Study of FP-1039 in Subjects With Endometrial Cancers
Primary Purpose
Endometrial Cancers With FGFR2 Mutations
Status
Withdrawn
Phase
Phase 2
Locations
Study Type
Interventional
Intervention
FP-1039
Sponsored by
About this trial
This is an interventional treatment trial for Endometrial Cancers With FGFR2 Mutations focused on measuring endometrial cancer, FGFR2 mutations
Eligibility Criteria
Inclusion criteria for study participation:
- Evidence of histologically or cytologically proven metastatic or locally advanced unresectable endometrial cancer bearing either the S252W or the P243R FGFR2 mutation.
- Female at least 18 years of age
- Performance status ≤ 1 on the ECOG Performance Status Scale
- Adequate cardiac function e.g., NYHA Class I or II
- Estimated life expectancy of at least 16 weeks
- Measurable or evaluable disease by physical or radiologic examination
- Must have recovered from the adverse effects of prior therapy at the time of enrollment to ≤ Grade 1 (excluding alopecia)
- Meets laboratory criteria as specified per protocol.
Exclusion Criteria for study participation:
- Prior treatment with an inhibitor of the FGF/FGFR pathway
Prior treatment with any of the following:
- Cytotoxic chemotherapy (including investigational cytotoxic agents) or biologic agents (antibodies, immune modulators, cytokines) within 4 weeks, or nitrosoureas or mitomycin C within 6 weeks prior to the scheduled first dose of FP-1039
- A small-molecule kinase inhibitor (including investigational small-molecule kinase inhibitors) within 14 days (or 5 half lives of the drug or active metabolites) of the scheduled first dose of FP-1039
- Any other investigational therapy within 28 days of the first scheduled dose of FP-1039 Note: Any eligibility questions related to prior therapies including the timing from prior therapies should be discussed and a decision agreed on by the Investigator and the Sponsor in writing prior to the subject entering the study
- Known hypersensitivity to the components of FP-1039
- Current anticoagulation with therapeutic doses of warfarin (low-dose warfarin ≤ 1mg/day is permitted)
- PT/INR and/or PTT test results at screening that are above 1.3 x the laboratory ULN.
- No exclusionary medical history as described per the protocol.
Presence of any of the following conditions:
- Luminal intestinal cancers and/or abdominal carcinomatosis
- History of abdominal fistula, gastrointestinal perforation, peptic ulcer disease, or intra-abdominal abscess within 6 months prior to study enrollment
- Other potential risk factors for gastrointestinal perforation (i.e., acute diverticulitis, intra-abdominal abscess, gastrointestinal obstruction)
- History of organ, bone marrow, or stem cell transplantation
- Pregnant or breast feeding
- Clinically apparent CNS metastases or carcinomatous meningitis Note: Subjects with CNS metastases who have completed a course of radiotherapy and who have been on a stable dose of glucocorticoids for at least 4 weeks are eligible.
- Uncontrolled intercurrent illness including but not limited to an active infection, hypertension, psychiatric, or substance abuse disorders that would preclude consent, limit compliance with study requirements, or confound safety interpretation.
- Unable or unwilling to abide by the study protocol or cooperate fully with the Investigator or designee
Sites / Locations
Arms of the Study
Arm 1
Arm Type
Experimental
Arm Label
FP-1039
Arm Description
FP-1039
Outcomes
Primary Outcome Measures
Response rate
To assess the response rate of advanced endometrial cancer patients bearing FGFR-specific mutations
Progression-free survival
To assess 6-month progression free survival of advanced endometrial cancer patients bearing FGFR-specific mutations
Secondary Outcome Measures
Safety and tolerability
To evaluate the safety and tolerability of FP-1039 in subjects with advanced endometrial cancer
Pharmacokinetics of Plasma
To determine pharmacokinetics (PK) plasma concentration at specified times
Full Information
NCT ID
NCT01244438
First Posted
November 17, 2010
Last Updated
December 9, 2021
Sponsor
Five Prime Therapeutics, Inc.
Collaborators
Worldwide Clinical Trials
1. Study Identification
Unique Protocol Identification Number
NCT01244438
Brief Title
Study of FP-1039 in Subjects With Endometrial Cancers
Official Title
An Open-Label Phase 2 Pilot Study Evaluating the Activity and Safety of FP 1039 in Subjects With Advanced and/or Recurrent Endometrial Cancers With Specific FGFR2 Mutations
Study Type
Interventional
2. Study Status
Record Verification Date
December 2021
Overall Recruitment Status
Withdrawn
Why Stopped
Study FP1039-002 was not feasible. The original assumption was at least 5% of patients screened would qualify, but after screening 70 patients, none qualified.
Study Start Date
January 2011 (undefined)
Primary Completion Date
June 2012 (Anticipated)
Study Completion Date
December 2012 (Anticipated)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Five Prime Therapeutics, Inc.
Collaborators
Worldwide Clinical Trials
4. Oversight
Data Monitoring Committee
Yes
5. Study Description
Brief Summary
An open-label, non-randomized, single arm study to assess the safety, tolerability, and pharmacokinetics of FP-1039 given by weekly intravenous (IV) administrations in advanced endometrial cancer patients with FGFR2-specific mutations. FP-1039 will be dosed weekly starting at a dose of up to 16 mg/kg.
Detailed Description
FP-1039 will be administered intravenously over 30 minutes once a week. All enrolled subjects will be monitored for the occurrence of unacceptable toxicity. Subjects with no evidence of disease progression or unacceptable toxicity after 4 doses of FP-1039 may continue to receive weekly treatment provided there continues to be no evidence of disease progression or unacceptable toxicity. Dosing will be discontinued if a subject has evidence of disease progression. Disease will be assessed approximately every 2 months.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Endometrial Cancers With FGFR2 Mutations
Keywords
endometrial cancer, FGFR2 mutations
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
0 (Actual)
8. Arms, Groups, and Interventions
Arm Title
FP-1039
Arm Type
Experimental
Arm Description
FP-1039
Intervention Type
Drug
Intervention Name(s)
FP-1039
Intervention Description
FP-1039 will be administered at a dose up to 16 mg/kg intravenously over 30 minutes once a week.
Primary Outcome Measure Information:
Title
Response rate
Description
To assess the response rate of advanced endometrial cancer patients bearing FGFR-specific mutations
Time Frame
up to 1 year
Title
Progression-free survival
Description
To assess 6-month progression free survival of advanced endometrial cancer patients bearing FGFR-specific mutations
Time Frame
6 months
Secondary Outcome Measure Information:
Title
Safety and tolerability
Description
To evaluate the safety and tolerability of FP-1039 in subjects with advanced endometrial cancer
Time Frame
up to 1 year
Title
Pharmacokinetics of Plasma
Description
To determine pharmacokinetics (PK) plasma concentration at specified times
Time Frame
up to 1 year
10. Eligibility
Sex
Female
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion criteria for study participation:
Evidence of histologically or cytologically proven metastatic or locally advanced unresectable endometrial cancer bearing either the S252W or the P243R FGFR2 mutation.
Female at least 18 years of age
Performance status ≤ 1 on the ECOG Performance Status Scale
Adequate cardiac function e.g., NYHA Class I or II
Estimated life expectancy of at least 16 weeks
Measurable or evaluable disease by physical or radiologic examination
Must have recovered from the adverse effects of prior therapy at the time of enrollment to ≤ Grade 1 (excluding alopecia)
Meets laboratory criteria as specified per protocol.
Exclusion Criteria for study participation:
Prior treatment with an inhibitor of the FGF/FGFR pathway
Prior treatment with any of the following:
Cytotoxic chemotherapy (including investigational cytotoxic agents) or biologic agents (antibodies, immune modulators, cytokines) within 4 weeks, or nitrosoureas or mitomycin C within 6 weeks prior to the scheduled first dose of FP-1039
A small-molecule kinase inhibitor (including investigational small-molecule kinase inhibitors) within 14 days (or 5 half lives of the drug or active metabolites) of the scheduled first dose of FP-1039
Any other investigational therapy within 28 days of the first scheduled dose of FP-1039 Note: Any eligibility questions related to prior therapies including the timing from prior therapies should be discussed and a decision agreed on by the Investigator and the Sponsor in writing prior to the subject entering the study
Known hypersensitivity to the components of FP-1039
Current anticoagulation with therapeutic doses of warfarin (low-dose warfarin ≤ 1mg/day is permitted)
PT/INR and/or PTT test results at screening that are above 1.3 x the laboratory ULN.
No exclusionary medical history as described per the protocol.
Presence of any of the following conditions:
Luminal intestinal cancers and/or abdominal carcinomatosis
History of abdominal fistula, gastrointestinal perforation, peptic ulcer disease, or intra-abdominal abscess within 6 months prior to study enrollment
Other potential risk factors for gastrointestinal perforation (i.e., acute diverticulitis, intra-abdominal abscess, gastrointestinal obstruction)
History of organ, bone marrow, or stem cell transplantation
Pregnant or breast feeding
Clinically apparent CNS metastases or carcinomatous meningitis Note: Subjects with CNS metastases who have completed a course of radiotherapy and who have been on a stable dose of glucocorticoids for at least 4 weeks are eligible.
Uncontrolled intercurrent illness including but not limited to an active infection, hypertension, psychiatric, or substance abuse disorders that would preclude consent, limit compliance with study requirements, or confound safety interpretation.
Unable or unwilling to abide by the study protocol or cooperate fully with the Investigator or designee
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Harold Keer, MD, PhD
Organizational Affiliation
Five Prime Therapeutics, Inc.
Official's Role
Study Chair
12. IPD Sharing Statement
Learn more about this trial
Study of FP-1039 in Subjects With Endometrial Cancers
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