Sargramostim or Hypertonic Saline Before Sentinel Lymph Node Biopsy in Treating Patients With Stage IB-II Melanoma

NCT ID: NCT01826864

Last Updated: 2020-07-27

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

WITHDRAWN

Clinical Phase

PHASE3

Study Classification

INTERVENTIONAL

Study Start Date

2011-08-05

Study Completion Date

2017-08-08

Brief Summary

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This randomized phase III trial studies sargramostim before sentinel lymph node biopsy to see how well it works compared to hypertonic saline before sentinel lymph node biopsy in treating patients with melanoma. Biological therapies, such as sargramostim, may stimulate the immune system in different ways and stop cancer cells from growing. It is not yet known whether sargramostim is more effective than hypertonic saline in treating patients with stage IB-II melanoma undergoing sentinel lymph node biopsy.

Detailed Description

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PRIMARY OBJECTIVES:

I. To determine if the alterations in morphology and phenotype to the sentinel lymph nodes are reversible.

II. To determine if the restoration of the morphology or phenotype of sentinel lymph nodes results in diminished regional tumor burden.

OUTLINE: Patients are randomized to 1 of 2 treatment arms.

ARM I: Patients receive sargramostim subcutaneously (SC) 3-5 days prior to undergoing sentinel lymph node biopsy.

ARM II: Patients receive hypertonic saline SC 3-5 days prior to undergoing sentinel lymph node biopsy.

After completion of study treatment, patients are followed up for 30 days.

Conditions

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Stage IB Melanoma Stage IIA Melanoma Stage IIB Melanoma Stage IIC Melanoma

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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Arm I (sargramostim and sentinel lymph node biopsy)

Patients receive sargramostim SC 3-5 days prior to undergoing sentinel lymph node biopsy.

Group Type EXPERIMENTAL

sargramostim

Intervention Type BIOLOGICAL

Given SC

sentinel lymph node biopsy

Intervention Type PROCEDURE

Undergo sentinel lymph node biopsy

laboratory biomarker analysis

Intervention Type OTHER

Correlative studies

Arm II (hypertonic saline and sentinel lymph node biopsy)

Patients receive hypertonic saline SC 3-5 days prior to undergoing sentinel lymph node biopsy.

Group Type ACTIVE_COMPARATOR

sentinel lymph node biopsy

Intervention Type PROCEDURE

Undergo sentinel lymph node biopsy

laboratory biomarker analysis

Intervention Type OTHER

Correlative studies

hypertonic saline

Intervention Type OTHER

Given SC

Interventions

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sargramostim

Given SC

Intervention Type BIOLOGICAL

sentinel lymph node biopsy

Undergo sentinel lymph node biopsy

Intervention Type PROCEDURE

laboratory biomarker analysis

Correlative studies

Intervention Type OTHER

hypertonic saline

Given SC

Intervention Type OTHER

Other Intervention Names

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GM-CSF Leukine Prokine sentinel node biopsy HTS

Eligibility Criteria

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Inclusion Criteria

* Patients with stage IB or II cutaneous melanoma
* Primaries on the torso, upper and lower extremities and head and neck region
* Skin biopsy performed at least 5 days and no longer than 10 weeks from the time of initial entry into the study
* Bilirubin \< 2.0 ng/dl
* Creatinine \< 3.0 ng/dl
* Able to understand the consent competent to sign
* Eastern Cooperative Oncology Group (ECOG) performance status 0 or 1

Exclusion Criteria

* Prior wide excision with diameter of the excision \> 3 cm
* Primary melanoma arises from the eye or mucus membranes
* Clinical evidence of regional, intransit ,or distant metastases
* Second invasive melanoma
* Prior surgical procedures that would alter the drainage patterns and would prevent us from identifying sentinel lymph nodes (SN)
* Patients with primary or secondary immunodeficiencies
* Pregnancy
* Known allergy to sargramostim (GM-CSF)
* History of cardiac disease, in particular, supraventricular tachycardia
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Genzyme, a Sanofi Company

INDUSTRY

Sponsor Role collaborator

National Cancer Institute (NCI)

NIH

Sponsor Role collaborator

Jonsson Comprehensive Cancer Center

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Richard Essner

Role: PRINCIPAL_INVESTIGATOR

Jonsson Comprehensive Cancer Center

Locations

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Jonsson Comprehensive Cancer Center

Los Angeles, California, United States

Site Status

Countries

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United States

Other Identifiers

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NCI-2013-00645

Identifier Type: REGISTRY

Identifier Source: secondary_id

5R01CA120228

Identifier Type: NIH

Identifier Source: secondary_id

View Link

11-002177

Identifier Type: -

Identifier Source: org_study_id

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