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A Study of Belinostat + Carboplatin or Paclitaxel or Both in Patients With Ovarian Cancer in Need of Relapse Treatment
This study has been completed.
First Received: January 12, 2007   Last Updated: October 21, 2008   History of Changes
Sponsored by: TopoTarget A/S
Information provided by: TopoTarget A/S
ClinicalTrials.gov Identifier: NCT00421889
  Purpose

The study seeks to assess the safety, pharmacodynamics, pharmacokinetics and efficacy of belinostat (PXD101) administered in combination with carboplatin or paclitaxel or both in patients with solid tumours followed by maximum tolerated dose (MTD) expansion (phase II) in ovarian and bladder cancer patients

The clinical trial is now in the MTD (phase II) portion of the study enrolling bladder cancer patients.

Enrollment of ovarian patients is complete.


Condition Intervention Phase
Ovarian Cancer
Epithelial Ovarian Cancer
Fallopian Tube Cancer
Drug: belinostat
Drug: Paclitaxel
Drug: Carboplatin
Phase I
Phase II

Study Type: Interventional
Study Design: Treatment, Open Label, Uncontrolled, Single Group Assignment, Safety/Efficacy Study
Official Title: A Phase I/II Safety, Pharmacodynamic, and Pharmacokinetic Study of Intravenously Administered PXD101 Plus Carboplatin or Paclitaxel or Both in Patients With Advanced Solid Tumours

Resource links provided by NLM:


Further study details as provided by TopoTarget A/S:

Primary Outcome Measures:
  • To determine the maximum tolerated dose and dose limiting toxicities of belinostat (PXD101) administered in combination with standard doses of carboplatin or paclitaxel or both. [ Time Frame: throughout the study ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • To determine the pharmacokinetics of belinostat and its effect on carboplatin and paclitaxel pharmacokinetics [ Time Frame: throughout the study ] [ Designated as safety issue: No ]
  • To determine the pharmacodynamic effects of belinostat (in the combination) on histone acetylation in peripheral blood mononuclear cells (selected sites) [ Time Frame: throughout the study ] [ Designated as safety issue: No ]
  • To explore the anti-tumor activity (in the combination) in patients with ovarian cancer in need of relapse treatment [ Time Frame: throughout the study ] [ Designated as safety issue: No ]
  • To explore the anti-tumor activity (in the combination) in patients with bladder cancer [ Time Frame: throughout the study ] [ Designated as safety issue: No ]

Estimated Enrollment: 32
Study Start Date: September 2005
Primary Completion Date: June 2008 (Final data collection date for primary outcome measure)
Intervention Details:
    Drug: belinostat
    1000 mg/m2 days 1-5 in a 21 day cycle; IV
    Drug: Paclitaxel
    administered in an intravenous infusion 2-3 hours after PXD101 infusion on day 3 of a 21 day cycle
    Drug: Carboplatin
    administered in an intravenous infusion after paclitaxel on day 3 of a 21 day cycle
Detailed Description:

MTD Expansion I(Phase II): A total of 18-32 patients with epithelial ovarian, primary peritoneal, fallopian tube or mixed mullerian tumours of ovarian origin, in need of relapse treatment will be enrolled.

MTD Expansion II (phase II): A total of 15 patients with urothelial (transitional cell) carcinoma of the bladder will be enrolled.

  Eligibility

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

Inclusion Criteria:

  • Ovarian patients:

    • Patients with epithelial ovarian, primary peritoneal, fallopian tube or mixed mullerian cancer of ovarian origin in need of relapse treatment
  • Bladder patients:

    • Patients with urothelial (transitional cell) cancer of the bladder
  • All Patients:

    • At least one measurable uni-dimensional lesion
    • ECOG status ≤ 2
    • Life expectancy ≥ 3 months
    • Age ≥ 18 years
    • Acceptable liver, renal and bone marrow function:

      • Bilirubin ≤ 1.5 x ULN
      • AST (SGOT), ALT (SGPT) and Alkaline Phosphatase ≤ 3 x ULN. If liver metastases are present then ≤ 5 x ULN is allowed.
      • Measured EDTA renal clearance ≥ 45 mL/min (within EU).
      • Creatinine clearance ≥ 45 mL/min (within USA)
    • Leucocytes > 2.5 x 109/ L
    • Neutrophils > 1.0 x 109/L
    • Platelets > 100 x 109/L
    • Hemoglobin > 9.0 g/dL or > 5.6 mmol/l
    • Acceptable coagulation status
    • Negative pregnancy test/use of effective contraceptive methods for women of childbearing potential.
    • Serum potassium within normal range

Exclusion Criteria:

  • More than three prior lines of chemotherapy given for metastatic disease
  • History of a concurrent second malignancy
  • History of hypersensitivity to either platinum or paclitaxel that cannot be desensitized
  • Co-existing active infection or any co-existing medical condition likely to interfere with trial procedures, including:

    • significant cardiovascular disease (New York Heart Association Class III or IV cardiac disease)
    • myocardial infarction within the past 6 months
    • unstable angina
    • congestive heart failure requiring therapy
    • unstable arrhythmia or a need for anti-arrhythmic therapy
    • evidence of ischemia on ECG
    • marked baseline prolongation of QT/QTc interval, e.g., repeated demonstration of a QTc interval > 500 msec;
    • long QT Syndrome
    • required use of concomitant medication on PXD101 infusion days that may cause Torsade de Pointes.
  • Bowel obstruction or impending bowel obstruction
  • Known HIV positivity
  • Mixed mullerian cancer of intra-uterine origin
  • Any existing grade 2 or above drug-related neurotoxicity due to prior treatment with agents causing neurotoxicity
  • Altered mental status precluding understanding of the informed consent process and/or completion of the necessary studies
  • Treatment with investigational agents within the last 4 weeks
  • Prior anticancer therapy within the last 3 weeks of trial dosing including chemotherapy, radiotherapy, endocrine therapy or immunotherapy
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00421889

Locations
United States, California
Gynecologic Oncology Associates
Newport Beach, California, United States, 92663
United States, Florida
Research Facility
Orlando, Florida, United States, 32804
United States, Louisiana
Hematology & Oncology Specialists, LLC
Metairie, Louisiana, United States, 70006
Hematology and Oncology Specialists, LLC
Covington, Louisiana, United States, 70433
United States, Massachusetts
Massachusetts General Hospital Cancer Center
Boston, Massachusetts, United States, 02114
Dana Farber Cancer Institute
Boston, Massachusetts, United States, 02115
United States, Rhode Island
Women & Infants Hospital of Rhode Island
Providence, Rhode Island, United States, 02905
Denmark
Research Facility
Copenhagen, Denmark, 2100
Research Facility
Herlev, Denmark, 2730
United Kingdom
Research Facility
Surrey, United Kingdom, SW3 6JJ
Research Facility
Glasgow, United Kingdom, G120YN
Sponsors and Collaborators
TopoTarget A/S
  More Information

No publications provided

Responsible Party: TopoTarget A/S ( Jan Fagerberg/Medical Director )
Study ID Numbers: PXD101-CLN-8, PXD101-040-EU
Study First Received: January 12, 2007
Last Updated: October 21, 2008
ClinicalTrials.gov Identifier: NCT00421889     History of Changes
Health Authority: United States: Food and Drug Administration;   Denmark: Danish Medicines Agency;   United Kingdom: Medicines and Healthcare Products Regulatory Agency

Keywords provided by TopoTarget A/S:
Ovarian cancer
Ovarian Neoplasms
Primary peritoneal
Epithelial ovarian
Fallopian tube
belinostat
PXD101
mixed mullerian cancer of ovarian origin

Study placed in the following topic categories:
Fallopian Tube Cancer
Ovarian Neoplasms
Gonadal Disorders
Genital Neoplasms, Female
Endocrine System Diseases
Urogenital Neoplasms
Antimitotic Agents
Carboplatin
Ovarian Diseases
Ovarian Epithelial Cancer
Fallopian Tube Neoplasms
Genital Diseases, Female
Paclitaxel
Tubulin Modulators
Ovarian Cancer
Endocrinopathy
Antineoplastic Agents, Phytogenic
Endocrine Gland Neoplasms

Additional relevant MeSH terms:
Ovarian Neoplasms
Molecular Mechanisms of Pharmacological Action
Antineoplastic Agents
Gonadal Disorders
Mitosis Modulators
Genital Neoplasms, Female
Endocrine System Diseases
Urogenital Neoplasms
Antimitotic Agents
Carboplatin
Ovarian Diseases
Pharmacologic Actions
Fallopian Tube Neoplasms
Adnexal Diseases
Fallopian Tube Diseases
Genital Diseases, Female
Neoplasms
Neoplasms by Site
Paclitaxel
Therapeutic Uses
Tubulin Modulators
Antineoplastic Agents, Phytogenic
Endocrine Gland Neoplasms

ClinicalTrials.gov processed this record on September 09, 2009