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Published in: Investigational New Drugs 6/2008

01-12-2008 | PHASE II STUDIES

O-Mel-Inib: A Cancéro-pôle Nord-Ouest multicenter phase II trial of high-dose Imatinib mesylate in metastatic uveal melanoma

Authors: Nicolas Penel, Corinne Delcambre, Xavier Durando, Stéphanie Clisant, Mohamed Hebbar, Sylvie Negrier, Charles Fournier, Nicolas Isambert, Frédéric Mascarelli, Frédéric Mouriaux

Published in: Investigational New Drugs | Issue 6/2008

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Summary

Background: Nowadays, there is no consensual and effective treatment in metastatic uveal melanoma (MUM). Numerous preclinical data (for example, 75% of MUM express c-kit) suggest that imatinib mesylate (IM) may be a potential treatment of UMM. Methods: The primary objective of this phase II trial was to determine the non-progression rate at 3 months for patients receiving IM at dose of 400 mg twice per day orally. The study was based on a Simon’s optimal design, which allows entry a total of 29 patients, if at least two non-progressions among ten first patients were observed. Result: Thirteen patients including ten assessable patients were enrolled in 12 months. No objective response and only one stable disease with duration of 5 months were noted. Five and one out of 13 enrolled patients experienced grade 3 and grade 4 toxicities, respectively. The most common severe adverse events were abdominal pain. The overall survival was 10.8 months. Conclusions: Despite promising preclinical data, IM is an inactive single agent in MUM. This phase II clinical trial has been stopped at the first step.
Literature
1.
go back to reference Woll E, Bedikian A, Legha SS (1999) Uveal melanoma: natural history and treatment options for metastatic disease. Melanoma Res 9:575–581PubMedCrossRef Woll E, Bedikian A, Legha SS (1999) Uveal melanoma: natural history and treatment options for metastatic disease. Melanoma Res 9:575–581PubMedCrossRef
2.
go back to reference Bedikian AY, Legha SS, Mavliit G et al (1995) Treatment of uveal melanoma metastatic to the liver. A review of the M.D. Anderson Cancer Center Experience and prognostic factor. Cancer 76:1665–1670PubMedCrossRef Bedikian AY, Legha SS, Mavliit G et al (1995) Treatment of uveal melanoma metastatic to the liver. A review of the M.D. Anderson Cancer Center Experience and prognostic factor. Cancer 76:1665–1670PubMedCrossRef
3.
go back to reference Grosjean J, Penel N, Gauthier H et al (2004) Dissémination métastatique ultra-tardive de melanoma oculaire: à propos de deux cas. Rev Med Interne 25:147–149PubMedCrossRef Grosjean J, Penel N, Gauthier H et al (2004) Dissémination métastatique ultra-tardive de melanoma oculaire: à propos de deux cas. Rev Med Interne 25:147–149PubMedCrossRef
4.
go back to reference Shmittel A, Shmidt-Hieber M, Martus P et al (2006) A randomized phase II trial of gemcitabine plus treosulfab versus treosulfan alone in patients with metastaitc uveal melanoma. Ann Oncol 17:1826–1829CrossRef Shmittel A, Shmidt-Hieber M, Martus P et al (2006) A randomized phase II trial of gemcitabine plus treosulfab versus treosulfan alone in patients with metastaitc uveal melanoma. Ann Oncol 17:1826–1829CrossRef
5.
go back to reference Peters S, Voelter V, Zografos L et al (2006) Intra-arterial hepatic fotemustine for the treatment of liver metastases from uveal melanoma: experience in 101 patients. Ann Oncol 17:578–583PubMedCrossRef Peters S, Voelter V, Zografos L et al (2006) Intra-arterial hepatic fotemustine for the treatment of liver metastases from uveal melanoma: experience in 101 patients. Ann Oncol 17:578–583PubMedCrossRef
6.
go back to reference Kodjikian L, Grange JD, Baldo S et al (2005) Prognostic factors of liver metastases from uveal melanoma. Graefes Arch Clin Exp Ophthalmol 243:985–993PubMedCrossRef Kodjikian L, Grange JD, Baldo S et al (2005) Prognostic factors of liver metastases from uveal melanoma. Graefes Arch Clin Exp Ophthalmol 243:985–993PubMedCrossRef
7.
go back to reference Heinrich MC, Corless CL, Demetri GD et al (2003) Kinase mutations and imatinib response in patients with metastatic gastrointestinal stromal tumor. J Clin Oncol 21:4342–4349PubMedCrossRef Heinrich MC, Corless CL, Demetri GD et al (2003) Kinase mutations and imatinib response in patients with metastatic gastrointestinal stromal tumor. J Clin Oncol 21:4342–4349PubMedCrossRef
8.
go back to reference Lynch TJ, Bell DW, Sordella R et al (2004) Activating mutations in the epidermal growth factor receptor underlying responsiveness of non-small-cell lung cancer to gefitinib. N Engl J Med 350:2129–2139PubMedCrossRef Lynch TJ, Bell DW, Sordella R et al (2004) Activating mutations in the epidermal growth factor receptor underlying responsiveness of non-small-cell lung cancer to gefitinib. N Engl J Med 350:2129–2139PubMedCrossRef
9.
go back to reference Demetri GD, von Mehren M, Blanke CD et al (2002) Efficacy and safety of imatinib mesylate in advanced gastrointestinal stromal tumours. N Engl J Med 347:472–480PubMedCrossRef Demetri GD, von Mehren M, Blanke CD et al (2002) Efficacy and safety of imatinib mesylate in advanced gastrointestinal stromal tumours. N Engl J Med 347:472–480PubMedCrossRef
10.
go back to reference Penel N, Le Cesne A, Bui BN, et al. (2002) Imatinib for the treatment of aggressive fibromatosis (desmoid tumors) failing local treatment. A Phase II trial of the French Sarcoma Group. J Clin Oncol (Meeting Abstracts) 24(suppl 18): Abstract 9516 Penel N, Le Cesne A, Bui BN, et al. (2002) Imatinib for the treatment of aggressive fibromatosis (desmoid tumors) failing local treatment. A Phase II trial of the French Sarcoma Group. J Clin Oncol (Meeting Abstracts) 24(suppl 18): Abstract 9516
11.
go back to reference Maki RG, Awan RA, Dixon RH et al (2002) Differential sensitivity to imatinib of 2 patients with metastatic sarcoma arising from dermatofibrosarcoma protuberans. Int J Cancer 100:623–626PubMedCrossRef Maki RG, Awan RA, Dixon RH et al (2002) Differential sensitivity to imatinib of 2 patients with metastatic sarcoma arising from dermatofibrosarcoma protuberans. Int J Cancer 100:623–626PubMedCrossRef
12.
go back to reference Penel N, Saleron J, Lansiaux A et al (2008) Methodological approaches of clinical studies with targeted therapies. Bull Cancer 95:185–190PubMed Penel N, Saleron J, Lansiaux A et al (2008) Methodological approaches of clinical studies with targeted therapies. Bull Cancer 95:185–190PubMed
13.
go back to reference Mouriaux F, Chahud F, Maurage CA et al (2001) Implication of stem cell factor in the proliferation of choroidal melanocytes. Exp Eye Res 73:151–157PubMedCrossRef Mouriaux F, Chahud F, Maurage CA et al (2001) Implication of stem cell factor in the proliferation of choroidal melanocytes. Exp Eye Res 73:151–157PubMedCrossRef
14.
go back to reference Mouriaux F, Kherrouche Z, Maurage CA et al (2003) Expression of c-kit receptor in choroidal melanomas. Melanoma Res 13:161–166PubMedCrossRef Mouriaux F, Kherrouche Z, Maurage CA et al (2003) Expression of c-kit receptor in choroidal melanomas. Melanoma Res 13:161–166PubMedCrossRef
15.
go back to reference Pereira PR, Odashiro AN, Marshall JC et al (2005) The role of c-kit and imatinib mesylate in uveal melanoma. J Carcinog 19:4–19 Pereira PR, Odashiro AN, Marshall JC et al (2005) The role of c-kit and imatinib mesylate in uveal melanoma. J Carcinog 19:4–19
16.
go back to reference Lefebvre G, Glotin AL, Calipel A et al (2004) Roles of stem/cell Factors/c-kit and effects of Glivec/STI571 in Human Uveal Melanoma Cell tumoregenesis. J Biol Chem 279:31769–31779CrossRef Lefebvre G, Glotin AL, Calipel A et al (2004) Roles of stem/cell Factors/c-kit and effects of Glivec/STI571 in Human Uveal Melanoma Cell tumoregenesis. J Biol Chem 279:31769–31779CrossRef
17.
go back to reference Therasse P, Arbuck SG, Eisenhauer EA et al (2000) New guidelines to evaluate the response to treatment in solid tumours. J Natl Cancer Inst 92:205–216PubMedCrossRef Therasse P, Arbuck SG, Eisenhauer EA et al (2000) New guidelines to evaluate the response to treatment in solid tumours. J Natl Cancer Inst 92:205–216PubMedCrossRef
18.
go back to reference Simon R (1989) Optimal two-stage designs for phase II clinical trials. Control Clin Trials 10:1–10PubMedCrossRef Simon R (1989) Optimal two-stage designs for phase II clinical trials. Control Clin Trials 10:1–10PubMedCrossRef
19.
go back to reference Wyman K, Atkins MB, Prieto V et al (2006) Multicenter phase II trial of high-dose imatinib mesylate in metastatic melanoma. Significant toxicity with no clinical efficacy. Cancer 106:2005–2011PubMedCrossRef Wyman K, Atkins MB, Prieto V et al (2006) Multicenter phase II trial of high-dose imatinib mesylate in metastatic melanoma. Significant toxicity with no clinical efficacy. Cancer 106:2005–2011PubMedCrossRef
20.
go back to reference Katarjian HM, Talpaz M, O’Brien S et al (2003) Dose escalation of imatinib mesylate can recover resistance to standard-dose therapy inpatients with chronic myelogenous leukaemia. Blood 101:473–475CrossRef Katarjian HM, Talpaz M, O’Brien S et al (2003) Dose escalation of imatinib mesylate can recover resistance to standard-dose therapy inpatients with chronic myelogenous leukaemia. Blood 101:473–475CrossRef
21.
go back to reference Verweij J, Casali PG, Zalcberg J et al (2004) Progression-free survival in gastrointestinal stromal tumours with high-dose imatinib: randomised trial. Lancet 364:1127–1134PubMedCrossRef Verweij J, Casali PG, Zalcberg J et al (2004) Progression-free survival in gastrointestinal stromal tumours with high-dose imatinib: randomised trial. Lancet 364:1127–1134PubMedCrossRef
22.
go back to reference Fiorentini G, Rossi S, Lanzonova G et al (2003) Potential use of imatinib mesylate in ocular melanoma and liposarcoma expressing immunohistochemical c-kit (CD117). Ann Oncol 14:805PubMedCrossRef Fiorentini G, Rossi S, Lanzonova G et al (2003) Potential use of imatinib mesylate in ocular melanoma and liposarcoma expressing immunohistochemical c-kit (CD117). Ann Oncol 14:805PubMedCrossRef
23.
go back to reference All-Ericsson C, Girnita L, Muller-Brunotte A et al (2004) c-Kit-dependent growth of uveal melanoma cells: a potential therapeutic target? Invest Ophthalmol Vis Sci 45:2075–2082PubMedCrossRef All-Ericsson C, Girnita L, Muller-Brunotte A et al (2004) c-Kit-dependent growth of uveal melanoma cells: a potential therapeutic target? Invest Ophthalmol Vis Sci 45:2075–2082PubMedCrossRef
24.
go back to reference Calipel A, Lefebvre G, Pouponnot C et al (2003) Mutation of B-Raf in human choroidal melanoma cells mediates cell proliferation and transformation through the MEK/ERK pathway. J Biol Chem 278:42409–42418PubMedCrossRef Calipel A, Lefebvre G, Pouponnot C et al (2003) Mutation of B-Raf in human choroidal melanoma cells mediates cell proliferation and transformation through the MEK/ERK pathway. J Biol Chem 278:42409–42418PubMedCrossRef
25.
go back to reference Thatcher N, Chang A, Parikh P et al (2005) Gefinib plus best supportive care in previously treated patients with refractory advanced non-small-cell lung cancer: results from a randomised, placebo-controlled, multicentre study (Iressa Survival Evaluation in Lung Cancer). Lancet 366:1527–1537PubMedCrossRef Thatcher N, Chang A, Parikh P et al (2005) Gefinib plus best supportive care in previously treated patients with refractory advanced non-small-cell lung cancer: results from a randomised, placebo-controlled, multicentre study (Iressa Survival Evaluation in Lung Cancer). Lancet 366:1527–1537PubMedCrossRef
26.
go back to reference Chung KY, Shia J, Kemeny NE et al (2005) Cetuximab shows activity in colorectal cancer patients with tumors that do not express the epidermal growth factor receptor by immunohistochemistry. J Clin Oncol 23:1803–1810PubMedCrossRef Chung KY, Shia J, Kemeny NE et al (2005) Cetuximab shows activity in colorectal cancer patients with tumors that do not express the epidermal growth factor receptor by immunohistochemistry. J Clin Oncol 23:1803–1810PubMedCrossRef
27.
go back to reference Natali PG, Nicotra MR, Winkler AB et al (1992) Progression of human cutaneous melanoma is associated with loss of expression of c-kit proto-oncogene receptor. Int J Cancer 52:197–201PubMedCrossRef Natali PG, Nicotra MR, Winkler AB et al (1992) Progression of human cutaneous melanoma is associated with loss of expression of c-kit proto-oncogene receptor. Int J Cancer 52:197–201PubMedCrossRef
28.
go back to reference Montone KT, Van Belle P, Elenitsas R, Elder DE (1997) Proto-oncogene c-kit expression in malignant melanoma protein loss with tumor progression. Mod Pathol 10:939–944PubMed Montone KT, Van Belle P, Elenitsas R, Elder DE (1997) Proto-oncogene c-kit expression in malignant melanoma protein loss with tumor progression. Mod Pathol 10:939–944PubMed
29.
go back to reference Krug LM, Crapanzano JP, Azzoli CG et al (2005) Imatinib mesylate lacks activity in small cell lung carcinoma expressing c-kit protein: a phase II clinical trial. Cancer 103:2128–2131PubMedCrossRef Krug LM, Crapanzano JP, Azzoli CG et al (2005) Imatinib mesylate lacks activity in small cell lung carcinoma expressing c-kit protein: a phase II clinical trial. Cancer 103:2128–2131PubMedCrossRef
30.
go back to reference Pfeffer MR, Talmi Y, Catane R et al (2007) A phase II study of imatinib for advanced adenoid cysric carcinoma of head and neck salivary glands. Oral Oncol 43:33–36PubMedCrossRef Pfeffer MR, Talmi Y, Catane R et al (2007) A phase II study of imatinib for advanced adenoid cysric carcinoma of head and neck salivary glands. Oral Oncol 43:33–36PubMedCrossRef
31.
go back to reference Alberts DS, Liu PY, Wilczynski SP et al (2007) Phase II trial of imatinib mesylate in recurrent, biomarker positive, ovarian cancer (Southwest Oncology Group Protocol SO211). Int J Gynecol Cancer 17(4):784–788PubMedCrossRef Alberts DS, Liu PY, Wilczynski SP et al (2007) Phase II trial of imatinib mesylate in recurrent, biomarker positive, ovarian cancer (Southwest Oncology Group Protocol SO211). Int J Gynecol Cancer 17(4):784–788PubMedCrossRef
Metadata
Title
O-Mel-Inib: A Cancéro-pôle Nord-Ouest multicenter phase II trial of high-dose Imatinib mesylate in metastatic uveal melanoma
Authors
Nicolas Penel
Corinne Delcambre
Xavier Durando
Stéphanie Clisant
Mohamed Hebbar
Sylvie Negrier
Charles Fournier
Nicolas Isambert
Frédéric Mascarelli
Frédéric Mouriaux
Publication date
01-12-2008
Publisher
Springer US
Published in
Investigational New Drugs / Issue 6/2008
Print ISSN: 0167-6997
Electronic ISSN: 1573-0646
DOI
https://doi.org/10.1007/s10637-008-9143-2

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