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Safety of TKI258 in Advanced/Metastatic Melanoma Subjects

Primary Purpose

Melanoma

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
TKI258
Sponsored by
Novartis Pharmaceuticals
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Melanoma focused on measuring Locally Advanced or Metastatic Melanoma

Eligibility Criteria

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

Inclusion Criteria: Confirmed diagnosis of locally advanced or metastatic melanoma (American Joint Committee on Cancer [AJCC] stage IIIB, IIIC or IV) that is refractory to standard therapy or for which no curative standard therapy exists. Measurable disease Must be eighteen years of age or older Must meet baseline laboratory requirements ECOG performance status 0 or 1 Adults of reproductive potential must agree to use effective contraception or be sterile Exclusion Criteria: Concurrent therapy with any other investigational agent Uncontrolled central nervous system metastases Impaired cardiac function or clinically significant cardiac disease Received chemotherapy, targeted therapy or monoclonal antibody therapy ≤4 weeks biological therapy or immunotherapy (therapeutic or diagnostic) ≤2 weeks an investigational agent (therapeutic or diagnostic) ≤4 weeks prior to starting study drug or has not recovered from side effects of such therapy Received any hematopoietic colony-stimulating factor (e.g., G-CSF, GM-CSF) ≤ 2 weeks prior to starting study drug. Erythropoietin is allowed. Has undergone major surgery ≤ 2 weeks prior to starting study drug or has not recovered from side effects of such surgery. Malabsorption syndrome or uncontrolled gastrointestinal symptoms such as nausea, diarrhea, vomiting Pregnant or breast feeding women History of another primary malignancy that is currently clinically significant or currently requires active intervention. Chronic anticoagulation therapy with full strength aspirin, Coumadin, or heparin. History of thromboembolic or cerebrovascular events within the last 12 months. History of rectal bleeding, bloody vomit, or spitting up blood within the last 3 months. Known diagnosis of HIV infection (HIV testing is not mandatory) Use of ketoconazole, erythromycin, carbamazepine, phenobarbital, phenytoin, rifampin, St. John's wort and quinidine is prohibited. Other severe, acute, or chronic medical or psychiatric condition or laboratory abnormality that may increase the risk associated with study participation or study-drug administration or may interfere with the interpretation of study results and, in the judgment of the investigator, make the patient inappropriate for this study

Sites / Locations

  • James Graham Brown Cancer Center
  • University of Pittsburgh Cancer Institute
  • MD Anderson Cancer

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

TKI258

Arm Description

Outcomes

Primary Outcome Measures

Dose Expansion: Determine the maximum tolerated dose based on dose limiting toxicity of TKI258
Dose Expansion: Determine the plasma and whole blood pharmacokinetics of orally administered TKI258
Dose Escalation: Assess tumor response according to RECIST as measured by response rate and lack of early progressive disease (<=2 months)

Secondary Outcome Measures

Assess the safety profile of TKI258 in this patient population
Assess the effect of TKI258 on biomarkers in the blood
Assess biomarker changes in tumor/nevi biopsies and archival tumor tissues where accessible, pre- and post-treatment
Assess changes in tumor glucose metabolism/cell viability between pre- and post-treatment using [18F]-FDG-PET
Assess anti-angiogenic effects of TKI258 using DCE-MRI pre- and post-treatment

Full Information

First Posted
March 14, 2006
Last Updated
March 9, 2021
Sponsor
Novartis Pharmaceuticals
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1. Study Identification

Unique Protocol Identification Number
NCT00303251
Brief Title
Safety of TKI258 in Advanced/Metastatic Melanoma Subjects
Official Title
A Phase I/II Dose Escalating Study to Evaluate the Safety, Pharmacokinetics, Pharmacodynamics, and Efficacy of TKI258 (CHIR-258) in Patients With Locally Advanced or Metastatic Melanoma
Study Type
Interventional

2. Study Status

Record Verification Date
February 2013
Overall Recruitment Status
Completed
Study Start Date
April 2006 (undefined)
Primary Completion Date
September 2009 (Actual)
Study Completion Date
undefined (undefined)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Novartis Pharmaceuticals

4. Oversight

5. Study Description

Brief Summary
This study is an open-label, dose-escalating study to delineate the safety, pharmacokinetics (PK), and pharmacodynamics (PD) of TKI258. Pharmacokinetics and pharmacodynamics will be performed on all subjects. The eligible subject population consists of subjects who have been diagnosed with locally advanced or metastatic melanoma that is refractory to standard therapy or for which no curative standard therapy exists.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Melanoma
Keywords
Locally Advanced or Metastatic Melanoma

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1, Phase 2
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
47 (Actual)

8. Arms, Groups, and Interventions

Arm Title
TKI258
Arm Type
Experimental
Intervention Type
Drug
Intervention Name(s)
TKI258
Primary Outcome Measure Information:
Title
Dose Expansion: Determine the maximum tolerated dose based on dose limiting toxicity of TKI258
Time Frame
end of dose escalation
Title
Dose Expansion: Determine the plasma and whole blood pharmacokinetics of orally administered TKI258
Time Frame
PK run-in days 1 & 2, cycle 1 days 1, 8, 15, 16, 28, cycle 2 day 15, cycle 2+ day 28
Title
Dose Escalation: Assess tumor response according to RECIST as measured by response rate and lack of early progressive disease (<=2 months)
Time Frame
every 8 weeks
Secondary Outcome Measure Information:
Title
Assess the safety profile of TKI258 in this patient population
Time Frame
PK run in day 1 & 2, cycle 1 day 8, 15, 28, cycle 2+ day 15 & 28, end of study
Title
Assess the effect of TKI258 on biomarkers in the blood
Time Frame
PK run day 1 & 2, cycle 1 day 2, 15, 28, cycle 2+ day 28, end of study
Title
Assess biomarker changes in tumor/nevi biopsies and archival tumor tissues where accessible, pre- and post-treatment
Time Frame
baseline, cycle 1 day 15, end of study
Title
Assess changes in tumor glucose metabolism/cell viability between pre- and post-treatment using [18F]-FDG-PET
Time Frame
baseline, cycle 1 day 15, cycle 2 day 28
Title
Assess anti-angiogenic effects of TKI258 using DCE-MRI pre- and post-treatment
Time Frame
baseline, cycle 1 day 2 and cycle 2 day 28

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Confirmed diagnosis of locally advanced or metastatic melanoma (American Joint Committee on Cancer [AJCC] stage IIIB, IIIC or IV) that is refractory to standard therapy or for which no curative standard therapy exists. Measurable disease Must be eighteen years of age or older Must meet baseline laboratory requirements ECOG performance status 0 or 1 Adults of reproductive potential must agree to use effective contraception or be sterile Exclusion Criteria: Concurrent therapy with any other investigational agent Uncontrolled central nervous system metastases Impaired cardiac function or clinically significant cardiac disease Received chemotherapy, targeted therapy or monoclonal antibody therapy ≤4 weeks biological therapy or immunotherapy (therapeutic or diagnostic) ≤2 weeks an investigational agent (therapeutic or diagnostic) ≤4 weeks prior to starting study drug or has not recovered from side effects of such therapy Received any hematopoietic colony-stimulating factor (e.g., G-CSF, GM-CSF) ≤ 2 weeks prior to starting study drug. Erythropoietin is allowed. Has undergone major surgery ≤ 2 weeks prior to starting study drug or has not recovered from side effects of such surgery. Malabsorption syndrome or uncontrolled gastrointestinal symptoms such as nausea, diarrhea, vomiting Pregnant or breast feeding women History of another primary malignancy that is currently clinically significant or currently requires active intervention. Chronic anticoagulation therapy with full strength aspirin, Coumadin, or heparin. History of thromboembolic or cerebrovascular events within the last 12 months. History of rectal bleeding, bloody vomit, or spitting up blood within the last 3 months. Known diagnosis of HIV infection (HIV testing is not mandatory) Use of ketoconazole, erythromycin, carbamazepine, phenobarbital, phenytoin, rifampin, St. John's wort and quinidine is prohibited. Other severe, acute, or chronic medical or psychiatric condition or laboratory abnormality that may increase the risk associated with study participation or study-drug administration or may interfere with the interpretation of study results and, in the judgment of the investigator, make the patient inappropriate for this study
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Novartis Pharmaceuticals
Organizational Affiliation
Novartis Pharmaceuticals
Official's Role
Study Director
Facility Information:
Facility Name
James Graham Brown Cancer Center
City
Louisville
State/Province
Kentucky
ZIP/Postal Code
40202
Country
United States
Facility Name
University of Pittsburgh Cancer Institute
City
Pittsburgh
State/Province
Pennsylvania
ZIP/Postal Code
15232
Country
United States
Facility Name
MD Anderson Cancer
City
Houston
State/Province
Texas
ZIP/Postal Code
77030
Country
United States

12. IPD Sharing Statement

Citations:
PubMed Identifier
23400739
Citation
Wang X, Kay A, Anak O, Angevin E, Escudier B, Zhou W, Feng Y, Dugan M, Schran H. Population pharmacokinetic/pharmacodynamic modeling to assist dosing schedule selection for dovitinib. J Clin Pharmacol. 2013 Jan;53(1):14-20. doi: 10.1177/0091270011433330. Epub 2013 Jan 24.
Results Reference
derived
PubMed Identifier
21976540
Citation
Kim KB, Chesney J, Robinson D, Gardner H, Shi MM, Kirkwood JM. Phase I/II and pharmacodynamic study of dovitinib (TKI258), an inhibitor of fibroblast growth factor receptors and VEGF receptors, in patients with advanced melanoma. Clin Cancer Res. 2011 Dec 1;17(23):7451-61. doi: 10.1158/1078-0432.CCR-11-1747. Epub 2011 Oct 5.
Results Reference
derived
Links:
URL
https://www.novctrd.com/ctrdweb/trialresult/trialresults/pdf?trialResultId=4202
Description
Results for (Study ID) from the Novartis Clinical Trials website

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Safety of TKI258 in Advanced/Metastatic Melanoma Subjects

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