Cabozantinib-S-Malate Compared With Temozolomide or Dacarbazine in Treating Patients With Metastatic Melanoma of the Eye That Cannot Be Removed by Surgery
CompletedPhase 2Results postedLast 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.
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
Group
Value
95% 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.
Group
Value
95% CI
Arm I (Cabozantinib-s-malate)
0
Arm II (Temozolomide or Dacarbazine)
0
Percentage of Patients Who Experienced Grade 3+ Adverse Events Regardless of AttributionSecondary· 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
Group
Value
95% 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.
Group
Value
95% CI
Arm I (Cabozantinib-s-malate)
6.3
5.5 – 10.3
Arm II (Temozolomide or Dacarbazine)
7.2
5.6 – NA
PFSSecondary· 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.
Group
Value
95% CI
Arm I (Cabozantinib-s-malate)
2.0
1.8 – 5.3
Arm II (Temozolomide or Dacarbazine)
1.9
1.8 – 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)
Reaction
System
Arm I (Cabozantinib-s-mala…
Arm II (Temozolomide)
Arm II (Dacarbazine)
Alanine aminotransferase increased
Investigations
—
—
—
Aspartate aminotransferase increased
Investigations
—
—
—
Thromboembolic event
Vascular disorders
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—
—
Abdominal pain
Gastrointestinal disorders
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—
—
Diarrhea
Gastrointestinal disorders
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—
—
Death NOS
General disorders
—
—
—
Fatigue
General disorders
—
—
—
Hepatobiliary disorders - Other, specify
Hepatobiliary disorders
—
—
—
Alkaline phosphatase increased
Investigations
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—
—
Blood bilirubin increased
Investigations
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—
Hyponatremia
Metabolism and nutrition disorders
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—
—
Hypertension
Vascular disorders
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—
—
Hyperthyroidism
Endocrine disorders
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—
Nausea
Gastrointestinal disorders
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—
Oral pain
Gastrointestinal disorders
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Portal vein thrombosis
Hepatobiliary disorders
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—
Anaphylaxis
Immune system disorders
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Appendicitis perforated
Infections and infestations
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Enterocolitis infectious
Infections and infestations
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—
Lung infection
Infections and infestations
—
—
—
Creatinine increased
Investigations
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—
—
Ejection fraction decreased
Investigations
—
—
—
Lipase increased
Investigations
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—
—
Neutrophil count decreased
Investigations
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—
—
Platelet count decreased
Investigations
—
—
—
Other adverse events (92 terms — click to expand)
Reaction
System
Arm I (Cabozantinib-s-mala…
Arm II (Temozolomide)
Arm II (Dacarbazine)
Aspartate aminotransferase increased
Investigations
—
—
—
Alanine aminotransferase increased
Investigations
—
—
—
Fatigue
General disorders
—
—
—
Hypertension
Vascular disorders
—
—
—
Diarrhea
Gastrointestinal disorders
—
—
—
Platelet count decreased
Investigations
—
—
—
Nausea
Gastrointestinal disorders
—
—
—
Neutrophil count decreased
Investigations
—
—
—
Anorexia
Metabolism and nutrition disorders
—
—
—
Anemia
Blood and lymphatic system disorders
—
—
—
Vomiting
Gastrointestinal disorders
—
—
—
Blood bilirubin increased
Investigations
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—
—
Weight loss
Investigations
—
—
—
Proteinuria
Renal and urinary disorders
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—
—
Alkaline phosphatase increased
Investigations
—
—
—
Dry mouth
Gastrointestinal disorders
—
—
—
Mucositis oral
Gastrointestinal disorders
—
—
—
White blood cell decreased
Investigations
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—
—
Hyperglycemia
Metabolism and nutrition disorders
—
—
—
Hypoalbuminemia
Metabolism and nutrition disorders
—
—
—
Dysgeusia
Nervous system disorders
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—
—
Hypothyroidism
Endocrine disorders
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—
—
Abdominal pain
Gastrointestinal disorders
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—
—
Constipation
Gastrointestinal disorders
—
—
—
Pain
General disorders
—
—
—
Lymphocyte count decreased
Investigations
—
—
—
Dehydration
Metabolism and nutrition disorders
—
—
—
Hyponatremia
Metabolism and nutrition disorders
—
—
—
Arthralgia
Musculoskeletal and connective tissue disorders
—
—
—
Dry skin
Skin and subcutaneous tissue disorders
—
—
—
Skin and subcutaneous tissue disorders - Other, specify
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):
NCT06811116 — Testing the Addition of an Anti-cancer Drug, Sapanisertib, to the Usual Chemotherapy Treatment (Cabozantinib) in Metasta
· Phase 1, PHASE2
· recruiting
NCT06006013 — Cabozantinib in Combination With Pembrolizumab for the Treatment of Patients With Locally Advanced, Metastatic, or Unres
· Phase 2
· recruiting
NCT05904080 — Testing Nivolumab and Ipilimumab Immunotherapy With or Without the Targeted Drug Cabozantinib in Recurrent, Metastatic,
· Phase 2
· recruiting
NCT05411081 — Testing Cabozantinib With or Without Atezolizumab in Patients With Advanced Papillary Kidney Cancer, PAPMET2 Trial
· Phase 2
· active not recruiting
NCT05691478 — A Study to Test the Addition of the Drug Cabozantinib to Chemotherapy in Patients With Newly Diagnosed Osteosarcoma
· Phase 2, PHASE3
· recruiting
Other recruiting trials for Recurrent Uveal Melanoma
Currently open trials in the same condition.
NCT01979523 — Trametinib With or Without GSK2141795 in Treating Patients With Metastatic Uveal Melanoma
· Phase 2
· active not recruiting
Other National Cancer Institute (NCI) trials
Trials by the same sponsor.
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· recruiting
NCT07572123 — Evaluating the Addition of Maintenance Immunotherapy Compared to the Usual Treatment of Chemotherapy and Autologous Stem
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NCT07281417 — Testing the Addition of Cemiplimab (REGN2810) to Chemotherapy Treatment Given Prior to Surgery in Patients With Sinonasa
· Phase 2
· recruiting
NCT07012044 — A Study to Find the Highest Dose of Cedazuridine and Decitabine Combination With Filgrastim as a Treatment Option After
· Phase 1
· not yet recruiting
NCT07437950 — Comparing Different Treatment Lengths for Venetoclax in Older People With Newly Diagnosed Acute Myeloid Leukemia (A Myel
· Phase 2
· not yet recruiting
Publications: Europe PMC API search by NCT ID, retrieved 10 June 2026
Drug + disease cross-links: matched in real time against Drug Landscape's normalised drug + company + condition tables
Sponsor: as reported to ClinicalTrials.gov by National Cancer Institute (NCI)
Last refreshed: 4 August 2022
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/NCT01835145.