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A Clinical Trial to Determine the Most Suitable Dose of OPB-111001 in Patients With Advanced Cancer

Primary Purpose

Prostate Cancer, Salivary Gland Cancer, Endometrial Cancer

Status
Terminated
Phase
Phase 1
Locations
United Kingdom
Study Type
Interventional
Intervention
OPB-111001
Sponsored by
Otsuka Novel Products GmbH
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Prostate Cancer focused on measuring Prostate cancer

Eligibility Criteria

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

Inclusion Criteria:

  • ≥ 18 years of age
  • Patients with prostate cancer that is recurrent or did not respond to previous hormone therapy and/or who have exhausted standard treatment options.

For the dose escalation parts only:

Patients who have exhausted standard treatment options with recurrent or refractory cancer (ovarian cancer, cervical squamous cell carcinoma, breast cancer, salivary gland cancer, endometrial cancer)

  • Histologically or cytologically documented diagnosis of cancer
  • Measurable disease according to RECIST Version 1.1 or for prostate cancer also evaluable disease according to Prostate Cancer Working Group 2 (PCWG2) eligibility criteria or for ovarian cancer also evaluable disease (non-measurable) according to Gynaecologic Cancer Intergroup (GCIG) criteria
  • Absolute neutrophil count ≥1.5 (1500/mm3) and platelets ≥100 × 109/L (without platelet transfusion within the last 4 weeks before first study drug administration), and haemoglobin ≥9 g/dL at Screening
  • Alanine aminotransferase and aspartate aminotransferase ≤2.5 × the upper limit of normal (ULN), Total bilirubin ≤1.5 × ULN (exception: patients with liver metastasis are allowed to have aspartate aminotransferase ≤5 × ULN and alanine aminotransferase ≤5 × ULN) at screening
  • Albumin ≥26 g/L at Screening

Exclusion Criteria:

  • Concurrent prior treatment-related toxicity of Grade 2 or higher. Exception: any toxicity that is in the view of the investigator not a clinically significant safety risk for Investigational medicinal product (IMP) administration.
  • Previous treatment with cytotoxic chemotherapy or other anticancer therapy within 4 weeks before the first dosing with study drug (at least 6 weeks for mitoxantrone, nitrosurea, and bicalutamide).
  • Treatment with systemic glucocorticosteroids of more than a 2 mg dexamethasone equivalent per day or in cases of treatment with ≤2 mg dexamethasone equivalent per day:

    1. Dosing was changed within 6 weeks before Screening or
    2. The patient's cancer is responding to glucocorticosteroid intake
  • Radiation therapy within 4 weeks prior to the first dosing with IMP.
  • Treatment with a systemic IMP in a clinical trial within 28 days before the Screening Visit.
  • Current or past history of clinically significant gastrointestinal disease or major gastrointestinal surgery, malabsorption syndrome, or other conditions that could interfere with enteral absorption.
  • Concurrent clinically significant unrelated systemic illness (e.g., serious infection) or significant pulmonary, hepatic, or other organ dysfunction that would compromise the patient's ability to tolerate study treatment or would likely interfere with study procedures or results.

Sites / Locations

  • The Institute of Cancer Research, Royal Marsden NHS Foundation Trust
  • NIHR/Wellcome Trust Imperial CRF/Imperial College Healthcare NHS Trust, Imperial Centre for Translational and Experimental Medicine (L-Block), Hammersmith Hospital

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Experimental

Experimental

Experimental

Experimental

Arm Label

1: Regimen A Escalation

2: Regimen A Extension

3: Regimen B Escalation

4: Regimen B Extension

Arm Description

1: OPB-111001, orally, once weekly

2: OPB-111001, orally, once weekly

3: OPB-111001, orally, 2 - 3 times per week

4: OPB-111001, orally, 2 - 3 times per week

Outcomes

Primary Outcome Measures

Maximum tolerated dose / Recommended Phase 2 dose; Tolerability

Secondary Outcome Measures

Pharmacokinetic parameters for OPB-111001 and its metabolites
Frequent sampling during Cycle 1 to 3, D1 only from Cycle 4 onwards
Assessment of antitumor activity as defined by Response Evaluation Criteria in Solid Tumours (RECIST)
Prostate-specific antigen (PSA) response in patients with prostate cancer
Cancer antigen 125 (CA 125) response in patients with ovarian cancer
Time to treatment failure

Full Information

First Posted
January 17, 2014
Last Updated
October 19, 2015
Sponsor
Otsuka Novel Products GmbH
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1. Study Identification

Unique Protocol Identification Number
NCT02042885
Brief Title
A Clinical Trial to Determine the Most Suitable Dose of OPB-111001 in Patients With Advanced Cancer
Official Title
A Two-part Phase 1/2a, Open-label, Dose Escalation Study to Evaluate the Tolerability and Preliminary Antitumour Activity of OPB-111001 in Patients With Advanced Cancers That Are Poorly Responsive to Standard Anticancer Treatment
Study Type
Interventional

2. Study Status

Record Verification Date
July 2014
Overall Recruitment Status
Terminated
Study Start Date
January 2014 (undefined)
Primary Completion Date
February 2015 (Actual)
Study Completion Date
February 2015 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Otsuka Novel Products GmbH

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The purpose of this study is to determine the tolerability profile of OPB-111001 and to determine the most suitable dose of OPB-111001 in patients with advanced cancer

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Prostate Cancer, Salivary Gland Cancer, Endometrial Cancer, Squamous Cell Carcinoma of the Cervix, Breast Cancer, Ovarian Cancer
Keywords
Prostate cancer

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1, Phase 2
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
79 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
1: Regimen A Escalation
Arm Type
Experimental
Arm Description
1: OPB-111001, orally, once weekly
Arm Title
2: Regimen A Extension
Arm Type
Experimental
Arm Description
2: OPB-111001, orally, once weekly
Arm Title
3: Regimen B Escalation
Arm Type
Experimental
Arm Description
3: OPB-111001, orally, 2 - 3 times per week
Arm Title
4: Regimen B Extension
Arm Type
Experimental
Arm Description
4: OPB-111001, orally, 2 - 3 times per week
Intervention Type
Drug
Intervention Name(s)
OPB-111001
Primary Outcome Measure Information:
Title
Maximum tolerated dose / Recommended Phase 2 dose; Tolerability
Time Frame
after 2 or 6 weeks depending on study part; continously
Secondary Outcome Measure Information:
Title
Pharmacokinetic parameters for OPB-111001 and its metabolites
Description
Frequent sampling during Cycle 1 to 3, D1 only from Cycle 4 onwards
Time Frame
repeatedly until end of study (average of 3 months assumed)
Title
Assessment of antitumor activity as defined by Response Evaluation Criteria in Solid Tumours (RECIST)
Time Frame
repeatedly every 8th week until end of study (average of 3 months assumed)
Title
Prostate-specific antigen (PSA) response in patients with prostate cancer
Time Frame
repeatedly (Cycle 1 to 3 on Day 1, then every 4th week) until end of study (average of 3 months assumed)
Title
Cancer antigen 125 (CA 125) response in patients with ovarian cancer
Time Frame
repeatedly (Cycle 1 to 3 on Day 1, then every 4th week) until end of study (average of 3 months assumed)
Title
Time to treatment failure
Time Frame
At end of study (after average of 3 months assumed)

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: ≥ 18 years of age Patients with prostate cancer that is recurrent or did not respond to previous hormone therapy and/or who have exhausted standard treatment options. For the dose escalation parts only: Patients who have exhausted standard treatment options with recurrent or refractory cancer (ovarian cancer, cervical squamous cell carcinoma, breast cancer, salivary gland cancer, endometrial cancer) Histologically or cytologically documented diagnosis of cancer Measurable disease according to RECIST Version 1.1 or for prostate cancer also evaluable disease according to Prostate Cancer Working Group 2 (PCWG2) eligibility criteria or for ovarian cancer also evaluable disease (non-measurable) according to Gynaecologic Cancer Intergroup (GCIG) criteria Absolute neutrophil count ≥1.5 (1500/mm3) and platelets ≥100 × 109/L (without platelet transfusion within the last 4 weeks before first study drug administration), and haemoglobin ≥9 g/dL at Screening Alanine aminotransferase and aspartate aminotransferase ≤2.5 × the upper limit of normal (ULN), Total bilirubin ≤1.5 × ULN (exception: patients with liver metastasis are allowed to have aspartate aminotransferase ≤5 × ULN and alanine aminotransferase ≤5 × ULN) at screening Albumin ≥26 g/L at Screening Exclusion Criteria: Concurrent prior treatment-related toxicity of Grade 2 or higher. Exception: any toxicity that is in the view of the investigator not a clinically significant safety risk for Investigational medicinal product (IMP) administration. Previous treatment with cytotoxic chemotherapy or other anticancer therapy within 4 weeks before the first dosing with study drug (at least 6 weeks for mitoxantrone, nitrosurea, and bicalutamide). Treatment with systemic glucocorticosteroids of more than a 2 mg dexamethasone equivalent per day or in cases of treatment with ≤2 mg dexamethasone equivalent per day: Dosing was changed within 6 weeks before Screening or The patient's cancer is responding to glucocorticosteroid intake Radiation therapy within 4 weeks prior to the first dosing with IMP. Treatment with a systemic IMP in a clinical trial within 28 days before the Screening Visit. Current or past history of clinically significant gastrointestinal disease or major gastrointestinal surgery, malabsorption syndrome, or other conditions that could interfere with enteral absorption. Concurrent clinically significant unrelated systemic illness (e.g., serious infection) or significant pulmonary, hepatic, or other organ dysfunction that would compromise the patient's ability to tolerate study treatment or would likely interfere with study procedures or results.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Johann De Bono, Prof. Dr.
Organizational Affiliation
The Institute of Cancer Research, Royal Marsden NHS Foundation Trust London United Kingdom
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Sarah Blagden, Dr.
Organizational Affiliation
NIHR/Wellcome Trust Imperial CRF, Imperial College Healthcare NHS Trust, Imperial Center for Translational and Experimental Medicine (L-Block), Hammersmith Hospital London, United Kingdom
Official's Role
Principal Investigator
Facility Information:
Facility Name
The Institute of Cancer Research, Royal Marsden NHS Foundation Trust
City
London, Sutton
State/Province
Surrey
ZIP/Postal Code
SM2 5PT
Country
United Kingdom
Facility Name
NIHR/Wellcome Trust Imperial CRF/Imperial College Healthcare NHS Trust, Imperial Centre for Translational and Experimental Medicine (L-Block), Hammersmith Hospital
City
London
ZIP/Postal Code
W12 0HS
Country
United Kingdom

12. IPD Sharing Statement

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A Clinical Trial to Determine the Most Suitable Dose of OPB-111001 in Patients With Advanced Cancer

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