Clinical Trial for metastatic melanoma patients.(skin cancer)
- Conditions
- Health Condition 1: null- Patients with histologically confirmed metastatic melanomaharboring the BRAF V600 mutation as determined by the cobas® 4800 BRAF V600 Mutation Test.
- Registration Number
- CTRI/2012/07/002756
- Lead Sponsor
- Roche Products India Pvt Ltd
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Completed
- Sex
- Not specified
- Target Recruitment
- 900
Inclusion Criteria:
1. Male or female patients >= 16 years of age
2. Patients with histologically confirmed
metastatic melanoma (surgically incurable
and unresectable stage IIIC or stage IV;
AJCC) with documented BRAF V600 mutation
determined by the cobas® 4800 BRAF V600
Mutation Test prior to administration of
RO5185426. Unresectable stage IIIC disease
must have confirmation from a surgical
oncologist
3. Patients with either measurable or non-
measurable disease(RECIST Version 1.1)
4. Patients may or may not have received prior
systemic therapy for metastatic melanoma
5. Eastern Cooperative Oncology Group (ECOG)
performance status (PS) of 0-2
6. Patients must have recovered from all side
effects of their most recent systemic or
local treatment for metastatic melanoma
7. Adequate hematologic, renal and liver
function as defined by the following
laboratory values performed within 7 days
prior to first dose of RO5185426:
• Absolute neutrophil count (ANC) >= 1.5 x
109/L
• Platelet count >= 100 x 109/L
• Hemoglobin >= 9 g/dL
• Serum creatinine <= 1.5 times upper limit
of normal (ULN) or creatine clearance
(CrCl) > 50 mL/hr by Cockroftâ??Gault formula
• Aspartate aminotransferase (AST [SGOT]) and
alanine aminotransferase (ALT [SGPT]) <= 2.5
times ULN (<= 5times ULN if considered due
to tumor)
• Serum bilirubin <= 1.5 times ULN
• Alkaline phosphatase <= 2.5 times ULN (<=
5times ULN if considered due to tumor)
8. Negative serum pregnancy test within 7 days
prior to commencement of dosing in
premenopausal women. Women of non-
childbearing potential may be included if
they are either surgically sterile or have
been postmenopausal for >=1 year.
9. Fertile men and women must use an effective
method of contraception during treatment and
for at least 6 months after completion of
treatment as directed by their physician.
Effective methods of contraception are
defined as those which result in a low
failure rate (i.e. less than 1% per year) when
used consistently and correctly (for example
implants, injectables, combined oral
contraception or intra-uterine devices). At
the discretion of the investigator, acceptable
methods of contraception may include total
abstinence in cases where the lifestyle of
the patient ensures compliance.[Periodic
abstinence (e.g. calendar, ovulation,
symptothermal, postovulation methods) and
withdrawal are not acceptable methods of
contraception.]
10.Absence of any psychological, familial,
sociological or geographical condition
potentially hampering compliance with the
study protocol and follow-up schedule; those
conditions should be discussed with the
patient before trial entry
11.Signed informed consent must be obtained
prior to performing any study-related
procedures (includ
1. Evidence of symptomatic CNS lesions as
determined by investigator (patients with
radiographically stable, asymptomatic lesions
previously irradiated or surgically resected
are eligible)
2. Patients with a previous malignancy (other
than melanoma) within the past 2 years are
excluded except patients with treated and
controlled basal or squamous cell carcinoma
(SCC) of the skin or carcinoma in-situ of the
cervix. Isolated elevation in prostate-
specific antigen in absence of radiographic
evidence of metastatic prostate cancer is
allowed
3. Concurrent administration of any anti-cancer
therapies (e.g. chemotherapy, other targeted
therapy, experimental drug, etc) other than
those administered in this study
4. Known hypersensitivity to RO5185426 or
another BRAF inhibitor
5. Pregnant or lactating women
6. Refractory nausea and vomiting,malabsorption,
external biliary shunt, or significant bowel
resection that would preclude adequate
absorption. Patients must be able to swallow
tablets
7. Any of the following within the 6 months
prior to first RO5185426 administration:
myocardial infarction, severe/unstable
angina, symptomatic congestive heart failure,
cerebrovascular accident or transient
ischemic attack, pulmonary embolism,
hypertension not adequately controlled
by current medications
8. History of congenital long QT syndrome,
history or presence of clinically significant
ventricular or atrial dysrhythmias >= Grade 2
(NCI CTCAE Version 4.0)
9. Corrected QT (QTc) interval >= 450 msec at
baseline
10.Uncontrolled medical illness (such as
infection requiring treatment with
intravenous (IV) antibiotics)
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method To evaluate the safety and tolerability of RO5185426 in <br/ ><br>patients with metastatic melanoma (surgically incurable and <br/ ><br>unresectable stage IIIC or stage IV; AJCC) harboring the BRAF V600 mutation.Timepoint: N/A
- Secondary Outcome Measures
Name Time Method To evaluate the efficacy of RO5185426 as overall <br/ ><br>response rates (ORRs) determined by the investigator (RECIST, <br/ ><br>Version 1.1) as allowed by local regulatory requirements.Timepoint: Screening, Cycle 3, Cycle 5 and End of the study.