Ipilimumab With or Without Bevacizumab in Treating Patients With Stage III-IV Melanoma That Cannot Be Removed by Surgery

Inclusion Criteria

• •Eastern Cooperative Oncology Group (ECOG) performance status: 0 or 1
• •Untreated or previously received one treatment regimen for measurable unresectable stage III or stage IV melanoma (American Joint Committee on Cancer \[AJCC\] 2010) (for BRAF wild-type, and regardless of human leukocyte antigen \[HLA\] type); untreated or previously received up to two treatment regimens for measurable unresectable stage III or stage IV melanoma (AJCC 2010) (for BRAF mutant, and regardless of HLA type; if 2 prior regimens, one should be a BRAF inhibitor); this does not include any therapies given in the adjuvant setting
• •Prior treatment (chemotherapy \[chemo\], radiation, hormone, and immune therapies) must be completed \> 4 weeks prior to randomization (\> 6 weeks prior to randomization for nitrosoureas, mitomycin C, and checkpoint inhibitors)
• •Patients who received prior therapy with anthracyclines should have a baseline multigated acquisition scan (MUGA) or echocardiogram (echo) with a normal ejection fraction within 28 days prior to randomization
• •Patients must have recovered from any acute toxicity associated with prior therapy by the start of study treatment
• •Women must not be pregnant or breast-feeding due to the unknown effects on the fetus or infant; all females of childbearing potential must have a blood test or urine study within 2 weeks prior to randomization to rule out pregnancy; a female of childbearing potential is any woman, regardless of sexual orientation or whether they have undergone tubal ligation, who meets the following criteria: 1) has not undergone a hysterectomy or bilateral oophorectomy; or 2) has not been naturally postmenopausal for at least 24 consecutive months (i.e., has had menses at any time in the preceding 24 consecutive months)
• •All sites of disease must be evaluated within 4 weeks prior to randomization; patients must have measurable disease
• •White blood cell (WBC) \>= 2000/uL (obtained within 4 weeks prior to randomization)
• •Absolute neutrophil count (ANC) \>= 1000/uL (obtained within 4 weeks prior to randomization)
• •Platelets \>= 75 x 10\^3/uL (obtained within 4 weeks prior to randomization)
• •Hemoglobin \>= 9 g/dL (obtained within 4 weeks prior to randomization)
• •Creatinine =\< 2.0 x upper limit of normal (ULN) (obtained within 4 weeks prior to randomization)
• •Aspartate aminotransferase (AST)/alanine aminotransferase (ALT) =\< 2.5 x ULN for patients without liver metastases and =\< 5 x ULN for patients with liver metastases (obtained within 4 weeks prior to randomization)
• •Serum bilirubin =\< 2.0 x ULN (except patients with Gilbert's syndrome, who must have a total bilirubin less than 3.0 mg/dL) (obtained within 4 weeks prior to randomization)
• •Patients BRAF mutation status must be known
• •No concomitant therapy with any of the following: interleukin (IL) 2, interferon, or other non-study immunotherapy regimens; cytotoxic chemotherapy; immunosuppressive agents; other investigational therapies; or chronic use of systemic corticosteroids; must have been discontinued \>= 4 weeks prior to randomization
• •No infection with human immunodeficiency virus (HIV); due to the mechanism of action of ipilimumab and bevacizumab, activity and side effects in an immune compromised patient are unknown
• •No active infection with hepatitis B
• •No active or chronic infection with hepatitis C
• •Patients are excluded if they have any prior history of hypertensive crisis or hypertensive encephalopathy
• •Patients are excluded if they have New York Heart Association (NYHA) grade II or greater congestive heart failure
• •Patients are excluded if they have a history of myocardial infarction or unstable angina within 6 months prior to randomization
• •Patients are excluded if they have a history of stroke or transient ischemic attack within 6 months prior to randomization
• •Patients are excluded if they have known significant vascular disease (e.g., aortic aneurysm, aortic dissection)
• •Patients are excluded if they have symptomatic peripheral vascular disease
• •Patients are excluded if they have evidence of bleeding diathesis or coagulopathy
• •Patients are excluded if they have had a surgical procedure or a significant traumatic injury within 28 days prior to randomization
• •Patients are excluded if they have had a biopsy or other minor surgical procedure, excluding placement of a vascular access device, within 7 days prior to randomization
• •Patients are excluded if they have history of abdominal fistula, gastrointestinal perforation, or intra-abdominal abscess within 6 months prior to randomization
• •Patients are excluded if they have a non-healing wound or ulcer
• •Patients are excluded if they have proteinuria at screening as demonstrated by either:
• •* Urine dipstick for proteinuria \>= 2+ (patients discovered to have \>= 2+ proteinuria on dipstick urinalysis at baseline should undergo a 24 hour urine collection and must demonstrate =\< 1 g of protein in 24 hours to be eligible) OR
• •* Urine protein: creatinine (UPC) ratio \>= 1.0 at screening; for UPC ratio \> 1, a 24 hour urine protein should be obtained and the level should be \< 1000 mg; NOTE: urine protein should be screened by urine analysis for UPC ratio; a UPC ratio of 1 is roughly equivalent to a 24-hour urine protein of 1 g
• •Patients must not have known hypersensitivity to Chinese hamster ovary cell products or other recombinant human antibodies
• •Patients are excluded if they have a history of hemoptysis (bright red blood of 1/2 teaspoon or more per episode) within 3 months prior to randomization
• •Patients are excluded if they have current, ongoing treatment with full-dose warfarin or its equivalent (i.e., unfractionated and/or low molecular weight heparin); subjects should have not taken full-dose warfarin or equivalent for at least 2 weeks prior to randomization
• •Patients are excluded if they have current or recent (within 10 days of enrollment) use of aspirin (\> 325 mg/day) or chronic use of other non-steroidal anti-inflammatory drugs (NSAIDs)
• •Patients are excluded if they use medications that inhibit platelet function (e.g., dipyridamole, epoprostenol, eptifibatide, clopidogrel, cilostazol, abciximab, ticlopidine, and ibuprofen and related compounds) unless subject has been off treatment for at least 2 weeks prior to randomization
• •Patients are excluded if they have known involvement of melanoma within the gastrointestinal tract
• •Patients are excluded for any non-oncology vaccine therapy used for prevention of infectious diseases (for up to 1 month before or after any dose of ipilimumab)
• •Women of childbearing potential and sexually active males must agree to practice abstinence or use an accepted and effective method of contraception