Efficacy Study of Pharmacokinetic(PK)/Pharmacodynamic(PD) Relationship of Monotherapy MORAb-004 in Metastatic Melanoma

Sponsor
Eisai Inc. (Industry)
Overall Status
Completed
CT.gov ID
NCT01335009
Collaborator
(none)
76
29
2
106.8
2.6
0

Study Details

Study Description

Brief Summary

This is a global, Phase 2, open label, dose selection, proof-of-concept study to assess progression free survival in subjects with metastatic melanoma.

Approximately 80 subjects at 29 sites in the U.S., U.K., Germany and Australia will be randomized into one of two dose groups: 2 mg/kg, 4 mg/kg. Weekly treatment will continue until disease progression.

Subjects must have measurable disease by CT Scan or MRI and must have completed at least one prior round of chemotherapy.

Subjects will be assessed for Efficacy, PK/PD, Overall survival, and Safety (Adverse Events/Adverse Events of Interest, Electrocardiograms (ECG's), clinical labs, physical exams/vital signs, tolerability).

Condition or Disease Intervention/Treatment Phase
  • Biological: MORAb-004 (monoclonal antibody)
Phase 2

Detailed Description

MORAb-004 is a monoclonal antibody directed against endosialin, a cell surface glycoprotein, which is expressed on cells involved in tumor vasculature. Studies have found endosialin to play a key role in tumor growth and neovessel formation in numerous cancer types including melanoma. Preclinical pharmacological studies have shown that MORAb-004 is a potentially useful anti-cancer agent. This clinical trial is being performed to determine the efficacy of MORAb-004 at two dose levels in subjects with metastatic melanoma, as well as to establish serum pharmacokinetics and pharmacodynamics of the antibody.

Study Design

Study Type:
Interventional
Actual Enrollment :
76 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
None (Open Label)
Primary Purpose:
Treatment
Official Title:
A Study of the Efficacy and PK/PD Relationship of Monotherapy MORAb-004 in Subjects With Metastatic Melanoma
Actual Study Start Date :
May 16, 2011
Actual Primary Completion Date :
Dec 2, 2013
Actual Study Completion Date :
Apr 10, 2020

Arms and Interventions

Arm Intervention/Treatment
Experimental: MORAb-004, 2 mg/kg

Biologic (monoclonal antibody)

Biological: MORAb-004 (monoclonal antibody)
Subjects will receive one cycle of treatment with MORAb-004, administered intravenously, on Days 1, 8, 15, and 22 (4 administrations per cycle). Additional cycles will continue without interruption until disease progression occurs or clinical or symptomatic progression as suggested by an investigator.

Experimental: MORAb-004, 4 mg/kg

Biologic (monoclonal antibody)

Biological: MORAb-004 (monoclonal antibody)
Subjects will receive one cycle of treatment with MORAb-004, administered intravenously, on Days 1, 8, 15, and 22 (4 administrations per cycle). Additional cycles will continue without interruption until disease progression occurs or clinical or symptomatic progression as suggested by an investigator.

Outcome Measures

Primary Outcome Measures

  1. Percentage of Participants With Progression-free Survival (PFS) at Week 24 [Week 24]

    PFS was defined as the time (in weeks) from the date of randomization to the date of the first sign of disease progression (PD) based on Response Evaluation Criteria in Solid Tumours (RECIST) version 1.1, or date of death, regardless of cause. PD greater than or equal to (>=) 20 percent (%) increase in the nadir of total tumor burden (TTB) (minimum 5 millimeter [mm]). Participants who were alive with no disease progression had their PFS time censored at the date of their last tumor assessment. Participants who received a new anti-cancer therapy before disease progression had their PFS time censored at the date of their last tumor assessment before the new anti-cancer therapy was started. PFS was analyzed using Kaplan Meier method.

Secondary Outcome Measures

  1. Percentage of Participants With PFS at Weeks 16 and 52 [Week 16 and Week 52]

    PFS was defined as the time (in weeks) from the date of randomization to the date of the first observation of PD (RECIST version 1.1) or date of death, regardless of the cause. PD >=20% increase in the nadir of TTB (minimum 5 mm). Participants who were alive with no disease progression had their PFS time censored at the date of their last tumor assessment. Participants who received new anti-cancer therapy before disease progression had their PFS time censored at the date of their last tumor assessment before the new anti-cancer therapy was initiated. PFS was based on the Kaplan-Meier method.

  2. Overall Survival (OS) [Date of first study treatment (Day 1) to date of death or up to approximately 2 years 7 months]

    OS was defined as the time (in weeks) from the date of randomization to the date of death, regardless of cause. In the absence of death confirmation, or for participants alive at the time of analysis, the survival time was censored at the date of the last study follow-up. OS was calculated using the Kaplan-Meier method. As per planned analysis, efficacy outcomes was planned to be analyzed until cut-off date (02 December 2013).

  3. Percentage of Participants With Overall Response [Date of first study treatment (Day 1) to complete response or partial response, assessed up to approximately 2 years 7 months]

    ORR was defined as the percentage of participants with best overall response (BOR) of complete response (CR) or partial response (PR) that occurred (defined by RECIST version 1.1) using CT/MRI. Per RECIST 1.1, CR= disappearance of all lesions; PR greater than or equal to (>=) 30percent (%) decrease from baseline in TTB. As per planned analysis, efficacy outcomes was planned to be analyzed until cut-off date (02 December 2013).

  4. Optimal Biologic Dosing (OBD) of Morab-004 [Day 1 Cycle 1 (Cycle length = 28 days)]

    OBD is defined as the dose level/exposure level at which three parameters are met: 1) adequate pharmacokinetic (PK) profile with a serum half-life (t1/2) of >=48 hours, 2) at least minimal demonstration of antitumor efficacy (50% or greater PFS rate at 16 weeks), and 3) change of 25% or greater from baseline value in any of the pharmacodynamic (PD) parameters assessed in the study in 30% of participants at that dose level.

Eligibility Criteria

Criteria

Ages Eligible for Study:
18 Years and Older
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
No
Inclusion Criteria:
  • Be surgically sterile or consent to use a medically acceptable method of contraception throughout the study period.

  • Histologically confirmed diagnosis of metastatic melanoma

  • At least 1 prior systemic treatment for metastatic melanoma with disease progression following treatment

  • Measurable disease, as defined by RECIST v1.1, assessed within 4 weeks prior to study entry

  • At least 3 week interval between first infusion of test article and most recent prior systemic anticancer therapy. All treatment-associated toxicity must be resolved to less than or equal to Grade 1 before the administration of MORAb-004

  • Have a life expectancy of at least 3 months as estimated by the investigator

  • Have other significant medical conditions well-controlled and stable, in the opinion of the investigator, for at least 30 days prior to Study Day 1

  • Eastern Cooperative Oncology Group (ECOG) Performance Status of 0 or 1

  • Have sites of disease amenable to the protocol-specified biopsy (Note: All participants will have protocol-specified biopsy at Screening. The second, on-treatment biopsy will be mandatory in the first 30 randomized participants only. For all other participants, the second biopsy is optional.

  • Laboratory tests results prior to Study Day 1 within limits as outlined in protocol

Exclusion Criteria:
  • Have received no prior systemic treatment for metastatic melanoma

  • Evidence of other active malignancy requiring treatment within the last 5 years (other than basal cell or squamous cell carcinoma of the skin), or active brain metastasis

  • Clinically significant heart disease (Congestive heart failure of New York Heart Association [NYHA] Class 3 or 4, angina not well controlled by medication, or myocardial infarction within 6 mos.), or ECGs demonstrating clinically significant arrhythmias

  • Have any other serious systemic disease, including active bacterial or fungal infection, or any medical condition requiring cytotoxic therapy or chronic (at least 4 consecutive weeks) systemic corticosteroid use

  • Have active viral hepatitis or symptomatic Human immunodeficiency virus (HIV) infection

  • Be breast-feeding, pregnant, or likely to become pregnant during the study

  • Known allergic reaction to a prior monoclonal antibody therapy

  • Previous treatment with MORAb-004

  • Brain metastasis

Contacts and Locations

Locations

Site City State Country Postal Code
1 Pinnacle Oncology Scottsdale Arizona United States 19454
2 The Angeles Clinic and Research Institute Los Angeles California United States 90025
3 University of California Los Angeles Los Angeles California United States 90095
4 University of Colorado Cancer Center, Anschutz Cancer Pavilion Aurora Colorado United States 80045
5 Yale University New Haven Connecticut United States 06520
6 The University Of Chicago Chicago Illinois United States 60637
7 Oncology Specialists, SC Park Ridge Illinois United States 60068
8 University of Iowa Hospital Iowa City Iowa United States 52242
9 University of Minnesota Minneapolis Minnesota United States 19454
10 Washington University School of Medicine Saint Louis Missouri United States 63110
11 Atlantic Health Morristown New Jersey United States 07962
12 New York University Cancer Institute New York New York United States 10016
13 Memorial Sloan-Kettering Cancer Center New York New York United States 10065
14 University of North Carolina at Chapel Hill Chapel Hill North Carolina United States 19454
15 Duke University Medical Center Durham North Carolina United States 27710
16 St. Luke's Hospital & Health Network Bethlehem Pennsylvania United States 18051
17 Thomas Jefferson University Philadelphia Pennsylvania United States 19107
18 Fox Chase Cancer Center Philadelphia Pennsylvania United States 19111
19 University of Pittsburgh Cancer Institute Pittsburgh Pennsylvania United States 15232
20 University of Utah Huntsman Cancer Institute Salt Lake City Utah United States 84112
21 Sydney Cancer Center - Royal Prince Alfred Hospital Camperdown New South Wales Australia 2050
22 Newcastle Melanoma Unit, Calvery Mater Newcastle Waratah New South Wales Australia 2298
23 The Crown Princess Mary Cancer Centre, Westmead Hospital Westmead New South Wales Australia 2145
24 Princess Alexandra Hospital Woolloongabba Queensland Australia 4102
25 Universitatsklinikum Essen, Klinik fur Dermatologie Essen Germany 45147
26 Universitats-Hautklinik Mainz Germany 55131
27 Eberhard Karls University Tuebingen Tuebingen Germany 72076
28 The Royal Marsden Hospital London United Kingdom SW3 6JJ
29 Weston Park Hospital Sheffield United Kingdom S10 2SJ

Sponsors and Collaborators

  • Eisai Inc.

Investigators

None specified.

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.
Responsible Party:
Eisai Inc.
ClinicalTrials.gov Identifier:
NCT01335009
Other Study ID Numbers:
  • MORAb-004-201MEL
  • 2011-001282-40
First Posted:
Apr 13, 2011
Last Update Posted:
Sep 1, 2021
Last Verified:
Apr 1, 2021
Keywords provided by Eisai Inc.
Additional relevant MeSH terms:

Study Results

Participant Flow

Recruitment Details Participants took part in the study at 29 sites in 4 countries (the United States, Australia, Germany, and the United Kingdom), 20 of which enrolled participants.
Pre-assignment Detail A total of 76 participants were randomized to treatment with MORAb-004 (40 participants in the 2 milligram per kilogram [mg/kg] group and 36 participants in the 4 mg/kg group).
Arm/Group Title MORAb-004 2 mg/kg MORAb-004 4 mg/kg
Arm/Group Description Participants received one cycle of treatment with MORAb-004 2 mg/kg, administered intravenously on Days 1, 8, 15, and 22 of the 28-day cycle (4 administrations per cycle). Participants who completed Cycle 1 continued with additional cycles without interruption or dose escalation until disease progression, using computed tomography/magnetic resonance imaging (CT/MRI) or until they discontinued the study for any reason. Participants were assessed for disease progression by CT/MRI every 8 weeks from the date of first study treatment (that is, Cycle 1 Day 1), regardless of delays in treatment. Participants received one cycle of treatment with MORAb-004 4 mg/kg, administered intravenously on Days 1, 8, 15, and 22 of the 28-day cycle (4 administrations per cycle). Participants who completed Cycle 1 continued with additional cycles without interruption or dose escalation until disease progression, using CT/MRI or until they discontinued the study for any reason. Participants were assessed for disease progression by CT/MRI every 8 weeks from the date of first study treatment (that is, Cycle 1 Day 1), regardless of delays in treatment.
Period Title: Overall Study
STARTED 40 36
COMPLETED 9 3
NOT COMPLETED 31 33

Baseline Characteristics

Arm/Group Title MORAb-004 2 mg/kg MORAb-004 4 mg/kg Total
Arm/Group Description Participants received one cycle of treatment with MORAb-004 2 mg/kg, administered intravenously on Days 1, 8, 15, and 22 of the 28-day cycle (4 administrations per cycle). Participants who completed Cycle 1 continued with additional cycles without interruption or dose escalation until disease progression, using CT/MRI or until they discontinued the study for any reason. Participants were assessed for disease progression by CT/MRI every 8 weeks from the date of first study treatment (that is, Cycle 1 Day 1), regardless of delays in treatment. Participants received one cycle of treatment with MORAb-004 4 mg/kg, administered intravenously on Days 1, 8, 15, and 22 of the 28-day cycle (4 administrations per cycle). Participants who completed Cycle 1 continued with additional cycles without interruption or dose escalation until disease progression, using CT/MRI or until they discontinued the study for any reason. Participants were assessed for disease progression by CT/MRI every 8 weeks from the date of first study treatment (that is, Cycle 1 Day 1), regardless of delays in treatment. Total of all reporting groups
Overall Participants 40 36 76
Age (years) [Mean (Standard Deviation) ]
Mean (Standard Deviation) [years]
65.1
(12.22)
61.2
(12.15)
63.3
(12.26)
Sex: Female, Male (Count of Participants)
Female
18
45%
9
25%
27
35.5%
Male
22
55%
27
75%
49
64.5%
Ethnicity (NIH/OMB) (Count of Participants)
Hispanic or Latino
1
2.5%
4
11.1%
5
6.6%
Not Hispanic or Latino
39
97.5%
32
88.9%
71
93.4%
Unknown or Not Reported
0
0%
0
0%
0
0%
Race (NIH/OMB) (Count of Participants)
American Indian or Alaska Native
0
0%
0
0%
0
0%
Asian
0
0%
0
0%
0
0%
Native Hawaiian or Other Pacific Islander
0
0%
0
0%
0
0%
Black or African American
0
0%
1
2.8%
1
1.3%
White
39
97.5%
34
94.4%
73
96.1%
More than one race
0
0%
0
0%
0
0%
Unknown or Not Reported
1
2.5%
1
2.8%
2
2.6%

Outcome Measures

1. Primary Outcome
Title Percentage of Participants With Progression-free Survival (PFS) at Week 24
Description PFS was defined as the time (in weeks) from the date of randomization to the date of the first sign of disease progression (PD) based on Response Evaluation Criteria in Solid Tumours (RECIST) version 1.1, or date of death, regardless of cause. PD greater than or equal to (>=) 20 percent (%) increase in the nadir of total tumor burden (TTB) (minimum 5 millimeter [mm]). Participants who were alive with no disease progression had their PFS time censored at the date of their last tumor assessment. Participants who received a new anti-cancer therapy before disease progression had their PFS time censored at the date of their last tumor assessment before the new anti-cancer therapy was started. PFS was analyzed using Kaplan Meier method.
Time Frame Week 24

Outcome Measure Data

Analysis Population Description
Primary efficacy population included all participants in the safety population who meet all key eligibility criteria (including measurable disease at baseline after at least 1 systemic treatment) analyzed by the dose level to which they were randomized.
Arm/Group Title MORAb-004 2 mg/kg MORAb-004 4 mg/kg
Arm/Group Description Participants received one cycle of treatment with MORAb-004 2 mg/kg, administered intravenously on Days 1, 8, 15, and 22 of the 28-day cycle (4 administrations per cycle). Participants who completed Cycle 1 continued with additional cycles without interruption or dose escalation until disease progression, using CT/MRI or until they discontinued the study for any reason. Participants were assessed for disease progression by CT/MRI every 8 weeks from the date of first study treatment (that is, Cycle 1 Day 1), regardless of delays in treatment. Participants received one cycle of treatment with MORAb-004 4 mg/kg, administered intravenously on Days 1, 8, 15, and 22 of the 28-day cycle (4 administrations per cycle). Participants who completed Cycle 1 continued with additional cycles without interruption or dose escalation until disease progression, using CT/MRI or until they discontinued the study for any reason. Participants were assessed for disease progression by CT/MRI every 8 weeks from the date of first study treatment (that is, Cycle 1 Day 1), regardless of delays in treatment.
Measure Participants 39 36
Number (95% Confidence Interval) [percentage of participants]
13.5
33.8%
8.9
24.7%
2. Secondary Outcome
Title Percentage of Participants With PFS at Weeks 16 and 52
Description PFS was defined as the time (in weeks) from the date of randomization to the date of the first observation of PD (RECIST version 1.1) or date of death, regardless of the cause. PD >=20% increase in the nadir of TTB (minimum 5 mm). Participants who were alive with no disease progression had their PFS time censored at the date of their last tumor assessment. Participants who received new anti-cancer therapy before disease progression had their PFS time censored at the date of their last tumor assessment before the new anti-cancer therapy was initiated. PFS was based on the Kaplan-Meier method.
Time Frame Week 16 and Week 52

Outcome Measure Data

Analysis Population Description
Primary efficacy population included all participants in the safety population who meet all key eligibility criteria (including measurable disease at baseline after at least 1 systemic treatment) analyzed by the dose level to which they were randomized.
Arm/Group Title MORAb-004 2 mg/kg MORAb-004 4 mg/kg
Arm/Group Description Participants received one cycle of treatment with MORAb-004 2 mg/kg, administered intravenously on Days 1, 8, 15, and 22 of the 28-day cycle (4 administrations per cycle). Participants who completed Cycle 1 continued with additional cycles without interruption or dose escalation until disease progression, using CT/MRI or until they discontinued the study for any reason. Participants were assessed for disease progression by CT/MRI every 8 weeks from the date of first study treatment (that is, Cycle 1 Day 1), regardless of delays in treatment. Participants received one cycle of treatment with MORAb-004 4 mg/kg, administered intravenously on Days 1, 8, 15, and 22 of the 28-day cycle (4 administrations per cycle). Participants who completed Cycle 1 continued with additional cycles without interruption or dose escalation until disease progression, using CT/MRI or until they discontinued the study for any reason. Participants were assessed for disease progression by CT/MRI every 8 weeks from the date of first study treatment (that is, Cycle 1 Day 1), regardless of delays in treatment.
Measure Participants 39 36
Week 16
32.5
81.3%
20.8
57.8%
Week 52
NA
NaN
8.9
24.7%
3. Secondary Outcome
Title Overall Survival (OS)
Description OS was defined as the time (in weeks) from the date of randomization to the date of death, regardless of cause. In the absence of death confirmation, or for participants alive at the time of analysis, the survival time was censored at the date of the last study follow-up. OS was calculated using the Kaplan-Meier method. As per planned analysis, efficacy outcomes was planned to be analyzed until cut-off date (02 December 2013).
Time Frame Date of first study treatment (Day 1) to date of death or up to approximately 2 years 7 months

Outcome Measure Data

Analysis Population Description
Primary efficacy population included all participants in the safety population who meet all key eligibility criteria (including measurable disease at baseline after at least 1 systemic treatment) analyzed by the dose level to which they were randomized. Participants without documentation of death at the time of analysis were censored at the date last known to be alive.
Arm/Group Title MORAb-004 2 mg/kg MORAb-004 4 mg/kg
Arm/Group Description Participants received one cycle of treatment with MORAb-004 2 mg/kg, administered intravenously on Days 1, 8, 15, and 22 of the 28-day cycle (4 administrations per cycle). Participants who completed Cycle 1 continued with additional cycles without interruption or dose escalation until disease progression, using CT/MRI or until they discontinued the study for any reason. Participants were assessed for disease progression by CT/MRI every 8 weeks from the date of first study treatment (that is, Cycle 1 Day 1), regardless of delays in treatment. Participants received one cycle of treatment with MORAb-004 4 mg/kg, administered intravenously on Days 1, 8, 15, and 22 of the 28-day cycle (4 administrations per cycle). Participants who completed Cycle 1 continued with additional cycles without interruption or dose escalation until disease progression, using CT/MRI or until they discontinued the study for any reason. Participants were assessed for disease progression by CT/MRI every 8 weeks from the date of first study treatment (that is, Cycle 1 Day 1), regardless of delays in treatment.
Measure Participants 39 36
Median (95% Confidence Interval) [weeks]
40.9
29.3
4. Secondary Outcome
Title Percentage of Participants With Overall Response
Description ORR was defined as the percentage of participants with best overall response (BOR) of complete response (CR) or partial response (PR) that occurred (defined by RECIST version 1.1) using CT/MRI. Per RECIST 1.1, CR= disappearance of all lesions; PR greater than or equal to (>=) 30percent (%) decrease from baseline in TTB. As per planned analysis, efficacy outcomes was planned to be analyzed until cut-off date (02 December 2013).
Time Frame Date of first study treatment (Day 1) to complete response or partial response, assessed up to approximately 2 years 7 months

Outcome Measure Data

Analysis Population Description
ORR population included a subset of participants from the primary efficacy population who had at least 1 on-study radiologic evaluation performed (in addition to their baseline evaluation), analyzed by the dose level received.
Arm/Group Title MORAb-004 2 mg/kg MORAb-004 4 mg/kg
Arm/Group Description Participants received one cycle of treatment with MORAb-004 2 mg/kg, administered intravenously on Days 1, 8, 15, and 22 of the 28-day cycle (4 administrations per cycle). Participants who completed Cycle 1 continued with additional cycles without interruption or dose escalation until disease progression, using CT/MRI or until they discontinued the study for any reason. Participants were assessed for disease progression by CT/MRI every 8 weeks from the date of first study treatment (that is, Cycle 1 Day 1), regardless of delays in treatment. Participants received one cycle of treatment with MORAb-004 4 mg/kg, administered intravenously on Days 1, 8, 15, and 22 of the 28-day cycle (4 administrations per cycle). Participants who completed Cycle 1 continued with additional cycles without interruption or dose escalation until disease progression, using CT/MRI or until they discontinued the study for any reason. Participants were assessed for disease progression by CT/MRI every 8 weeks from the date of first study treatment (that is, Cycle 1 Day 1), regardless of delays in treatment.
Measure Participants 34 32
Number (95% Confidence Interval) [percentage of participants]
NA
NaN
3.1
8.6%
5. Secondary Outcome
Title Optimal Biologic Dosing (OBD) of Morab-004
Description OBD is defined as the dose level/exposure level at which three parameters are met: 1) adequate pharmacokinetic (PK) profile with a serum half-life (t1/2) of >=48 hours, 2) at least minimal demonstration of antitumor efficacy (50% or greater PFS rate at 16 weeks), and 3) change of 25% or greater from baseline value in any of the pharmacodynamic (PD) parameters assessed in the study in 30% of participants at that dose level.
Time Frame Day 1 Cycle 1 (Cycle length = 28 days)

Outcome Measure Data

Analysis Population Description
All participants in the safety population who receive at least one dose of MORAb-004 and who had at least one on-treatment PK/PD assessment performed that is sufficient to evaluate the endpoint of interest. Here "overall number of participants analyzed" are participants who were available for this outcome measure.
Arm/Group Title MORAb-004 2 mg/kg MORAb-004 4 mg/kg
Arm/Group Description Participants received one cycle of treatment with MORAb-004 2 mg/kg, administered intravenously on Days 1, 8, 15, and 22 of the 28-day cycle (4 administrations per cycle). Participants who completed Cycle 1 continued with additional cycles without interruption or dose escalation until disease progression, using CT/MRI or until they discontinued the study for any reason. Participants were assessed for disease progression by CT/MRI every 8 weeks from the date of first study treatment (that is, Cycle 1 Day 1), regardless of delays in treatment. Participants received one cycle of treatment with MORAb-004 4 mg/kg, administered intravenously on Days 1, 8, 15, and 22 of the 28-day cycle (4 administrations per cycle). Participants who completed Cycle 1 continued with additional cycles without interruption or dose escalation until disease progression, using CT/MRI or until they discontinued the study for any reason. Participants were assessed for disease progression by CT/MRI every 8 weeks from the date of first study treatment (that is, Cycle 1 Day 1), regardless of delays in treatment.
Measure Participants 39 36
Number [milligram(s)]
NA
NA

Adverse Events

Time Frame From the first dose of study drug to 45 days after the last dose of study drug (up to approximately 8 years 11 months)
Adverse Event Reporting Description Safety population included all randomized participants who received at least 1 dose of study drug, analyzed by the actual treatment received. The severity of AE toxicities was graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) criteria, v4.03, where applicable.
Arm/Group Title MORAb-004 2 mg/kg MORAb-004 4 mg/kg
Arm/Group Description Participants received one cycle of treatment with MORAb-004 2 mg/kg, administered intravenously on Days 1, 8, 15, and 22 of the 28-day cycle (4 administrations per cycle). Participants who completed Cycle 1 continued with additional cycles without interruption or dose escalation until disease progression, using CT/MRI or until they discontinued the study for any reason. Participants were assessed for disease progression by CT/MRI every 8 weeks from the date of first study treatment (that is, Cycle 1 Day 1), regardless of delays in treatment. Participants received one cycle of treatment with MORAb-004 4 mg/kg, administered intravenously on Days 1, 8, 15, and 22 of the 28-day cycle (4 administrations per cycle). Participants who completed Cycle 1 continued with additional cycles without interruption or dose escalation until disease progression, using CT/MRI or until they discontinued the study for any reason. Participants were assessed for disease progression by CT/MRI every 8 weeks from the date of first study treatment (that is, Cycle 1 Day 1), regardless of delays in treatment.
All Cause Mortality
MORAb-004 2 mg/kg MORAb-004 4 mg/kg
Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 28/40 (70%) 32/36 (88.9%)
Serious Adverse Events
MORAb-004 2 mg/kg MORAb-004 4 mg/kg
Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 17/40 (42.5%) 16/36 (44.4%)
Blood and lymphatic system disorders
Anaemia 2/40 (5%) 2 1/36 (2.8%) 1
Cardiac disorders
Acute myocardial infarction 1/40 (2.5%) 1 0/36 (0%) 0
Atrial fibrillation 1/40 (2.5%) 1 0/36 (0%) 0
Bradycardia 1/40 (2.5%) 1 0/36 (0%) 0
Pericardial effusion 0/40 (0%) 0 1/36 (2.8%) 1
Gastrointestinal disorders
Abdominal pain 1/40 (2.5%) 1 0/36 (0%) 0
Nausea 0/40 (0%) 0 1/36 (2.8%) 1
Small intestinal obstruction 0/40 (0%) 0 1/36 (2.8%) 1
General disorders
Infusion related reaction 0/40 (0%) 0 2/36 (5.6%) 2
Pyrexia 0/40 (0%) 0 2/36 (5.6%) 2
Chills 0/40 (0%) 0 1/36 (2.8%) 1
Fatigue 0/40 (0%) 0 1/36 (2.8%) 1
Delirium 1/40 (2.5%) 1 0/36 (0%) 0
Hepatobiliary disorders
Cholecystitis acute 1/40 (2.5%) 1 0/36 (0%) 0
Immune system disorders
Hypersensitivity 0/40 (0%) 0 1/36 (2.8%) 1
Infections and infestations
Cellulitis 1/40 (2.5%) 1 3/36 (8.3%) 3
Sepsis 0/40 (0%) 0 1/36 (2.8%) 1
Septic shock 0/40 (0%) 0 1/36 (2.8%) 1
Urosepsis 0/40 (0%) 0 1/36 (2.8%) 1
Wound infection 0/40 (0%) 0 1/36 (2.8%) 1
Tumour haemorrhage 0/40 (0%) 0 1/36 (2.8%) 1
Pneumonia 1/40 (2.5%) 1 1/36 (2.8%) 1
Injury, poisoning and procedural complications
Tibia fracture 1/40 (2.5%) 1 0/36 (0%) 0
Metabolism and nutrition disorders
Hyponatraemia 0/40 (0%) 0 1/36 (2.8%) 1
Musculoskeletal and connective tissue disorders
Pain in extremity 1/40 (2.5%) 1 0/36 (0%) 0
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Metastatic malignant melanoma 3/40 (7.5%) 3 0/36 (0%) 0
Neuroendocrine carcinoma of the skin 1/40 (2.5%) 1 0/36 (0%) 0
Squamous cell carcinoma 1/40 (2.5%) 1 0/36 (0%) 0
Malignant neoplasm progression 1/40 (2.5%) 1 3/36 (8.3%) 3
Nervous system disorders
Brain oedema 1/40 (2.5%) 1 0/36 (0%) 0
Syncope 1/40 (2.5%) 1 0/36 (0%) 0
Toxic encephalopathy 0/40 (0%) 0 1/36 (2.8%) 1
Psychiatric disorders
Confusional state 1/40 (2.5%) 1 0/36 (0%) 0
Mental status changes 1/40 (2.5%) 1 0/36 (0%) 0
Renal and urinary disorders
Hydronephrosis 1/40 (2.5%) 1 0/36 (0%) 0
Respiratory, thoracic and mediastinal disorders
Pulmonary embolism 2/40 (5%) 2 1/36 (2.8%) 1
Pleural effusion 1/40 (2.5%) 1 0/36 (0%) 0
Respiratory failure 0/40 (0%) 0 1/36 (2.8%) 1
Vascular disorders
Lymphoedema 1/40 (2.5%) 1 0/36 (0%) 0
Deep vein thrombosis 1/40 (2.5%) 1 0/36 (0%) 0
Other (Not Including Serious) Adverse Events
MORAb-004 2 mg/kg MORAb-004 4 mg/kg
Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 40/40 (100%) 36/36 (100%)
Blood and lymphatic system disorders
Anaemia 8/40 (20%) 16 10/36 (27.8%) 22
Leukocytosis 0/40 (0%) 0 1/36 (2.8%) 1
Lymph node pain 2/40 (5%) 5 0/36 (0%) 0
Thrombocytopenia 0/40 (0%) 0 1/36 (2.8%) 1
Lymphopenia 0/40 (0%) 0 2/36 (5.6%) 5
Atrial flutter 1/40 (2.5%) 1 0/36 (0%) 0
Cardiac disorders
Arrhythmia supraventricular 0/40 (0%) 0 1/36 (2.8%) 1
Sinus bradycardia 0/40 (0%) 0 1/36 (2.8%) 1
Sinus tachycardia 1/40 (2.5%) 1 1/36 (2.8%) 1
Ear and labyrinth disorders
Vertigo 0/40 (0%) 0 1/36 (2.8%) 1
Eye disorders
Diabetic retinopathy 0/40 (0%) 0 1/36 (2.8%) 1
Eye discharge 0/40 (0%) 0 1/36 (2.8%) 1
Eye pain 0/40 (0%) 0 1/36 (2.8%) 1
Macular oedema 0/40 (0%) 0 1/36 (2.8%) 1
Vision blurred 1/40 (2.5%) 1 0/36 (0%) 0
Vitreous haemorrhage 0/40 (0%) 0 1/36 (2.8%) 1
Conjunctival oedema 0/40 (0%) 0 1/36 (2.8%) 1
Gastrointestinal disorders
Nausea 13/40 (32.5%) 18 15/36 (41.7%) 21
Constipation 9/40 (22.5%) 11 9/36 (25%) 9
Vomiting 3/40 (7.5%) 3 9/36 (25%) 12
Abdominal pain 5/40 (12.5%) 5 5/36 (13.9%) 6
Diarrhoea 4/40 (10%) 4 6/36 (16.7%) 10
Dyspepsia 4/40 (10%) 4 3/36 (8.3%) 4
Abdominal discomfort 1/40 (2.5%) 1 0/36 (0%) 0
Abdominal pain lower 1/40 (2.5%) 1 0/36 (0%) 0
Abdominal pain upper 2/40 (5%) 2 1/36 (2.8%) 3
Abdominal tenderness 1/40 (2.5%) 1 0/36 (0%) 0
Colitis 1/40 (2.5%) 1 0/36 (0%) 0
Dental caries 1/40 (2.5%) 1 0/36 (0%) 0
Dry mouth 2/40 (5%) 2 1/36 (2.8%) 1
Frequent bowel movements 0/40 (0%) 0 1/36 (2.8%) 1
Gastrooesophageal reflux disease 0/40 (0%) 0 2/36 (5.6%) 2
Gingival bleeding 0/40 (0%) 0 1/36 (2.8%) 1
Haematochezia 0/40 (0%) 0 1/36 (2.8%) 1
Intussusception 0/40 (0%) 0 1/36 (2.8%) 1
Stomatitis 0/40 (0%) 0 1/36 (2.8%) 1
Toothache 0/40 (0%) 0 2/36 (5.6%) 2
Dysphagia 1/40 (2.5%) 1 1/36 (2.8%) 1
Flatulence 2/40 (5%) 2 0/36 (0%) 0
Abdominal distension 0/40 (0%) 0 1/36 (2.8%) 2
General disorders
Fatigue 18/40 (45%) 28 18/36 (50%) 28
Chills 13/40 (32.5%) 13 18/36 (50%) 20
Pyrexia 9/40 (22.5%) 11 12/36 (33.3%) 17
Infusion related reaction 4/40 (10%) 4 1/36 (2.8%) 3
Oedema peripheral 4/40 (10%) 4 3/36 (8.3%) 6
Influenza like illness 3/40 (7.5%) 3 1/36 (2.8%) 1
Feeling cold 2/40 (5%) 2 0/36 (0%) 0
Feeling hot 2/40 (5%) 2 0/36 (0%) 0
Hernia 0/40 (0%) 0 1/36 (2.8%) 1
Infusion site extravasation 1/40 (2.5%) 1 2/36 (5.6%) 2
Localised oedema 0/40 (0%) 0 1/36 (2.8%) 2
Pain 1/40 (2.5%) 1 1/36 (2.8%) 1
Swelling 0/40 (0%) 0 1/36 (2.8%) 1
Asthenia 1/40 (2.5%) 1 1/36 (2.8%) 1
Immune system disorders
Drug hypersensitivity 0/40 (0%) 0 1/36 (2.8%) 1
Hypersensitivity 1/40 (2.5%) 1 1/36 (2.8%) 1
Seasonal allergy 1/40 (2.5%) 1 0/36 (0%) 0
Infections and infestations
Urinary tract infection 2/40 (5%) 2 5/36 (13.9%) 5
Cellulitis 2/40 (5%) 2 0/36 (0%) 0
Cystitis 1/40 (2.5%) 1 0/36 (0%) 0
Folliculitis 1/40 (2.5%) 1 0/36 (0%) 0
Fungal skin infection 1/40 (2.5%) 1 0/36 (0%) 0
Gastroenteritis 1/40 (2.5%) 1 0/36 (0%) 0
Herpes zoster 0/40 (0%) 0 1/36 (2.8%) 1
Infection 1/40 (2.5%) 1 0/36 (0%) 0
Influenza 2/40 (5%) 2 0/36 (0%) 0
Lung infection 1/40 (2.5%) 1 0/36 (0%) 0
Nasopharyngitis 1/40 (2.5%) 1 0/36 (0%) 0
Oral candidiasis 1/40 (2.5%) 1 1/36 (2.8%) 1
Oral herpes 1/40 (2.5%) 1 0/36 (0%) 0
Pneumonia 1/40 (2.5%) 1 0/36 (0%) 0
Rhinitis 0/40 (0%) 0 1/36 (2.8%) 1
Sinusitis 2/40 (5%) 2 0/36 (0%) 0
Skin infection 0/40 (0%) 0 2/36 (5.6%) 2
Upper respiratory tract infection 3/40 (7.5%) 3 1/36 (2.8%) 1
Injury, poisoning and procedural complications
Procedural pain 3/40 (7.5%) 3 1/36 (2.8%) 1
Contusion 1/40 (2.5%) 1 0/36 (0%) 0
Excoriation 1/40 (2.5%) 1 1/36 (2.8%) 1
Incision site pain 1/40 (2.5%) 1 0/36 (0%) 0
Joint dislocation 0/40 (0%) 0 1/36 (2.8%) 1
Joint sprain 1/40 (2.5%) 1 0/36 (0%) 0
Skin laceration 1/40 (2.5%) 1 0/36 (0%) 0
Tongue injury 1/40 (2.5%) 1 0/36 (0%) 0
Investigations
Alanine aminotransferase increased 1/40 (2.5%) 1 2/36 (5.6%) 2
Aspartate aminotransferase increased 1/40 (2.5%) 1 2/36 (5.6%) 2
Blood alkaline phosphatase increased 0/40 (0%) 0 1/36 (2.8%) 1
Blood bilirubin increased 0/40 (0%) 0 1/36 (2.8%) 1
Blood creatinine increased 1/40 (2.5%) 1 1/36 (2.8%) 1
Blood glucose increased 1/40 (2.5%) 1 0/36 (0%) 0
Blood pressure increased 1/40 (2.5%) 1 0/36 (0%) 0
Blood urea increased 0/40 (0%) 0 1/36 (2.8%) 1
Blood uric acid increased 1/40 (2.5%) 1 0/36 (0%) 0
Blood urine present 0/40 (0%) 0 1/36 (2.8%) 1
Breath sounds abnormal 1/40 (2.5%) 1 0/36 (0%) 0
Electrocardiogram QT prolonged 1/40 (2.5%) 1 0/36 (0%) 0
Electrocardiogram RR interval prolonged 0/40 (0%) 0 1/36 (2.8%) 1
Eosinophil count increased 0/40 (0%) 0 1/36 (2.8%) 1
International normalised ratio increased 1/40 (2.5%) 1 0/36 (0%) 0
Lipase increased 1/40 (2.5%) 2 0/36 (0%) 0
Lymphocyte count decreased 0/40 (0%) 0 1/36 (2.8%) 2
Protein urine present 1/40 (2.5%) 1 0/36 (0%) 0
Prothrombin time prolonged 1/40 (2.5%) 2 0/36 (0%) 0
QRS axis abnormal 1/40 (2.5%) 1 0/36 (0%) 0
Respiratory rate increased 0/40 (0%) 0 2/36 (5.6%) 2
Specific gravity urine increased 1/40 (2.5%) 1 0/36 (0%) 0
Weight decreased 0/40 (0%) 0 1/36 (2.8%) 1
Weight increased 0/40 (0%) 0 1/36 (2.8%) 1
White blood cell count increased 0/40 (0%) 0 1/36 (2.8%) 1
White blood cells urine positive 1/40 (2.5%) 1 0/36 (0%) 0
Metabolism and nutrition disorders
Decreased appetite 9/40 (22.5%) 14 11/36 (30.6%) 12
Hyponatraemia 1/40 (2.5%) 1 4/36 (11.1%) 5
Dehydration 1/40 (2.5%) 1 0/36 (0%) 0
Hyperglycaemia 1/40 (2.5%) 1 0/36 (0%) 0
Hyperlipidaemia 1/40 (2.5%) 1 0/36 (0%) 0
Hypocalcaemia 1/40 (2.5%) 1 1/36 (2.8%) 1
Hypoalbuminaemia 2/40 (5%) 2 1/36 (2.8%) 1
Hypokalaemia 2/40 (5%) 2 2/36 (5.6%) 2
Hypophosphataemia 1/40 (2.5%) 1 0/36 (0%) 0
Musculoskeletal and connective tissue disorders
Arthralgia 9/40 (22.5%) 10 5/36 (13.9%) 6
Back pain 5/40 (12.5%) 5 9/36 (25%) 9
Pain in extremity 4/40 (10%) 5 3/36 (8.3%) 3
Myalgia 1/40 (2.5%) 3 3/36 (8.3%) 3
Arthritis 1/40 (2.5%) 1 0/36 (0%) 0
Flank pain 0/40 (0%) 0 1/36 (2.8%) 1
Joint stiffness 0/40 (0%) 0 1/36 (2.8%) 1
Muscle spasms 1/40 (2.5%) 1 0/36 (0%) 0
Muscular weakness 1/40 (2.5%) 1 1/36 (2.8%) 1
Musculoskeletal pain 1/40 (2.5%) 1 5/36 (13.9%) 5
Musculoskeletal stiffness 0/40 (0%) 0 2/36 (5.6%) 2
Neck pain 0/40 (0%) 0 1/36 (2.8%) 2
Osteoarthritis 2/40 (5%) 3 0/36 (0%) 0
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Tumour pain 6/40 (15%) 10 1/36 (2.8%) 1
Nervous system disorders
Headache 21/40 (52.5%) 35 21/36 (58.3%) 31
Dizziness 3/40 (7.5%) 4 4/36 (11.1%) 4
Tremor 2/40 (5%) 2 2/36 (5.6%) 2
Aphasia 0/40 (0%) 0 1/36 (2.8%) 2
Balance disorder 1/40 (2.5%) 1 0/36 (0%) 0
Brain oedema 1/40 (2.5%) 2 0/36 (0%) 0
Coma 0/40 (0%) 0 1/36 (2.8%) 1
Disturbance in attention 0/40 (0%) 0 1/36 (2.8%) 1
Dysgeusia 1/40 (2.5%) 1 2/36 (5.6%) 2
Dyskinesia 0/40 (0%) 0 1/36 (2.8%) 2
Hypoaesthesia 0/40 (0%) 0 1/36 (2.8%) 1
Memory impairment 0/40 (0%) 0 1/36 (2.8%) 1
Neuralgia 0/40 (0%) 0 1/36 (2.8%) 1
Paraesthesia 0/40 (0%) 0 1/36 (2.8%) 1
Peripheral sensory neuropathy 2/40 (5%) 4 0/36 (0%) 0
Sciatica 1/40 (2.5%) 1 0/36 (0%) 0
Sinus headache 1/40 (2.5%) 1 0/36 (0%) 0
Somnolence 1/40 (2.5%) 1 2/36 (5.6%) 4
Psychiatric disorders
Anxiety 2/40 (5%) 2 4/36 (11.1%) 4
Confusional state 0/40 (0%) 0 4/36 (11.1%) 6
Agitation 1/40 (2.5%) 1 0/36 (0%) 0
Depression 1/40 (2.5%) 1 2/36 (5.6%) 2
Disorientation 0/40 (0%) 0 1/36 (2.8%) 1
Insomnia 0/40 (0%) 0 2/36 (5.6%) 2
Mood altered 0/40 (0%) 0 1/36 (2.8%) 1
Nightmare 0/40 (0%) 0 1/36 (2.8%) 1
Renal and urinary disorders
Dysuria 1/40 (2.5%) 1 1/36 (2.8%) 1
Haematuria 1/40 (2.5%) 1 0/36 (0%) 0
Hypertonic bladder 1/40 (2.5%) 1 0/36 (0%) 0
Proteinuria 0/40 (0%) 0 1/36 (2.8%) 1
Urinary retention 1/40 (2.5%) 1 1/36 (2.8%) 1
Reproductive system and breast disorders
Balanitis 1/40 (2.5%) 1 0/36 (0%) 0
Scrotal oedema 1/40 (2.5%) 1 0/36 (0%) 0
Respiratory, thoracic and mediastinal disorders
Cough 5/40 (12.5%) 9 8/36 (22.2%) 9
Dyspnoea 4/40 (10%) 6 6/36 (16.7%) 7
Dyspnoea exertional 4/40 (10%) 4 2/36 (5.6%) 2
Pulmonary embolism 1/40 (2.5%) 1 0/36 (0%) 0
Upper respiratory tract infection 3/40 (7.5%) 3 1/36 (2.8%) 1
Epistaxis 1/40 (2.5%) 1 0/36 (0%) 0
Nasal congestion 3/40 (7.5%) 3 0/36 (0%) 0
Oropharyngeal pain 2/40 (5%) 2 1/36 (2.8%) 1
Pleural effusion 1/40 (2.5%) 1 1/36 (2.8%) 1
Pleuritic pain 0/40 (0%) 0 1/36 (2.8%) 1
Postnasal drip 1/40 (2.5%) 2 0/36 (0%) 0
Productive cough 1/40 (2.5%) 1 0/36 (0%) 0
Pulmonary congestion 1/40 (2.5%) 1 0/36 (0%) 0
Pulmonary hypertension 1/40 (2.5%) 1 0/36 (0%) 0
Rhinorrhoea 1/40 (2.5%) 1 1/36 (2.8%) 1
Rhonchi 0/40 (0%) 0 1/36 (2.8%) 1
Wheezing 0/40 (0%) 0 1/36 (2.8%) 1
Skin and subcutaneous tissue disorders
Erythema 2/40 (5%) 3 3/36 (8.3%) 4
Pruritus 3/40 (7.5%) 4 2/36 (5.6%) 3
Night sweats 2/40 (5%) 3 2/36 (5.6%) 2
Rash 1/40 (2.5%) 1 3/36 (8.3%) 3
Rash generalised 1/40 (2.5%) 2 0/36 (0%) 0
Rash macular 1/40 (2.5%) 3 0/36 (0%) 0
Alopecia 1/40 (2.5%) 2 0/36 (0%) 0
Blister 1/40 (2.5%) 1 0/36 (0%) 0
Dry skin 2/40 (5%) 4 0/36 (0%) 0
Fungating wound 1/40 (2.5%) 1 0/36 (0%) 0
Hyperhidrosis 2/40 (5%) 2 0/36 (0%) 0
Intertrigo 1/40 (2.5%) 1 0/36 (0%) 0
Skin discolouration 0/40 (0%) 0 1/36 (2.8%) 1
Skin disorder 1/40 (2.5%) 1 0/36 (0%) 0
Skin exfoliation 1/40 (2.5%) 1 1/36 (2.8%) 1
Skin haemorrhage 1/40 (2.5%) 1 0/36 (0%) 0
Subcutaneous nodule 1/40 (2.5%) 2 0/36 (0%) 0
Swelling face 0/40 (0%) 0 1/36 (2.8%) 1
Vitiligo 2/40 (5%) 2 1/36 (2.8%) 1
Vascular disorders
Hypertension 1/40 (2.5%) 1 3/36 (8.3%) 3
Deep vein thrombosis 1/40 (2.5%) 1 0/36 (0%) 0
Flushing 1/40 (2.5%) 1 0/36 (0%) 0
Hot flush 1/40 (2.5%) 1 0/36 (0%) 0
Hypotension 1/40 (2.5%) 1 2/36 (5.6%) 2
Orthostatic hypotension 0/40 (0%) 0 1/36 (2.8%) 1
Vena cava thrombosis 1/40 (2.5%) 1 0/36 (0%) 0
Lymphoedema 2/40 (5%) 3 0/36 (0%) 0

Limitations/Caveats

[Not Specified]

More Information

Certain Agreements

Principal Investigators are NOT employed by the organization sponsoring the study.

There is NOT an agreement between Principal Investigators and the Sponsor (or its agents) that restricts the PI's rights to discuss or publish trial results after the trial is completed.

Results Point of Contact

Name/Title Eisai Medical Information
Organization Eisai Inc.
Phone 18882742378
Email esi_medinfo@eisai.com
Responsible Party:
Eisai Inc.
ClinicalTrials.gov Identifier:
NCT01335009
Other Study ID Numbers:
  • MORAb-004-201MEL
  • 2011-001282-40
First Posted:
Apr 13, 2011
Last Update Posted:
Sep 1, 2021
Last Verified:
Apr 1, 2021