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The purpose of this study is to evaluate efficacy of P276-00 in subjects with advanced malignant melanoma positive for cyclin D1 expression
Currently, melanoma is the fifth most common cancer diagnosed in men and the seventh most common cancer diagnosed in women.Advanced melanoma has a very poor prognosis.For a vast majority of subjects with malignant melanoma, there are no effective therapies.Therefore, the development of effective therapies for this subject population remains a priority in oncology.In a limited study in melanomas, increased cyclin D1 protein expression, as was observed in 33% cases.P276-00 is a novel potent small molecule flavone derived Cyclin dependent kinase (Cdk) Cdk 4-D1, Cdk1-B and Cdk9-T inhibitor.P276-00 demonstrated significant and selective antiproliferative effect against melanoma cell lines.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 1 | Experimental | P276-00 investigational product (small molecule Cdk 4-D1, Cdk1-B and Cdk9-T inhibitor) |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| P276-00 | Drug | P276-00 -small molecule Cdk 4-D1, Cdk1-B and Cdk9-T inhibitor |
|
| Measure | Description | Time Frame |
|---|---|---|
| Progression Free Survival rate at Day 168 | 168 days |
| Measure | Description | Time Frame |
|---|---|---|
| Overall survival rate at 1 year, objective response rate,duration of response | 1 year |
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Inclusion Criteria:
Subject with histologically confirmed stage III (unresectable) or stage IV metastatic melanoma as per revised AJCC melanoma staging
Subject positive for cyclin D1 expression by appropriate technique
Subject with at least one metastasis in which surgery was not a curative option and had relapsed from, or had not responded to at least one regimen containing Dacarbazine and or IL-2
Subjects with measurable disease [at least one unidimensionally measurable lesion ³ 20 mm with conventional techniques (CT, MRI, X-ray) or ³ 10 mm by spiral CT scan]
Subject of either sex and 18 years of age or elder
Eastern Cooperative Oncology Group (ECOG) performance status 2 or less
Subject with life expectancy of at least 4 months
Subject must have normal organ and marrow function as defined below
Subjects with metastatic disease to the central nervous system will be included provided they had either:
Ability to understand and the willingness to sign a written informed consent document.
Exclusion Criteria:
Treatment with P276?00 or other cyclin dependent kinase (CDK) targeting agents anytime in the past
History of allergic reactions attributed to compounds of chemical composition similar to P276?00
Subject who have had chemotherapy, immunotherapy or radiotherapy within 4 week prior to first dosing of study agent. For nitrosoureas, there shall be interval of at least six week from first dosing of study agent
Subject who have not recovered from adverse events (AE ³ CTCAE Grade 2) due to agents administered more than 4 week earlier.
Subject who had received any other investigational drug within 1 month prior to day 1 of study drug administration
Prior malignancy (within the last 3 years) except for adequately treated basal cell or squamous cell skin cancer, in situ cervical cancer, in situ breast cancer, in situ prostate cancer or any other cancer for which the subject has been disease-free for at least 3 years
Any medical condition (such as but not limited to severe/unstable angina, history of myocardial infarction, coronary/peripheral artery bypass graft, symptomatic congestive cardiac failure, cerebrovascular accident or transient ischemic attack, pulmonary embolism) or laboratory abnormality(ies) which might make it difficult for the subject to participate in the study, at the discretion of the Principal Investigator (PI)or co-PI
Known human immunodeficiency virus (HIV) positivity or acquired immunodeficiency syndrome (AIDS) related illness
QTc > 470 millisecond on 12 lead Electrocardiogram at screening
Pregnant or nursing women
Women of childbearing potential [defined as a sexually mature woman who has not undergone hysterectomy or who has not been naturally postmenopausal for at least 24 consecutive months (i.e. who has had menses any time in the preceding 24 consecutive months)] and men, not agreeing to use adequate contraception (e.g., hormonal or barrier method of birth control or abstinence) after signing an informed consent document (ICD), during the duration of study participation and for at least 4 week after withdrawal from the study, unless they are surgically sterilized
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| Name | Affiliation | Role |
|---|---|---|
| Peter Hersey, MD | Newcastle University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Newcastle, School of Medicine and Public Health | Newcastle | New South Wales | 2300 | Australia | ||
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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 |
|---|---|
| C520467 | P276-00 |
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| Mater Adult Hospital Raymond Tce South Brisbane, QLD 4101 |
| Brisbane |
| Australia |
| Peninsula Oncology Centre | Frankston | 3199 | Australia |
| John Fawkner Cancer Trial Centre | Victoria | 3058 | Australia |
| Curie Manavata Cancer Center | Nashik | Maharashtra | 422 004 | India |
| Chhatrapati Shahuji Maharaj Medical University | Lucknow | Uttar Pradesh | 22600 | India |
| Christchurch Oncology Research Unit, Oncology Service, Christchurch Hospital, Riccarton Avenue, Private Bag 4710, Christchurch, | Christchurch | New Zealand |
| 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 |