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Melanoma Margins Trial-II: 1cm v 2cm Wide Surgical Excision Margins for AJCC Stage II Primary Cutaneous Melanoma


Active: Yes
Cancer Type: Melanoma NCT ID: NCT03860883
Trial Phases: Phase III Protocol IDs: 02.18 (primary)
NCI-2019-07264
ANZMTG 02.18
S2015
Eligibility: 18 Years and older, Male and Female Study Type: Treatment
Study Sponsor: Melanoma and Skin Cancer Trials Limited
NCI Full Details: http://clinicaltrials.gov/show/NCT03860883

Summary

Patients with a primary invasive melanoma are recommended to undergo excision of the
primary lesion with a wide margin. There is evidence that less radical margins of
excision may be just as safe. This is a randomised controlled trial of 1 cm versus 2 cm
margin of excision of the primary lesion for adult patients with stage II primary
invasive cutaneous melanomas (AJCC 8th edition) to determine differences in disease-free
survival. A reduction in margins is expected to improve patient quality of life.

Objectives

This study will determine whether there is a difference in disease-free survival rates
for patients with primary cutaneous melanoma with Breslow thickness > 2mm or 1-2mm with
ulceration (pT2b-pT4b, AJCC 8th edition), treated with either a 1cm excision margin or
2cm margin. The study is designed to be able to prove or disprove that there is no
difference in risk of the tumour recurring around the scar or anywhere else in the body
between the two groups of patients. If the study shows no risk of tumour recurrence then
we will also be able to determine how much of an impact the narrower excision has on
patients in terms of improved quality of life and reduced side effects from the surgery
and melanoma disease. This trial will also evaluate and determine the economic impact of
narrower excision margins on the health services and society in general.

Treatment Sites in Georgia

Nancy N. and J.C. Lewis Cancer Research Pavilion at St. Joseph Candler
225 Candler Drive
Savannah, GA 31405
912-819-5778
www.sjchs.org



Northside Hospital Cancer Institute
1000 Johnson Ferry Road NE
Atlanta, GA 30342
404-303-3355
www.northside.com



St. Joseph's /Candler Health System, INC
5353 Reynolds Street
Savannah, GA 31405
912-819-5723


**Clinical trials are research studies that involve people. These studies test new ways to prevent, detect, diagnose, or treat diseases. People who take part in cancer clinical trials have an opportunity to contribute to scientists’ knowledge about cancer and to help in the development of improved cancer treatments. They also receive state-of-the-art care from cancer experts... Click here to learn more about clinical trials.