This clinical trial studies giving radiation therapy to the liver in patients with uveal (eye) melanoma who have a specific chromosome loss (monosomy 3) or are DecisionDx Class 2 and therefore more likely to have their disease spread from the eye to the liver. Radiation therapy uses high energy x-rays to kill tumor cells and shrink tumors. Early radiation to the liver may reduce the development of tumors in the liver and the overall risk of disease recurrence.
PRIMARY OBJECTIVES: I. Progression free survival in patients treated with prophylactic hepatic irradiation. SECONDARY OBJECTIVES: I. Acute and late term toxicity and overall survival. OUTLINE: Patients undergo external beam radiation therapy daily over 20 minutes on Monday-Friday for 10 fractions over approximately 2 weeks. After completion of study treatment, patients are followed up every 6 months for 5 years.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
PREVENTION
Masking
NONE
Enrollment
2
Undergo external beam radiation therapy
Correlative studies
Jonsson Comprehensive Cancer Center
Los Angeles, California, United States
Progression-free Survival
Time frame: Up to 5 years
Reduction in Liver Metastasis
Time frame: Up to 5 years
Frequency and Severity of Acute Toxicity Per National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) Version 4
Time frame: Within 3 months of study treatment
Frequency and Severity of Late Toxicity Per NCI CTCAE Version 4
Time frame: More than 3 months after study treatment
Overall Survival
Time frame: Up to 5 years
Distant Failure Rates
Cumulative incidence approach (Kaplan-Meier \[K-M\] plots and Cox proportional hazard modeling) will be used to estimate distant failure rates.
Time frame: Up to 5 years
Disease-specific Survival
Cumulative incidence approach (K-M plots and Cox proportional hazard modeling) will be used to estimate disease-specific survival.
Time frame: Up to 5 years
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