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E7080 in Combination With Dacarbazine Versus Dacarbazine Alone as First Line Therapy in Patients With Stage IV Melanoma
This study is currently recruiting participants.
Verified January 2012 by Eisai Inc.

First Received on May 21, 2010.   Last Updated on January 31, 2012   History of Changes
Sponsor: Eisai Inc.
Collaborator: PharmaBio Development Inc.
Information provided by (Responsible Party): Eisai Inc.
ClinicalTrials.gov Identifier: NCT01133977
  Purpose

Primary:

  • Phase Ib: To define the safety, tolerability and maximum tolerated dose (MTD) of E7080 administered in combination with dacarbazine.
  • Phase II: To evaluate the safety and tolerability of E7080 administered in combination with dacarbazine, compared with dacarbazine alone.

Secondary:

• Phase II: to make a preliminary assessment of the efficacy of E7080 administered in combination with dacarbazine, compared with dacarbazine alone.


Condition Intervention Phase
Stage IV Melanoma
Drug: Dacarbazine
Drug: E7080
Phase I
Phase II

Study Type: Interventional
Study Design: Allocation: Randomized
Endpoint Classification: Safety/Efficacy Study
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Treatment
Official Title: An Open-Label, Multicenter, Randomized, Phase Ib/II Study of E7080 in Combination With Dacarbazine Versus Dacarbazine Alone as First Line Therapy in Patients With Stage IV Melanoma.

Resource links provided by NLM:


Further study details as provided by Eisai Inc.:

Primary Outcome Measures:
  • Safety Parameter: Adverse Events [ Time Frame: Until study termination; 3 years ] [ Designated as safety issue: Yes ]
    Phase 1B: To determine the MTD of E7080 in combination with dacarbazine as determined by occurrence of dose-limiting toxicity at 3 ascending dose levels of E7080. Phase II: Safety and tolerability of E7080 at the MTD determined in Phase Ib in combination with dacarbazine as measured by rate of adverse events by body system and grade.

  • Concomitant Meds [ Time Frame: Until study termination; 3 years ] [ Designated as safety issue: Yes ]
    Phase 1B: To determine the MTD of E7080 in combination with dacarbazine as determined by occurrence of dose-limiting toxicity at 3 ascending dose levels of E7080. Phase II: Safety and tolerability of E7080 at the MTD determined in Phase Ib in combination with dacarbazine as measured by rate of adverse events by body system and grade.

  • Lab Tests [ Time Frame: Day 1 and every 28 of every cycle until study terminaton; 3 years ] [ Designated as safety issue: Yes ]
    Phase 1B: To determine the MTD of E7080 in combination with dacarbazine as determined by occurrence of dose-limiting toxicity at 3 ascending dose levels of E7080. Phase II: Safety and tolerability of E7080 at the MTD determined in Phase Ib in combination with dacarbazine as measured by rate of adverse events by body system and grade.

  • ECGs [ Time Frame: Day 1 and 30 days after termination of therapy; 3 years ] [ Designated as safety issue: Yes ]
    Phase 1B: To determine the MTD of E7080 in combination with dacarbazine as determined by occurrence of dose-limiting toxicity at 3 ascending dose levels of E7080. Phase II: Safety and tolerability of E7080 at the MTD determined in Phase Ib in combination with dacarbazine as measured by rate of adverse events by body system and grade.


Secondary Outcome Measures:
  • Efficacy Parameter [ Time Frame: Time Frame: Progression-Free Survival (PFS) Until disease progression or death for 3 years ] [ Designated as safety issue: No ]
    Phase 1B: To determine the MTD of E7080 in combination with dacarbazine as determined by occurrence of dose-limiting toxicity at 3 ascending dose levels of E7080. Phase II: Safety and tolerability of E7080 at the MTD determined in Phase Ib in combination with dacarbazine as measured by rate of adverse events by body system and grade.

  • Efficacy Parameter [ Time Frame: Time Frame: Time to progression (TTP) Until disease progression or death for 3 years ] [ Designated as safety issue: No ]
    Phase 1B: To determine the MTD of E7080 in combination with dacarbazine as determined by occurrence of dose-limiting toxicity at 3 ascending dose levels of E7080. Phase II: Safety and tolerability of E7080 at the MTD determined in Phase Ib in combination with dacarbazine as measured by rate of adverse events by body system and grade.

  • Efficacy Parameter [ Time Frame: Time Frame: Overall survival (OS) Until death for 3 years ] [ Designated as safety issue: No ]
    Phase 1B: To determine the MTD of E7080 in combination with dacarbazine as determined by occurrence of dose-limiting toxicity at 3 ascending dose levels of E7080. Phase II: Safety and tolerability of E7080 at the MTD determined in Phase Ib in combination with dacarbazine as measured by rate of adverse events by body system and grade.

  • Efficacy Parameter [ Time Frame: Time Frame: Objective Response Rate (ORR) , Until termination of study drug or every 2 months up to 1 year during followup ] [ Designated as safety issue: No ]
    Objective Response Rate (ORR) , the number and percentage of patients with Complete Response (CR), Partial Response (PR), Stable Disease (SD), and Progressive Disease (PD)


Estimated Enrollment: 100
Study Start Date: March 2010
Estimated Study Completion Date: August 2012
Estimated Primary Completion Date: February 2012 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: 2
E7080
Drug: E7080

Test product: dose and mode of administration: E7080 will be provided as 1 mg, 4 mg, and 10 mg tablets. E7080 will be self-administered orally by patients, once-daily, over 3 weeks during each cycle. For the Phase Ib portion, the dose will be 16 mg, 20 mg, or 24 mg and for the Phase II portion, the dose will be the MTD as determined in the Phase Ib portion of the study.

Number of cycles of E7080: until disease progression or unacceptable toxicity develops.

Active Comparator: 1
Dacarbazine
Drug: Dacarbazine
Dacarbazine (1000 mg/m2) IV infusion over 60 minutes on Day 1 of a 21-day cycle.
Other Name: DTIC-Dome

  Eligibility

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

Inclusion Criteria:

  • Patients may be entered in the study only if they meet all of the following criteria.

    1. Male or female patients greater than or equal to 18 years of age;
    2. Patients with histologically-confirmed metastatic melanoma (stage IV, AJCC);
    3. No prior cytokine, chemotherapy, or targeted therapy for Stage IV melanoma.

      • Patients who received adjuvant therapy must be at least 30 days from the last dose. Patients who received adjuvant vaccine therapy must be at least 6 months from the last dose.
      • Isolated limb perfusion therapy is not allowed. Prior resection for Stage III or Stage IV disease is allowed as long as the patient has unresectable lesions at the time of randomization.
    4. Eastern Cooperative Oncology Group (ECOG) Performance Status of 0 or 1;
    5. Life expectancy greater than or equal to 3 months;
    6. At least 1 site of measurable disease by the Response Evaluation Criteria in Solid Tumors version 1.1 (RECIST 1.1 version 1.1) criteria;
    7. Adequate hematologic, renal, liver, and coagulation system function as defined by laboratory values performed within 21 days prior to initiation of dosing.

      • Absolute neutrophil count (ANC) greater than or equal to 1.5 x 109/L
      • Platelet count greater than or equal to 100 x 109/L
      • Hemoglobin greater than or equal to 9 g/dL
      • Serum creatinine less than or equal to 1.5 X ULN and/or creatinine clearance greater than or equal to 50 mL/min per the Cockcroft and Gault formula
      • Total serum bilirubin less than or equal to 1.5 X ULN
      • Serum aspartate transaminase (AST/SGOT) or serum alanine transaminase (ALT/SGPT) less than or equal to 2.5 X ULN, and less than or equal to 5 X ULN if liver metastases are present
      • PT/International normalized ratio (INR) less than or equal to 1.5 X ULN
      • PTT less than or equal to 1.1 X ULN
    8. Blood pressure must be well-controlled (less than or equal to 140/90 mmHg at screening) with or without antihypertensive medication. Patients must have no history of hypertensive crisis or hypertensive encephalopathy;
    9. Fertile men should use an effective method of contraception during treatment and for at least 3 months after completion of treatment as directed by their physician;
    10. Pre-menopausal women and women less than 2 years after the onset of menopause should have a negative pregnancy test at screening. Pre-menopausal women must agree to use an acceptable method of birth control from the time of the negative pregnancy test up to 90 days after the last dose of study drug. Women of non-childbearing potential may be included if they are either surgically sterile or have been postmenopausal for greater than or equal to 1 year;
    11. Before study entry, written informed consent must be obtained from patient prior to performing any study-related procedures.

Exclusion Criteria:

  • Patients will not be entered in the study for any of the following reasons:

    1. Known CNS lesions, except for asymptomatic, nonprogressing, treated brain metastases. Treated brain metastases are defined as having no evidence of progression or hemorrhage, as ascertained by clinical examination and brain imaging (MRI or CT) during the screening period. Treatment for brain metastases must have been completed at least 4 weeks prior to Day 1 and may include whole brain radiotherapy (WBRT), radiosurgery (RS; Gamma Knife, LINAC, or equivalent) or a combination as deemed appropriate by the treating physician. Dexamethasone must be discontinued at least 3 weeks prior to Day 1. Patients with CNS metastases treated by neurosurgical resection or brain biopsy performed within 3 months prior to Day 1 will be excluded;
    2. Lactate dehydrogenase greater than or equal to 2.0 x ULN;
    3. Subjects with proteinuria greater than 1+ on urine dipstick testing will undergo 24-hour urine collection for quantitative assessment of proteinuria. Subjects with 24-hour urine protein greater than or equal to 1 g/24 hours will be ineligible
    4. Pregnant, breast-feeding, or refusing double barrier contraception, oral contraceptives or avoidance of pregnancy measures;
    5. Other active malignancy;
    6. History of or known carcinomatous meningitis;
    7. History of or known ocular melanoma;
    8. Are currently receiving any other treatment for the tumor (including palliative radiotherapy) aside from control of symptoms;
    9. Received treatment in another clinical study within the 30 days prior to commencing study treatment or patients who have not recovered from side effects of an investigational drug to Grade less than or equal to 1, except for alopecia;
    10. Received radiotherapy within the 30 days prior to commencing study treatment or have not recovered from side effects of all radiation-related toxicities to Grade less than or equal to 1, except for alopecia;
    11. Serious non-healing wound, ulcer, bone fracture, or have undergone a major surgical procedure, open biopsy, or significant traumatic injury within the 28 days prior to commencing study treatment. Minor surgery such as Portacath placement or skin biopsy is permitted if greater than or equal to 7 days have passed;
    12. History of bleeding diathesis or coagulopathy;
    13. Current use of anti-coagulants such as Vitamin K antagonists, unfractionated heparin, or low molecular weight heparin;
    14. Refractory nausea and vomiting, malabsorption, significant bowel resection, or any other medical condition that would preclude adequate absorption or result in the inability to take oral medication;
    15. Significant cardiovascular impairment (history of congestive heart failure greater than New York Heart Association [NYHA] Grade II [see Appendix 5]), unstable angina or myocardial infarction within the past 6 months, or serious cardiac arrhythmia);
    16. Any history of cerebral vascular accident (CVA), transient ischemic attack (TIA), or greater than greater than or equal to Grade 2 peripheral vascular disease unless they have had no evidence of active disease for at least 6 months prior to randomization
    17. Active hemoptysis (defined as bright red blood of ½ teaspoon or more) within the 30 days prior to study entry;
    18. History of abdominal fistula, gastrointestinal perforation, or intra-abdominal abscess within the 6 months prior to enrolment;
    19. Patients with an allograft requiring immunosuppression;
    20. Known positive human immunodeficiency virus (HIV), known surface antigen positive for hepatitis B or hepatitis C positive;
    21. History of hypersensitivity reactions to dacarbazine or its excipients;
    22. Hypersensitivity to E7080 and/or E7080 chemical derivative; or
    23. Have any other uncontrolled infection or medical condition which would interfere with the conduct of the study.
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT01133977

Contacts
Contact: Melissa Versola Melissa.Versola@quintiles.com

Locations
United States, Maryland
Washington County Hospital Active, not recruiting
Hagerstow, Maryland, United States, 21740
United States, New York
New York Oncology Hemotology PC - Latham Active, not recruiting
Albany, New York, United States, 12206
United States, South Carolina
Cancer Centers of the Carolinas Recruiting
Greenville, South Carolina, United States, 29605
Contact: Joe Stephenson     864-404-2045        
United States, Texas
University of Texas Southwestern Medical Center Recruiting
Terrell, Texas, United States, 75160
Contact: Carlos Becerra     214-645-5505        
United States, Virginia
Virginia Oncology Associates Active, not recruiting
Norfolk, Virginia, United States, 23502
Germany
Vivantes Klinikum Spandau Recruiting
Berlin, Germany, 13585
Contact: Wolfgang Harth     +49 (0)30 130131550        
Vivantes Klinikum im Friedrichshain Recruiting
Berlin, Germany, 10249
Contact: Barbara Hermes     +49 (0)30 130231308        
Vivantes-Klinikum Neukoelln Recruiting
Berlin, Germany, 12351
Contact: Peter Kohl     +49 (0)30 130143600        
Universitaetsklinikum Heidelberg Recruiting
Heidelberg, Germany, 69115
Contact: Helmut Naeher     +49 (0)6221 5637108        
Klinikum rechts der Isar der TU Muenchen Recruiting
Munich, Germany, 81675
Contact: Ulrich Keller     +49 (0)89 41404111        
Klinikum Nuernberg Nord Recruiting
Nuremberg, Germany, 90419
Contact: Erwin Schulz     +49 (0)911 3982829        
Italy
Istituto Tumori Giovanni Paolo II IRCCS Ospedale Oncologico Recruiting
Bari, Italy, 70126
Contact: Michele Guida     0039 080 5555239        
Fondazione IRCCS Istituto Nazionale dei Tumori Recruiting
Milan, Italy, 20133
Contact: Emilio Bajetta     0039 02 23902722        
IEO Istituto Europeo di Oncologia Recruiting
Milan, Italy, 20141
Contact: Alessandro Testori     +39 02 57489459        
Istituto Nazionale Tumori Fondazione G. Pascale Recruiting
Naples, Italy, 80131
Contact: Paolo Ascierto     0039 081 5903841        
A.O.U. Senese Policlinico Santa Maria alle Scotte Recruiting
Siena, Italy, 53100
Contact: Michele Maio     39 0577 586522        
Spain
HU Clinic i Provincial de Barcelona Not yet recruiting
Barcelona, Spain, 08036
Contact: Ana Mª Arance     + 34 93 227 5400 ext 3456        
HU Ramon y Cajal Not yet recruiting
Madrid, Spain, 28033
Contact: Ainara Soria     + 34 91 787 8600 ext. 1333        
Centro Integral Oncologico Clara Campal Recruiting
Madrid, Spain, 28050
Contact: Emiliano Calvo     + 34 91 756 7800 ext 4026        
Centro Oncologico MD Anderson International España Not yet recruiting
Madrid, Spain, 28033
Contact: Pilar Lopez Criado     + 34 91 787 8600 ext 1333        
Hospital General de Valencia Not yet recruiting
Valencia, Spain, 46014
Contact: Alfonso Berrocal     + 34 96 197 2230        
United Kingdom
Poole General Hospital Not yet recruiting
Poole, Dorset, United Kingdom, BH15 2JB
Contact: Richard Osborne     44 1202 448265        
The Christie Recruiting
Manchester, Greater Manchester, United Kingdom, M20 4BX
Contact: Paul Lorigan     44 161 4468284        
Southampton University Hospitals NHS Trust Not yet recruiting
Southhamptom, Hampshire, United Kingdom, SO166YD
Contact: Christian Ottensmeier     44 23 80795048        
Clatterbridge Hospital Recruiting
Wirral, Merseyside, United Kingdom, CH63 4JY
Contact: Ernie Marshall     44 151 3341155        
Mount Vernon Hospital Recruiting
Northwood, Middlesex, United Kingdom, HA6 2RN
Contact: Paul Nathan     44 1923 844763        
Churchill Hospital Recruiting
Oxford, Oxfordshire, United Kingdom, OX3 7JL
Contact: Mark Middleton     44 01865 235313        
Beatson West of Scotland Cancer Centre Recruiting
Glasgow, United Kingdom
Contact: Jeff Evans     44 141 3017073        
Sponsors and Collaborators
Eisai Inc.
PharmaBio Development Inc.
Investigators
Study Director: Harish Dave, MD Quintiles
  More Information

No publications provided

Responsible Party: Eisai Inc.
ClinicalTrials.gov Identifier: NCT01133977     History of Changes
Other Study ID Numbers: E7080-702
Study First Received: May 21, 2010
Last Updated: January 31, 2012
Health Authority: United States: Food and Drug Administration;   Germany: Bundesinstitut für Arzneimittel und Medizinprodukte (BfArM) ( Federal Institute for Medicinal Products and Medical Devices);   Italy: Ministero della Salute (Ministry of Health);   Spain: Agencia Española de Medicamentos y Productos Sanitarios (AEMPS);   United Kingdom: Medicines and Healthcare Products Regulatory Agency

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
Dacarbazine
Antineoplastic Agents, Alkylating
Alkylating Agents
Molecular Mechanisms of Pharmacological Action
Pharmacologic Actions
Antineoplastic Agents
Therapeutic Uses

ClinicalTrials.gov processed this record on February 09, 2012