Safety and Efficacy Study of a New Chemotherapy Agent to Treat Metastatic Melanoma

December 10, 2015 updated by: Bayer

Phase II Study of MS-275, a Histone Deacetylase Inhibitor, Comparing 2 Dosage Schedules in Patients With Metastatic Melanoma

Primary objective: To evaluate the efficacy of two different dosing schedules of MS-275 in subjects with metastatic melanoma Secondary objectives: To evaluate the safety and to assess the pharmacokinetic profile of MS-275 in subjects with metastatic melanoma

Study Overview

Detailed Description

The study has previously been posted by Schering AG, Germany. Schering AG, Germany has been renamed to Bayer Schering Pharma AG, Germany.Bayer Schering Pharma AG, Germany is the sponsor of the trial.

Study Type

Interventional

Enrollment (Actual)

28

Phase

  • Phase 2

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

18 years and older (Adult, Older Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Description

Inclusion Criteria:

  • Adult subjects with Stage III or IV non-resectable nonuveal (cutaneous or mucosal) metastatic melanoma who had received at least one but no more than two previous systemic therapies (immunotherapy and/or chemotherapy) for metastatic disease and who had not responded to or who had progressed after their most recent therapy were eligible for enrollment
  • Presence of at least one lesion fulfilling the minimum Response Evaluation Criteria in Solid Tumors (RECIST) size requirements for a target lesion - Use of highly effective birth control methods in females of child-bearing potential
  • Able to undergo either contrast enhanced computed tomography (CT) scan or contrast enhanced magnetic resonance imaging (MRI) scan for tumor assessment
  • Life expectancy greater than 3 months
  • Adequate organ and bone marrow functions as defined below: absolute neutrophil count ≥ 1500 /µL, platelets ≥ 100,000 /µL, creatinine ≤ 1.5 × upper limit of normal (ULN) or measured creatinine clearance of ≥ 60 mL/min x 1.73 m2 body surface area, total bilirubin ≤ 1.5 times ULN, aspartate aminotransferase or serum glutamic oxalacetic transaminase/alanine aminotransferase or serum glutamic pyruvic transaminase∗ ≤ 2.5 times ULN
  • Negative serum pregnancy test within 2 weeks prior to receiving the first dose of study drug in female subjects of childbearing potential. Agreement to use a highly effective method of birth control throughout the study period and 3 months thereafter for sexually active males and females of childbearing potentia

Exclusion Criteria:

  • Active malignancy in the last five years
  • Pregnancy, breast feeding
  • HIV infection
  • Brain metastasis
  • Concomitant use of corticosteroids or valproic acid
  • Uncontrolled intercurrent illness
  • Diagnosis of uveal melanoma
  • Eastern Cooperative Oncology Group performance status ≥ 2
  • Ongoing effects from previous investigational drug studies or concomitant participation in other investigational drug studies
  • Prior use of MS-275 or any other HDAC inhibitor
  • History of allergic reactions attributed to compounds of similar chemical or biologic composition to MS-275
  • Anticancer therapy
  • Active gastrointestinal conditions that might predispose for poor drug absorption
  • Major surgery within 4 weeks prior to enrollment
  • Hypophosphatemia < 2.5 mg/dL at screening, if not corrected in the screening period
  • Medical, psychiatric or other conditions that compromise the patient's ability to understand the patient information, to give informed consent, to comply with the trial protocol, or to complete the study

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Treatment
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: None (Open Label)

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Histone Deacetylase Inhibitor, 3 mg
Subjects received 3 mg MS-275 orally biweekly (Days 1 and 15 of a 4 week cycle) or until disease progression or unacceptable toxicity
MS-275, 3 mg on Days 1 and 15 of a 4-week cycle
MS-275, 7 mg on Days 1, 8 and 15 of a 4-week cycle
Experimental: Histone Deacetylase Inhibitor, 7 mg
Subjects received 7 mg MS-275 orally weekly (Days 1, 8, and 15 of a 4 week cycle) until disease progression or unacceptable toxicity
MS-275, 3 mg on Days 1 and 15 of a 4-week cycle
MS-275, 7 mg on Days 1, 8 and 15 of a 4-week cycle

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Time Frame
Overall tumor response rate (the proportion of subjects with the best tumor response of PR or CR within the first 6 cycles of treatment)
Time Frame: Baseline, 8, 16, 24, 32 weeks (cycle 6)
Baseline, 8, 16, 24, 32 weeks (cycle 6)

Secondary Outcome Measures

Outcome Measure
Time Frame
Time to tumor progression
Time Frame: Baseline, every 8 weeks until progression
Baseline, every 8 weeks until progression
Survival
Time Frame: At 6 months
At 6 months
Tumor response rate at each tumor assessment time point (CR/PR/SD/PD/not assessable)
Time Frame: At baseline and repeated every 2 cycles until tumor progression between Day 22 of even numbered cycles and Day 1 of subsequent odd numbered cycle and also at EOT and F-up visiit (90 days after the EOT and every 3 months until disease progression)
At baseline and repeated every 2 cycles until tumor progression between Day 22 of even numbered cycles and Day 1 of subsequent odd numbered cycle and also at EOT and F-up visiit (90 days after the EOT and every 3 months until disease progression)
Time to death
Time Frame: Baseline, every 8 weeks until death
Baseline, every 8 weeks until death
Number of participants with adverse events
Time Frame: Approximately 8-64 weeks
Approximately 8-64 weeks

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start

December 1, 2004

Primary Completion (Actual)

July 1, 2006

Study Completion (Actual)

July 1, 2006

Study Registration Dates

First Submitted

September 12, 2005

First Submitted That Met QC Criteria

September 12, 2005

First Posted (Estimate)

September 16, 2005

Study Record Updates

Last Update Posted (Estimate)

December 14, 2015

Last Update Submitted That Met QC Criteria

December 10, 2015

Last Verified

December 1, 2015

More Information

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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