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Cilengitide in Treating Patients With Unresectable or Metastatic Melanoma
This study has been completed.

First Received on May 14, 2004.   Last Updated on June 2, 2010   History of Changes
Sponsor: M.D. Anderson Cancer Center
Collaborator: National Cancer Institute (NCI)
Information provided by: M.D. Anderson Cancer Center
ClinicalTrials.gov Identifier: NCT00082875
  Purpose

RATIONALE: Cilengitide may stop the growth of melanoma by stopping blood flow to the tumor.

PURPOSE: This randomized phase II trial is studying how well cilengitide works in treating patients with unresectable stage III or stage IV melanoma.


Condition Intervention Phase
Melanoma
Drug: Lower Dose Cilengitide
Drug: Cilengitide
Phase II

Study Type: Interventional
Study Design: Allocation: Randomized
Endpoint Classification: Safety/Efficacy Study
Intervention Model: Single Group Assignment
Masking: Double Blind (Subject, Caregiver, Investigator)
Primary Purpose: Treatment
Official Title: A Phase II Study Of EMD 121974 (Cilengitide, NSC 707544) In Patients With Metastatic Melanoma

Resource links provided by NLM:


Further study details as provided by M.D. Anderson Cancer Center:

Primary Outcome Measures:
  • Number of Patients with Progression-free Survival at 8 weeks [ Time Frame: 8 weeks ] [ Designated as safety issue: No ]
    Progression-free survival measured at 8 weeks after completion of study treatment


Secondary Outcome Measures:
  • Overall Response Rate [ Time Frame: 6 months ] [ Designated as safety issue: No ]

Enrollment: 29
Study Start Date: March 2004
Study Completion Date: September 2008
Primary Completion Date: July 2006 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: Arm I Lower Dose
Lower dose of Cilengitide (EMD 121974) = 500 mg intravenous infusion (250mL) over 1-hour twice-weekly
Drug: Lower Dose Cilengitide
500 mg of EMD 121974 intravenous infusion (250mL) over 1-hour twice-weekly, every 28 day cycle.
Other Name: EMD 121974
Experimental: Arm II Higher Dose
Higher dose of Cilengitide (EMD 121974) = 2,000 mg intravenous infusion (250mL) over 1-hour twice-weekly
Drug: Cilengitide
2,000 mg intravenous infusion (250mL) over 1-hour twice-weekly, every 28 day cycle
Other Name: EMD 121974

Detailed Description:

OBJECTIVES:

Primary

  • Determine the clinical efficacy of cilengitide at 2 different doses, in terms of the 8-week progression-free survival rate, in patients with unresectable stage III or stage IV melanoma.

Secondary

  • Determine the response rate in patients treated with this drug.
  • Determine the overall survival rate of patients treated with this drug.
  • Determine the safety and toxicity of this drug in these patients.
  • Determine the population pharmacokinetics of this drug in these patients.
  • Determine the biological activity of this drug in these patients.

OUTLINE: This is a randomized, double-blind study. Patients are stratified according to prior systemic treatment (yes vs no), visceral metastases (yes vs no), serum lactic dehydrogenase level (normal vs abnormal), and tumor integrin α_vβ_3 overexpression (yes vs no). Patients are randomized into 1 of 2 treatment arms.

  • Arm I: Patients receive cilengitide IV over 1 hour on days 1, 4, 8, 11*, 15, 18, 22, and 25. Courses repeat every 28 days in the absence of disease progression or unacceptable toxicity.

NOTE: *For the first course only, treatment is omitted on day 11

  • Arm II: Patients receive cilengitide as in arm I at a higher dose. After completion of study treatment, patients are followed every 3 months for 1 year and then every 6 months thereafter.

PROJECTED ACCRUAL: A total of 26-56 patients (13-28 per treatment arm) will be accrued for this study within 14-20 months.

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  1. Patients must have histologically or cytologically confirmed stage IV or unresectable stage III metastatic melanoma of cutaneous, mucosal or unknown origin.
  2. Patients must have measurable disease, defined as at least one lesion that can be accurately measured in at least one dimension (longest diameter to be recorded) as 15 mm or longer with conventional techniques or with spiral CT scan. In case of obviously visible cutaneous metastatic lesions, the margins of the lesions should be clearly defined and measured in at least one dimension as 10 mm or longer. See section 11.0 for the evaluation of measurable disease.
  3. Patient may have received prior interferon therapy (only in an adjuvant setting for resected stage III melanoma) and/or up to 1 prior systemic treatment regimen (chemotherapy, biotherapy, or biochemotherapy) for stage IV disease. Active vaccine therapy will not be considered as "prior systemic treatment".
  4. Radiographic studies used to assess disease must have been performed within 21 days prior to registration. If a target lesion has been previously embolized, perfused or irradiated, there must be objective evidence of progression before start of therapy to be considered for response assessment.
  5. Age of 18 years or older
  6. ECOG performance status of 2 or less (or Karnofsky 60% or higher).
  7. Patients must have normal organ and marrow function as defined in the protocol.
  8. Patient must have a hemoglobin of at least 9 gm/dl (this may be achieved by transfusion if needed) obtained within 14 days prior to registration. In case that PRBC transfusion is needed to obtain a hemoglobin level of at least 9 gm/dl, the hemoglobin level should not be reduced more than 1 gm/dl for at least 1 week.
  9. The effects of EMD 121974 on the developing human fetus at the recommended therapeutic dose are unknown. For this reason and because antiangiogenic agents are known to be teratogenic, women of child-bearing potential and men must agree to use adequate contraception (hormonal or barrier method of birth control; abstinence) prior to study entry and for the duration of study participation. Should a woman become pregnant or suspect she is pregnant while participating in this study, she should inform her treating physician immediately.
  10. Ability to understand and the willingness to sign a written informed consent document.

Exclusion Criteria:

  1. Patients with metastatic melanoma of choroidal origin
  2. Patients must not have received the following drugs prior to enrollment: endostatin, angiostatin, bevacizumab or any integrin-targeted drugs
  3. Subjects who require concurrent treatment with a non-permitted medication (such as anticoagulant therapy other than for flushing of intravenous port device, or used for thrombosis prophylaxis)
  4. Patients who have had chemotherapy or radiotherapy within 4 weeks (6 weeks for nitrosoureas or mitomycin C) prior to entering the study or those who have not recovered to grade 1 toxicity from adverse events due to agents administered more than 4 weeks earlier.
  5. Patients may not be receiving any other investigational agents.
  6. Patients with known brain metastases should be excluded from this clinical trial. However, the following is an exception; patients who have no radiographical evidence of recurrences in the brain for at least 3 months after the complete resection of the brain metastases or who have asymptomatic brain metastases stable for at least 3 months since the whole brain radiation therapy and/or stereotactic radiosurgery will be eligible for this study. Patients must not require a steroid treatment for brain metastases.
  7. Subjects with a history of wound-healing disorders, advanced coronary disease (such as unstable angina pectoris or arrhythmia LOWN IV, cardiac or cardiovascular abnormalities NYHA III/IV), or with a recent history (within 6 months) of peptic ulcer disease.
  8. Uncontrolled intercurrent illness including, but not limited to, ongoing or active infection, symptomatic congestive heart failure, unstable angina pectoris, cardiac arrhythmia, or psychiatric illness/social situations that would limit compliance with study requirements.
  9. Pregnant women are excluded from this study because EMD 121974 is an antiangiogenic agent with the potential for teratogenic or abortifacient effects. Because there is an unknown but potential risk for adverse events in nursing infants secondary to treatment of the mother with EMD 121974, breastfeeding should be discontinued if the mother is treated with EMD 121974. Lactating women must not breastfeed.
  10. No other prior malignancy is allowed except for the following: adequately treated basal cell or squamous cell skin cancer, in situ cervical cancer, adequately treated Stage I or II cancer from which the patient is currently in complete remission, or any other cancer from which the patient has been disease-free for 5 years.
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00082875

Locations
United States, Texas
M.D. Anderson Cancer Center at University of Texas
Houston, Texas, United States, 77030-4009
Sponsors and Collaborators
M.D. Anderson Cancer Center
Investigators
Study Chair: Kevin Kim, MD M.D. Anderson Cancer Center
  More Information

Additional Information:
No publications provided

Responsible Party: Kevin B. Kim, M.D., UT MD Anderson Cancer Center
ClinicalTrials.gov Identifier: NCT00082875     History of Changes
Other Study ID Numbers: 2003-0988, P30CA016672, MDA-2003-0988, NCI-6387, CDR0000360886
Study First Received: May 14, 2004
Last Updated: June 2, 2010
Health Authority: United States: Food and Drug Administration

Keywords provided by M.D. Anderson Cancer Center:
Skin Cancer
angiogenesis inhibitor
stage III melanoma
stage IV melanoma
EMD 121974
Cilengitide

Additional relevant MeSH terms:
Melanoma
Neuroendocrine Tumors
Neuroectodermal Tumors
Neoplasms, Germ Cell and Embryonal
Neoplasms by Histologic Type
Neoplasms
Neoplasms, Nerve Tissue
Nevi and Melanomas
Angiogenesis Inhibitors
Angiogenesis Modulating Agents
Growth Substances
Physiological Effects of Drugs
Pharmacologic Actions
Growth Inhibitors
Antineoplastic Agents
Therapeutic Uses

ClinicalTrials.gov processed this record on February 09, 2012