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A Study of Intravenous INO-1001 Plus Oral Temozolomide to Evaluate Tolerability, Safety, and Pharmacokinetics in Patients With Melanoma

Phase 1
Terminated
Conditions
Melanoma
Interventions
Registration Number
NCT00272415
Lead Sponsor
Genentech, Inc.
Brief Summary

This is a prospective, open-label, non-randomized, multicenter study in adults, aged eighteen (18) or older, with newly-diagnosed or recurrent unresectable Stage III or Stage IV melanoma. A maximum of 18 subjects will be enrolled in Stage 1 of this study. (Stage 1 completed enrollment in June 2006.) A maximum of 39 subjects will be enrolled in Stage 2 of this study.

Detailed Description

Not available

Recruitment & Eligibility

Status
TERMINATED
Sex
All
Target Recruitment
39
Inclusion Criteria
  • Biopsy proven malignant melanoma with metastasis that is unresectable Stage III or Stage IV. Subjects with recurrent melanoma that is unresectable are also eligible
  • Measurable indicator metastases
  • Age 18 years or older
  • ECOG status 0-2
  • An interval at the time of enrollment of at least: a) 2 weeks since surgical resection (if conducted); b) 4 weeks since prior radiotherapy or chemotherapy, and c) 6 weeks since chemotherapy with a nitrosourea
  • Hematocrit > 29%, ANC > 1500 cells/ul, platelets > 100,000 cells/ul
  • Serum creatinine within the laboratory's upper limit of normal
  • Serum AST and ALT ≤ 1.5 x the laboratory's upper limit of normal
  • Subject signed informed consent prior to subject entry
Exclusion Criteria
  • Female patients who are pregnant or breast-feeding. Women of childbearing potential must have a negative serum or urine pregnancy test within 72 hours prior to administration of each cycle of the study drug regimen.
  • Subjects of childbearing potential who are not willing or able to use an effective method of contraception, consisting of at least one-barrier method (e.g., condom and diaphragm), for the duration of the study and for at least 3 months after completing the treatment.
  • Subjects previously treated with DTIC or TMZ
  • Symptomatic central nervous metastases
  • Concurrent severe and/or uncontrolled medical disease that could compromise participation in the study.
  • Confirmed diagnosis of hepatitis or HIV infection
  • Any medical, psychiatric, or social problem that might interfere with the performance, completion, and/or interpretation of the trial
  • Patients who have had any surgery within two weeks prior to enrollment in this study, or who have not recovered from the side effects of this or any other therapy
  • Patients unwilling to comply with the protocol or who in the judgment of the Principal Investigator are unable to abide by the rules of the protocol
  • Subjects who have received a potent CYP3A4 inhibitor or inducer orally or parenterally within approximately 14 days prior to enrollment
  • Subjects who have received amiodarone within 30 days of study drug administration
  • History of hypersensitivity reaction to more than three (3) drugs or to mannitol
  • Patients who have received any investigational study agent within 30 days of Day 1 of Cycle 1

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
1temozolomide-
1INO-1001-
Primary Outcome Measures
NameTimeMethod
Maximum tolerated dose (MTD) or recommended Phase II dose of INO-1001 to be used in combination with TMZLength of study
Pharmacokinetic (PK) profile of intravenous INO-1001Length of study
Safety and tolerability of combined therapy with oral temozolomide (TMZ) and intravenous INO-1001Length of study
Secondary Outcome Measures
NameTimeMethod
Safety of repeat dosingLength of study
Pharmacodynamic (PD) activity of intravenous INO-1001Length of study
ResponseLength of study
Progression-free survivalLength of study
Overall survivalLength of study
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