Nodal Radiation Therapy for Sentinel Lymph Node Positive Melanoma
Part of paid clinical trials in Jacksonville, Florida.
- Sponsor
- M.D. Anderson Cancer Center
- Study ID
- NCT04594187
- Phase
- PHASE2
- Status
- Recruiting
Conditions
Eligibility Criteria
- Sex
- ALL
- Age
- 18 Years - N/A
- Healthy Volunteers
- Not accepted
Interventions
- Immunotherapy — OTHERAll patients must be planned for treatment with any immunotherapy agent after sentinel lymph node biopsy (e.g. pembrolizumab or nivolumab). For patients receiving radiation therapy initiation may be before, during or after radiation.
- Quality-of-Life Assessment — OTHERAncillary studies
- Radiation Therapy — RADIATIONUndergo nodal radiation therapy
Study Details
This phase II trial seeks to determine the role of nodal radiation therapy after sentinel lymph node biopsy (SLNB) for patients with high risk sentinel lymph node positive melanoma who are planned for immunotherapy without completion lymph node dissection. Prior studies of patients with more advanced melanoma have shown nodal radiation therapy can decrease the risk of nodal recurrence but it is not known if this same benefit will be seen in patients with high risk sentinel lymph node positive disease who are planned for immunotherapy.
Key Dates
- Start date
- Aug 26, 2021
- Status verified
- Feb 2025
- Primary completion
- Dec 31, 2027
- Completion
- Dec 31, 2027
Study Design
- Enrollment
- 168 participants (estimated)
- Allocation
- RANDOMIZED
- Intervention model
- PARALLEL
- Primary purpose
- TREATMENT
Arms
- Experimental: Group I (immunotherapy, radiation therapy)Within 12 weeks of SLNB, patients start nodal radiation therapy (30 Gy in 5 treatments over 2-2.5 weeks). Immunotherapy planned to begin at any time after SLNB.
- Active Comparator: Group II (immunotherapy)Patients planned to undergo immunotherapy.
Primary Outcome Measure
Time to regional nodal recurrence [ Time Frame: From date of sentinel lymph node biopsy, assessed up to 5 years ]
Central Contacts
- Devarati Mitra713-563-1339
Locations (3)
| Facility | City | State | ZIP | Site coordinators |
|---|---|---|---|---|
| Baptist - MD Anderson Cancer Center | Jacksonville | Florida | 32207 | |
| Cooper Hospital UNIV MED CTR. | Camden | New Jersey | 08103 | Gregory Kubicek, MD (PRINCIPAL_INVESTIGATOR) |
| M D Anderson Cancer Center | Houston | Texas | 77030 | Devarati Mitra (PRINCIPAL_INVESTIGATOR) |
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