Phase 2
Completed N=106
A Study of IMC-1121B (Ramucirumab) With or Without Dacarbazine in Metastatic Malignant Melanoma
Metastatic Malignant Melanoma
Source: ClinicalTrials.gov NCT00533702 ↗
Enrolled (actual)
106
Serious AEs
28.4%
Results posted
Jun 2014
Primary outcomePrimary: Progression Free Survival (PFS) — 2.6; 1.7 months
Summary
The primary objective of this study is to determine the progression-free survival (PFS) of participants with previously untreated metastatic malignant melanoma when treated with IMC-1121B (ramucirumab) alone or in combination with dacarbazine.
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Progression Free Survival (PFS) |
2.6; 1.7 | — |
| SECONDARY Number of Participants With Adverse Events (AE) |
43; 40; 9; 5; 20; 13 | — |
| SECONDARY Percentage of Participants With Complete Response (CR) or Partial Response (PR) [Overall Response Rate (ORR)] |
17.3; 4.0 | — |
| SECONDARY Duration of Response |
11.0; NA | — |
| SECONDARY Percentage of Participants With Stable Disease (SD) or Better (Disease Control Rate) at 6 Weeks |
54; 44 | — |
| SECONDARY Percentage of Participants With Stable Disease (SD) or Better (Disease Control Rate) at 12 Weeks |
40; 24 | — |
| SECONDARY Percentage of Participants With Complete Response (CR) or Partial Response (PR) (Response Rate) at 12 Weeks |
13.5; 4.0 | — |
| SECONDARY Maximum Concentration (Cmax) for Cycle 1 Day 1 |
— | — |
| SECONDARY Maximum Concentration (Cmax) for Cycle 1 Day 7 |
— | — |
| SECONDARY Maximum Concentration (Cmax) for Cycle 1 Day 14 |
— | — |
Eligibility Criteria
Inclusion Criteria
- The participant has histologically or cytologically confirmed melanoma that is stage IV (metastatic)
- The participant has an Eastern Cooperative Oncology Performance Status (ECOG PS) of 0-1
- The participant has completed any prior radiotherapy, biologic/immunotherapy or vaccine therapy (for adjuvant or advanced disease) at least six weeks prior to the first dose of study therapy
- The participant has adequate hematological functions [absolute neutrophil count (ANC) ≥ 1500 cells/microliter (μL), hemoglobin ≥ 9 grams/deciliter (g/dL) and platelets ≥ 100,000 cells/μL].
- The participant has adequate hepatic function [bilirubin within normal limits (WNL), aspartate transaminase (AST) and/or alanine transaminase (ALT) ≤ 2.5 times the upper limit of normal (ULN), or ≤ 5.0 times the ULN if the transaminase elevation is due to liver metastases]
- The participant has serum creatinine ≤ 1.5 x ULN [or a calculated creatinine clearance > 60 milliliters/minute (mL/min)]
- The participant's urinary protein ≤ 1+ on dipstick or routine urinalysis [(UA); if urine dipstick or routine analysis is ≥ 2+, a 24-hour urine for protein must demonstrate < 1000 milligrams (mg) of protein in 24 hours to allow participation in the study]
- The participant must have adequate coagulation function as defined by International Normalized Ratio (INR) ≤ 1.5 and a partial thromboplastin time (PTT) ≤ 1.5 X ULN
Exclusion Criteria
- The participant has mucosal or intra-ocular melanoma
- The participant has known or suspected brain or leptomeningeal metastases
- The participant has had prior cytotoxic chemotherapy for metastatic malignant melanoma
- The participant has had more than one line of biologic, immunologic or vaccine-based therapy for metastatic malignant melanoma (including therapy for adjuvant or advanced disease)
- The participant has a nonhealing wound or ulcer
- The participant has a known alcohol or drug dependency
- The participant is pregnant or breastfeeding
- The participant has a coexisting medical or psychiatric problem of sufficient severity to limit compliance with the study and/or increase the risks associated with study participation or study drug administration or interfere with the interpretation of study results
- The participant has an ongoing or active infection, symptomatic congestive heart failure, unstable angina pectoris, symptomatic or poorly controlled cardiac arrhythmia, psychiatric illness/social situations, or any other serious uncontrolled medical disorders in the opinion of the investigator
Data sourced from ClinicalTrials.gov (NCT00533702). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication. Informational only — not medical advice.