Immediate Radiotherapy or Observation After Surgery for Melanoma Involving Lymph Nodes

NCT ID: NCT00287196

Last Updated: 2013-06-25

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

250 participants

Study Classification

INTERVENTIONAL

Study Start Date

2002-03-31

Study Completion Date

2011-12-31

Brief Summary

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This trial seeks to establish the role of post-operative radiotherapy in patients who have had surgery for melanoma involving lymph nodes and who are at high risk of recurrence.

Detailed Description

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This is a randomised phase III trial which is being performed on patients at high risk of local recurrence after having a lymphadenectomy for stage 3 melanoma. The control arm is surgery alone with radiotherapy reserved for those who recur. The study arm is surgery plus post-operative radiotherapy. All 3 major node sites are eligible. The radiation dose administered is 48Gy in 20 fractions. It is likely to be the only study of its kind ever performed. The target is 230 patients.

Conditions

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Malignant Melanoma Lymph Node Disease

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Post-operative RADIOTHERAPY

Immediate post-operative RADIOTHERAPY

Group Type ACTIVE_COMPARATOR

Radiotherapy

Intervention Type RADIATION

48 Gy reference dose in 20 fractions at 5 fractions per week, with a maximum overall treatment time of 30 days.

Delayed Radiotherapy

OBSERVATION with delayed radiotherapy for relapse

Group Type EXPERIMENTAL

Radiotherapy

Intervention Type RADIATION

48 Gy reference dose in 20 fractions at 5 fractions per week, with a maximum overall treatment time of 30 days.

Interventions

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Radiotherapy

48 Gy reference dose in 20 fractions at 5 fractions per week, with a maximum overall treatment time of 30 days.

Intervention Type RADIATION

Other Intervention Names

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Radiation

Eligibility Criteria

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Inclusion Criteria

* Regional macroscopic nodal metastatic melanoma in one nodal basin region only which has been completely resected.
* melanoma involving lymph nodes at high risk of local recurrence (details in protocol)
* No evidence of metastases
* No active major cancer within 5 years
* Normal blood tests
* WHO performance status of 0 or 1
* Radiotherapy must be able to be commenced within 12 weeks of lymphadenectomy
* Patient must not be pregnant and if fertile must use a medically acceptable contraceptive throughout treatment
* No major concurrent illnesses likely to cause death within 2 years
* Written informed consent has been given

Exclusion Criteria

* Evidence of active or previous local recurrence or in transit disease
* Evidence of distant metastases on clinical or radiological investigation
* Patients with prior cancers
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University Medical Center Groningen

OTHER

Sponsor Role collaborator

Australian and New Zealand Intensive Care Society Clinical Trials Group

NETWORK

Sponsor Role collaborator

Trans Tasman Radiation Oncology Group

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Bryan Burmeister

Role: STUDY_CHAIR

Princess Alexandra Hospital

Locations

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Royal Prince Alfred Hospital

Camperdown, New South Wales, Australia

Site Status

Mater Hospital - North sydney

Crows Nest, New South Wales, Australia

Site Status

Calvary Mater Newcastle

Newcastle, New South Wales, Australia

Site Status

Prince of Wales Hospital

Randwick, New South Wales, Australia

Site Status

Westmead Hospital

Wentworthville, New South Wales, Australia

Site Status

Princess Alexandra Hospital

Brisbane, Queensland, Australia

Site Status

Royal Brisbane Hospital

Herston, Queensland, Australia

Site Status

Mater QRI

South Brisbane, Queensland, Australia

Site Status

East Coast Cancer Centre

Tugun, Queensland, Australia

Site Status

Royal Adelaide Hospital

Adelaide, South Australia, Australia

Site Status

Launceston General Hospital

Launceston, Tasmania, Australia

Site Status

Peter MacCallum Cancer Centre

East Melbourne, Victoria, Australia

Site Status

Andrew Love Cancer Care Centre, Geelong Hospital

Geelong, Victoria, Australia

Site Status

Alfred Hospital

Prahran, Victoria, Australia

Site Status

Sir Charles Gairdner Hospital

Nedlands, Western Australia, Australia

Site Status

Royal Perth Hospital

Perth, Western Australia, Australia

Site Status

Hospital do Cancer

São Paulo, , Brazil

Site Status

Groningen University Hospital

Groningen, , Netherlands

Site Status

Auckland Hospital

Auckland, , New Zealand

Site Status

Christchurch Hospital

Christchurch, , New Zealand

Site Status

Dunedin Hospital

Dunedin, , New Zealand

Site Status

Wellington Hospital

Wellington, , New Zealand

Site Status

Countries

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Australia Brazil Netherlands New Zealand

References

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Henderson MA, Burmeister BH, Ainslie J, Fisher R, Di Iulio J, Smithers BM, Hong A, Shannon K, Scolyer RA, Carruthers S, Coventry BJ, Babington S, Duprat J, Hoekstra HJ, Thompson JF. Adjuvant lymph-node field radiotherapy versus observation only in patients with melanoma at high risk of further lymph-node field relapse after lymphadenectomy (ANZMTG 01.02/TROG 02.01): 6-year follow-up of a phase 3, randomised controlled trial. Lancet Oncol. 2015 Sep;16(9):1049-1060. doi: 10.1016/S1470-2045(15)00187-4. Epub 2015 Jul 20.

Reference Type DERIVED
PMID: 26206146 (View on PubMed)

Burmeister BH, Henderson MA, Ainslie J, Fisher R, Di Iulio J, Smithers BM, Hong A, Shannon K, Scolyer RA, Carruthers S, Coventry BJ, Babington S, Duprat J, Hoekstra HJ, Thompson JF. Adjuvant radiotherapy versus observation alone for patients at risk of lymph-node field relapse after therapeutic lymphadenectomy for melanoma: a randomised trial. Lancet Oncol. 2012 Jun;13(6):589-97. doi: 10.1016/S1470-2045(12)70138-9. Epub 2012 May 9.

Reference Type DERIVED
PMID: 22575589 (View on PubMed)

Related Links

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http://www.trog.com.au

Click here for more information about this study on the TROG official website

Other Identifiers

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NHMRC 251732

Identifier Type: OTHER_GRANT

Identifier Source: secondary_id

ANZMTG 01.02

Identifier Type: OTHER

Identifier Source: secondary_id

TROG 02.01

Identifier Type: -

Identifier Source: org_study_id

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