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Trial details imported from ClinicalTrials.gov

For full trial details, please see the original record at https://clinicaltrials.gov/study/NCT02903771




Registration number
NCT02903771
Ethics application status
Date submitted
12/09/2016
Date registered
16/09/2016
Date last updated
19/09/2024

Titles & IDs
Public title
Phase I Study of Cantrixil in Patients With Ovarian Cancer, Fallopian Tube Cancer or Primary Peritoneal Cancer.
Scientific title
Phase I Study of Intra-peritoneal Cantrixil in Patients With Persistent or Recurrent Ovarian Cancer, Fallopian Tube Cancer or Primary Peritoneal Cancer.
Secondary ID [1] 0 0
NVGN-002-101
Universal Trial Number (UTN)
Trial acronym
Linked study record

Health condition
Health condition(s) or problem(s) studied:
Ovarian Neoplasms 0 0
Fallopian Tube Neoplasms 0 0
Peritoneal Neoplasms 0 0
Condition category
Condition code
Cancer 0 0 0 0
Ovarian and primary peritoneal
Cancer 0 0 0 0
Womb (Uterine or endometrial cancer)
Cancer 0 0 0 0
Stomach

Intervention/exposure
Study type
Interventional
Description of intervention(s) / exposure
Treatment: Drugs - Part A: Dose Escalation of Cantrixil
Treatment: Drugs - Part B: Expansion Cohort of Cantrixil

Experimental: Part A and Part B - Part A (Dose Escalation):

Part A is a Dose Escalation study to determine the Maximum Tolerated Dose of Cantrixil as a monotherapy.

The tolerance of Cantrixil in combination with standard chemotherapy agents will also be examined.

Part B (Expansion Cohort):

An expansion cohort of an additional 12 patients will be recruited at the MTD.


Treatment: Drugs: Part A: Dose Escalation of Cantrixil
Cantrixil will be administered via the intraperitoneal route only. The dose of study drug that each participant will receive will depend on how far the study has progressed when the participant enrols. There are 9 potential doses of Cantrixil, they are 0.06, 0.12, 0.24 (starting dose), 0.6, 1.25, 2.5, 5, 10, or 20 mg/kg. The dose each participant receives will remain the same during the study, unless it needs to be reduced for safety reasons. The dose will not be increased.

Each participant will receive the study drug once a week during the first two cycles; each cycle is 21-days (three weeks); the MTD will be determined during Cycle 1 only. If after two cycles of monotherapy, the patient tolerates Cantrixil adequately, they may continue to receive Cantrixil once a week and will also begin combination chemotherapy for another 6 cycles. Participants will receive no more than 8 cycles of study drug.

Treatment: Drugs: Part B: Expansion Cohort of Cantrixil
Once the MTD has been established, an expansion cohort will be recruited at the MTD. An additional 12 patients will be recruited in this cohort on top of those recruited in Part A at the MTD. These patients will be subjected to the same intervention described in Part A with 2 cycles of monotherapy followed by up to 6 cycles of combination therapy.
Intervention code [1] 0 0
Treatment: Drugs
Comparator / control treatment
Control group

Outcomes
Primary outcome [1] 0 0
Determination of the Maximum Tolerated Dose (MTD)
Timepoint [1] 0 0
During Cycle 1 (21 days)
Primary outcome [2] 0 0
Pharmacokinetic (PK) profile of Cantrixil after intra-peritoneal (IP) administration
Timepoint [2] 0 0
0-24 hours after administration
Secondary outcome [1] 0 0
Time to Progression (TTP)
Timepoint [1] 0 0
Baseline to End of Study (maximum 36 weeks)
Secondary outcome [2] 0 0
Time to Paracentesis
Timepoint [2] 0 0
Baseline to End of Study (maximum 36 weeks)
Secondary outcome [3] 0 0
Volume of Malignant Ascites
Timepoint [3] 0 0
Baseline to End of Study (maximum 36 weeks)
Secondary outcome [4] 0 0
Disease Response
Timepoint [4] 0 0
Baseline to End of Study (maximum 36 weeks)
Secondary outcome [5] 0 0
CA-125 level
Timepoint [5] 0 0
Baseline to End of Study (maximum 36 weeks)

Eligibility
Key inclusion criteria
1. Patients must have recurrent or persistent epithelial ovarian, fallopian tube, or primary peritoneal cancer. The original diagnosis must be verified by a histology report. All histological sub-types and all grades of disease are eligible to participate; grade, histological sub-type and breast cancer susceptibility gene (BRCA) status must be recorded at study entry.
2. Patients must be female and at least 18 years old.
3. Patients with malignant ascites are eligible to participate; paracentesis will be conducted before the administration of Cantrixil. Drainage of the maximum volume of ascites necessary for symptomatic relief should be performed according to local standard operating procedures before administration of Cantrixil.
4. Patients must have completed at least two (2) or more prior therapies (including adjuvant therapy) for their ovarian, Fallopian tube or primary peritoneal cancer prior to participation in the current study; all prior therapies must be recorded at baseline. Patients that have received prior intraperitoneal therapy are eligible for this study.
5. Patients must have platinum-resistant relapsed disease, platinum refractory disease, or have documented intolerance to platinum therapy. Patients will not be eligible based on rising CA-125 levels alone, patients must have other clinical symptoms (such as malignant ascites) or radiological tumour measurements that support disease recurrence or progression.
6. At least 4 weeks must have passed from any previous therapy and any toxicities from prior therapies (6 weeks for bevacizumab, nitrosoureas or mitomycin C treatment) must have resolved to less than or equal to Common Terminology Criteria for Adverse Events (CTCAE version 4.03) Grade 1 with the exception of alopecia, Grade 2 prior platinum-therapy related neuropathy and Grade 2 anaemia.
7. Patients must have a performance status of Eastern Cooperative Oncology Group (ECOG) 0 to 2 and, in the Investigator's opinion, be able to complete at least a major part of the study.
8. Patients must be willing and able to undergo insertion of a port or catheter for intraperitoneal access; the type of port or catheter used will be recorded.
9. Patients may have measurable or non-measurable disease; disease response and progression will be measured and assessed according to RECIST version 1.1 criteria using contrast CT, MRI and CA 125 measurements.
10. Patients must have acceptable hepatic and marrow function as defined below:

* Absolute neutrophil count >1.5 x 109/L
* Platelets >100 x 109/L
* Total bilirubin; <2.5 times the institutional upper limit of normal (ULN)
* Haemoglobin (Hb) of >10 g/dL; patients with Hb >9g/dL will be considered for this study if they have not received a transfusion or other bone marrow support. Patients with Hb >10 g/dL that have received a recent transfusion will only be eligible if there has been a wash-out period of 7 days for rhesus factor and 10 days for platelet transfusions, respectively.
* Aspartate aminotransferase (AST) (serum glutamic oxaloacetic transaminase [SGOT])/ alanine aminotransferase (ALT) (serum glutamic pyruvate transaminase [SGPT]) =2.5 x institutional ULN.
* Serum creatinine <1.5 x ULN
* Prothrombin time (PT) or international normalised ratio (INR) =1.5 x ULN and activated partial thromboplastin time (aPTT) =1.5 x ULN if not on anticoagulation treatments.
11. Patients must be willing and able to comply with all study requirements, including treatment timing and/or nature of required assessments and treatment at designated study centre.
12. Each participant must be adequately informed about the purpose of the study; potential benefits and risks; their right to refuse participation or to withdraw consent at any time; institutional affiliation and potential competing interests of the researcher; and sources of study funding and have signed and dated a written informed consent form.
Minimum age
18 Years
Maximum age
No limit
Sex
Females
Can healthy volunteers participate?
No
Key exclusion criteria
1. Patients who have had chemotherapy, biologic therapy, immunotherapy, or radiotherapy within 4 weeks (6 weeks for bevacizumab, nitrosoureas or mitomycin C) prior to entering the study.
2. Patients must not have had major surgery within 4 weeks prior to screening.
3. Patients may not have received any other investigational medicinal products (IMPs) or participated in any other interventional clinical research studies within 3 months of the first Cantrixil administration.
4. Patients receiving any medications or substances that are strong inhibitors or inducers of cytochrome P450 (CYP)1A2, CYP2B6 and CYP3A4 or those substances with narrow therapeutic index are not to be enrolled. These compounds are prohibited from screening until completion of end of therapy or first post-treatment follow-up visit. For a list of prohibited medications see the University of Indiana Clinical Pharmacology Department's P450 Drug Interaction Table (http://medicine.iupui.edu/clinpharm/ddis/main-table/). Note: the use of paclitaxel is allowed, but only 24 hours after Cantrixil administration.
5. Patients at high risk of bowel perforation are excluded, including but not limited to any one or more of the following;

* Patients with a recent history (previous 12 months) of bowel obstruction prior to study entry
* Patients with CT scans that suggest invasion of bowel by tumour
* Patients with symptoms to suggest impending bowel obstruction
* Patients with prior whole abdominal radiotherapy
* Patients with chronic inflammatory bowel diseases such as Crohn's disease or ulcerative colitis
6. Patients may not have uncontrolled or severe systemic diseases or psychiatric conditions, which in the treating physician's opinion makes it unsafe for the patient to participate in the study or would hinder compliance with the protocol. Screening for chronic conditions is not required.
7. Patients that are pregnant, lactating, or unable to adopt adequate contraception are excluded. Women of childbearing potential must have a negative pregnancy test within 7 days prior to screening.
8. Patients with a known history of hepatitis B or C.
9. Patients known to have tested positive for human immunodeficiency virus (HIV)
10. Patients with a known hypersensitivity to or serious reaction to benzopyrans are excluded.

Study design
Purpose of the study
Treatment
Allocation to intervention
Not applicable
Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Masking / blinding
Open (masking not used)
Who is / are masked / blinded?



Intervention assignment
Single group
Other design features
Phase
Phase 1
Type of endpoint/s
Statistical methods / analysis

Recruitment
Recruitment status
Completed
Data analysis
Reason for early stopping/withdrawal
Other reasons
Date of first participant enrolment
Anticipated
Actual
5/12/2016
Date of last participant enrolment
Anticipated
Actual
Date of last data collection
Anticipated
Actual
24/03/2020
Sample size
Target
Accrual to date
Final
32
Recruitment in Australia
Recruitment state(s)
NSW,QLD,SA
Recruitment hospital [1] 0 0
Westmead Adults Hospital - Westmead
Recruitment hospital [2] 0 0
ICON Cancer Care - South Brisbane
Recruitment hospital [3] 0 0
Flinders Medical Centre - Adelaide
Recruitment postcode(s) [1] 0 0
2145 - Westmead
Recruitment postcode(s) [2] 0 0
4101 - South Brisbane
Recruitment postcode(s) [3] 0 0
- Adelaide
Recruitment outside Australia
Country [1] 0 0
United States of America
State/province [1] 0 0
Oklahoma
Country [2] 0 0
United States of America
State/province [2] 0 0
Rhode Island
Country [3] 0 0
United States of America
State/province [3] 0 0
Texas

Funding & Sponsors
Primary sponsor type
Commercial sector/industry
Name
Kazia Therapeutics Limited
Address
Country

Ethics approval
Ethics application status

Summary
Brief summary
The main purpose of this study is to determine the safety and feasibility of weekly intra-peritoneal administration of Cantrixil to women with persistent or recurrent ovarian cancer, Fallopian tube cancer or primary peritoneal cancer. The study also aims to determine the maximum tolerated dose of Cantrixil in these patients when administered as a monotherapy or a combination therapy.
Trial website
https://clinicaltrials.gov/study/NCT02903771
Trial related presentations / publications
Public notes

Contacts
Principal investigator
Name 0 0
A/Prof Jermaine (Jim) Coward, MBBS FRACP PhD
Address 0 0
ICON Cancer Care, Queensland, Australia
Country 0 0
Phone 0 0
Fax 0 0
Email 0 0
Contact person for public queries
Name 0 0
Address 0 0
Country 0 0
Phone 0 0
Fax 0 0
Email 0 0
Contact person for scientific queries



Summary Results

For IPD and results data, please see https://clinicaltrials.gov/study/NCT02903771