures
Measure: | progress-free survival(PFS) |
Time Frame: | From randomization up to 144 weeks |
Safety Issue: | |
Description: | Progression Free Survival is defined as the time from enrollment to the date of first documented disease progression or death from any cause. |
Secondary Outcome Measures
Measure: | adverse event(AE) |
Time Frame: | From randomization up to144 weeks |
Safety Issue: | |
Description: | Any events,no matter related to interventions,occur during the period from the enrollment to death or 30 days after withdrawal from the trial |
Measure: | Overall Survival(OS) |
Time Frame: | Up to 144 weeks |
Safety Issue: | |
Description: | Overall survival was defined as the time from randomization to death from any cause. |
Details
Phase: | Phase 2 |
Primary Purpose: | Interventional |
Overall Status: | Unknown status |
Lead Sponsor: | Beijing Cancer Hospital |
Trial Keywords
- mucosal melanoma
- Bevacizumab
- Carboplatin
- Paclitaxel
Last Updated
May 9, 2017