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| ID | Type | Description | Link |
|---|---|---|---|
| 106128 | Other Identifier | USF IRB | |
| CA180-092 | Other Identifier | Bristol-Myers Squibb |
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| Name | Class |
|---|---|
| Bristol-Myers Squibb | INDUSTRY |
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The purpose of this study is to:
Phase I Objectives:
Phase II Objectives:
The expression of proto-oncogene tyrosine-protein kinase (Src), a substance present in a significant proportion of melanomas plays a role in the growth, multiplying, and dividing of cancer cells. Melanoma cells appear to be sensitive to these agents that block the action of Src in concentrations that can be achieved in patients. We suggest that Src inhibitors (such as Dasatinib) may be a good choice for treatment of melanoma in combination with Dacarbazine (a chemotherapy drug that can cause the shrinkage of melanomas). We wish to to evaluate the Src inhibitor Dasatinib in combination with the chemotherapy drug Dacarbazine. The novel oral Src inhibitor Dasatinib may be able to increase the effectiveness of chemotherapy for melanoma compared to chemotherapy alone. Dacarbazine is a standard treatment for melanoma currently. The effectiveness of this chemotherapy drug may be increased by combination with Dasatinib. Dacarbazine has been approved by the US Food and Drug Administration (FDA) for treating melanoma; Dasatinib has been approved by the FDA to treat leukemia, but it has not been approved alone or in combination with Dacarbazine to treat melanoma.
Patient will receive Dacarbazine intravenously (IV), which means it is given through a needle in a vein in the arm or through a venous port (if patient already has one). Dasatinib will be given orally starting day 2 for 17 days straight (days 2 through 19) starting the day after patient receives their first dose of Dacarbazine. The therapy will be repeated every 21 days (21 days = 1 cycle). Patient may be given other drugs before each cycle to help reduce side effects of the therapy. If patient experiences severe side effects, the amount of Dacarbazine and/or Dasatinib they receive in future cycles may be decreased.
Cycle 1 day 1:
Cycle 1 day 8:
Cycle 1 day 15:
Patient will also take Dasatinib orally as instructed days: 2, 3, 4, 5, 6, 7, 9, 10, 11, 12, 13, 14, 16, 17, 18, 19 each cycle.
Day 1 for all cycles after the first cycle:
If patient decides not to continue participation in this study or is taken off the study by their study doctor or the sponsor they will return to the clinic for one more visit.
During this visit the following procedures will be performed:
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Phase I Dose Escalation | Experimental | Dasatinib and Dacarbazine (DTIC). The first cohort was a dasatinib dose of 50 mg by mouth (PO) twice a day (BID) given days 2-19 with DTIC given at a dose of 800 mg/m2 once every 3 weeks. The dose escalation was continued until MTD and a recommended Phase II dose was established. |
|
| Phase II Dose Treatment | Experimental | Dasatinib and Dacarbazine (DTIC). The recommended phase II dose was dasatinib 70 mg BID with dacarbazine 800 mgm^2. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Dasatinib and Dacarbazine (DTIC) | Drug | Arm A/ Phase I Potential Dose Levels. Dose Level -1: Dasatinib 40 mg; DTIC 600 mg/m^2. Dose Level 1: Dasatinib 50 mg; DTIC 800 mg/m^2. Dose Level 2: Dasatinib 70 mg; DTIC 800 mg/m^2. Dose Level 3: Dasatinib 70 mg; DTIC 1000 mg/m^2. Arm B/Phase II Potential Dose Levels. MTD1: Dasatinib 70 mg; DTIC 1000 mg/m^2. MTD2: Dasatinib 70 mg; DTIC 800 mg/m^2. MTD3: Dasatinib 100 mg: DTIC 1000 mg/m^2. |
| Measure | Description | Time Frame |
|---|---|---|
| Recommended Phase II Dose | To determine the maximum tolerated dose of dasatinib twice a day when given with dacarbazine. Adverse events were graded using Common Terminology Criteria for Adverse Events version 3.0. Dose-limiting toxicities are defined as any grade 4 haematological toxicity (except asymptomatic grade 4 neutropenia for =/< 7 days); prolonged grade 3 or 4 thrombocytopenia (47 days) or thrombocytopenia associated with bleeding, requiring platelet transfusion; any grade 3 or 4 nonhaematological toxicity despite optimal supportive care; any toxicity considered unacceptable by the study principal investigator. | 1 Year 3 Months |
| Phase II - Number of Participants With Overall Response (OR) | Phase II - To determine the overall response rate (ORR) of the combination of dasatinib and DTIC by the Response Evaluation Criteria in Solid Tumors (RECIST v1.0). Tumor assessments were made at baseline and at the end of every second cycle (i.e. every 6 weeks). Partial and complete responses were defined by the best treatment response achieved. | 1 Year 6 Months |
| Measure | Description | Time Frame |
|---|---|---|
| Number of Participants With Progression Free Survival (PFS) at 6 Months | Phase II - PFS Rate in patients receiving dasatinib 70 mg orally (PO) twice a day (BID). Tumor assessments were made at baseline and at the end of every second cycle (i.e. every 6 weeks). Partial and complete responses were defined by the best treatment response achieved. Stable disease was defined as maintenance of the sum of lesions diameters between a 30% reduction and a 20% increase of overall tumour size over 12 weeks or longer. |
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Inclusion Criteria:
Histologically or cytologically proven melanoma with Stage IV or unresectable stage III disease
Resolution of all acute toxic effects of prior radiotherapy or surgical procedures to National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0 grade ≤1.
Adequate organ function as defined by the following criteria:
Patients with CNS metastasis must have had either; a) resected central nervous system (CNS) metastasis without evidence of recurrence for >12 weeks; b) Brain metastasis treated by stereotactic radiosurgery without evidence of recurrence or progression for 12 weeks; Or, c) Multiple brain lesions treated with whole-brain radiation therapy (WBRT) with stable disease off corticosteroids for at least 12 weeks prior to start of therapy; and, d)Without any evidence of leptomeningeal disease. Patients must be neurologically intact.
May have previous adjuvant therapy with interferon, vaccines or therapy with IL-2 or GM-CSF
Measurable disease by Response Evaluation Criteria in Solid Tumors (RECIST) criteria is required in the Phase II portion of the trial. In the phase I part of the trial patients with evaluable but not measurable disease may be allowed with the permission of the Principal Investigator (PI)
Eastern Cooperative Oncology Group (ECOG) PS 0-2
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Jeffrey Weber, M.D.. Ph.D. | H. Lee Moffitt Cancer Center and Research Institute | Principal Investigator |
| Adil Daud, M.D. | Helen Diller Family Comprehensive Cancer Center, University of California, San Francisco | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Helen Diller Family Comprehensive Cancer Center, University of California, San Francisco | San Francisco | California | 94115 | United States |
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Eligible patients had unresectable stage III or stage IV melanoma. Patients were required to have measurable or evaluable disease and prior treatment with dacarbazine or temozolomide was not allowed.
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| ID | Title | Description |
|---|---|---|
| FG000 | Phase I Dose Escalation | Dasatinib and Dacarbazine (DTIC). Dasatinib and Dacarbazine (DTIC). The first cohort was a dasatinib dose of 50 mg by mouth (PO) twice a day (BID) given days 2-19 with DTIC given at a dose of 800 mg/m2 once every 3 weeks. The dose escalation was continued until MTD and a recommended Phase II dose was established. |
| FG001 | Phase II Dose Treatment | Dasatinib and Dacarbazine (DTIC). Dasatinib and Dacarbazine (DTIC). The recommended phase II dose was dasatinib 70 mg BID with dacarbazine 800 mgm^2. |
| Title | Milestones | Reasons Not Completed | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
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| ID | Title | Description |
|---|---|---|
| BG000 | Phase I Dose Escalation | Dasatinib and Dacarbazine (DTIC). Dasatinib and Dacarbazine (DTIC). The first cohort was a dasatinib dose of 50 mg by mouth (PO) twice a day (BID) given days 2-19 with DTIC given at a dose of 800 mg/m2 once every 3 weeks. The dose escalation was continued until MTD and a recommended Phase II dose was established. |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Categorical | Count of Participants |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | ||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Recommended Phase II Dose | To determine the maximum tolerated dose of dasatinib twice a day when given with dacarbazine. Adverse events were graded using Common Terminology Criteria for Adverse Events version 3.0. Dose-limiting toxicities are defined as any grade 4 haematological toxicity (except asymptomatic grade 4 neutropenia for =/< 7 days); prolonged grade 3 or 4 thrombocytopenia (47 days) or thrombocytopenia associated with bleeding, requiring platelet transfusion; any grade 3 or 4 nonhaematological toxicity despite optimal supportive care; any toxicity considered unacceptable by the study principal investigator. | All participants in Arm A | Posted | Number | mg | 1 Year 3 Months |
|
First on treatment date to last off study date: 2 years, 4 months.
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Phase I Dose Escalation | Dasatinib and Dacarbazine (DTIC). Dasatinib and Dacarbazine (DTIC). The first cohort was a dasatinib dose of 50 mg by mouth (PO) twice a day (BID) given days 2-19 with DTIC given at a dose of 800 mg/m2 once every 3 weeks. The dose escalation was continued until MTD and a recommended Phase II dose was established. |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Blood/Bone Marrow - Grade 3 | Blood and lymphatic system disorders | CTC V3 | Systematic Assessment |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Allergic reaction/hypersensitivity - Grade 2 | General disorders | CTC V3 | Systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Adil Daud, Director, Melanoma Clinical Research | UCSF Helen Diller Family Comprehensive Cancer Center | 415-353-7392 | adaud@medicine.ucsf.edu |
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| ID | Term |
|---|---|
| D008545 | Melanoma |
| ID | Term |
|---|---|
| D018358 | Neuroendocrine Tumors |
| D017599 | Neuroectodermal Tumors |
| D009373 | Neoplasms, Germ Cell and Embryonal |
| D009370 | Neoplasms by Histologic Type |
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| ID | Term |
|---|---|
| D000069439 | Dasatinib |
| D003606 | Dacarbazine |
| ID | Term |
|---|---|
| D013844 | Thiazoles |
| D013457 | Sulfur Compounds |
| D009930 | Organic Chemicals |
| D001393 | Azoles |
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|
|
| 6 Months |
| Number of Participants With 12 Month Overall Survival (OS) | Phase II - To determine Overall Survival of patients treated with the combination of dasatinib and DTIC at 12 months. | 12 Months |
| H. Lee Moffitt Cancer Center & Research Institute | Tampa | Florida | 33612 | United States |
| BG001 |
| Phase II Dose Treatment |
Dasatinib and Dacarbazine (DTIC). Dasatinib and Dacarbazine (DTIC). The recommended phase II dose was dasatinib 70 mg BID with dacarbazine 800 mgm^2. |
| BG002 | Total | Total of all reporting groups |
| Participants |
|
| Age, Continuous | Mean | Full Range | years |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| Region of Enrollment | Number | participants |
|
| Units | Counts |
|---|---|
| Participants |
|
|
| Primary | Phase II - Number of Participants With Overall Response (OR) | Phase II - To determine the overall response rate (ORR) of the combination of dasatinib and DTIC by the Response Evaluation Criteria in Solid Tumors (RECIST v1.0). Tumor assessments were made at baseline and at the end of every second cycle (i.e. every 6 weeks). Partial and complete responses were defined by the best treatment response achieved. | Patients receiving dasatinib at 70 mg PO BID | Posted | Number | participants | 1 Year 6 Months |
|
|
|
| Secondary | Number of Participants With Progression Free Survival (PFS) at 6 Months | Phase II - PFS Rate in patients receiving dasatinib 70 mg orally (PO) twice a day (BID). Tumor assessments were made at baseline and at the end of every second cycle (i.e. every 6 weeks). Partial and complete responses were defined by the best treatment response achieved. Stable disease was defined as maintenance of the sum of lesions diameters between a 30% reduction and a 20% increase of overall tumour size over 12 weeks or longer. | Patients receiving dasatinib at 70 mg PO BID | Posted | Number | participants | 6 Months |
|
|
|
| Secondary | Number of Participants With 12 Month Overall Survival (OS) | Phase II - To determine Overall Survival of patients treated with the combination of dasatinib and DTIC at 12 months. | All participants | Posted | Number | participants | 12 Months |
|
|
|
| 9 |
| 16 |
| 4 |
| 16 |
| EG001 | Phase II Dose Treatment | Dasatinib and Dacarbazine (DTIC). Dasatinib and Dacarbazine (DTIC). The recommended phase II dose was dasatinib 70 mg BID with dacarbazine 800 mgm^2. | 11 | 34 | 5 | 34 |
| Hemoglobin - Grade 4 | Blood and lymphatic system disorders | CTC V3 | Systematic Assessment |
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| Neutrophils/granulocytes - Grade 4 | Blood and lymphatic system disorders | CTC V3 | Systematic Assessment |
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| Platelets - Grade 3 | Blood and lymphatic system disorders | CTC V3 | Systematic Assessment |
|
| Platelets - Grade 4 | Blood and lymphatic system disorders | CTC V3 | Systematic Assessment |
|
| Cardiac general - Grade 3 | Cardiac disorders | CTC V3 | Systematic Assessment |
|
| Cardiac ischemia/infarction | Cardiac disorders | CTC V3 | Systematic Assessment |
|
| Death not associated with CTCAE term - Disease progression not otherwise specified (NOS) - Grade 5 | General disorders | CTC V3 | Systematic Assessment |
|
| Diarrhea - Grade 3 | Gastrointestinal disorders | CTC V3 | Systematic Assessment |
|
| Hemorrhage, GI - Lower GI NOS - Grade 3 | General disorders | CTC V3 | Systematic Assessment |
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| Hemorrhage, GI - Lower GI NOS - Grade 4 | General disorders | CTC V3 | Systematic Assessment |
|
| Febrile neutropenia - Grade 3 | Infections and infestations | CTC V3 | Systematic Assessment |
|
| Infection with Grade 3 or 4 neutrophils - skin - Grade 3 | Infections and infestations | CTC V3 | Systematic Assessment |
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| Infection with normal ANC or Grade 1 or 2 neutrophils - skin - Grade 3 | Infections and infestations | CTC V3 | Systematic Assessment |
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| Infection with unknown ANC - Joint - Grade 3 | Infections and infestations | CTC V3 | Systematic Assessment |
|
| Edema - limb - Grade 3 | Blood and lymphatic system disorders | CTC V3 | Systematic Assessment |
|
| Mental status - Grade 4 | Psychiatric disorders | CTC V3 | Systematic Assessment |
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| Pain - Abdomen NOS - Grade 3 | General disorders | CTC V3 | Systematic Assessment |
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| Pain - Abdomen NOS - Grade 4 | General disorders | CTC V3 | Systematic Assessment |
|
| Dyspnea - Grade 3 | Respiratory, thoracic and mediastinal disorders | CTC V3 | Systematic Assessment |
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| Dyspnea - Grade 5 | Respiratory, thoracic and mediastinal disorders | CTC V3 | Systematic Assessment |
|
| Hemoglobin - Grade 2 | Blood and lymphatic system disorders | CTC V3 | Systematic Assessment |
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| Ascites (non-malignant) - Grade 2 | Gastrointestinal disorders | CTC V3 | Systematic Assessment |
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| Diarrhea - Grade 2 | Gastrointestinal disorders | CTC V3 | Systematic Assessment |
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| Infection - Grade 2 | Infections and infestations | CTC V3 | Systematic Assessment |
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| Infection with normal ANC or Grade 1 or 2 neutrophils - Skin - Grade 2 | Infections and infestations | CTC V3 | Systematic Assessment |
|
| Pain - Chest wall - Grade 2 | General disorders | CTC V3 | Systematic Assessment |
|
| Pleural effusion (non-malignant) - Grade 2 | Respiratory, thoracic and mediastinal disorders | CTC V3 | Systematic Assessment |
|
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| D009369 | Neoplasms |
| D009380 | Neoplasms, Nerve Tissue |
| D018326 | Nevi and Melanomas |
| D012878 | Skin Neoplasms |
| D009371 | Neoplasms by Site |
| D012871 | Skin Diseases |
| D017437 | Skin and Connective Tissue Diseases |
| D006573 |
| Heterocyclic Compounds, 1-Ring |
| D006571 | Heterocyclic Compounds |
| D011743 | Pyrimidines |
| D014226 | Triazenes |
| D007093 | Imidazoles |