An Open-Label, 2-Cohort, Multicenter, Study of E7080 in Previously Treated Subjects With Unresectable Stage III or Stage IV Melanoma
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Purpose
The purpose of this study is to assess the objective response rate of E7080 in previously treated subjects with American Joint Committee on Cancer (AJCC) unresectable stage III or stage IV melanoma and disease progression.
This study is currently recruiting participants only for Cohort 2. Enrollment is closed for cohort 1.
| Condition | Intervention | Phase |
|---|---|---|
|
Unresectable Stage III or Stage IV Melanoma |
Drug: E7080 |
Phase 2 |
| Study Type: | Interventional |
| Study Design: | Allocation: Non-Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | An Open-Label, 2-Cohort, Multicenter, Phase 2 Study of E7080 in Previously Treated Subjects With Unresectable Stage III or Stage IV Melanoma |
- Objective Response Rate [ Time Frame: First dose -first documentation of disease progression or death measured every 8 weeks ] [ Designated as safety issue: No ]
- Disease Control Rate [ Time Frame: First Dose to disease progression or death followed every 8 weeks ] [ Designated as safety issue: No ]
- Progression Free Survival [ Time Frame: First Dose to disease progression or death followed every 8 weeks ] [ Designated as safety issue: No ]
- Safety and tolerability [ Time Frame: : First Dose to disease progression or death followed every 8 weeks ] [ Designated as safety issue: Yes ]First dose to disease progression or death followed every 8 weeks; Safety: Cycle 1 and 2 (Days 1,15), Cycles "X" , (Days 1); Overall survival - Follow-up every 4 to 8 weeks during the Treatment Phase then every 3 months for the first 2 years, then every 6 months during years 3 and 4 and yearly thereafter.
- Pharmacokinetics and pharmacodynamics [ Time Frame: First Dose to disease progression or death followed every 8 weeks ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 180 |
| Study Start Date: | June 2010 |
| Estimated Primary Completion Date: | April 2013 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
| Experimental: Cohort 1 |
Drug: E7080
Given orally and once daily to subjects with negative BRAF-V600E mutation (other uncommon BRAF activation mutations are allowed) and not treated with BRAF targeted therapy.
|
| Experimental: Cohort 2 |
Drug: E7080
Given orally and once daily to subjects with positive BRAF-V600E mutation (additional other uncommon activating BRAF mutations are allowed) and treated with BRAF-V600E targeted therapy
|
Detailed Description:
This is a multicenter, open-label, 2-cohort, 2 - stage, Phase 2 study to assess the objective response rate of E7080 in previously treated subjects with American Joint Committee on Cancer (AJCC) unresectable stage III or stage IV melanoma and disease progression. Cohort 1 will enroll subjects not harboring the V600E BRAF mutation with disease progression following up to two prior systemic anticancer regimen treatments for unresectable stage III or stage IV melanoma, Cohort 2 will enroll subjects harboring the activating BRAF mutations (mainly the V600E mutation) with disease progression following BRAF-V600E-targeted therapy. Eligible subjects must have measurable disease according to Response Evaluation Criteria in Solid Tumors (RECIST 1.1)
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Histologically confirmed diagnosis of melanoma.
- Unresectable Stage III or stage IV melanoma.
- Evidence of disease progression according to RECIST 1.1 on prior regimen.
- Subjects with brain metastases will be eligible if they have undergone complete surgical excision and are more then 1 month post surgery with no radiographic evidence of disease recurrence in the brain or have undergone stereotactic radio surgery (gamma knife procedure) and are more then 1 month post procedure and with no radiographic evidence of disease progression in the brain; and are asymptomatic, and discontinued corticosteroid treatment at least 30 days prior starting treatment.
- Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1
- Adequately controlled blood pressure
- Adequate renal function
- Adequate bone marrow function
- Adequate blood coagulation function
- Adequate liver function
- Males or females greater than or equal to 18 years of age at the time of informed consent.
- Negative serum or urine pregnancy test
- Voluntary agreement to provide written informed consent
Exclusion Criteria:
- Melanoma of intraocular origin
- Leptomeningeal metastases or brain metastases except as for subjects with brain metastases will be eligible if they have undergone complete surgical excision and are more then 1 month post surgery with no radiographic evidence of disease recurrence in the brain or have undergone stereotactic radio surgery (gamma knife procedure) and are more then 1 month post procedure and with no radiographic evidence of disease progression in the brain; and are asymptomatic, and discontinued corticosteroid treatment at least 30 days prior starting treatment
- More than 2 prior systemic anticancer regimen treatments including immunotherapies for unresectable stage III or stage IV disease (if BRAF V600E mutation negative) or not previously treated with BRAF V600E-targeted therapy or received in the past more than two prior systemic anticancer regimen treatments, including immunotherapies, in addition to a BRAF-V600E-targeted therapy (if BRAF V600E mutation positive)
- Any anti-cancer treatment within 21 days or any investigational agent within 30 days prior to the first dose of study drug
- Inability to take oral medication, gastrointestinal malabsorption, or any other condition that might affect the absorption of E7080.
- Major surgery within 3 weeks prior to the first dose of study drug.
- Significant cardiovascular impairment
- Bleeding disorder or a thrombotic disorder requiring anticoagulant therapy
- Active malignancy (except for melanoma, basal or squamous cell carcinoma of the skin, or carcinoma in-situ of the cervix) within the past 24 months.
- Females who are pregnant or breastfeeding.
- Known intolerance to the study drug (or any of the excipients).
- Any medical or other condition which, in the opinion of the investigator, would preclude participation in a clinical trial.
- prolongation of QTc interval > 480 msec
- 24 hour urine protein >/= 1 gm
- Active hemoptysis within 3 wks prior to the first dose of study drug.
Contacts and Locations
Show 96 Study Locations| Study Director: | Eisai US Medical Services | Eisai Limited |
More Information
No publications provided
| Responsible Party: | Eisai Inc. |
| ClinicalTrials.gov Identifier: | NCT01136967 History of Changes |
| Other Study ID Numbers: | E7080-G000-206 |
| Study First Received: | June 2, 2010 |
| Last Updated: | December 6, 2012 |
| Health Authority: | United States: Food and Drug Administration |
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 |
ClinicalTrials.gov processed this record on May 16, 2013