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NCT01835145

Cabozantinib-S-Malate Compared With Temozolomide or Dacarbazine in Treating Patients With Metastatic Melanoma of the Eye That Cannot Be Removed by Surgery

Completed Phase 2 Results posted Last updated 4 August 2022
What this trial tests

Phase 2 trial testing Cabozantinib S-malate in Recurrent Uveal Melanoma in 47 participants. Completed in 1 November 2019.

Timeline
31 July 2013
Primary endpoint
21 October 2016
1 November 2019

Quick facts

Lead sponsorNational Cancer Institute (NCI)
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingnone
Primary purposetreatment
Enrollment47
Start date31 July 2013
Primary completion21 October 2016
Estimated completion1 November 2019
Sites228 locations across Canada, United States

Drugs / interventions tested

Conditions studied

Sponsor

National Cancer Institute (NCI)

Who can join

18 and older, any sex, with Recurrent Uveal Melanoma or Stage III Uveal Melanoma AJCC v7. 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.

Proportion of Patients Without a Progression Free Survival Event at 4 Months (PFS4) Primary · At 4 months

A patient will be declared a PFS4 success if they are on study and progression free for at least 4 months. Progression is defined as at least a 20% increase in the sum of the diameters of target lesions, taking as reference the smallest sum on study, with an absolute increase of at least 5 mm. The appearance of one or more new lesions is also considered progression. The success for each arm will be calculated independently as the number of successes divided by the total number of evaluable patients. A one-sided chi-squared test for a difference in PFS4 proportions will be used to test for a di

GroupValue95% CI
Arm I (Cabozantinib-s-malate).323.167 – .514
Arm II (Temozolomide or Dacarbazine).267.078 – .551
Confirmed Response Rate as Determined by the RECIST Criteria (Version 1.1) Secondary · Up to 2 years

The confirmed response rates will be estimated by dividing the number of confirmed responders by the number of evaluable patients. 95% confidence intervals will be calculated.

GroupValue95% CI
Arm I (Cabozantinib-s-malate)0
Arm II (Temozolomide or Dacarbazine)0
Percentage of Patients Who Experienced Grade 3+ Adverse Events Regardless of Attribution Secondary · Up to 2 years

percentage of patients who experienced grade 3+ adverse events regardless of attribution, graded according to the National Cancer Institute CTCAE version 4.0

GroupValue95% CI
Arm I (Cabozantinib-s-malate)51.6
Arm II (Temozolomide or Dacarbazine)20
Overall Survival (OS) Secondary · Number of days from registration until death, assessed up to 2 years

The distribution of OS time will be estimated using the method of Kaplan Meier.

GroupValue95% CI
Arm I (Cabozantinib-s-malate)6.35.5 – 10.3
Arm II (Temozolomide or Dacarbazine)7.25.6 – NA
PFS Secondary · Number of days from registration until disease progression (or death), assessed up to 2 years

The distribution of PFS time will be estimated using the method of Kaplan Meier and is defined as the number of days from registration until disease progression (or death). Progression is defined as at least a 20% increase in the sum of the diameters of target lesions, taking as reference the smallest sum on study, with an absolute increase of at least 5 mm. The appearance of one or more new lesions is also considered progression.

GroupValue95% CI
Arm I (Cabozantinib-s-malate)2.01.8 – 5.3
Arm II (Temozolomide or Dacarbazine)1.91.8 – 5.0

Adverse events — posted to ClinicalTrials.gov

Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Arm I (Cabozantinib-s-malate)
Serious: 15/31 (48%)
Deaths: 2/31
Arm II (Temozolomide)
Serious: 6/11 (55%)
Deaths: 1/11
Arm II (Dacarbazine)
Serious: 2/4 (50%)
Deaths: 0/4

Serious adverse events (35 terms)

ReactionSystemArm I (Cabozantinib-s-mala…Arm II (Temozolomide)Arm II (Dacarbazine)
Alanine aminotransferase increasedInvestigations
Aspartate aminotransferase increasedInvestigations
Thromboembolic eventVascular disorders
Abdominal painGastrointestinal disorders
DiarrheaGastrointestinal disorders
Death NOSGeneral disorders
FatigueGeneral disorders
Hepatobiliary disorders - Other, specifyHepatobiliary disorders
Alkaline phosphatase increasedInvestigations
Blood bilirubin increasedInvestigations
HyponatremiaMetabolism and nutrition disorders
HypertensionVascular disorders
HyperthyroidismEndocrine disorders
NauseaGastrointestinal disorders
Oral painGastrointestinal disorders
Portal vein thrombosisHepatobiliary disorders
AnaphylaxisImmune system disorders
Appendicitis perforatedInfections and infestations
Enterocolitis infectiousInfections and infestations
Lung infectionInfections and infestations
Creatinine increasedInvestigations
Ejection fraction decreasedInvestigations
Lipase increasedInvestigations
Neutrophil count decreasedInvestigations
Platelet count decreasedInvestigations
Other adverse events (92 terms — click to expand)

ReactionSystemArm I (Cabozantinib-s-mala…Arm II (Temozolomide)Arm II (Dacarbazine)
Aspartate aminotransferase increasedInvestigations
Alanine aminotransferase increasedInvestigations
FatigueGeneral disorders
HypertensionVascular disorders
DiarrheaGastrointestinal disorders
Platelet count decreasedInvestigations
NauseaGastrointestinal disorders
Neutrophil count decreasedInvestigations
AnorexiaMetabolism and nutrition disorders
AnemiaBlood and lymphatic system disorders
VomitingGastrointestinal disorders
Blood bilirubin increasedInvestigations
Weight lossInvestigations
ProteinuriaRenal and urinary disorders
Alkaline phosphatase increasedInvestigations
Dry mouthGastrointestinal disorders
Mucositis oralGastrointestinal disorders
White blood cell decreasedInvestigations
HyperglycemiaMetabolism and nutrition disorders
HypoalbuminemiaMetabolism and nutrition disorders
DysgeusiaNervous system disorders
HypothyroidismEndocrine disorders
Abdominal painGastrointestinal disorders
ConstipationGastrointestinal disorders
PainGeneral disorders
Lymphocyte count decreasedInvestigations
DehydrationMetabolism and nutrition disorders
HyponatremiaMetabolism and nutrition disorders
ArthralgiaMusculoskeletal and connective tissue disorders
Dry skinSkin and subcutaneous tissue disorders
Skin and subcutaneous tissue disorders - Other, specifySkin and subcutaneous tissue disorders
PalpitationsCardiac disorders
HyperthyroidismEndocrine disorders
DyspepsiaGastrointestinal disorders
DysphagiaGastrointestinal disorders
Oral painGastrointestinal disorders
Creatinine increasedInvestigations
Investigations - Other, specifyInvestigations
HypokalemiaMetabolism and nutrition disorders
Back painMusculoskeletal and connective tissue disorders

Most-reported serious reactions: Alanine aminotransferase increased, Aspartate aminotransferase increased, Thromboembolic event, Abdominal pain, Diarrhea, Death NOS, Fatigue, Hepatobiliary disorders - Other, specify.

Data from ClinicalTrials.gov NCT01835145 adverse events section.

Sponsor's own description

This randomized phase II trial studies how well cabozantinib-s-malate works compared with temozolomide or dacarbazine in treating patients with melanoma of the eye (ocular melanoma) that has spread to other parts of the body and cannot be removed by surgery. Cabozantinib-s-malate may stop the growth of tumor cells by blocking some of the enzymes needed for cell growth. Drugs used in chemotherapy, such as temozolomide and dacarbazine, work in different ways to stop the growth of tumor cells, either by killing the cells, by stopping them from dividing, or by stopping them from spreading. It is not yet known whether cabozantinib-s-malate works better than temozolomide or dacarbazine in treating patients with melanoma of the eye.

Publications & conference data

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

  1. Metastatic disease from uveal melanoma: treatment options and future prospects.
    Carvajal RD, Schwartz GK, Tezel T, Marr B, et al · · 2017 · cited 304× · PMID 27574175 · DOI 10.1136/bjophthalmol-2016-309034
  2. Treatment of uveal melanoma: where are we now?
    Yang J, Manson DK, Marr BP, Carvajal RD. · · 2018 · cited 229× · PMID 29497459 · DOI 10.1177/1758834018757175
  3. Phase II DeCOG-study of ipilimumab in pretreated and treatment-naïve patients with metastatic uveal melanoma.
    Zimmer L, Vaubel J, Mohr P, Hauschild A, et al · · 2015 · cited 192× · PMID 25761109 · DOI 10.1371/journal.pone.0118564
  4. Systemic treatment of metastatic uveal melanoma: review of literature and future perspectives.
    Buder K, Gesierich A, Gelbrich G, Goebeler M. · · 2013 · cited 89× · PMID 24403233 · DOI 10.1002/cam4.133
  5. <i>GNAQ</i> and <i>GNA11</i> Genes: A Comprehensive Review on Oncogenesis, Prognosis and Therapeutic Opportunities in Uveal Melanoma.
    Silva-Rodríguez P, Fernández-Díaz D, Bande M, Pardo M, et al · · 2022 · cited 80× · PMID 35804836 · DOI 10.3390/cancers14133066
  6. Biology of advanced uveal melanoma and next steps for clinical therapeutics.
    Luke JJ, Triozzi PL, McKenna KC, Van Meir EG, et al · · 2015 · cited 69× · PMID 25113308 · DOI 10.1111/pcmr.12304
  7. Targeted Therapy of Uveal Melanoma: Recent Failures and New Perspectives.
    Croce M, Ferrini S, Pfeffer U, Gangemi R. · · 2019 · cited 68× · PMID 31216772 · DOI 10.3390/cancers11060846
  8. A molecular revolution in uveal melanoma: implications for patient care and targeted therapy.
    Harbour JW, Chao DL. · · 2014 · cited 51× · PMID 24480708 · DOI 10.1016/j.ophtha.2013.12.014

Verify or expand the search:

Other trials of Cabozantinib S-malate

Trials testing the same drug.

Other recruiting trials for Recurrent Uveal Melanoma

Currently open trials in the same condition.

Other National Cancer Institute (NCI) trials

Trials by the same sponsor.

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