Acral Lentiginous Malignant MelanomaPhase 2NCT01120275
Gamma-Secretase/Notch Signalling Pathway Inhibitor RO4929097 in Treating Patients With Stage IV Melanoma
A Phase 2 study testing gamma-secretase/Notch signalling pathway inhibitor RO4929097 and laboratory biomarker analysis in people with Acral Lentiginous Malignant Melanoma and Lentigo Maligna Malignant Melanoma, run by National Cancer Institute (NCI) at 178 sites in United States.
Trial summary
This phase II trial is studying how well gamma-secretase/Notch signalling pathway inhibitor RO4929097 works in treating patients with stage IV melanoma. Gamma-secretase/Notch signalling pathway inhibitor RO4929097 may stop the growth of tumor cells by blocking some of the enzymes needed for cell growth. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Acral Lentiginous Malignant Melanoma, Lentigo Maligna Malignant Melanoma, Nodular Malignant Melanoma
- What is being tested?
- gamma-secretase/Notch signalling pathway inhibitor RO4929097 and laboratory biomarker analysis
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 36 participants
- Where
- 178 sitesUnited States
- Study dates
- Oct 2010to Aug 2015
- Phase
- Phase 2
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
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
- Patients must have histologically confirmed melanoma of cutaneous or unknown origin (ocular primary and mucosal primary excluded); patients must have Stage IV disease
- All patients must undergo a computed tomography (CT) or magnetic resonance imaging (MRI) of the brain within 42 days prior to registration that is negative for brain metastases; patients with a history of brain metastases are ineligible
- Patients must have measurable disease; all measurable lesions must be assessed (by physical examination, CT, or MRI scan) within 28 days prior to registration; tests to assess non-measurable disease must be performed within 42 days prior to registration; all disease must be assessed and documented on the Baseline Tumor Assessment Form (Response Evaluation Criteria In Solid Tumors [RECIST] 1.1); the CT from a combined positron emission tomography (PET)/CT must not be used to document measurable disease unless it is of diagnostic quality
- Sites must offer all patients participation in translational medicine studies and banking of paraffin embedded tissue and whole blood
- Patients must not have received any prior systemic therapy for Stage IV disease except for noncytotoxic biologic agents (e.g., vaccines, cytokines, cell therapies that do not require cytotoxic agents); patients may have received prior treatment with up to two prior biological therapies - no cytotoxics or kinase inhibitors - for advanced disease
- Patients may have had prior adjuvant immunotherapy with biological response modifiers (examples include but are not limited to interferon, vaccines, GM-CSF, and CTLA-4 blocking antibodies); prior adjuvant immunotherapy must have been completed at least 28 days prior to registration
Show all 34Show fewer
- Adjuvant therapy containing cytotoxic agents is allowed if completed >= 180 days prior to registration
- Patients may have received prior radiation therapy; any side effects the patients had due to prior radiation therapy must have resolved to =< Grade 1 prior to registration; prior radiation therapy must have completed at least 28 days prior to registration
- Patients must have Zubrod performance status of 0-1
- Leukocytes >= 3,000/mcL
- Absolute neutrophil count (ANC) >= 1,500/mcL
- Platelets >= 100,000/mcL
- Hemoglobin >= 9 g/dL
- Total bilirubin =< institutional upper limit of normal (IULN)
- Aspartate aminotransferase (AST) or alanine aminotransferase (ALT) =< 2.5 x IULN
- Serum creatinine =< IULN OR measured or calculated creatinine clearance >= 60 mL/min
- Patients must have the following serum electrolytes within the institutional ranges of normal: potassium, sodium, magnesium, phosphorous, chloride and calcium (corrected for serum albumin); these tests must be performed within 28 days prior to registration; patient must not require parenteral replacement therapy
- Patients must not have a history of allergic reaction attributed to compounds of similar chemical or biologic composition to RO4929097
- Patients must be able to swallow tablets
- Patients must not have malabsorption syndrome or other condition that would interfere with intestinal absorption of the agent
- Patients taking medications with narrow therapeutic indices that are metabolized by cytochrome P450 (CYP450), including warfarin sodium (Coumadin), are ineligible
- Patients must not be taking strong inducers or strong inhibitors of CYP3A4 at the time of registration
- Patients must not be known to be serologically positive for Hepatitis A, B, or C, or have a history of liver disease, other forms of hepatitis, or cirrhosis
- Patients must have an ECG within 28 days prior to registration. Patients must not have a QTcF > 450 msec (males) or QTcF > 470 msec (females)
- Patients must not have symptomatic congestive heart failure or unstable angina pectoris
- Patients with a history of torsades de pointes or any significant cardiac arrhythmia (except asymptomatic unifocal ventricular premature beats or supraventricular tachycardia easily controlled with oral medications) are excluded; any patient requiring or expected to require antiarrhythmics or other therapy known to prolong QTc is also excluded
- No other prior malignancy is allowed except for the following: adequately treated basal cell or squamous cell skin cancer, in situ cervical cancer, adequately treated Stage I or II cancer from which the patient is currently in complete remission, or any other cancer from which the patient has been disease free for five years
- Women of childbearing potential must have a negative pregnancy test within 14 days prior to registration (the type of pregnancy test used is at the discretion of the registering institution); female patients of childbearing potential include the following:
- Patients with regular menses
- Patients, after menarche with amenorrhea, irregular cycles, or using a contraceptive method that precludes withdrawal bleeding
- Women who have had tubal ligation
- Women must not be nursing due to possible harm to a nursing infant from the treatment regimen
- All patients must be informed of the investigational nature of this study and must sign and give written informed consent in accordance with institutional and federal guidelines
- At the time of patient registration, the treating institution's name and ID number must be provided to the Data Operations Center in Seattle in order to ensure that the current (within 365 days) date of institutional review board approval for this study has been entered into the data base
Who cannot join
None listed.
Trial locations and contacts
178 sites in 1 country.
178 sites in 1 country
United States178 sites
Pali Momi Medical Center
‘Aiea, Hawaii, 96701
Saint Anthony's Health
Alton, Illinois, 62002
Cancer Care Center at Island Hospital
Anacortes, Washington, 98221
AnMed Health Hospital
Anderson, South Carolina, 29621
Saint Joseph Mercy Hospital
Ann Arbor, Michigan, 48106-0995
Michigan Cancer Research Consortium Community Clinical Oncology Program
Ann Arbor, Michigan, 48106
University of Michigan
Ann Arbor, Michigan, 48109
Mission Hospital-Memorial Campus
Asheville, North Carolina, 28801
University of Colorado Cancer Center - Anschutz Cancer Pavilion
Aurora, Colorado, 80045
Sinai Hospital of Baltimore
Baltimore, Maryland, 21215
Bronson Battle Creek
Battle Creek, Michigan, 49017
Saint Francis Hospital and Health Centers
Beech Grove, Indiana, 46107
Mary Rutan Hospital
Bellefontaine, Ohio, 43311
PeaceHealth Saint Joseph Medical Center
Bellingham, Washington, 98225
Spectrum Health Big Rapids Hospital
Big Rapids, Michigan, 49307
Montana Cancer Consortium CCOP
Billings, Montana, 59101
Saint Vincent Healthcare
Billings, Montana, 59101
Hematology-Oncology Centers of the Northern Rockies PC
Billings, Montana, 59102
Billings Clinic
Billings, Montana, 59107-7000
Central Care Cancer Center-Carrie J Babb Cancer Center
Bolivar, Missouri, 65613
Bozeman Deaconess Cancer Center
Bozeman, Montana, 59715
Bozeman Deaconess Hospital
Bozeman, Montana, 59715
CoxHealth Cancer Center
Branson, Missouri, 65616
Harrison HealthPartners Hematology and Oncology-Bremerton
Bremerton, Washington, 98310
Highline Medical Center-Main Campus
Burien, Washington, 98166
Saint Francis Medical Center
Cape Girardeau, Missouri, 63703
Rocky Mountain Oncology
Casper, Wyoming, 82609
Novant Health Presbyterian Medical Center
Charlotte, North Carolina, 28204
University of Chicago
Chicago, Illinois, 60637
Adena Regional Medical Center
Chillicothe, Ohio, 45601
Good Samaritan Hospital - Cincinnati
Cincinnati, Ohio, 45220
University of Cincinnati
Cincinnati, Ohio, 45267
Riverside Methodist Hospital
Columbus, Ohio, 43214
Columbus CCOP
Columbus, Ohio, 43215
Grant Medical Center
Columbus, Ohio, 43215
Mount Carmel Health Center West
Columbus, Ohio, 43222
Doctors Hospital
Columbus, Ohio, 43228
Danville Regional Medical Center
Danville, Virginia, 24541
Genesis Medical Center - East Campus
Davenport, Iowa, 52803
Grandview Hospital
Dayton, Ohio, 45405
Good Samaritan Hospital - Dayton
Dayton, Ohio, 45406
Miami Valley Hospital
Dayton, Ohio, 45409
Samaritan North Health Center
Dayton, Ohio, 45415
Dayton CCOP
Dayton, Ohio, 45420
Oakwood Hospital
Dearborn, Michigan, 48124
Decatur Memorial Hospital
Decatur, Illinois, 62526
Grady Memorial Hospital
Delaware, Ohio, 43015
Denver Veterans Administration Medical Center
Denver, Colorado, 80220
Wayne State University/Karmanos Cancer Institute
Detroit, Michigan, 48201
Saint John Hospital and Medical Center
Detroit, Michigan, 48236
Fairbanks Memorial Hospital
Fairbanks, Alaska, 99701
Blanchard Valley Hospital
Findlay, Ohio, 45840
Hurley Medical Center
Flint, Michigan, 48502
Genesys Regional Medical Center-West Flint Campus
Flint, Michigan, 48532
McLeod Regional Medical Center
Florence, South Carolina, 29506
Poudre Valley Hospital
Fort Collins, Colorado, 80524
Saint Edward Mercy Medical Center
Fort Smith, Arkansas, 72903
Atrium Medical Center-Middletown Regional Hospital
Franklin, Ohio, 45005-1066
Northeast Georgia Medical Center
Gainesville, Georgia, 30501
Wayne Memorial Hospital
Goldsboro, North Carolina, 27534
Saint Mary's Hospital and Regional Medical Center
Grand Junction, Colorado, 81502
Grand Rapids Clinical Oncology Program
Grand Rapids, Michigan, 49503
Mercy Health Saint Mary's
Grand Rapids, Michigan, 49503
Spectrum Health at Butterworth Campus
Grand Rapids, Michigan, 49503
Benefis Healthcare- Sletten Cancer Institute
Great Falls, Montana, 59405
Great Falls Clinic
Great Falls, Montana, 59405
Wayne Hospital
Greenville, Ohio, 45331
Saint Francis Hospital and Medical Center
Hartford, Connecticut, 06105
Hays Medical Center
Hays, Kansas, 67601
Saint Peter's Community Hospital
Helena, Montana, 59601
Margaret R Pardee Memorial Hospital
Hendersonville, North Carolina, 28791
Oncare Hawaii Inc-POB II
Honolulu, Hawaii, 96813
Queen's Medical Center
Honolulu, Hawaii, 96813
Straub Clinic and Hospital
Honolulu, Hawaii, 96813
University of Hawaii
Honolulu, Hawaii, 96813
Oncare Hawaii Inc-Kuakini
Honolulu, Hawaii, 96817
The Cancer Center of Hawaii-Liliha
Honolulu, Hawaii, 96817
Kapiolani Medical Center for Women and Children
Honolulu, Hawaii, 96826
Promise Regional Medical Center-Hutchinson
Hutchinson, Kansas, 65702
Allegiance Health
Jackson, Michigan, 49201
Castle Medical Center
Kailua, Hawaii, 96734
Glacier Oncology PLLC
Kalispell, Montana, 59901
Kalispell Regional Medical Center
Kalispell, Montana, 59901
University of Kansas Medical Center
Kansas City, Kansas, 66160
Truman Medical Center
Kansas City, Missouri, 64108
Saint Luke's Cancer Institute
Kansas City, Missouri, 64111
Saint Luke's Hospital of Kansas City
Kansas City, Missouri, 64111
Saint Joseph Health Center
Kansas City, Missouri, 64114
North Kansas City Hospital
Kansas City, Missouri, 64116
Research Medical Center
Kansas City, Missouri, 64132
Columbia Basin Hematology and Oncology PLLC
Kennewick, Washington, 99336
Kettering Medical Center
Kettering, Ohio, 45429
Wellmont Holston Valley Hospital and Medical Center
Kingsport, Tennessee, 37660
Evergreen Hospital Medical Center
Kirkland, Washington, 98033
Thompson Cancer Survival Center
Knoxville, Tennessee, 37916
Fairfield Medical Center
Lancaster, Ohio, 43130
Sparrow Hospital
Lansing, Michigan, 48912
University Medical Center of Southern Nevada
Las Vegas, Nevada, 89102
Nevada Cancer Research Foundation CCOP
Las Vegas, Nevada, 89106
Lawrence Memorial Hospital
Lawrence, Kansas, 66044
Saint Luke's East - Lee's Summit
Lee's Summit, Missouri, 64086
University of Kentucky
Lexington, Kentucky, 40536
Liberty Hospital
Liberty, Missouri, 64068
Wilcox Memorial Hospital and Kauai Medical Clinic
Lihue, Hawaii, 96766
University of Arkansas for Medical Sciences
Little Rock, Arkansas, 72205
Saint Mary Mercy Hospital
Livonia, Michigan, 48154
Loma Linda University Medical Center
Loma Linda, California, 92354
Marietta Memorial Hospital
Marietta, Ohio, 45750
Memorial Hospital Of Martinsville
Martinsville, Virginia, 24115
Fremont - Rideout Cancer Center
Marysville, California, 95901
Loyola University Medical Center
Maywood, Illinois, 60153
Montana Cancer Specialists
Missoula, Montana, 59802
Saint Patrick Hospital - Community Hospital
Missoula, Montana, 59802
Providence Hospital
Mobile, Alabama, 36608
Louisiana State University Sciences Center- Monroe
Monroe, Louisiana, 71210
Good Samaritan Regional Health Center
Mount Vernon, Illinois, 62864
Knox Community Hospital
Mount Vernon, Ohio, 43050
Skagit Valley Hospital
Mount Vernon, Washington, 98274
Mercy Health Mercy Campus
Muskegon, Michigan, 49444
Licking Memorial Hospital
Newark, Ohio, 43055
University of California Medical Center At Irvine-Orange Campus
Orange, California, 92868
Menorah Medical Center
Overland Park, Kansas, 66209
Saint Luke's South Hospital
Overland Park, Kansas, 66213
Via Christi Hospital-Pittsburg
Pittsburg, Kansas, 66762
Saint Joseph Mercy Oakland
Pontiac, Michigan, 48341-2985
Saint Joseph Mercy Port Huron
Port Huron, Michigan, 48060
Adventist Medical Center
Portland, Oregon, 97216
SWOG
Portland, Oregon, 97239
Harrison HealthPartners Hematology and Oncology-Poulsbo
Poulsbo, Washington, 98370
Kansas City CCOP
Prairie Village, Kansas, 66208
Reid Hospital and Health Care Services
Richmond, Indiana, 47374
University of Rochester
Rochester, New York, 14642
William Beaumont Hospital-Royal Oak
Royal Oak, Michigan, 48073
University of California at Davis Cancer Center
Sacramento, California, 95817
Saint Mary's of Michigan
Saginaw, Michigan, 48601
Heartland Regional Medical Center
Saint Joseph, Missouri, 64506
Salina Regional Health Center
Salina, Kansas, 67401
Virginia Mason CCOP
Seattle, Washington, 98101
Harborview Medical Center
Seattle, Washington, 98104
Minor and James Medical PLLC
Seattle, Washington, 98104
Pacific Medical Center-First Hill
Seattle, Washington, 98104
Fred Hutchinson Cancer Research Center/University of Washington Cancer Consortium
Seattle, Washington, 98109
Group Health Cooperative-Seattle
Seattle, Washington, 98112
Swedish Medical Center-First Hill
Seattle, Washington, 98122-4307
The Polyclinic
Seattle, Washington, 98122
University of Washington Medical Center
Seattle, Washington, 98195
United General Hospital
Sedro-Woolley, Washington, 98284
Shawnee Mission Medical Center
Shawnee Mission, Kansas, 66204
Welch Cancer Center
Sheridan, Wyoming, 82801
Highland Clinic
Shreveport, Louisiana, 71105
Louisiana State University Health Sciences Center Shreveport
Shreveport, Louisiana, 71130
Spartanburg Regional Medical Center
Spartanburg, South Carolina, 29303
Upstate Carolina CCOP
Spartanburg, South Carolina, 29303
Cancer Care Northwest - Spokane South
Spokane, Washington, 99202
Evergreen Hematology and Oncology PS
Spokane, Washington, 99218
Memorial Medical Center
Springfield, Illinois, 62781-0001
Ozark Health Ventures LLC dba Cancer Research for The Ozarks Springfield
Springfield, Missouri, 65802
Mercy Hospital Springfield
Springfield, Missouri, 65804
CoxHealth South Hospital
Springfield, Missouri, 65807
Springfield Regional Medical Center
Springfield, Ohio, 45505
Saint Louis Cancer and Breast Institute-South City
St Louis, Missouri, 63109
Saint John's Mercy Medical Center
St Louis, Missouri, 63141
Saint Louis-Cape Girardeau CCOP
St Louis, Missouri, 63141
Iredell Memorial Hospital
Statesville, North Carolina, 28677
Saint Francis Hospital and Medical Center - Topeka
Topeka, Kansas, 66606
Munson Medical Center
Traverse City, Michigan, 49684
Upper Valley Medical Center
Troy, Ohio, 45373
Tahoe Forest Cancer Center
Truckee, California, 96161
University of Arizona Health Sciences Center
Tucson, Arizona, 85724
Maui Memorial Medical Center
Wailuku, Hawaii, 96793
Saint John Macomb-Oakland Hospital
Warren, Michigan, 48093
Wenatchee Valley Medical Center
Wenatchee, Washington, 98801
Saint Ann's Hospital
Westerville, Ohio, 43081
Wesley Medical Center
Wichita, Kansas, 67214
Clinton Memorial Hospital
Wilmington, Ohio, 45177
Metro Health Hospital
Wyoming, Michigan, 49519
Greene Memorial Hospital
Xenia, Ohio, 45385
Genesis HealthCare System
Zanesville, Ohio, 43701
About this study
Official title: Phase II Study of RO4929097 (NSC-749225) in Advanced Melanoma
This phase II trial is studying how well gamma-secretase/Notch signalling pathway inhibitor RO4929097 works in treating patients with stage IV melanoma. Gamma-secretase/Notch signalling pathway inhibitor RO4929097 may stop the growth of tumor cells by blocking some of the enzymes needed for cell growth.
Read the detailed description
PRIMARY OBJECTIVES:
- To assess the six-month progression-free survival and one-year overall survival probability in Stage IV melanoma patients treated with RO4929097 (gamma-secretase/Notch signalling pathway inhibitor RO4929097).
SECONDARY OBJECTIVES:
- To investigate in a preliminary manner the relationship between Notch activation status and gene expression profile of tumor and clinical outcomes from patients in this study.
II. To study the effects of the investigational therapy on T cell function, which will provide a basis for subsequent trials combining Notch blockade with immunomodulatory therapy for advanced melanoma.
III. To assess the response rate (confirmed and unconfirmed complete and partial responses).
IV. To assess toxicity.
OUTLINE: This is a multicenter study.
Patients receive gamma-secretase/Notch signalling pathway inhibitor RO4929097 orally (PO) on days 1-3, 8-10, and 15-17. Courses repeat every 21 days in the absence of disease progression or unacceptable toxicity.
Some patients undergo blood collection at baseline and during study for analysis of T-cell function by flow cytometry and ELISA. Tumor tissue samples from biopsy or surgery are also analyzed for Notch activation by IHC and qRT-PCR.
After completion of study therapy, patients are followed up every 3 months for 1 year and then every 6 months for 2 years.
- Conditions
- Acral Lentiginous Malignant Melanoma, Lentigo Maligna Malignant Melanoma, Nodular Malignant Melanoma, Recurrent Melanoma, Solar Radiation-related Skin Melanoma, Stage IV Melanoma
- Being tested
- gamma-secretase/Notch signalling pathway inhibitor RO4929097, laboratory biomarker analysis
- Medical subject headings
- Melanoma
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
gamma-secretase/Notch signalling pathway inhibitor RO4929097Drug
Also called R4733, RO4929097
Given PO
laboratory biomarker analysisOther
Correlative studies
| Study group | Role | What they receive |
|---|---|---|
| Treatment (gamma-secretase inhibitor RO4929097) | Experimental | Patients receive gamma-secretase/Notch signalling pathway inhibitor RO4929097 PO on days 1-3, 8-10, and 15-17. Courses repeat every 21 days in the absence of disease progression or unacceptable toxicity. Receives: Drug: gamma-secretase/Notch signalling pathway inhibitor RO4929097; Other: laboratory biomarker analysis |
What is being measured
The primary outcome is the main question the study is designed to answer.
Progression-free Survival According to Response Evaluation Criteria in Solid Tumors (RECIST) Version 1.1
From date of registration to date of first documentation of progression or symptomatic deterioration, or death due to any cause.
Measured: Disease assessments were performed every 6 weeks, up to 3 years.
Overall Survival
From date of registration to date of death due to any cause. Patients last known to be alive are censored at date of last contact.
Measured: Weekly, up to 3 years.
Secondary outcomes (2)
Percentage of Participants With Confirmed and Unconfirmed Complete or Partial Response
Complete disappearance of all measurable and non-measurable disease, or greater than or equal to 30% decrease under baseline of the sum of the longest diameters of all target measurable lesions.
Measured: Disease assessments for response were performed every 6 weeks, up to 3 years
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Adverse Events (AEs) are reported by CTCAE version 4.0. Only adverse events that are possibly, probably or definitely related to study drug are reported.
Measured: Toxicity assessment was evaluated at least every 3 weeks at the beginning of each cycle, up to 3 years
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted10 May 2010 (estimated)
- Study startOct 2010
- Primary completionMay 2013
- Study completionAug 2015
Why it stopped: Administratively complete.
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Acral Lentiginous Malignant MelanomaStudies of the same condition, open and under way.
- More trials run by National Cancer Institute (NCI)The sponsor's other registered studies.
- 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 2
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 36 participants (actual)
Sponsor and investigators
- Lead sponsor
- National Cancer Institute (NCI)
- Sponsor type
- US National Institutes of Health
- Responsible party
- Sponsor
- Investigators
- Kim Margolin, Principal investigator, SWOG Cancer Research Network
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01120275
- Sponsor's protocol ID
- NCI-2011-02040
- Other IDs
- NCI-2011-02040, SWOG-S0933, CDR0000671815, S0933, S0933, U10CA032102
- Status last verified
- May 2016
- First submitted
- 7 May 2010
- Last updated
- 14 Jun 2016
- Results posted
- Yes, on ClinicalTrials.gov
Publications
Lee SM, Moon J, Redman BG, Chidiac T, Flaherty LE, Zha Y, Othus M, Ribas A, Sondak VK, Gajewski TF, Margolin KA. Phase 2 study of RO4929097, a gamma-secretase inhibitor, in metastatic melanoma: SWOG 0933. Cancer. 2015 Feb 1;121(3):432-440. doi: 10.1002/cncr.29055. Epub 2014 Sep 23.
PubMed 25250858
Study at a glance
From the registry record, last updated by the sponsor on 14 Jun 2016. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Phase II Study of RO4929097 (NSC-749225) in Advanced Melanoma
- ClinicalTrials.gov ID
- NCT01120275
- Acronym / sponsor ID
- NCI-2011-02040
- Conditions
- Acral Lentiginous Malignant Melanoma, Lentigo Maligna Malignant Melanoma, Nodular Malignant Melanoma, Recurrent Melanoma, Solar Radiation-related Skin Melanoma, Stage IV Melanoma
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- TerminatedReason stopped: Administratively complete.
- Enrolment
- 36 participants (actual)
- Lead sponsor
- National Cancer Institute (NCI)US National Institutes of Health
- Study start
- Oct 2010
- Primary completion
- May 2013 (actual)
- Study completion
- Aug 2015 (actual)
- First posted
- 10 May 2010 (estimated)
- Results
- Posted 14 Jun 2016
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This phase II trial is studying how well gamma-secretase/Notch signalling pathway inhibitor RO4929097 works in treating patients with stage IV melanoma. Gamma-secretase/Notch signalling pathway inhibitor RO4929097 may stop the growth of tumor cells by blocking some of the enzymes needed for cell growth.
Detailed description
PRIMARY OBJECTIVES:
- To assess the six-month progression-free survival and one-year overall survival probability in Stage IV melanoma patients treated with RO4929097 (gamma-secretase/Notch signalling pathway inhibitor RO4929097).
SECONDARY OBJECTIVES:
- To investigate in a preliminary manner the relationship between Notch activation status and gene expression profile of tumor and clinical outcomes from patients in this study.
II. To study the effects of the investigational therapy on T cell function, which will provide a basis for subsequent trials combining Notch blockade with immunomodulatory therapy for advanced melanoma.
III. To assess the response rate (confirmed and unconfirmed complete and partial responses).
IV. To assess toxicity.
OUTLINE: This is a multicenter study.
Patients receive gamma-secretase/Notch signalling pathway inhibitor RO4929097 orally (PO) on days 1-3, 8-10, and 15-17. Courses repeat every 21 days in the absence of disease progression or unacceptable toxicity.
Some patients undergo blood collection at baseline and during study for analysis of T-cell function by flow cytometry and ELISA. Tumor tissue samples from biopsy or surgery are also analyzed for Notch activation by IHC and qRT-PCR.
After completion of study therapy, patients are followed up every 3 months for 1 year and then every 6 months for 2 years.
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| Treatment (gamma-secretase inhibitor RO4929097) | Experimental | Drug: gamma-secretase/Notch signalling pathway inhibitor RO4929097, Other: laboratory biomarker analysisPatients receive gamma-secretase/Notch signalling pathway inhibitor RO4929097 PO on days 1-3, 8-10, and 15-17. Courses repeat every 21 days in the absence of disease progression or unacceptable toxicity. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (34 listed)
- Patients must have histologically confirmed melanoma of cutaneous or unknown origin (ocular primary and mucosal primary excluded); patients must have Stage IV disease
- All patients must undergo a computed tomography (CT) or magnetic resonance imaging (MRI) of the brain within 42 days prior to registration that is negative for brain metastases; patients with a history of brain metastases are ineligible
- Patients must have measurable disease; all measurable lesions must be assessed (by physical examination, CT, or MRI scan) within 28 days prior to registration; tests to assess non-measurable disease must be performed within 42 days prior to registration; all disease must be assessed and documented on the Baseline Tumor Assessment Form (Response Evaluation Criteria In Solid Tumors [RECIST] 1.1); the CT from a combined positron emission tomography (PET)/CT must not be used to document measurable disease unless it is of diagnostic quality
- Sites must offer all patients participation in translational medicine studies and banking of paraffin embedded tissue and whole blood
- Patients must not have received any prior systemic therapy for Stage IV disease except for noncytotoxic biologic agents (e.g., vaccines, cytokines, cell therapies that do not require cytotoxic agents); patients may have received prior treatment with up to two prior biological therapies - no cytotoxics or kinase inhibitors - for advanced disease
Key exclusion criteria (0 listed)
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 |
|---|---|---|
| gamma-secretase/Notch signalling pathway inhibitor RO4929097Also: R4733, RO4929097Given PO | Drug | Treatment (gamma-secretase inhibitor RO4929097) |
| laboratory biomarker analysisCorrelative studies | Other | Treatment (gamma-secretase inhibitor RO4929097) |
Primary outcome
Progression-free Survival According to Response Evaluation Criteria in Solid Tumors (RECIST) Version 1.1
Time frame: Disease assessments were performed every 6 weeks, up to 3 years.
From date of registration to date of first documentation of progression or symptomatic deterioration, or death due to any cause.
Overall Survival
Time frame: Weekly, up to 3 years.
From date of registration to date of death due to any cause. Patients last known to be alive are censored at date of last contact.
2 secondary outcomes
Percentage of Participants With Confirmed and Unconfirmed Complete or Partial Response
Time frame: Disease assessments for response were performed every 6 weeks, up to 3 years
Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study Drugs
Time frame: Toxicity assessment was evaluated at least every 3 weeks at the beginning of each cycle, up to 3 years
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 14 Jun 2016.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 25250858Lee SM, Moon J, Redman BG, Chidiac T, Flaherty LE, Zha Y, Othus M, Ribas A, Sondak VK, Gajewski TF, Margolin KA. Phase 2 study of RO4929097, a gamma-secretase inhibitor, in metastatic melanoma: SWOG 0933. Cancer. 2015 Feb 1;121(3):432-440. doi: 10.1002/cncr.29055. Epub 2014 Sep 23.
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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.
Kim Margolin principal investigator
SWOG Cancer Research Network
178 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing gamma-secretase/Notch signalling pathway inhibitor RO4929097 and laboratory biomarker analysis in people with Acral Lentiginous Malignant Melanoma and Lentigo Maligna Malignant Melanoma, run by National Cancer Institute (NCI) at 178 sites in United States.
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 34 inclusion and 0 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 14 Jun 2016. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 178 sites in United States. 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 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 14 Jun 2016). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
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 According to Response Evaluation Criteria in Solid Tumors (RECIST) Version 1.1 (time frame: Disease assessments were performed every 6 weeks, up to 3 years.). The study lists 2 primary outcomes in all. 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 NCT01120275, 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 14 Jun 2016.