MelanomaPhase 3NCT00522834
Elesclomol (STA-4783) With Paclitaxel Versus Paclitaxel Alone in Melanoma
A Phase 3 study testing Elesclomol (STA-4783) and Paclitaxel in people with Melanoma, run by Synta Pharmaceuticals Corp. at 101 sites in 8 countries.
Trial summary
"Elesclomol (STA-4783), N-malonyl-bis (N'-methyl-N'-thiobenzoylhydrazide) is a new chemical entity with a novel structure. STA-4783 induces an oxidative stress response in cells. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Melanoma
- What is being tested?
- Elesclomol (STA-4783) and Paclitaxel
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 630 participants
- Where
- 101 sitesin 8 countries
- Study dates
- Aug 2007to Jun 2009
- Phase
- Phase 3
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Histologically confirmed metastatic (Stage IV) melanoma of cutaneous origin
- ECOG performance status of <=2
- Measurable disease according to modified RECIST
- Life expectancy of greater than 12 weeks
- LDH <= 2.0 x ULN
- Clinical lab values within protocol parameters.
- At least 18 years old and able and willing to provide informed consent to participate
Who cannot join
- Previous cytotoxic chemotherapy treatment for melanoma
- Received more than one regimen of immunotherapy, kinase inhibitor, biologic therapy, vaccine or investigational non-chemotherapeutic treatment for melanoma.
- Presence of brain metastases
- Presence or history (<= 5 years) of a second malignancy other than nonmelanoma skin cancer or cervical carcinoma in situ
- Female subjects who are pregnant or nursing
Trial locations and contacts
101 sites in 8 countries.
101 sites in 8 countries
United States61 sites
University of New Mexico Cancer Center
Albuquerque, New Mexico, 87131-0001
Piedmont Hospital
Atlanta, Georgia, 30309
Emory University Winship Cancer Institute
Atlanta, Georgia, 30322
Anschutz Cancer Pavillion University of Colorado
Aurora, Colorado, 80010
Mary Bird Perkins Cancer Center
Baton Rouge, Louisiana, 70809
Bay Pines VA Healthcare System
Bay Pines, Florida
St. Luke's Cancer Center
Bethlehem, Pennsylvania, 18015
Dana Farber Cancer Institute
Boston, Massachusetts, 02115
Beth Israel Deaconess Medical Center
Boston, Massachusetts, 02215
UNC School of Medicine - Division of Hematology/Oncology
Chapel Hill, North Carolina, 27599
Carolina Hematology & Oncology Associates
Charlotte, North Carolina, 28203
Virginia Oncology Associates
Chesapeake, Virginia, 23320
Rush University Hospital
Chicago, Illinois
The Christ Hospital
Cincinnati, Ohio, 45219
Ellis Fischels Cancer Center
Columbia, Missouri
The Ohio State University.
Columbus, Ohio, 43210
Mark H. Zangmeister Cancer Center
Columbus, Ohio, 43219
Texas Oncology, PA
Dallas, Texas, 75246
Karmanos Cancer Institute, Wayne State University
Detroit, Michigan
Duke University Medical Center
Durham, North Carolina, 27710
Evanston Northwestern Healthcare
Evanston, Illinois, 60201
Goshen Center for Cancer Care
Goshen, Indiana, 46526
Leo W. Jenkins Cancer Center
Greenville, North Carolina, 27834
Brody School of Medicine at East Carolina State University
Greenville, North Carolina, 27858
Cancer Center of the Carolinas
Greenville, South Carolina
Indiana University Melvin and Bren Simon Cancer Center
Indianapolis, Indiana, 46202
Joliet Oncology/Hematology Associates, LTD
Joliet, Illinois, 60435
University of California San Diego Moores UCSD Cancer Center
La Jolla, California, 92093
University of California, San Diego
La Jolla, California, 92093
Monter Cancer Center North Shore Hospital
Lake Success, New York
Dartmouth Hitchcock Medical Center
Lebanon, New Hampshire, 03756
Southeast Nebraska Hematology/Oncology
Lincoln, Nebraska, 68510
Winthrop P. Rockefeller Cancer Institute
Little Rock, Arkansas, 72205
The Angeles Clinic & Research Institute
Los Angeles, California, 90025
Jonsson Comprehensive Cancer Center Univ. of California Los Angeles
Los Angeles, California, 90095
Marshfield Clinic
Marshfield, Wisconsin, 54449
Univ. of Miami Hospital and Clinics
Miami, Florida, 33136
Atlantic Health Research - Mountainside Hospital
Montclair, New Jersey, 07042
Vanderbilt Medical Center
Nashville, Tennessee, 27232-6868
Weill Medical College of Cornell University - Division of Hematology and Medical Oncology
New York, New York, 10021
NYU Clinical Cancer Center
New York, New York
Virginia Oncology Associates
Newport News, Virginia, 23606
Oncology Specialists, S.C.
Niles, Illinois, 60714
Virginia Oncology Associates
Norfolk, Virginia, 23502
Nebraska Methodist Cancer Center
Omaha, Nebraska
MD Anderson Cancer Center
Orlando, Florida, 32806
Oncology Specialists, SC
Park Ridge, Illinois, 60068
Abramson Cancer Center at University of Pennsylvania
Philadelphia, Pennsylvania, 19104
Fox Chase Cancer Center
Philadelphia, Pennsylvania, 19111
Cancer Pavilion
Pittsburgh, Pennsylvania, 15323
Providence Cancer Center Clinical Trials
Portland, Oregon, 97213
Virginia Cancer Institute
Richmond, Virginia, 23230
Hubert H. Humphrey Cancer Center
Robbinsdale, Minnesota, 55422
San Antonio Cancer Institute
San Antonio, Texas, 78229
Pacific Medical Center Research Institute
San Francisco, California, 94115
Redwood Regional Medical Group
Santa Rosa, California, 94503
Seattle Cancer Care Alliance
Seattle, Washington, 98109-1023
Hematology Oncology, P.C.
Stamford, Connecticut, 06902
Stony Brook University Medical Center- Cancer Center
Stony Brook, New York, 11794-9446
Arizona Cancer Center
Tucson, Arizona, 85724
Derrick L. Davis Regional Cancer Center
Winston-Salem, North Carolina, 27103
Australia11 sites
Royal Adelaide Cancer Centre Medical Oncology
Adelaide, SA 5000
Fremantle Hospital
Fremantle, Western Australia, 6160
Royal Hobart Hospital
Hobart, Tasmania
Lismore Base Hospital, Cancer Care & Haematology Unit
Lismore, New South Wales
Patricia Ritchie Centre for Cancer Care and Research, Mater Hospital
North Sydney
Redcliffe Hospital
Redcliffe, Queensland, 4020
The Tweed Hospital
Tweed Heads
Newcastle Melanoma Unit - Calvary Mater Newcastle
Waratah, New South Wales, 2298
Department of Medical Oncology, Westmead Hospital
Westmead
Southern Medical Day Care Centre
Wollongong, New South Wales, 2500
Princess Alexandra Hospital
Wooloongabba, Queensland, 4102
Germany10 sites
Vivantes Klinikum Im Friedrichshain
Berlin
Vivantes Klinikum Neukölln
Berlin
Elbe-Klinikum Buxtehude
Buxtehude
Universität zu Köln
Cologne
University Frankfurt
Frankfurt am Main
University of Kiel
Kiel
Universitätsklinikum Leipzig
Leipzig
Universitätsklinikum Mannheim
Mannheim
Universitätsklinikum Münster
Münster
Universitätsklinikum Würzburg
Würzburg
Romania6 sites
County Hospital Brasov - Oncology Department
Brasov, 500 117
Oncology Institute "Prof. Dr. Ion Chiricuta"
Cluj-Napoca, 400 015
Clinical County Hospital " Alexandru Simionescu" Hunedoara
Hunedoara, 331 057
Center of Medical Oncology
Iași, 700 106
Clinical County Hospital Sibiu
Sibiu, 550 245
Oncology- Chemotherapy Clinic - Emergency Municipal Clinical Hospital
Timișoara, 300 223
Canada5 sites
Tom Baker Cancer Centre
Calgary, Alberta
Cross Cancer Institute
Edmonton, AB T6G 1Z2
Northeastern Ontario Regional Cancer Centre
Greater Sudbury, Ontario
QE II Health Sciences Center
Halifax, Nova Scotia
Princess Margaret Hospital
Toronto
Spain4 sites
Hospital Universitario de la Princessa Servicio de Oncología Médica
Madrid, 28006
Hospital Universitario Central de Asturias
Oviedo, Principality of Asturias, 33006
Clinica Universitaria de Navarra
Pamplona, 31008
Hospital Virgen de la Salud - Servicio de Oncología Médica Ciclos
Toledo
United Kingdom3 sites
Oncology Centre Addenbrookes's Hospital
Cambridge, CB2 0QQ
Northern Centre for Cancer Treatment Newcastle General Hospital
Newcastle upon Tyne, NE4 6BE
Dorset Cancer Centre Poole Hospital NHS Foundation Trust
Poole, BH15 2JB
About this study
Official title: A Randomized, Double-blind, Phase 3 Trial of Elesclomol (STA-4783) in Combination With Paclitaxel Versus Paclitaxel Alone for Treatment of Chemotherapy-Naïve Subjects With Stage IV Metastatic Melanoma (SYMMETRY)
"Elesclomol (STA-4783), N-malonyl-bis (N'-methyl-N'-thiobenzoylhydrazide) is a new chemical entity with a novel structure. STA-4783 induces an oxidative stress response in cells. This response is characterized by increased production of gene families that protect against different cellular stresses, including excessive heat, the presence of reactive oxygen species such as oxygen radicals, or the presence of heavy metals.
Subjects will participate in up to 2 weeks of screening during which time they will complete all screening procedures. Eligible subjects who have not received any prior cytotoxic chemotherapeutic agent for melanoma will be randomized in a 1:1 ratio to receive either STA-4783 213 mg/m2 in combination with paclitaxel 80 mg/m2 or paclitaxel 80 mg/m2 alone.
One treatment cycle will consist of weekly treatments for 3 weeks, followed by a 1-week rest period. Cycles will be repeated every 4 weeks until disease progression. Tumor assessments will be performed every 8 weeks from the date of randomization or sooner if the Investigator suspects progression has occurred based on clinical signs and symptoms. "
- Conditions
- Melanoma
- Being tested
- Elesclomol (STA-4783), Paclitaxel
- Keywords
- melanoma, oncology, Stage IV Metastatic Melanoma
- Medical subject headings
- Melanoma, Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Elesclomol (STA-4783)Drug
213 mg/m2 Elesclomol (STA-4783) plus 80 mg/m2 paclitaxel administered intravenously once a week for the first 3 weeks of a 4 week cycle. Number of cycles: Until progression or unacceptable toxicity develops
PaclitaxelDrug
80 mg/m2 paclitaxel alone administered intravenously once a week for the first 3 weeks of a 4 weeks cycle. Number of cycles: Until progression or unacceptable toxicity develops
| Study group | Role | What they receive |
|---|---|---|
| 1 | Active comparator | Elesclomol (STA-4783) in Combination With Paclitaxel Receives: Drug: Elesclomol (STA-4783) |
| 2 | Other | Paclitaxel alone Receives: Drug: Paclitaxel |
What is being measured
The primary outcome is the main question the study is designed to answer.
Progression free survival
Measured: June 2009
Secondary outcomes (6)
Overall Survival
Measured: December 2009
Objective response rate
Measured: December 2009
Clinical benefit rate
Measured: December 2009
Duration of objective response
Measured: December 2009
Safety
Measured: December 2009
Pharmacokinetics
Measured: December 2009
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted30 Aug 2007 (estimated)
- Study startAug 2007
- Primary completionJun 2009
- Study completionJun 2009
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for MelanomaStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 630 participants (actual)
Sponsor and investigators
- Lead sponsor
- Synta Pharmaceuticals Corp.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00522834
- Sponsor's protocol ID
- 4783-08
- Status last verified
- Jan 2014
- First submitted
- 28 Aug 2007
- Last updated
- 4 Mar 2014
- Results posted
- No
- Data monitoring committee
- Yes
Publications
O'Day SJ, Eggermont AM, Chiarion-Sileni V, Kefford R, Grob JJ, Mortier L, Robert C, Schachter J, Testori A, Mackiewicz J, Friedlander P, Garbe C, Ugurel S, Collichio F, Guo W, Lufkin J, Bahcall S, Vukovic V, Hauschild A. Final results of phase III SYMMETRY study: randomized, double-blind trial of elesclomol plus paclitaxel versus paclitaxel alone as treatment for chemotherapy-naive patients with advanced melanoma. J Clin Oncol. 2013 Mar 20;31(9):1211-8. doi: 10.1200/JCO.2012.44.5585. Epub 2013 Feb 11.
PubMed 23401447
Study at a glance
From the registry record, last updated by the sponsor on 4 Mar 2014. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Randomized, Double-blind, Phase 3 Trial of Elesclomol (STA-4783) in Combination With Paclitaxel Versus Paclitaxel Alone for Treatment of Chemotherapy-Naïve Subjects With Stage IV Metastatic Melanoma (SYMMETRY)
- ClinicalTrials.gov ID
- NCT00522834
- Acronym / sponsor ID
- 4783-08
- Conditions
- Melanoma
- Keywords
- melanoma, oncology, Stage IV Metastatic Melanoma
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Terminated
- Enrolment
- 630 participants (actual)
- Lead sponsor
- Synta Pharmaceuticals Corp.Industry (pharma, biotech, devices)
- Study start
- Aug 2007
- Primary completion
- Jun 2009 (actual)
- Study completion
- Jun 2009 (actual)
- First posted
- 30 Aug 2007 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
"Elesclomol (STA-4783), N-malonyl-bis (N'-methyl-N'-thiobenzoylhydrazide) is a new chemical entity with a novel structure. STA-4783 induces an oxidative stress response in cells. This response is characterized by increased production of gene families that protect against different cellular stresses, including excessive heat, the presence of reactive oxygen species such as oxygen radicals, or the presence of heavy metals.
Subjects will participate in up to 2 weeks of screening during which time they will complete all screening procedures. Eligible subjects who have not received any prior cytotoxic chemotherapeutic agent for melanoma will be randomized in a 1:1 ratio to receive either STA-4783 213 mg/m2 in combination with paclitaxel 80 mg/m2 or paclitaxel 80 mg/m2 alone.
One treatment cycle will consist of weekly treatments for 3 weeks, followed by a 1-week rest period. Cycles will be repeated every 4 weeks until disease progression. Tumor assessments will be performed every 8 weeks from the date of randomization or sooner if the Investigator suspects progression has occurred based on clinical signs and symptoms. "
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| 1 | Active comparator | Drug: Elesclomol (STA-4783)Elesclomol (STA-4783) in Combination With Paclitaxel |
| 2 | Other | Drug: PaclitaxelPaclitaxel alone |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (7 listed)
- Histologically confirmed metastatic (Stage IV) melanoma of cutaneous origin
- ECOG performance status of <=2
- Measurable disease according to modified RECIST
- Life expectancy of greater than 12 weeks
- LDH <= 2.0 x ULN
Key exclusion criteria (5 listed)
- Previous cytotoxic chemotherapy treatment for melanoma
- Received more than one regimen of immunotherapy, kinase inhibitor, biologic therapy, vaccine or investigational non-chemotherapeutic treatment for melanoma.
- Presence of brain metastases
- Presence or history (<= 5 years) of a second malignancy other than nonmelanoma skin cancer or cervical carcinoma in situ
- Female subjects who are pregnant or nursing
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Elesclomol (STA-4783)213 mg/m2 Elesclomol (STA-4783) plus 80 mg/m2 paclitaxel administered intravenously once a week for the first 3 weeks of a 4 week cycle. Number of cycles: Until progression or unacceptable toxicity develops | Drug | 1 |
| Paclitaxel80 mg/m2 paclitaxel alone administered intravenously once a week for the first 3 weeks of a 4 weeks cycle. Number of cycles: Until progression or unacceptable toxicity develops | Drug | 2 |
Primary outcome
Progression free survival
Time frame: June 2009
6 secondary outcomes
Overall Survival
Time frame: December 2009
Objective response rate
Time frame: December 2009
Clinical benefit rate
Time frame: December 2009
Duration of objective response
Time frame: December 2009
Safety
Time frame: December 2009
Pharmacokinetics
Time frame: December 2009
Results and safety
The study was stopped early. Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 4 Mar 2014.
- Derived from this study: PubMed 23401447O'Day SJ, Eggermont AM, Chiarion-Sileni V, Kefford R, Grob JJ, Mortier L, Robert C, Schachter J, Testori A, Mackiewicz J, Friedlander P, Garbe C, Ugurel S, Collichio F, Guo W, Lufkin J, Bahcall S, Vukovic V, Hauschild A. Final results of phase III SYMMETRY study: randomized, double-blind trial of elesclomol plus paclitaxel versus paclitaxel alone as treatment for chemotherapy-naive patients with advanced melanoma. J Clin Oncol. 2013 Mar 20;31(9):1211-8. doi: 10.1200/JCO.2012.44.5585. Epub 2013 Feb 11.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
101 sites in 8 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Elesclomol (STA-4783) and Paclitaxel in people with Melanoma, run by Synta Pharmaceuticals Corp. at 101 sites in 8 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 7 inclusion and 5 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: stopped early, as of the sponsor's last update on 4 Mar 2014. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 101 sites in United States, Australia, Germany, Romania, Canada and 3 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
The study was stopped early. Results are not available in the source record.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Progression free survival (time frame: June 2009). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT00522834, which also lists 1 linked publication.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 4 Mar 2014; AzTrials last refreshed its copy on 7 Nov 2026.