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High-Dose PEG-Intron Pharmacokinetic Study in Patients With Melanoma (Study P04831 AM2)

Primary Purpose

Melanoma

Status
Completed
Phase
Phase 1
Locations
Study Type
Interventional
Intervention
PEG-Intron
Sponsored by
Merck Sharp & Dohme LLC
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Melanoma

Eligibility Criteria

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

Inclusion Criteria:

  • Subjects at least 18 years of age, of either sex, and of any race.
  • Cytologically or histologically-confirmed melanoma, arising from a cutaneous or unknown site of origin, at Stages IIB, IIC, IIIA, IIIB, IIIC according to the American Joint Committee on Cancer (AJCC) 2001 guidelines.
  • Adequate hepatic, renal and bone marrow function within 4 weeks prior to initiation of study treatment.
  • Subjects presenting with synchronous primary and regional melanoma must have had adequate surgical margins surrounding the primary lesion.
  • Full lymphadenectomy must be performed within 90 days prior to initiation of study treatment.
  • Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1.
  • Give informed consent according to International Conference on Harmonisation - Good Clinical Practice (ICH-GCP) and national/local policy.
  • Be able to adhere to dose and visit schedules.
  • Female subjects of childbearing potential must be using a medically accepted method of birth control prior to Screening and agree to continue its use during the study or be surgically sterilized.
  • Female subjects of childbearing potential must have a negative serum pregnancy test at Screening.

Exclusion Criteria:

  • Female subjects who are pregnant, intend to become pregnant, or are breastfeeding.
  • Previous treatment with interferon alpha, chemotherapy or immunotherapy for melanoma.
  • Ocular melanoma, or melanoma of the mucous membranes.
  • Evidence of distant or non-regional lymph node metastases.
  • In-transit melanoma, even if the lesion has been resected.
  • Disease that cannot be completely surgically resected.
  • Lack of recovery from recent surgery.
  • Prior malignancy within the past 5 years, except surgically cured squamous cell carcinoma of the skin, successfully resected early stage cutaneous melanoma, or cervical carcinoma in situ.
  • Severe cardiovascular disease.
  • Thyroid dysfunction not responsive to therapy.
  • Uncontrolled diabetes mellitus (in the opinion of the investigator).
  • Active autoimmune disease.
  • Active and/or uncontrolled infection.
  • History of seropositivity for human immunodeficiency virus (HIV).
  • Pre-existing psychiatric condition.
  • Clinical diagnosis of substance abuse of one or more of the following drugs within the following timeframes (excluding time spent in detoxification, hospitalization or incarceration):

    • Alcohol, intravenous drug use, inhalational, psychotropics, narcotics, cocaine, prescription or over-the-counter drugs: within 1 year of the Screening visit.
    • Methadone, buprenorphine hydrochloride (HCl), and/or butorphanol tartrate: within 1 year of Screening visit, unless subject has drug screen negative for other (non-narcotic) drugs documented in the past year and repeated negative within 2 months of Screening visit.
    • Multi-drug abuse (2 or more substances in 16a and 16b): within 3 years of Screening visit.
    • Marijuana:

      • If historic use is deemed excessive by the principal investigator (or medically qualified individual), or is interfering with the subject's life, then the subject is not eligible and should not be screened.
      • If marijuana use is not deemed excessive by principal investigator and does not interfere with life, subject must discontinue any current use of marijuana prior to entry into study.
  • Medical condition requiring chronic systemic corticosteroids.
  • Known allergy to the drug substance or any of the excipients in the PEG-Intron formulation.
  • Any situation or condition that, in the opinion of the investigator, may interfere with optimal participation in the study.
  • Use of any investigational drugs within 30 days of study entry.
  • Participation in other clinical studies of investigational treatments.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm Type

    Experimental

    Arm Label

    PEG-Intron

    Arm Description

    6 ug/kg/week, SC (first 8 weeks) 3 ug/kg/week, SC (252 weeks [weeks 9-260], maintenance)

    Outcomes

    Primary Outcome Measures

    Area Under the Curve (AUC) of PEG-Intron at 12 Weeks
    AUC was defined as the actual body exposure to drug after administration of a dose of the drug.
    Maximum Serum Concentration (Cmax) of PEG-Intron at 12 Weeks
    Cmax was defined as observed maximum plasma concentration.
    Average Concentration Within the Dosing Interval (Cavg) of PEG-Intron at 12 Weeks
    Cavg was defined as average plasma concentration.
    Minimum Serum Concentration (Cmin) of PEG-Intron at 12 Weeks
    Cmin was defined as observed minimum plasma concentration.
    Observed Time to Achieve Cmax (Tmax) of PEG-Intron at 12 Weeks
    Tmax was defined as time of maximum plasma concentration.
    Apparent Clearance(CL/F) of PEG-Intron at 12 Weeks
    CL/F was defined apparent clearance - the volume of plasma in the vascular compartment cleared of drug per unit of time and per kilogram of body weight by the processes of metabolism and excretion.

    Secondary Outcome Measures

    Number of Participants Who Experienced an Adverse Event (AE)
    An adverse event (AE) was defined as any untoward medical occurrence or unfavorable and unintended sign in a subject administered a pharmaceutical product, biologic (at any dose), or medical device, whether or not considered related to the use of that product.

    Full Information

    First Posted
    April 5, 2007
    Last Updated
    May 15, 2017
    Sponsor
    Merck Sharp & Dohme LLC
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    1. Study Identification

    Unique Protocol Identification Number
    NCT00457418
    Brief Title
    High-Dose PEG-Intron Pharmacokinetic Study in Patients With Melanoma (Study P04831 AM2)
    Official Title
    A Pharmacokinetic Study of PEG-Intron, Administered Weekly in Subjects With High-Risk Melanoma
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    May 2017
    Overall Recruitment Status
    Completed
    Study Start Date
    February 20, 2007 (Actual)
    Primary Completion Date
    May 27, 2008 (Actual)
    Study Completion Date
    July 11, 2012 (Actual)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Merck Sharp & Dohme LLC

    4. Oversight

    5. Study Description

    Brief Summary
    The purpose of this study is to establish the pharmacokinetics of PEG-Intron, administered at a dose of 6 μg/kg/week for 8 weeks (induction treatment), followed by a dose of 3 μg/kg/week for up to 252 weeks (maintenance treatment), in patients with high risk melanoma.

    6. Conditions and Keywords

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

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Phase 1
    Interventional Study Model
    Single Group Assignment
    Masking
    None (Open Label)
    Allocation
    Non-Randomized
    Enrollment
    32 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    PEG-Intron
    Arm Type
    Experimental
    Arm Description
    6 ug/kg/week, SC (first 8 weeks) 3 ug/kg/week, SC (252 weeks [weeks 9-260], maintenance)
    Intervention Type
    Drug
    Intervention Name(s)
    PEG-Intron
    Other Intervention Name(s)
    SCH 054031, peginterferon alfa-2b
    Primary Outcome Measure Information:
    Title
    Area Under the Curve (AUC) of PEG-Intron at 12 Weeks
    Description
    AUC was defined as the actual body exposure to drug after administration of a dose of the drug.
    Time Frame
    Predose, and 24, 48, 72, 96, and 168 hours postdose at 12 weeks
    Title
    Maximum Serum Concentration (Cmax) of PEG-Intron at 12 Weeks
    Description
    Cmax was defined as observed maximum plasma concentration.
    Time Frame
    Predose, and 24, 48, 72, 96, and 168 hours postdose at 12 weeks
    Title
    Average Concentration Within the Dosing Interval (Cavg) of PEG-Intron at 12 Weeks
    Description
    Cavg was defined as average plasma concentration.
    Time Frame
    Predose, and 24, 48, 72, 96, and 168 hours postdose at 12 weeks
    Title
    Minimum Serum Concentration (Cmin) of PEG-Intron at 12 Weeks
    Description
    Cmin was defined as observed minimum plasma concentration.
    Time Frame
    Predose, and 24, 48, 72, 96, and 168 hours postdose at 12 weeks
    Title
    Observed Time to Achieve Cmax (Tmax) of PEG-Intron at 12 Weeks
    Description
    Tmax was defined as time of maximum plasma concentration.
    Time Frame
    Predose, and 24, 48, 72, 96, and 168 hours postdose at 12 weeks
    Title
    Apparent Clearance(CL/F) of PEG-Intron at 12 Weeks
    Description
    CL/F was defined apparent clearance - the volume of plasma in the vascular compartment cleared of drug per unit of time and per kilogram of body weight by the processes of metabolism and excretion.
    Time Frame
    Predose, and 24, 48, 72, 96, and 168 hours postdose at 12 weeks
    Secondary Outcome Measure Information:
    Title
    Number of Participants Who Experienced an Adverse Event (AE)
    Description
    An adverse event (AE) was defined as any untoward medical occurrence or unfavorable and unintended sign in a subject administered a pharmaceutical product, biologic (at any dose), or medical device, whether or not considered related to the use of that product.
    Time Frame
    Entire study duration (up to 5 years)

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Subjects at least 18 years of age, of either sex, and of any race. Cytologically or histologically-confirmed melanoma, arising from a cutaneous or unknown site of origin, at Stages IIB, IIC, IIIA, IIIB, IIIC according to the American Joint Committee on Cancer (AJCC) 2001 guidelines. Adequate hepatic, renal and bone marrow function within 4 weeks prior to initiation of study treatment. Subjects presenting with synchronous primary and regional melanoma must have had adequate surgical margins surrounding the primary lesion. Full lymphadenectomy must be performed within 90 days prior to initiation of study treatment. Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1. Give informed consent according to International Conference on Harmonisation - Good Clinical Practice (ICH-GCP) and national/local policy. Be able to adhere to dose and visit schedules. Female subjects of childbearing potential must be using a medically accepted method of birth control prior to Screening and agree to continue its use during the study or be surgically sterilized. Female subjects of childbearing potential must have a negative serum pregnancy test at Screening. Exclusion Criteria: Female subjects who are pregnant, intend to become pregnant, or are breastfeeding. Previous treatment with interferon alpha, chemotherapy or immunotherapy for melanoma. Ocular melanoma, or melanoma of the mucous membranes. Evidence of distant or non-regional lymph node metastases. In-transit melanoma, even if the lesion has been resected. Disease that cannot be completely surgically resected. Lack of recovery from recent surgery. Prior malignancy within the past 5 years, except surgically cured squamous cell carcinoma of the skin, successfully resected early stage cutaneous melanoma, or cervical carcinoma in situ. Severe cardiovascular disease. Thyroid dysfunction not responsive to therapy. Uncontrolled diabetes mellitus (in the opinion of the investigator). Active autoimmune disease. Active and/or uncontrolled infection. History of seropositivity for human immunodeficiency virus (HIV). Pre-existing psychiatric condition. Clinical diagnosis of substance abuse of one or more of the following drugs within the following timeframes (excluding time spent in detoxification, hospitalization or incarceration): Alcohol, intravenous drug use, inhalational, psychotropics, narcotics, cocaine, prescription or over-the-counter drugs: within 1 year of the Screening visit. Methadone, buprenorphine hydrochloride (HCl), and/or butorphanol tartrate: within 1 year of Screening visit, unless subject has drug screen negative for other (non-narcotic) drugs documented in the past year and repeated negative within 2 months of Screening visit. Multi-drug abuse (2 or more substances in 16a and 16b): within 3 years of Screening visit. Marijuana: If historic use is deemed excessive by the principal investigator (or medically qualified individual), or is interfering with the subject's life, then the subject is not eligible and should not be screened. If marijuana use is not deemed excessive by principal investigator and does not interfere with life, subject must discontinue any current use of marijuana prior to entry into study. Medical condition requiring chronic systemic corticosteroids. Known allergy to the drug substance or any of the excipients in the PEG-Intron formulation. Any situation or condition that, in the opinion of the investigator, may interfere with optimal participation in the study. Use of any investigational drugs within 30 days of study entry. Participation in other clinical studies of investigational treatments.

    12. IPD Sharing Statement

    Plan to Share IPD
    Yes
    IPD Sharing Plan Description
    http://www.merck.com/clinical-trials/pdf/Merck%20Procedure%20on%20Clinical%20Trial%20Data%20Access%20Final_Updated%20July_9_2014.pdf http://engagezone.msd.com/ds_documentation.php
    Citations:
    PubMed Identifier
    20509027
    Citation
    Daud AI, Xu C, Hwu WJ, Urbas P, Andrews S, Papadopoulos NE, Floren LC, Yver A, Deconti RC, Sondak VK. Pharmacokinetic/pharmacodynamic analysis of adjuvant pegylated interferon alpha-2b in patients with resected high-risk melanoma. Cancer Chemother Pharmacol. 2011 Mar;67(3):657-66. doi: 10.1007/s00280-010-1326-9. Epub 2010 May 28.
    Results Reference
    result

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    High-Dose PEG-Intron Pharmacokinetic Study in Patients With Melanoma (Study P04831 AM2)

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