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17-N-Allylamino-17-Demethoxygeldanamycin in Treating Patients With Stage III or Stage IV Melanoma
This study has been completed.
First Received: July 8, 2004   Last Updated: January 22, 2009   History of Changes
Sponsor: Memorial Sloan-Kettering Cancer Center
Collaborator: National Cancer Institute (NCI)
Information provided by: National Cancer Institute (NCI)
ClinicalTrials.gov Identifier: NCT00087386
  Purpose

RATIONALE: Antitumor antibiotics such as 17-N-allylamino-17-demethoxygeldanamycin may stop the growth of melanoma by stopping blood flow to the tumor.

PURPOSE: This phase II trial is studying how well 17-N-allylamino-17-demethoxygeldanamycin works in treating patients with stage III or stage IV melanoma.


Condition Intervention Phase
Melanoma (Skin)
Drug: tanespimycin
Phase II

Study Type: Interventional
Study Design: Treatment, Open Label
Official Title: Phase II Trial Of 17-N-Allylamino-17-Demethoxy Geldanamycin (17-AAG, NSC #330507) Diluted In EPL Diluent (NSC #704057) In Metastatic Melanoma Patients

Resource links provided by NLM:


Further study details as provided by National Cancer Institute (NCI):

Primary Outcome Measures:
  • Response rate (complete and partial response) [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Stable disease rate at 1 year [ Designated as safety issue: No ]
  • Toxicity rate [ Designated as safety issue: Yes ]
  • Rate of decrease in levels of ARAF, BRAF, CRAF, P-MAPK, CDK4, and/or cyclin D1 as measured by immunoblot at baseline and after completion of study therapy [ Designated as safety issue: No ]
  • Cyclin D1 and phospho-MAPK expression as measured by immunohistochemistry [ Designated as safety issue: No ]
  • BRAF and N-RAS mutations [ Designated as safety issue: No ]

Estimated Enrollment: 50
Study Start Date: June 2004
Detailed Description:

OBJECTIVES:

  • Determine the measurable antitumor effects of 17-N-allylamino-17-demethoxygeldanamycin (17-AAG) in patients with stage III or IV melanoma.
  • Determine clinical response in patients treated with this drug.
  • Determine whether this drug disrupts the MAPK pathway by depleting intratumor stores of RAF kinases and/or downstream proteins, such as phospho-ERK, CDK4, or cyclin D1, in these patients.
  • Correlate the effects of this drug with the presence of mutated BRAF within the melanoma tumor of these patients.

OUTLINE: This is a multicenter study. Patients are stratified according to presence of BRAF mutation in tumor (yes vs no).

Patients receive 17-N-allylamino-17-demethoxygeldanamycin (17-AAG) IV over 1-6 hours once weekly for 6 weeks. Courses repeat every 56 days in the absence of disease progression or unacceptable toxicity.

PROJECTED ACCRUAL: A total of 32-50 patients (16-25 per stratum) will be accrued for this study within 1.5-2.5 years.

  Eligibility

Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

DISEASE CHARACTERISTICS:

  • Histologically or cytologically confirmed melanoma

    • Stage III or IV disease
  • No primary melanoma of the choroid or mucosa
  • Measurable disease

    • At least 1 unidimensionally measurable lesion ≥ 20 mm by conventional techniques OR ≥ 10 mm by spiral CT scan
  • Tumor amenable to biopsy (for the first 10 patients in each stratum only)

    • Patients must have measurable disease in addition to the tumor(s) to be biopsied
  • No brain or epidural metastases

    • Completely resected solitary brain metastases allowed provided patient has been free of CNS metastases for ≥ 6 months

PATIENT CHARACTERISTICS:

Age

  • Any age

Performance status

  • Karnofsky 60-100% OR
  • ECOG 0-2

Life expectancy

  • More than 3 months

Hematopoietic

  • Absolute neutrophil count ≥ 1,500/mm^3
  • Platelet count ≥ 100,000/mm^3
  • WBC ≥ 3,000/mm^3

Hepatic

  • AST and ALT ≤ 2.5 times upper limit of normal

Renal

  • Creatinine normal

Cardiovascular

  • No symptomatic congestive heart failure
  • No unstable angina pectoris
  • No cardiac arrhythmia
  • No history of myocardial infarction
  • No history of prolonged QTc interval
  • No active ischemic heart disease within the past 12 months
  • No uncontrolled dysrhythmia or dysrhthmias requiring medication
  • No congenital prolonged QT syndrome
  • No left bundle branch block

Other

  • Not pregnant or nursing
  • Negative pregnancy test
  • Fertile patients must use effective contraception
  • No prior allergic reaction attributed to compounds of similar chemical or biological composition to 17-N-allylamino-17-demethoxygeldanamycin (17-AAG)
  • No prior serious allergic reaction to eggs
  • No other uncontrolled illness
  • No active or ongoing infection requiring systemic antimicrobial treatment
  • No psychiatric illness or social situation that would preclude study compliance

PRIOR CONCURRENT THERAPY:

Biologic therapy

  • See Chemotherapy

Chemotherapy

  • No more than 1 prior chemotherapy regimen for metastatic melanoma

    • Prior vaccines, cytokines, or interferon alfa is not considered prior therapy unless administered with a chemotherapy drug
  • More than 4 weeks since prior chemotherapy (6 weeks for nitrosoureas or mitomycin) and recovered

Endocrine therapy

  • Not specified

Radiotherapy

  • Prior radiotherapy dose ≤ 3,000 cGy to fields including substantial marrow
  • More than 4 weeks since prior radiotherapy and recovered
  • No prior radiotherapy field that included the heart (e.g., mantle)

Surgery

  • See Disease Characteristics

Other

  • No concurrent combination antiretroviral therapy for HIV-positive patients
  • No concurrent medications that may prolong the QTc interval
  • No other concurrent anticancer therapy
  • No other concurrent investigational agents
  • No concurrent treatment with any of the following medications or herbal remedies:

    • Inhibitors of CYP3A4:

      • Fluconazole
      • Itraconazole
      • Ketoconazole
      • Macrolide antibiotics (azithromycin, clarithromycin, erythromycin, or troleandomycin)
      • Midazolam
      • Nifedipine
      • Verapamil
      • Diltiazem
      • Terfenadine
      • Cyclosporine
      • Cisapride
    • Inducers of CYP3A4:

      • Carbamazepine
      • Phenobarbital
      • Phenytoin
      • Rifampin
    • Herbal extracts and tinctures with CYP3A4 inhibitory activity:

      • Hydrastis canadensis (goldenseal)
      • Hypericum perforatum (St. John's wort)
      • Uncaria tomentosa (cat's claw)
      • Echinacea angustifolia roots
      • Trifolium pratense (wild cherry)
      • Matricaria chamomila (chamomile)
      • Glycyrrhiza glabra (licorice)
      • Dillapiol
      • Hypericin
      • Naringin
  • No other concurrent herbal extracts
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00087386

Locations
United States, Florida
H. Lee Moffitt Cancer Center and Research Institute at University of South Florida
Tampa, Florida, United States, 33612-9497
United States, New Jersey
Cancer Institute of New Jersey at UMDNJ - Robert Wood Johnson Medical School
New Brunswick, New Jersey, United States, 08903
United States, New York
Memorial Sloan-Kettering Cancer Center
New York, New York, United States, 10021
NYU Cancer Institute at New York University Medical Center
New York, New York, United States, 10016
Sponsors and Collaborators
Memorial Sloan-Kettering Cancer Center
Investigators
Study Chair: Paul B. Chapman, MD Memorial Sloan-Kettering Cancer Center
  More Information

Additional Information:
Publications:
Study ID Numbers: CDR0000374980, MSKCC-04056, NCI-6480
Study First Received: July 8, 2004
Last Updated: January 22, 2009
ClinicalTrials.gov Identifier: NCT00087386     History of Changes
Health Authority: United States: Federal Government

Keywords provided by National Cancer Institute (NCI):
stage III melanoma
stage IV melanoma
recurrent melanoma

Additional relevant MeSH terms:
Neuroectodermal Tumors
Neoplasms
Neoplasms by Histologic Type
Neoplasms, Germ Cell and Embryonal
Neoplasms, Nerve Tissue
Nevi and Melanomas
Neuroendocrine Tumors
Melanoma

ClinicalTrials.gov processed this record on February 08, 2010