The Registry Study of Genetic Alterations of Melanoma in Taiwan

Study Purpose

Cutaneous melanoma is the most aggressive malignancy in skin cancers. Cutaneous melanoma is a rare disease in Taiwan with an incidence rate of around 1/100,000. Acral lentiginous melanoma is the most common subtype and comprises more than half of cutaneous melanoma in Asia including Taiwan but only 1% in Caucasians. In addition, mucosal melanoma accounts for more than 20% of malignancy melanoma in Taiwan but only 1% in Caucasians. Acral and mucosal melanomas have distinct epidemiological, clinical, pathological and genetic features from non-acral melanoma which is commonly seen in Western countries. Comparing with melanoma in Caucasians, Asian melanoma has higher recurrence rate after primary surgery, lower response rate to immunotherapy, and shorter progression-free survival for immunotherapy and targeted therapy leading generally poor survival outcomes regardless stage.

Recruitment Criteria

Accepts Healthy Volunteers

Healthy volunteers are participants who do not have a disease or condition, or related conditions or symptoms

Yes
Study Type

An interventional clinical study is where participants are assigned to receive one or more interventions (or no intervention) so that researchers can evaluate the effects of the interventions on biomedical or health-related outcomes.


An observational clinical study is where participants identified as belonging to study groups are assessed for biomedical or health outcomes.


Searching Both is inclusive of interventional and observational studies.

Observational
Eligible Ages 18 Years and Over
Gender All
More Inclusion & Exclusion Criteria

Inclusion Criteria:

1. Age > 18 years old. 2. Pathologically confirmed melanoma. (Patients with additional malignancies requiring treatment or follow-up are allowed. Only treatment for melanoma should be recorded). 3. ECOG performance status < 3. 4. Cohort 1(early acral melanoma): melanoma, stage I/II; Cohort 2 (locally advanced acral melanoma): melanoma, stage III, resectable; and Cohort 3 (advanced): unresectable / metastatic melanoma, stage III/IV or recurrent melanoma (unresectable). Staging is based on AJCC Cancer Staging System 8th edition). The patients with advanced melanoma with available comprehensive NGS report are included in cohort 4. 5. Willingness to provide archival or newly obtained tumor tissues for this study proposal. 6. Life expectancy more than 3 months
  • - 7.
Patients fully understand the protocol with the willingness to have regular follow-up.

Exclusion Criteria:

1. Inability to cooperate by providing a complete medical history. 2. No available tumor tissues for genetic testing (archived tissue sampling more than 5 years from screening date) 3. Undesirable compliance (Mental status is not fit for further treatment or data collection.)

Trial Details

Trial ID:

This trial id was obtained from ClinicalTrials.gov, a service of the U.S. National Institutes of Health, providing information on publicly and privately supported clinical studies of human participants with locations in all 50 States and in 196 countries.

NCT06952400
Phase

Phase 1: Studies that emphasize safety and how the drug is metabolized and excreted in humans.

Phase 2: Studies that gather preliminary data on effectiveness (whether the drug works in people who have a certain disease or condition) and additional safety data.

Phase 3: Studies that gather more information about safety and effectiveness by studying different populations and different dosages and by using the drug in combination with other drugs.

Phase 4: Studies occurring after FDA has approved a drug for marketing, efficacy, or optimal use.

Lead Sponsor

The sponsor is the organization or person who oversees the clinical study and is responsible for analyzing the study data.

National Health Research Institutes, Taiwan
Principal Investigator

The person who is responsible for the scientific and technical direction of the entire clinical study.

Chiao-En Wu, MD, PhDTsang-Wu Liu, MDNai-Jung Chiang, MD, PhD
Principal Investigator Affiliation Chang Gung Medical FoundationTaiwan Cooperative Oncology Group,National Health Research Institutes, TaiwanTaiwan Cooperative Oncology Group,National Health Research Institutes, Taiwan
Agency Class

Category of organization(s) involved as sponsor (and collaborator) supporting the trial.

Other
Overall Status Recruiting
Countries Taiwan
Conditions

The disease, disorder, syndrome, illness, or injury that is being studied.

Primary Melanoma of the Extremity
Additional Details

Most melanoma patients present with locally advanced or metastatic disease at diagnosis reflecting the aggressive disease nature of melanoma in Taiwan. Currently, surgical resection of primary tumor and lymph node dissection are the main treatment for patients with locally advanced melanoma. Adjuvant therapy should be considered for stage III melanoma. Unfortunately, most patients recur after above aggressive treatment. Systemic treatment including targeted therapy, immunotherapy and chemotherapy is the main for unresectable or metastatic melanoma. The prognosis of these patients remains poor with a median survival time around a year. Therefore, a better understanding of this deadly disease is crucial and finding better therapeutic strategies for these patients and stratifying patients with suitable treatment are urgent.

Arms & Interventions

Arms

: Cohort 1

(early acral melanoma): melanoma stage I/II

: Cohort 2

(locally advanced acral melanoma): melanoma, stage III, resectable

: Cohort 3

(advanced): unresectable / metastatic melanoma, stage III/IV or recurrent melanoma (unresectable). Staging is based on AJCC Cancer Staging System 8th edition).

: Cohort 4

The patients with advanced melanoma with available comprehensive NGS report are included in cohort

Interventions

Contact a Trial Team

If you are interested in learning more about this trial, find the trial site nearest to your location and contact the site coordinator via email or phone. We also strongly recommend that you consult with your healthcare provider about the trials that may interest you and refer to our terms of service below.

International Sites

Taipei Veterans General Hospital, Taipei, Taiwan/Taipei, Taiwan

Status

Recruiting

Address

Taipei Veterans General Hospital

Taipei, Taiwan/Taipei,

Site Contact

Chuan-Yen Chueh

[email protected]

+886-3-7206166

CHANG GUNG MEMORIAL HOSPITAL, Chiayi, Chiayi City, Taiwan

Status

Recruiting

Address

CHANG GUNG MEMORIAL HOSPITAL, Chiayi

Chiayi City, ,

Site Contact

FENG-CHE KUAN

[email protected]

+886-3-7206166

Kaohsiung Medical University, Kaohsiung city, Taiwan

Status

Recruiting

Address

Kaohsiung Medical University

Kaohsiung city, ,

Site Contact

Hui-Hua Hsiao

[email protected]

+886-3-7206166

Kaohsiung Chang Gung Memorial Hospital, Kaohsiung, Taiwan

Status

Recruiting

Address

Kaohsiung Chang Gung Memorial Hospital

Kaohsiung, ,

Site Contact

Yen-Hao Chen

[email protected]

+886-3-7206166

Sindian City, Taiwan

Status

Recruiting

Address

National Taiwan University Hospital ,NTUH Hsin-Chu Branch

Sindian City, ,

Site Contact

Jih-Hsiang Lee

[email protected]

+886-3-7206166

China Medical University Hospital, Taichung, Taiwan

Status

Recruiting

Address

China Medical University Hospital

Taichung, ,

Site Contact

Chen-Yuan Lin

[email protected]

+886-3-7206166

Chung Shan Medical University Hospital, Taichung, Taiwan

Status

Recruiting

Address

Chung Shan Medical University Hospital

Taichung, ,

Site Contact

Ming-Fang Wu

[email protected]

+886-3-7206166

Taichung Veterans General Hospital, Taichung, Taiwan

Status

Recruiting

Address

Taichung Veterans General Hospital

Taichung, ,

Site Contact

Young-sen Yang

[email protected]

+886-3-7206166

National Cheng Kung University Hospital, Tainan, Taiwan

Status

Recruiting

Address

National Cheng Kung University Hospital

Tainan, ,

Site Contact

Chia-Jui Yen

[email protected]

+886-3-7206166

Koo Foundation Sun Yat-Sen Cancer Center, Taipei, Taiwan

Status

Recruiting

Address

Koo Foundation Sun Yat-Sen Cancer Center

Taipei, ,

Site Contact

Hsiao-Hsiang Cheng

[email protected]

+886-3-7206166

MacKay Memorial Hospital, Taipei, Taiwan

Status

Recruiting

Address

MacKay Memorial Hospital

Taipei, ,

Site Contact

Yi-Fang Chang

[email protected]

+886-3-7206166

National Taiwan University Hospital, Taipei, Taiwan

Status

Recruiting

Address

National Taiwan University Hospital

Taipei, ,

Site Contact

Chia-Chi Lin

[email protected]

+886-3-7206166

Taipei, Taiwan

Status

Recruiting

Address

Taipei Medical University -Ministry of Health and Welfare Shuang-Ho Hospital

Taipei, ,

Site Contact

Yao-Yu Hsieh

[email protected]

+886-3-7206166

Taipei, Taiwan

Status

Recruiting

Address

Wan Fang Hospital, Taipei Medical University

Taipei, ,

Site Contact

Chia-Lun Chang

[email protected]

+886-3-7206166

CHANG GUNG MEMORIAL HOSPITAL, Linkou, Taoyuan, Taiwan

Status

Recruiting

Address

CHANG GUNG MEMORIAL HOSPITAL, Linkou

Taoyuan, ,

Site Contact

Wen-Cheng Chang

[email protected]

+886-3-7206166

Taoyuan, Taiwan

Status

Recruiting

Address

Taoyuan General Hospital, Ministry of Health and Welfare

Taoyuan, ,

Site Contact

Yuan-Hao Yang

[email protected]

+886-3-7206166

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