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临床试验/NCT01320085
NCT01320085已完成2 期

A Phase II, Open-label Study to Assess the Safety and Efficacy of Oral MEK162 in Adults With Locally Advanced and Unresectable or Metastatic Malignant Cutaneous Melanoma, Harboring BRAFV600 or NRAS Mutations

Pfizer21 个研究点 分布在 5 个国家目标入组 183 人开始时间: 2011年3月24日最近更新:
适应症
干预措施
相关药物

试验速览

阶段
2 期
状态
已完成
发起方
Pfizer
入组人数
183
试验地点
21
主要终点
Percentage of Participants With Objective Response (OR)

研究概览

简要总结

The study will assess the safety and efficacy of single-agent MEK162 in adult patients with locally advanced and unresectable or metastatic malignant cutaneous melanoma, harboring BRAFV600E or NRAS mutations.

研究设计

研究类型
Interventional
分配方式
Non Randomized
干预模型
Parallel
主要目的
Treatment
盲法
None

入排标准

年龄范围
18 Years 至 —(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Locally advanced or metastatic cutaneous melanoma AJCC Stage IIIB to IV, not potentially curable with surgery
  • BRAF or NRAS mutation in tumor tissue
  • All patients enrolled should provide sufficient fresh or archival tumor sample at baseline to enable confirmation of BRAF or NRAS mutations and the additional analyses described in the protocol
  • Evidence of measurable tumor disease as per RECIST
  • WHO performance status of 0-2
  • Adequate organ function and laboratory parameters

排除标准

  • History or evidence of central serous retinopathy (CSR), retinal vein occlusion (RVO) or any eye condition that would be considered a risk factor for CSR or RVO
  • Patients with unstable CNS metastasis
  • Prior treatment with a MEK- inhibitor
  • Impaired cardiovascular function
  • HIV, active Hepatitis B, and/or active Hepatitis C infection
  • Pregnant or nursing (lactating) women
  • Women of child-bearing potential UNLESS they comply with protocol contraceptive requirements
  • Other protocol-defined inclusion/exclusion criteria may apply.

研究组 & 干预措施

BRAFV600 mutant, 45mg bid MEK162

Experimental

BRAFV600 mutant, 45mg bid MEK162

干预措施: MEK162 (Drug)

NRAS mutant, 45mg bid MEK162

Experimental

NRAS mutant, 45mg bid MEK162

干预措施: MEK162 (Drug)

BRAFV600 mutant, 60mg bid MEK162

Experimental

BRAFV600 mutant, 60mg bid MEK162

干预措施: MEK162 (Drug)

结局指标

主要结局

Percentage of Participants With Objective Response (OR)

时间窗: From date of randomization or date of start of treatment until date of first documentation of PD or death due to any cause, whichever occurred first (maximum duration of up to 33 months)

Objective response as assessed by the investigator per Response Evaluation Criteria in Solid Tumors (RECIST) version (v) 1.0, was defined as participants with a best overall response of complete response (CR) or partial response (PR), were recorded from date of randomization or date of start of treatment until date of first documentation of progressive disease (PD) or death due to any cause. CR was defined as complete disappearance of all target and non-target lesions, and sustained for at least 4 weeks apart before progression. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to less than (\<) 10 millimeter (mm). PR defined as at least 30 percent (%) decrease in sum of diameters of target lesions, taking as reference the baseline sum diameters.

次要结局

  • Progression-Free Survival (PFS)(From date of randomization or date of start of treatment until date of first documentation of PD or date of death due to any cause or date of data censoring, whichever occurred first (maximum duration of up to 33 months))
  • Overall Survival (OS)(From date of randomization or date of start of treatment to date of death due to any cause or date of censoring, whichever occurred first (maximum duration of up to 33 months))
  • Duration of Response (DOR)(From first documentation of CR or PR until first documentation of tumor progression or death due to any cause or data censoring date, whichever occurred first (maximum duration of up to 33 months))
  • Number of Participants With Shift From Baseline in Laboratory Parameter Values Based on National Cancer Institute Common Terminology Criteria (NCI-CTCAE) Grade, Version 4.0 (Hematology)(Baseline up to 30 days after last dose of study drug (for a maximum duration of up to 11 years, approximately))
  • Time to Response (TTR)(From the date of randomization or date of start of treatment to the first documentation of objective response (CR or PR) or data censoring date, whichever occurred first (maximum duration of up to 33 months))
  • Number of Participants With Shift From Baseline in Laboratory Parameter Values Based on National Cancer Institute Common Terminology Criteria (NCI-CTCAE) Grade, Version 4.0 (Chemistries)(Baseline up to 30 days after last dose of study drug (for a maximum duration of up to 11 years, approximately))
  • Number of Participants With Markedly Abnormal Vital Sign Values: Sitting Pulse Rate(Baseline up to 30 days after last dose of study drug (up to maximum of 33 months))
  • Number of Participants With Change From Baseline in Abnormal Ophthalmoscopy Values- by Fundoscopy(Baseline up to 30 days after last dose of study drug (for a maximum duration of up to 33 months))
  • Number of Participants With Serious Adverse Reactions(Baseline up to 30 days after last dose of study drug (for a maximum duration of up to 11 years, approximately))
  • Number of Participants With Shift From Baseline in Vital Signs Values Based on National Cancer Institute Common Terminology Criteria (NCI-CTCAE) Grade, Version 4.0 (Blood Pressure)(Baseline up to 30 days after last dose of study drug (up to maximum of 33 months))
  • Number of Participants With Markedly Abnormal Vital Sign Values: Weight(Baseline up to 30 days after last dose of study drug (up to maximum of 33 months))
  • Number of Participants With Grade 3 or 4 Treatment-Emergent Adverse Reactions Based on National Cancer Institute Common Terminology Criteria (NCI-CTCAE), Version 4.0(Baseline up to 30 days after last dose of study drug (for a maximum duration of up to 11 years, approximately))
  • Number of Participants With Notable Electrocardiogram (ECG) Values(Baseline up to 30 days after last dose of study drug (up to maximum of 33 months))
  • Number of Participants With Change From Baseline in Abnormal Ophthalmoscopy Values- by Slit Lamp Examination(Baseline up to 30 days after last dose of study drug (for a maximum duration of up to 33 months))
  • Area Under the Curve From Time Zero to End of Dosing Interval at Steady-State (AUCtau) of Binimetinib(Pre-dose (0 hour), 0.5, 1.5, 3, 8 hours on Day 1 and Day 15 of Cycle 1)
  • Maximum Plasma Concentration (Cmax) of Binimetinib(Pre-dose (0 hour), 0.5, 1.5, 3, 8 hours on Day 1 and Day 15 of Cycle 1)
  • Time to Reach Maximum Observed Plasma Concentration (Tmax) of Binimetinib(Pre-dose (0 hour), 0.5, 1.5, 3, 8 hours on Day 1 and Day 15 of Cycle 1)
  • Area Under the Curve From Time Zero to Time of Last Quantifiable Concentration (AUC0-last) of Binimetinib(Pre-dose (0 hour), 0.5, 1.5, 3, 8 hours on Day 1 and Day 15 of Cycle 1)
  • The Last Time Point of the Last Quantifiable Concentration (Tlast) of Binimetinib(Pre-dose (0 hour), 0.5, 1.5, 3, 8 hours on Day 1 and Day 15 of Cycle 1)
  • Trough Plasma Concentration (Ctrough) of Binimetinib(Pre-dose (0 hour) on Day 15 of Cycle 1)
  • Apparent Total Body Clearance (CL/F) of Binimetinib(Pre-dose (0 hour), 0.5, 1.5, 3, 8 hours on Day 1 and Day 15 of Cycle 1)
  • Area Under the Curve From Time Zero to End of Dosing Interval at Steady-State (AUCtau) of Binimetinib's Metabolite(Pre-dose (0 hour), 0.5, 1.5, 3, 8 hours on Day 1 and Day 15 of Cycle 1)
  • Maximum Plasma Concentration (Cmax) of Binimetinib's Metabolite(Pre-dose (0 hour), 0.5, 1.5, 3, 8 hours on Day 1 and Day 15 of Cycle 1)
  • Time to Reach Maximum Observed Plasma Concentration (Tmax) of Binimetinib's Metabolite(Pre-dose (0 hour), 0.5, 1.5, 3, 8 hours on Day 1 and Day 15 of Cycle 1)
  • Area Under the Curve From Time Zero to Time of Last Quantifiable Concentration (AUC0-last) of Binimetinib's Metabolite(Pre-dose (0 hour), 0.5, 1.5, 3, 8 hours on Day 1 and Day 15 of Cycle 1)
  • The Last Time Point of the Last Quantifiable Concentration (Tlast) of Binimetinib's Metabolite(Pre-dose (0 hour), 0.5, 1.5, 3, 8 hours on Day 1 and Day 15 of Cycle 1)
  • Trough Plasma Concentration (Ctrough) of Binimetinib's Metabolite(Pre-dose (0 hour) on Day 15 of Cycle 1)
  • Percent Change From Baseline in Histological Score (H-score) for Phosphorylated Extracellular Signal-Regulated Kinase (pERK) From Tumor Samples of Cytoplasmic and Nuclear Cellular Compartment(Baseline up to maximum duration of up to 33 months)
  • Percent Change From Baseline in Delta CT Values for Dual Specificity Phosphatase 6 (DUSP6) Expression From Tumor Samples(Baseline up to maximum duration of up to 33 months)

研究者

发起方
Pfizer
申办方类型
Industry
责任方
Sponsor

研究点 (21)

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