Melanoma Clinical Trial

A Study of AMNN107 in the Treatment of Metastatic and/or Inoperable Melanoma Harboring a c-Kit Mutation

Summary

The purpose of this study is to determine whether nilotinib is efficacious in the treatment of metastatic and/or inoperable melanoma harboring a c-Kit mutation.

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Full Description

This trial began as a multi-center, randomized, Phase III, controlled trial for nilotinib vs (DTIC) dacarbazine to assess the efficacy and safety of nilotinib (400 mg bid) in patients with c-Kit mutated metastatic and/or inoperable melanoma. The study was open to patients with mucosal or acral melanoma.

Due to substantial difficulties identifying and recruiting eligible patients, the trial design was altered from a randomized, two-arm, Phase III study to a single-arm, Simon two-stage Phase II study with protocol Amendment 2 (27-Jul-2011). While the original protocol required the recruitment of 120 patients, this amendment required the study to recruit only 41 patients (patients randomized to nilotinib prior to Amendment 2 were to be counted in this total, but those randomized to dacarbazine ( DTIC ) DTIC were not). Patients randomized to DTIC were allowed to cross-over to nilotinib, either immediately or at the time of progression.

View Eligibility Criteria

Eligibility Criteria

Inclusion Criteria:

1. Histologically confirmed mucosal or acral 2. Presence of a c-Kit mutation of exon 9, 11 or 13, or mutations Y822D and mutations D820Y, Y823D of exon 17, as confirmed by the central laboratory 3. Stage III unresectable or stage IV disease 4. The presence of one or more measurable lesions as detected by radiological or photographic methods and assessed according to RECIST 1.0. Lesions must have a size of at least 10mm at longest diameter (using a slice thickness of 5 mm)or double the slice thickness to be considered a target lesion. Target lesions should not be selected in previously irradiated fields unless there is clear evidence of progression 5. WHO performance status 0 - 2

Exclusion Criteria:

C-Kit mutation of exons 17(except mutations D820Y, Y822D or Y823D) or any other exon not allowed by the inclusion criteria
Patients with c-Kit amplifications only and no mutation
Patients with any history of brain metastases
Patients who have had any prior treatment with TKIs
Patients receiving medications or herbal extracts which interfere with nilotinib metabolism which are not discontinued by the time of the baseline visit
Acute or chronic liver or renal disease considered unrelated to melanoma

Other protocol-defined inclusion/exclusion criteria may have applied.

Study is for people with:

Melanoma

Phase:

Phase 2

Estimated Enrollment:

55

Study ID:

NCT01028222

Recruitment Status:

Completed

Sponsor:

Novartis Pharmaceuticals

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There are 49 Locations for this study

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City of Hope National Medical Center City of Hope national Med Ctr
Duarte California, 91010, United States
University of California San Diego - Moores Cancer Center UCSD Moores Cancer Center
La Jolla California, 92093, United States
University of California at Los Angeles UCLA
Los Angeles California, 90024, United States
California Pacific Medical Center California Pacific Med
San Francisco California, 94120, United States
University of Colorado Univ Colorado 2
Aurora Colorado, 80045, United States
Rush University Medical Center SC
Chicago Illinois, 60612, United States
Oncology Specialists, SC Dept.of Oncology Specialists
Park Ridge Illinois, 60068, United States
Sidney Kimmel Comprehensive Cancer Center/Johns Hopkins Med. Medical Oncology
Baltimore Maryland, 21231, United States
Dana Farber Cancer Institute DFCI - Brookline
Boston Massachusetts, 02215, United States
Mayo Clinic - Rochester Mayo Clinic- Gonda
Rochester Minnesota, 55905, United States
Washington University School of Medicine CAMN107B2301
St. Louis Missouri, 63110, United States
Memorial Sloan Kettering Cancer Center
New York New York, 10021, United States
Case Western Reserve Case Western
Cleveland Ohio, 44106, United States
Baylor Health Care System/Sammons Cancer Center Baylor 2
Dallas Texas, 75246, United States
Novartis Investigative Site
Buenos Aires , C1125, Argentina
Novartis Investigative Site
North Sydney New South Wales, 2060, Australia
Novartis Investigative Site
Adelaide South Australia, 5000, Australia
Novartis Investigative Site
East Melbourne Victoria, 3002, Australia
Novartis Investigative Site
Heidelberg Victoria, 3084, Australia
Novartis Investigative Site
Brussel , 1090, Belgium
Novartis Investigative Site
Bruxelles , 1200, Belgium
Novartis Investigative Site
Leuven , 3000, Belgium
Novartis Investigative Site
Belo Horizonte MG, 30150, Brazil
Novartis Investigative Site
Rio de Janeiro RJ, 20230, Brazil
Novartis Investigative Site
São Paulo SP, 01246, Brazil
Novartis Investigative Site
Toronto Ontario, M4N 3, Canada
Novartis Investigative Site
Toronto Ontario, M5G 1, Canada
Novartis Investigative Site
Beijing , 10003, China
Novartis Investigative Site
Erlangen , 91054, Germany
Novartis Investigative Site
Essen , 45147, Germany
Novartis Investigative Site
Köln , 50937, Germany
Novartis Investigative Site
Muenchen , 80336, Germany
Novartis Investigative Site
Tübingen , 72076, Germany
Novartis Investigative Site
Meldola FC, 47014, Italy
Novartis Investigative Site
Genova GE, 16132, Italy
Novartis Investigative Site
Milano MI, 20133, Italy
Novartis Investigative Site
Milano MI, 20141, Italy
Novartis Investigative Site
Padova PD, 35100, Italy
Novartis Investigative Site
Siena SI, 53100, Italy
Novartis Investigative Site
Amsterdam , 1081 , Netherlands
Novartis Investigative Site
Nijmegen , 6525 , Netherlands
Novartis Investigative Site
Singapore , 16961, Singapore
Novartis Investigative Site
Barcelona Catalunya, 08036, Spain
Novartis Investigative Site
Hospitalet de LLobregat Cataluña, 08907, Spain
Novartis Investigative Site
Goteborg , SE-41, Sweden
Novartis Investigative Site
Malmö , SE-20, Sweden
Novartis Investigative Site
Stockholm , SE-17, Sweden
Novartis Investigative Site
Uppsala , SE-75, Sweden
Novartis Investigative Site
Zürich , 8091, Switzerland

How clear is this clinincal trial information?

Study is for people with:

Melanoma

Phase:

Phase 2

Estimated Enrollment:

55

Study ID:

NCT01028222

Recruitment Status:

Completed

Sponsor:


Novartis Pharmaceuticals

How clear is this clinincal trial information?

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