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Recurrent Platinum-resistant Ovarian CancerPhase 1/2NCT01653912

Dose-finding Study in Platinum-Resistant Ovarian Cancer

A Phase 1/2 study testing GSK2110183 in combination with carboplatin and paclitaxel in people with Recurrent Platinum-resistant Ovarian Cancer, run by Accenture at 10 sites in 3 countries.

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

Dose-finding study of GSK2110183 administered in combination with carboplatin and paclitaxel to any subject with recurrent ovarian cancer. Safety and efficacy study of GSK2110183 administered in combination with carboplatin and paclitaxel to subjects with platinum-resistant ovarian cancer. Read more about this study

Who is it for?
Ages 18 years and older, women only
What is being tested?
GSK2110183 in combination with carboplatin and paclitaxel
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
59 participants
Where
10 sitesin 3 countries
Study dates
Nov 2012to Nov 2015
Phase
Phase 1/2
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
  • Women only
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

None listed.

Who cannot join

  • History of another malignancy (some exceptions may apply)
  • Serious and/or unstable pre-existing medical or psychiatric disorder, or other conditions that could interfere with subject's safety, obtaining informed consent or compliance to the study procedures
  • Current use of prohibited medication during treatment.
  • Chemotherapy, immunotherapy, or other anti-cancer therapy within 14 days prior to the first dose study drug
  • Radiotherapy prior to initiation of therapy (some exceptions may apply)
  • Contraindications (identified by the investigator) to the doses of carboplatin and/or paclitaxel
Show all 23Show fewer
  • History of reduction in standard of care paclitaxel dose for peripheral neuropathy
  • No known immediate or delayed hypersensitivity reaction or idiosyncratic reaction to drugs similar or related to GSK2110183
  • No known delayed hypersensitivity reaction or idiosyncratic reaction to drugs similar to carboplatin or paclitaxel (some exceptions may apply)
  • Prior use of a drug that targets AKT including perifosine
  • History of Type 1 diabetes
  • Gastrointestinal disease or other condition that could affect absorption or predispose subject to gastrointestinal ulceration
  • Mucosal or internal bleeding
  • Major surgery within the last four weeks
  • Infection requiring parenteral or oral anti-infective treatment
  • Severe or uncontrolled systemic diseases
  • Brain metastases and/or leptomeningeal disease
  • QTcF interval ≥ 470 msecs
  • Bundle branch block, pacemaker or clinically significant ECG abnormalities including 2nd degree (Type II) or 3rd degree atrioventricular (AV) block
  • History of myocardial infarction, acute coronary syndromes (including unstable angina), coronary angioplasty,stenting or bypass grafting within six months of Screening
  • Class II, III or IV heart failure as defined by the NYHA functional classification system
  • Pregnant or lactating female
  • Malignancies related to HIV or solid organ transplant; history of known HIV, history of know HBV surface antigen positivity (subjects with documented laboratory evidence of HBV clearance may be enrolled) or positive HCV antibody

Trial locations and contacts

10 sites in 3 countries.

10 sites in 3 countries

Australia5 sites
  • Peter MacCallum Cancer Centre

    East Melbourne, Victoria, 8006

  • Western Hospital

    Footscray, Victoria, 3011

  • Royal Brisbane and Women's Hospital

    Herston, Queensland, 4029

  • Sir Charles Gairdner Hospital

    Nedlands, Western Australia, 6009

  • Royal Women's Hospital

    Parkville, Victoria, 3052

Other trials in Australia

United Kingdom3 sites
  • Royal Surrey County Hospital NHS Foundation Trust

    Guildford, Surry, GU2 7XP

  • Imperial College Healthcare NHS Trust

    London, W 12 0HS

  • Mount Vernon Cancer Center

    Northwood, Middlesex, London, HA6 2RN

Other trials in United Kingdom

Russia2 sites
  • Medical Radiology Scientific Center of Ministry of Healthcare and Social Development of RF

    Omskaya, 249036

  • City Clinical Oncology Dispensary

    Saint Petersburg, 198255

Other trials in Russia

About this study

Official title: An Open-Label Phase I/II Study of GSK2110183 in Combination With Carboplatin and Paclitaxel in Subjects With Platinum-Resistant Ovarian Cancer

  • Dose-finding study of GSK2110183 administered in combination with carboplatin and paclitaxel to any subject with recurrent ovarian cancer.
  • Safety and efficacy study of GSK2110183 administered in combination with carboplatin and paclitaxel to subjects with platinum-resistant ovarian cancer.
Read the detailed description

PKB116611 is an open-label Phase I/II study of the investigational drug GSK2110183 given in combination with carboplatin and paclitaxel to subjects with recurrent ovarian cancer. Phase I is a dose escalation evaluation of daily oral doses of GSK2110183 administered in combination with every 3 week carboplatin and paclitaxel to any subject with recurrent ovarian cancer. Phase II is a single arm evaluation of the clinical efficacy of the combination identified in Phase I to subjects with platinum-resistant ovarian cancer.

Being tested
GSK2110183 in combination with carboplatin and paclitaxel
Keywords
cancer, ovarian, platinum-resistant
Medical subject headings
Neoplasms

What participants receive

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

  • GSK2110183 in combination with carboplatin and paclitaxelDrug

    Also called Taxol (paclitaxel), Paraplatin (carboplatin), AKT Inhibitor

    Phase I is a dose escalation evaluation of increasing doses of GSK2110183 administered on a continuous daily schedule in combination with carboplatin AUC 5 and paclitaxel 175mg/m2 given every three weeks for a maximum 6 cycles. The dosing regimen identified in Phase I will then be evaluated in Phase II, a single arm study focused on clinical efficacy. Treatment with the three drug regimen will continue for a maximum of 6 x 21 day cycles followed by continuous GSK2110183 at the single agent MTD. Subjects may continue on study drug until progression, death or unacceptable toxicity.

Study groups in NCT01653912
Study groupRoleWhat they receive
GSK2110183, carboplatin and paclitaxelExperimentalSubjects will be treated with a maximum of six doses of carboplatin + paclitaxel in combination with continuous daily GSK2110183 followed by single agent GSK2110183 at the single-agent MTD of 125 mg or above oral daily.
Receives: Drug: GSK2110183 in combination with carboplatin and paclitaxel

What is being measured

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

  1. Phase 1: Number of Subjects With Treatment-Emergent Adverse Events (TEAE) of Grade Greater Than or Equal to (≥) 3 in Severity

    Measured: Up to Week 3

  2. Phase 1 Safety: Number of Subjects Reporting Adverse Events

    Study Treatment refers to GSK2110183 with or without Carboplatin and/or Paclitaxel.

    Dose limiting toxicity (DLT): An event is considered a DLT if it had a reasonable causal relationship to study drug \& occurs within first 3 weeks of therapy \& met at least one of the following criteria:

    • Grade 3 or 4 non-hematologic toxicity as described in the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE v4.0, 2009 [NCI, 2009] with the exceptions of Grade 3 electrolyte disturbances that respond to correction within 24 hours; or Grade 3 rash, diarrhea, nausea, vomiting and mucositis that responded to standard medical supportive care within 48 hours).
    • Grade 4 neutropenia lasting ≥5 days
    • Febrile neutropenia
    • Grade 3 thrombocytopenia with bleeding
    • Grade 4 thrombocytopenia
    • Grade 4 anemia
    • Treatment delay of >14 days due to unresolved toxicity
    • Alanine aminotransferase (ALT) >3 times upper limit of normal (ULN) with bilirubin >2 times ULN

    Measured: Up to Week 3

  3. Phase 1: Maximum Tolerated Dose (MTD) of GSK2110183

    MTD is defined as the highest dose at which 1 or fewer of up to 6 subjects experience a dose limiting toxicity (DLT) during the first 3 weeks of combination therapy. MTD was considered exceeded if 2 or more subjects in a cohort of up to 6 subjects experienced a DLT.

    Measured: Up to Week 3

  4. Overall Response Rate (ORR) in Phase 2 Subjects With Recurrent Platinum-resistant Ovarian Cancer (Cohort A)

    Per Response Evaluation Criteria in Solid Tumors Criteria (RECIST) 1.1 criteria for target lesions and assessed by MRI: Complete Response (CR) is Disappearance of all target lesions and Partial Response (PR) is greater than or equal to (≥) 30% decrease in the sum of the longest diameter of target lesions.

    Overall Response (OR) = CR + PR.

    Measured: Every 3 weeks up to 6 months

  5. ORR in Phase 2 Subjects With Recurrent Platinum-refractory Ovarian Cancer (Cohort B)

    Per RECIST version 1.1 criteria for target lesions and assessed by MRI: Complete Response (CR) is Disappearance of all target lesions and Partial Response (PR) is ≥30% decrease in the sum of the longest diameter of target lesions.

    Overall Response (OR) = CR + PR.

    Measured: Every 3 weeks up to 6 months

Secondary outcomes (6)
  1. ORR in Phase 1 Subjects With Recurrent Platinum-resistant Ovarian Cancer

    Per RECIST version 1.1 criteria for target lesions and assessed by MRI: Complete Response (CR) is disappearance of all target lesions and Partial Response (PR) is ≥30% decrease in the sum of the longest diameter of target lesions.

    Overall Response (OR) = CR + PR.

    Measured: Up to Week 3

  2. Phase 2: Number of Subjects With Treatment-Emergent Adverse Events (TEAE) of Grade ≥3 in Severity

    Measured: Up to Day 21 (Phase 2)

  3. Phase 2 Safety: Number of Subjects Reporting Adverse Events

    Dose limiting toxicity (DLT): An event is considered a DLT if it had a reasonable causal relationship to study drug \& occurs within first 3 weeks of therapy \& met at least one of the following criteria:

    • Grade 3 or 4 non-hematologic toxicity as described in the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE v4.0, 2009 [NCI, 2009] with the exceptions of Grade 3 electrolyte disturbances that respond to correction within 24 hours; or Grade 3 rash, diarrhea, nausea, vomiting and mucositis that responded to standard medical supportive care within 48 hours).
    • Grade 4 neutropenia lasting ≥5 days
    • Febrile neutropenia
    • Grade 3 thrombocytopenia with bleeding
    • Grade 4 thrombocytopenia
    • Grade 4 anemia
    • Treatment delay of >14 days due to unresolved toxicity
    • Alanine aminotransferase (ALT) >3 times upper limit of normal (ULN) with bilirubin >2 times ULN

    Measured: Up to Day 51

  4. Phase 2: Response Rate (RR) Defined by Gynecologic Cancer Intergroup (GCIG) CA 125

    RR is defined by the percentage of subjects with investigator-assessed Partial Cancer Antigen (CA) 125 Response (PR) or Complete CA 125 Response (CR) at any time during the study by GCIG CA 125. PR is greater than (>) 50% decrease in CA-125 values from baseline and no clinical or radiological evidence of new lesions. CR is decrease in the CA-125 to within the normal limits and less than (<) 40 IU/mL and no clinical or radiological evidence of disease.

    Measured: From Month 1 to 6

  5. Progression Free Survival (PFS) by RECIST or Clinical Symptomatic Progression of Subjects With Recurrent Platinum-resistant Ovarian Cancer (Phase 2-Cohort A)

    PFS was defined as the number of months between date of first GSK2110183 treatment and the earliest date of disease progression by RECIST or clinical symptomatic progression or death due to any cause whichever is earlier. Progression is defined using RECIST version 1.1 as at least a 20% increase in the sum of the longest diameter of target lesion in reference to the smallest sum of the longest diameter recorded since the treatment started.

    Measured: From first dose until disease progression or death (approximately 36 months)

  6. PFS by RECIST of Subjects With Recurrent Platinum-resistant Ovarian Cancer (Phase 2-Cohort A)

    PFS was defined as the number of months between date of first GSK2110183 treatment and the earliest date of disease progression by RECIST or death due to any cause whichever is earlier. Progression is defined using RECIST version 1.1 as at least a 20% increase in the sum of the longest diameter of target lesion in reference to the smallest sum of the longest diameter recorded since the treatment started.

    Measured: From first dose until disease progression or death (approximately 36 months)

Timeline

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

  1. First posted31 Jul 2012 (estimated)
  2. Study startNov 2012
  3. Primary completionJul 2015
  4. Study completionNov 2015

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
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
59 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01653912
Sponsor's protocol ID
PKB116611
Other IDs
2012-002483-27
Status last verified
Aug 2017
First submitted
27 Jul 2012
Last updated
2 Apr 2018
Data monitoring committee
No

Publications

  • Blagden SP, Hamilton AL, Mileshkin L, Wong S, Michael A, Hall M, Goh JC, Lisyanskaya AS, DeSilvio M, Frangou E, Stronach EA, Gopalakrishna P, Meniawy TM, Gabra H. Phase IB Dose Escalation and Expansion Study of AKT Inhibitor Afuresertib with Carboplatin and Paclitaxel in Recurrent Platinum-resistant Ovarian Cancer. Clin Cancer Res. 2019 Mar 1;25(5):1472-1478. doi: 10.1158/1078-0432.CCR-18-2277. Epub 2018 Dec 18.

    PubMed 30563934

Questions about this trial

What is this clinical trial studying?

A Phase 1/2 study testing GSK2110183 in combination with carboplatin and paclitaxel in people with Recurrent Platinum-resistant Ovarian Cancer, run by Accenture at 10 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 0 inclusion and 23 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 2 Apr 2018. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 10 sites in Australia, United Kingdom, Russia. 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?

Yes. Results are posted in the registry (first posted 2 Apr 2018). 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?

Phase 1: Number of Subjects With Treatment-Emergent Adverse Events (TEAE) of Grade Greater Than or Equal to (≥) 3 in Severity (time frame: Up to Week 3). The study lists 5 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 NCT01653912, which also lists 1 linked publication.

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 2 Apr 2018.

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