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Ovarian CancerPhase 1/2NCT01624493

BNC105P Combination Study in Partially Platinum Sensitive Ovarian Cancer Patients

A Phase 1/2 study testing Carboplatin, Gemcitabine and BNC105P in people with Ovarian Cancer, run by Hoosier Cancer Research Network at 6 sites in 3 countries.

Withdrawn

Withdrawn. The study stopped before anyone enrolled.

Official record
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Trial summary

This phase I/II trial will determine the recommended dose and activity of BNC105P for patients with partially platinum sensitive ovarian cancer in first or second relapse. Read more about this study

Who is it for?
Ages 18 years and older, women only
Conditions the study is for
Ovarian Cancer
What is being tested?
Carboplatin, Gemcitabine and BNC105P
Could I receive a placebo?
No, everyone receives an active treatment
How many people
0 participants
Where
6 sitesin 3 countries
Study dates
Oct 2012to Oct 2014
Phase
Phase 1/2
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

  • Histologically or cytologically proven diagnosis of epithelial ovarian cancer, primary peritoneal cancer or fallopian tube cancer, including all histological subtypes and carcinosarcoma.
  • Histologically proven diagnosis of epithelial ovarian cancer, primary peritoneal cancer or fallopian tube cancer.
  • Progression-free interval between 4 to 9 months after first line chemotherapy or 4 to 12 months after second-line chemotherapy with a platinum (cisplatin or carboplatin) based regimen.
  • Subjects must have progressed (based on GCIG CA125 and/or RECIST criteria) after last platinum based regimen.
  • Subjects must be assessable for response based on GCIG CA125 and/or RECIST criteria.
  • Subjects with clinically evident ascites and/or pleural effusions must be assessable by RECIST.
  • Study treatment both planned and able to start within 7 days of randomisation

Who cannot join

  • Non-epithelial ovarian cancer and ovarian tumours of low malignant potential (borderline tumours)
  • More than two prior chemotherapy regimens for ovarian cancer (excluding hormonal therapy or biologic agents).
  • Any prior chemotherapy for other cancers, but >10 years permitted for phase II only, except for high dose chemotherapy/autologous or allogeneic transplantation
  • Chemotherapy within 20 days prior to registration.
  • Hormonal therapy or biologic therapy within 28 days prior to registration
  • Concurrent treatment with any experimental drugs or other anti-cancer therapy.
Show all 22Show fewer
  • Concurrent treatment with clopidogrel, ticlopidine, persantin and other antiplatelet agents
  • Radiotherapy within 21 days prior to registration, or to greater than 15% of the bone marrow.
  • Persistent toxic effects of previous chemotherapy of greater than Grade 1 severity (CTCAE v 4, appendix 8)
  • Known brain or leptomeningeal disease (baseline CT brain or MRI is only required if there is clinical suspicion of central nervous system involvement).
  • Subjects with other invasive malignancies who had (or have) any evidence of another cancer present within the last 3 years, with the exception of early stage non-melanoma skin cancer, carcinoma in situ of cervix, and synchronous endometrial cancer (stage 1 G1,2)
  • Untreated and/or uncontrolled cardiovascular conditions and/or symptomatic cardiac dysfunction (unstable angina, congestive cardiac failure, myocardial infarction) within the previous year, or cardiac ventricular arrhythmias requiring medication, or history of 2nd or 3rd degree atrioventricular conduction defects.
  • Cerebrovascular accident or transient ischemic attack within 6 months prior to registration.
  • Poorly controlled hypertension: systolic BP >150 or diastolic BP >100 mmHg. Antihypertensive medications are permitted but BP must be ≤150 systolic and ≤100 diastolic on 2 readings separated by at least 24 hours.
  • Deep vein thrombosis, pulmonary embolism, within 6 months of registration or arterial thrombosis, or arterial embolism within 12 months prior to registration.
  • Receiving full dose, therapeutic anti-coagulation with warfarin, related oral anti-coagulants or unfractionated or low molecular weight heparin. Low dose heparin given for prophylaxis, and aspirin at a dose ≤ 325 mg/day is acceptable.
  • Significant infection including active hepatitis B, hepatitis C with abnormal liver function tests, or HIV. Testing for these is not mandatory. Screening for Hepatitis B should be as per institutional policy. Patients known to be Hep B surface antigen positive will be not be eligible even if on antiviral treatment.
  • Serious medical or psychiatric conditions which might prevent management according to the protocol.
  • Major surgical procedure, open biopsy, or significant traumatic injury within 28 days prior to randomisation
  • Pregnancy, lactation, or inadequate contraception. Women must be post menopausal or sterile, or use two reliable means of contraception. Women of childbearing potential must have a pregnancy test taken and proven negative within 7 days prior to registration.
  • Life expectancy of less than 12 weeks.
  • Carcinosarcoma and mucinous carcinoma

Trial locations and contacts

6 sites in 3 countries.

6 sites in 3 countries

Australia3 sites
  • Royal Brisbane and Women's Hospital

    Brisbane, Queensland, 4029

  • Peter MacCallum Cancer Centre

    Melbourne, Victoria, 8006

  • Royal Prince Alfred Hospital

    Sydney, New South Wales, 2050

Other trials in Australia

United States2 sites
  • University of Chicago

    Chicago, Illinois, 60637

  • Indiana University Melvin and Bren Simon Cancer Center

    Indianapolis, Indiana, 46202

Other trials in United States

New Zealand1 site
  • Christchurch Hospital

    Christchurch, Canterbury, 4710

Other trials in New Zealand

About this study

Official title: Phase I/II BNC105P Combination Study in Partially Platinum Sensitive Ovarian Cancer Patients in First or Second Relapse

This phase I/II trial will determine the recommended dose and activity of BNC105P for patients with partially platinum sensitive ovarian cancer in first or second relapse.

Read the detailed description

OUTLINE: This is a multi-center study.

BNC105P is a novel vascular disrupting agent (VDA) with promising preclinical activity combined with platinum or gemcitabine. The results of standard chemotherapy with carboplatin and gemcitabine for ovarian cancer relapsing within 12 months of an initial platinum-based regimen require improvement. This trial will determine the recommended dose and activity of BNC105P administered with carboplatin and gemcitabine.

PHASE I:

This trial uses a standard 3+3 design for allocating participants to a starting dose level in Phase I.

If dose level 1 is deemed to have acceptable toxicity then dose levels 2a and 2b can be opened at the same time. Dose level 3 will only open if both dose levels 2a and 2b are deemed to have acceptable toxicity.

The underlying assumptions for determining the recommended doses for the triple combination of carboplatin, gemcitabine and BNC105P are that the likely minimum doses required of each agent are carboplatin AUC 4, gemcitabine 800 mg/m2 and BNC105P 12 mg/m2. This corresponds to dose level 1.

PHASE II 1:1 RANDOMIZATION:

Carboplatin AUC 4 on day 1, gemcitabine 800 or 1000 mg/m2 on days 1 and 8 of a 21 day cycle for a maximum of 6 cycles.

OR

Carboplatin AUC 4 on day 1, gemcitabine 800 or 1000 mg/m2 on days 1 and day 8 with dose of BNC105P as determined in phase I, on days 2 and 9 of a 21 day cycle for a maximum of 6 cycles, followed by single agent maintenance BNC105P 16 mg/m2 for a maximum of 6 additional cycles

Minimum follow up for 12 months

ECOG Performance Status for Phase I: 0-1; ECOG Performance Status for Phase II: 0-2

Life Expectancy: Less than 12 weeks

Hematopoietic (both phases):

  • Platelet count ≥ 100 x 109/L
  • ANC ≥ 1.5 x 109/L
  • Haemoglobin > 9g/dl (can be post transfusion)
  • INR ≤ 1.5 x ULN

Hepatic (both phases):

  • Total Bilirubin ≤ 1.5 x the upper limit of normal (ULN)
  • ALT ≤ 2.5 x ULN

Renal (both phases):

  • Creatinine clearance ≥ 55 mL/min according to Cockcroft Gault formula
  • If Calculated GFR is 50 - 54 mL/min an isotopic GFR may be performed. If the isotopic GFR is > 55ml/min, the patient will be eligible for the study but the calculated GFR will be used for dose calculation.

Cardiovascular (both phases):

  • Normal left ventricular ejection fraction (LVEF), i.e. ≥ 50% on Gated Heart Pool Scan, or fractional shortening on echocardiogram ≥ institutional LLN performed within 2 months prior to randomisation
  • Corrected QTc < 470 msec on ECG performed within 4 weeks prior to randomisation.
Conditions
Ovarian Cancer
Being tested
Carboplatin, Gemcitabine, BNC105P
Keywords
Vascular Disrupting Agents, BNC105P, Partially platinum sensitive
Medical subject headings
Ovarian Neoplasms

What participants receive

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

  • CarboplatinDrug

    Carboplatin AUC4 on day 1 of 21-day cycle, for a maximum of 6 cycles.

  • GemcitabineDrug

    Gemcitabine escalations 800 and 1000 mg/m2 (as determined in phase I) on days 1 and 8 of a 21 day cycle, for a maximum of 6 cycles.

  • CarboplatinDrug

    Carboplatin AUC 4 on day 1 of a 21 day cycle, for a maximum of 6 cycles.

  • GemcitabineDrug

    Gemcitabine 800 or 1000 mg/m2 (as determined in phase I) on days 1 and day 8 of 21-day cycle, for a maximum of 6 cycles.

  • BNC105PDrug

    BNC105P as determined in phase I, on days 2 and 9 of a 21 day cycle for a maximum of 6 cycles, followed by single agent maintenance BNC105P 16 mg/m2 for a maximum of 6 additional cycles.

Study groups in NCT01624493
Study groupRoleWhat they receive
Phase II Arm AExperimentalPhase II Arm A will randomize patients to treatment regimen of carboplatin and gemcitabine without BNC105P
Receives: Drug: Carboplatin; Drug: Gemcitabine
Phase II Arm BExperimentalPhase II Arm B will randomize patients to treatment regimen of carboplatin and gemcitabine and will include BNC105P
Receives: Drug: Carboplatin; Drug: Gemcitabine; Drug: BNC105P

What is being measured

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

  1. Phase I: Determine Maximum Tolerated Dose for Patients

    To determine the recommended dose of BNC105P given with gemcitabine and carboplatin (maximum dose of BNC105P with no more than 1 DLT in 6 phase I participants)

    Measured: 12 months

  2. Phase II: Determine Objective Response Rate in Patients

    To determine the objective response rate (ORR) in those with evaluable disease (ORR = CR, PR according to RECIST 1.1 and/or GCIG CA125 criteria) (percentage of those with measurable disease achieving CR or PR according to RECIST 1.1 and/or GCIG CA125 criteria)

    Measured: 12 months

Secondary outcomes (5)
  1. Progression Free and Overall Survival Distribution

    To determine the progression free and overall survival distribution rates in this patient population

    Measured: 12 months

  2. Patient Side Effects and Tolerability

    To determine the adverse event rates (Numbers (%) with G2-5 AE (NCI CTCAE v4.0)

    Measured: 12 months

  3. Patient Quality of Life Benefits

    To determine the effects on aspects of health related quality of life (HRQL measured with FOSI and MOST), including symptom benefit (Numbers (%) with significant symptom benefit)

    Measured: 12 months

  4. Assessment of BNC105P Pharmacokinetics to Determine Interaction with Carboplatin and Gemcitabine

    Plasma will be collected to assess BNC105P pharmacokinetics on days 2 and 9 of cycle 1 only. Results will be compared with data from previous trials of BNC105P to determine their consistency and to establish if there is any major interaction with carboplatin and gemcitabine.

    Measured: 12 months

  5. Association of Biomarkers, Predictions and Outcomes

    To determine the associations between baseline biomarkers, ORR, PFS, OS and AE

    Measured: 12 months

Timeline

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

  1. First posted20 Jun 2012 (estimated)
  2. Study startOct 2012
  3. Primary completionJul 2014
  4. Study completionOct 2014

Why it stopped: Phase I was conducted Australia. Phase II not conducted and no US pts enrolled.

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 1/2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Single group
Masking
None (open label)
Enrolment
0 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01624493
Sponsor's protocol ID
GYN12-154 / ANZGOG-1103
Status last verified
Dec 2015
First submitted
15 Jun 2012
Last updated
23 Dec 2015
Results posted
No
Data monitoring committee
Yes

Publications

  • Danny Rischin, Daniela Matei, Jeffrey C. Goh, Michelle Margaret Vaughan, Philip James Beale, Meaghan Elizabeth Tenney, Julie Martyn, Dirkje Willemien Sommeijer, Jose Luis Iglesias, David C. Bibby, Jeremy Simpson, Elizabeth E. Doolin, Corinne E. Williams, Martin R. Stockler. A phase I/II study of the vascular disrupting agent BNC105P in combination with gemcitabine-carboplatin in partially platinum-sensitive ovarian cancer patients in first or second relapse: An international collaborative group trial of ANZGOG and HOG. J Clin Oncol 31, 2013 (suppl; abstr TPS5612) http://abstracts2.asco.org/AbstView_132_108013.html

  • Danny Rischin, Philip James Beale, Emma Caroline Rossi, Jeffrey C. Goh, Michelle Margaret Vaughan, Meaghan Elizabeth Tenney, Julie Martyn, Dirkje Willemien Sommeijer, Jose Luis Iglesias, Gabriel Kremmidiotis, Jeremy Andrew Simpson, Elizabeth E. Doolin, Tina C. Lavranos, Annabell F. Leske, Anne-Sophie Veillard, Martin R. Stockler, ANZGOG and HOG. A phase I study of the vascular-disrupting agent BNC105P in combination with gemcitabine-carboplatin in platinum-sensitive ovarian cancer patients in first or second relapse. J Clin Oncol 32:5s, 2014 (suppl; abstr 5524^). ACTRN12612000522819

Questions about this trial

What is this clinical trial studying?

A Phase 1/2 study testing Carboplatin, Gemcitabine and BNC105P in people with Ovarian Cancer, run by Hoosier Cancer Research Network at 6 sites in 3 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 7 inclusion and 22 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: withdrawn, as of the sponsor's last update on 23 Dec 2015. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 6 sites in Australia, United States, New Zealand. 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 combined phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

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 was withdrawn before enrolling participants, so there are no results.

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?

Phase I: Determine Maximum Tolerated Dose for Patients (time frame: 12 months). The study lists 2 primary outcomes in all. 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 NCT01624493, 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 23 Dec 2015.

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Clinical Trial NCT01624493 | AzTrials