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| ID | Type | Description | Link |
|---|---|---|---|
| VCL-1005-301 |
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RATIONALE: Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die. Injecting allovectin-7 into a person's melanoma cells may make the body build an immune response that will kill tumor cells.
PURPOSE: Randomized phase III trial to compare the effectiveness of dacarbazine with or without immunotherapy in treating patients who have stage III or stage IV melanoma.
OBJECTIVES: I. Demonstrate either an improvement in the median time to disease progression by at least 2 months with no decrease in the rate of objective clinical response OR an improvement by at least 15% in the rate of objective clinical response with no decrease in the median time to disease progression in patients with stage III or IV melanoma receiving dacarbazine with Allovectin-7 when compared with patients receiving dacarbazine alone.
II. Determine the benefits, risks, and side effects of these regimens in this patient population.
PROTOCOL OUTLINE: This is a randomized, multicenter study. Patients are stratified according to sex, age, and spread of disease (cutaneous or nodal vs visceral disease). Patients are randomized to one of two treatment arms.
Arm I: Patients receive dacarbazine IV over 1 hour on day 0. Arm II: Patients receive treatment as in arm I. Patients also receive Allovectin-7 intratumorally on days 3 and 10.
Patients with stable or responding disease may receive additional courses every 28 days.
Patients are followed every 4 months.
PROJECTED ACCRUAL:
A total of 280 patients (140 in each arm) will be accrued for this study.
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| allovectin-7 | Drug | |||
| allovectin-7/dacarbazine | Drug | |||
| dacarbazine | Drug |
PROTOCOL ENTRY CRITERIA:
--Disease Characteristics--
--Prior/Concurrent Therapy--
--Patient Characteristics--
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| Name | Affiliation | Role |
|---|---|---|
| Cherie Smith | Vical | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Arkansas for Medical Sciences | Little Rock | Arkansas | 72205 | United States | ||
| Comprehensive Blood and Cancer Center |
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| Bakersfield |
| California |
| 93309 |
| United States |
| Scripps Memorial Hospitals-Stevens Cancer Center - Encinitas | Encinitas | California | 92023 | United States |
| Kaiser Permanente-Southern California Permanente Medical Group | San Diego | California | 92120 | United States |
| Yale Comprehensive Cancer Center | New Haven | Connecticut | 06520-8028 | United States |
| Washington Cancer Institute | Washington D.C. | District of Columbia | 20010 | United States |
| Mount Sinai Comprehensive Cancer Center | Miami Beach | Florida | 33140 | United States |
| H. Lee Moffitt Cancer Center and Research Institute | Tampa | Florida | 33612-9497 | United States |
| Georgia Cancer Specialists | Decatur | Georgia | 30033 | United States |
| Georgia Cancer Specialists, P.C. | East Point | Georgia | 30344 | United States |
| St. Francis Medical Center | Honolulu | Hawaii | 96817 | United States |
| Robert H. Lurie Comprehensive Cancer Center, Northwestern University | Chicago | Illinois | 60611-3013 | United States |
| Lutheran General Hospital | Park Ridge | Illinois | 60068 | United States |
| Cancer Care Center for Southern Indiana | Bloomington | Indiana | 47403 | United States |
| Cancer Care Center | New Albany | Indiana | 47150 | United States |
| Oncology and Hematology Associates | Westwood | Kansas | 66205 | United States |
| Lucille Parker Markey Cancer Center, University of Kentucky | Lexington | Kentucky | 40536-0093 | United States |
| Louisiana State University School of Medicine | New Orleans | Louisiana | 70112-2822 | United States |
| Franklin Square Hospital Center | Baltimore | Maryland | 21237 | United States |
| Providence Hospital Cancer Center | Southfield | Michigan | 48075 | United States |
| Virginia Piper Cancer Institute | Minneapolis | Minnesota | 55407 | United States |
| North Memorial Health Care | Robbinsdale | Minnesota | 55422 | United States |
| Mayo Clinic Cancer Center | Rochester | Minnesota | 55905 | United States |
| Park Nicollet Clinic | Saint Louis Park | Minnesota | 55416 | United States |
| St. Louis University Health Sciences Center | St Louis | Missouri | 63110-0250 | United States |
| Missouri Baptist Cancer Center | St Louis | Missouri | 63131 | United States |
| Billings Interhospital Oncology Project | Billings | Montana | 59101 | United States |
| Bergan Mercy Medical Center | Omaha | Nebraska | 68124 | United States |
| Norris Cotton Cancer Center | Lebanon | New Hampshire | 03756-0002 | United States |
| HemOnCare, P.C. | Brooklyn | New York | 11235 | United States |
| Arena Oncology Associates | Great Neck | New York | 11021 | United States |
| Beth Israel Medical Center | New York | New York | 10003 | United States |
| Mount Sinai School of Medicine | New York | New York | 10029 | United States |
| Comprehensive Cancer Center at Wake Forest University | Winston-Salem | North Carolina | 27157-1082 | United States |
| Mid Dakota Clinic, P.C. | Bismarck | North Dakota | 58501 | United States |
| Mid-Ohio Oncology/Hematology, Inc. | Columbus | Ohio | 43222 | United States |
| Toledo Clinic, Inc. | Toledo | Ohio | 43623 | United States |
| University of Pennsylvania Cancer Center | Philadelphia | Pennsylvania | 19104-4283 | United States |
| Cancer Centers of the Carolinas | Greenville | South Carolina | 29605 | United States |
| Huntsman Cancer Institute | Salt Lake City | Utah | 84112 | United States |
| Danville Hematology and Oncology, Inc. | Danville | Virginia | 24541 | United States |
| Cancer Treatment Centers of America in Hampton Roads | Portsmouth | Virginia | 23704 | United States |
| Seattle Cancer Care Alliance | Seattle | Washington | 98109 | United States |
| Medical College of Wisconsin | Milwaukee | Wisconsin | 53226 | United States |
| ID | Term |
|---|---|
| D008545 | Melanoma |
| D009369 | Neoplasms |
| D012878 | Skin Neoplasms |
| ID | Term |
|---|---|
| D018358 | Neuroendocrine Tumors |
| D017599 | Neuroectodermal Tumors |
| D009373 | Neoplasms, Germ Cell and Embryonal |
| D009370 | Neoplasms by Histologic Type |
| D009380 | Neoplasms, Nerve Tissue |
| D018326 | Nevi and Melanomas |
| D009371 | Neoplasms by Site |
| D012871 | Skin Diseases |
| D017437 | Skin and Connective Tissue Diseases |
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| ID | Term |
|---|---|
| C096492 | Allovectin-7 |
| D003606 | Dacarbazine |
| ID | Term |
|---|---|
| D014226 | Triazenes |
| D009930 | Organic Chemicals |
| D007093 | Imidazoles |
| D001393 | Azoles |
| D006573 | Heterocyclic Compounds, 1-Ring |
| D006571 | Heterocyclic Compounds |
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