Trial Outcomes & Findings for Thymosin Alpha 1, Interferon Alpha, or Both, in Combination With Dacarbazine in Patients With Malignant Melanoma (NCT NCT00911443)

NCT ID: NCT00911443

Last Updated: 2009-07-09

Results Overview

Tumor response is measured according to Response Evaluation Criteria In Solid Tumors (RECIST) computing number of Complete Response plus Partial Response

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

488 participants

Primary outcome timeframe

1 year

Results posted on

2009-07-09

Participant Flow

Recruitment started on August 2002 and has been completed on January 2006. All patients were recruited at medical clinic facilities (Oncology/Dermatology departments)

Only patients who did not meet the entry selection criteria were excluded from study entry.

Participant milestones

Participant milestones
Measure
Dacarbazin + Interferon Alpha + Thymosin-alpha-1 1.6 mg
Dacarbazin 800 mg/m2 IV on day 1; Interferon alpha 3MIU SC on day 11 and 18; Thymosin-alpha-1 1.6 mg SC from day 8 to 11 and from day 15 to 18 of each 28 day cycle up to 6 cycles or until progression or unacceptable toxicity develops.
Dacarbazin + Interferon Alpha + Thymosin-alpha-1 3.2 mg
Dacarbazin 800 mg/m2 IV on day 1; Interferon alpha 3MIU SC on day 11 and 18; Thymosin-alpha-1 3.2 mg SC from day 8 to 11 and from day 15 to 18 of each 28 day cycle up to 6 cycles or until progression or unacceptable toxicity develops.
Dacarbazin + Interferon Alpha + Thymosin-alpha-1 6.4 mg
Dacarbazin 800 mg/m2 IV on day 1; Interferon alpha 3MIU SC on day 11 and 18; Thymosin-alpha-1 6.4 mg SC from day 8 to 11 and from day 15 to 18 of each 28 cycle up to 6 cycles or until progression or unacceptable toxicity develops.
Dacarbazin + Thymosin-alpha-1 3.2 mg
Dacarbazin 800 mg/m2 IV on day 1; Thymosin-alpha-1 3.2 mg SC from day 8 to 11 and from day 15 to 18 of each 28 day cycle up to 6 cycles or until progression or unacceptable toxicity develops.
Dacarbazin + Interferon Alpha
Dacarbazin 800 mg/m2 IV on day 1; Interferon alpha 3MIU SC on day 11 and 18 of each 28 day cycle up to 6 cycles or until progression or unacceptable toxicity develops.
Overall Study
STARTED
97
97
98
99
97
Overall Study
COMPLETED
97
97
98
99
97
Overall Study
NOT COMPLETED
0
0
0
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Thymosin Alpha 1, Interferon Alpha, or Both, in Combination With Dacarbazine in Patients With Malignant Melanoma

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Dacarbazin + Interferon Alpha + Thymosin-alpha-1 1.6 mg
n=97 Participants
Dacarbazin 800 mg/m2 IV on day 1; Interferon alpha 3MIU SC on day 11 and 18; Thymosin-alpha-1 1.6 mg SC from day 8 to 11 and from day 15 to 18 of each 28 day cycle up to 6 cycles or until progression or unacceptable toxicity develops.
Dacarbazin + Interferon Alpha + Thymosin-alpha-1 3.2 mg
n=97 Participants
Dacarbazin 800 mg/m2 IV on day 1; Interferon alpha 3MIU SC on day 11 and 18; Thymosin-alpha-1 3.2 mg SC from day 8 to 11 and from day 15 to 18 of each 28 day cycle up to 6 cycles or until progression or unacceptable toxicity develops.
Dacarbazin + Interferon Alpha + Thymosin-alpha-1 6.4 mg
n=98 Participants
Dacarbazin 800 mg/m2 IV on day 1; Interferon alpha 3MIU SC on day 11 and 18; Thymosin-alpha-1 6.4 mg SC from day 8 to 11 and from day 15 to 18 of each 28 cycle up to 6 cycles or until progression or unacceptable toxicity develops.
Dacarbazin + Thymosin-alpha-1 3.2 mg
n=99 Participants
Dacarbazin 800 mg/m2 IV on day 1; Thymosin-alpha-1 3.2 mg SC from day 8 to 11 and from day 15 to 18 of each 28 day cycle up to 6 cycles or until progression or unacceptable toxicity develops.
Dacarbazin + Interferon Alpha
n=97 Participants
Dacarbazin 800 mg/m2 IV on day 1; Interferon alpha 3MIU SC on day 11 and 18 of each 28 day cycle up to 6 cycles or until progression or unacceptable toxicity develops.
Total
n=488 Participants
Total of all reporting groups
Age, Categorical
>=65 years
28 Participants
n=5 Participants
28 Participants
n=7 Participants
31 Participants
n=5 Participants
26 Participants
n=4 Participants
29 Participants
n=21 Participants
142.0 Participants
n=8 Participants
Age Continuous
54 years
STANDARD_DEVIATION 14 • n=5 Participants
54 years
STANDARD_DEVIATION 14 • n=7 Participants
56 years
STANDARD_DEVIATION 13 • n=5 Participants
56 years
STANDARD_DEVIATION 11 • n=4 Participants
57 years
STANDARD_DEVIATION 12 • n=21 Participants
55 years
STANDARD_DEVIATION 13 • n=8 Participants
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
0.0 Participants
n=8 Participants
Age, Categorical
Between 18 and 65 years
69 Participants
n=5 Participants
69 Participants
n=7 Participants
67 Participants
n=5 Participants
73 Participants
n=4 Participants
68 Participants
n=21 Participants
346.0 Participants
n=8 Participants
Sex: Female, Male
Female
38 Participants
n=5 Participants
50 Participants
n=7 Participants
45 Participants
n=5 Participants
38 Participants
n=4 Participants
55 Participants
n=21 Participants
226.0 Participants
n=8 Participants
Sex: Female, Male
Male
59 Participants
n=5 Participants
47 Participants
n=7 Participants
53 Participants
n=5 Participants
61 Participants
n=4 Participants
42 Participants
n=21 Participants
262.0 Participants
n=8 Participants
Region of Enrollment
France
14 participants
n=5 Participants
7 participants
n=7 Participants
11 participants
n=5 Participants
6 participants
n=4 Participants
5 participants
n=21 Participants
43.0 participants
n=8 Participants
Region of Enrollment
Portugal
0 participants
n=5 Participants
0 participants
n=7 Participants
0 participants
n=5 Participants
0 participants
n=4 Participants
1 participants
n=21 Participants
1.0 participants
n=8 Participants
Region of Enrollment
Hungary
3 participants
n=5 Participants
4 participants
n=7 Participants
1 participants
n=5 Participants
2 participants
n=4 Participants
9 participants
n=21 Participants
19.0 participants
n=8 Participants
Region of Enrollment
Spain
4 participants
n=5 Participants
2 participants
n=7 Participants
2 participants
n=5 Participants
13 participants
n=4 Participants
6 participants
n=21 Participants
27.0 participants
n=8 Participants
Region of Enrollment
Poland
26 participants
n=5 Participants
28 participants
n=7 Participants
32 participants
n=5 Participants
36 participants
n=4 Participants
37 participants
n=21 Participants
159.0 participants
n=8 Participants
Region of Enrollment
Germany
17 participants
n=5 Participants
22 participants
n=7 Participants
25 participants
n=5 Participants
10 participants
n=4 Participants
11 participants
n=21 Participants
85.0 participants
n=8 Participants
Region of Enrollment
Switzerland
0 participants
n=5 Participants
0 participants
n=7 Participants
0 participants
n=5 Participants
1 participants
n=4 Participants
0 participants
n=21 Participants
1.0 participants
n=8 Participants
Region of Enrollment
Italy
33 participants
n=5 Participants
34 participants
n=7 Participants
27 participants
n=5 Participants
31 participants
n=4 Participants
28 participants
n=21 Participants
153.0 participants
n=8 Participants

PRIMARY outcome

Timeframe: 1 year

Tumor response is measured according to Response Evaluation Criteria In Solid Tumors (RECIST) computing number of Complete Response plus Partial Response

Outcome measures

Outcome measures
Measure
Dacarbazin + Interferon Alpha + Thymosin-alpha-1 1.6 mg
n=97 Participants
Dacarbazin 800 mg/m2 IV on day 1; Interferon alpha 3MIU SC on day 11 and 18; Thymosin-alpha-1 1.6 mg SC from day 8 to 11 and from day 15 to 18 of each 28 day cycle up to 6 cycles or until progression or unacceptable toxicity develops.
Dacarbazin + Interferon Alpha + Thymosin-alpha-1 3.2 mg
n=97 Participants
Dacarbazin 800 mg/m2 IV on day 1; Interferon alpha 3MIU SC on day 11 and 18; Thymosin-alpha-1 3.2 mg SC from day 8 to 11 and from day 15 to 18 of each 28 day cycle up to 6 cycles or until progression or unacceptable toxicity develops.
Dacarbazin + Interferon Alpha + Thymosin-alpha-1 6.4 mg
n=98 Participants
Dacarbazin 800 mg/m2 IV on day 1; Interferon alpha 3MIU SC on day 11 and 18; Thymosin-alpha-1 6.4 mg SC from day 8 to 11 and from day 15 to 18 of each 28 cycle up to 6 cycles or until progression or unacceptable toxicity develops.
Dacarbazin + Thymosin-alpha-1 3.2 mg
n=99 Participants
Dacarbazin 800 mg/m2 IV on day 1; Thymosin-alpha-1 3.2 mg SC from day 8 to 11 and from day 15 to 18 of each 28 day cycle up to 6 cycles or until progression or unacceptable toxicity develops.
Dacarbazin + Interferon Alpha
n=97 Participants
Dacarbazin 800 mg/m2 IV on day 1; Interferon alpha 3MIU SC on day 11 and 18 of each 28 day cycle up to 6 cycles or until progression or unacceptable toxicity develops.
Overall Tumor Response
7 participants
10 participants
6 participants
12 participants
4 participants

SECONDARY outcome

Timeframe: 2 years

The survival time for each patient is defined as the time between randomization and death. Patients lost to follow-up or still alive at the date of last evaluation have been censored.

Outcome measures

Outcome measures
Measure
Dacarbazin + Interferon Alpha + Thymosin-alpha-1 1.6 mg
n=97 Participants
Dacarbazin 800 mg/m2 IV on day 1; Interferon alpha 3MIU SC on day 11 and 18; Thymosin-alpha-1 1.6 mg SC from day 8 to 11 and from day 15 to 18 of each 28 day cycle up to 6 cycles or until progression or unacceptable toxicity develops.
Dacarbazin + Interferon Alpha + Thymosin-alpha-1 3.2 mg
n=97 Participants
Dacarbazin 800 mg/m2 IV on day 1; Interferon alpha 3MIU SC on day 11 and 18; Thymosin-alpha-1 3.2 mg SC from day 8 to 11 and from day 15 to 18 of each 28 day cycle up to 6 cycles or until progression or unacceptable toxicity develops.
Dacarbazin + Interferon Alpha + Thymosin-alpha-1 6.4 mg
n=98 Participants
Dacarbazin 800 mg/m2 IV on day 1; Interferon alpha 3MIU SC on day 11 and 18; Thymosin-alpha-1 6.4 mg SC from day 8 to 11 and from day 15 to 18 of each 28 cycle up to 6 cycles or until progression or unacceptable toxicity develops.
Dacarbazin + Thymosin-alpha-1 3.2 mg
n=99 Participants
Dacarbazin 800 mg/m2 IV on day 1; Thymosin-alpha-1 3.2 mg SC from day 8 to 11 and from day 15 to 18 of each 28 day cycle up to 6 cycles or until progression or unacceptable toxicity develops.
Dacarbazin + Interferon Alpha
n=97 Participants
Dacarbazin 800 mg/m2 IV on day 1; Interferon alpha 3MIU SC on day 11 and 18 of each 28 day cycle up to 6 cycles or until progression or unacceptable toxicity develops.
Overall Survival
9.3 months
Interval 8.0 to 11.1
8.6 months
Interval 6.1 to 11.6
10.3 months
Interval 8.2 to 12.7
9.3 months
Interval 6.7 to 11.7
6.6 months
Interval 5.3 to 9.9

SECONDARY outcome

Timeframe: 2 years

Progression Free Survival is defined as the time from the randomization to progression or death

Outcome measures

Outcome measures
Measure
Dacarbazin + Interferon Alpha + Thymosin-alpha-1 1.6 mg
n=97 Participants
Dacarbazin 800 mg/m2 IV on day 1; Interferon alpha 3MIU SC on day 11 and 18; Thymosin-alpha-1 1.6 mg SC from day 8 to 11 and from day 15 to 18 of each 28 day cycle up to 6 cycles or until progression or unacceptable toxicity develops.
Dacarbazin + Interferon Alpha + Thymosin-alpha-1 3.2 mg
n=97 Participants
Dacarbazin 800 mg/m2 IV on day 1; Interferon alpha 3MIU SC on day 11 and 18; Thymosin-alpha-1 3.2 mg SC from day 8 to 11 and from day 15 to 18 of each 28 day cycle up to 6 cycles or until progression or unacceptable toxicity develops.
Dacarbazin + Interferon Alpha + Thymosin-alpha-1 6.4 mg
n=98 Participants
Dacarbazin 800 mg/m2 IV on day 1; Interferon alpha 3MIU SC on day 11 and 18; Thymosin-alpha-1 6.4 mg SC from day 8 to 11 and from day 15 to 18 of each 28 cycle up to 6 cycles or until progression or unacceptable toxicity develops.
Dacarbazin + Thymosin-alpha-1 3.2 mg
n=99 Participants
Dacarbazin 800 mg/m2 IV on day 1; Thymosin-alpha-1 3.2 mg SC from day 8 to 11 and from day 15 to 18 of each 28 day cycle up to 6 cycles or until progression or unacceptable toxicity develops.
Dacarbazin + Interferon Alpha
n=97 Participants
Dacarbazin 800 mg/m2 IV on day 1; Interferon alpha 3MIU SC on day 11 and 18 of each 28 day cycle up to 6 cycles or until progression or unacceptable toxicity develops.
Progression Free Survival
1.9 months
Interval 1.8 to 2.6
1.8 months
Interval 1.8 to 2.0
1.8 months
Interval 1.8 to 2.6
2.0 months
Interval 1.8 to 3.5
1.8 months
Interval 1.7 to 2.0

Adverse Events

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Roberto Camerini

R&D Department - Sigma-Tau SpA

Phone: +390691393562

Results disclosure agreements

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

Restriction type: LTE60