CP-675,206 In Patients With Advanced Melanoma
Phase 1 Open Label, Non-Randomized, Dose Escalation Study To Evaluate The Safety, Tolerability, Pharmacokinetics, Immune Function Effects, And Efficacy Of Multiple Doses Of CP-675,206 In Patients With Advanced Melanoma, And Phase 2, Open Label, Randomized Study To Evaluate the Efficacy, Safety, Tolerability And Pharmacokinetics Of 2 Regimens Of CP-675,206 In Patients With Advanced Melanoma.
1 other identifier
interventional
118
1 country
9
Brief Summary
The purpose of this study is to assess the efficacy, safety, and tolerability of monoclonal antibody therapy using 2 regimens for the treatment of advanced melanoma
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for phase_2
Started Aug 2003
Longer than P75 for phase_2
9 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
August 1, 2003
CompletedFirst Submitted
Initial submission to the registry
July 1, 2004
CompletedFirst Posted
Study publicly available on registry
July 5, 2004
CompletedPrimary Completion
Last participant's last visit for primary outcome
May 1, 2007
CompletedStudy Completion
Last participant's last visit for all outcomes
May 1, 2009
CompletedJune 6, 2012
June 1, 2012
3.8 years
July 1, 2004
June 5, 2012
Conditions
Keywords
Outcome Measures
Primary Outcomes (2)
Safety
At every scheduled visit for a maximum of 2 years from first dose of study drug
Tumor response
Assessed every 2-3 months up to 2 years from first dose of study drug
Secondary Outcomes (3)
Monitor for human anti-human antibodies at the end of the study
Pre-dose (Cycle 1 only) and end of study
Explore genetic influences on safety and or immune response
Pre-dose, Cycle 1
Assess PK during treatment
All cycles as pre-specified in protocol
Study Arms (2)
10 mg/kg
EXPERIMENTALpts treated at 10 mg/kg dose level on a monthly regimen
15 mg/kg
EXPERIMENTALpts treated at 15 mg/kg dose level on a quarterly regimen
Interventions
Eligibility Criteria
You may qualify if:
- Histologically confirmed: Stage III (AJCC 6th edition)xxl unresectable melanoma, with measurable disease (either locally relapsed unresectable, in-transit lesions or unresectable draining nodes) or Stage IV melanoma, including:
- Metastasis to skin, subcutaneous tissues or distant lymph nodes, or
- Metastasis to lungs, or
- Metastasis to all other visceral sites with either LDH \<= ULN (upper limit of normal) or a single site of metastasis
- Note: Patients with melanoma of ocular origin will be considered ineligible
- Documented progressive disease following adjuvant therapy, localized therapy or other therapy for metastatic disease
- Measurable disease defined by at least one target lesion that can be accurately measured and whose size is at least 1.0 cm (by spiral CT) or 2.0 cm (by conventional techniques) in its longest diameter
- ECOG performance status of 0 or 1 Life expectancy of \> 3 months
- Either gender, aged 18 years and above
- Adequate bone marrow, hepatic, and renal functions determined within 2 weeks prior to starting therapy, defined as:
- Absolute neutrophil count \>= 1.5 x 10(9)cells/L
- Platelets \>= 100 x 10(9)/L
- Hemoglobin \>= 10 g/dL
- Aspartate and alanine aminotransferases (AST, ALT) \<= 2.5 x ULN (\<= 5 x ULN, if documented liver metastases are present)
- Total bilirubin \<= 1.5 x ULN
- +3 more criteria
You may not qualify if:
- Received immunotherapy for cancer within one month prior to the start of screening
- Patients previously treated on this protocol
- History of, or significant evidence of risk for, chronic inflammatory or autoimmune disease (e.g. Addison's disease, asthma, celiac disease, multiple sclerosis, Graves Disease, Hashimoto's thyroiditis, inflammatory bowel disease, psoriasis, rheumatoid arthritis, systemic lupus erythematosus, etc.)
- Potential requirement for systemic corticosteroids or concurrent immunosuppressive drugs based on prior history.
- History of autoimmune colitis or other chronic gastrointestinal conditions associated with diarrhea or bleeding, or current acute colitis of any origin.
- Pregnant or lactating women.
- Dementia or significantly altered mental status that would prohibit the understanding or rendering of informed consent and compliance with the requirements of this protocol.
- Diagnosed or suspected brain metastases. Patients with past history of brain metastases but with no radiologic evidence within 12 weeks prior to enter into the protocol will be eligible.
- Any serious uncontrolled medical disorder or active infection, which would impair their ability to receive study treatment.
- Coexisting malignancies except for basal or squamous cell carcinoma of the skin.
- Received any prior CTLA4 inhibiting agent
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- AstraZenecalead
Study Sites (9)
Research Site
Los Angeles, California, 90095, United States
Research Site
Tampa, Florida, 33612, United States
Research Site
Chicago, Illinois, 60637-1460, United States
Research Site
Ann Arbor, Michigan, 48109-0008, United States
Research Site
Ann Arbor, Michigan, 48109-0843, United States
Research Site
Pittsburgh, Pennsylvania, 15232-1305, United States
Research Site
Pittsburgh, Pennsylvania, 15232, United States
Research Site
Nashville, Tennessee, 37232, United States
Research Site
Houston, Texas, 77030, United States
Related Publications (1)
Comin-Anduix B, Lee Y, Jalil J, Algazi A, de la Rocha P, Camacho LH, Bozon VA, Bulanhagui CA, Seja E, Villanueva A, Straatsma BR, Gualberto A, Economou JS, Glaspy JA, Gomez-Navarro J, Ribas A. Detailed analysis of immunologic effects of the cytotoxic T lymphocyte-associated antigen 4-blocking monoclonal antibody tremelimumab in peripheral blood of patients with melanoma. J Transl Med. 2008 May 1;6:22. doi: 10.1186/1479-5876-6-22.
PMID: 18452610DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
July 1, 2004
First Posted
July 5, 2004
Study Start
August 1, 2003
Primary Completion
May 1, 2007
Study Completion
May 1, 2009
Last Updated
June 6, 2012
Record last verified: 2012-06