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NCT00864253

A Trial of ABI-007 Versus Dacarbazine in Previously Untreated Patients With Metastatic Malignant Melanoma

Completed Phase 3 Results posted Last updated 30 October 2019
What this trial tests

Phase 3 trial testing ABI-007 in Malignant Melanoma in 529 participants. Completed in 12 February 2014.

Timeline
23 April 2009
Primary endpoint
1 June 2012
12 February 2014

Quick facts

Lead sponsorCelgene
PhasePhase 3
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingnone
Primary purposetreatment
Enrollment529
Start date23 April 2009
Primary completion1 June 2012
Estimated completion12 February 2014
Sites112 locations across France, Italy, Netherlands, United Kingdom, Germany, Canada, Australia, United States

Drugs / interventions tested

Conditions studied

Sponsor

Celgene — full company profile →

Who can join

18 and older, any sex, with Malignant 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.

Progression Free Survival (PFS) Based on a Blinded Radiology Assessment of Response Using Response Evaluation Criteria in Solid Tumors (RECIST) Guidelines Primary · Response assessment completed every 8 weeks until disease progression for up to 106 weeks; data cut off 30 June 2012

PFS was defined as the time from the randomization date to the start of disease progression or patient death, whichever occurred first. Participants who did not have disease progression or had not died were censored at the last known time that the patient was progression free. In the event of palliative radiotherapy or surgery, they were censored at the last assessment where they were documented to be progression-free prior to the date of radiotherapy or surgery. In follow up, participants who began new anticancer therapy prior to documented progression were censored at the last assessment whe

GroupValue95% CI
ABI-007 150mg/m^24.83.7 – 5.5
Dacarbazine 1000mg/m^22.52.0 – 3.6
Participant Survival Secondary · Up to 38 months; Up to data cut off of 30 June 2012

Survival was defined as the time from the date of randomization to the date of death (any cause). Participants were censored at the last known time that they were alive.

GroupValue95% CI
ABI-007 150mg/m^212.811.3 – 14.6
Dacarbazine 1000mg/m^210.79.6 – 12.5
Progression-free Survival (PFS) Based on Investigator Assessment Using RECIST Response Guidelines Secondary · Response assessments completed every 8 weeks until disease progression; up to data cut off 30 June 2012; 38 months

PFS was defined as the time from the randomization date to the start of disease progression or patient death, whichever occurred first. Participants who did not have disease progression or had not died were censored at the last known time that the patient was progression free. In the event of palliative radiotherapy or surgery, they were censored at the last assessment where they were documented to be progression-free prior to the date of radiotherapy or surgery. In follow up, patients who began new anticancer therapy prior to documented progression were censored at the last assessment where t

GroupValue95% CI
ABI-007 150mg/m^23.73.1 – 3.9
Dacarbazine 1000mg/m^22.11.9 – 2.5
Percent of Participants Who Achieve an Objective Confirmed Complete or Partial Response Based on Blinded Radiology Assessment of Response by Response Evaluation Criteria in Solid Tumors (RECIST) Version 1.0 Secondary · every 8 weeks; up to data cut off 30 June 2012

RECIST defines complete response (CR): The disappearance of all known disease and no new sites or disease related symptoms confirmed at least 4 weeks after initial documentation. All sites must be assessed, including non-measurable sites, such as effusions, or markers. Disappearance of all non-target lesions. The normalization of tumor marker level confirmed at least 4 weeks after initial documentation. Partial response (PR): At least a 30% decrease in the sum of the longest diameters of target lesions, taking as a reference the baseline sum of the longest diameters confirmed at least 4 weeks

Complete Response (CR)
GroupValue95% CI
ABI-007 150mg/m^20
Dacarbazine 1000mg/m^20
Partial Response (PR)
GroupValue95% CI
ABI-007 150mg/m^215
Dacarbazine 1000mg/m^211
Percent of Participants With Stable Disease (SD) for ≥ 16 Weeks, or Confirmed Complete or Partial Response (i.e., Disease Control) Based on a Blinded Radiology Assessment of Response Secondary · Response assessment completed every 8 weeks until disease progression; up to data cut-off 30 June 2012

Disease control is stable disease (SD) for \>=16 weeks + complete response (CR) + partial response (PR). See Outcome #4 for definitions of CR and PR. RECIST defines SD for target lesions as neither sufficient shrinkage to qualify for partial response nor sufficient increase to qualify for progressive disease, no occurrence of progression disease for non-target lesions, and no new lesions.

GroupValue95% CI
ABI-007 150mg/m^239
Dacarbazine 1000mg/m^227
Duration of Response (DOR) in Responding Participants Secondary · up to data cut off 30 June 2012

Duration of response (DOR) as measured by PFS based on radiological review for participants who achieved an objective confirmed response of CR or PR. DOR was defined as progression-free survival in responders, i.e. as the time between the start of a complete response (CR) or partial response (PR) and the start of progressive disease (PD) or participants death from any cause, whichever occurred first. Participants that did not have progression or had not died were censored at the last known time the participant was progression free. Participants that had initiated other anticancer therapy prior

GroupValue95% CI
ABI-007 150mg/m^211.17.3 – NA
Dacarbazine 1000mg/m^216.411.0 – 21.8
Summary of Treatment-emergent Adverse Events (AEs) Secondary · Maximum exposure to study drug was 106 weeks; up to data cut off of 30 June 2012

A Treatment Emergent AE (TEAE) was any AE that began or worsened after the start of the study drug through 30 days after the last dose of study drug or end of study whichever is later. A treatment related toxicity was one considered by the investigator to be possibly, probably or definitely related to study drug. AE's were graded according to National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) V 3.0 criteria and the following scale: Grade 1 = Mild, Grade 2 = Moderate, Grade 3 = Severe, Grade 4 = Life threatening, and Grade 5 = Death A SAE is any untoward medic

≥1 TEAE
GroupValue95% CI
ABI-007 150mg/m^2255
Dacarbazine 1000mg/m^2239
≥1 TEAE related to study drug
GroupValue95% CI
ABI-007 150mg/m^2250
Dacarbazine 1000mg/m^2212
≥1 NCI CTCAE Grade (GR) 3 or above
GroupValue95% CI
ABI-007 150mg/m^2167
Dacarbazine 1000mg/m^2117
≥1 NCI CTCAE GR 3 or above TEAE to study drug
GroupValue95% CI
ABI-007 150mg/m^2129
Dacarbazine 1000mg/m^271
≥1 TEAE with outcome of death
GroupValue95% CI
ABI-007 150mg/m^28
Dacarbazine 1000mg/m^21
≥1 drug related TEAE with outcome of death
GroupValue95% CI
ABI-007 150mg/m^22
Dacarbazine 1000mg/m^21
≥1 serious TEAE
GroupValue95% CI
ABI-007 150mg/m^262
Dacarbazine 1000mg/m^254
≥1 serious TEAE related to study drug
GroupValue95% CI
ABI-007 150mg/m^223
Dacarbazine 1000mg/m^217
Number of Participants Experiencing Dose Reductions, or Dose Interruptions, or Dose Delays of Study Drug Secondary · Maximum study drug exposure 106 weeks; data cut off 30 June 2012

The number of participants with dose reductions, dose interruptions and dose delays that occurred during the treatment period. Dose reductions, interruptions and delays are typically caused by clinically significant laboratory abnormalities and /or treatment emergent adverse events/toxicities.

Dose Reductions
GroupValue95% CI
ABI-007 150mg/m^281
Dacarbazine 1000mg/m^251
Dose Interruptions
GroupValue95% CI
ABI-007 150mg/m^26
Dacarbazine 1000mg/m^217
Dose Delay
GroupValue95% CI
ABI-007 150mg/m^2145
Dacarbazine 1000mg/m^2105
Nadir for the Absolute Neutrophil Count (ANC) Measurements Secondary · Day 1 up to 106 weeks; up to data cut off 30 June 2012

Maximal degree of myelosuppression during study drug dosing was represented by the nadir in ANC measurements over all treatment cycles.

GroupValue95% CI
ABI-007 150mg/m^21.500.1 – 20.0
Dacarbazine 1000mg/m^22.400.0 – 13.2
Nadir for White Blood Cells (WBCs) Measurements Secondary · Day 1 up to 106 weeks; up to data cut off 30 June 2012

Maximal degree of myelosuppression was represented by the nadir in white blood cells (WBCs) count measurements over all treatment cycles.

GroupValue95% CI
ABI-007 150mg/m^23.000.6 – 22.8
Dacarbazine 1000mg/m^24.100.5 – 14.7
Nadir for Platelet Count Measurements. Secondary · Day 1 up to 106 weeks; up to data cut off 30 June 2012

Maximal degree of myelosuppression was represented by the nadir in platelet count measurements over all treatment cycles.

GroupValue95% CI
ABI-007 150mg/m^2228.5112 – 437
Dacarbazine Arm B1539 – 723
Nadir for the Hemoglobin Count Measurements Secondary · Day 1 up to 106 weeks; up to data cut off 30 June 2012

Maximal degree of myelosuppression during study drug dosing was represented by the nadir in hemoglobin count measurements over all treatment cycles.

GroupValue95% CI
ABI-007 150mg/m^2109.065.0 – 137
Dacarbazine 1000mg/m^2122.065 – 161

Adverse events — posted to ClinicalTrials.gov

Time frame: Any adverse event (AE) that started at any time from the time the signing of the informed consent to 30 days after the last dose of study drug or End of Study was followed and reported; maximum drug exposure 106 weeks. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

ABI-007 Arm A
Serious: 62/257 (24%)
Deaths:
Dacarbazine Arm B
Serious: 54/258 (21%)
Deaths:

Serious adverse events (102 terms)

ReactionSystemABI-007 Arm ADacarbazine Arm B
PyrexiaGeneral disorders
PneumoniaInfections and infestations
CellulitisInfections and infestations
ErysipelasInfections and infestations
Urinary tract infectionInfections and infestations
Small intestinal obstructionGastrointestinal disorders
Febrile neutropeniaBlood and lymphatic system disorders
Peripheral motor neuropathyNervous system disorders
Peripheral sensory neuropathyNervous system disorders
VomitingGastrointestinal disorders
NauseaGastrointestinal disorders
AnaemiaBlood and lymphatic system disorders
Angina pectorisCardiac disorders
Atrial fibrillationCardiac disorders
Acute myocardial infarctionCardiac disorders
HaemoptysisRespiratory, thoracic and mediastinal disorders
Tumour painNeoplasms benign, malignant and unspecified (incl cysts and polyps)
HypersensitivityImmune system disorders
Device related infectionInfections and infestations
Neutropenic sepsisInfections and infestations
SepsisInfections and infestations
Anal abscessInfections and infestations
BronchitisInfections and infestations
Respiratory tract infectionInfections and infestations
Septic shockInfections and infestations
Other adverse events (53 terms — click to expand)

ReactionSystemABI-007 Arm ADacarbazine Arm B
AlopeciaSkin and subcutaneous tissue disorders
FatigueGeneral disorders
NauseaGastrointestinal disorders
DiarrhoeaGastrointestinal disorders
Neuropathy peripheralNervous system disorders
ConstipationGastrointestinal disorders
RashSkin and subcutaneous tissue disorders
Decreased appetiteMetabolism and nutrition disorders
NeutropeniaBlood and lymphatic system disorders
DysgeusiaNervous system disorders
CoughRespiratory, thoracic and mediastinal disorders
VomitingGastrointestinal disorders
Oedema peripheralGeneral disorders
Nail disorderSkin and subcutaneous tissue disorders
Peripheral sensory neuropathyNervous system disorders
ArthralgiaMusculoskeletal and connective tissue disorders
MyalgiaMusculoskeletal and connective tissue disorders
ThrombocytopeniaBlood and lymphatic system disorders
HeadacheNervous system disorders
InsomniaPsychiatric disorders
ParaesthesiaNervous system disorders
AstheniaGeneral disorders
DyspnoeaRespiratory, thoracic and mediastinal disorders
AnaemiaBlood and lymphatic system disorders
Abdominal painGastrointestinal disorders
EpistaxisRespiratory, thoracic and mediastinal disorders
Pain in extremityMusculoskeletal and connective tissue disorders
PyrexiaGeneral disorders
DizzinessNervous system disorders
PruritusSkin and subcutaneous tissue disorders
LeukopeniaBlood and lymphatic system disorders
Back painMusculoskeletal and connective tissue disorders
Dry skinSkin and subcutaneous tissue disorders
DyspepsiaGastrointestinal disorders
Mucosal inflammationGeneral disorders
PainGeneral disorders
AnxietyPsychiatric disorders
Vision blurredEye disorders
StomatitisGastrointestinal disorders
Upper respiratory tract infectionInfections and infestations

Most-reported serious reactions: Pyrexia, Pneumonia, Cellulitis, Erysipelas, Urinary tract infection, Small intestinal obstruction, Febrile neutropenia, Peripheral motor neuropathy.

Data from ClinicalTrials.gov NCT00864253 adverse events section.

Sponsor's own description

The main purpose of this research study is to compare the safety, tolerability, and anti tumor activity of an investigational drug, ABI-007 versus Dacarbazine in patients with metastatic melanoma who have not previously received chemotherapy. ABI-007 is a new preparation of the active drug paclitaxel. It contains the same medication as the prescription chemotherapy drug Abraxane®. Abraxane® is approved by the FDA for the treatment of metastatic breast cancer after failure of combination chemotherapy for metastatic disease or relapse within 6 months of adjuvant chemotherapy. Dacarbazine is approved by the FDA for the treatment of melanoma. In this study, ABI-007 and Dacarbazine will be tested as therapy for people who have not yet had any cancer treatment for the diagnosis of metastatic melanoma.

Publications & conference data

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

  1. Clinical Translation of Nanomedicine.
    Min Y, Caster JM, Eblan MJ, Wang AZ. · · 2015 · cited 495× · PMID 26088284 · DOI 10.1021/acs.chemrev.5b00116
  2. Melanoma Management: From Epidemiology to Treatment and Latest Advances.
    Lopes J, Rodrigues CMP, Gaspar MM, Reis CP. · · 2022 · cited 98× · PMID 36230575 · DOI 10.3390/cancers14194652
  3. Chemotherapy in the management of advanced cutaneous malignant melanoma.
    Luke JJ, Schwartz GK. · · 2013 · cited 86× · PMID 23608448 · DOI 10.1016/j.clindermatol.2012.08.016
  4. A randomized, controlled phase III trial of nab-Paclitaxel versus dacarbazine in chemotherapy-naïve patients with metastatic melanoma.
    Hersh EM, Del Vecchio M, Brown MP, Kefford R, et al · · 2015 · cited 74× · PMID 26410620 · DOI 10.1093/annonc/mdv324
  5. How to Treat Melanoma? The Current Status of Innovative Nanotechnological Strategies and the Role of Minimally Invasive Approaches like PTT and PDT.
    Lopes J, Rodrigues CMP, Gaspar MM, Reis CP. · · 2022 · cited 22× · PMID 36145569 · DOI 10.3390/pharmaceutics14091817
  6. Proportional Hazards Violations in Phase III Cancer Clinical Trials: A Potential Source of Trial Misinterpretation.
    Lin TA, McCaw ZR, Koong A, Lin C, et al · · 2024 · cited 9× · PMID 39133081 · DOI 10.1158/1078-0432.ccr-24-0566
  7. Nanotechnology Addressing Cutaneous Melanoma: The Italian Landscape.
    Battaglia L, Scomparin A, Dianzani C, Milla P, et al · · 2021 · cited 9× · PMID 34683910 · DOI 10.3390/pharmaceutics13101617
  8. Mechanisms and Therapeutic Strategies to Overcome Immune Checkpoint Inhibitor Resistance in Melanoma, Head and Neck, and Triple-Negative Breast Cancers.
    Voloshyna I, Tyagi A, Idga S, Wang N, et al · · 2025 · cited 1× · PMID 41799379 · DOI 10.33696/immunology.7.235

Verify or expand the search:

Other trials of ABI-007

Trials testing the same drug.

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Currently open trials in the same condition.

Other Celgene trials

Trials by the same sponsor.

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Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT00864253.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing