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NCT00301067

Phase I/II Study of High-Dose Calcitriol Plus Temodar for Patients With Metastatic Melanoma

Completed Phase 1, PHASE2 Results posted Last updated 4 June 2019
What this trial tests

Phase 1, PHASE2 trial testing Calcitriol in Metastatic Melanoma in 20 participants. Completed in 9 July 2012.

Timeline
30 January 2005
Primary endpoint
5 April 2012
9 July 2012

Quick facts

Lead sponsorNorthwestern University
PhasePhase 1, PHASE2
StatusCompleted
Study typeINTERVENTIONAL
Allocationnon randomized
Designsequential
Maskingnone
Primary purposetreatment
Enrollment20
Start date30 January 2005
Primary completion5 April 2012
Estimated completion9 July 2012
Sites1 location across United States

Drugs / interventions tested

Conditions studied

Sponsor

Northwestern University

Who can join

18 and older, any sex, with Metastatic Melanoma. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Number and Frequency of Dose Limiting Toxicities (DLTs) With High-dose Calcitriol in Combination With Temozolomide Primary · From start of treatment, up to 12 cycles where 1 cycle equals 28 days

Determine number and frequency of dose limiting toxicities (DLT) of high-dose calcitriol when administered with temozolomide in patients with metastatic melanoma for up to 12 cycles of therapy, where 1 cycle equals 28 days. 3 patients per dose cohort will be entered into the trial at doses of 0.2, 0.3, and 0.5 mcg/kg of calcitriol administered orally. If 1 patient experiences dose limiting toxicity (DLT) at any dose, that dose cohort will be expanded to a maximum of 6 patients. If 1 additional patient experiences DLT at that dose stratum, further dose escalation will cease and the dose cohort

GroupValue95% CI
Cohort 1 - Temozolomide and Calcitriol0
Cohort 2 - Temozolomide and Calcitriol0
Cohort 3 - Temozolomide and Calcitriol0
Number of Patients With Toxicity Primary · From the start of treatment and every 2 weeks for a maximum of 12 cycles, and 30 days post last treatment, where 1 cycle equals 28 days

Toxicity will be assessed for each patient on a seven-day on/seven-day off temozolomide in combination with high-dose calcitriol for every 2 weeks for up to 12 cycles where 1 cycle equals 28 days. Toxicity will be assessed during treatment according to the National Cancer Institute's Common Toxicity Criteria for adverse events version 3.0 (CTCAE v3.0) and defined by any toxicity determined to be at least possibly related to either study drug (temozolomide or calcitriol). In general adverse events (AEs) will be graded according to the following: Grade 1 Mild AE Grade 2 Moderate AE Grade 3 Sev

Thrombocytopenia
GroupValue95% CI
Cohort 1 - Temozolomide and Calcitriol1
Cohort 2 - Temozolomide and Calcitriol0
Cohort 3 - Temozolomide and Calcitriol0
Expansion - Temozolomide and Calcitriol1
Vascular
GroupValue95% CI
Cohort 1 - Temozolomide and Calcitriol1
Cohort 2 - Temozolomide and Calcitriol0
Cohort 3 - Temozolomide and Calcitriol0
Expansion - Temozolomide and Calcitriol1
Nausea
GroupValue95% CI
Cohort 1 - Temozolomide and Calcitriol0
Cohort 2 - Temozolomide and Calcitriol0
Cohort 3 - Temozolomide and Calcitriol1
Expansion - Temozolomide and Calcitriol0
Vomiting
GroupValue95% CI
Cohort 1 - Temozolomide and Calcitriol0
Cohort 2 - Temozolomide and Calcitriol0
Cohort 3 - Temozolomide and Calcitriol1
Expansion - Temozolomide and Calcitriol0
Leukopenia
GroupValue95% CI
Cohort 1 - Temozolomide and Calcitriol0
Cohort 2 - Temozolomide and Calcitriol0
Cohort 3 - Temozolomide and Calcitriol1
Expansion - Temozolomide and Calcitriol1
Fatigue
GroupValue95% CI
Cohort 1 - Temozolomide and Calcitriol0
Cohort 2 - Temozolomide and Calcitriol0
Cohort 3 - Temozolomide and Calcitriol0
Expansion - Temozolomide and Calcitriol1
Anemia
GroupValue95% CI
Cohort 1 - Temozolomide and Calcitriol0
Cohort 2 - Temozolomide and Calcitriol0
Cohort 3 - Temozolomide and Calcitriol0
Expansion - Temozolomide and Calcitriol2
Lymphopenia
GroupValue95% CI
Cohort 1 - Temozolomide and Calcitriol0
Cohort 2 - Temozolomide and Calcitriol0
Cohort 3 - Temozolomide and Calcitriol0
Expansion - Temozolomide and Calcitriol2
Tumor Response Secondary · At baseline and every 8 weeks during treatment for a maximum of 12 cycles where one cycle equals 28 days.

Determine best tumor response during treatment. Response and progression was evaluated using the Response Evaluation Criteria in Solid Tumors (RECIST). The same method of assessment and the same technique should be used to characterize each identified and reported lesion at baseline and during follow-up. Complete Response (CR): Disappearance of all target lesions Partial Response (PR): At least a 30% decrease in the sum of the longest diameter (LD) of target lesions, taking as reference the baseline sum LD Progressive Disease (PD): At least a 20% increase in the sum of the LD of target lesi

GroupValue95% CI
Temozolomide and Calcitriol (Cohort 1-3+Expansion)0
Temozolomide and Calcitriol (Cohort 1-3+Expansion)2
Temozolomide and Calcitriol (Cohort 1-3+Expansion)1
Temozolomide and Calcitriol (Cohort 1-3+Expansion)17
Overall Response Rate Secondary · From the start of treatment, every 2 cycles where 1 cycle equals 28 days, for a maximum of 12 cycles

Overall Response Rate (ORR) is defined as percentage of patients who's best response to treatment is complete response plus those with partial response. Complete Response (CR): Disappearance of all target lesions. Partial Response (PR): At least a 30% decrease in the sum of the longest diameter (LD) of target lesions, taking as reference the baseline sum LD.

GroupValue95% CI
Temozolomide and Calcitriol (Cohort 1-3+Expansion)2
Time to Progression Secondary · From the start of treatment, until progressive disease, up to 12 months

Time to progression (TTP) is measured from the start of treatment until the time of first documentation of disease progression.

GroupValue95% CI
Temozolomide and Calcitriol (Cohort 1-3+Expansion)1.811.15 – 1.99
Overall Survival Secondary · From the first day of treatment until death from any cause, up to a maximum of 6 and half years

Overall Survival (OS) will be measured from first day of treatment until death of any cause. Patients still alive at the last data cut off point will be censored.

GroupValue95% CI
Temozolomide and Calcitriol (Cohort 1-3+Expansion)5.52.7 – 12.3
Overall Survival (OS) Stratified by Vitamin D-Receptor (VDR) Gene Polymorphisms Secondary · at baseline and until death from any cause up to 6 and half years

Investigate the relationship between vitamin D-receptor (VDR) gene polymorphisms in Taq1 and Fok1 (analyzed from baseline blood sample) and Overall Survival (OS). VDR gene analysis was completed using PCR-RFLP based assays.

VDR genotype (tt+/-ff)
GroupValue95% CI
Temozolomide and Calcitriol (Cohort 1-3+Expansion)3.82.0 – 5.7
non tt+/-ff VDR genotype
GroupValue95% CI
Temozolomide and Calcitriol (Cohort 1-3+Expansion)7.43.0 – 12.3

Adverse events — posted to ClinicalTrials.gov

Time frame: Adverse events for the study were collected over a 6 year and 3 month period. For each patient adverse events were collected for a maximum of 12 cycles where 1 cycle equals 28 days.. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Cohort 1 - Temozolomide and Calcitriol
Serious: 2/4 (50%)
Deaths: 3/4
Cohort 2 - Temozolomide and Calcitriol
Serious: 1/3 (33%)
Deaths: 3/3
Cohort 3 - Temozolomide and Calcitriol
Serious: 2/3 (67%)
Deaths: 3/3
Expansion - Temozolomide and Calcitriol
Serious: 4/10 (40%)
Deaths: 9/10

Serious adverse events (10 terms)

ReactionSystemCohort 1 - Temozolomide an…Cohort 2 - Temozolomide an…Cohort 3 - Temozolomide an…Expansion - Temozolomide a…
ThrombocytopeniaBlood and lymphatic system disorders
Nausea and vomitingGastrointestinal disorders
HyperglycemiaMetabolism and nutrition disorders
Rapidly declining performance statusNeoplasms benign, malignant and unspecified (incl cysts and polyps)
ConfusionNervous system disorders
Slurred speech and droolingNervous system disorders
PneumoniaRespiratory, thoracic and mediastinal disorders
Pulmonary embolusRespiratory, thoracic and mediastinal disorders
RashSkin and subcutaneous tissue disorders
Death related to diseaseNeoplasms benign, malignant and unspecified (incl cysts and polyps)
Other adverse events (58 terms — click to expand)

ReactionSystemCohort 1 - Temozolomide an…Cohort 2 - Temozolomide an…Cohort 3 - Temozolomide an…Expansion - Temozolomide a…
NauseaGastrointestinal disorders
VomitingGastrointestinal disorders
Anemia (Hemoglobin decrease)Blood and lymphatic system disorders
FatigueGeneral disorders
Weight lossGeneral disorders
AnorexiaGastrointestinal disorders
ConstipationGastrointestinal disorders
Leukocytes (white blood count)Blood and lymphatic system disorders
TransaminaseMetabolism and nutrition disorders
LymphopeniaBlood and lymphatic system disorders
Platelets decreased (thrombocytopenia)Blood and lymphatic system disorders
Urinary tract infection NOSInfections and infestations
Oral infectionInfections and infestations
Albumin, serum-lowMetabolism and nutrition disorders
Bilirubin, serum highMetabolism and nutrition disorders
Glucose, serum highMetabolism and nutrition disorders
Lactic acid dehydrogenase (LDH) increaseMetabolism and nutrition disorders
ConfusionNervous system disorders
Mood alteration - DepressionPsychiatric disorders
Motor NeuropathyNervous system disorders
Tumor painNeoplasms benign, malignant and unspecified (incl cysts and polyps)
Pain not otherwise specifiedGeneral disorders
Neutrophils decreasedBlood and lymphatic system disorders
HypotensionCardiac disorders
TachycardiaCardiac disorders
FeverGeneral disorders
SweatingGeneral disorders
Weight gainGeneral disorders
HyperpigmentationSkin and subcutaneous tissue disorders
Rash/desquamationSkin and subcutaneous tissue disorders
DehydrationGastrointestinal disorders
DiarrheaGastrointestinal disorders
Blood in stoolGastrointestinal disorders
Hemorrhage CNSGastrointestinal disorders
Skin infectionInfections and infestations
ConjunctivitisInfections and infestations
Limb edemaBlood and lymphatic system disorders
Edema in head and neckBlood and lymphatic system disorders
Alkaline phosphataseMetabolism and nutrition disorders
Bicarbonate - lowMetabolism and nutrition disorders

Most-reported serious reactions: Thrombocytopenia, Nausea and vomiting, Hyperglycemia, Rapidly declining performance status, Confusion, Slurred speech and drooling, Pneumonia, Pulmonary embolus.

Data from ClinicalTrials.gov NCT00301067 adverse events section.

Sponsor's own description

RATIONALE: Drugs used in chemotherapy, such as temozolomide, work in different ways to stop the growth of tumor cells, either by killing the cells or by stopping them from dividing. Calcitriol may help temozolomide kill more tumor cells by making them more sensitive to the drug. Calcitriol may also stop the growth of melanoma by blocking blood flow to the tumor. PURPOSE: This phase I/II trial is studying the best dose of calcitriol, the side effects of calcitriol when given together with temozolomide, and to see how well they work in treating patients with metastatic stage IV melanoma.

Publications & conference data

5 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Natural compounds as anticancer agents: Experimental evidence.
    Wang J, Jiang YF. · · 2012 · cited 56× · PMID 24520533 · DOI 10.5493/wjem.v2.i3.45
  2. Chemoprevention agents for melanoma: A path forward into phase 3 clinical trials.
    Jeter JM, Bowles TL, Curiel-Lewandrowski C, Swetter SM, et al · · 2019 · cited 23× · PMID 30281145 · DOI 10.1002/cncr.31719
  3. Nuclear receptors in health and disease: signaling pathways, biological functions and pharmaceutical interventions.
    Jin P, Duan X, Huang Z, Dong Y, et al · · 2025 · cited 21× · PMID 40717128 · DOI 10.1038/s41392-025-02270-3
  4. Dickkopf Proteins and Their Role in Cancer: A Family of Wnt Antagonists with a Dual Role.
    Giralt I, Gallo-Oller G, Navarro N, Zarzosa P, et al · · 2021 · cited 15× · PMID 34451907 · DOI 10.3390/ph14080810
  5. Double-sided niche regulation in skin stem cell and cancer: mechanisms and clinical applications.
    Pham TTQ, Kuo YC, Chang WL, Weng HJ, et al · · 2025 · cited 2× · PMID 40399946 · DOI 10.1186/s12943-025-02289-8

Verify or expand the search:

Other trials of Calcitriol

Trials testing the same drug.

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Currently open trials in the same condition.

Other Northwestern University trials

Trials by the same sponsor.

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