This study is an open-label, dose-escalating study to delineate the safety, pharmacokinetics (PK), and pharmacodynamics (PD) of TKI258. Pharmacokinetics and pharmacodynamics will be performed on all subjects. The eligible subject population consists of subjects who have been diagnosed with locally advanced or metastatic melanoma that is refractory to standard therapy or for which no curative standard therapy exists.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
47
James Graham Brown Cancer Center
Louisville, Kentucky, United States
University of Pittsburgh Cancer Institute
Pittsburgh, Pennsylvania, United States
MD Anderson Cancer
Houston, Texas, United States
Dose Expansion: Determine the maximum tolerated dose based on dose limiting toxicity of TKI258
Time frame: end of dose escalation
Dose Expansion: Determine the plasma and whole blood pharmacokinetics of orally administered TKI258
Time frame: PK run-in days 1 & 2, cycle 1 days 1, 8, 15, 16, 28, cycle 2 day 15, cycle 2+ day 28
Dose Escalation: Assess tumor response according to RECIST as measured by response rate and lack of early progressive disease (<=2 months)
Time frame: every 8 weeks
Assess the safety profile of TKI258 in this patient population
Time frame: PK run in day 1 & 2, cycle 1 day 8, 15, 28, cycle 2+ day 15 & 28, end of study
Assess the effect of TKI258 on biomarkers in the blood
Time frame: PK run day 1 & 2, cycle 1 day 2, 15, 28, cycle 2+ day 28, end of study
Assess biomarker changes in tumor/nevi biopsies and archival tumor tissues where accessible, pre- and post-treatment
Time frame: baseline, cycle 1 day 15, end of study
Assess changes in tumor glucose metabolism/cell viability between pre- and post-treatment using [18F]-FDG-PET
Time frame: baseline, cycle 1 day 15, cycle 2 day 28
Assess anti-angiogenic effects of TKI258 using DCE-MRI pre- and post-treatment
Time frame: baseline, cycle 1 day 2 and cycle 2 day 28
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