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A Phase I/II Study of Daily Oral Dosing With Temozolomide and Sunitinib Malate for 6 Weeks of an 8-Week Cycle in Patients With Metastatic and Unresectable Locally-Advanced Malignant Melanoma


Phase 1/Phase 2
18 Years
N/A
Open (Enrolling)
Both
Metastatic Melanoma

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Trial Information

A Phase I/II Study of Daily Oral Dosing With Temozolomide and Sunitinib Malate for 6 Weeks of an 8-Week Cycle in Patients With Metastatic and Unresectable Locally-Advanced Malignant Melanoma


OBJECTIVES:

Primary

- Assess the maximum tolerated dose of sunitinib malate when administered concurrently
with temozolomide in patients with stage IIIC or IV malignant melanoma. (Phase I)

- Assess the overall safety of this regimen in these patients. (Phase I)

- Determine the response rate in patients treated with this regimen. (Phase II)

Secondary

- Determine the response rate in patients treated with this regimen. (Phase I)

- Determine the safety and tolerability of this regimen in these patients. (Phase II)

- Determine the progression-free survival of patients treated with this regimen.

- Determine the overall survival of patients treated with this regimen.

OUTLINE: This is a phase I, dose-escalation study of sunitinib malate followed by a phase II
study.

Patients receive oral sunitinib malate once daily and oral temozolomide once daily on days
1-42. Treatment repeats every 56 days for up to 1 year in the absence of disease progression
or unacceptable toxicity.

After completion of study therapy, patients are followed up very 6 months for up to 5 years.


Inclusion Criteria:



- Histologically confirmed Stage IIIC unresectable cutaneous or mucosal melanoma with
measureable disease or stage IV cutaneous, mucosal or ocular melanoma with
measureable disease.

- ECOG performance status of 0-2

- age greater than or equal to 18 years

- ANC ≥ 1,500/µL

- Platelet count ≥ 100,000/µL

- Hemoglobin ≥ 10.0 g/dL

- Creatinine ≤ 2 times upper limit of normal (ULN)

- Total bilirubin ≤ 2 times ULN

- LDH ≤ 5 times ULN

- AST or ALT ≤ 2.5 times ULN (≤ 5 times ULN if liver metastasis is present)

- LVEF ≥ 50% on screening ECHO

- women of childbearing potential must have a negative urine or serum pregnancy test
upto 28 days prior to commencement of dosing.

- Fertile patients must use effective contraception during and for ≥ 6 months after
completion of study treatment

- Willing and able to comply with scheduled visits, treatment plans, laboratory tests,
and other study procedures

- before study entry , written informed consent must be obtained. Written informed
consent must be obtained from patient prior to performing any study related
procedures.

Exclusion Criteria

- pregnant or nursing

- any following within the past 12 months:

- Myocardial infarction

- Severe and/or unstable angina

- Coronary and/or peripheral artery bypass graft

- Symptomatic congestive heart failure

- Cerebrovascular accident or transient ischemic attack

- Pulmonary embolism

- ongoing cardiac dysrhythmias ≥ grade 2, according to NCI CTCAE v3.0

- prolonged QTc interval on baseline EKG

- uncontrolled hypertension (i.e., blood pressure > 150/100 mm Hg despite optimal
medical therapy)

- pre-existing thyroid abnormality with thyroid function that cannot be maintained in
the normal range with medication

- any known clinically uncontrolled infectious disease, including HIV positivity or
AIDS-related illness

- severe acute or chronic medical or psychiatric condition or laboratory abnormality
that may increase the risk associated with study participation or study drug
administration or may interfere with the interpretation of study results, and, in the
judgment of the investigator, would make the patient inappropriate for study entry

- prior chemotherapy for melanoma, except for chemotherapy given during isolated limb
perfusion for stage IIIC disease

- Prior adjuvant immunotherapy and/or immunotherapy for metastatic disease allowed

- prior major surgery, radiotherapy, or immunotherapy within 4 weeks of starting
therapy

- treatment with potent CYP3A4 inhibitors 7 days before study dosing

- treatment with potent CYP3A4 inducers 12 days before study dosing

- concurrent treatment on another clinical trial (Concurrent participation on
supportive care trials or non-treatment trials (e.g., quality-of-life trials)
allowed).

- concurrent chemotherapy, immunotherapy, biological therapy, or investigational drugs

- concurrent drugs with dysrhythmic potential, including any of the following:

- Terfenadine

- Quinidine

- Procainamide

- Disopyramide

- Sotalol

- Probucol

- Bepridil

- Haloperidol

- Risperidone

- Indapamide

Type of Study:

Interventional

Study Design:

Endpoint Classification: Safety/Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment

Outcome Measure:

Maximum tolerated dose of sunitinib malate when administered concurrently with temozolomide (Phase I)

Safety Issue:

Yes

Principal Investigator

Bartosz Chmielowski, MD

Investigator Role:

Principal Investigator

Investigator Affiliation:

University of California, Los Angeles

Authority:

United States: Food and Drug Administration

Study ID:

CDR0000634373

NCT ID:

NCT01005472

Start Date:

December 2008

Completion Date:

July 2013

Related Keywords:

  • Metastatic Melanoma
  • stage III melanoma
  • stage IV melanoma
  • recurrent melanoma
  • ciliary body and choroid melanoma, medium/large size
  • extraocular extension melanoma
  • iris melanoma
  • metastatic intraocular melanoma
  • recurrent intraocular melanoma
  • Melanoma

Name

Location

University of California Los Angeles (UCLA) Los Angeles, California  90095