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EP-100 Plus Paclitaxel Versus Paclitaxel Alone in Patients With Ovarian Cancer (ESP2011-002)

Primary Purpose

Ovarian Cancer Recurrent

Status
Completed
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
EP-100
Paclitaxel
Sponsored by
Esperance Pharmaceuticals Inc
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Ovarian Cancer Recurrent

Eligibility Criteria

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

Inclusion criteria:

  • Adult patients with histologically confirmed epithelial ovarian carcinomas; these will include primary peritoneal and fallopian tube carcinomas. Patient's tumor shown to be positive for the LHRH-receptors by standardized immunocytochemistry performed at the study's central laboratory.
  • Reliable cancer treatment history documenting advanced disease in patients who have progressed during or recurred after treatment with a paclitaxel and/or platinum regimen for advanced disease.
  • Evaluable disease based on criteria of the Gynecologic Intergroup Response Evaluation Criteria in in Solid Tumors.
  • Karnofsky performance status >/= 70%.

Exclusion criteria:

  • Significant cardiac disease.
  • Active, uncontrolled bacterial, viral, or fungal infections requiring systemic therapy.
  • Pregnant or nursing women.
  • Treatment with radiation therapy or investigational therapy within 4 weeks prior to Day 1. Had received chemotherapy prior to study entry equivalent to 3 to 5 half-lives of that chemotherapy agent or 4 weeks prior to study entry (whichever is shorter) with resolution of any side effects from that previous therapy (6 weeks for nitrosoureas or Mitomycin C.)
  • Subjects with known central nervous system (CNS) metastases, either previously treated or current.
  • Disease-free and off therapy for any other cancer within 5 years, except for adequately treated basal cell or squamous cell skin cancer or cervical intraepithelial neoplasia (CIN).
  • Had major surgery, other than diagnostic surgery, within 4 weeks prior to Day 1. o Had minor surgery (superficial incisions unlikely to obscure bleeding or infections) within 2 weeks prior to Day 1.
  • Potentially life-threatening disease (hypercalcemia, spinal cord compression) whose disease may progress acutely during therapy.
  • Unwilling or unable to comply with procedures required in this protocol.
  • Known infection with human immunodeficiency virus (HIV), hepatitis B, or hepatitis C.
  • Susceptibility to histamine release.
  • Chronic treatment with corticosteroids.
  • Baseline QTc exceeding 450 msec (by Bazett's formula) and/or patients receiving class 1A or class III antiarrythmic agents.
  • Serious nonmalignant disease.
  • Subjects who are currently receiving any other investigational agent.
  • Inadequate renal and liver functions and bone marrow reserve.

The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.

Sites / Locations

  • Investigational Site Number 840001
  • Investigational Site Number 840005
  • Investigational Site Number 840007
  • Investigational Site Number 840010
  • Investigational Site Number 840011
  • Investigational Site Number 840503
  • Investigational Site Number 840004
  • Investigational Site Number 840008
  • Investigational Site Number 840006
  • Investigational Site Number 840603
  • Investigational Site Number 840103
  • Investigational Site Number 840403
  • Investigational Site Number 840003
  • Investigational Site Number 840303
  • Investigational Site Number 840203

Arms of the Study

Arm 1

Arm 2

Arm Type

Active Comparator

Experimental

Arm Label

Paclitaxel

Paclitaxel + EP-100

Arm Description

A single 1 hour intravenous infusion every week for 6 cycles (each cycle is 4 weeks)

Paclitaxel every week plus EP-100 twice weekly by 1 hour intravenous infusion for the first 3 weeks of each 4 week cycle for 6 cycles (each cycle is 4 weeks)

Outcomes

Primary Outcome Measures

Number of patients with dose limiting toxicities (DLTs) at different doses
Overall Response Rate (ORR)

Secondary Outcome Measures

Time to Progression (TTP) - Time
Progression-free Survival - Time
Overall Survival (OS) - Time
Duration of Response - Time
Number of Participants with Adverse Events

Full Information

First Posted
December 2, 2011
Last Updated
June 9, 2014
Sponsor
Esperance Pharmaceuticals Inc
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1. Study Identification

Unique Protocol Identification Number
NCT01485848
Brief Title
EP-100 Plus Paclitaxel Versus Paclitaxel Alone in Patients With Ovarian Cancer
Acronym
ESP2011-002
Official Title
EP-100, a Novel LHRH Receptor-Targeted, Membrane-Disrupting Peptide, Plus Paclitaxel Versus Paclitaxel Alone for Refractory or Recurrent Ovarian Cancer: A Phase II, Randomized, Multicenter Trial
Study Type
Interventional

2. Study Status

Record Verification Date
June 2014
Overall Recruitment Status
Completed
Study Start Date
February 2012 (undefined)
Primary Completion Date
May 2014 (Actual)
Study Completion Date
May 2014 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Esperance Pharmaceuticals Inc

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
Primary Objectives: o Run-in Phase: Determine a dose of EP-100 at which the initial benefit/risk of paclitaxel combined with EP-100 can be studied. o Randomized Phase: Compare the anti-tumor effects of EP-100 combined with weekly paclitaxel versus paclitaxel alone in patients with ovarian cancer. Secondary Objectives: o Randomized Phase: Quantify any significant changes in the safety profile of weekly paclitaxel alone compared to the doublet combination of paclitaxel with EP-100. o Determine an initial benefit/risk profile for this new drug combination.
Detailed Description
Total duration of the study for each participant is 9 to 10 months, consisting of a 1 month screening period, a 6 to 7 months treatment period, and a 30 day follow-up. All patients with stable disease or who have achieved partial or complete response and for whom dosing has been safe and reasonably well-tolerated may continue additional treatment cycles on the same regimen. Any patient whose imaging assessment shows disease progression after receiving at least two cycles of single agent weekly paclitaxel on ARM 1 may then be offered treatment with the combination of EP-100 plus paclitaxel in the same dose regimen as ARM 2.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Ovarian Cancer Recurrent

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
49 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Paclitaxel
Arm Type
Active Comparator
Arm Description
A single 1 hour intravenous infusion every week for 6 cycles (each cycle is 4 weeks)
Arm Title
Paclitaxel + EP-100
Arm Type
Experimental
Arm Description
Paclitaxel every week plus EP-100 twice weekly by 1 hour intravenous infusion for the first 3 weeks of each 4 week cycle for 6 cycles (each cycle is 4 weeks)
Intervention Type
Drug
Intervention Name(s)
EP-100
Intervention Description
Pharmaceutical form:Solution Route of administration: Intravenous
Intervention Type
Drug
Intervention Name(s)
Paclitaxel
Intervention Description
Pharmaceutical form:Solution Route of administration: Intravenous
Primary Outcome Measure Information:
Title
Number of patients with dose limiting toxicities (DLTs) at different doses
Time Frame
Up to 30 weeks
Title
Overall Response Rate (ORR)
Time Frame
Up to 30 weeks
Secondary Outcome Measure Information:
Title
Time to Progression (TTP) - Time
Time Frame
Up to 18 months
Title
Progression-free Survival - Time
Time Frame
Up to 18 months
Title
Overall Survival (OS) - Time
Time Frame
Up to 18 months
Title
Duration of Response - Time
Time Frame
Up to 18 months
Title
Number of Participants with Adverse Events
Time Frame
Up to 18 months

10. Eligibility

Sex
Female
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion criteria: Adult patients with histologically confirmed epithelial ovarian carcinomas; these will include primary peritoneal and fallopian tube carcinomas. Patient's tumor shown to be positive for the LHRH-receptors by standardized immunocytochemistry performed at the study's central laboratory. Reliable cancer treatment history documenting advanced disease in patients who have progressed during or recurred after treatment with a paclitaxel and/or platinum regimen for advanced disease. Evaluable disease based on criteria of the Gynecologic Intergroup Response Evaluation Criteria in in Solid Tumors. Karnofsky performance status >/= 70%. Exclusion criteria: Significant cardiac disease. Active, uncontrolled bacterial, viral, or fungal infections requiring systemic therapy. Pregnant or nursing women. Treatment with radiation therapy or investigational therapy within 4 weeks prior to Day 1. Had received chemotherapy prior to study entry equivalent to 3 to 5 half-lives of that chemotherapy agent or 4 weeks prior to study entry (whichever is shorter) with resolution of any side effects from that previous therapy (6 weeks for nitrosoureas or Mitomycin C.) Subjects with known central nervous system (CNS) metastases, either previously treated or current. Disease-free and off therapy for any other cancer within 5 years, except for adequately treated basal cell or squamous cell skin cancer or cervical intraepithelial neoplasia (CIN). Had major surgery, other than diagnostic surgery, within 4 weeks prior to Day 1. o Had minor surgery (superficial incisions unlikely to obscure bleeding or infections) within 2 weeks prior to Day 1. Potentially life-threatening disease (hypercalcemia, spinal cord compression) whose disease may progress acutely during therapy. Unwilling or unable to comply with procedures required in this protocol. Known infection with human immunodeficiency virus (HIV), hepatitis B, or hepatitis C. Susceptibility to histamine release. Chronic treatment with corticosteroids. Baseline QTc exceeding 450 msec (by Bazett's formula) and/or patients receiving class 1A or class III antiarrythmic agents. Serious nonmalignant disease. Subjects who are currently receiving any other investigational agent. Inadequate renal and liver functions and bone marrow reserve. The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.
Facility Information:
Facility Name
Investigational Site Number 840001
City
Greenbrae
State/Province
California
ZIP/Postal Code
94904-2011
Country
United States
Facility Name
Investigational Site Number 840005
City
San Francisco
State/Province
California
ZIP/Postal Code
94115
Country
United States
Facility Name
Investigational Site Number 840007
City
Louisville
State/Province
Kentucky
ZIP/Postal Code
40202
Country
United States
Facility Name
Investigational Site Number 840010
City
Covington
State/Province
Louisiana
ZIP/Postal Code
70433
Country
United States
Facility Name
Investigational Site Number 840011
City
Shreveport
State/Province
Louisiana
ZIP/Postal Code
71103
Country
United States
Facility Name
Investigational Site Number 840503
City
Bozeman
State/Province
Montana
ZIP/Postal Code
58715
Country
United States
Facility Name
Investigational Site Number 840004
City
Middletown
State/Province
Ohio
ZIP/Postal Code
45042
Country
United States
Facility Name
Investigational Site Number 840008
City
Portland
State/Province
Oregon
ZIP/Postal Code
97227-1191
Country
United States
Facility Name
Investigational Site Number 840006
City
Houston
State/Province
Texas
ZIP/Postal Code
77030
Country
United States
Facility Name
Investigational Site Number 840603
City
Kennewick
State/Province
Washington
ZIP/Postal Code
99336
Country
United States
Facility Name
Investigational Site Number 840103
City
Mount Vernon
State/Province
Washington
ZIP/Postal Code
98273
Country
United States
Facility Name
Investigational Site Number 840403
City
Seattle
State/Province
Washington
ZIP/Postal Code
98112
Country
United States
Facility Name
Investigational Site Number 840003
City
Seattle
State/Province
Washington
ZIP/Postal Code
98115
Country
United States
Facility Name
Investigational Site Number 840303
City
Tacoma
State/Province
Washington
ZIP/Postal Code
98415-0299
Country
United States
Facility Name
Investigational Site Number 840203
City
Wenatchee
State/Province
Washington
ZIP/Postal Code
98801
Country
United States

12. IPD Sharing Statement

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EP-100 Plus Paclitaxel Versus Paclitaxel Alone in Patients With Ovarian Cancer

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