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MelanomaPhase 1NCT02723006

Study to Evaluate the Safety, Tolerability, and Pharmacodynamics of Investigational Treatments in Combination With Standard of Care Immune Checkpoint Inhibitors in Participants With Advanced Melanoma

A Phase 1 study testing TAK-580, TAK-202 and vedolizumab in people with Melanoma, run by Millennium Pharmaceuticals, Inc. at 14 sites in United States.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

The purpose of this study is to determine the initial safety profile and initial antitumor activity of the combination treatments (immune checkpoint inhibitors [nivolumab, ipilimumab] with investigational drugs [TAK-580, TAK-202 (plozalizumab), vedolizumab]) in the 3 arms when administered to participants with… Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Melanoma
What is being tested?
TAK-580, TAK-202 and vedolizumab
Could I receive a placebo?
No, everyone receives an active treatment
How many people
22 participants
Where
14 sitesUnited States
Study dates
22 Jun 2016to 11 May 2018
Phase
Phase 1
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Is a male or female participant of 18 years or older.
  • Has histologically confirmed, unresectable Stage III or Stage IV melanoma per the American Joint Committee on Cancer (AJCC) staging system.
  • Has an eastern cooperative oncology group (ECOG) performance status of 0-1.
  • Adequate bone marrow reserve and renal and hepatic function within 28 days before the first dose of study drug on the basis of the defined laboratory parameters.
  • For TAK-580 + nivolumab and TAK-202 (plozalizumab) + nivolumab only: Had disease accessible for repeat nonsignificant risk biopsy (those occurring outside the brain, lung/mediastinum, and pancreas, or obtained with endoscopic procedures extending beyond the esophagus, stomach, or bowel) and willingness to undergo serial tumor biopsies.
  • Additional Inclusion Requirements for TAK-580 + nivolumab
  • BRAF V600 mutation-positive or NRAS mutation-positive disease previously untreated with RAF, MEK, or other inhibitors of the mitogen-activated protein kinase (MAPK) pathway. Participants who have progressed on these agents can still be enrolled in TAK-202 (plozalizumab) + nivolumab or vedolizumab + nivolumab + ipilimumab.
  • Additional Inclusion Requirements for expansion cohorts only a) Measurable disease per Response Evaluation Criteria in Solid Tumors (RECIST) guidelines (Version 1.1) and at least 1 nonsignificant risk, non-target lesion accessible for biopsy per the guidelines above (for TAK-580 + nivolumab and TAK-202 (plozalizumab) + nivolumab only).

Who cannot join

  • Has active brain metastases or leptomeningeal metastases. Participants with brain metastases are eligible if these have been treated and there is no magnetic resonance imaging (MRI) evidence of progression for at least 4 weeks after treatment is complete and within 28 days prior to first dose of study drug administration. There must also be no requirement for high doses of systemic corticosteroids that could result in immunosuppression (greater than [>] 10 milligram per day [mg/day] prednisone equivalents) for at least 2 weeks prior to study drug administration.
  • Completed a prior therapy less than (<) 2 weeks prior to first dose and for whom adverse events (AEs) related to prior therapy had not returned to baseline or improved to Grade 1.
  • Has active, known or suspected autoimmune disease.
  • Has a condition requiring systemic treatment with either corticosteroids or other immunosuppressive medications within 14 days of study drug administration.
  • Has a history of pneumonitis requiring treatment with steroids; history of idiopathic pulmonary fibrosis (including pneumonitis), interstitial lung disease, drug-induced pneumonitis, organizing pneumonia, or evidence of active pneumonitis on screening chest computed tomography (CT) scan; history of radiation pneumonitis in the radiation field (fibrosis) is permitted.
  • Is previously diagnosed human immunodeficiency virus (HIV) infection or active hepatitis B or C.
Show all 15Show fewer
  • Additional Exclusion Requirements for arm 1 only (nivolumab Plus TAK-580)
  • Concomitant use or administration of clinically significant enzyme inducers less than or equal to (<=) 14 days before the first dose of TAK-580.
  • Treatment with gemfibrozil (or other strong CYP2C8 inhibitor) within 14 days before the first dose of TAK-580.
  • Left ventricular ejection fraction (LVEF) <50 percent (%) as measured by echocardiogram (ECHO) or multiple gated acquisition scan (MUGA) within 4 weeks before receiving the first dose of study drug.
  • Known gastrointestinal (GI) disease or prior GI procedure that could interfere with the oral absorption or tolerance of the TAK-580.
  • Additional Exclusion Requirements for arm 3 only (vedolizumab Plus nivolumab Plus ipilimumab)
  • Had prior exposure to rituximab, natalizumab, vedolizumab, or alemtuzumab.
  • Has a history of any major neurological disorders, including stroke, multiple sclerosis, or neurodegenerative disease.
  • Has taken any live vaccinations within 30 days before study drug administration except for the influenza vaccine.

Trial locations and contacts

14 sites in 1 country.

14 sites in 1 country

United States14 sites
  • Emory University Hospital

    Atlanta, Georgia

  • University of Colorado Cancer Center

    Aurora, Colorado

  • Dana-Farber Cancer Institute

    Boston, Massachusetts

  • Massachusetts General Hospital Cancer Center

    Boston, Massachusetts

  • Texas Oncology-Baylor Charles A. Sammons Cancer Center

    Dallas, Texas

  • Saint Luke's Cancer Center - Bethlehem

    Easton, Pennsylvania

  • Inova Fairfax Hospital

    Fairfax, Virginia

  • University of California Los Angeles - Jonsson Comprehensive Cancer Center

    Los Angeles, California

  • Virginia Piper Cancer Institute

    Minneapolis, Minnesota

  • New York University Langone Medical Center

    New York, New York

  • Fox Chase Cancer Center

    Philadelphia, Pennsylvania

  • University of California San Francisco Medical Center

    San Francisco, California

  • Washington University School of Medicine

    St Louis, Missouri

  • University of Arizona Cancer Center

    Tucson, Arizona

Other trials in United States

About this study

Official title: An Open-Label, Phase 1b, Multi-Arm Study to Evaluate the Safety, Tolerability, and Pharmacodynamics of Investigational Treatments in Combination With Standard of Care Immune Checkpoint Inhibitors in Patients With Advanced Melanoma

The purpose of this study is to determine the initial safety profile and initial antitumor activity of the combination treatments (immune checkpoint inhibitors [nivolumab, ipilimumab] with investigational drugs [TAK-580, TAK-202 (plozalizumab), vedolizumab]) in the 3 arms when administered to participants with advanced melanoma.

Read the detailed description

The drugs being tested in this study are called TAK-580, TAK-202 (plozalizumab), and vedolizumab. These investigational drugs were given along with standard of care checkpoint inhibitors ([nivolumab in Arms 1 and 2] or nivolumab + ipilimumab in Arm 3). This study looked at the safety profile of the combination treatments in each arm when administered to participants with metastatic melanoma.

The study planned to enroll approximately 156 participants. Participants were assigned to one of the 3 treatment groups:

  • TAK-580 + nivolumab
  • TAK-202 (plozalizumab) + nivolumab
  • vedolizumab + nivolumab + ipilimumab

This study consists of 3 parts. A dose-escalation safety lead-in phase, confirmatory safety phase and a cohort expansion phase. This multi-center trial will be conducted in the United States. The overall time to participate in this study is 50 weeks. Participants may make multiple visits to the clinic and 30, 60, and 90 days after last dose of study drug for follow-up assessments.

Conditions
Melanoma
Being tested
TAK-580, TAK-202, vedolizumab, nivolumab, ipilimumab
Keywords
Drug Therapy
Medical subject headings
Melanoma

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • TAK-580Drug

    Also called MLN2480

    TAK-580 tablets

  • TAK-202Drug

    Also called MLN1202, plozalizumab

    TAK-202 infusion

  • vedolizumabDrug

    Also called Entyvio

    vedolizumab infusion

  • nivolumabDrug

    Also called Opdivo

    nivolumab infusion

  • ipilimumabDrug

    Also called Yervoy

    ipilimumab infusion

Study groups in NCT02723006
Study groupRoleWhat they receive
TAK-580 + nivolumabExperimentalTAK-580 orally, once weekly along with nivolumab, intravenous, every 2 weeks.
Receives: Drug: TAK-580; Drug: nivolumab
TAK-202 (plozalizumab) + nivolumabExperimentalTAK-202 (plozalizumab) 2 milligram (mg), intravenous, once in Week 1, 3, 5, 9, and every 4 weeks thereafter with nivolumab infusion, intravenous, every 2 weeks.
Receives: Drug: TAK-202; Drug: nivolumab
vedolizumab + nivolumab + ipilimumabExperimentalVedolizumab intravenous, once in Week 1, 3, 5, and 13 along with nivolumab infusion, intravenous, once in Week 1, 4, 7, 10, and 13 and every 2 weeks thereafter, along with ipilimumab intravenous, once in Week 1, 4, 7, and 10.
Receives: Drug: vedolizumab; Drug: nivolumab; Drug: ipilimumab

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Number of Dose Limiting Toxicities (DLTs) During the Dose-escalation Safety Lead-in Phase

    DLTs was evaluated according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) version 4.03.

    Measured: TAK-580 + Nivolumab and TAK-202 + Nivolumab: Baseline up to Week 9; Vedolizumab + Nivolumab + Ipilimumab: Baseline up to Week 7

Secondary outcomes (5)
  1. Overall Response Rate (ORR) During the Dose-escalation Safety Lead-in Phase

    ORR based on Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1. was the percentage of participants with complete response (CR) or partial response (PR). CR: was disappearance of all target lesions. Any pathological lymph nodes (target or non-target) had to be reduced in short axis to less than (<) 10 millimeter (mm). PR: was at least a 30 percent (%) decrease in sum of diameter (SOD) of target lesions, taking as reference the baseline SOD.

    Measured: Baseline up to Week 50

  2. Duration of Response (DOR) During the Dose-escalation Safety Lead-in Phase

    DOR based on RECIST version 1.1 was the time from the date of first documented confirmed CR/PR until the first documentation of confirmed progressive disease (PD) or death, whichever occurred first. CR: was disappearance of all target lesions. Any pathological lymph nodes (target or non-target) had to be reduced in short axis to <10 mm. PR: at least 30% decrease in SOD of target lesions, taking as reference the baseline SOD persistence of one or more non- target lesions and/or maintenance of tumor marker level above the normal limits. PD: at least 20% increase (including an absolute increase of at least 5 mm) in the SOD of target lesions, taking as reference the smallest sum and/or unequivocal progression of existing non-target lesions and/or appearance of 1 or more new lesions.

    Measured: From date of first documented confirmed CR/PR until date of first documentation of PD or death (up to Week 50)

  3. Progression-free Survival (PFS) During the Dose-escalation Safety Lead-in Phase

    PFS was the time from first dose date to date of the first documentation of confirmed PD or death, whichever occurred first. PD: at least 20% increase (including an absolute increase of at least 5 mm) in the SOD of target lesions.

    Measured: From first dose date to the date of the first documentation of confirmed PD or death (up to Week 50)

  4. Overall Survival (OS) During the Dose-escalation Safety Lead-in Phase

    OS was the time from date of first dose of study drug until date of death from any cause.

    Measured: From first dose of study drug until date of death from any cause (up to Week 50)

  5. Number of Participants Reporting Treatment-emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)

    Measured: From the first dose of study drug up to 30 days after the last dose of study drug (up to Week 50)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted30 Mar 2016 (estimated)
  2. Study start22 Jun 2016
  3. Primary completion11 May 2018
  4. Study completion11 May 2018

Why it stopped: Business decision: Protocol efficacy futility met

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 1
Primary purpose
Other
Allocation
Non-randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
22 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02723006
Sponsor's protocol ID
C28003
Other IDs
U1111-1177-4142, 2015-005554-35, 2015
Status last verified
Feb 2024
First submitted
25 Mar 2016
Last updated
5 Mar 2024
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: Takeda provides access to the de-identified individual participant data (IPD) for eligible studies to aid qualified researchers in addressing legitimate scientific objectives (Takeda's data sharing commitment is available on https://clinicaltrials.takeda.com/takedas-commitment?commitment=5). These IPDs will be provided in a secure research environment following approval of a data sharing request, and under the terms of a data sharing agreement.

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing TAK-580, TAK-202 and vedolizumab in people with Melanoma, run by Millennium Pharmaceuticals, Inc. at 14 sites in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 8 inclusion and 15 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: stopped early, as of the sponsor's last update on 5 Mar 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 14 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 1 Apr 2021). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Number of Dose Limiting Toxicities (DLTs) During the Dose-escalation Safety Lead-in Phase (time frame: TAK-580 + Nivolumab and TAK-202 + Nivolumab: Baseline up to Week 9; Vedolizumab + Nivolumab + Ipilimumab: Baseline up to Week 7). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 5 Mar 2024.

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