18 and older, any sex, with Metastatic Melanoma. Patients with the condition only — healthy volunteers not accepted.
Results — posted to ClinicalTrials.gov
Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.
Number and Frequency of Dose Limiting Toxicities (DLTs) With High-dose Calcitriol in Combination With TemozolomidePrimary· From start of treatment, up to 12 cycles where 1 cycle equals 28 days
Determine number and frequency of dose limiting toxicities (DLT) of high-dose calcitriol when administered with temozolomide in patients with metastatic melanoma for up to 12 cycles of therapy, where 1 cycle equals 28 days.
3 patients per dose cohort will be entered into the trial at doses of 0.2, 0.3, and 0.5 mcg/kg of calcitriol administered orally. If 1 patient experiences dose limiting toxicity (DLT) at any dose, that dose cohort will be expanded to a maximum of 6 patients. If 1 additional patient experiences DLT at that dose stratum, further dose escalation will cease and the dose cohort
Group
Value
95% CI
Cohort 1 - Temozolomide and Calcitriol
0
Cohort 2 - Temozolomide and Calcitriol
0
Cohort 3 - Temozolomide and Calcitriol
0
Number of Patients With ToxicityPrimary· From the start of treatment and every 2 weeks for a maximum of 12 cycles, and 30 days post last treatment, where 1 cycle equals 28 days
Toxicity will be assessed for each patient on a seven-day on/seven-day off temozolomide in combination with high-dose calcitriol for every 2 weeks for up to 12 cycles where 1 cycle equals 28 days. Toxicity will be assessed during treatment according to the National Cancer Institute's Common Toxicity Criteria for adverse events version 3.0 (CTCAE v3.0) and defined by any toxicity determined to be at least possibly related to either study drug (temozolomide or calcitriol).
In general adverse events (AEs) will be graded according to the following:
Grade 1 Mild AE Grade 2 Moderate AE Grade 3 Sev
Thrombocytopenia
Group
Value
95% CI
Cohort 1 - Temozolomide and Calcitriol
1
Cohort 2 - Temozolomide and Calcitriol
0
Cohort 3 - Temozolomide and Calcitriol
0
Expansion - Temozolomide and Calcitriol
1
Vascular
Group
Value
95% CI
Cohort 1 - Temozolomide and Calcitriol
1
Cohort 2 - Temozolomide and Calcitriol
0
Cohort 3 - Temozolomide and Calcitriol
0
Expansion - Temozolomide and Calcitriol
1
Nausea
Group
Value
95% CI
Cohort 1 - Temozolomide and Calcitriol
0
Cohort 2 - Temozolomide and Calcitriol
0
Cohort 3 - Temozolomide and Calcitriol
1
Expansion - Temozolomide and Calcitriol
0
Vomiting
Group
Value
95% CI
Cohort 1 - Temozolomide and Calcitriol
0
Cohort 2 - Temozolomide and Calcitriol
0
Cohort 3 - Temozolomide and Calcitriol
1
Expansion - Temozolomide and Calcitriol
0
Leukopenia
Group
Value
95% CI
Cohort 1 - Temozolomide and Calcitriol
0
Cohort 2 - Temozolomide and Calcitriol
0
Cohort 3 - Temozolomide and Calcitriol
1
Expansion - Temozolomide and Calcitriol
1
Fatigue
Group
Value
95% CI
Cohort 1 - Temozolomide and Calcitriol
0
Cohort 2 - Temozolomide and Calcitriol
0
Cohort 3 - Temozolomide and Calcitriol
0
Expansion - Temozolomide and Calcitriol
1
Anemia
Group
Value
95% CI
Cohort 1 - Temozolomide and Calcitriol
0
Cohort 2 - Temozolomide and Calcitriol
0
Cohort 3 - Temozolomide and Calcitriol
0
Expansion - Temozolomide and Calcitriol
2
Lymphopenia
Group
Value
95% CI
Cohort 1 - Temozolomide and Calcitriol
0
Cohort 2 - Temozolomide and Calcitriol
0
Cohort 3 - Temozolomide and Calcitriol
0
Expansion - Temozolomide and Calcitriol
2
Tumor ResponseSecondary· At baseline and every 8 weeks during treatment for a maximum of 12 cycles where one cycle equals 28 days.
Determine best tumor response during treatment. Response and progression was evaluated using the Response Evaluation Criteria in Solid Tumors (RECIST). The same method of assessment and the same technique should be used to characterize each identified and reported lesion at baseline and during follow-up.
Complete Response (CR): Disappearance of all target lesions
Partial Response (PR): At least a 30% decrease in the sum of the longest diameter (LD) of target lesions, taking as reference the baseline sum LD
Progressive Disease (PD): At least a 20% increase in the sum of the LD of target lesi
Group
Value
95% CI
Temozolomide and Calcitriol (Cohort 1-3+Expansion)
0
Temozolomide and Calcitriol (Cohort 1-3+Expansion)
2
Temozolomide and Calcitriol (Cohort 1-3+Expansion)
1
Temozolomide and Calcitriol (Cohort 1-3+Expansion)
17
Overall Response RateSecondary· From the start of treatment, every 2 cycles where 1 cycle equals 28 days, for a maximum of 12 cycles
Overall Response Rate (ORR) is defined as percentage of patients who's best response to treatment is complete response plus those with partial response.
Complete Response (CR): Disappearance of all target lesions.
Partial Response (PR): At least a 30% decrease in the sum of the longest diameter (LD) of target lesions, taking as reference the baseline sum LD.
Group
Value
95% CI
Temozolomide and Calcitriol (Cohort 1-3+Expansion)
2
Time to ProgressionSecondary· From the start of treatment, until progressive disease, up to 12 months
Time to progression (TTP) is measured from the start of treatment until the time of first documentation of disease progression.
Group
Value
95% CI
Temozolomide and Calcitriol (Cohort 1-3+Expansion)
1.81
1.15 – 1.99
Overall SurvivalSecondary· From the first day of treatment until death from any cause, up to a maximum of 6 and half years
Overall Survival (OS) will be measured from first day of treatment until death of any cause. Patients still alive at the last data cut off point will be censored.
Group
Value
95% CI
Temozolomide and Calcitriol (Cohort 1-3+Expansion)
5.5
2.7 – 12.3
Overall Survival (OS) Stratified by Vitamin D-Receptor (VDR) Gene PolymorphismsSecondary· at baseline and until death from any cause up to 6 and half years
Investigate the relationship between vitamin D-receptor (VDR) gene polymorphisms in Taq1 and Fok1 (analyzed from baseline blood sample) and Overall Survival (OS). VDR gene analysis was completed using PCR-RFLP based assays.
VDR genotype (tt+/-ff)
Group
Value
95% CI
Temozolomide and Calcitriol (Cohort 1-3+Expansion)
3.8
2.0 – 5.7
non tt+/-ff VDR genotype
Group
Value
95% CI
Temozolomide and Calcitriol (Cohort 1-3+Expansion)
7.4
3.0 – 12.3
Adverse events — posted to ClinicalTrials.gov
Time frame: Adverse events for the study were collected over a 6 year and 3 month period. For each patient adverse events were collected for a maximum of 12 cycles where 1 cycle equals 28 days..
Reporting threshold: 0%.
Adverse-event reports describe events observed during the trial — not all are caused by the drug.
Cohort 1 - Temozolomide and Calcitriol
Serious: 2/4 (50%)
Deaths: 3/4
Cohort 2 - Temozolomide and Calcitriol
Serious: 1/3 (33%)
Deaths: 3/3
Cohort 3 - Temozolomide and Calcitriol
Serious: 2/3 (67%)
Deaths: 3/3
Expansion - Temozolomide and Calcitriol
Serious: 4/10 (40%)
Deaths: 9/10
Serious adverse events (10 terms)
Reaction
System
Cohort 1 - Temozolomide an…
Cohort 2 - Temozolomide an…
Cohort 3 - Temozolomide an…
Expansion - Temozolomide a…
Thrombocytopenia
Blood and lymphatic system disorders
—
—
—
—
Nausea and vomiting
Gastrointestinal disorders
—
—
—
—
Hyperglycemia
Metabolism and nutrition disorders
—
—
—
—
Rapidly declining performance status
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
—
—
—
—
Confusion
Nervous system disorders
—
—
—
—
Slurred speech and drooling
Nervous system disorders
—
—
—
—
Pneumonia
Respiratory, thoracic and mediastinal disorders
—
—
—
—
Pulmonary embolus
Respiratory, thoracic and mediastinal disorders
—
—
—
—
Rash
Skin and subcutaneous tissue disorders
—
—
—
—
Death related to disease
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
—
—
—
—
Other adverse events (58 terms — click to expand)
Reaction
System
Cohort 1 - Temozolomide an…
Cohort 2 - Temozolomide an…
Cohort 3 - Temozolomide an…
Expansion - Temozolomide a…
Nausea
Gastrointestinal disorders
—
—
—
—
Vomiting
Gastrointestinal disorders
—
—
—
—
Anemia (Hemoglobin decrease)
Blood and lymphatic system disorders
—
—
—
—
Fatigue
General disorders
—
—
—
—
Weight loss
General disorders
—
—
—
—
Anorexia
Gastrointestinal disorders
—
—
—
—
Constipation
Gastrointestinal disorders
—
—
—
—
Leukocytes (white blood count)
Blood and lymphatic system disorders
—
—
—
—
Transaminase
Metabolism and nutrition disorders
—
—
—
—
Lymphopenia
Blood and lymphatic system disorders
—
—
—
—
Platelets decreased (thrombocytopenia)
Blood and lymphatic system disorders
—
—
—
—
Urinary tract infection NOS
Infections and infestations
—
—
—
—
Oral infection
Infections and infestations
—
—
—
—
Albumin, serum-low
Metabolism and nutrition disorders
—
—
—
—
Bilirubin, serum high
Metabolism and nutrition disorders
—
—
—
—
Glucose, serum high
Metabolism and nutrition disorders
—
—
—
—
Lactic acid dehydrogenase (LDH) increase
Metabolism and nutrition disorders
—
—
—
—
Confusion
Nervous system disorders
—
—
—
—
Mood alteration - Depression
Psychiatric disorders
—
—
—
—
Motor Neuropathy
Nervous system disorders
—
—
—
—
Tumor pain
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
RATIONALE: Drugs used in chemotherapy, such as temozolomide, work in different ways to stop the growth of tumor cells, either by killing the cells or by stopping them from dividing. Calcitriol may help temozolomide kill more tumor cells by making them more sensitive to the drug. Calcitriol may also stop the growth of melanoma by blocking blood flow to the tumor.
PURPOSE: This phase I/II trial is studying the best dose of calcitriol, the side effects of calcitriol when given together with temozolomide, and to see how well they work in treating patients with metastatic stage IV melanoma.
Publications & conference data
5 peer-reviewed publications reference this trial (live from Europe PMC):
NCT06261905 — Vitamin D in OUD: Exploration of Alterations on the Dopamine D2/D3 Receptor System
· Phase 1
· completed
NCT05415254 — Calcitriol Supplementation in COVID-19 Patients
· NA
· unknown
NCT04801303 — Evaluation of the Effects of Calcitriol's in the Neurological Symptoms of Friedreich's Ataxia Patients
· Phase 4
· completed
NCT05765617 — Effect Of Calcitriol On Neutrophil To Lymphocytes Ratio And High Sensitivity C-Reactive Protein Covid-19 Patients
· Phase 2
· completed
NCT04967469 — Comparison of Serum Calcium Level Between Preoperative Vitamin D and Non-vitamin D Regimen of Total Parathyroidectomy in
· NA
· completed
Other recruiting trials for Metastatic Melanoma
Currently open trials in the same condition.
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· Phase 1
· recruiting
NCT07237100 — Mirdametinib in Patients With Advanced NF1-mutant Melanoma
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· recruiting
NCT07086105 — A Study to Evaluate Adze1.C in Participants With Metastatic Melanoma
· Phase 1
· recruiting
NCT07112170 — Consolidative Use of Radiotherapy to Block Oligoprogression in Patients With Metastatic Melanoma
· NA
· recruiting
NCT06488365 — In Vivo Liquid Biopsy of Melanoma (Cytophone)
· NA
· recruiting
Other Northwestern University trials
Trials by the same sponsor.
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· not yet recruiting
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Publications: Europe PMC API search by NCT ID, retrieved 10 June 2026
Drug + disease cross-links: matched in real time against Drug Landscape's normalised drug + company + condition tables
Sponsor: as reported to ClinicalTrials.gov by Northwestern University
Last refreshed: 4 June 2019
Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT00301067.