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Platinum Refractory Epithelial Ovarian CancerPhase 2NCT00543049

Randomized Multicenter Trial With SU11248 Evaluating Dosage,Tolerability,Toxicity and Effectiveness of a Multitargeted Receptor Tyrosine Kinase Inhibitor

A Phase 2 study testing Sunitinib in people with Platinum Refractory Epithelial Ovarian Cancer and Primary Cancer of the Peritoneum, run by AGO Study Group at 16 sites in Germany.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

Ovarian cancer is most often recognized in advanced clinical state, the initial therapeutic strategies consist of a platinum containing chemotherapy subsequent to primary surgery. Read more about this study

Who is it for?
Ages 18 years and older, women only
What is being tested?
Sunitinib
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
73 participants
Where
16 sitesGermany
Study dates
Sep 2007to Jun 2012
Phase
Phase 2
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • Women only
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Women, 18 years and older, written (signed and dated) informed consent
  • Histological confirmed epithelial ovarian cancer, primary cancer of the peritoneum or fallopian tube
  • Up to three prior chemotherapies, at least one platinum based chemotherapy
  • Platinum refractory or resistant ovarian cancer (defined as stable (SD) or progressive disease (PD) during platinum containing chemotherapy, or treatment free interval < 6 months after stop of platinum based chemotherapy)
  • Measurable or non-measurable disease
  • Elevated CA°125 level (> 2 x ULN in case of normal CA°125 after prior chemotherapy; or ≥ 2 x nadir CA°125 value after prior chemotherapy, when CA° 125 levels remained elevated above normal) in case of non-measurable disease
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  • ECOG performance status 0-2
  • Negative pregnancy test within 5 days before randomization and adequate contraception in women with childbearing potential
  • Adequate organ function as defined by the following criteria:
  • Serum aspartate aminotransferase (AST; serum glutamate-oxalate transferase [SGOT]) and serum alanine aminotransferase (ALT; serum glutamate-pyruvate transferase [SGPT]) <=2.5 x upper limit of normal (ULN). If liver function abnormalities are due to underlying malignancy, then AST and ALT may be <=5x ULN
  • Total serum bilirubin <=1.5 x ULN
  • Prothrombin time (PT) and partial thromboplastin time (PTT) <=1.5 x ULN
  • Serum albumin >= 3.0 g/dL
  • Absolute neutrophil count (ANC) >=1500/µl
  • Platelets >=100,000/µl
  • Hemoglobin >=9.0 g/dL
  • Serum creatinine <=1.5 x ULN
  • TSH within normal range Willingness and ability to comply with scheduled visits, treatment plans, laboratory tests, and other study procedures Resolution of all toxic effects of any prior chemotherapy, surgical procedures, radiotherapy, or other cancer related therapies to NCI CTCAE (Version 3.0) grade >=1 and to the baseline laboratory values as defined in inclusion criterion (see before)

Who cannot join

  • Borderline tumor of the ovaries
  • Acute or chronic infection
  • Any required concurrent cancer chemotherapy or antineoplastic endocrine therapy or radiotherapy
  • Exposure to investigational trial medication, cancer chemo- or radiotherapy within the last 28 days prior to start of study treatment
  • Known or suspected hypersensitivity to investigational compound
  • Second malignancy interfering with prognosis of the patient
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  • Cachectic patients with a body weight <45 kg
  • Patients requiring parenteral nutrition
  • Patients with ileus within the last 28 days
  • Any of the following within the 12 months prior to study drug administration: myocardial infarction, severe/unstable angina, coronary/peripheral artery bypass graft, symptomatic congestive heart failure, cerebrovascular accident or transient ischemic attack, pulmonary embolism, deep vein thrombosis, or other thromboembolic event
  • Current treatment with therapeutic doses of anticoagulant
  • Current treatment with CYP3A4 inhibitors or -inducers
  • Hypertension that cannot be controlled by medications (>150/100 mmHg despite optimal medical therapy)
  • Ongoing cardiac dysrhythmias of NCI CTCAE grade >=2, atrial fibrillation of any grade, or prolongation of the QTc interval to >470 msec for females
  • Left ventricular ejection fraction (LVEF) <=50% as measured by echocardiogram
  • NCI CTCAE Grade 3 hemorrhage within 4 weeks of starting study treatment
  • Evidence of neurological signs/symptoms suggestive of brain metastases, spinal cord compression, or new evidence of brain or leptomeningeal disease
  • Known human immunodeficiency virus (HIV) positivity or acquired immunodeficiency syndrome (AIDS)-related illness
  • Patients with any other severe concurrent disease, which is an undue risk for the patient by participating in the present study
  • Any further condition which according to the investigator results in an undue risk of the patient by participating in the present study
  • Major surgery, radiation therapy, or systemic therapy within 3 weeks of first study treatment. At least 7 days should elapse from the time of minor surgical procedure including placement of an access device or fine needle aspiration before randomization into this study can occur.
  • Wounds that have not completely healed, active ulcer(s), or bone fracture(s).
  • Prior high-dose chemotherapy requiring hematopoietic stem cell rescue.
  • Prior radiation therapy to >25% of the bone marrow.

Trial locations and contacts

16 sites in 1 country.

16 sites in 1 country

Germany16 sites
  • Malterser-Krankenhaus Bonn-Rhein/Sieg, Frauenklinik

    Bonn, 53123

  • Klinikum Bremen-Mitte gGmbH, Frauenklinik

    Bremen, 28177

  • Universitätsklinikum Carl Gustav Carus, Klinik u. Poliklinik für Frauenheilkunde und Geburtshilfe

    Dresden, 01307

  • Universitätsklinikum, Universitätsfrauenklinik

    Essen, 45122

  • Klinikum der JWG Universität Frankfurt, Universitätsfrauenklinik

    Frankfurt am Main, 60591

  • Universitätsklinikum Freiburg, Department Universitäts-Frauenklinik

    Freiburg im Breisgau, 79106

  • Klinikum der Ernst-Moritz-Universität, Klinik u. Poliklinik für Gyn. - u. Geb.Hilfe

    Greifswald, 17487

  • Med. Hochschule Hannover, Frauenklinik

    Hanover, 30625

  • St. Vincentius Kliniken AG, Frauenklinik

    Karlsruhe, 76135

  • Universitätsklinikum Schleswig-Holstein Campus Kiel, Klinik f. Gynäkologie u. Geburtshilfe

    Kiel, 24105

  • Otto-von-Guericke-Universität, Klinik für Frauenheilkunde und Geburtshilfe

    Magdeburg, 39108

  • Universitätsklinikum Gießen u. Marburg, Standort Marburg, Klinik f. Gynäkologie, Gyn. Endokrinologie u. Onkologie

    Marburg, 35043

  • Elblandkliniken Meißen-Radebeul GmbH, Gynäkologie

    Radebeul, 01445

  • Universitätsklinikum Tübingen, Frauenklinik

    Tübingen, 72076

  • Universitätsklinikum, Universitätsfrauenklinik

    Ulm, 89075

  • Dr. Horst Schmidt Kliniken GmbH, Klinik f. Gynäkologie u. Gyn. Onkologie

    Wiesbaden, 65199

Other trials in Germany

About this study

Official title: Phase II Trial in Platinum-refractory Ovarian Cancer: A Randomized Multicenter Trial With SU11248 to Evaluate Dosage, Tolerability, Toxicity and Effectiveness of a Multitargeted Receptor Tyrosine Kinase Inhibitor Monotherapy

Ovarian cancer is most often recognized in advanced clinical state, the initial therapeutic strategies consist of a platinum containing chemotherapy subsequent to primary surgery. Although initially responsive to platinum-paclitaxel containing chemotherapy, a significant number of patients will show tumor progression during first line chemotherapy or relapse within six months after completion of first line chemotherapy, therefore being characterized as chemotherapy resistant. Any second line chemotherapy will result in approximately 10% of overall response, underlining the poor prognosis for these patients with an estimated median overall survival of 20 weeks.

In addition to conventional chemotherapeutics, so called small molecules are of high interest to establish new strategies in chemotherapy-refractory ovarian cancer (and in the long run first line chemotherapy). SU11248 is a polytargeting tyrosine kinase inhibitor.

SU11248 has demonstrated clinical efficacy in kidney cancer and GIST, further clinical trials have been initiated in other tumor entities. Growth pattern and biological targets present in ovarian cancer indicate that SU11248 might be a promising compound for the treatment of ovarian cancer. Especially, VEGFR, PDGFR and c-kit are specific targets for SU11248, which are expressed in ovarian cancer. The different targets of SU11248 provide a potential advantage of this compound compared to single-target molecules in chemotherapy-refractory ovarian cancer.

Read the detailed description

This study in patients with ovarian cancer refractory to platinum based chemotherapy is designed as a randomized, 2-schedule and dose-level, open-label, multicenter phase II study to select the better dose and schedule arm for further investigation.

72 patients will be randomized in a 1:1 ratio to receive oral SU11248 therapy either 37.5 mg/day continuously or 50mg/day for 4 weeks followed by 14 days off.

Patients will get outpatients treatment. At screening the patients' eligibility will be assessed, their baseline and demographic characteristics obtained, and the baseline values for the effect variables collected. Patients with measurable lesions as well as non-measurable disease will be included into this trial. Measurable lesion will be documented by CT or MRI scan and CA-125 values, non-measurable lesions will be monitored by analysis of CA°125 levels.

The patients' safety will be monitored during and up to 30 days after termination of SU11248 therapy.

In patients with measurable lesions at baseline, the (post)-treatment values for effect according to the RECIST criteria will be collected as shown in table 6. In case of CR or PR, a confirmatory CT or MRI scan is required after an interval of at least four weeks. Antitumor effects according to CA°125 levels will be determined in the same time intervals and, in addition, 28 days after last SU11248 application in patients with CA°125 response according to GCIG guidelines during therapy.

For post study follow-up, patients and/or their physicians will be contacted via phone for overall survival and TTP (including the method of diagnosis and additional treatment) every 2 months for their life time.

Being tested
Sunitinib
Keywords
platinum refractory, epithelial ovarian cancer, primary cancer of the peritoneum, cancer of the fallopian tube
Medical subject headings
Fallopian Tube Neoplasms, Carcinoma, Ovarian Epithelial

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • SunitinibDrug

    Also called Sutent, Sunitinib, SU011248

    Sunitinib, oral, 50mg once daily, 28 days then paused for 14 days, for up to one year

  • SUNITINIBDrug

    Also called SUTENT, Sunitinib, SU011248

    Sunitinib, oral, 37,5 mg once daily continuously, up to one year

Study groups in NCT00543049
Study groupRoleWhat they receive
1 non-continuousOtherSubjects will receive open-label sunitinib = SU11248 at a dose of 50.0 mg once daily. After 28 days, treatment will be paused for 14 days and cycle one is completed, followed by resumption of therapy as cycle one for up to one year (therapy can be continued in case of tumor response and benefit for the patient for more than one year).
Receives: Drug: Sunitinib
2 continuousOtherSubjects will receive open-label sunitinib = SU11248 at a dose of 37.5 mg once daily continuously. Treatment period up to one year (therapy can be continued in case of tumor response and benefit for the patient for more than one year).
Receives: Drug: SUNITINIB

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. objective response rate

    Measured: one year

Secondary outcomes (1)
  1. tolerability and toxicity, overall survival, duration of response, time to progression, stable disease

    Measured: one year

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted12 Oct 2007 (estimated)
  2. Study startSep 2007
  3. Primary completionJun 2012

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
73 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00543049
Sponsor's protocol ID
AGO-OVAR 2.11
Status last verified
Mar 2014
First submitted
10 Oct 2007
Last updated
7 Mar 2014
Results posted
No
Data monitoring committee
No

Publications

  • Baumann KH, du Bois A, Meier W, Rau J, Wimberger P, Sehouli J, Kurzeder C, Hilpert F, Hasenburg A, Canzler U, Hanker LC, Hillemanns P, Richter B, Wollschlaeger K, Dewitz T, Bauerschlag D, Wagner U. A phase II trial (AGO 2.11) in platinum-resistant ovarian cancer: a randomized multicenter trial with sunitinib (SU11248) to evaluate dosage, schedule, tolerability, toxicity and effectiveness of a multitargeted receptor tyrosine kinase inhibitor monotherapy. Ann Oncol. 2012 Sep;23(9):2265-2271. doi: 10.1093/annonc/mds003. Epub 2012 Feb 29.

    PubMed 22377563
  • Gaitskell K, Rogozinska E, Platt S, Chen Y, Abd El Aziz M, Tattersall A, Morrison J. Angiogenesis inhibitors for the treatment of epithelial ovarian cancer. Cochrane Database Syst Rev. 2023 Apr 18;4(4):CD007930. doi: 10.1002/14651858.CD007930.pub3.

    PubMed 37185961

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Sunitinib in people with Platinum Refractory Epithelial Ovarian Cancer and Primary Cancer of the Peritoneum, run by AGO Study Group at 16 sites in Germany.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 18 inclusion and 24 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 7 Mar 2014. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 16 sites in Germany. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

objective response rate (time frame: one year). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT00543049, which also lists 2 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 7 Mar 2014; AzTrials last refreshed its copy on 4 Nov 2026.

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