Description:
This study will investigate the combination of two drugs, trametinib and nab-paclitaxel, in
patients with advanced unresectable or metastatic melanoma. Each drug has shown activity in
trials of patients with melanoma. However, the combination of these two drugs has not been
studied. In this trial the investigators will determine the maximum dose of the drug
combination to be administered to patients with advanced unresectable or metastatic melanoma
and examine the safety profile of the drug combination.
Title
- Brief Title: Study of Trametinib and Nab-paclitaxel in Patients With Melanoma
- Official Title: Phase I Study of Trametinib and Nab-paclitaxel in Patients With Melanoma
Clinical Trial IDs
- ORG STUDY ID:
SCRI MEL 40
- NCT ID:
NCT02300935
Conditions
Interventions
Drug | Synonyms | Arms |
---|
trametinib | Mekinist | trametinib and nab-paclitaxel |
nab-paclitaxel | Abraxane | trametinib and nab-paclitaxel |
Purpose
This study will investigate the combination of two drugs, trametinib and nab-paclitaxel, in
patients with advanced unresectable or metastatic melanoma. Each drug has shown activity in
trials of patients with melanoma. However, the combination of these two drugs has not been
studied. In this trial the investigators will determine the maximum dose of the drug
combination to be administered to patients with advanced unresectable or metastatic melanoma
and examine the safety profile of the drug combination.
Detailed Description
While treatment for melanoma has evolved in the last few years, advanced/metastatic melanoma
remains an aggressive disease with poor prognosis. Trametinib and nab-paclitaxel have
demonstrated single-agent activity in Phase III trials of patients with melanoma. The
investigators propose to investigate this drug combination in patients with advanced
unresectable or metastatic melanoma. This open-label Phase I study is designed to determine
the maximum tolerated dose (MTD), recommended Phase II dose (RP2D), and safety profile of
trametinib and nab-paclitaxel given in combination. Patients with melanoma and known BRAF
mutation status will receive escalating doses of trametinib and nab-paclitaxel to determine
the MTD. Once the MTD is determined an additional 6 patients will be treated at the MTD to
establish the dose for future studies.
Trial Arms
Name | Type | Description | Interventions |
---|
trametinib and nab-paclitaxel | Experimental | Trametinib will be dosed at 1mg, 1.5mg, and 2mg orally (PO) daily based on Phase I data of this drug as a single agent. All patients entering this study will receive intravenous (IV) nab-paclitaxel on Day 1, 8, and 15. Dose levels will be assigned to each patient, and dose escalation decisions will be based on the evaluation of safety data from the prior cohort. | |
Eligibility Criteria
Inclusion Criteria:
- Adults (≥18 years) with histologically or cytologically-confirmed advanced
unresectable or metastatic melanoma. BRAF mutation-positive and wild-type tumors are
allowed.
- Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1
- Adequate hematologic, renal, and hepatic function
- Life expectancy ≥12 weeks
- Any pre-existing neuropathy must be <grade 2 per Common Technology Criteria for
Adverse Events (CTCAE) version 4.0
Exclusion Criteria:
- More than 1 prior cytotoxic chemotherapy regimen in the metastatic setting
- Prior MEK inhibitor therapy (prior BRAF inhibitor allowed)
- Prior nab-paclitaxel (prior taxane allowed)
- Use of an investigational anti-cancer drug within 21 days or 5 half-lives (whichever
is shorter) prior to first dose. A minimum of 10 days after termination of
investigational drug is required. Any drug-related toxicity should have resolved to
Grade 1 or baseline.
- Symptomatic or untreated brain metastases
- History of retinal vein occlusion (RVO)
Maximum Eligible Age: | N/A |
Minimum Eligible Age: | 18 Years |
Eligible Gender: | All |
Healthy Volunteers: | No |
Primary Outcome Measures
Measure: | Number of patients with Adverse Events (AEs) as a Measure of Safety and Tolerability |
Time Frame: | weekly for the first 4 weeks |
Safety Issue: | |
Description: | The maximum tolerated dose (MTD) of the drug combination will be determined as the highest dose at which ≤1 of 6 patients experience a dose limiting toxicity (DLT) during one cycle (28 days) of therapy. |
Details
Phase: | Phase 1 |
Primary Purpose: | Interventional |
Overall Status: | Withdrawn |
Lead Sponsor: | SCRI Development Innovations, LLC |
Trial Keywords
- trametinib
- nab-paclitaxel
- Mekinist
- Abraxane
- unresectable
- metastatic
Last Updated
May 30, 2019