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Brief Title: Efficacy and Safety of Nintedanib Combined With Paclitaxel Chemotherapy for Patients With BRAF wt Metastatic Melanoma
Official Title: Phase I/II,Multicenter,Randomized,Double-blind,Placebo-controlled Trial Evaluating the Efficacy and Safety of Nintedanib/Vargatef in Combination With Paclitaxel Chemotherapy for Treatment of Patients With BRAF Wildtype Metastatic Melanoma
Study ID: NCT02308553
Brief Summary: This is a multicenter, randomized, double-blind, placebo-controlled phase I/II trial designed to characterize the safety and estimate the efficacy of nintedanib when combined with paclitaxel chemotherapy compared with paclitaxel chemotherapy alone in patients with BRAF wild type metastatic melanoma not previously treated with taxanes or kinase inhibitors.
Detailed Description: Study Phase I: Run-In-Phase Based on acceptable safety data for nintedanib monotherapy, a rapid dose finding will be conducted in a classical 3+3 design. Predefined dose levels are 150 mg (dose level 1) and 200 mg (dose level 2) nintedanib, twice daily, with weekly paclitaxel 90 mg/m2. Study Phase II Patients with advanced (unresectable Stage III or IV) BRaf V600 wild type melanoma (n=120) will be randomized (1:1) to receive either Nintedanib (150 or 200 mg BID depending on results of phase I) in combination with paclitaxel or Placebo in combination with paclitaxel. Total study duration per patient: approximately 12 months of therapy + Follow up until end of study All patients enrolled in either phase I or phase II will be treated according to the following treatment plan: Week 1 - 24: Chemotherapy with paclitaxel combined with nintedanib/placebo Week 25 - 48: Extended monotherapy with nintedanib/placebo Week 52 (or approximately 4 weeks after last treatment dose): End of Treatment visit Follow up: After end of treatment the survival, disease status and further therapies of each patient will be assessed every 3 months until death, progression of disease or end of study whichever occurs first
Minimum Age: 18 Years
Eligible Ages: ADULT, OLDER_ADULT
Sex: ALL
Healthy Volunteers: No
University Hospital Essen, Essen, NRW, Germany
Elbeklinikum Buxtehude, Buxtehude, , Germany
SRH Wald-Klinikum Gera, Gera, , Germany
National Centre for Tumour Diseases (NCT), Heidelberg, , Germany
Universitätsklinikum des Saarlandes, Homburg, , Germany
Klinikum der Stadt Ludwigshafen am Rhein gGmbH, Ludwigshafen, , Germany
Universitätsklinikum Schleswig-Holstein, Campus Lübeck, Lübeck, , Germany
University Hospital München, München, , Germany
University Hospital Münster, Münster, , Germany
Fachklinik Hornheide, Münster, , Germany
Name: Dirk Schadendorf, Prof. Dr.
Affiliation: University Hospital, Essen
Role: PRINCIPAL_INVESTIGATOR