A prospective, open-label, multi-center, Phase I/II study of L19IL2 in combination with Dacarbazine in patients with metastatic melanoma.
A prospective, open-label, multi-center, Phase I/II dose escalation study in which cohorts of 3-6 patients with metastatic melanoma will be assigned to receive escalating doses of L19-IL2 in combination with a fixed dose of Dacarbazine. After definition of MTD and RD during the phase II part of this study, 60 patients with Stage IV M1a and M1b melanoma will be randomized in a 1:1 ratio to receive open label the combination treatment at the RD (Arm 1) or DTIC monotherapy (Arm 2).
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
96
During phase I part of the study, increasing dose of L19IL2 from one cohort to the next will be performed in steps of 160,000 IU/kg starting at 480,000 IU/kg (i.e., 0.48; 0.64; 0.80 MioIU/kg until MTD is reached).
L19IL2 at RD will be administered to Arm 1 patients during phase II part of the study.
Dacarbazine: 1 hour intravenous infusion on day 1 of each 21-cycle at a dosage of 1000 mg/m2 (fixed dose).
University Hospital
Tübingen, Germany
Azienda Ospedaliera Universitaria Senese
Siena, Italy
Phase I: maximum tolerated dose (MTD) and recommended dose (RD) of L19IL2
Establish the MTD and the RD of L19IL2 (in combination with dacarbazine) to be used for phase II study
Time frame: From day 1 to day 21 of Cycle 1 (each cycle is 21-days)
Phase II: best objective response rate (BORR)
Evaluation of antitumor activity
Time frame: Up to 1 year
Phase I: best objective response rate (BORR)
Evaluation of antitumor activity
Time frame: Up to 1 year
Phase I: duration of objective response
Evaluation of the antitumor activity
Time frame: From week 6 up to 1 year
Phase I: disease control rate
Evaluation of the antitumor activity
Time frame: At 6 months
Phase I: median progression free survival (mPFS)
Evaluation of the antitumor activity
Time frame: Up to 1 year
Phase I: median overall survival and overall survival rate
Evaluation of the antitumor activity
Time frame: Up to 1 year
Phase II: safety and tolerability of L19-IL2 in combination with DTIC vs DTIC alone.
Safety evaluation including AEs, SAE and standard laboratory assessment
Time frame: Up to 1 year
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Phase II: duration of objective response
Time frame: Up to 1 year
Phase II: disease control rate
Time frame: At 6 months
Phase II: median progression free survival (mPFS)
Time frame: Up to 1 year
Phase II: median overall survival and overall survival rate
Time frame: Up to 1 year