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A Phase 2a/2b Multicenter, Open-Label Study to Evaluate NKTR 102 (PEG-Irinotecan) in Combination With Cetuximab Versus Irinotecan in Combination With Cetuximab in Second Line Colorectal Cancer Patients
This study is currently recruiting participants.
Verified by Nektar Therapeutics, May 2008
Sponsored by: Nektar Therapeutics
Information provided by: Nektar Therapeutics
ClinicalTrials.gov Identifier: NCT00598975
  Purpose

Study 07-PIR-02 is a Phase 2 study designed to evaluate the safety and efficacy of NKTR-102 (PEG-irinotecan) for the treatment of patients with colorectal cancer (CRC). The study is comprised of two sequential components - Phase 2a and Phase 2b. The Phase 2a portion is an open-label, dose-finding trial in multiple solid tumor types that are refractory to standard curative or palliative therapies. The Phase 2b portion is an open-label, randomized, two-arm study in patients with second-line metastatic colorectal cancer and study participants will be randomized (1:1) to receive either NKTR-102 and cetuximab or irinotecan and cetuximab. The primary endpoint of the Phase 2b trial is progression-free survival. Secondary endpoints include response rate, response duration, overall survival, standard pharmacokinetics, and incidence of toxicities, including diarrhea and neutropenia.

Phase 2a part of this study is currently active with sites in the US. The Phase 2b part of the study is expected to begin mid-year 2008 and will be conducted in over 40 centers in the US and internationally.

The following entries reflect the currently active Phase 2a portion of this study only.


Condition Intervention Phase
Tumor
Colorectal Cancer
Drug: NKTR-102 + Cetuximab
Phase II

MedlinePlus related topics: Cancer Colorectal Cancer
Drug Information available for: Irinotecan Irinotecan hydrochloride Cetuximab
U.S. FDA Resources
Study Type: Interventional
Study Design: Treatment, Open Label, Single Group Assignment, Safety/Efficacy Study
Official Title: A Multicenter, Open-Label, Phase 2 Study to Determine the Dose, Safety and Efficacy of NKTR 102 in Combination With Cetuximab Versus Irinotecan in Combination With Cetuximab in Second Line, Irinotecan and Cetuximab Naïve Colorectal Cancer Patients With Metastatic or Locally Advanced Disease

Further study details as provided by Nektar Therapeutics:

Primary Outcome Measures:
  • Establish the recommended Phase 2a dose (RPTD) of the combination of NKTR-102 and cetuximab [ Time Frame: 12 months ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Safety, pharmacokinetics, and tumor response of NKTR-102 in combination with cetuximab. [ Time Frame: Indefinite ] [ Designated as safety issue: No ]

Estimated Enrollment: 36
Study Start Date: January 2008
Estimated Primary Completion Date: December 2008 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
A: Experimental
NKTR-102 + Cetuximab
Drug: NKTR-102 + Cetuximab
Drug: NKTR-102 + Cetuximab

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Male and non-pregnant, non-lactating female patients with an ECOG performance score <3 who have any type of solid tumor refractory to standard therapy and who have adequate bone marrow and organ function at screening.

Exclusion Criteria:

  • Patients must not have used any CYP3A4 inducers or inhibitors with 2 weeks prior to the first day of study drug treatment.
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00598975

Contacts
Contact: Dennis Gribben 650-631-3100

Locations
United States, Arizona
TGen Clinical Research Services @ Scottsdale Healthcare, Debi & Jerry Bisgrove Research Pavilion Recruiting
Scottsdale, Arizona, United States, 85258
Contact: Joyce Ingrid, RN, MSN, OCN     480-323-1339     jingold@shc.org    
Principal Investigator: Ramesh Ramanathan, M.D.            
United States, Kentucky
Louisville Oncology Clinical Research Program Recruiting
Louisville, Kentucky, United States, 40202
Contact: Justin Utz     502-629-3607     justin.utz@nortonhealthcare.org    
Principal Investigator: John T Hamm, M.D.            
United States, Texas
Tyler Cancer Center Recruiting
Tyler, Texas, United States, 75702
Contact: Linda Dunklin     903-579-9800     linda.dunklin@usoncology.com    
Principal Investigator: Don Richards, MD            
Texas Oncology - Baylor Sammons Cancer Center Recruiting
Dallas, Texas, United States, 75426
Contact: Ben Garcia, Supervisor, Clinical Research     214 370 1949     Ben.Garcia@usoncology.com    
Principal Investigator: Carlos Becerra, MD            
Sponsors and Collaborators
Nektar Therapeutics
Investigators
Study Director: Jackie Walling, M.D. Nektar Therapeutics
  More Information

Responsible Party: Nektar Therapeutics ( Dennis Gribben )
Study ID Numbers: 07-PIR-02
Study First Received: January 11, 2008
Last Updated: May 1, 2008
ClinicalTrials.gov Identifier: NCT00598975  
Health Authority: United States: Food and Drug Administration

Keywords provided by Nektar Therapeutics:
Phase 2a: Multiple solid tumor types
Phase 2b: Second-Line Colorectal Cancer (CRC)

Study placed in the following topic categories:
Digestive System Diseases
Digestive System Neoplasms
Gastrointestinal Diseases
Cetuximab
Irinotecan
Colonic Diseases
Gastrointestinal Neoplasms
Intestinal Diseases
Rectal Diseases
Intestinal Neoplasms
Colorectal Neoplasms

Additional relevant MeSH terms:
Neoplasms
Neoplasms by Site
Molecular Mechanisms of Pharmacological Action
Antineoplastic Agents
Therapeutic Uses
Enzyme Inhibitors
Antineoplastic Agents, Phytogenic
Pharmacologic Actions

ClinicalTrials.gov processed this record on January 14, 2009