Vitamin D treatment for melanoma | Anticancerfund

Vitamin D treatment for melanoma

Vitamin D supplementation in cutaneous malignant melanoma outcome (ViDME).

Status
Recruiting
 
Cancer types
  • Melanoma
Trial phase
3

Funding

€104,592
ACF donation
€800,000
Estimated trial cost

Why this trial?

Cutaneous malignant melanoma is the most common lethal skin disease worldwide. Although it only accounts for 4% of all malignant tumours of the skin, it is responsible for 80% of the skin cancer-related deaths. While early stage malignant melanoma can be cured, late stage (metastatic) melanoma decreases the chance of survival markedly because of its resistance to chemotherapy.

There is a high need to improve the outcome of malignant melanoma of the skin in terms of years of life lost. Improvement of melanoma outcomes could be achieved by diagnosing the tumour in an earlier stage and by decreasing the chance of relapse after surgery.

Why this drug?

Vitamin D has a good safety profile and is in some cases even recommended as food supplement (Norman and Bouillon et al 2010).

Secondly, the skin is an important target site for the actions of vitamin D. Skin cells synthesise the hormonally active vitamin D metabolite (1,25(OH)2D3), and there is evidence that 1,25(OH)2D3 can protect skin cells from UV damage (De Haes 2005; Gupta 2007).

Thirdly, epidemiological evidence for a possible protective influence of sunlight/vitamin D on melanoma risk is suggested by studies showing lower- than-expected incidence in people with outdoor occupations, which could reflect a level of protection afforded by their greater reserves of vitamin D (Gandini, 2009).

Fourthly, the active metabolite of vitamin D (1,25(OH)2D3) demonstrates relevant anti-cancer effects on melanoma cells, not only antiproliferative, pro-differentiating and proapoptotic effects, but also inhibitory effects on tumour invasion and metastasis (Osborne 2002 & Egan 2009). Vitamin D levels may have a protective effect on malignant melanoma outcome as well (Nürnberg 2009 & Newton Bishop 2009).

Scientific proof of a notable therapeutic effect of the well-tolerated and cheap vitamin D will be a major step forward in the battle against malignant melanoma.

Trial design

This is a phase III, double-blind, randomised, placebo-controlled trial of high-dose vitamin D3 (cholecalciferol) in patients with stage IB to III cutaneous melanoma. 500 patients will be recruited and treated in 3 Belgian and one Hungarian centre.

The primary objective is to assess whether vitamin D3 supplementation, in the follow-up period after diagnosis and surgery of the primary tumour, has a protective effect regarding relapse of cutaneous malignant melanoma. Stage IB to III cutaneous melanoma patients will receive optimal standard of care and will be randomised between additional cholecalciferol (100,000 IE) or placebo. Study medication will be continued for a maximum of 3.5 years, or until relapse.

Partners

Principal Investigator:

  • Prof. Marjan Garmyn, Dermatology Dept., University Hospital Leuven, Leuven, Belgium

Sponsor:

  • University Hospital Leuven, Leuven, Belgium

Our role

financial support
Why we support this trial
Intervention has little or no commercial value
Expected survival benefit
No major hurdle for clinical implementation

Funding

€800,000
Estimated trial cost
€104,592
ACF donation
€5,492
ACF internal support (2017)
Questions about participation?
Questions about this trial?
The Anticancer Fund
studies [at] anticancerfund.org

References

More info on clinicaltrials.gov: NCT01748448

Balch CM, Gershenwald JE, Soong SJ, Thompson JF, Atkins MB, Byrd DR, Buzaid AC, Cochran AJ, Coit DG, Ding S, Eggermont AM, Flaherty KT, Gimotty PA, Kirkwood JM, McMasters KM, Mihm MC Jr, Morton DL, Ross MI, Sober AJ, Sondak VK. Final version of 2009 AJCC melanoma staging and classification. J Clin Oncol. 2009 Dec 20;27(36):6199-206. Epub 2009 Nov 16.

De Haes P, Garmyn M, de Greef H, Vantieghem K, Bouillon R, Segaert S. 1,25dihydroxyvitamin D3 and two low-calcemic analogues protect keratinocytes against UVB-induced damage. J Photochem Photobiol B , (2005) feb; 1;78 (2): 141-8.  

Egan KM. Vitamin D and melanoma. Ann Epidemiol. 2009 Jul;19(7):455-61. Epub 2009 Mar 17. 

Gandini S, Raimondi S, Gnagnarella P, Doré JF, Maisonneuve P, Testori A. Vitamin D and skin cancer: a meta-analysis. Eur J Cancer. 2009 Mar;45(4):634-41. Epub 2008 Nov 12.

Miller AJ, Mihm MC Jr. Melanoma. N Engl J Med. 2006 Jul 6;355(1):51-65.

Last updated: june 2018.