- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT01638676
A Phase I/II Trial of Vemurafenib and Metformin to Melanoma Patients
October 22, 2021 updated by: Jason Chesney, University of Louisville
A Phase I/II Trial of Vemurafenib and Metformin to Unresectable Stage IIIC and Stage IV BRAF.V600E+ Melanoma Patients
The main purpose of this study is to evaluate the safety of Vemurafenib in combination with Metformin in melanoma patients.
The phase II part of the study will also evaluate the clinical activity of the combined regiment.
Based on pre-clinical studies and a phase I trial, the investigators hypothesize that the combination of an FDA-approved non-toxic dose of oral Metformin with Vemurafenib will yield little toxicity and improve clinical outcomes in terms of objective response rates and survival in metastatic melanoma patients.
Study Overview
Detailed Description
This is a Phase I/II study.
Phase I will be evaluating the safety of the FDA-approved Vemurafenib (960 mg orally, daily) in combination with Metformin (500 mg orally, twice daily for 2 weeks, then 850 mg orally,twice daily) in patients with unresectable Stage IIIC and Stage IV melanoma.
Phase II will evaluate the clinical activity of the combined Vemurafenib/Metformin regimen.
The safety profile of this combined Vemurafenib/Metformin regimen will be monitored during both phases.
The treatment period consists of 28-day cycles until progression or unacceptable toxicity occurs.
Study Type
Interventional
Enrollment (Anticipated)
55
Phase
- Phase 2
- Phase 1
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
-
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Kentucky
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Louisville, Kentucky, United States, 40202
- Recruiting
- James Graham Brown Cancer Center-University of Louisville
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Contact:
- Jason A Chesney, MD PhD
- Phone Number: 502-562-3429
- Email: jason.chesney@louisville.edu
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Contact:
- Sarah Lush, RN
- Phone Number: 502-540-1537
- Email: s.lush@louisville.edu
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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:
- Male or female patients ≥ 18 years of age;
- Patients with histological confirmed BRAFV600E melanoma (Stage IIIC or Stage IV, American Joint Commission on Cancer);
- Eastern Cooperative Oncology Group (ECOG) Performance Status(PS) of 0 to 2;
- Life expectancy ≥ 3 months;
- At least 1 site of radiographically measurable disease by RECIST 1.1
Adequate hematologic, renal, and liver function as defined by laboratory values performed within 42 days prior to initiation of dosing:
- Absolute neutrophil count (ANC) ≥ 1.0 x 109/L;
- Platelet count ≥ 50 x 109/L;
- Hemoglobin ≥ 8 g/dL;
- Serum creatinine ≤ 2 x upper limit of normal (ULN)
- Total serum bilirubin ≤ 3 x ULN;
- Serum aspartate transaminase (AST/SGOT) or serum alanine transaminase (ALT/SGPT) ≤ 3x ULN, and ≤ 4 x ULN if liver metastases are present.
- Fertile males should use an effective method of contraception during treatment and for at least 3 months after completion of treatment, as directed by their physician;
- Pre-menopausal females and females < 2 years after the onset of menopause should have a negative pregnancy test at Screening. Pre-menopausal females 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. Females of non-childbearing potential may be included if they are either surgically sterile or have been postmenopausal for ≥ 1 year;
- Before study entry, written informed consent must be obtained from the patient prior to performing any study-related procedures.
Exclusion Criteria:
- Prior treatment with Vemurafenib;
- Known hypersensitivity to Metformin or any of its components;
- Previous progression of melanoma while on Metformin;
- Received radiotherapy for non CNS disease within the 2 weeks prior to commencing study treatment or have not recovered from side effects of all radiation-related toxicities to Grade ≤ 1, except for alopecia;
- Pregnant, breast-feeding, or refusing double barrier contraception, oral contraceptives, or avoidance of pregnancy measures;
- Have any other uncontrolled infection or medical condition that could interfere with the conduct of 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: NA
- Interventional Model: SINGLE_GROUP
- Masking: NONE
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
EXPERIMENTAL: Vemurafenib and Metformin
|
Vemurafenib (960 mg PO daily) in patients with unresectable BRAFV600E positive Stage IIIC and Stage IV melanoma
Other Names:
Metformin (500 mg PO BID x 2 weeks, then 850 mg PO BID)
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Observation of CTCAE grade 4 or higher adverse events in six patients
Time Frame: Duration of phase I portion, approximately six months
|
In the phase I portion, six patients will be enrolled and observed for CTCAE grade 4 or higher events.
If three or more grade 4 or higher adverse events are observed among the six patients, the study will be halted.
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Duration of phase I portion, approximately six months
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Overall Survival Follow up
Time Frame: Every 12 weeks (+/- 7 days) after last drug dose, for up to 3 full years
|
Patients will be followed for up to three years following the last treatment administration.
The Investigator or designees will make every possible attempt at least every 12 weeks (±7 days), for up to three years after the last treatment to contact the patient or family to obtain the survival information of the patient and, if applicable, the start date of additional anticancer treatment.
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Every 12 weeks (+/- 7 days) after last drug dose, for up to 3 full years
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Number of adverse events
Time Frame: Duration of study, estimated to be approximately 60 months
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Descriptive statistics of all AEs observed during the study period.
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Duration of study, estimated to be approximately 60 months
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type of adverse events
Time Frame: Duration of study, estimated to be approximately 60 months
|
Descriptive statistics of all AEs observed during the study period.
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Duration of study, estimated to be approximately 60 months
|
Objective response rate (ORR)as measure of efficacy
Time Frame: Duration of study (approximately 60 months)
|
Efficacy estimated as the objective response rate (ORR), which is the sum of Partial Responses (PR) and Complete Responses (CR) as determined by RECIST 1.1
|
Duration of study (approximately 60 months)
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Collaborators
Investigators
- Principal Investigator: Jason A Chesney, MD PhD, James Graham Brown Cancer Center-U of Louisville
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 (ACTUAL)
July 1, 2012
Primary Completion (ANTICIPATED)
June 1, 2025
Study Completion (ANTICIPATED)
June 1, 2027
Study Registration Dates
First Submitted
June 1, 2012
First Submitted That Met QC Criteria
July 11, 2012
First Posted (ESTIMATE)
July 12, 2012
Study Record Updates
Last Update Posted (ACTUAL)
October 29, 2021
Last Update Submitted That Met QC Criteria
October 22, 2021
Last Verified
October 1, 2021
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Neoplasms by Histologic Type
- Neoplasms
- Neuroectodermal Tumors
- Neoplasms, Germ Cell and Embryonal
- Neoplasms, Nerve Tissue
- Neuroendocrine Tumors
- Nevi and Melanomas
- Melanoma
- Hypoglycemic Agents
- Physiological Effects of Drugs
- Molecular Mechanisms of Pharmacological Action
- Enzyme Inhibitors
- Antineoplastic Agents
- Protein Kinase Inhibitors
- Metformin
- Vemurafenib
Other Study ID Numbers
- BCC-MEL-11-03
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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