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Clinical Trial Details — Status: Active, not recruiting

Administrative data

NCT number NCT01120275
Other study ID # NCI-2011-02040
Secondary ID NCI-2011-02040SW
Status Active, not recruiting
Phase Phase 2
First received May 7, 2010
Last updated June 9, 2014
Start date October 2010

Study information

Verified date June 2014
Source National Cancer Institute (NCI)
Contact n/a
Is FDA regulated No
Health authority United States: Food and Drug Administration
Study type Interventional

Clinical Trial Summary

This phase II trial is studying how well gamma-secretase/Notch signalling pathway inhibitor RO4929097 works in treating patients with stage IV melanoma. Gamma-secretase/Notch signalling pathway inhibitor RO4929097 may stop the growth of tumor cells by blocking some of the enzymes needed for cell growth.


Description:

PRIMARY OBJECTIVES:

I. To assess the six-month progression-free survival and one-year overall survival probability in Stage IV melanoma patients treated with RO4929097 (gamma-secretase/Notch signalling pathway inhibitor RO4929097).

SECONDARY OBJECTIVES:

I. To investigate in a preliminary manner the relationship between Notch activation status and gene expression profile of tumor and clinical outcomes from patients in this study.

II. To study the effects of the investigational therapy on T cell function, which will provide a basis for subsequent trials combining Notch blockade with immunomodulatory therapy for advanced melanoma.

III. To assess the response rate (confirmed and unconfirmed complete and partial responses).

IV. To assess toxicity.

OUTLINE: This is a multicenter study.

Patients receive gamma-secretase/Notch signalling pathway inhibitor RO4929097 orally (PO) on days 1-3, 8-10, and 15-17. Courses repeat every 21 days in the absence of disease progression or unacceptable toxicity.

Some patients undergo blood collection at baseline and during study for analysis of T-cell function by flow cytometry and ELISA. Tumor tissue samples from biopsy or surgery are also analyzed for Notch activation by IHC and qRT-PCR.

After completion of study therapy, patients are followed up every 3 months for 1 year and then every 6 months for 2 years.


Recruitment information / eligibility

Status Active, not recruiting
Enrollment 24
Est. completion date
Est. primary completion date May 2013
Accepts healthy volunteers No
Gender Both
Age group 18 Years and older
Eligibility Inclusion Criteria:

- Patients must have histologically confirmed melanoma of cutaneous or unknown origin (ocular primary and mucosal primary excluded); patients must have Stage IV disease

- All patients must undergo a computed tomography (CT) or magnetic resonance imaging (MRI) of the brain within 42 days prior to registration that is negative for brain metastases; patients with a history of brain metastases are ineligible

- Patients must have measurable disease; all measurable lesions must be assessed (by physical examination, CT, or MRI scan) within 28 days prior to registration; tests to assess non-measurable disease must be performed within 42 days prior to registration; all disease must be assessed and documented on the Baseline Tumor Assessment Form (Response Evaluation Criteria In Solid Tumors [RECIST] 1.1); the CT from a combined positron emission tomography (PET)/CT must not be used to document measurable disease unless it is of diagnostic quality

- Sites must offer all patients participation in translational medicine studies and banking of paraffin embedded tissue and whole blood

- Patients must not have received any prior systemic therapy for Stage IV disease except for noncytotoxic biologic agents (e.g., vaccines, cytokines, cell therapies that do not require cytotoxic agents); patients may have received prior treatment with up to two prior biological therapies - no cytotoxics or kinase inhibitors - for advanced disease

- Patients may have had prior adjuvant immunotherapy with biological response modifiers (examples include but are not limited to interferon, vaccines, GM-CSF, and CTLA-4 blocking antibodies); prior adjuvant immunotherapy must have been completed at least 28 days prior to registration

- Adjuvant therapy containing cytotoxic agents is allowed if completed >= 180 days prior to registration

- Patients may have received prior radiation therapy; any side effects the patients had due to prior radiation therapy must have resolved to =< Grade 1 prior to registration; prior radiation therapy must have completed at least 28 days prior to registration

- Patients must have Zubrod performance status of 0-1

- Leukocytes >= 3,000/mcL

- Absolute neutrophil count (ANC) >= 1,500/mcL

- Platelets >= 100,000/mcL

- Hemoglobin >= 9 g/dL

- Total bilirubin =< institutional upper limit of normal (IULN)

- Aspartate aminotransferase (AST) or alanine aminotransferase (ALT) =< 2.5 x IULN

- Serum creatinine =< IULN OR measured or calculated creatinine clearance >= 60 mL/min

- Patients must have the following serum electrolytes within the institutional ranges of normal: potassium, sodium, magnesium, phosphorous, chloride and calcium (corrected for serum albumin); these tests must be performed within 28 days prior to registration; patient must not require parenteral replacement therapy

- Patients must not have a history of allergic reaction attributed to compounds of similar chemical or biologic composition to RO4929097

- Patients must be able to swallow tablets

- Patients must not have malabsorption syndrome or other condition that would interfere with intestinal absorption of the agent

- Patients taking medications with narrow therapeutic indices that are metabolized by cytochrome P450 (CYP450), including warfarin sodium (Coumadin), are ineligible

- Patients must not be taking strong inducers or strong inhibitors of CYP3A4 at the time of registration

- Patients must not be known to be serologically positive for Hepatitis A, B, or C, or have a history of liver disease, other forms of hepatitis, or cirrhosis

- Patients must have an ECG within 28 days prior to registration. Patients must not have a QTcF > 450 msec (males) or QTcF > 470 msec (females)

- Patients must not have symptomatic congestive heart failure or unstable angina pectoris

- Patients with a history of torsades de pointes or any significant cardiac arrhythmia (except asymptomatic unifocal ventricular premature beats or supraventricular tachycardia easily controlled with oral medications) are excluded; any patient requiring or expected to require antiarrhythmics or other therapy known to prolong QTc is also excluded

- No other prior malignancy is allowed except for the following: adequately treated basal cell or squamous cell skin cancer, in situ cervical cancer, adequately treated Stage I or II cancer from which the patient is currently in complete remission, or any other cancer from which the patient has been disease free for five years

- Women of childbearing potential must have a negative pregnancy test within 14 days prior to registration (the type of pregnancy test used is at the discretion of the registering institution); female patients of childbearing potential include the following:

- Patients with regular menses

- Patients, after menarche with amenorrhea, irregular cycles, or using a contraceptive method that precludes withdrawal bleeding

- Women who have had tubal ligation

- Women must not be nursing due to possible harm to a nursing infant from the treatment regimen

- All patients must be informed of the investigational nature of this study and must sign and give written informed consent in accordance with institutional and federal guidelines

- At the time of patient registration, the treating institution's name and ID number must be provided to the Data Operations Center in Seattle in order to ensure that the current (within 365 days) date of institutional review board approval for this study has been entered into the data base

Study Design

Endpoint Classification: Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment


Related Conditions & MeSH terms


Intervention

Drug:
gamma-secretase/Notch signalling pathway inhibitor RO4929097
Given PO
Other:
laboratory biomarker analysis
Correlative studies

Locations

Country Name City State
United States Pali Momi Medical Center Aiea Hawaii
United States Saint Anthony's Health Alton Illinois
United States Cancer Care Center at Island Hospital Anacortes Washington
United States AnMed Health Hospital Anderson South Carolina
United States Michigan Cancer Research Consortium Community Clinical Oncology Program Ann Arbor Michigan
United States Saint Joseph Mercy Hospital Ann Arbor Michigan
United States University of Michigan Ann Arbor Michigan
United States Mission Hospital-Memorial Campus Asheville North Carolina
United States University of Colorado Cancer Center - Anschutz Cancer Pavilion Aurora Colorado
United States Sinai Hospital of Baltimore Baltimore Maryland
United States Bronson Battle Creek Battle Creek Michigan
United States Saint Francis Hospital and Health Centers Beech Grove Indiana
United States Mary Rutan Hospital Bellefontaine Ohio
United States PeaceHealth Saint Joseph Medical Center Bellingham Washington
United States Spectrum Health Big Rapids Hospital Big Rapids Michigan
United States Billings Clinic Billings Montana
United States Hematology-Oncology Centers of the Northern Rockies PC Billings Montana
United States Montana Cancer Consortium CCOP Billings Montana
United States Saint Vincent Healthcare Billings Montana
United States Central Care Cancer Center-Carrie J Babb Cancer Center Bolivar Missouri
United States Bozeman Deaconess Cancer Center Bozeman Montana
United States Bozeman Deaconess Hospital Bozeman Montana
United States CoxHealth Cancer Center Branson Missouri
United States Harrison HealthPartners Hematology and Oncology-Bremerton Bremerton Washington
United States Highline Medical Center-Main Campus Burien Washington
United States Saint Francis Medical Center Cape Girardeau Missouri
United States Rocky Mountain Oncology Casper Wyoming
United States Novant Health Presbyterian Medical Center Charlotte North Carolina
United States University of Chicago Chicago Illinois
United States Adena Regional Medical Center Chillicothe Ohio
United States Good Samaritan Hospital - Cincinnati Cincinnati Ohio
United States University of Cincinnati Cincinnati Ohio
United States Columbus CCOP Columbus Ohio
United States Doctors Hospital Columbus Ohio
United States Grant Medical Center Columbus Ohio
United States Mount Carmel Health Center West Columbus Ohio
United States Riverside Methodist Hospital Columbus Ohio
United States Danville Regional Medical Center Danville Virginia
United States Genesis Medical Center - East Campus Davenport Iowa
United States Dayton CCOP Dayton Ohio
United States Good Samaritan Hospital - Dayton Dayton Ohio
United States Grandview Hospital Dayton Ohio
United States Miami Valley Hospital Dayton Ohio
United States Samaritan North Health Center Dayton Ohio
United States Oakwood Hospital Dearborn Michigan
United States Decatur Memorial Hospital Decatur Illinois
United States Grady Memorial Hospital Delaware Ohio
United States Denver Veterans Administration Medical Center Denver Colorado
United States Saint John Hospital and Medical Center Detroit Michigan
United States Wayne State University/Karmanos Cancer Institute Detroit Michigan
United States Fairbanks Memorial Hospital Fairbanks Alaska
United States Blanchard Valley Hospital Findlay Ohio
United States Genesys Regional Medical Center-West Flint Campus Flint Michigan
United States Hurley Medical Center Flint Michigan
United States McLeod Regional Medical Center Florence South Carolina
United States Poudre Valley Hospital Fort Collins Colorado
United States Atrium Medical Center-Middletown Regional Hospital Franklin Ohio
United States Saint Edward Mercy Medical Center Ft. Smith Arkansas
United States Northeast Georgia Medical Center Gainesville Georgia
United States Wayne Memorial Hospital Goldsboro North Carolina
United States Saint Mary's Hospital and Regional Medical Center Grand Junction Colorado
United States Grand Rapids Clinical Oncology Program Grand Rapids Michigan
United States Mercy Health Saint Mary's Grand Rapids Michigan
United States Spectrum Health at Butterworth Campus Grand Rapids Michigan
United States Benefis Healthcare- Sletten Cancer Institute Great Falls Montana
United States Great Falls Clinic Great Falls Montana
United States Wayne Hospital Greenville Ohio
United States Saint Francis Hospital and Medical Center Hartford Connecticut
United States Hays Medical Center Hays Kansas
United States Saint Peter's Community Hospital Helena Montana
United States Margaret R Pardee Memorial Hospital Hendersonville North Carolina
United States Kapiolani Medical Center for Women and Children Honolulu Hawaii
United States Oncare Hawaii Inc-Kuakini Honolulu Hawaii
United States Oncare Hawaii Inc-POB II Honolulu Hawaii
United States Queen's Medical Center Honolulu Hawaii
United States Straub Clinic and Hospital Honolulu Hawaii
United States The Cancer Center of Hawaii-Liliha Honolulu Hawaii
United States University of Hawaii Honolulu Hawaii
United States Promise Regional Medical Center-Hutchinson Hutchinson Kansas
United States Allegiance Health Jackson Michigan
United States Castle Medical Center Kailua Hawaii
United States Glacier Oncology PLLC Kalispell Montana
United States Kalispell Regional Medical Center Kalispell Montana
United States North Kansas City Hospital Kansas City Missouri
United States Research Medical Center Kansas City Missouri
United States Saint Joseph Health Center Kansas City Missouri
United States Saint Luke's Cancer Institute Kansas City Missouri
United States Saint Luke's Hospital of Kansas City Kansas City Missouri
United States Truman Medical Center Kansas City Missouri
United States University of Kansas Medical Center Kansas City Kansas
United States Columbia Basin Hematology and Oncology PLLC Kennewick Washington
United States Kettering Medical Center Kettering Ohio
United States Wellmont Holston Valley Hospital and Medical Center Kingsport Tennessee
United States Evergreen Hospital Medical Center Kirkland Washington
United States Thompson Cancer Survival Center Knoxville Tennessee
United States Fairfield Medical Center Lancaster Ohio
United States Sparrow Hospital Lansing Michigan
United States Nevada Cancer Research Foundation CCOP Las Vegas Nevada
United States University Medical Center of Southern Nevada Las Vegas Nevada
United States Lawrence Memorial Hospital Lawrence Kansas
United States Saint Luke's East - Lee's Summit Lee's Summit Missouri
United States University of Kentucky Lexington Kentucky
United States Liberty Hospital Liberty Missouri
United States Wilcox Memorial Hospital and Kauai Medical Clinic Lihue Hawaii
United States University of Arkansas for Medical Sciences Little Rock Arkansas
United States Saint Mary Mercy Hospital Livonia Michigan
United States Loma Linda University Medical Center Loma Linda California
United States Marietta Memorial Hospital Marietta Ohio
United States Memorial Hospital Of Martinsville Martinsville Virginia
United States Fremont - Rideout Cancer Center Marysville California
United States Loyola University Medical Center Maywood Illinois
United States Montana Cancer Specialists Missoula Montana
United States Saint Patrick Hospital - Community Hospital Missoula Montana
United States Providence Hospital Mobile Alabama
United States Louisiana State University Sciences Center- Monroe Monroe Louisiana
United States Good Samaritan Regional Health Center Mount Vernon Illinois
United States Knox Community Hospital Mount Vernon Ohio
United States Skagit Valley Hospital Mount Vernon Washington
United States Mercy Health Mercy Campus Muskegon Michigan
United States Licking Memorial Hospital Newark Ohio
United States University of California Medical Center At Irvine-Orange Campus Orange California
United States Menorah Medical Center Overland Park Kansas
United States Saint Luke's South Hospital Overland Park Kansas
United States Via Christi Hospital-Pittsburg Pittsburg Kansas
United States Saint Joseph Mercy Oakland Pontiac Michigan
United States Saint Joseph Mercy Port Huron Port Huron Michigan
United States Adventist Medical Center Portland Oregon
United States SWOG Portland Oregon
United States Harrison HealthPartners Hematology and Oncology-Poulsbo Poulsbo Washington
United States Kansas City CCOP Prairie Village Kansas
United States Reid Hospital and Health Care Services Richmond Indiana
United States University of Rochester Rochester New York
United States William Beaumont Hospital-Royal Oak Royal Oak Michigan
United States University of California at Davis Cancer Center Sacramento California
United States Saint Mary's of Michigan Saginaw Michigan
United States Heartland Regional Medical Center Saint Joseph Missouri
United States Saint John's Mercy Medical Center Saint Louis Missouri
United States Saint Louis Cancer and Breast Institute-South City Saint Louis Missouri
United States Saint Louis-Cape Girardeau CCOP Saint Louis Missouri
United States Salina Regional Health Center Salina Kansas
United States Fred Hutchinson Cancer Research Center/University of Washington Cancer Consortium Seattle Washington
United States Group Health Cooperative-Seattle Seattle Washington
United States Harborview Medical Center Seattle Washington
United States Minor and James Medical PLLC Seattle Washington
United States Pacific Medical Center-First Hill Seattle Washington
United States Swedish Medical Center-First Hill Seattle Washington
United States The Polyclinic Seattle Washington
United States University of Washington Medical Center Seattle Washington
United States Virginia Mason CCOP Seattle Washington
United States United General Hospital Sedro-Woolley Washington
United States Shawnee Mission Medical Center Shawnee Mission Kansas
United States Welch Cancer Center Sheridan Wyoming
United States Highland Clinic Shreveport Louisiana
United States Louisiana State University Health Sciences Center Shreveport Shreveport Louisiana
United States Spartanburg Regional Medical Center Spartanburg South Carolina
United States Upstate Carolina CCOP Spartanburg South Carolina
United States Cancer Care Northwest - Spokane South Spokane Washington
United States Evergreen Hematology and Oncology PS Spokane Washington
United States CoxHealth South Hospital Springfield Missouri
United States Memorial Medical Center Springfield Illinois
United States Mercy Hospital Springfield Springfield Missouri
United States Ozark Health Ventures LLC dba Cancer Research for The Ozarks Springfield Springfield Missouri
United States Springfield Regional Medical Center Springfield Ohio
United States Iredell Memorial Hospital Statesville North Carolina
United States Saint Francis Hospital and Medical Center - Topeka Topeka Kansas
United States Munson Medical Center Traverse City Michigan
United States Upper Valley Medical Center Troy Ohio
United States Tahoe Forest Cancer Center Truckee California
United States University of Arizona Health Sciences Center Tucson Arizona
United States Maui Memorial Medical Center Wailuku Hawaii
United States Saint John Macomb-Oakland Hospital Warren Michigan
United States Wenatchee Valley Medical Center Wenatchee Washington
United States Saint Ann's Hospital Westerville Ohio
United States Wesley Medical Center Wichita Kansas
United States Clinton Memorial Hospital Wilmington Ohio
United States Metro Health Hospital Wyoming Michigan
United States Greene Memorial Hospital Xenia Ohio
United States Genesis HealthCare System Zanesville Ohio

Sponsors (1)

Lead Sponsor Collaborator
National Cancer Institute (NCI)

Country where clinical trial is conducted

United States, 

Outcome

Type Measure Description Time frame Safety issue
Primary Progression-free survival according to Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1 From date of registration to date of first documentation of progression or symptomatic deterioration, or death due to any cause, assessed up to 6 months No
Primary Overall survival Up to 1 year No
Secondary Response rate (confirmed and unconfirmed complete or partial response) Up to 3 years No
Secondary Toxicity rates as assessed by Common Terminology Criteria for Adverse Events (CTCAE) version 4.0 Up to 3 years Yes
See also
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Withdrawn NCT01216787 - RO4929097 in Treating Patients With Stage IIIB, Stage IIIC, or Stage IV Melanoma That Can Be Removed by Surgery Phase 2
Active, not recruiting NCT01026324 - Dinaciclib in Treating Patients With Stage III-IV Melanoma Phase 1/Phase 2
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Terminated NCT01875653 - Autologous Dendritic Cell-Tumor Cell Immunotherapy for Metastatic Melanoma Phase 3
Completed NCT01748747 - Vaccine Therapy and Resiquimod in Treating Patients With Stage II-IV Melanoma That Has Been Removed By Surgery Early Phase 1
Terminated NCT01316692 - Aurora A Kinase Inhibitor MLN8237 in Treating Patients With Unresectable Stage III-IV Melanoma Phase 2
Terminated NCT01026051 - Safety, Immune and Tumor Response to a Multi-component Immune Based Therapy (MKC1106-MT) for Patients With Melanoma Phase 2
Terminated NCT01217411 - RO4929097 and Whole-Brain Radiation Therapy or Stereotactic Radiosurgery in Treating Patients With Brain Metastases From Breast Cancer Phase 1
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Completed NCT00288041 - Bortezomib, Paclitaxel, and Carboplatin in Treating Patients With Metastatic Melanoma Phase 2
Completed NCT00074308 - Imatinib Mesylate and Bevacizumab in Treating Patients With Advanced Melanoma or Other Advanced Cancers Phase 1/Phase 2
Completed NCT00072163 - Temozolomide and Thalidomide in Treating Patients With Brain Metastases Secondary to Melanoma Phase 2
Completed NCT00026143 - Interleukin-12 and Interferon Alfa in Treating Patients With Metastatic Malignant Melanoma Phase 2