An International Multicenter Open-label Randomized Trial of the Efficacy, Pharmacokinetics, Safety, and Immunogenicity of BCD-100 (JSC BIOCAD, Russia) as Monotherapy in Patients With Unresectable/Metastatic Melanoma.
Overview
- Phase
- Phase 2
- Intervention
- Not specified
- Conditions
- Melanoma
- Sponsor
- Biocad
- Enrollment
- 126
- Locations
- 9
- Primary Endpoint
- Overall response rate
- Last Updated
- 5 years ago
Overview
Brief Summary
An International Multicenter Open-label Randomized Trial of the Efficacy, Pharmacokinetics, Safety, and Immunogenicity of BCD-100 (JSC BIOCAD, Russia) as Monotherapy in Patients with Unresectable/Metastatic Melanoma.
Detailed Description
This trial has been designed as an international multicenter open-label Phase II trial. The trial aims to investigate the efficacy, pharmacokinetics, safety, and immunogenicity of two dosage regimens of BCD-100 (JSC BIOCAD, Russia) as monotherapy in patients with unresectable/metastatic melanoma. According to the design, the trial will include two arms of patients. Each of the trial arms will receive repeated doses of the test drug as monotherapy; BCD-100 will be administered using one of the following dosage regimens established in a Phase I trial: * Monotherapy, BCD-100 1 mg/kg Q2W (IV infusion over 60 minutes; if a 60-minute infusion is tolerated well, all following doses can be administered over 30 minutes); * Monotherapy, BCD-100 3 mg/kg Q3W (IV infusion over 60 minutes; if a 60-minute infusion is tolerated well, all following doses can be administered over 30 minutes).
Investigators
Eligibility Criteria
Inclusion Criteria
- •Signed Informed Consent Form and the subject's ability to follow the Protocol requirements;
- •Age: 18 years and older at the signing of the informed consent;
- •Histologically verified (documented) unresectable/metastatic melanoma;
- •Newly diagnosed advanced/metastatic melanoma or progressive disease during (or after) systemic chemotherapy ;
- •Available tissue blocks for histological examination or patient's agreement to give biopsy specimens for PD-L1 expression status ;
- •ECOG performance status of 0 or 1;
- •LDH less than or equal to 2×upper limit of normal;
- •At least one RESICT 1.1-defined measurable target lesion confirmed by an independent review;
- •All prior treatment-related toxicities/surgery-related adverse events must be less than or equal to Grade 2 according to CTCAE 4.03, except for chronic/permanent damage caused by an AE that does not affect the safety profile of the investigational therapy (e.g., alopecia);
- •Adequate organ system function ;
Exclusion Criteria
- •Evidence of severe or concomitant diseases/life-threatening complications of the main condition (e.g., massive pleural, pericardial, or peritoneal effusion that requires medical intervention , pulmonary lymphangitis) at the signing of the informed consent;
- •Subjects with progressive/symptomatic brain metastases (e.g., brain edema, spinal cord compression) or brain metastases that need therapy with corticosteroids and/or anticonvulsants ;
- •Any concomitant disease observed at the screening that increases the risk of adverse events during the investigational therapy:
- •Grade III-IV stable angina, unstable angina, or a history of myocardial infarction within 6 months prior to signing the informed consent;
- •Class III or IV heart failure as defined by the New York Heart Association (NYHA) functional classification system;
- •Severe, resistant hypertension;
- •History of atopic asthma, angioedema;
- •Moderate to severe respiratory failure, Grade 3 to 4 chronic obstructive pulmonary disease;
- •Any other concomitant condition (e.g., metabolism, blood, hepatic, renal, pulmonary, neurological, endocrine, cardiac, infectious, or gastrointestinal disorder) that constitutes an unacceptable risk to the patient's health during the investigational therapy;
- •Systemic autoimmune diseases (including but not limited to SLE, Crohn's disease, ulcerative colitis, systemic scleroderma, inflammatory myopathy, mixed connective tissue disease, overlap syndrome, etc.) ;
Outcomes
Primary Outcomes
Overall response rate
Time Frame: 1 year
Overall response rate (partial response+complete response rates) assessed according to irRECIST in an mITT population during BCD-100 therapy
Secondary Outcomes
- Percentage of patients with severe immune-related AEs(1 year)
- One-year progression-free survival rate ;(1 year)