Uveal Melanoma
Conditions
Keywords
UM
Brief summary
Neoadjuvant RBP-01 in patients with primary uveal melanoma.
Detailed description
Phase 1b open-label study to evaluate the safety, tolerability, and preliminary efficacy of the localized Protein Kinase C (PKC) inhibitor RBP-01 in patients with primary uveal melanoma (UM) requiring either enucleation or plaque brachytherapy. Patients will receive neoadjuvant treatment for up to 6 months, followed by definitive local therapy.
Interventions
Each RBP-01 dose consists of a 5 µL intravitreal injection conjugating 250 µg of sotrastaurin.
Sponsors
Study design
Intervention model description
This is an open-label, non-randomized study with two treatment cohorts. All participants receive RBP-01 using the same dosing regimen. Cohort 1 includes participants whose uveal melanoma requires enucleation, and Cohort 2 includes participants requiring plaque brachytherapy who are at high risk of vision loss.
Eligibility
Inclusion criteria
1. Male and female participants aged ≥18 years. 2. Participants with choroidal and ciliary body \[P13.1\] tumours. 3. Participants with primary localized UM requiring enucleation (Cohort 1) or plaque brachytherapy at high risk of vision loss (Cohort 2), as per investigator assessment. 4. Participants with ECOG performance status 0-1. 5. Tumour thickness \> 4 mm. 6. Females of child bearing potential must have a negative urine pregnancy test result at screening.
Exclusion criteria
1. Participant has received previous treatment with a PKC inhibitor at any time. 2. Participant has received a prior diagnosis of metastatic disease. 3. Presence of a tumour originating from the iris. 4. Presence of intractable untreatable raised intraocular pressure. 5. Presence of ring melanoma. 6. Presence of severe glaucoma or uveitis. 7. Participant is under active treatment for any other macular condition. 9\. Female participants who are pregnant or lactating. 10. Participant is unable to follow protocol requirements.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Safety events | From first dose until 6 months | • The incidence of AEs, TEAEs, SAEs and proportion of participants discontinuing from the study |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| preliminary effectiveness | Up to 6 months | Tumor response as measured by protocol-defined primary Uveal Melanoma response criteria |
| Eye salvage rate | Up to 6 months | Proportion of participants who remain free from enucleation (Cohort 1) |
Contacts
Sheba Medical Center