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Tipifarnib in Treating Patients With Metastatic Malignant Melanoma

Primary Purpose

Recurrent Melanoma, Stage IV Melanoma

Status
Completed
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
tipifarnib
laboratory biomarker analysis
Sponsored by
National Cancer Institute (NCI)
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Recurrent Melanoma

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria: Histological or cytological diagnosis of cutaneous melanoma and clinical evidence of distant metastatic, non-resectable regional lymphatic, or extensive in transit recurrent disease Patients must have at least 2 cutaneous lesions amenable to excisional biopsy for correlative studies; in addition, patients must have measurable disease; the disease remaining after the first excisional biopsy must be measurable; lesions that are considered intrinsically non-measurable include the following: Bone lesions Leptomeningeal disease Ascites Pleural/pericardial effusion Lymphangitis cutis/pulmonis Abdominal masses that are not confirmed and followed by imaging techniques Cystic lesions Lesions that are situated in a previously irradiated area No history of brain metastases No allergies to azoles (e.g. ketoconazole) or allergies to compounds structurally similar to R115777 No more than 1 prior immunotherapy regimen for treatment of advanced melanoma; an additional immunologic therapy in the adjuvant setting (e.g. IFN-a) is acceptable; prior chemotherapy for any stage of melanoma is not allowed No radiotherapy or immunotherapy within four weeks prior to the initiation of therapy on this study CTC (ECOG) performance status 0-1 Non-pregnant, non-nursing; treatment under this protocol would expose an unborn child to significant risks; women and men of reproductive potential should agree to use an effective means of birth control; women of child-bearing age will undergo pregnancy testing ANC >= 1500/uL Platelets >= 100,000/uL Bilirubin =< 1.5 mg/dL Creatinine =< 2.0 mg/dL

Sites / Locations

  • Cancer and Leukemia Group B

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Treatment (tipifarnib)

Arm Description

Patients receive oral tipifarnib twice daily on days 1-21. Treatment repeats every 28 days for at least 2 courses and for a maximum of 2 years in the absence of disease progression or unacceptable toxicity. Patients who achieve CR receive 2 additional courses beyond CR.

Outcomes

Primary Outcome Measures

Response rate (complete response [CR] and partial response [PR]}
Estimated confidence intervals will be adjusted for the number of stages.
Progression-free survival (PFS)
Estimated using the method of Kaplan and Meier.
Time to treatment failure (TTF)
Estimated using the method of Kaplan and Meier.

Secondary Outcome Measures

Correlation between RhoC expression levels and response
Change in FTAse levels
Change in the production of IL-2 and IFN-g by T cells
Descriptive statistics will be used to describe the mean and spread of production of IL-2 and IFN-g.
Adverse events as assessed by Common Toxicity Criteria (CTC) version 2.0

Full Information

First Posted
May 6, 2003
Last Updated
June 4, 2013
Sponsor
National Cancer Institute (NCI)
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1. Study Identification

Unique Protocol Identification Number
NCT00060125
Brief Title
Tipifarnib in Treating Patients With Metastatic Malignant Melanoma
Official Title
PHASE II TRIAL OF R115777 IN PATIENTS WITH METASTATIC MALIGNANT MELANOMA
Study Type
Interventional

2. Study Status

Record Verification Date
June 2013
Overall Recruitment Status
Completed
Study Start Date
May 2003 (undefined)
Primary Completion Date
June 2006 (Actual)
Study Completion Date
undefined (undefined)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
National Cancer Institute (NCI)

4. Oversight

5. Study Description

Brief Summary
This phase II trial is studying how well tipifarnib works in treating patients with metastatic malignant melanoma. Tipifarnib may stop the growth of tumor cells by blocking the enzymes necessary for tumor cell growth.
Detailed Description
PRIMARY OBJECTIVES: I. To estimate the clinical response rate in patients with metastatic malignant melanoma treated with R115777 (tipifarnib). II. To evaluate the safety of R115777 in patients with metastatic melanoma. SECONDARY OBJECTIVES: I. To assess RhoC expression in tumor samples pre- and post- therapy with R115777. II. To evaluate Ftase levels in peripheral blood and tumor samples pre- and post-therapy with R115777. III. To assess the effect of R115777 treatment on T lymphocyte cytokine production, pre- and post- therapy with R115777. IV. Estimate time to treatment failure (TTF). Time to treatment failure is defined as time to withdrawal for unacceptable toxicity or progressive disease. OUTLINE Patients receive oral tipifarnib twice daily on days 1-21. Treatment repeats every 28 days for at least 2 courses and for a maximum of 2 years in the absence of disease progression or unacceptable toxicity. Patients who achieve complete response (CR) receive 2 additional courses beyond CR. Patients who discontinue therapy due to toxicity or complete response are followed every 3 months for 2 years after study entry. Patients who discontinue therapy due to disease progression are followed every 6 months for 2 years after study entry. Patients with stable or partially responding disease who complete treatment are followed at 2 years after study entry.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Recurrent Melanoma, Stage IV Melanoma

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
40 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Treatment (tipifarnib)
Arm Type
Experimental
Arm Description
Patients receive oral tipifarnib twice daily on days 1-21. Treatment repeats every 28 days for at least 2 courses and for a maximum of 2 years in the absence of disease progression or unacceptable toxicity. Patients who achieve CR receive 2 additional courses beyond CR.
Intervention Type
Drug
Intervention Name(s)
tipifarnib
Other Intervention Name(s)
R115777, Zarnestra
Intervention Description
Given orally
Intervention Type
Other
Intervention Name(s)
laboratory biomarker analysis
Intervention Description
Correlative studies
Primary Outcome Measure Information:
Title
Response rate (complete response [CR] and partial response [PR]}
Description
Estimated confidence intervals will be adjusted for the number of stages.
Time Frame
Up to 2 years
Title
Progression-free survival (PFS)
Description
Estimated using the method of Kaplan and Meier.
Time Frame
From date of entry onto the trial until documented progression or death from any cause, assessed up to 2 years
Title
Time to treatment failure (TTF)
Description
Estimated using the method of Kaplan and Meier.
Time Frame
From trial entry until a patient ends protocol therapy due to unacceptable toxicity, progression or death from any cause, assessed up to 2 years
Secondary Outcome Measure Information:
Title
Correlation between RhoC expression levels and response
Time Frame
From baseline to up to 2 years
Title
Change in FTAse levels
Time Frame
From baseline to up to 2 years
Title
Change in the production of IL-2 and IFN-g by T cells
Description
Descriptive statistics will be used to describe the mean and spread of production of IL-2 and IFN-g.
Time Frame
From baseline to up to 2 years
Title
Adverse events as assessed by Common Toxicity Criteria (CTC) version 2.0
Time Frame
Up to 2 years

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Histological or cytological diagnosis of cutaneous melanoma and clinical evidence of distant metastatic, non-resectable regional lymphatic, or extensive in transit recurrent disease Patients must have at least 2 cutaneous lesions amenable to excisional biopsy for correlative studies; in addition, patients must have measurable disease; the disease remaining after the first excisional biopsy must be measurable; lesions that are considered intrinsically non-measurable include the following: Bone lesions Leptomeningeal disease Ascites Pleural/pericardial effusion Lymphangitis cutis/pulmonis Abdominal masses that are not confirmed and followed by imaging techniques Cystic lesions Lesions that are situated in a previously irradiated area No history of brain metastases No allergies to azoles (e.g. ketoconazole) or allergies to compounds structurally similar to R115777 No more than 1 prior immunotherapy regimen for treatment of advanced melanoma; an additional immunologic therapy in the adjuvant setting (e.g. IFN-a) is acceptable; prior chemotherapy for any stage of melanoma is not allowed No radiotherapy or immunotherapy within four weeks prior to the initiation of therapy on this study CTC (ECOG) performance status 0-1 Non-pregnant, non-nursing; treatment under this protocol would expose an unborn child to significant risks; women and men of reproductive potential should agree to use an effective means of birth control; women of child-bearing age will undergo pregnancy testing ANC >= 1500/uL Platelets >= 100,000/uL Bilirubin =< 1.5 mg/dL Creatinine =< 2.0 mg/dL
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Thomas Gajewski
Organizational Affiliation
Cancer and Leukemia Group B
Official's Role
Principal Investigator
Facility Information:
Facility Name
Cancer and Leukemia Group B
City
Chicago
State/Province
Illinois
ZIP/Postal Code
60606
Country
United States

12. IPD Sharing Statement

Citations:
PubMed Identifier
23228035
Citation
Gajewski TF, Salama AK, Niedzwiecki D, Johnson J, Linette G, Bucher C, Blaskovich MA, Sebti SM, Haluska F; Cancer and Leukemia Group B. Phase II study of the farnesyltransferase inhibitor R115777 in advanced melanoma (CALGB 500104). J Transl Med. 2012 Dec 10;10:246. doi: 10.1186/1479-5876-10-246.
Results Reference
derived

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Tipifarnib in Treating Patients With Metastatic Malignant Melanoma

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