Trial Outcomes & Findings for Ipilimumab + Temozolomide in Metastatic Melanoma (NCT NCT01119508)

NCT ID: NCT01119508

Last Updated: 2024-06-06

Results Overview

6-month progression free survival rate is defined as the number of participants without progression per RECIST 1.0 6 months after starting study treatment.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

64 participants

Primary outcome timeframe

6 Months

Results posted on

2024-06-06

Participant Flow

Recruitment period: May 26, 2010 to August 29, 2011. All recruitment done at The University of Texas MD Anderson Cancer Center.

Participant milestones

Participant milestones
Measure
Ipilimumab + Temozolomide
Induction: Ipilimumab 10 mg/kg intravenous (IV) over 90 minutes Day 1 repeated every 3 weeks until 4 courses of therapy are given over 3 months + Temozolomide 200 mg/m2 orally Days 1 to 4; both repeated every 3 weeks for 4 courses over 3 months. For Maintenance Phase, Ipilimumab repeated every 12 weeks, Temozolomide Days 1 to 5 repeated every 4 weeks.
Overall Study
STARTED
64
Overall Study
Received Four Induction Doses
45
Overall Study
Received Fifth Consolidation Dose week12
32
Overall Study
COMPLETED
5
Overall Study
NOT COMPLETED
59

Reasons for withdrawal

Reasons for withdrawal
Measure
Ipilimumab + Temozolomide
Induction: Ipilimumab 10 mg/kg intravenous (IV) over 90 minutes Day 1 repeated every 3 weeks until 4 courses of therapy are given over 3 months + Temozolomide 200 mg/m2 orally Days 1 to 4; both repeated every 3 weeks for 4 courses over 3 months. For Maintenance Phase, Ipilimumab repeated every 12 weeks, Temozolomide Days 1 to 5 repeated every 4 weeks.
Overall Study
Adverse Event
56
Overall Study
Withdrawal by Subject
2
Overall Study
Died before tumor response evaluation
1

Baseline Characteristics

Ipilimumab + Temozolomide in Metastatic Melanoma

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Ipilimumab + Temozolomide
n=64 Participants
Induction: Ipilimumab 10 mg/kg intravenous (IV) over 90 minutes Day 1 repeated every 3 weeks until 4 courses of therapy are given over 3 months + Temozolomide 200 mg/m2 orally Days 1 to 4; both repeated every 3 weeks for 4 courses over 3 months. For Maintenance Phase, Ipilimumab repeated every 12 weeks, Temozolomide Days 1 to 5 repeated every 4 weeks.
Sex: Female, Male
Male
45 Participants
n=99 Participants
Region of Enrollment
United States
64 participants
n=99 Participants
Age, Continuous
62 years
n=99 Participants
Sex: Female, Male
Female
19 Participants
n=99 Participants

PRIMARY outcome

Timeframe: 6 Months

6-month progression free survival rate is defined as the number of participants without progression per RECIST 1.0 6 months after starting study treatment.

Outcome measures

Outcome measures
Measure
Ipilimumab + Temozolomide
n=64 Participants
Induction: Ipilimumab 10 mg/kg intravenous (IV) over 90 minutes Day 1 repeated every 3 weeks until 4 courses of therapy are given over 3 months + Temozolomide 200 mg/m2 orally Days 1 to 4; both repeated every 3 weeks for 4 courses over 3 months. For Maintenance Phase, Ipilimumab repeated every 12 weeks, Temozolomide Days 1 to 5 repeated every 4 weeks.
6-Month Progression-Free Survival (PFS) Rate
29 participants

Adverse Events

Ipilimumab + Temozolomide

Serious events: 59 serious events
Other events: 64 other events
Deaths: 1 deaths

Serious adverse events

Serious adverse events
Measure
Ipilimumab + Temozolomide
n=64 participants at risk
Induction: Ipilimumab 10 mg/kg intravenous (IV) over 90 minutes Day 1 repeated every 3 weeks until 4 courses of therapy are given over 3 months + Temozolomide 200 mg/m2 orally Days 1 to 4; both repeated every 3 weeks for 4 courses over 3 months. For Maintenance Phase, Ipilimumab repeated every 12 weeks, Temozolomide Days 1 to 5 repeated every 4 weeks.
Skin and subcutaneous tissue disorders
Pruritis
6.2%
4/64 • Adverse Events collected till 30 days after the last dose of drug, approximate total of 7 weeks for Induction and Maintenance periods.
Skin and subcutaneous tissue disorders
Skin rash
10.9%
7/64 • Adverse Events collected till 30 days after the last dose of drug, approximate total of 7 weeks for Induction and Maintenance periods.
General disorders
Fatigue
15.6%
10/64 • Adverse Events collected till 30 days after the last dose of drug, approximate total of 7 weeks for Induction and Maintenance periods.
Gastrointestinal disorders
Nausea
1.6%
1/64 • Adverse Events collected till 30 days after the last dose of drug, approximate total of 7 weeks for Induction and Maintenance periods.
Gastrointestinal disorders
Constipation
1.6%
1/64 • Adverse Events collected till 30 days after the last dose of drug, approximate total of 7 weeks for Induction and Maintenance periods.
Gastrointestinal disorders
Diarrhea
9.4%
6/64 • Adverse Events collected till 30 days after the last dose of drug, approximate total of 7 weeks for Induction and Maintenance periods.
Gastrointestinal disorders
Anorexia
1.6%
1/64 • Adverse Events collected till 30 days after the last dose of drug, approximate total of 7 weeks for Induction and Maintenance periods.
General disorders
Pain
7.8%
5/64 • Adverse Events collected till 30 days after the last dose of drug, approximate total of 7 weeks for Induction and Maintenance periods.
Respiratory, thoracic and mediastinal disorders
Dyspnea
4.7%
3/64 • Adverse Events collected till 30 days after the last dose of drug, approximate total of 7 weeks for Induction and Maintenance periods.
Gastrointestinal disorders
Colitis
1.6%
1/64 • Adverse Events collected till 30 days after the last dose of drug, approximate total of 7 weeks for Induction and Maintenance periods.
Blood and lymphatic system disorders
Neutropenia
4.7%
3/64 • Adverse Events collected till 30 days after the last dose of drug, approximate total of 7 weeks for Induction and Maintenance periods.
Blood and lymphatic system disorders
Lymphopenia
1.6%
1/64 • Adverse Events collected till 30 days after the last dose of drug, approximate total of 7 weeks for Induction and Maintenance periods.
Blood and lymphatic system disorders
Thrombocytopenia
6.2%
4/64 • Adverse Events collected till 30 days after the last dose of drug, approximate total of 7 weeks for Induction and Maintenance periods.
Metabolism and nutrition disorders
Hyperglycemia
4.7%
3/64 • Adverse Events collected till 30 days after the last dose of drug, approximate total of 7 weeks for Induction and Maintenance periods.
Metabolism and nutrition disorders
ALT (high)
4.7%
3/64 • Adverse Events collected till 30 days after the last dose of drug, approximate total of 7 weeks for Induction and Maintenance periods.
Metabolism and nutrition disorders
AST (high)
4.7%
3/64 • Adverse Events collected till 30 days after the last dose of drug, approximate total of 7 weeks for Induction and Maintenance periods.
Metabolism and nutrition disorders
Alk Phos (high)
1.6%
1/64 • Adverse Events collected till 30 days after the last dose of drug, approximate total of 7 weeks for Induction and Maintenance periods.
Metabolism and nutrition disorders
Total Bilirubin (high)
1.6%
1/64 • Adverse Events collected till 30 days after the last dose of drug, approximate total of 7 weeks for Induction and Maintenance periods.
Metabolism and nutrition disorders
Magnesium (low)
1.6%
1/64 • Adverse Events collected till 30 days after the last dose of drug, approximate total of 7 weeks for Induction and Maintenance periods.

Other adverse events

Other adverse events
Measure
Ipilimumab + Temozolomide
n=64 participants at risk
Induction: Ipilimumab 10 mg/kg intravenous (IV) over 90 minutes Day 1 repeated every 3 weeks until 4 courses of therapy are given over 3 months + Temozolomide 200 mg/m2 orally Days 1 to 4; both repeated every 3 weeks for 4 courses over 3 months. For Maintenance Phase, Ipilimumab repeated every 12 weeks, Temozolomide Days 1 to 5 repeated every 4 weeks.
Skin and subcutaneous tissue disorders
Pruritis
81.2%
52/64 • Adverse Events collected till 30 days after the last dose of drug, approximate total of 7 weeks for Induction and Maintenance periods.
Skin and subcutaneous tissue disorders
Skin rash
71.9%
46/64 • Adverse Events collected till 30 days after the last dose of drug, approximate total of 7 weeks for Induction and Maintenance periods.
General disorders
Fatigue
62.5%
40/64 • Adverse Events collected till 30 days after the last dose of drug, approximate total of 7 weeks for Induction and Maintenance periods.
Gastrointestinal disorders
Nausea
75.0%
48/64 • Adverse Events collected till 30 days after the last dose of drug, approximate total of 7 weeks for Induction and Maintenance periods.
Gastrointestinal disorders
Constipation
68.8%
44/64 • Adverse Events collected till 30 days after the last dose of drug, approximate total of 7 weeks for Induction and Maintenance periods.
Gastrointestinal disorders
Diarrhea
46.9%
30/64 • Adverse Events collected till 30 days after the last dose of drug, approximate total of 7 weeks for Induction and Maintenance periods.
Gastrointestinal disorders
Vomiting
51.6%
33/64 • Adverse Events collected till 30 days after the last dose of drug, approximate total of 7 weeks for Induction and Maintenance periods.
Gastrointestinal disorders
Anorexia
50.0%
32/64 • Adverse Events collected till 30 days after the last dose of drug, approximate total of 7 weeks for Induction and Maintenance periods.
Skin and subcutaneous tissue disorders
Dry Skin
51.6%
33/64 • Adverse Events collected till 30 days after the last dose of drug, approximate total of 7 weeks for Induction and Maintenance periods.
Nervous system disorders
Headache
50.0%
32/64 • Adverse Events collected till 30 days after the last dose of drug, approximate total of 7 weeks for Induction and Maintenance periods.
Musculoskeletal and connective tissue disorders
Pain
28.1%
18/64 • Adverse Events collected till 30 days after the last dose of drug, approximate total of 7 weeks for Induction and Maintenance periods.
General disorders
Fever
32.8%
21/64 • Adverse Events collected till 30 days after the last dose of drug, approximate total of 7 weeks for Induction and Maintenance periods.
Respiratory, thoracic and mediastinal disorders
Dyspnea
25.0%
16/64 • Adverse Events collected till 30 days after the last dose of drug, approximate total of 7 weeks for Induction and Maintenance periods.
Gastrointestinal disorders
Colitis
9.4%
6/64 • Adverse Events collected till 30 days after the last dose of drug, approximate total of 7 weeks for Induction and Maintenance periods.
Blood and lymphatic system disorders
Anemia
65.6%
42/64 • Adverse Events collected till 30 days after the last dose of drug, approximate total of 7 weeks for Induction and Maintenance periods.
Blood and lymphatic system disorders
Neutropenia
4.7%
3/64 • Adverse Events collected till 30 days after the last dose of drug, approximate total of 7 weeks for Induction and Maintenance periods.
Blood and lymphatic system disorders
Lymphopenia
21.9%
14/64 • Adverse Events collected till 30 days after the last dose of drug, approximate total of 7 weeks for Induction and Maintenance periods.
Blood and lymphatic system disorders
Thrombocytopenia
31.2%
20/64 • Adverse Events collected till 30 days after the last dose of drug, approximate total of 7 weeks for Induction and Maintenance periods.
Metabolism and nutrition disorders
Hyperglycemia
64.1%
41/64 • Adverse Events collected till 30 days after the last dose of drug, approximate total of 7 weeks for Induction and Maintenance periods.
Metabolism and nutrition disorders
ALT (high)
40.6%
26/64 • Adverse Events collected till 30 days after the last dose of drug, approximate total of 7 weeks for Induction and Maintenance periods.
Metabolism and nutrition disorders
AST (high)
37.5%
24/64 • Adverse Events collected till 30 days after the last dose of drug, approximate total of 7 weeks for Induction and Maintenance periods.
Metabolism and nutrition disorders
Alk Phos (high)
23.4%
15/64 • Adverse Events collected till 30 days after the last dose of drug, approximate total of 7 weeks for Induction and Maintenance periods.
Metabolism and nutrition disorders
Total Bilrubin (high)
14.1%
9/64 • Adverse Events collected till 30 days after the last dose of drug, approximate total of 7 weeks for Induction and Maintenance periods.
Metabolism and nutrition disorders
Magnesium (low)
25.0%
16/64 • Adverse Events collected till 30 days after the last dose of drug, approximate total of 7 weeks for Induction and Maintenance periods.
Metabolism and nutrition disorders
Creatinine (high)
25.0%
16/64 • Adverse Events collected till 30 days after the last dose of drug, approximate total of 7 weeks for Induction and Maintenance periods.
Metabolism and nutrition disorders
Potassium (low)
14.1%
9/64 • Adverse Events collected till 30 days after the last dose of drug, approximate total of 7 weeks for Induction and Maintenance periods.

Additional Information

Dr. Sapna P. Patel, Assistant Professor, Melanoma Medical Oncology

UT MD Anderson Cancer Center

Phone: 713-792-7734

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place