Trial Outcomes & Findings for S0008: Chemotherapy Plus Biological Therapy in Treating Patients With Melanoma (NCT NCT00006237)

NCT ID: NCT00006237

Last Updated: 2015-03-25

Results Overview

Overall survival was measured from the date of registration to study until death from any cause with observations censored at the date of last contact for patients last known to be alive.

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

432 participants

Primary outcome timeframe

Every three months for a year, every six months for years 2-5, annual for years 5-10

Results posted on

2015-03-25

Participant Flow

Participant milestones

Participant milestones
Measure
Interferon
interferon alfa IV
Biochemotherapy
cisplatin, dacarbazine, interleukin-2, interferon alfa SC, filgrastim
Overall Study
STARTED
212
220
Overall Study
Eligible
203
200
Overall Study
Eligible and Treated
203
199
Overall Study
COMPLETED
87
159
Overall Study
NOT COMPLETED
125
61

Reasons for withdrawal

Reasons for withdrawal
Measure
Interferon
interferon alfa IV
Biochemotherapy
cisplatin, dacarbazine, interleukin-2, interferon alfa SC, filgrastim
Overall Study
Adverse Event
39
29
Overall Study
Death
1
0
Overall Study
Refusal unrelated to adverse effects
8
4
Overall Study
Progression/relapse
54
2
Overall Study
Not eligible
9
20
Overall Study
Withdrawal by Subject
0
1
Overall Study
Not protocol specified
14
5

Baseline Characteristics

S0008: Chemotherapy Plus Biological Therapy in Treating Patients With Melanoma

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Interferon
n=203 Participants
interferon alfa
Biochemotherapy
n=199 Participants
cisplatin, dacarbazine, interleukin-2, interferon alfa SC, filgrastim
Total
n=402 Participants
Total of all reporting groups
Age, Continuous
47 years
n=5 Participants
46 years
n=7 Participants
47 years
n=5 Participants
Sex: Female, Male
Female
62 Participants
n=5 Participants
58 Participants
n=7 Participants
120 Participants
n=5 Participants
Sex: Female, Male
Male
141 Participants
n=5 Participants
141 Participants
n=7 Participants
282 Participants
n=5 Participants
Region of Enrollment
United States
203 participants
n=5 Participants
199 participants
n=7 Participants
402 participants
n=5 Participants

PRIMARY outcome

Timeframe: Every three months for a year, every six months for years 2-5, annual for years 5-10

Overall survival was measured from the date of registration to study until death from any cause with observations censored at the date of last contact for patients last known to be alive.

Outcome measures

Outcome measures
Measure
Interferon
n=203 Participants
interferon alfa IV on days 1-5 of weeks 1-4 followed by interferon alfa subcutaneously (SC) on days 1, 3, and 5 of weeks 5-52 in the absence of disease progression or unacceptable toxicity.
Biochemotherapy
n=199 Participants
cisplatin, dacarbazine, interleukin-2, interferon alfa SC, filgrastim
5-year Overall Survival
56 Percent of population
56 Percent of population

PRIMARY outcome

Timeframe: Every three months for the first year, every 6 months for years 2-5, annually for years 6-10

Measured from date of registration to date of first observation of progressive disease or death due to any cause.

Outcome measures

Outcome measures
Measure
Interferon
n=203 Participants
interferon alfa IV on days 1-5 of weeks 1-4 followed by interferon alfa subcutaneously (SC) on days 1, 3, and 5 of weeks 5-52 in the absence of disease progression or unacceptable toxicity.
Biochemotherapy
n=199 Participants
cisplatin, dacarbazine, interleukin-2, interferon alfa SC, filgrastim
5-year Relapse-Free Survival
47 Percentage of population
38 Percentage of population

SECONDARY outcome

Timeframe: While on treatment, patients on the HDIFN arm were assessed weekly for the 1st month, then every 2 weeks for the 2nd month, then every 3 months therafter; patients on the biochemo arm were assessed daily for the 1st 5 days, then weekly thereafter.

Population: Eligible patients who started therapy

Number of patients with Grade 3-5 adverse events that are related to study drug by given type of adverse event

Outcome measures

Outcome measures
Measure
Interferon
n=193 Participants
interferon alfa IV on days 1-5 of weeks 1-4 followed by interferon alfa subcutaneously (SC) on days 1, 3, and 5 of weeks 5-52 in the absence of disease progression or unacceptable toxicity.
Biochemotherapy
n=185 Participants
cisplatin, dacarbazine, interleukin-2, interferon alfa SC, filgrastim
Toxicity
Personality/behavioral change
1 Participants
0 Participants
Toxicity
Petechiae/purpura
0 Participants
1 Participants
Toxicity
Platelet transfusion
0 Participants
5 Participants
Toxicity
Pruritus
1 Participants
3 Participants
Toxicity
Rash/desquamation
4 Participants
10 Participants
Toxicity
Renal failure
0 Participants
1 Participants
Toxicity
Reportable adverse event, NOS
1 Participants
1 Participants
Toxicity
Respiratory infect w/ neutrop
0 Participants
2 Participants
Toxicity
Rigors/chills
2 Participants
1 Participants
Toxicity
SGOT (AST) increase
18 Participants
7 Participants
Toxicity
SGPT (ALT) increase
32 Participants
8 Participants
Toxicity
Seizures
0 Participants
2 Participants
Toxicity
Sensory neuropathy
0 Participants
2 Participants
Toxicity
Stomatitis/pharyngitis
0 Participants
1 Participants
Toxicity
Surgery-wound infection
3 Participants
0 Participants
Toxicity
Abdominal pain/cramping
1 Participants
1 Participants
Toxicity
Acidosis
0 Participants
1 Participants
Toxicity
Acute vascular leak syndrome
0 Participants
1 Participants
Toxicity
Alkaline phosphatase increase
0 Participants
3 Participants
Toxicity
Allergic reaction
1 Participants
0 Participants
Toxicity
Anal incontinence
0 Participants
1 Participants
Toxicity
Anemia
0 Participants
8 Participants
Toxicity
Anorexia
1 Participants
9 Participants
Toxicity
Anxiety/agitation
4 Participants
5 Participants
Toxicity
Apnea
1 Participants
0 Participants
Toxicity
Arrhythmia, NOS
2 Participants
0 Participants
Toxicity
Arthralgia
4 Participants
3 Participants
Toxicity
Bilirubin increase
0 Participants
1 Participants
Toxicity
Bone pain
0 Participants
4 Participants
Toxicity
CPK increase
0 Participants
1 Participants
Toxicity
Cardiovascular-other
1 Participants
0 Participants
Toxicity
Catheter related infection
0 Participants
2 Participants
Toxicity
Cerebrovascular ischemia
1 Participants
0 Participants
Toxicity
Colitis
0 Participants
2 Participants
Toxicity
Confusion
2 Participants
3 Participants
Toxicity
Constipation/bowel obstruction
0 Participants
4 Participants
Toxicity
Cranial neuropathy
1 Participants
0 Participants
Toxicity
Creatinine increase
0 Participants
4 Participants
Toxicity
Dehydration
1 Participants
7 Participants
Toxicity
Delusions
0 Participants
1 Participants
Toxicity
Depression
14 Participants
4 Participants
Toxicity
Diarrhea without colostomy
2 Participants
6 Participants
Toxicity
Dizziness/light headedness
2 Participants
1 Participants
Toxicity
Dizziness/vertigo, NOS
0 Participants
1 Participants
Toxicity
Double vision
0 Participants
1 Participants
Toxicity
Dyspnea
1 Participants
2 Participants
Toxicity
Eryth/rash/eruption/desq, NOS
1 Participants
3 Participants
Toxicity
Esophagitis/dysphagia
0 Participants
2 Participants
Toxicity
Eye-other
1 Participants
0 Participants
Toxicity
Fatigue/malaise/lethargy
38 Participants
22 Participants
Toxicity
Febrile neutropenia
1 Participants
9 Participants
Toxicity
Fever without neutropenia
1 Participants
5 Participants
Toxicity
Fever, NOS
0 Participants
1 Participants
Toxicity
Hallucinations
1 Participants
1 Participants
Toxicity
Headache
9 Participants
5 Participants
Toxicity
Hemorrhage w/ 3-4 thrombocyt
0 Participants
1 Participants
Toxicity
Hyperglycemia
2 Participants
3 Participants
Toxicity
Hyperkalemia
0 Participants
1 Participants
Toxicity
Hypermagnesemia
1 Participants
1 Participants
Toxicity
Hypertension
0 Participants
1 Participants
Toxicity
Hypertriglyceridemia
1 Participants
0 Participants
Toxicity
Hypocalcemia
0 Participants
18 Participants
Toxicity
Hypokalemia
1 Participants
7 Participants
Toxicity
Hypomagnesemia
0 Participants
5 Participants
Toxicity
Hyponatremia
0 Participants
6 Participants
Toxicity
Hypophosphatemia
0 Participants
4 Participants
Toxicity
Hypotension
0 Participants
16 Participants
Toxicity
Hypoxia
0 Participants
1 Participants
Toxicity
Infection w/o 3-4 neutropenia
0 Participants
3 Participants
Toxicity
Infection with 3-4 neutropenia
0 Participants
9 Participants
Toxicity
Infection, unk ANC
1 Participants
2 Participants
Toxicity
Insomnia
1 Participants
1 Participants
Toxicity
Leukopenia
12 Participants
38 Participants
Toxicity
Lipase increase
1 Participants
2 Participants
Toxicity
Local injection site reaction
1 Participants
0 Participants
Toxicity
Lymphopenia
0 Participants
2 Participants
Toxicity
Mood/consciousness change, NOS
0 Participants
1 Participants
Toxicity
Muscle weakness (not neuro)
0 Participants
1 Participants
Toxicity
Myalgia
7 Participants
4 Participants
Toxicity
Nausea
10 Participants
51 Participants
Toxicity
Neutropenia/granulocytopenia
25 Participants
61 Participants
Toxicity
PRBC transfusion
0 Participants
3 Participants
Toxicity
Pancreatitis
0 Participants
1 Participants
Toxicity
Syncope
2 Participants
0 Participants
Toxicity
Thrombocytopenia
1 Participants
50 Participants
Toxicity
Thrombosis/embolism
1 Participants
1 Participants
Toxicity
Typhlitis
0 Participants
1 Participants
Toxicity
Vertigo
1 Participants
0 Participants
Toxicity
Vomiting
9 Participants
37 Participants
Toxicity
Weakness (motor neuropathy)
1 Participants
2 Participants
Toxicity
Weight loss
3 Participants
0 Participants

Adverse Events

Interferon

Serious events: 2 serious events
Other events: 132 other events
Deaths: 0 deaths

Biochemotherapy

Serious events: 4 serious events
Other events: 144 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Interferon
n=193 participants at risk
interferon alfa
Biochemotherapy
n=185 participants at risk
cisplatin, dacarbazine, interleukin-2, interferon alfa SC, filgrastim
Blood and lymphatic system disorders
Platelet transfusion
0.00%
0/193 • While the patient is on treatment until resolution of acute toxicities with maximum grade reported
Regular investigator assessments are reported after each cycle of protocol treatment
0.54%
1/185 • While the patient is on treatment until resolution of acute toxicities with maximum grade reported
Regular investigator assessments are reported after each cycle of protocol treatment
Gastrointestinal disorders
Colitis
0.00%
0/193 • While the patient is on treatment until resolution of acute toxicities with maximum grade reported
Regular investigator assessments are reported after each cycle of protocol treatment
0.54%
1/185 • While the patient is on treatment until resolution of acute toxicities with maximum grade reported
Regular investigator assessments are reported after each cycle of protocol treatment
General disorders
Reportable adverse event, NOS
0.52%
1/193 • While the patient is on treatment until resolution of acute toxicities with maximum grade reported
Regular investigator assessments are reported after each cycle of protocol treatment
0.00%
0/185 • While the patient is on treatment until resolution of acute toxicities with maximum grade reported
Regular investigator assessments are reported after each cycle of protocol treatment
Infections and infestations
Respiratory infect w/ neutrop
0.00%
0/193 • While the patient is on treatment until resolution of acute toxicities with maximum grade reported
Regular investigator assessments are reported after each cycle of protocol treatment
0.54%
1/185 • While the patient is on treatment until resolution of acute toxicities with maximum grade reported
Regular investigator assessments are reported after each cycle of protocol treatment
Nervous system disorders
Cerebrovascular ischemia
0.52%
1/193 • While the patient is on treatment until resolution of acute toxicities with maximum grade reported
Regular investigator assessments are reported after each cycle of protocol treatment
0.00%
0/185 • While the patient is on treatment until resolution of acute toxicities with maximum grade reported
Regular investigator assessments are reported after each cycle of protocol treatment
Psychiatric disorders
Depression
0.00%
0/193 • While the patient is on treatment until resolution of acute toxicities with maximum grade reported
Regular investigator assessments are reported after each cycle of protocol treatment
0.54%
1/185 • While the patient is on treatment until resolution of acute toxicities with maximum grade reported
Regular investigator assessments are reported after each cycle of protocol treatment

Other adverse events

Other adverse events
Measure
Interferon
n=193 participants at risk
interferon alfa
Biochemotherapy
n=185 participants at risk
cisplatin, dacarbazine, interleukin-2, interferon alfa SC, filgrastim
Blood and lymphatic system disorders
Anemia
7.8%
15/193 • While the patient is on treatment until resolution of acute toxicities with maximum grade reported
Regular investigator assessments are reported after each cycle of protocol treatment
14.6%
27/185 • While the patient is on treatment until resolution of acute toxicities with maximum grade reported
Regular investigator assessments are reported after each cycle of protocol treatment
Gastrointestinal disorders
Diarrhea without colostomy
6.7%
13/193 • While the patient is on treatment until resolution of acute toxicities with maximum grade reported
Regular investigator assessments are reported after each cycle of protocol treatment
0.00%
0/185 • While the patient is on treatment until resolution of acute toxicities with maximum grade reported
Regular investigator assessments are reported after each cycle of protocol treatment
Gastrointestinal disorders
Nausea
19.2%
37/193 • While the patient is on treatment until resolution of acute toxicities with maximum grade reported
Regular investigator assessments are reported after each cycle of protocol treatment
36.2%
67/185 • While the patient is on treatment until resolution of acute toxicities with maximum grade reported
Regular investigator assessments are reported after each cycle of protocol treatment
Gastrointestinal disorders
Vomiting
11.9%
23/193 • While the patient is on treatment until resolution of acute toxicities with maximum grade reported
Regular investigator assessments are reported after each cycle of protocol treatment
28.1%
52/185 • While the patient is on treatment until resolution of acute toxicities with maximum grade reported
Regular investigator assessments are reported after each cycle of protocol treatment
General disorders
Fatigue/malaise/lethargy
40.9%
79/193 • While the patient is on treatment until resolution of acute toxicities with maximum grade reported
Regular investigator assessments are reported after each cycle of protocol treatment
14.6%
27/185 • While the patient is on treatment until resolution of acute toxicities with maximum grade reported
Regular investigator assessments are reported after each cycle of protocol treatment
General disorders
Fever without neutropenia
11.9%
23/193 • While the patient is on treatment until resolution of acute toxicities with maximum grade reported
Regular investigator assessments are reported after each cycle of protocol treatment
13.0%
24/185 • While the patient is on treatment until resolution of acute toxicities with maximum grade reported
Regular investigator assessments are reported after each cycle of protocol treatment
General disorders
Rigors/chills
14.0%
27/193 • While the patient is on treatment until resolution of acute toxicities with maximum grade reported
Regular investigator assessments are reported after each cycle of protocol treatment
0.00%
0/185 • While the patient is on treatment until resolution of acute toxicities with maximum grade reported
Regular investigator assessments are reported after each cycle of protocol treatment
Investigations
Alkaline phosphatase increase
0.00%
0/193 • While the patient is on treatment until resolution of acute toxicities with maximum grade reported
Regular investigator assessments are reported after each cycle of protocol treatment
8.6%
16/185 • While the patient is on treatment until resolution of acute toxicities with maximum grade reported
Regular investigator assessments are reported after each cycle of protocol treatment
Investigations
Creatinine increase
0.00%
0/193 • While the patient is on treatment until resolution of acute toxicities with maximum grade reported
Regular investigator assessments are reported after each cycle of protocol treatment
7.0%
13/185 • While the patient is on treatment until resolution of acute toxicities with maximum grade reported
Regular investigator assessments are reported after each cycle of protocol treatment
Investigations
Leukopenia
15.5%
30/193 • While the patient is on treatment until resolution of acute toxicities with maximum grade reported
Regular investigator assessments are reported after each cycle of protocol treatment
22.7%
42/185 • While the patient is on treatment until resolution of acute toxicities with maximum grade reported
Regular investigator assessments are reported after each cycle of protocol treatment
Investigations
Neutropenia/granulocytopenia
19.7%
38/193 • While the patient is on treatment until resolution of acute toxicities with maximum grade reported
Regular investigator assessments are reported after each cycle of protocol treatment
35.1%
65/185 • While the patient is on treatment until resolution of acute toxicities with maximum grade reported
Regular investigator assessments are reported after each cycle of protocol treatment
Investigations
SGOT (AST) increase
21.8%
42/193 • While the patient is on treatment until resolution of acute toxicities with maximum grade reported
Regular investigator assessments are reported after each cycle of protocol treatment
10.8%
20/185 • While the patient is on treatment until resolution of acute toxicities with maximum grade reported
Regular investigator assessments are reported after each cycle of protocol treatment
Investigations
SGPT (ALT) increase
27.5%
53/193 • While the patient is on treatment until resolution of acute toxicities with maximum grade reported
Regular investigator assessments are reported after each cycle of protocol treatment
10.8%
20/185 • While the patient is on treatment until resolution of acute toxicities with maximum grade reported
Regular investigator assessments are reported after each cycle of protocol treatment
Investigations
Thrombocytopenia
7.8%
15/193 • While the patient is on treatment until resolution of acute toxicities with maximum grade reported
Regular investigator assessments are reported after each cycle of protocol treatment
31.4%
58/185 • While the patient is on treatment until resolution of acute toxicities with maximum grade reported
Regular investigator assessments are reported after each cycle of protocol treatment
Investigations
Weight loss
6.2%
12/193 • While the patient is on treatment until resolution of acute toxicities with maximum grade reported
Regular investigator assessments are reported after each cycle of protocol treatment
0.00%
0/185 • While the patient is on treatment until resolution of acute toxicities with maximum grade reported
Regular investigator assessments are reported after each cycle of protocol treatment
Metabolism and nutrition disorders
Anorexia
0.00%
0/193 • While the patient is on treatment until resolution of acute toxicities with maximum grade reported
Regular investigator assessments are reported after each cycle of protocol treatment
5.9%
11/185 • While the patient is on treatment until resolution of acute toxicities with maximum grade reported
Regular investigator assessments are reported after each cycle of protocol treatment
Metabolism and nutrition disorders
Hypocalcemia
0.00%
0/193 • While the patient is on treatment until resolution of acute toxicities with maximum grade reported
Regular investigator assessments are reported after each cycle of protocol treatment
18.9%
35/185 • While the patient is on treatment until resolution of acute toxicities with maximum grade reported
Regular investigator assessments are reported after each cycle of protocol treatment
Metabolism and nutrition disorders
Hypomagnesemia
0.00%
0/193 • While the patient is on treatment until resolution of acute toxicities with maximum grade reported
Regular investigator assessments are reported after each cycle of protocol treatment
9.7%
18/185 • While the patient is on treatment until resolution of acute toxicities with maximum grade reported
Regular investigator assessments are reported after each cycle of protocol treatment
Musculoskeletal and connective tissue disorders
Arthralgia
6.2%
12/193 • While the patient is on treatment until resolution of acute toxicities with maximum grade reported
Regular investigator assessments are reported after each cycle of protocol treatment
0.00%
0/185 • While the patient is on treatment until resolution of acute toxicities with maximum grade reported
Regular investigator assessments are reported after each cycle of protocol treatment
Musculoskeletal and connective tissue disorders
Myalgia
11.9%
23/193 • While the patient is on treatment until resolution of acute toxicities with maximum grade reported
Regular investigator assessments are reported after each cycle of protocol treatment
7.6%
14/185 • While the patient is on treatment until resolution of acute toxicities with maximum grade reported
Regular investigator assessments are reported after each cycle of protocol treatment
Nervous system disorders
Headache
8.8%
17/193 • While the patient is on treatment until resolution of acute toxicities with maximum grade reported
Regular investigator assessments are reported after each cycle of protocol treatment
0.00%
0/185 • While the patient is on treatment until resolution of acute toxicities with maximum grade reported
Regular investigator assessments are reported after each cycle of protocol treatment
Psychiatric disorders
Anxiety/agitation
6.2%
12/193 • While the patient is on treatment until resolution of acute toxicities with maximum grade reported
Regular investigator assessments are reported after each cycle of protocol treatment
5.4%
10/185 • While the patient is on treatment until resolution of acute toxicities with maximum grade reported
Regular investigator assessments are reported after each cycle of protocol treatment
Psychiatric disorders
Depression
16.1%
31/193 • While the patient is on treatment until resolution of acute toxicities with maximum grade reported
Regular investigator assessments are reported after each cycle of protocol treatment
0.00%
0/185 • While the patient is on treatment until resolution of acute toxicities with maximum grade reported
Regular investigator assessments are reported after each cycle of protocol treatment
Skin and subcutaneous tissue disorders
Rash/desquamation
0.00%
0/193 • While the patient is on treatment until resolution of acute toxicities with maximum grade reported
Regular investigator assessments are reported after each cycle of protocol treatment
5.9%
11/185 • While the patient is on treatment until resolution of acute toxicities with maximum grade reported
Regular investigator assessments are reported after each cycle of protocol treatment
Vascular disorders
Hypotension
0.00%
0/193 • While the patient is on treatment until resolution of acute toxicities with maximum grade reported
Regular investigator assessments are reported after each cycle of protocol treatment
11.9%
22/185 • While the patient is on treatment until resolution of acute toxicities with maximum grade reported
Regular investigator assessments are reported after each cycle of protocol treatment

Additional Information

SWOG Melanoma Statistician

SWOG statistical office

Phone: 206-667-4408

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place