Clinical trial · Interventional
Temozolomide, Thalidomide, and Lomustine in Treating Patients With Unresectable Stage III or Stage IV Melanoma
A Phase II Study of Temozolomide, Thalidomide, and Lomustine in the Treatment of Advanced Melanoma
- Source
- ClinicalTrials.gov
- Retrieved
- Sep 8, 2026
- Layer
- normalized (units and labels harmonized; values unchanged)
- Run
- ING-CLINICALTRIALS-20260908-000001
Summary
Brief summary (as posted)
RATIONALE: Drugs used in chemotherapy, such as temozolomide and lomustine, use different ways to stop tumor cells from dividing so they stop growing or die. Thalidomide may stop the growth of cancer by stopping blood flow to the tumor. Combining temozolomide and thalidomide with lomustine may kill more tumor cells. PURPOSE: Phase II trial to study the effectiveness of combining temozolomide and thalidomide with lomustine in treating patients who have unresectable stage III or stage IV melanoma.
Conditions
Conditions (2)
Free-text conditions as registered, with the CancerIndex entity they were reconciled to and the match type.
| Condition (as posted) | Mapped entity | Match | Confidence |
|---|---|---|---|
| Intraocular Melanoma | Uveal Melanoma | ALIAS | 0.90 |
| Melanoma (Skin) | Melanoma | ONTOLOGY_EXACT | 0.85 |
Interventions
Interventions (3)
| Intervention | Type | Mapped drug | Match |
|---|---|---|---|
| lomustine | Drug | Lomustine | ALIAS |
| temozolomide | Drug | Temozolomide | ALIAS |
| thalidomide | Drug | Thalidomide | ALIAS |
Eligibility
Eligibility (as posted)
- Sex
- All
- Minimum age
- 18 Years
Show eligibility criteria text
DISEASE CHARACTERISTICS: * Histologically confirmed metastatic malignant melanoma * Unresectable stage III OR stage IV disease * Ocular, mucosal, and cutaneous melanoma allowed * Measurable disease * Indicator lesions within a prior radiotherapy field must have recent evidence of disease progression * Indicator lesions must be distinct from the surgical and/or radiation changes induced by prior local therapies * No more than 2 symptomatic hemorrhagic lesions in the brain * No hemorrhagic lesion(s) greater than 1 cm in diameter PATIENT CHARACTERISTICS: Age * 18 and over Performance status * Karnofsky 80-100% Life expectancy * Not specified Hematopoietic * Absolute granulocyte count at least 1,500/mm\^3 * Platelet count at least 100,000/mm\^3 Hepatic * Bilirubin no greater than 2 times upper limit of normal (ULN) * SGOT and SGPT no greater than 2 times ULN * Alkaline phosphatase no greater than 2 times ULN * Lactic dehydrogenase no greater than 2 times ULN Renal * Creatinine no greater than 2 mg/dL Cardiovascular * No history of severe cardiovascular disease * No myocardial infarction within the past 6 months * No unstable angina * No New York Heart Association class III or IV congestive heart failure * No ventricular arrhythmia * No uncontrolled arrhythmia Gastrointestinal * No frequent vomiting * No other medical condition that would preclude oral medication intake (e.g., partial bowel obstruction) Other * Not pregnant or nursing * Negative pregnancy test * Fertile patients must use effective barrier contraception during and for 4 weeks after study participation * HIV negative * No AIDS-related illness * No serious infection requiring IV antibiotics * No other uncontrolled medical illness that would preclude study participation * No other malignancy within the past 2 years except nonmelanoma skin cancer, carcinoma in situ of the cervix, or T1a or b prostate cancer meeting all of the following criteria: * Detected incidentally at transurethral resection of the prostate (TURP) * Comprises less than 5% of resected tissue * Prostate-specific antigen normal since TURP PRIOR CONCURRENT THERAPY: Biologic therapy * At least 3 weeks since prior immunotherapy or biologic therapy * No concurrent immunotherapy Chemotherapy * No prior systemic chemotherapy for melanoma * No other concurrent chemotherapy Endocrine therapy * Not specified Radiotherapy * See Disease Characteristics * At least 3 weeks since prior focused radiotherapy for brain metastases * At least 3 weeks since prior radiosurgery * At least 4 weeks since prior whole brain radiotherapy * At least 3 weeks since prior interstitial brachytherapy * No concurrent radiotherapy Surgery * See Disease Characteristics * At least 3 weeks since prior surgery for brain metastases * At least 3 weeks since prior surgery requiring general anesthesia Other * Recovered from all prior therapies
References
Publications (0)
Data not yet available