check_circleStudy Completed

Melanoma

Safety and efficacy study of a new chemotherapy agent to treat metastatic melanoma

Trial purpose

Primary objective: To evaluate the efficacy of two different dosing schedules of MS-275 in subjects with metastatic melanoma
Secondary objectives: To evaluate the safety and to assess the pharmacokinetic profile of MS-275 in subjects with metastatic melanoma

Key Participants Requirements

Sex

Both

Age

18 Years
  • - Adult subjects with Stage III or IV non-resectable nonuveal (cutaneous or mucosal) metastatic melanoma who had received at least one but no more than two previous systemic therapies (immunotherapy and/or chemotherapy) for metastatic disease and who had not responded to or who had progressed after their most recent therapy were eligible for enrollment
    - Presence of at least one lesion fulfilling the minimum Response Evaluation Criteria in Solid Tumors (RECIST) size requirements for a target lesion - Use of highly effective birth control methods in females of child-bearing potential
    - Able to undergo either contrast enhanced computed tomography (CT) scan or contrast enhanced magnetic resonance imaging (MRI) scan for tumor assessment
    - Life expectancy greater than 3 months
    - Adequate organ and bone marrow functions as defined below: absolute neutrophil count ≥ 1500 /µL, platelets ≥ 100,000 /µL, creatinine ≤ 1.5 × upper limit of normal (ULN) or measured creatinine clearance of ≥ 60 mL/min x 1.73 m2 body surface area, total bilirubin ≤ 1.5 times ULN, aspartate aminotransferase or serum glutamic oxalacetic transaminase/alanine aminotransferase or serum glutamic pyruvic transaminase∗ ≤ 2.5 times ULN
    - Negative serum pregnancy test within 2 weeks prior to receiving the first dose of study drug in female subjects of childbearing potential. Agreement to use a highly effective method of birth control throughout the study period and 3 months thereafter for sexually active males and females of childbearing potentia
  • - Active malignancy in the last five years
    - Pregnancy, breast feeding
    - HIV infection
    - Brain metastasis
    - Concomitant use of corticosteroids or valproic acid
    - Uncontrolled intercurrent illness
    - Diagnosis of uveal melanoma
    - Eastern Cooperative Oncology Group performance status ≥ 2
    - Ongoing effects from previous investigational drug studies or concomitant
    participation in other investigational drug studies
    - Prior use of MS-275 or any other HDAC inhibitor
    - History of allergic reactions attributed to compounds of similar chemical or biologic composition to MS-275
    - Anticancer therapy
    - Active gastrointestinal conditions that might predispose for poor drug absorption
    - Major surgery within 4 weeks prior to enrollment
    - Hypophosphatemia < 2.5 mg/dL at screening, if not corrected in the screening period
    - Medical, psychiatric or other conditions that compromise the patient's ability to understand the patient information, to give informed consent, to comply with the trial protocol, or to complete the study

Trial summary

Enrollment Goal
28
Trial Dates
December 2004 - July 2006
Phase
Phase 2
Could I Receive a placebo
No
Products
Histone Deacetylase Inhibitor MS-275 (BAY86-5274)
Accepts Healthy Volunteer
No

Primary Outcome

  • Overall tumor response rate (the proportion of subjects with the best tumor response of PR or CR within the first 6 cycles of treatment)
    date_rangeTime Frame:
    Baseline, 8, 16, 24, 32 weeks (cycle 6)
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    Safety Issue:
    no

Secondary Outcome

  • Time to tumor progression
    date_rangeTime Frame:
    Baseline, every 8 weeks until progression
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    Safety Issue:
    no
  • Survival
    date_rangeTime Frame:
    At 6 months
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    Safety Issue:
    no
  • Tumor response rate at each tumor assessment time point (CR/PR/SD/PD/not assessable)
    date_rangeTime Frame:
    At baseline and repeated every 2 cycles until tumor progression between Day 22 of even numbered cycles and Day 1 of subsequent odd numbered cycle and also at EOT and F-up visiit (90 days after the EOT and every 3 months until disease progression)
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    Safety Issue:
    No
  • Time to death
    date_rangeTime Frame:
    Baseline, every 8 weeks until death
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    Safety Issue:
    No
  • Number of participants with adverse events
    date_rangeTime Frame:
    Approximately 8-64 weeks
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    Safety Issue:
    Yes

Trial design

Phase II study of MS-275, a histone deacetylase inhibitor, comparing 2 dosage schedules in patients with metastatic melanoma
Trial Type
Interventional
Intervention Type
Drug
Trial Purpose
Treatment
Allocation
Randomized
Blinding
Open Label
Assignment
Parallel Assignment
Trial Arms
2