Tanespimycin in Treating Patients With Stage III-IV Melanoma

• Status: Terminated
• Trial end date: 1969-12-31
• Target enrollment: 0
• Participant gender: All

Summary

This phase II trial is studying how well tanespimycin works in treating patients with stage III or stage IV melanoma. Antitumor antibiotics such as tanespimycin may stop the growth of melanoma by stopping blood flow to the tumor.

• Phase: Phase 2
• Accepts Healthy Volunteers?: No

Details

• Lead Sponsor: National Cancer Institute (NCI)

Criteria

Inclusion Criteria:

• Histologically or cytologically confirmed melanoma

• Stage III or IV disease

• No primary melanoma of the choroid or mucosa

• Measurable disease

• At least 1 unidimensionally measurable lesion >= 20 mm by conventional techniques OR >= 10 mm by spiral CT scan

• Tumor amenable to biopsy (for the first 10 patients in each stratum only)

• Patients must have measurable disease in addition to the tumor(s) to be biopsied

• No brain or epidural metastases

• Completely resected solitary brain metastases allowed provided patient has been free of CNS metastases for >= 6 months

• Performance status - Karnofsky 60-100%

• Performance status - ECOG 0-2

• More than 3 months

• Absolute neutrophil count >= 1,500/mm^3

• Platelet count >= 100,000/mm^3

• WBC >= 3,000/mm^3

• AST and ALT =< 2.5 times upper limit of normal

• Creatinine normal

• No symptomatic congestive heart failure

• No unstable angina pectoris

• No cardiac arrhythmia

• No history of myocardial infarction

• No history of prolonged QTc interval

• No active ischemic heart disease within the past 12 months

• No uncontrolled dysrhythmia or dysrhythmias requiring medication

• No congenital prolonged QT syndrome

• No left bundle branch block

• Not pregnant or nursing

• Negative pregnancy test

• Fertile patients must use effective contraception

• No prior allergic reaction attributed to compounds of similar chemical or biological composition to 17-N-allylamino-17-demethoxygeldanamycin (17-AAG)

• No prior serious allergic reaction to eggs

• No other uncontrolled illness

• No active or ongoing infection requiring systemic antimicrobial treatment

• No psychiatric illness or social situation that would preclude study compliance

• No more than 1 prior chemotherapy regimen for metastatic melanoma

• Prior vaccines, cytokines, or interferon alfa is not considered prior therapy unless administered with a chemotherapy drug

• More than 4 weeks since prior chemotherapy (6 weeks for nitrosoureas or mitomycin) and recovered

• Prior radiotherapy dose =< 3,000 cGy to fields including substantial marrow

• More than 4 weeks since prior radiotherapy and recovered

• No prior radiotherapy field that included the heart (e.g., mantle)

• No concurrent combination antiretroviral therapy for HIV-positive patients

• No concurrent medications that may prolong the QTc interval

• No other concurrent anticancer therapy

• No other concurrent investigational agents

• No concurrent treatment with any of the following medications or herbal remedies:

• Inhibitors of CYP3A4:

• Fluconazole

• Itraconazole

• Ketoconazole

• Macrolide antibiotics (azithromycin, clarithromycin, erythromycin, or troleandomycin)

• Midazolam

• Nifedipine

• Verapamil

• Diltiazem

• Terfenadine

• Cyclosporine

• Cisapride

• Inducers of CYP3A4:

• Carbamazepine

• Phenobarbital

• Phenytoin

• Rifampin

• Herbal extracts and tinctures with CYP3A4 inhibitory activity:

• Hydrastis canadensis (goldenseal)

• Hypericum perforatum (St. John's wort)

• Uncaria tomentosa (cat's claw)

• Echinacea angustifolia roots

• Trifolium pratense (wild cherry)

• Matricaria chamomilla (chamomile)

• Glycyrrhiza glabra (licorice)

• Dillapiol

• Hypericin

• Naringin

• No other concurrent herbal extracts