Trial Outcomes & Findings for Imatinib Mesylate in Treating Patients With Stage III or Stage IV Melanoma That Cannot Be Removed by Surgery (NCT NCT00470470)

NCT ID: NCT00470470

Last Updated: 2014-12-23

Results Overview

Response will be evaluated in this study using the new international criteria proposed by the RECIST Committee. A Simon two-stage minimax design will be employed.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

30 participants

Primary outcome timeframe

Every 6 weeks for the first 3 courses and then every 12 weeks thereafter

Results posted on

2014-12-23

Participant Flow

Protocol Open to Accrual: 04/05/2007 Protocol Closed to Accrual: 11/23/2010 Recruitment Location is the medical clinic

Participant milestones

Participant milestones
Measure
Treatment (Enzyme Inhibitor Therapy)
Patients receive oral imatinib mesylate 400 mg twice daily for up to 12 weeks in the absence of disease progression or unacceptable toxicity. imatinib mesylate: Given orally laboratory biomarker analysis: Correlative studies
Overall Study
STARTED
30
Overall Study
COMPLETED
25
Overall Study
NOT COMPLETED
5

Reasons for withdrawal

Reasons for withdrawal
Measure
Treatment (Enzyme Inhibitor Therapy)
Patients receive oral imatinib mesylate 400 mg twice daily for up to 12 weeks in the absence of disease progression or unacceptable toxicity. imatinib mesylate: Given orally laboratory biomarker analysis: Correlative studies
Overall Study
Adverse Event
2
Overall Study
Death
2
Overall Study
Not treated
1

Baseline Characteristics

Imatinib Mesylate in Treating Patients With Stage III or Stage IV Melanoma That Cannot Be Removed by Surgery

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Treatment (Enzyme Inhibitor Therapy)
n=30 Participants
Patients receive oral imatinib mesylate 400 mg twice daily for up to 12 weeks in the absence of disease progression or unacceptable toxicity. imatinib mesylate: Given orally laboratory biomarker analysis: Correlative studies
Age, Continuous
68.5 years
STANDARD_DEVIATION 27.57716447 • n=5 Participants
Age, Categorical
<=18 years
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
10 Participants
n=5 Participants
Age, Categorical
>=65 years
20 Participants
n=5 Participants
Sex: Female, Male
Female
17 Participants
n=5 Participants
Sex: Female, Male
Male
13 Participants
n=5 Participants
Region of Enrollment
United States
30 participants
n=5 Participants

PRIMARY outcome

Timeframe: Every 6 weeks for the first 3 courses and then every 12 weeks thereafter

Response will be evaluated in this study using the new international criteria proposed by the RECIST Committee. A Simon two-stage minimax design will be employed.

Outcome measures

Outcome measures
Measure
Treatment (Enzyme Inhibitor Therapy)
n=25 Participants
Patients receive oral imatinib mesylate 400 mg twice daily for up to 12 weeks in the absence of disease progression or unacceptable toxicity. imatinib mesylate: Given orally laboratory biomarker analysis: Correlative studies
Objective Response Rate
Complete Response
1 participants
Objective Response Rate
Partial Response
3 participants
Objective Response Rate
Stable Disease
14 participants
Objective Response Rate
Progression of Disease
7 participants

SECONDARY outcome

Timeframe: Time from the treatment start to the date of disease progression

Progression will be evaluated in this study using the new international criteria proposed by the RECIST Committee. Time to progression will be estimated using the Kaplan-Meier method.

Outcome measures

Outcome measures
Measure
Treatment (Enzyme Inhibitor Therapy)
n=25 Participants
Patients receive oral imatinib mesylate 400 mg twice daily for up to 12 weeks in the absence of disease progression or unacceptable toxicity. imatinib mesylate: Given orally laboratory biomarker analysis: Correlative studies
Time to Progression
12 weeks
Interval 6.0 to 18.0

Adverse Events

Treatment (Enzyme Inhibitor Therapy)

Serious events: 18 serious events
Other events: 23 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Treatment (Enzyme Inhibitor Therapy)
n=30 participants at risk
Patients receive oral imatinib mesylate 400 mg twice daily for up to 12 weeks in the absence of disease progression or unacceptable toxicity. imatinib mesylate: Given orally laboratory biomarker analysis: Correlative studies
Investigations
Alanine aminotransferase increased
3.3%
1/30 • Number of events 1
Investigations
Aspartate aminotransferase increased
3.3%
1/30 • Number of events 1
Investigations
Serum amylase increased
3.3%
1/30 • Number of events 1
Cardiac disorders
Atrial fibrillation
3.3%
1/30 • Number of events 1
Investigations
Creatinine increased
10.0%
3/30 • Number of events 3
Blood and lymphatic system disorders
Disseminated intravascular coagulation
3.3%
1/30 • Number of events 1
General disorders
Death (Disease progression)
20.0%
6/30 • Number of events 6
Metabolism and nutrition disorders
Dehydration
6.7%
2/30 • Number of events 2
Gastrointestinal disorders
Diarrhea
6.7%
2/30 • Number of events 2
General disorders
Edema (Head and Neck)
3.3%
1/30 • Number of events 1
General disorders
Fatigue
3.3%
1/30 • Number of events 1
General disorders
Fever
3.3%
1/30 • Number of events 1
Reproductive system and breast disorders
Gynecomastia
3.3%
1/30 • Number of events 2
Blood and lymphatic system disorders
Anemia
13.3%
4/30 • Number of events 4
Gastrointestinal disorders
Rectal hemorrhage
3.3%
1/30 • Number of events 1
Renal and urinary disorders
Hemorrhage-urinary tract
3.3%
1/30 • Number of events 1
Vascular disorders
Hypotension
3.3%
1/30 • Number of events 1
Infections and infestations
Infection-Urinary tract
3.3%
1/30 • Number of events 1
Investigations
Lipase increased
3.3%
1/30 • Number of events 1
Investigations
Lymphocyte count decreased
10.0%
3/30 • Number of events 3
Gastrointestinal disorders
Nausea
16.7%
5/30 • Number of events 5
Renal and urinary disorders
Obstruction-Ureter
3.3%
1/30 • Number of events 1
Metabolism and nutrition disorders
Hypophosphatemia
6.7%
2/30 • Number of events 2
Investigations
Platelet count decreased
3.3%
1/30 • Number of events 1
Metabolism and nutrition disorders
Hypokalemia
3.3%
1/30 • Number of events 1
Respiratory, thoracic and mediastinal disorders
Respiratory disorder
3.3%
1/30 • Number of events 1
Skin and subcutaneous tissue disorders
Rash desquamation
3.3%
1/30 • Number of events 1
Skin and subcutaneous tissue disorders
Erythema multiforme
3.3%
1/30 • Number of events 1
Renal and urinary disorders
Urogenital disorder
3.3%
1/30 • Number of events 1
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Treatment related secondary malignancy
6.7%
2/30 • Number of events 2
Nervous system disorders
Depressed level of consciousness
3.3%
1/30 • Number of events 1
Vascular disorders
Thrombosis
3.3%
1/30 • Number of events 1
Gastrointestinal disorders
Vomiting
13.3%
4/30 • Number of events 4
Respiratory, thoracic and mediastinal disorders
Dyspnea
3.3%
1/30 • Number of events 1

Other adverse events

Other adverse events
Measure
Treatment (Enzyme Inhibitor Therapy)
n=30 participants at risk
Patients receive oral imatinib mesylate 400 mg twice daily for up to 12 weeks in the absence of disease progression or unacceptable toxicity. imatinib mesylate: Given orally laboratory biomarker analysis: Correlative studies
Gastrointestinal disorders
Abdominal pain
6.7%
2/30 • Number of events 2
Blood and lymphatic system disorders
Anemia
43.3%
13/30 • Number of events 93
Investigations
Creatinine increased
6.7%
2/30 • Number of events 15
General disorders
Edema-limbs
6.7%
2/30 • Number of events 2
General disorders
Fatigue
26.7%
8/30 • Number of events 9
Metabolism and nutrition disorders
Hypoalbuminemia
6.7%
2/30 • Number of events 5
Metabolism and nutrition disorders
Hyponatremia
10.0%
3/30 • Number of events 8
Metabolism and nutrition disorders
Hypophosphatemia
10.0%
3/30 • Number of events 6
Investigations
Lymphocyte count decreased
23.3%
7/30 • Number of events 27
Gastrointestinal disorders
Nausea
6.7%
2/30 • Number of events 2
Nervous system disorders
Peripheral sensory neuropathy
6.7%
2/30 • Number of events 2
Skin and subcutaneous tissue disorders
Rash maculo-papular
20.0%
6/30 • Number of events 8
Investigations
White blood cell decreased
10.0%
3/30 • Number of events 3

Additional Information

Dr. Richard Carvajal

Memorial Sloan-Kettering Cancer Center

Phone: 646-888-4161

Results disclosure agreements

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

Restriction type: LTE60