A Phase II Trial OF Carboplatin, ABI-007 (Abraxane) And Sorafenib (BAY 43-9006) in Metastatic Melanoma

This study has been completed.
Sponsor:
Collaborators:
Celgene Corporation
Bayer
Information provided by (Responsible Party):
Jose Lutzky, Mt. Sinai Medical Center, Miami
ClinicalTrials.gov Identifier:
NCT00483301
First received: May 30, 2007
Last updated: May 2, 2012
Last verified: May 2012
  Purpose

The purpose of this study is to compare the effects, good and/or bad, of Carboplatin and ABI-007 (Abraxane) in combination with Sorafenib (BAY 43-9006) on Melanoma.


Condition Intervention Phase
Malignant Melanoma
Drug: Sorafenib (BAY 43-9006)
Drug: ABI-007(Abraxane)
Phase 2

Study Type: Interventional
Study Design: Allocation: Non-Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Single Group Assignment
Masking: Open Label
Primary Purpose: Treatment
Official Title: A Phase II Trial OF Carboplatin, ABI-007 (Abraxane) And Sorafenib (BAY 43-9006) in Metastatic Melanoma

Resource links provided by NLM:


Further study details as provided by Mt. Sinai Medical Center, Miami:

Primary Outcome Measures:
  • Primary Objective [ Time Frame: one - two years ] [ Designated as safety issue: No ]
    Measure the response rate (RR) of this combination and schedule in patients with metastatic melanoma


Secondary Outcome Measures:
  • Secondary Objective [ Time Frame: one-two years ] [ Designated as safety issue: No ]
    3.2.1 Assess the safety and toxicity of this regimen in this patient population Determine the 1-year and median PFS of patients treated according to protocol Determine overall survival (OS)


Enrollment: 34
Study Start Date: May 2007
Study Completion Date: August 2009
Primary Completion Date: August 2009 (Final data collection date for primary outcome measure)
Intervention Details:
    Drug: Sorafenib (BAY 43-9006)
    dosage
    Drug: ABI-007(Abraxane)
    dosage
Detailed Description:

The primary objective of this phase II multicenter trial is to:

Measure the response rate (RR) of this combination and schedule in patients with metastatic melanoma

The secondary objectives are to:

Assess the safety and toxicity of this regimen in this patient population

Determine the 1-year and median PFS of patients treated according to protocol

Determine overall survival (OS)

STUDY DESIGN

This will be a Phase II study single arm study with a two-stage design with a maximum sample size of 43 patients, 18 in the first stage and 25 in the second stage.

Study duration: A minimum yearly accrual of 10-15 patients/institution is expected. Therefore, to reach the first stage, the study will take 1.2 to 1.8 years with one institution, 0.6 to 0.9 years with 2 institutions, and 0.4 to 0.6 years with 3. If the study continues to full accrual to 43 patients, completion will take 2.9 to 4.3 years with one institution, 1.4 to 2.2 years with two and 0.96 to 1.43 years with three institutions.

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • Histologically confirmed diagnosis of melanoma with measurable disease
  • Patients with stage IV, previously untreated, refractory to initial therapy or progressing after response to initial therapy
  • Patients with unresectable stage III, including unresectable in-transit metastases
  • Two prior chemotherapy regimen is allowed
  • One prior immunotherapy regimen is allowed
  • No other concurrent investigational therapy
  • Radiation therapy to non-target lesions or to one of multiple target lesions may be allowed on a case-by-case basis
  • Patients must be past the nadir from previous cytotoxic therapy
  • Age at least 18 years
  • ECOG performance status 0-2
  • Hemoglobin > 9.0 g/dl, absolute neutrophil count (ANC) > 1,500/mm3, platelet count > 100,000/mm3
  • Total bilirubin within normal limits, ALT and AST < 2.0 x the ULN ( < 5 x ULN for patients with liver involvement), INR < 1.5 and aPTT within normal limits. Patients who receive anti-coagulation treatment with an agent such as warfarin or heparin may be allowed to participate. For patients on warfarin, close monitoring of at least weekly evaluations will be performed until INR is stable based on a measurement at pre dose, as defined by the local standard of care.
  • Creatinine < 1.5 x ULN, serum calcium within normal limits
  • Patients with stable brain metastasis who have been treated with either whole brain radiation or Gamma Knife and have been off steroids for > 4 weeks
  • Women of childbearing potential and men must agree to use adequate contraception (barrier method of birth control) prior to study entry and for the duration of study participation. Men and women should use adequate birth control for at least three months after the last administration of protocol drugs. Women of childbearing potential must have a negative serum pregnancy test performed within 7 days prior to the start of treatment.
  • Ability to understand and sign a written informed consent document. All patients must have a signed informed consent before registration and initiation of therapy

Exclusion Criteria:

  • Cardiac disease: Congestive heart failure > class II NYHA.
  • Patients must not have unstable angina (anginal symptoms at rest) or new onset angina (began within the last 3 months) or myocardial infarction within the past 6 months.
  • Cardiac ventricular arrhythmias requiring anti-arrhythmic therapy.
  • Uncontrolled hypertension defined as systolic blood pressure > 150 mmHg or diastolic pressure > 90 mmHg, despite optimal medical management.
  • No known severe hypersensitivity or suspected allergy to sorafenib, ABI-007 or any of the excipients
  • Patients with neurological symptoms must undergo a CT scan/MRI of the brain to exclude progressing brain metastasis.
  • Peripheral neuropathy greater than grade II
  • Serious intercurrent medical or psychiatric illness, including serious active infection
  • Known human immunodeficiency virus (HIV) infection or chronic Hepatitis B or C.
  • Thrombotic or embolic events such as a cerebrovascular accident including transient ischemic attacks within the past 6 months.
  • Pulmonary hemorrhage/bleeding event > CTCAE Grade 2 within 4 weeks of first dose of study drug.
  • Any other hemorrhage/bleeding event > CTCAE Grade 3 within 4 weeks of first dose of study drug.
  • Serious non-healing wound, ulcer, or bone fracture.
  • Evidence or history of bleeding diathesis or coagulopathy
  • Major surgery, open biopsy or significant traumatic injury within 4 weeks of first study drug.
  • Use of St. John's Wort or rifampin (rifampicin)
  • Any condition that impairs patient's ability to swallow whole pills.
  • Any malabsorption problem
  • No treatment for melanoma within the previous 4 weeks.
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT00483301

Locations
United States, California
Dr. Steven O'Day
Los Angeles, California, United States, 90025
United States, Florida
Mt. Sinai Medical Center
Miami Beach, Florida, United States, 33140
Sponsors and Collaborators
Mt. Sinai Medical Center, Miami
Celgene Corporation
Bayer
Investigators
Principal Investigator: Jose Lutzky, Physician Mt. Sinai Medical Center Miami Beach Florida
  More Information

No publications provided

Responsible Party: Jose Lutzky, Study Principal Investigator, Mt. Sinai Medical Center, Miami
ClinicalTrials.gov Identifier: NCT00483301     History of Changes
Other Study ID Numbers: MEL0205
Study First Received: May 30, 2007
Last Updated: May 2, 2012
Health Authority: United States: Institutional Review Board

Keywords provided by Mt. Sinai Medical Center, Miami:
Melanoma
Abraxane
Sorafenib
BAY 43-9006
Abraxis

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
Sorafenib
Carboplatin
Paclitaxel
Antineoplastic Agents
Therapeutic Uses
Pharmacologic Actions
Antineoplastic Agents, Phytogenic
Tubulin Modulators
Antimitotic Agents
Mitosis Modulators
Molecular Mechanisms of Pharmacological Action
Protein Kinase Inhibitors
Enzyme Inhibitors

ClinicalTrials.gov processed this record on August 28, 2014