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Clinical Trials/EUCTR2005-006082-14-AT
EUCTR2005-006082-14-ATActive, not recruitingNot Applicable

A Multi-Center, Randomized, Double-Blind, Two-Arm, Phase III Study in Patients withUntreated Stage III (Unresectable) or IV Melanoma Receiving Dacarbazine Plus 10 mg/kg of Ipilimumab (MDX-010) vs. Dacarbazine With Placebo.Revised Protocol 04, incorporating Administrative Letter 01, Administrative Letter 02, Administrative Letter 03, Amendment 02, Amendment 06 and Amendment 07.

Bristol-Myers Squibb International Corporation0 sites500 target enrollmentStarted: November 13, 2006Last updated:
Conditions
Drugs

Trial Snapshot

Phase
Not Applicable
Status
Active, not recruiting
Enrollment
500

Study Overview

Brief Summary

No summary available.

Study Design

Study Type
Interventional clinical trial of medicinal product

Eligibility Criteria

Sex
All

Inclusion Criteria

  • 1) Willing and able to give written informed consent;
  • 2) Histologic diagnosis of malignant melanoma;
  • 3) Untreated unresectable Stage III melanoma with N3 macroscopic lymph nodes or
  • in-transit/satellite metastases or Stage IV melanoma (AJCC 2001) (note that prior
  • adjuvant melanoma therapy is permitted [e.g., IFN therapy]);
  • 4) Measurable/evaluable disease (as per modified WHO criteria), within 28 days of first dose of study drug;
  • 5) Life expectancy of = 16 weeks;
  • 6) ECOG performance status of 0 or 1 (see Protocol Appendix 3);
  • 7) Have the complete set of baseline (i.e., Screening) digital images of lesions and
  • radiographic images, including, but not limited to: brain, chest, abdomen pelvis and
  • bone scans. All images must be of adequate quality;
  • 8) Required values for initial laboratory tests:
  • WBC = 2500/uL
  • ANC = 1000/uL
  • Platelets = 75 x 103/uL
  • Hemoglobin = 9 g/dL
  • Creatinine = 2.5x ULN
  • AST = 3 x ULN for patients without liver metastasis = 5 x ULN for patients with liver metastasis
  • Bilirubin = 3x ULN, (except patients with Gilbert’s Syndrome, who must have a total bilirubin less than 3.0 mg/dL;
  • 9) Negative Screening tests for HIV, HepB, and HepC. If positive results are not
  • indicative of true active or chronic infection, the patient can enter the study after
  • discussion and agreement between the Investigator and the CRO Medical Monitor;
  • 10) Accessible for treatment and Follow-Up;
  • 11) Men and women > 18 years of age (or, = 16, if allowable per local regulatory
  • authority).
  • WOCBP must have a negative serum or urine pregnancy test (minimum sensitivity
  • 25 IU/L or equivalent units of HCG) within 72 hours prior to the start of study medication.
  • Are the trial subjects under 18? no
  • Number of subjects for this age range:
  • F.1.2 Adults (18-64 years) yes
  • F.1.2.1 Number of subjects for this age range
  • F.1.3 Elderly (>=65 years) yes
  • F.1.3.1 Number of subjects for this age range

Exclusion Criteria

  • 1) WOCBP who are unwilling or unable to use an acceptable method to avoid pregnancy for the entire study period and for up to 8 weeks after the study.
  • 2) Women who are pregnant or breastfeeding
  • 3) Women with a positive pregnancy test on enrollment or prior to study drug
  • administration.
  • 4) Sexually active fertile men whose partners are WOCBP, unless using an adequate
  • method of birth control
  • 5) Evidence of brain metastases on brain imaging (i.e., MRI or contrast CT);
  • 6) Any other malignancy from which the patient has been disease-free for less than
  • 5 years, with the exception of adequately treated and cured basal or squamous cell
  • skin cancer, superficial bladder cancer or carcinoma in situ of the cervix;
  • 7) Primary ocular or mucosal melanoma;
  • 8) Autoimmune disease: Patients with a documented history of inflammatory bowel
  • disease, including ulcerative colitis and Crohn’s disease are excluded from this study
  • as are patients with a history of symptomatic disease (e.g., rheumatoid arthritis,
  • systemic progressive sclerosis [scleroderma], Systemic Lupus Erythematosus,
  • autoimmune vasculitis [e.g., Wegener’s Granulomatosis]);
  • 9) Any underlying medical or psychiatric condition, which in the opinion of the
  • Investigator, will make the administration of study drug hazardous or obscure the
  • interpretation of AEs, such as a condition associated with frequent diarrhea;
  • 10) Prior or concomitant therapy with any anti-cancer agent, immunosuppressive agents, surgery or radiotherapy (except as defined in Sections 6.2.8.3 and 6.2.8.4 of the protocol); other
  • investigational anti-cancer therapies, or chronic use of systemic corticosteroids (used
  • in the management of cancer or non-cancer-related illnesses). Prior adjuvant therapy
  • is not exclusionary;
  • 11) Any non-oncology vaccine therapy used for prevention of infectious diseases (for up to 4 weeks prior to or after any dose of ipilimumab or dacarbazine);
  • 12) Prior treatment with a CD137 agonist or CTLA-4 inhibitor or agonist;
  • 13) Previous participation in another ipilimumab (MDX-010) clinical trial;
  • 14) Treatment with other investigational products within the last 4 weeks prior to
  • randomization into this study;
  • 15) Prisoners or patients who are compulsorily detained

Investigators

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