Efficacy Study Of P276-00 In Subjects Of Malignant Melanoma Positive For Cyclin D1 Expression (ENVER)

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT00835419
Recruitment Status : Completed
First Posted : February 3, 2009
Last Update Posted : December 4, 2012
Information provided by (Responsible Party):
Piramal Enterprises Limited

Brief Summary:
The purpose of this study is to evaluate efficacy of P276-00 in subjects with advanced malignant melanoma positive for cyclin D1 expression

Condition or disease Intervention/treatment Phase
Melanoma Drug: P276-00 Phase 2

Detailed Description:
Currently, melanoma is the fifth most common cancer diagnosed in men and the seventh most common cancer diagnosed in women.Advanced melanoma has a very poor prognosis.For a vast majority of subjects with malignant melanoma, there are no effective therapies.Therefore, the development of effective therapies for this subject population remains a priority in oncology.In a limited study in melanomas, increased cyclin D1 protein expression, as was observed in 33% cases.P276-00 is a novel potent small molecule flavone derived Cyclin dependent kinase (Cdk) Cdk 4-D1, Cdk1-B and Cdk9-T inhibitor.P276-00 demonstrated significant and selective antiproliferative effect against melanoma cell lines.

Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 12 participants
Intervention Model: Single Group Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: An Open Label, Multicentre, Two Stage, Phase II Study To Evaluate Efficacy And Safety Of P276-00 In Subjects Of Malignant Melanoma Positive For Cyclin D1 Expression
Study Start Date : May 2009
Actual Primary Completion Date : April 2011
Actual Study Completion Date : November 2012

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Melanoma
U.S. FDA Resources

Arm Intervention/treatment
Experimental: 1
P276-00 investigational product (small molecule Cdk 4-D1, Cdk1-B and Cdk9-T inhibitor)
Drug: P276-00
P276-00 -small molecule Cdk 4-D1, Cdk1-B and Cdk9-T inhibitor

Primary Outcome Measures :
  1. Progression Free Survival rate at Day 168 [ Time Frame: 168 days ]

Secondary Outcome Measures :
  1. Overall survival rate at 1 year, objective response rate,duration of response [ Time Frame: 1 year ]

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Ages Eligible for Study:   18 Years and older   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  1. Subject with histologically confirmed stage III (unresectable) or stage IV metastatic melanoma as per revised AJCC melanoma staging
  2. Subject positive for cyclin D1 expression by appropriate technique
  3. Subject with at least one metastasis in which surgery was not a curative option and had relapsed from, or had not responded to at least one regimen containing Dacarbazine and or IL-2
  4. Subjects with measurable disease [at least one unidimensionally measurable lesion ³ 20 mm with conventional techniques (CT, MRI, X-ray) or ³ 10 mm by spiral CT scan]
  5. Subject of either sex and 18 years of age or elder
  6. Eastern Cooperative Oncology Group (ECOG) performance status 2 or less
  7. Subject with life expectancy of at least 4 months
  8. Subject must have normal organ and marrow function as defined below

    • Hemoglobin ≥ 9 g/dL
    • Absolute Neutrophil count ≥ 1,500/mm3
    • Platelets ≥ 100,000/mm3
    • Total bilirubin ≤ 1.5 X institutional upper limit of normal (ULN)
    • AST/ALT ≤ 2.5 X institutional ULN or ≤ 5 X ULN if liver function abnormalities are due to underlying malignancy
    • S. creatinine within 1.5 times the upper normal institutional limits
  9. Subjects with metastatic disease to the central nervous system will be included provided they had either:

    • No evidence of leptomeningeal disease
    • Resected CNS metastasis without evidence of recurrence for 12 week or more
    • Brain metastasis treated by radiosurgery without evidence of recurrence or progression for 12 week or more
    • Multiple brain lesions treated with whole brain radiation therapy (WBRT) with stable disease off corticosteroids for 12 week or more prior to start of therapy
  10. Ability to understand and the willingness to sign a written informed consent document.

Exclusion Criteria:

  1. Treatment with P276?00 or other cyclin dependent kinase (CDK) targeting agents anytime in the past
  2. History of allergic reactions attributed to compounds of chemical composition similar to P276?00
  3. Subject who have had chemotherapy, immunotherapy or radiotherapy within 4 week prior to first dosing of study agent. For nitrosoureas, there shall be interval of at least six week from first dosing of study agent
  4. Subject who have not recovered from adverse events (AE ³ CTCAE Grade 2) due to agents administered more than 4 week earlier.
  5. Subject who had received any other investigational drug within 1 month prior to day 1 of study drug administration
  6. Prior malignancy (within the last 3 years) except for adequately treated basal cell or squamous cell skin cancer, in situ cervical cancer, in situ breast cancer, in situ prostate cancer or any other cancer for which the subject has been disease-free for at least 3 years
  7. Any medical condition (such as but not limited to severe/unstable angina, history of myocardial infarction, coronary/peripheral artery bypass graft, symptomatic congestive cardiac failure, cerebrovascular accident or transient ischemic attack, pulmonary embolism) or laboratory abnormality(ies) which might make it difficult for the subject to participate in the study, at the discretion of the Principal Investigator (PI)or co-PI
  8. Known human immunodeficiency virus (HIV) positivity or acquired immunodeficiency syndrome (AIDS) related illness
  9. QTc > 470 millisecond on 12 lead Electrocardiogram at screening
  10. Pregnant or nursing women
  11. Women of childbearing potential [defined as a sexually mature woman who has not undergone hysterectomy or who has not been naturally postmenopausal for at least 24 consecutive months (i.e. who has had menses any time in the preceding 24 consecutive months)] and men, not agreeing to use adequate contraception (e.g., hormonal or barrier method of birth control or abstinence) after signing an informed consent document (ICD), during the duration of study participation and for at least 4 week after withdrawal from the study, unless they are surgically sterilized

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To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT00835419

Australia, New South Wales
University of Newcastle, School of Medicine and Public Health
Newcastle, New South Wales, Australia, 2300
Mater Adult Hospital Raymond Tce South Brisbane, QLD 4101
Brisbane, Australia
Peninsula Oncology Centre
Frankston, Australia, 3199
John Fawkner Cancer Trial Centre
Victoria, Australia, 3058
Curie Manavata Cancer Center
Nasik, Maharashtra, India, 422 004
Chhatrapati Shahuji Maharaj Medical University
Lucknow, Uttar Pradesh, India, 22600
New Zealand
Christchurch Oncology Research Unit, Oncology Service, Christchurch Hospital, Riccarton Avenue, Private Bag 4710, Christchurch,
Christchurch, New Zealand
Sponsors and Collaborators
Piramal Enterprises Limited
Principal Investigator: Peter Hersey, MD Newcastle University

Responsible Party: Piramal Enterprises Limited Identifier: NCT00835419     History of Changes
Other Study ID Numbers: P276-00/27/08
First Posted: February 3, 2009    Key Record Dates
Last Update Posted: December 4, 2012
Last Verified: December 2012

Keywords provided by Piramal Enterprises Limited:
metastatic malignant melanoma with cyclin D1 positivity

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