Efficacy Study of Pharmacokinetic(PK)/Pharmacodynamic(PD) Relationship of Monotherapy MORAb-004 in Metastatic Melanoma
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Purpose
This is a global, Phase 2, open label, dose selection, proof-of-concept study to assess progression free survival in subjects with metastatic melanoma.
80+ subjects at 29 sites in the U.S., U.K., Germany and Australia will be randomized into one of two dose groups: 2 mg/kg, 4 mg/kg. Weekly treatment will continue until disease progression.
Subjects must have measurable disease by CT Scan or MRI and must have completed at least one prior round of chemotherapy.
Subjects will be assessed for Efficacy, PK/PD, Overall survival, and Safety (Adverse Events/Adverse Events of Interest, Electrocardiograms (ECG's), clinical labs, physical exams/vital signs, tolerability).
| Condition | Intervention | Phase |
|---|---|---|
|
Metastatic Melanoma |
Biological: MORAb-004 (monoclonal antibody) |
Phase 2 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | A Study of the Efficacy and PK/PD Relationship of Monotherapy MORAb-004 in Subjects With Metastatic Melanoma |
- Progression Free Survival (PFS) rate based on RECIST [ Time Frame: after 80 subjects complete 24 weeks of treatment ] [ Designated as safety issue: No ]Evaluate the rate of PFS at 24 weeks for two dose levels of MORAb-004 based on RECIST (radiographic measure of tumors)
| Enrollment: | 81 |
| Study Start Date: | April 2011 |
| Estimated Study Completion Date: | December 2013 |
| Primary Completion Date: | March 2013 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: MORAb-004, 2 mg/kg
Biologic (monoclonal antibody)
|
Biological: MORAb-004 (monoclonal antibody)
Subjects will receive one cycle of treatment with MORAb-004, administered intravenously, on Days 1, 8, 15, and 22 (4 administrations per cycle). Additional cycles will continue without interruption until disease progression occurs.
|
|
Experimental: MORAb-004, 4 mg/kg
Biologic (monoclonal antibody)
|
Biological: MORAb-004 (monoclonal antibody)
Subjects will receive one cycle of treatment with MORAb-004, administered intravenously, on Days 1, 8, 15, and 22 (4 administrations per cycle). Additional cycles will continue without interruption until disease progression occurs.
|
Detailed Description:
MORAb-004 is a monoclonal antibody directed against endosialin, a cell surface glycoprotein, which is expressed on cells involved in tumor vasculature. Studies have found endosialin to play a key role in tumor growth and neovessel formation in numerous cancer types including melanoma. Preclinical pharmacological studies have shown that MORAb-004 is a potentially useful anti-cancer agent. This clinical trial is being performed to determine the efficacy of MORAb-004 at two dose levels in subjects with metastatic melanoma, as well as to establish serum pharmacokinetics and pharmacodynamics of the antibody.
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Histologically confirmed diagnosis of metastatic melanoma
- At least one prior line of systemic treatment with confirmed progression of disease
- Measurable disease, as defined by RECIST, assessed within 4 wks prior to study entry
- At least 3 week interval between first infusion of test article and most recent prior systemic anticancer therapy
- ECOG Performance Status of 0 or 1
Exclusion Criteria:
- Evidence of other active malignancy requiring treatment within the last 5 years (other than basal cell or squamous cell carcinoma of the skin), or active brain metastasis
- Clinically significant heart disease (Congestive heart failure of NYHA Class 3 or 4, angina not well controlled by medication, or myocardial infarction within 6 mos.), or ECGs demonstrating clinically significant arrhythmias
- Brain metastasis
- Known allergic reaction to a prior monoclonal antibody therapy
- Previous treatment with MORAb-004
Contacts and Locations
Show 29 Study Locations
More Information
No publications provided
| Responsible Party: | Morphotek |
| ClinicalTrials.gov Identifier: | NCT01335009 History of Changes |
| Other Study ID Numbers: | MORAb-004-201MEL |
| Study First Received: | March 14, 2011 |
| Last Updated: | April 22, 2013 |
| Health Authority: | United States: Food and Drug Administration Germany: Paul-Ehrlich-Institut Australia: National Health and Medical Research Council United Kingdom: Medicines and Healthcare Products Regulatory Agency |
Keywords provided by Morphotek:
|
melanoma malignant metastatic |
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 Antibodies Antibodies, Monoclonal Immunologic Factors Physiological Effects of Drugs Pharmacologic Actions |
ClinicalTrials.gov processed this record on May 22, 2013