NCT02117362

Brief Summary

The goal of this study is to determine a safe dose of GR-MD-02 used in combination with the FDA-approved dose of ipilimumab (3 mg/kg) in patients who have advanced melanoma. GR-MD-02 is a galectin. Galectins are a family of proteins that have numerous functions in normal mammalian biology including the facilitation of cell-cell interactions, regulation of cell-death and regulation of immune system responses. The hypothesis is that a safe dose of GR-MD-02 when given with the FDA-approved dose of ipilimumab can be found.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
8

participants targeted

Target at below P25 for phase_1

Timeline
Completed

Started May 2014

Longer than P75 for phase_1

Geographic Reach
1 country

1 active site

Status
completed

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

First Submitted

Initial submission to the registry

April 14, 2014

Completed
3 days until next milestone

First Posted

Study publicly available on registry

April 17, 2014

Completed
21 days until next milestone

Study Start

First participant enrolled

May 8, 2014

Completed
4.6 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

November 28, 2018

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

November 28, 2018

Completed
Last Updated

March 21, 2019

Status Verified

April 1, 2018

Enrollment Period

4.6 years

First QC Date

April 14, 2014

Last Update Submit

March 19, 2019

Conditions

Keywords

MelanomaIpilimumabYervoyGalectinGR-MD-02galactoarabino-rhamnogalacturonategalectin-3 inhibitorProvidence Health & ServicesEarle A. Chiles Research InstituteRobert W. Franz Cancer CenterImmunotherapy

Outcome Measures

Primary Outcomes (1)

  • Determine a safe dose of GR-MD-02 used in combination with the approved dose of ipilimumab (3 mg/kg)

    Patients return to clinic 9 times in 85 days, receiving treatment on Days 1, 22, 43, and 65. Patients will have physical exams, blood tests, and toxicity evaluations by a research nurse during this time to identify any protocol-defined dose limiting toxicity.

    21 Days

Secondary Outcomes (1)

  • Response rate to combined therapy

    85 Days

Study Arms (4)

Cohort 1

EXPERIMENTAL

1 mg/kg GR-MD-02 administered 1 hour before 3 mg/kg of ipilimumab on Days 1, 22, 43, and 65.

Biological: 1 mg/kg GR-MD-02Biological: Ipilimumab

Cohort 2

EXPERIMENTAL

2 mg/kg GR-MD-02 administered 1 hour before 3 mg/kg of ipilimumab on Days 1, 22, 43, and 65.

Biological: 2 mg/kg GR-MD-02Biological: Ipilimumab

Cohort 3

EXPERIMENTAL

4 mg/kg GR-MD-02 administered 1 hour before 3 mg/kg of ipilimumab on Days 1, 22, 43, and 65.

Biological: 4 mg/kg GR-MD-02Biological: Ipilimumab

Cohort 4

EXPERIMENTAL

8 mg/kg GR-MD-02 administered 1 hour before 3 mg/kg of ipilimumab on Days 1, 22, 43, and 65.

Biological: 8 mg/kg GR-MD-02Biological: Ipilimumab

Interventions

1 mg/kg GR-MD-02 on Days 1, 22, 43, and 65.

Also known as: galectin-3 inhibitor, galactoarabino-rhamnogalacturonate
Cohort 1

2 mg/kg GR-MD-02 on Days 1, 22, 43, and 65.

Also known as: galectin-3 inhibitor, galactoarabino-rhamnogalacturonate
Cohort 2

4 mg/kg GR-MD-02 on Days 1, 22, 43, and 65

Also known as: galectin-3 inhibitor, galactoarabino-rhamnogalacturonate
Cohort 3

8 mg/mg GR-MD-02

Also known as: galectin-3 inhibitor, galactoarabino-rhamnogalacturonate
Cohort 4
IpilimumabBIOLOGICAL

3 mg/kg ipilimumab on Days 1, 22, 43, and 65

Also known as: Yervoy, Anti-CTLA 4
Cohort 1Cohort 2Cohort 3Cohort 4

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Patients with metastatic or unresectable melanoma for whom treatment with ipilimumab is indicated. Histological confirmation of melanoma will be required by previous biopsy or cytology.
  • Patients must be ≥ 18 years of age.
  • Eastern Collaborative Oncology Group (ECOG) performance status of 0-1.
  • Women of childbearing potential must have a serum or urine pregnancy test performed within 72 hours prior to the start of protocol treatment. The results of this test must be negative in order for the patient to be eligible. In addition, women of childbearing potential as well as male patients must agree to take appropriate precautions to avoid pregnancy.
  • No active bleeding.
  • Anticipated lifespan greater than 12 weeks.
  • Patients must sign a study-specific consent document.

You may not qualify if:

  • Patients who have previously received a galectin antagonist
  • Prior ipilimumab to treat metastatic melanoma (prior ipilimumab in the adjuvant setting is permitted if the patient did not experience ≥ grade 3 toxicity related to immunotherapy.
  • Patients with active autoimmune disease except for autoimmune thyroiditis or vitiligo.
  • Patients with history of colitis
  • Patients with untreated brain metastases. Patients with treated brain metastases who demonstrate control of brain metastases with follow-up imaging 4 or more weeks after initial therapy are eligible.
  • Other active metastatic cancer requiring treatment.
  • Patients with active infection requiring antibiotics.
  • Pregnant or lactating women, as treatment involves unforeseeable risks to the embryo or fetus.
  • Need for chronic steroids. Inhaled corticosteroids are acceptable.
  • Inability to give informed consent and comply with the protocol. Patients with a history of psychiatric illness must be judged able to understand fully the investigational nature of the study and the risks associated with the therapy.
  • Any medical condition that in the opinion of the Principal Investigator would compromise the safety or conduct of the study procedures.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Providence Portland Medical Center

Portland, Oregon, 97213, United States

Location

Related Links

MeSH Terms

Conditions

Melanoma

Interventions

Ipilimumab

Condition Hierarchy (Ancestors)

Neuroendocrine TumorsNeuroectodermal TumorsNeoplasms, Germ Cell and EmbryonalNeoplasms by Histologic TypeNeoplasmsNeoplasms, Nerve TissueNevi and MelanomasSkin NeoplasmsNeoplasms by SiteSkin DiseasesSkin and Connective Tissue Diseases

Intervention Hierarchy (Ancestors)

Antibodies, Monoclonal, HumanizedAntibodies, MonoclonalAntibodiesImmunoglobulinsImmunoproteinsBlood ProteinsProteinsAmino Acids, Peptides, and ProteinsSerum GlobulinsGlobulins

Study Officials

  • Brendan Curti, MD

    Providence Health & Services

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
phase 1
Allocation
NON RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
SINGLE GROUP
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

April 14, 2014

First Posted

April 17, 2014

Study Start

May 8, 2014

Primary Completion

November 28, 2018

Study Completion

November 28, 2018

Last Updated

March 21, 2019

Record last verified: 2018-04

Data Sharing

IPD Sharing
Will not share

Locations