This randomized phase III trial studies sargramostim before sentinel lymph node biopsy to see how well it works compared to hypertonic saline before sentinel lymph node biopsy in treating patients with melanoma. Biological therapies, such as sargramostim, may stimulate the immune system in different ways and stop cancer cells from growing. It is not yet known whether sargramostim is more effective than hypertonic saline in treating patients with stage IB-II melanoma undergoing sentinel lymph node biopsy.
PRIMARY OBJECTIVES: I. To determine if the alterations in morphology and phenotype to the sentinel lymph nodes are reversible. II. To determine if the restoration of the morphology or phenotype of sentinel lymph nodes results in diminished regional tumor burden. OUTLINE: Patients are randomized to 1 of 2 treatment arms. ARM I: Patients receive sargramostim subcutaneously (SC) 3-5 days prior to undergoing sentinel lymph node biopsy. ARM II: Patients receive hypertonic saline SC 3-5 days prior to undergoing sentinel lymph node biopsy. After completion of study treatment, patients are followed up for 30 days.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Given SC
Undergo sentinel lymph node biopsy
Correlative studies
Jonsson Comprehensive Cancer Center
Los Angeles, California, United States
Reversal of alterations in the SN
A series of analysis of variance (ANOVA) models will be employed.
Time frame: Up to 30 days
Proportion of subjects with positive SN in each group
The primary analysis will be a two group continuity corrected Chi-squared test. A logistic regression analysis will also be run.
Time frame: Up to 30 days
Disease free survival (DFS)
A two sample t-test will be used.
Time frame: Up to 30 days
Overall survival (OS)
A two sample t-test will be used.
Time frame: Up to 30 days
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Given SC