LC Bead Embolization Agent With Doxorubicin in the Treatment Liver Metastasis From Melanoma

Inclusion Criteria

• Patients with unresectable, measurable disease defined as at least one lesion that can be accurately and serially measured per the modified RECIST and EASL criteria (2D/3D-EASL) or MRI (Extent of Necrosis)
• Patients ≥ 18 years of age, > 35kg, of any race or sex, who have histological or radiological proof of melanoma to the liver
• ECOG performance status 50% overall tumor burden)
• Prior systemic therapy for metastatic disease is allowed
• Non-pregnant with an acceptable contraception in premenopausal women and fertile men
• Hematological function: ANC ≥1.5 x 109/L, platelets ≥ 75 x 109/L, INR ≤1.3 (patients on therapeutic anticoagulants are not eligible)
• Adequate renal function: Creatinine ≤2.0mg/dl and GFR >30
• Adequate liver function: total bilirubin ≤ 2.5 mg/dl, ALT, AST ≤ 5 times ULN, albumin ≥ 2.5mg/dl
• All toxic effects of prior therapy must have resolved to ≤ Grade 1 unless otherwise specified above

Exclusion Criteria

• Women who are pregnant or breast feeding
• Patients eligible for curative treatment such as resection or radiofrequency ablation
• Active bacterial, viral or fungal infection within 72 hours of study entry
• Previous or concurrent cancer that is distinct in primary site or histology from the cancer being evaluated in this study except cervical carcinoma in situ, treated basal cell carcinoma, superficial bladder tumors (TA, Tis & Ti) or any cancer curatively treated 80% liver replacement)
• Other significant medical or surgical condition, or any medication or treatment that would place the patient at undue risk and that would preclude the safe use of chemoembolization or would interfere with study participation
• Any contraindication for doxorubicin administration:
• WBC <3000 cells/mm3
• Neutrophils <1500 cells/mm3
• Deficient cardiac function defined as a LVEF of <50% normal