Trial Outcomes & Findings for Pharmacokinetic Study of Liposomal Vincristine in Patients With Malignant Melanoma & Hepatic Dysfunction (NCT NCT00145041)

NCT ID: NCT00145041

Last Updated: 2019-12-12

Results Overview

The PK profiles of total plasma VCR following a single intravenous infusion at a target dose of 1.0 mg/m2 for approximately 1 hour every 2 weeks (one cycle) to three male and four female subjects with malignant melanoma and hepatic dysfunction secondary to metastases were measured.

Recruitment status

COMPLETED

Study phase

PHASE1

Target enrollment

7 participants

Primary outcome timeframe

cycle 1 day 1

Results posted on

2019-12-12

Participant Flow

This was a single-center, open-label, single-arm, Phase 1 study to assess the PK of VSLI in subjects with malignant melanoma and hepatic dysfunction secondary to liver metastases.

Eligible subjects were to have liver metastases confirmed by computed tomography (CT) scan at screening. Categorization of hepatic dysfunction at screening included Child-Pugh System.

Participant milestones

Participant milestones
Measure
Overall Study
This was a non-randomized, open-label, single arm, single-center Phase 1 study. All subjects received the same treatment. All subjects received Marqibo (VSLI) 1.0 mg/m2 delivered by intravenous infusion over 1 hour every 2 weeks.
Overall Study
STARTED
7
Overall Study
COMPLETED
7
Overall Study
NOT COMPLETED
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Pharmacokinetic Study of Liposomal Vincristine in Patients With Malignant Melanoma & Hepatic Dysfunction

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Overall Study
n=7 Participants
This was a non-randomized, open-label, single arm, single-center Phase 1 study. All subjects received the same treatment. All subjects received Marqibo (VSLI) 1.0 mg/m2 delivered by intravenous infusion over 1 hour every 2 weeks.
Age, Categorical
<=18 years
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
4 Participants
n=5 Participants
Age, Categorical
>=65 years
3 Participants
n=5 Participants
Age, Continuous
60.7 years
STANDARD_DEVIATION 8.10 • n=5 Participants
Sex: Female, Male
Female
4 Participants
n=5 Participants
Sex: Female, Male
Male
3 Participants
n=5 Participants
Region of Enrollment
United States
7 participants
n=5 Participants

PRIMARY outcome

Timeframe: cycle 1 day 1

Population: all patients enrolled

The PK profiles of total plasma VCR following a single intravenous infusion at a target dose of 1.0 mg/m2 for approximately 1 hour every 2 weeks (one cycle) to three male and four female subjects with malignant melanoma and hepatic dysfunction secondary to metastases were measured.

Outcome measures

Outcome measures
Measure
Overall Study
n=7 Participants
This was a non-randomized, open-label, single arm, single-center Phase 1 study. All subjects received the same treatment. All subjects received Marqibo (VSLI) 1.0 mg/m2 delivered by intravenous infusion over 1 hour every 2 weeks.
T 1/2
9.94 hr
Standard Deviation 1.22

PRIMARY outcome

Timeframe: Day 1 of Cycle 1

Population: All subjects enrolled

The pharmacokinetic profile of VCR on Day 1 of Cycle 1 Cl is mL/h/m2

Outcome measures

Outcome measures
Measure
Overall Study
n=7 Participants
This was a non-randomized, open-label, single arm, single-center Phase 1 study. All subjects received the same treatment. All subjects received Marqibo (VSLI) 1.0 mg/m2 delivered by intravenous infusion over 1 hour every 2 weeks.
Clearance
193 ml/h/m2
Standard Deviation 80.3

PRIMARY outcome

Timeframe: cycle 1 day 1

Population: all patients enrolled

The PK profiles of total plasma VCR following a single intravenous infusion at a target dose of 1.0 mg/m2 for approximately 1 hour

Outcome measures

Outcome measures
Measure
Overall Study
n=7 Participants
This was a non-randomized, open-label, single arm, single-center Phase 1 study. All subjects received the same treatment. All subjects received Marqibo (VSLI) 1.0 mg/m2 delivered by intravenous infusion over 1 hour every 2 weeks.
Volume of Distribution
2722 mL/m2
Standard Deviation 1066

Adverse Events

Overall Study

Serious events: 7 serious events
Other events: 7 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Overall Study
n=7 participants at risk
This was a non-randomized, open-label, single arm, single-center Phase 1 study. All subjects received the same treatment. All subjects received Marqibo (VSLI) 1.0 mg/m2 delivered by intravenous infusion over 1 hour every 2 weeks.
Cardiac disorders
Cardiac arrest
14.3%
1/7 • Number of events 1 • The AE reporting period for this study was from the time of the first dose of VSLI until 30 days after the last dose of VSLI.
Respiratory, thoracic and mediastinal disorders
Dyspnoea
14.3%
1/7 • Number of events 1 • The AE reporting period for this study was from the time of the first dose of VSLI until 30 days after the last dose of VSLI.
Blood and lymphatic system disorders
Disseminated intravascular coagulation
14.3%
1/7 • Number of events 1 • The AE reporting period for this study was from the time of the first dose of VSLI until 30 days after the last dose of VSLI.
General disorders
Multi-organ failure
14.3%
1/7 • Number of events 1 • The AE reporting period for this study was from the time of the first dose of VSLI until 30 days after the last dose of VSLI.
Skin and subcutaneous tissue disorders
Malignant melanoma
42.9%
3/7 • Number of events 3 • The AE reporting period for this study was from the time of the first dose of VSLI until 30 days after the last dose of VSLI.
General disorders
Ascites
14.3%
1/7 • Number of events 1 • The AE reporting period for this study was from the time of the first dose of VSLI until 30 days after the last dose of VSLI.
Respiratory, thoracic and mediastinal disorders
Pleural effusion
14.3%
1/7 • Number of events 1 • The AE reporting period for this study was from the time of the first dose of VSLI until 30 days after the last dose of VSLI.
Gastrointestinal disorders
Constipation
14.3%
1/7 • Number of events 1 • The AE reporting period for this study was from the time of the first dose of VSLI until 30 days after the last dose of VSLI.
General disorders
Abdominal pain upper
14.3%
1/7 • Number of events 1 • The AE reporting period for this study was from the time of the first dose of VSLI until 30 days after the last dose of VSLI.
Skin and subcutaneous tissue disorders
Disease progression
14.3%
1/7 • Number of events 1 • The AE reporting period for this study was from the time of the first dose of VSLI until 30 days after the last dose of VSLI.

Other adverse events

Other adverse events
Measure
Overall Study
n=7 participants at risk
This was a non-randomized, open-label, single arm, single-center Phase 1 study. All subjects received the same treatment. All subjects received Marqibo (VSLI) 1.0 mg/m2 delivered by intravenous infusion over 1 hour every 2 weeks.
Skin and subcutaneous tissue disorders
Malignant melanoma
57.1%
4/7 • Number of events 4 • The AE reporting period for this study was from the time of the first dose of VSLI until 30 days after the last dose of VSLI.
General disorders
Fatigue
57.1%
4/7 • Number of events 4 • The AE reporting period for this study was from the time of the first dose of VSLI until 30 days after the last dose of VSLI.
General disorders
Decreased appetite
57.1%
4/7 • Number of events 4 • The AE reporting period for this study was from the time of the first dose of VSLI until 30 days after the last dose of VSLI.
General disorders
Ascites
42.9%
3/7 • Number of events 3 • The AE reporting period for this study was from the time of the first dose of VSLI until 30 days after the last dose of VSLI.
Gastrointestinal disorders
Constipation
42.9%
3/7 • Number of events 3 • The AE reporting period for this study was from the time of the first dose of VSLI until 30 days after the last dose of VSLI.
General disorders
Nausea
42.9%
3/7 • Number of events 3 • The AE reporting period for this study was from the time of the first dose of VSLI until 30 days after the last dose of VSLI.
General disorders
Oedema, peripheral
28.6%
2/7 • Number of events 2 • The AE reporting period for this study was from the time of the first dose of VSLI until 30 days after the last dose of VSLI.
General disorders
Pyrexia
28.6%
2/7 • Number of events 2 • The AE reporting period for this study was from the time of the first dose of VSLI until 30 days after the last dose of VSLI.
Nervous system disorders
Anxiety
28.6%
2/7 • Number of events 2 • The AE reporting period for this study was from the time of the first dose of VSLI until 30 days after the last dose of VSLI.
General disorders
Insomnia
28.6%
2/7 • Number of events 2 • The AE reporting period for this study was from the time of the first dose of VSLI until 30 days after the last dose of VSLI.
General disorders
Abdominal distention
14.3%
1/7 • Number of events 1 • The AE reporting period for this study was from the time of the first dose of VSLI until 30 days after the last dose of VSLI.
General disorders
Abdominal pain, upper
14.3%
1/7 • Number of events 1 • The AE reporting period for this study was from the time of the first dose of VSLI until 30 days after the last dose of VSLI.
Gastrointestinal disorders
Vomitting
14.3%
1/7 • Number of events 1 • The AE reporting period for this study was from the time of the first dose of VSLI until 30 days after the last dose of VSLI.
Nervous system disorders
Gait disturbance
14.3%
1/7 • Number of events 1 • The AE reporting period for this study was from the time of the first dose of VSLI until 30 days after the last dose of VSLI.
General disorders
Multi-organ failure
14.3%
1/7 • Number of events 1 • The AE reporting period for this study was from the time of the first dose of VSLI until 30 days after the last dose of VSLI.
General disorders
Oedema
14.3%
1/7 • Number of events 1 • The AE reporting period for this study was from the time of the first dose of VSLI until 30 days after the last dose of VSLI.
General disorders
Hypomagnesaemia
14.3%
1/7 • Number of events 1 • The AE reporting period for this study was from the time of the first dose of VSLI until 30 days after the last dose of VSLI.
General disorders
Hyponatraemia
14.3%
1/7 • Number of events 1 • The AE reporting period for this study was from the time of the first dose of VSLI until 30 days after the last dose of VSLI.
General disorders
tumor pain
14.3%
1/7 • Number of events 1 • The AE reporting period for this study was from the time of the first dose of VSLI until 30 days after the last dose of VSLI.
Nervous system disorders
confusional state
14.3%
1/7 • Number of events 1 • The AE reporting period for this study was from the time of the first dose of VSLI until 30 days after the last dose of VSLI.
Nervous system disorders
depression
14.3%
1/7 • Number of events 1 • The AE reporting period for this study was from the time of the first dose of VSLI until 30 days after the last dose of VSLI.
General disorders
sleep disorder
14.3%
1/7 • Number of events 1 • The AE reporting period for this study was from the time of the first dose of VSLI until 30 days after the last dose of VSLI.
Respiratory, thoracic and mediastinal disorders
pleural effusion
14.3%
1/7 • Number of events 1 • The AE reporting period for this study was from the time of the first dose of VSLI until 30 days after the last dose of VSLI.
Blood and lymphatic system disorders
anaemia
14.3%
1/7 • Number of events 1 • The AE reporting period for this study was from the time of the first dose of VSLI until 30 days after the last dose of VSLI.
Blood and lymphatic system disorders
disseminated intravascular coagulation
14.3%
1/7 • Number of events 1 • The AE reporting period for this study was from the time of the first dose of VSLI until 30 days after the last dose of VSLI.
General disorders
drug hypersensitivity
14.3%
1/7 • Number of events 1 • The AE reporting period for this study was from the time of the first dose of VSLI until 30 days after the last dose of VSLI.
General disorders
seasonal allergy
14.3%
1/7 • Number of events 1 • The AE reporting period for this study was from the time of the first dose of VSLI until 30 days after the last dose of VSLI.
Hepatobiliary disorders
blood bilirubin increased
14.3%
1/7 • Number of events 1 • The AE reporting period for this study was from the time of the first dose of VSLI until 30 days after the last dose of VSLI.
General disorders
weight increased
14.3%
1/7 • Number of events 1 • The AE reporting period for this study was from the time of the first dose of VSLI until 30 days after the last dose of VSLI.
Musculoskeletal and connective tissue disorders
arthralgia
14.3%
1/7 • Number of events 1 • The AE reporting period for this study was from the time of the first dose of VSLI until 30 days after the last dose of VSLI.
Musculoskeletal and connective tissue disorders
rheumatoid arthritis
14.3%
1/7 • Number of events 1 • The AE reporting period for this study was from the time of the first dose of VSLI until 30 days after the last dose of VSLI.
Cardiac disorders
cardiac arrest
14.3%
1/7 • Number of events 1 • The AE reporting period for this study was from the time of the first dose of VSLI until 30 days after the last dose of VSLI.
Hepatobiliary disorders
hyperbilirubinaenemia
14.3%
1/7 • Number of events 1 • The AE reporting period for this study was from the time of the first dose of VSLI until 30 days after the last dose of VSLI.
Infections and infestations
central line infection
14.3%
1/7 • Number of events 1 • The AE reporting period for this study was from the time of the first dose of VSLI until 30 days after the last dose of VSLI.
Nervous system disorders
neuropathy, peripheral
14.3%
1/7 • Number of events 1 • The AE reporting period for this study was from the time of the first dose of VSLI until 30 days after the last dose of VSLI.
General disorders
night sweats
14.3%
1/7 • Number of events 1 • The AE reporting period for this study was from the time of the first dose of VSLI until 30 days after the last dose of VSLI.
Skin and subcutaneous tissue disorders
rash
14.3%
1/7 • Number of events 1 • The AE reporting period for this study was from the time of the first dose of VSLI until 30 days after the last dose of VSLI.
General disorders
menopause
14.3%
1/7 • Number of events 1 • The AE reporting period for this study was from the time of the first dose of VSLI until 30 days after the last dose of VSLI.
General disorders
hypotension
14.3%
1/7 • Number of events 1 • The AE reporting period for this study was from the time of the first dose of VSLI until 30 days after the last dose of VSLI.

Additional Information

Chief Medical Officer

Talon Therapeutics

Phone: 650-588-6404

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place

Restriction type: LTE60