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Carcinoma of Unknown PrimaryPhase 2NCT00873119

Belinostat, Carboplatin and Paclitaxel (BelCaP) Compared to Carboplatin and Paclitaxel in Patients With Cancer of Unknown Primary

A Phase 2 study testing belinostat, carboplatin, paclitaxel and carboplatin, paclitaxel in people with Carcinoma of Unknown Primary, run by Valerio Therapeutics at 23 sites in 4 countries.

Completed

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

Official record
Search all trials

Trial summary

The purpose of this study is to assess efficacy and safety of belinostat in combination with carboplatin and paclitaxel in patients with previously untreated carcinoma of unknown primary. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Carcinoma of Unknown Primary
What is being tested?
belinostat, carboplatin, paclitaxel and carboplatin, paclitaxel
Could I receive a placebo?
No, everyone receives an active treatment
How many people
89 participants
Where
23 sitesin 4 countries
Study dates
Feb 2009to Dec 2012
Phase
Phase 2
Are there results?
Yes, posted in the registrySummary in the doctors' view

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
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Patients with CUP where the primary site had not been revealed by complete history, physical examination (including gynecological examination when appropriate), computed tomography (CT) scan of the chest, abdomen and pelvis, bilateral mammography (in women with adenocarcinoma or poorly differentiated carcinoma), routine laboratory studies (complete blood cell counts, electrolytes, urinalysis, liver and renal function tests), and directed work-up of any other symptomatic areas.
  • Light microscopic pathologic diagnosis of adenocarcinoma (including poorly differentiated), squamous cell carcinoma, or poorly differentiated carcinoma. Patients with poorly differentiated carcinoma must have immunohistochemical stains to confirm the diagnosis of carcinoma, and to rule out other tumor types. Note: patients with a light microscopic histology diagnosis of "poorly differentiated neoplasm, not otherwise classified" did not fulfill the criteria for inclusion, unless immunohistochemical staining confirmed the diagnosis of carcinoma.
  • Signed consent of an IRB ([Institutional Review Board])/IEC ([Independent ethics committee]) approved ICF ([Informed Consent Form]).
  • At least one measurable lesion according to RECIST ([response evaluation criteria in solid tumors ]) criteria. Note, target lesions could only be selected within previously irradiated areas if newly arising or clearly progressing after irradiation as proven by repeat scanning
  • Performance status Eastern Cooperative Oncology Group (ECOG) ≤ 2.
  • Age ≥ 18 years.
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  • A negative serum or urine pregnancy test for women of childbearing potential. Postmenopausal women must have been amenorrheic for ≥ 12 months to be considered of non-childbearing potential.
  • Serum potassium within normal range.
  • Acceptable coagulation status: Prothrombin time/International normalized ratio PT/INR ([international normalized ratio]), and activated partial thromboplastin time (APTT) ≤ 1.5 × upper limit of normal (ULN) or in the therapeutic range if on anticoagulation therapy.
  • Acceptable liver, renal and bone marrow function including the following:
  • Bilirubin ≤ 1.5 times ULN (if liver metastases were present, then ≤ 3 × ULN was allowed).
  • Aspartate aminotransferase/serum glutamic oxaloacetic transaminase (AST/SGOT), alanine amino transferase/serum glutamic pyruvic transaminase (ALT/SGPT), and alkaline phosphatase ≤ 3 times ULN (if liver metastases were present, then ≤ 5 × ULN was allowed).
  • An estimated creatinine clearance ≥ 45 mL/min using an appropriate formula (Appendix C, protocol version 1.0, Appendix 16.1.1), or measured ethylenediaminetetraacetic acid (EDTA) renal clearance ≥ 45 mL/min.
  • Absolute neutrophils count ≥ 1.5 × 109/L, platelets ≥ 100 × 109/L.
  • Hemoglobin ≥ 9.0 g/dL or ≥ 5.6 mmol/L (patients with chronic anemia due to underlying disease and its treatment could undergo blood transfusion prior to treatment in order to meet this criteria).

Who cannot join

  • Patients with well recognized subsets of CUP site where treatments directed towards a defined tumor type, or surgery, alternatively radiotherapy, can be advised:
  • Women with adenocarcinoma involving only axillary lymph nodes.
  • Women with papillary serous carcinoma of the peritoneum.
  • Women with adenocarcinoma with positive staining for estrogen receptor (ER) or progesterone receptor.
  • Young men (< 45 years) with poorly differentiated carcinoma consistent with an extragonadal germ cell tumor (carcinoma involving mediastinum or retroperitoneum, or elevated levels of beta-human chorionic gonadotropin or alpha-fetoprotein).
  • Men with bone metastases and/or adenocarcinoma, and abnormally elevated PSA ([Prostate specific antigen]) in their plasma.
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  • Patients with squamous cell carcinoma involving only cervical lymph nodes, or inguinal lymph nodes.
  • Patients with neuroendocrine carcinomas determined according to standard pathology diagnosis procedures, including stains.
  • Patients with potentially completely resectable metastatic disease, or disease which can be adequately treated with radiotherapy only.
  • Patients with brain or meningeal metastases. Note, patients with adequately treated brain metastases, e.g. surgically resected, or adequately controlled by radiotherapy, with no residual neurological symptoms due to metastases and no steroid treatment required, could be enrolled. If clinical suspicion, adequate investigations should be performed to rule out brain metastases or meningeal involvement.
  • Prior systemic anti-tumor therapy, including chemotherapy administered in association to radiotherapy for sensitization, for CUP. Note, prior radiotherapy or surgery was allowed provided treatment was completed at least 4 weeks before randomization.
  • Treatment with investigational agents, including non-anti-tumor agents, within the last 4 weeks before randomization.
  • Co-existing active severe infection or any co-existing medical condition assessed by the Investigator as likely to interfere with study procedures.
  • Significant cardiovascular disease (New York Heart Association Class III or IV cardiac disease), myocardial infarction within the past 6 months, unstable angina, unstable arrhythmia or a need for anti-arrhythmic therapy (use of medication to control heart rate in patients with atrial fibrillation was allowed, if on stable medication for at least the last month prior to randomization and the medication not listed as causing Torsade de Points (Section 13.2, Appendix B, protocol version 1.0, Appendix 16.1.1), or evidence of acute ischemia on ECG.
  • Marked baseline prolongation of QT/QTc ([corrected QT interval]) interval, i.e., demonstration of a QTc interval > 450 millisecond (ms); Long QT Syndrome; the required use of concomitant medication that may cause Torsade de Pointes (Section 13.2, Appendix B, protocol version 1.0, Appendix 16.1.1).
  • Altered mental status precluding understanding of the informed consent process and/or completion of the necessary study procedures.
  • History of a previous malignancy within 5 years with the exception of non-metastatic non-melanoma skin cancer or cervical carcinoma in situ. Prior systemic therapy for other malignancy completed at least 5 years before randomization is allowed.
  • Implemented with amendment 2 (study centers in France only): History of a previous malignancy, irrespective of time since diagnosis/treatment, with the exception of non metastatic non-melanoma skin cancer or cervical carcinoma in situ.
  • Known hypersensitivity to either platinum compounds or paclitaxel, or any components of the study medications, and inability for desensitization.
  • Known infection with HIV, or known active Hepatitis B or C infection.
  • Peripheral neuropathy ≥ Grade 2.
  • Pregnant or lactating females.
  • Women of childbearing age and potential who are not willing to use effective contraception during the study and until 30 days after last dose of study drug. Male patients or male patients who have female partners of childbearing age and potential who are not willing to use effective contraception during the study and until 30 days after last dose of study drug. Highly effective methods of birth control are defined as those which result in a low failure rate (i.e. less than 1% per year) when used consistently and correctly such as implants, injectables, combined oral contraceptives, some intra uterine devices, sexual abstinence or vasectomized partner.
  • Patients that are not affiliated with social security (study centers in France only).
  • Implemented with amendment 1 (study centers in Denmark only): Hearing impairment assessed by the Investigator as being of such a degree that treatment with carboplatin cannot be initiated.
  • Implemented with amendment 1 (study centers in Denmark only): Bleeding tumors.

Trial locations and contacts

23 sites in 4 countries.

23 sites in 4 countries

United States11 sites
  • Baton Rouge Medical Center

    Baton Rouge, Louisiana, 70809

  • Center for Cancers and Blood Disorders

    Bethesda, Maryland, 20817

  • Chattanooga Oncology & Hematology Associates, PC

    Chattanooga, Tennessee, 37404

  • Oncology Hematology Care Inc.

    Cincinnati, Ohio, 45242

  • South Carolina Oncology Associates

    Columbia, South Carolina, 29210

  • Florida Cancer Specialists

    Fort Myers, Florida, 33619

  • Research Medical Center

    Kansas City, Missouri, 64132

  • Northwest Georgia Oncology Centers

    Marietta, Georgia, 30060

  • Tennessee Oncology Sarah Cannon Research

    Nashville, Tennessee, 37203

  • Virginia Cancer Institute

    Richmond, Virginia, 23230

  • South Texas Oncology and Hematology

    San Antonio, Texas, 78258

Other trials in United States

France7 sites
  • CRLCC Francois Baclesse, Oncologie medicale

    Caen, 14000

  • Centre Oscar Lambert

    Lille, 59020

  • Centre Léon Bérard, Oncologie

    Lyon, 69008

  • Centre Eugène Marquis

    Rennes, 35042

  • Centre Henri Becquerel, Oncologie Médicale

    Rouen, 76038

  • Institut de Cancerologie de la Loire

    Saint-Priest-en-Jarez, 42270

  • Institut Gustave Roussy IGR

    Villejuif, 94805

Other trials in France

Germany4 sites
  • Carl-Gustav-Carus Medicinische Klinik und Poliklinik I

    Dresden, 01307

  • Kliniken Essen-Mitte

    Essen, 45136

  • ASKLEPIOS Klinik Altona

    Hamburg, 22763

  • Ostholstein-Onkologie

    Oldenburg in Holstein, 23758

Other trials in Germany

Denmark1 site
  • H:S Rigshospital, The Finsen Centre

    Copenhagen, DK-2100

Other trials in Denmark

About this study

Official title: An Open-label Randomized Phase II Trial of Belinostat (PXD101) in Combination With Carboplatin and Paclitaxel (BelCaP) Compared to Carboplatin and Paclitaxel in Patients With Previously Untreated Carcinoma of Unknown Primary

The purpose of this study is to assess efficacy and safety of belinostat in combination with carboplatin and paclitaxel in patients with previously untreated carcinoma of unknown primary.

Read the detailed description

This is an open-label, multinational, multicenter, randomized, comparative efficacy and safety study in previously untreated patients with carcinoma of unknown primary. Patients meeting inclusion and exclusion criteria will be randomized to treatment in Arm A (BelCaP) or Arm B (CaP).

Being tested
belinostat, carboplatin, paclitaxel, carboplatin, paclitaxel
Keywords
Belinostat, PXD101, Carboplatin, Paclitaxel, CUP, Carcinoma of unknown primary, Occult primary
Medical subject headings
Neoplasms, Unknown Primary

What participants receive

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

  • belinostat, carboplatin, paclitaxelDrug

    Also called PXD101, Belinostat, Carboplatin, Paclitaxel, Taxol

  • carboplatin, paclitaxelDrug

    Also called Carboplatin, Paclitaxel, Taxol

Study groups in NCT00873119
Study groupRoleWhat they receive
Arm A - BelCaPExperimentalGroup A: belinostat 1000 mg/m² administered as a 30 minute IV infusion once daily on days 1, 2 and 3, with at least 18 hours between infusions, followed by belinostat 2000 mg administered orally once daily on days 4 and 5, every 3-weeks, in combination with paclitaxel 175 mg/m² administered as an IV infusion following the infusion of belinostat on cycle day 3, and carboplatin (AUC 6) administered as a 30-60 minute IV infusion directly after the paclitaxel administration on cycle day 3.
Receives: Drug: belinostat, carboplatin, paclitaxel
Arm B - CaPActive comparatorGroup B: paclitaxel 175 mg/m² administered as an IV infusion directly followed by carboplatin (AUC 6) administered as a 30-60 minute IV infusion on cycle day 1 of a 3-weekly cycle.
Receives: Drug: carboplatin, paclitaxel

What is being measured

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

  1. Progression Free Survival

    Time from the date of randomization to the time of disease progression or death due to any cause, measured by RECIST criteria (Response Evaluation Criteria In Solid Tumors).

    Measured: Tumor assessment every 6 weeks for the treatment period. Subsequent assessments every 6 weeks for the initial 6 months, then every 9 weeks for 6 months, then every 12 weeks for 12 months and then every 6 months until 5 years from the start of study

Secondary outcomes (5)
  1. Best Overall Response

    The best overall response in an individual patient according to the RECIST criteria (Eisenhauer 2009 ) is the best response recorded from the start of the treatment until disease progression/recurrence. Objective response is defined as best overall response of complete response (CR) or partial response (PR)

    Measured: Tumor assessment every 6 weeks for the treatment period. Subsequent assessments every 6 weeks for the initial 6 months, then every 9 weeks for 6 months, then every 12 weeks for 12 months and then every 6 months until 5 years from the start of study

  2. Overall Survival (OS)

    Time from the date of randomization to the date of death

    Measured: Tumor assessment every 6 weeks for the treatment period. Subsequent assessments every 6 weeks for the initial 6 months, then every 9 weeks for 6 months, then every 12 weeks for 12 months and then every 6 months until 5 years from the start of study

  3. Time to Response

    For patients with overall best response being CR or PR, time to response was measured as the time from randomization to the first time when the measurement criteria for CR or PR (whichever status is recorded first) were met

    Measured: Tumor assessment every 6 weeks for the treatment period. Subsequent assessments every 6 weeks for the initial 6 months, then every 9 weeks for 6 months, then every 12 weeks for 12 months and then every 6 months until 5 years from the start of study

  4. Duration of Response

    Duration of overall response was measured from the time that measurement criteria were first met for CR or PR (whichever status was recorded first) until the first date that PD ([Progressive Disease]) or death was documented

    Measured: Tumor assessment every 6 weeks for the treatment period. Subsequent assessments every 6 weeks for the initial 6 months, then every 9 weeks for 6 months, then every 12 weeks for 12 months and then every 6 months until 5 years from the start of study

  5. Time to Progression (TTP)

    Time from the date of randomization to the time of disease progression

    Measured: Tumor assessment every 6 weeks for the treatment period. Subsequent assessments every 6 weeks for the initial 6 months, then every 9 weeks for 6 months, then every 12 weeks for 12 months and then every 6 months until 5 years from the start of study

Timeline

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

  1. First posted1 Apr 2009 (estimated)
  2. Study startFeb 2009
  3. Primary completionDec 2012
  4. Study completionDec 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
89 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00873119
Sponsor's protocol ID
PXD101-CLN-17
Status last verified
Jul 2015
First submitted
31 Mar 2009
Last updated
28 Jul 2015

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing belinostat, carboplatin, paclitaxel and carboplatin, paclitaxel in people with Carcinoma of Unknown Primary, run by Valerio Therapeutics at 23 sites in 4 countries.

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 15 inclusion and 26 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 28 Jul 2015. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 23 sites in United States, France, Germany, Denmark. 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?

Yes. Results are posted in the registry (first posted 9 Dec 2014). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

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?

Progression Free Survival (time frame: Tumor assessment every 6 weeks for the treatment period. Subsequent assessments every 6 weeks for the initial 6 months, then every 9 weeks for 6 months, then every 12 weeks for 12 months and then every 6 months until 5 years from the start of study). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 28 Jul 2015.

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