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.
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.
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.
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There are 49 Locations for this study
Duarte California, 91010, United States
La Jolla California, 92093, United States
Los Angeles California, 90024, United States
San Francisco California, 94120, United States
Aurora Colorado, 80045, United States
Chicago Illinois, 60612, United States
Park Ridge Illinois, 60068, United States
Baltimore Maryland, 21231, United States
Boston Massachusetts, 02215, United States
Rochester Minnesota, 55905, United States
St. Louis Missouri, 63110, United States
New York New York, 10021, United States
Cleveland Ohio, 44106, United States
Dallas Texas, 75246, United States
Buenos Aires , C1125, Argentina
North Sydney New South Wales, 2060, Australia
Adelaide South Australia, 5000, Australia
East Melbourne Victoria, 3002, Australia
Heidelberg Victoria, 3084, Australia
Brussel , 1090, Belgium
Bruxelles , 1200, Belgium
Leuven , 3000, Belgium
Belo Horizonte MG, 30150, Brazil
Rio de Janeiro RJ, 20230, Brazil
São Paulo SP, 01246, Brazil
Toronto Ontario, M4N 3, Canada
Toronto Ontario, M5G 1, Canada
Beijing , 10003, China
Erlangen , 91054, Germany
Essen , 45147, Germany
Köln , 50937, Germany
Muenchen , 80336, Germany
Tübingen , 72076, Germany
Meldola FC, 47014, Italy
Genova GE, 16132, Italy
Milano MI, 20133, Italy
Milano MI, 20141, Italy
Padova PD, 35100, Italy
Siena SI, 53100, Italy
Amsterdam , 1081 , Netherlands
Nijmegen , 6525 , Netherlands
Singapore , 16961, Singapore
Barcelona Catalunya, 08036, Spain
Hospitalet de LLobregat Cataluña, 08907, Spain
Goteborg , SE-41, Sweden
Malmö , SE-20, Sweden
Stockholm , SE-17, Sweden
Uppsala , SE-75, Sweden
Zürich , 8091, Switzerland
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