Tinostamustine and Nivolumab in Advanced Melanoma

NCT ID: NCT03903458

Last Updated: 2019-04-08

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

PHASE1

Total Enrollment

21 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-03-07

Study Completion Date

2024-03-15

Brief Summary

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This trial is a first-in-human drug combination with the first-in-class alkylating histone deacetylase inhibition (HDACi) fusion molecule Tinostamustine (EDO-S101) and the anti-PD-1 monoclonal antibody Nivolumab in patients with refractory, locally advanced or metastatic melanoma.

Detailed Description

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Despite improvement of systemic treatment in patients with advanced melanoma, there is still unmet medical need in this group of patients. Tinostamustine is a medication without marketing authorization, while Nivolumab is approved for several tumor entities. The primary objective of this trial is to assesses the safety, tolerability and recommended dose of Tinostamustine in combination with Nivolumab in patients with advanced melanoma.Secondary objectives of this trial in patients with advanced solid tumors are to assess the preliminary efficacy of Tinostamustine when given in combination with Nivolumab and to characterize potential predictive biomarkers of the combination treatment of Tinostamustine and Nivolumab. The trial includeds patients with either histologically or cytologically confirmed inoperable stage III or metastatic stage IV melanoma with an indication for the regular systemic treatment with Nivolumab and a maximum of 1 prior systemic palliative line of treatment.

Conditions

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Malignant Melanoma

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

this is an open label, non-randomized, Phase IB clinical trial studying a new anticancer drug combination
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

open-label

Study Groups

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Tinostamustine and Nivolumab

Experimental drug combination arm

Group Type EXPERIMENTAL

Tinostamustine

Intervention Type DRUG

First-in-human administration of the combination of Tinostamustine and Nivolumab.

Interventions

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Tinostamustine

First-in-human administration of the combination of Tinostamustine and Nivolumab.

Intervention Type DRUG

Other Intervention Names

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Nivolumab

Eligibility Criteria

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Inclusion Criteria

* Written informed consent
* Patients with either histologically or cytologically confirmed inoperable stage III or metastatic stage IV melanoma
* Indication for the regular systemic treatment with the anti-PD-1 monoclonal antibody Nivolumab monotherapy
* Patient received a maximum of 1 prior systemic palliative line of treatment
* ECOG ≤2
* Patients with brain metastases must have undergone definitive treatment (surgery or radiotherapy) at least 2 weeks prior to starting study drug and be documented as having stable disease by imaging
* Adequate bone marrow, renal and hepatic function
* Adequate contraception

Exclusion Criteria

* Prior treatment with a PD-(L)1 targeted monoclonal antibody
* Patients who have received systemic treatments or radiotherapy within 2 weeks prior to starting study drug
* Concomittant treatment with systemic steroids at a daily dose equivalent to ≥10mg of prednisone, or concomittant treatment with immunosuppressive drugs such as methotrexate
* Patients with a prior malignancy are excluded (except non-melanoma skin cancers, and in situ cancers such as the following: bladder, colon,cervical/dysplasia, melanoma, or breast). Patients with other second malignancies diagnosed more than 2 years ago who have received therapy with curative intent with no evidence of disease during the interval who are considered by the Investigator to present a low risk for recurrence will be eligible.
* NYHA stage III/IV congestive heart failure and/or arrhythmia not adequately controlled
* QTc interval (Fridericia's formula) \> 450msec
* Patients who are on treatment with drugs known to prolong the QT/QTc interval (Credible Meds list:

Known risk of TdP. https://www.crediblemeds.org).

* Pregnant and breast feeding patients
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Markus Joerger

OTHER

Sponsor Role lead

Responsible Party

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Markus Joerger

Chair Clinical Research Unit

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Markus Joerger, Prof.

Role: STUDY_CHAIR

Cantonal Hospital St. Gallen, Switzerland

Locations

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Kantonsspital Graubünden

Chur, , Switzerland

Site Status RECRUITING

Cantonal Hospital St.Gallen

Sankt Gallen, , Switzerland

Site Status RECRUITING

Countries

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Switzerland

Central Contacts

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Elke Hiendlmeyer, Dr.

Role: CONTACT

714941111 ext. +41

Christina Jodlauk

Role: CONTACT

714941111 ext. +41

Facility Contacts

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Roger von Moos, Prof.

Role: primary

+41 81 256 66 46

Elke Hiendlmeyer, Dr.

Role: primary

714941111 ext. +41

Christina Jodlauk

Role: backup

714941111 ext. +41

Related Links

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https://www.kssg.ch/mfz/clinical-trials-unit-ctu

Clinical Trials Unit St. Gallen, Switzerland

Other Identifiers

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CTU 17.022

Identifier Type: -

Identifier Source: org_study_id

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