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Dose Finding Study Of Oral Eltrombopag In Patients With Sarcoma Receiving Adriamycin And Ifosfamide

Primary Purpose

Thrombocytopaenia

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
eltrombopag
Sponsored by
GlaxoSmithKline
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional supportive care trial for Thrombocytopaenia focused on measuring sarcoma, eltrombopag, thrombopoiesis, thrombocytopenia

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion criteria: Adult subjects, 18 years or older Adequate liver and kidney function Prior history of ≥grade 2 thrombocytopenia (platelet nadir ≤ 75,000/microliters) Ability to ingest and retain oral medication Practice acceptable birth control Ability to understand and follow study requirements Life expectancy of at least 3 months Exclusion criteria: History of platelet disorders, dysfunction, or a bleeding disorder Anti-coagulant used within 2 weeks prior to study start Females who are lactating or expecting History of thromboembolic events or drug induced thrombocytopenia History of central nervous system, brain and/or leptomeningeal metastases Prior surgery within 2 weeks or radiotherapy within 4 weeks of study start Pre-existing cardiac disease

Sites / Locations

  • GSK Investigational Site
  • GSK Investigational Site
  • GSK Investigational Site
  • GSK Investigational Site
  • GSK Investigational Site
  • GSK Investigational Site
  • GSK Investigational Site

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Experimental

Arm Label

Group B

Group A

Arm Description

Group B is a dose escalation phase designed to determine the optimal biological dose of eltrombopag in subjects with sarcoma who received chemotherapy treatment with Adriamycin and Ifosfamide

Group A will be used for further exploration of the optimal biological dose (as initially established by completion of Group B), by using 2 different dosing schedules of eltrombopag.

Outcomes

Primary Outcome Measures

Safety and tolerability endpoints will consist of the evaluation of adverse events (AE), and changes from baseline in vital signs and clinical laboratory parameters

Secondary Outcome Measures

OBD will be determined by evaluating platelet count time course data, platelet nadirs, degree and duration of thrombocytopenia, and platelet count recovery from nadir
Eltrombopag AUC(0-t)
Doxorubicin and doxorubicinol PK

Full Information

First Posted
July 28, 2006
Last Updated
November 8, 2017
Sponsor
GlaxoSmithKline
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1. Study Identification

Unique Protocol Identification Number
NCT00358540
Brief Title
Dose Finding Study Of Oral Eltrombopag In Patients With Sarcoma Receiving Adriamycin And Ifosfamide
Official Title
An Open-label, Dose Ranging Study to Assess the Safety, Efficacy, and Pharmacokinetics of an Oral Thrombopoietin Receptor Agonist (Eltrombopag) Administered to Subjects Receiving Adriamycin and Ifosfamide (AI) Regimen
Study Type
Interventional

2. Study Status

Record Verification Date
November 2017
Overall Recruitment Status
Completed
Study Start Date
June 1, 2006 (Actual)
Primary Completion Date
October 22, 2010 (Actual)
Study Completion Date
October 22, 2010 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
GlaxoSmithKline

4. Oversight

5. Study Description

Brief Summary
The study will evaluate the safety and tolerability, optimal biologic dose, and pharmacokinetics of eltrombopag for patients with advanced sarcoma who have a low platelet count and are receiving ADRIAMYCIN and ifosfamide (AI) chemotherapy.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Thrombocytopaenia
Keywords
sarcoma, eltrombopag, thrombopoiesis, thrombocytopenia

7. Study Design

Primary Purpose
Supportive Care
Study Phase
Phase 1
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
18 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Group B
Arm Type
Experimental
Arm Description
Group B is a dose escalation phase designed to determine the optimal biological dose of eltrombopag in subjects with sarcoma who received chemotherapy treatment with Adriamycin and Ifosfamide
Arm Title
Group A
Arm Type
Experimental
Arm Description
Group A will be used for further exploration of the optimal biological dose (as initially established by completion of Group B), by using 2 different dosing schedules of eltrombopag.
Intervention Type
Drug
Intervention Name(s)
eltrombopag
Intervention Description
Dosing of sarcoma subjects with eltrombopag after treatment with Adriamycin and Ifosfamide.
Primary Outcome Measure Information:
Title
Safety and tolerability endpoints will consist of the evaluation of adverse events (AE), and changes from baseline in vital signs and clinical laboratory parameters
Time Frame
Approximately 42 weeks
Secondary Outcome Measure Information:
Title
OBD will be determined by evaluating platelet count time course data, platelet nadirs, degree and duration of thrombocytopenia, and platelet count recovery from nadir
Time Frame
Approximately 18 weeks
Title
Eltrombopag AUC(0-t)
Time Frame
Approximately 4 weeks
Title
Doxorubicin and doxorubicinol PK
Time Frame
Approximately 4 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion criteria: Adult subjects, 18 years or older Adequate liver and kidney function Prior history of ≥grade 2 thrombocytopenia (platelet nadir ≤ 75,000/microliters) Ability to ingest and retain oral medication Practice acceptable birth control Ability to understand and follow study requirements Life expectancy of at least 3 months Exclusion criteria: History of platelet disorders, dysfunction, or a bleeding disorder Anti-coagulant used within 2 weeks prior to study start Females who are lactating or expecting History of thromboembolic events or drug induced thrombocytopenia History of central nervous system, brain and/or leptomeningeal metastases Prior surgery within 2 weeks or radiotherapy within 4 weeks of study start Pre-existing cardiac disease
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
GSK Clinical Trials
Organizational Affiliation
GlaxoSmithKline
Official's Role
Study Director
Facility Information:
Facility Name
GSK Investigational Site
City
Santa Monica
State/Province
California
ZIP/Postal Code
90403
Country
United States
Facility Name
GSK Investigational Site
City
Miami
State/Province
Florida
ZIP/Postal Code
33136
Country
United States
Facility Name
GSK Investigational Site
City
Tampa
State/Province
Florida
ZIP/Postal Code
33612
Country
United States
Facility Name
GSK Investigational Site
City
Philadelphia
State/Province
Pennsylvania
ZIP/Postal Code
19106
Country
United States
Facility Name
GSK Investigational Site
City
Greenville
State/Province
South Carolina
ZIP/Postal Code
29605
Country
United States
Facility Name
GSK Investigational Site
City
Dallas
State/Province
Texas
ZIP/Postal Code
75246
Country
United States
Facility Name
GSK Investigational Site
City
Houston
State/Province
Texas
ZIP/Postal Code
77030-4009
Country
United States

12. IPD Sharing Statement

Citations:
PubMed Identifier
23564375
Citation
Hayes S, Mudd PN Jr, Ouellet D, Johnson BM, Williams D, Gibiansky E. Population PK/PD modeling of eltrombopag in subjects with advanced solid tumors with chemotherapy-induced thrombocytopenia. Cancer Chemother Pharmacol. 2013 Jun;71(6):1507-20. doi: 10.1007/s00280-013-2150-9. Epub 2013 Apr 6.
Results Reference
background
PubMed Identifier
23497336
Citation
Chawla SP, Staddon A, Hendifar A, Messam CA, Patwardhan R, Kamel YM. Results of a phase I dose escalation study of eltrombopag in patients with advanced soft tissue sarcoma receiving doxorubicin and ifosfamide. BMC Cancer. 2013 Mar 16;13:121. doi: 10.1186/1471-2407-13-121.
Results Reference
derived

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Dose Finding Study Of Oral Eltrombopag In Patients With Sarcoma Receiving Adriamycin And Ifosfamide

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