ClinicalTrials.gg
CompletedNCT00243061Updated Aug 27, 2018Results posted

AZD2171 in Treating Patients With Recurrent or Stage IV Melanoma

A Phase 2 interventional study of cediranib maleate in Acral Lentiginous Malignant Melanoma, Ciliary Body and Choroid Melanoma, Medium/Large Size and Ciliary Body and Choroid Melanoma, Small Size, sponsored by National Cancer Institute (NCI). Completed at 1 site in Canada. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2018-08-27.

Sponsored by National Cancer Institute (NCI) · Phase 2, Interventional, and Treatment

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Phase
Phase 2
Study type
Interventional
Enrollment
24
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-14

Among 22 studies in Uveal Melanoma by National Cancer Institute (NCI) — none open to participants now, 2 under way, none of them phase 3. Uveal Melanoma · National Cancer Institute (NCI).

Enrollment
14th of 18
24 · median 39
Started
2006
the only one that year
Phase 2
18 of 22
none open now
Registered
7th of 22
by date

Among the 22 studies in Uveal Melanoma by National Cancer Institute (NCI), this one is the 14th largest by enrollment of the 18 interventional ones that give a count, is the only one that started in 2006, is one of 18 in phase 2, and was the 7th registered.

Uveal Melanoma

281 studies on the registry are indexed under Uveal Melanoma; 50 are open to participants now.

Browse Uveal Melanoma studies →

Open to participants now

None of the 22 studies in Uveal Melanoma by National Cancer Institute (NCI) is open now. The open studies under Uveal Melanoma, anywhere →

Who these studies take

Of the 42 Uveal Melanoma studies recruiting now, 35 (83%) set no upper age limit and 4 (10%) stop at 75 or younger; 3 take children under 18; 1 takes healthy volunteers.

This study: 18 Years and older · all sexes · no healthy volunteers.

The full table on the hub →

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Download CSVNarrow it in search →With an account: the 22 studies in Uveal Melanoma by National Cancer Institute (NCI) as a file.
02

Study summary

This phase II trial is studying how well AZD2171 works in treating patients with recurrent or stage IV melanoma. AZD2171 may stop the growth of tumor cells by blocking blood flow to the tumor and by blocking some of the enzymes needed for cell growth.

Read the detailed description

PRIMARY OBJECTIVES:

I. To assess the objective tumor response rate of AZD2171 administered to patients with recurrent or metastatic malignant melanoma.

II. To assess the toxicity, median survival time, 1-year survival rate, response or stable disease duration, time to disease progression and clinical benefit response of AZD2171 administered to patients with recurrent or metastatic malignant melanoma.

III. To measure baseline and post-treatment levels of angiogenic growth factors and receptors, as well as circulating endothelial cells, and to explore the relationship between these potential correlative endpoints and clinical outcome.

IV. To assess changes in blood flow and vessel permeability using dynamic contrast-enhanced magnetic resonance imaging (DCE-MRI) pre- and post-treatment, and to explore the relationship between these potential imaging endpoints and clinical outcome.

V. To look for polymorphisms of kdr/flk-1, and other genes in this pathway, by performing pharmacogenetic analysis of pbmc's, and correlate genotype with VEGF levels and response to therapy.

OUTLINE: This is an open-label, multicenter study.

Patients receive oral AZD2171 once daily on days 1-28. Courses repeat every 28 days in the absence of disease progression or unacceptable toxicity.

After completion of study treatment, patients are followed for survival.

03

Conditions studied

  • Acral Lentiginous Malignant Melanoma
  • Ciliary Body and Choroid Melanoma, Medium/Large Size
  • Ciliary Body and Choroid Melanoma, Small Size
  • Extraocular Extension Melanoma
  • Intraocular Melanoma
  • Iris Melanoma
  • Lentigo Maligna Malignant Melanoma
  • Recurrent Melanoma
  • Stage, Intraocular Melanoma
  • Stage IV Melanoma
  • Superficial Spreading Malignant Melanoma
04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Histologically/ confirmed recurrent/ malignant melanoma (stage IV acral lentiginous, lentigo maligna, superficial spreading or ocular malignant melanoma)
  • - at least 1 lesion accurately measured in at least 1 dimension (longest diameter) as >=20mm with conventional techniques or >=10mm with spiral CT scan

    • Previously irradiated lesions not considered measurable unless they demonstrated progression prior to study entry
  • No prior chemotherapy (including regional therapy); prior immunotherapy permitted if completed >3 months prior to study entry; patients may have received prior radiation therapy if completed >=4 weeks prior to study entry

    • Previous surgery permissible if performed >=4 weeks prior to study entry
  • >12 weeks
  • performance status=\< 2 (>=60%)
  • Leukocytes>=3,000/mcL
  • >=1,500/mcL
  • >=100,000/mcL
  • >=8g/dL
  • Total \<1.5x institutional (IULN)
  • /ALT=\<3 x IULN (5xULN if liver metastases)
  • Creatinine within IULN
  • Creatinine within IULN OR
  • >=60mL/min/m\^2 if creatinine levels above IULN
  • Baseline blood pressure \<140/90mmHg; may be taking antihypertensive medications
  • AZD2171 has shown to terminate fetal development in rat as expected for process dependent on VEGF signaling; women of must have negative pregnancy test prior to study entry; women of childbearing potential/men must agree to use adequate (hormonal/barrier method of birth control; abstinence) prior to study entry and for duration of study
  • Ability to understand/willingness to sign written

Exclusion criteria

Exclusion Criteria:

  • Any previous chemotherapy or immunotherapy for recurrent/ disease; patients who have had radiotherapy or major surgery within 4 weeks prior to entering study or those who have not recovered from AEs due to treatment received more than 4 weeks earlier
  • May not be concurrently receiving other agents nor have participated in an investigational trial of bio-, chemo- or immunotherapy agents
  • Known because of their poor prognosis and because patients often develop progressive neurologic dysfunction that would confound evaluation of neurologic and other AEs
  • History of allergic reactions attributed to compounds of similar chemical/biologic composition to AZD2171
  • Mean >470msec (Bazett's correction) in screening or history of familial long QT syndrome
  • >+1 proteinuria on 2 consecutive dipsticks taken no less than 1 week apart
  • Uncontrolled intercurrent illness including but not limited to hypertension, ongoing/active infection, symptomatic congestive heart failure, unstable angina pectoris, cardiac arrhythmia, or psychiatric illness/social situations that would limit compliance with study requirements
  • Pregnant women excluded from study because AZD2171 is a VEGF inhibitor with known abortifacient effects; breastfeeding should be discontinued if mother is treated with AZD2171
  • -positive patients on combination antiretroviral therapy are ineligible because of potential for PK interactions with AZD2171; appropriate studies will be undertaken in patients receiving combination antiretroviral therapy when indicated
  • Any significant abnormality noted in ECG within 14 days of treatment
  • A classification of III or IV (NOTE: Patients classified as class II controlled with treatment may continue with increase monitoring)
  • Conditions requiring concurrent use of drugs/biologics with proarrhythmic potential; these drugs are prohibited during studies with AZD2171
Terms in these criteria, in plain language(23)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Histologically or cytologically confirmed

The diagnosis was confirmed by looking at a sample under a microscope: tissue from a biopsy or surgery (histology), or cells from a fluid or needle sample (cytology).

Your pathology report is the document that shows this.

Metastases

Cancer that has spread from where it began to other parts of the body. “Metastatic” cancer is cancer that has spread this way.

Measurable disease

The amount of disease can be tracked with a defined measurement, so the study can see whether it shrinks or grows. It might be a tumour measured on a scan or, in some blood cancers such as myeloma, a marker measured in blood or urine.

The criteria or the study team say which measurement counts — having no tumour visible on a scan does not by itself rule you out.

Adjuvant and neoadjuvant

Neoadjuvant treatment is given before the main treatment (usually surgery), often to shrink a tumour. Adjuvant treatment is given after it, to lower the chance of the cancer coming back.

Life expectancy

The study doctor’s estimate of how long someone is likely to live. Criteria use it so that people can stay in the study long enough for it to answer its question.

ECOG performance status

A scale of how much an illness limits everyday activity. For people being assessed to join a study, scores run from 0 (fully active) to 4; lower is more active.

0
Fully active, no restrictions.
1
Limited in strenuous activity, but walking and able to do light work, such as housework or office work.
2
Walking and able to look after yourself, but unable to work; up and about more than half of waking hours.
3
Able to look after yourself only in part; in bed or a chair more than half of waking hours.
4
Unable to look after yourself at all; in bed or a chair all day.

Studies most often ask for 0–1 or 0–2. Your doctor gives the score; the WHO scale uses the same steps. The full scale also has 5, which records death.

Karnofsky performance status (KPS)

A 0–100 scale of how well someone can carry out everyday activities. 100 is no complaints and no signs of illness; 70 is able to look after yourself but not to work or keep up normal activity; 50 is needing considerable help and frequent medical care.

Studies often ask for 60 or 70 and above. Your doctor gives the score.

Absolute neutrophil count (ANC)

The number of neutrophils, white blood cells that help fight infection, in a given amount of blood. Too few raises the risk of infection.

It is a count, not a percentage of the white cells. Limits are written in units that mean the same: ≥ 1.5 × 10⁹/L is ≥ 1,500 per mm³ (µL). Each lab has its own reference range.

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

Creatinine clearance (CrCl)

How quickly the kidneys clear creatinine, a waste product, from the blood. A study may estimate it from a blood test with age, weight and sex (often by the Cockcroft–Gault formula), or measure it using blood and urine collected over a set time. Given in mL/min; higher is better.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

Brain metastases

Cancer deposits in the brain from a cancer that started elsewhere in the body (CNS metastases include the spinal cord).

Studies differ: some leave out any brain metastases, some accept ones treated and stable for some weeks. Check what this study allows.

QT and QTc

On an ECG, the QT interval is the time the heart’s lower chambers take to activate electrically and recover in each beat. QTc is that time adjusted for heart rate (QTcF by Fridericia’s formula, QTcB by Bazett’s). Some medicines lengthen it, and a long QTc can raise the risk of a dangerous heart rhythm.

The study may name a correction formula and a limit in milliseconds, often around 450–480.

ECG (electrocardiogram)

A recording of the heart’s electrical activity, taken with stickers on the chest, arms and legs. It takes a few minutes and does not hurt.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

NYHA class (heart failure)

The New York Heart Association’s four classes of how much heart failure limits physical activity.

I
No limits: ordinary activity causes no undue tiredness or breathlessness.
II
Slight limits: comfortable at rest, ordinary activity causes symptoms.
III
Marked limits: comfortable at rest, less than ordinary activity causes symptoms.
IV
Symptoms even at rest; any activity makes them worse.

Studies set their own limit — many outside heart failure leave out class III–IV, while heart failure studies may ask for a particular class. Check the class this study names.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
24 participants (actual)

Study arms

  • Experimental
    Treatment (cediranib maleate)

    Patients receive oral AZD2171 once daily on days 1-28. Courses repeat every 28 days in the absence of disease progression or unacceptable toxicity.

    Drug: cediranib maleate

Interventions

06

What researchers measure

Primary outcomes

  1. Objective Tumor Response (Partial or Complete Response) According to RECIST

    Response and progression will be evaluated in this study using the new international criteria proposed by the Response Evaluation Criteria in Solid Tumors (RECIST) Committee \[J Nat Cancer Inst 92(3):205-216, 2000\]. Changes in only the largest diameter (unidimensional measurement) of the tumor lesions, assessed by CT or MRI; Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), \>=30% decrease in the sum of the longest diameter of target lesions; Overall Response (OR) = CR + PR."

    Time frame: Up to 6 years

  2. Prolonged Stable Disease According to RECIST

    Time frame: Up to 6 months

Secondary outcomes

  1. Median Survival Time

    Time frame: Up to 6 years

  2. Survival Rate

    Time frame: At 1 year

  3. Response Duration

    Time frame: From the time measurement criteria are met for CR or PR (whichever is first recorded) until the first date that recurrent or progressive disease is objectively documented, assessed up to 6 years

  4. Stable Disease Duration

    Time frame: From the start of the treatment until the criteria for progression are met, assessed up to 6 years

  5. Highest Toxicity Grade Assessed by NCI CTCAE Version 3.0

    Time frame: Up to 6 years after completion of treatment

  6. Time to Disease Progression

    Time frame: Up to 6 years

  7. Clinical Benefit Response

    Time frame: Up to 6 years

  8. Changes in Levels of Soluble Angiogenic Factors

    Time frame: From baseline to up to 6 years

  9. Change in Vessel Permeability and Blood Flow by DCE-MRI

    Time frame: From baseline to up to 28 days after starting daily oral dosing

07

Results

Posted Jun 23, 2015

Participant flow

Participant flow — Overall Study
MilestoneTreatment (Cediranib Maleate)
Started24
Completed24
Not completed0

Outcome measures

PrimaryObjective Tumor Response (Partial or Complete Response) According to RECIST

Response and progression will be evaluated in this study using the new international criteria proposed by the Response Evaluation Criteria in Solid Tumors (RECIST) Committee \[J Nat Cancer Inst 92(3):205-216, 2000\]. Changes in only the largest diameter (unidimensional measurement) of the tumor lesions, assessed by CT or MRI; Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), \>=30% decrease in the sum of the longest diameter of target lesions; Overall Response (OR) = CR + PR."

Time frame:
Up to 6 years
Reported as:
Number · participants
Objective Tumor Response (Partial or Complete Response) According to RECIST
participantsTreatment (Cediranib Maleate)
Objective Tumor Response (Partial or Complete Response) According to RECIST0
PrimaryProlonged Stable Disease According to RECIST
Time frame:
Up to 6 months
Reported as:
Number · participants
Prolonged Stable Disease According to RECIST
participantsTreatment (Cediranib Maleate)
Prolonged Stable Disease According to RECIST9
SecondaryMedian Survival Time
Time frame:
Up to 6 years
Reported as:
Median · months
Median Survival Time
monthsTreatment (Cediranib Maleate)
Median Survival Time9.9 (6.8 to 20.6)
SecondarySurvival Rate
Time frame:
At 1 year
Reported as:
Number · percentage of participants
Survival Rate
percentage of participantsTreatment (Cediranib Maleate)
Survival Rate41 (24 to 64)
SecondaryResponse Duration
Time frame:
From the time measurement criteria are met for CR or PR (whichever is first recorded) until the first date that recurrent or progressive disease is objectively documented, assessed up to 6 years
Reported as:
Number · months
Response Duration
monthsTreatment (Cediranib Maleate)
Response Duration0
SecondaryStable Disease Duration
Time frame:
From the start of the treatment until the criteria for progression are met, assessed up to 6 years
Reported as:
Median · months
Stable Disease Duration
monthsTreatment (Cediranib Maleate)
Stable Disease Duration4.6 (3.1 to 9.1)
SecondaryHighest Toxicity Grade Assessed by NCI CTCAE Version 3.0
Time frame:
Up to 6 years after completion of treatment
Reported as:
Number · highest grade
Highest Toxicity Grade Assessed by NCI CTCAE Version 3.0
highest gradeTreatment (Cediranib Maleate)
Highest Toxicity Grade Assessed by NCI CTCAE Version 3.04
SecondaryTime to Disease Progression
Time frame:
Up to 6 years
Reported as:
Median · months
Time to Disease Progression
monthsTreatment (Cediranib Maleate)
Time to Disease Progression4.1 (1.8 to 7.4)
SecondaryClinical Benefit Response
Time frame:
Up to 6 years

No measurements were reported for this outcome.

SecondaryChanges in Levels of Soluble Angiogenic Factors
Time frame:
From baseline to up to 6 years

No measurements were reported for this outcome.

SecondaryChange in Vessel Permeability and Blood Flow by DCE-MRI
Time frame:
From baseline to up to 28 days after starting daily oral dosing

No measurements were reported for this outcome.

Adverse events

Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Treatment (Cediranib Maleate)—9/24 (37.5%)24/24 (100%)
Most frequent serious events
Showing 10 of 15
Most frequent serious events
EventTreatment (Cediranib Maleate)
HypertensionVascular disorders3/24
DehydrationMetabolism and nutrition disorders3/24
Non-cardiac chest painGeneral disorders1/24
Abdominal painGastrointestinal disorders1/24
Generalized muscle weaknessMusculoskeletal and connective tissue disorders1/24
AnorexiaGastrointestinal disorders1/24
Aspartate aminotransferase increasedInvestigations1/24
DizzinessNervous system disorders1/24
Infections and infestations - Other, specifyInfections and infestations1/24
NauseaGastrointestinal disorders1/24
Most frequent other events
Most frequent other events
EventTreatment (Cediranib Maleate)
FatigueGeneral disorders19/24
DiarrheaGastrointestinal disorders18/24
HypertensionVascular disorders17/24
HyperglycemiaMetabolism and nutrition disorders15/24

Baseline characteristics

Age, Continuous
Age, Continuous(years)Treatment (Cediranib Maleate)
Median67 (28 to 82)
Age, Categorical
Age, Categorical(Participants)Treatment (Cediranib Maleate)
<=18 years0
Between 18 and 65 years11
>=65 years13
Sex: Female, Male
Sex: Female, Male(Participants)Treatment (Cediranib Maleate)
Female7
Male17
Region of Enrollment
Region of Enrollment(participants)Treatment (Cediranib Maleate)
Canada10
United States14
08

Study locations

1 site
  • Princess Margaret Hospital Phase 2 Consortium
    Toronto, Ontario M5G 2M9, Canada
09

Timeline

Tracking since Sep 25, 2026
Not marked actual or estimatedDates not marked actual or estimated

The record gives a start of Jan 2006, a primary completion of Mar 2012 and a completion of Mar 2012. It does not say whether these dates are actual or estimated.

Results were first posted in Jun 2015, 3 years 3 months after primary completion.

How these figures are worked out, and which studies are left out of them.

Registered
Oct 20, 2005
First posted
Oct 21, 2005
Start
Jan 2006
Primary completionActual
Mar 2012
CompletionActual
Mar 2012
Results first posted
Jun 23, 2015
Last update
Aug 27, 2018
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Aug 27, 2018, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT00243061
Responsible party
Sponsor
First posted
Oct 21, 2005
Start date
Jan 2006
Primary completion
Mar 2012
Completion
Mar 2012
Results posted
Jun 23, 2015
Last update
Aug 27, 2018

Study contacts

Elaine McWhirter
principal investigator · Princess Margaret Hospital Phase 2 Consortium

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jul 2018. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: Cediranib

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