A Study to Assess APO866 for the Treatment of Advanced Melanoma

NCT00432107 | Completed Phase 2

• 1 other identifier: AP3003
• Study Type: interventional
• Target: 25
• Locations: 4 countries
• Sites: 6

Brief Summary

This phase II study is designed to determine the efficacy and safety of APO866 for the treatment of patients with advanced cutaneous melanoma. APO866 has shown to induce growth inhibition in cultures of human melanoma cells as well as in animal models with subcutaneously implanted melanoma tumors. APO866 was considered to be safe and well tolerated in a phase I study that treated 24 patients with advanced cancer. In that study one of the two patients with advanced melanoma had a stable disease for 5 months with size reduction of some lesions. APO866 is administered by intravenous infusion continuously for 96 hours that is repeated every 4 weeks. Patients will receive 3 cycles of treatment and the primary efficacy endpoint will be assessed at Week 16. Patients will be follow-up for 12 months.

Conditions

Melanoma

Keywords

Advanced cutaneous melanoma; Phase II study

Outcome Measures

Primary Outcomes (1)

• To determine the tumor response rate (according to Response Evaluation Criteria in Solid Tumors (RECIST) criteria) as the proportion of eligible patients with stage IV cutaneous melanoma or stage III not amenable to surgery.

  Week 16

Secondary Outcomes (6)

• Safety and tolerability

  Week 16 and 12 months follow-up

• Time to response

  Week 16

• Duration of response

  Week 16

• Progression free survival

  12 months

• Overall survival

  12 months

Study Arms (1)

2-stage mono therapy of APO866

EXPERIMENTAL

The treatment period consists of 3 consecutive 28 day cycles. Each cycle starts with a 4 day continuous infusion of the study medication followed by a 24 day break

Drug: APO866

Interventions

APO866 DRUG

APO866 is administered as 0.126 mg/m²/hr IV every 4 weeks for 4 consecutive days (96 hours) for a total of 3 cycles

2-stage mono therapy of APO866

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Histologically confirmed diagnosis of melanoma
• Stage IV disease or stage III not amenable to surgery (AJCC, see Appendix A)
• Measurable disease, defined as at least 1 malignant lesion that could be accurately and serially measured in at least 1 dimension and for which the greatest diameter is \> or = 10 mm as measured by spiral computed tomography (CT) scan or magnetic resonance imaging (MRI), or \> or = 20 mm with conventional techniques. A caliper can be used for the measurement of superficial cutaneous metastases which are \> or = 10 mm.
• Patients must be able to undergo either contrast-enhanced CT-scan or contrast-enhanced MRI scan for tumor assessment
• Only one previous systemic treatment (excluding prior systemic treatment as postoperative adjuvant therapy) is allowed and should have been terminated \> 4 weeks before Study Day 1 (SD1).
• Lack of response or progression of disease after the most recent systemic therapy for advanced melanoma
• Patients must have recovered from the toxicity of any previously used treatment. All Adverse events of previous systemic treatment must have resolved to \< grade I Common Terminology Criteria for Adverse Events (CTC v3.0, see Appendix)
• Eastern Cooperative Oncology Group (ECOG) Performance Status \< 1 (see Appendix C)
• Age \> 18 years, of either sex
• Female patients with childbearing potential must be using a hormonal contraceptive, intra uterine device, diaphragm with spermicide or condom with spermicide for the duration of the study. Women of childbearing potential must have a negative serum or urinary human chorionic gonadotropin (hCG) pregnancy test within 7 days prior to Study Day 1 (SD1)
• Male patients, who are not surgically sterile, must use a condom with spermicide for the duration of the study and 3 months thereafter
• Have given written informed consent, prior to any study related procedure not part of the patient's normal medical care, with the understanding that consent may be withdrawn by the patient at any time without prejudice to future medical care.

You may not qualify if:

• Have participated in any other investigational study or received an experimental therapeutic procedure considered to interfere with the study in the 4 weeks preceding SD1
• History of brain metastases or leptomeningeal disease
• Bone-only metastatic disease
• Use of prohibited medication due to Cytochrome P450 3A4 (CYP3A4) metabolism of APO866, as specified in Section 6.6.2. concomitant use of these drugs will not be allowed during the study.
• Use of biphosphonate drug during the 30 days preceding the APO866 infusion and during the treatment period will not be allowed
• Uncontrolled medical conditions, requiring surgical or pharmacological treatment (exceptions must be approved by the Medical Responsible of the study).
• Serious concomitant disease (e.g. significant cardiac disease)
• History of second cancer that was treated with curative intent and in complete remission for \< 5 years, with the exception of basal cell carcinoma or cervical cancer in situ
• Primary or acquired thrombocytopenia
• Inadequate bone marrow reserve: white blood cell (WBC) \< 3.5x10\^9/L, neutrophils \< 1.0x10\^9/L, thrombocytes \< 100x10\^9/L, Hb \< 10.0 g/dL or coagulation abnormalities
• Inadequate liver function: total bilirubin \> 1.5 x upper limit of normal values (ULN), aspartate aminotransferase (AST), Alanine Amino Transferase (ALT), or alkaline phosphatase \> 2.5 x ULN
• Have inadequate renal function, defined by serum creatinine \> 1.5x ULN
• Retinopathy, history of retinal laser surgery, or an ERG \< 50% of normal
• Pregnant of lactating female
• Abuse of alcohol or other recreational drugs

Sponsors & Collaborators

• Valerio Therapeutics: lead

Study Sites (6)

Department of Dermatology, Medical University Graz

Graz, 8036, Austria

Location

Department of Dermatology, Hopital Henri Modor

Créteil, 94010, France

Location

Department of Dermatologie, Hotel Dieu

Nantes, 44093, France

Location

Department of Dermatology, Charité University Hospital Berlin

Berlin, 10117, Germany

Location

University Clinic for Dermatology, Medical Faculty of Mannheim of the Heidelberg University

Mannheim, 68167, Germany

Location

Department of Dermatology, University Hospital of Zürich

Zurich, 8091, Switzerland

Location

MeSH Terms

Conditions

Melanoma

Interventions

N-(4-(1-benzoylpiperidin-4-yl)butyl)-3-(pyridin-3-yl)acrylamide

Condition Hierarchy (Ancestors)

Neuroendocrine Tumors; Neuroectodermal Tumors; Neoplasms, Germ Cell and Embryonal; Neoplasms by Histologic Type; Neoplasms; Neoplasms, Nerve Tissue; Nevi and Melanomas; Skin Neoplasms; Neoplasms by Site; Skin Diseases; Skin and Connective Tissue Diseases

Study Officials

• Uwe Trefzer, MD PhD

  Department of Dermatology, Charité University Hospital, Schumannstrasse 20-21, 10117 Berlin, Germany

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: phase 2
• Allocation: NA
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: SINGLE GROUP
• Sponsor Type: INDUSTRY
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: February 6, 2007
• First Posted: February 7, 2007
• Study Start: July 1, 2006
• Primary Completion: February 1, 2008
• Study Completion: March 1, 2009
• Last Updated: September 29, 2015

Record last verified: 2013-11

Locations

CH (1); AU (1); DE (2); FR (2)