Clinical Trials /

Study of Trametinib and Nab-paclitaxel in Patients With Melanoma

NCT02300935

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.

Related Conditions:
  • Melanoma
Recruiting Status:

Withdrawn

Phase:

Phase 1

Trial Eligibility

Document

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

  • Melanoma

Interventions

DrugSynonymsArms
trametinibMekinisttrametinib and nab-paclitaxel
nab-paclitaxelAbraxanetrametinib 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

NameTypeDescriptionInterventions
trametinib and nab-paclitaxelExperimentalTrametinib 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.
  • trametinib
  • nab-paclitaxel

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