Phase I and Pharmacokinetic Study of Biweekly PEP02 in mCRC Refractory to 1st-line Oxaliplatin Base Therapy
Primary Purpose
Metastatic Colorectal Cancer
Status
Completed
Phase
Phase 1
Locations
Taiwan
Study Type
Interventional
Intervention
PEP02
Sponsored by

About this trial
This is an interventional treatment trial for Metastatic Colorectal Cancer
Eligibility Criteria
Inclusion Criteria:
- Histopathologically confirmed metastatic colorectal cancer
- Documented disease progression after first-line chemotherapy containing oxaliplatin
- Both genders, age 18 years
- ECOG performance status 0 or 1
- Adequate organ and marrow function
- Written informed consent to participate in the study
Exclusion Criteria:
- Have received irinotecan treatment
- With active CNS metastases (indicated by clinical symptoms, cerebral edema, steroid requirement, or progressive growth)
- With clinically significant gastrointestinal disorder (e.g. bleeding, inflammation, obstruction, including partial or complete obstruction secondary to peritoneal carcinomatosis, or diarrhea > grade 1)
- With uncontrolled intercurrent illness that could limit study compliance considered to be ineligible for the study by the investigators including, but NOT limited to, any of the following:ongoing or active infection requiring antibiotic treatment, symptomatic congestive heart failure, unstable angina pectoris, or cardiac arrhythmia psychiatric illness or social situation that would preclude study compliance
- With other primary malignancies, except those remain disease-free for 3 or more years after curative treatment.
- Prior chemotherapy within 3 weeks
- Major surgery or radiotherapy within 4 weeks
- Prior participation in any investigational drug study within 3 weeks
- History of allergic reaction to liposome product
- Pregnant or breastfeeding (a urine pregnancy test must be performed on all patients who are of childbearing potential before entering the study, and the result must be negative)
Sites / Locations
- National Cheng Kung University Hospital
Arms of the Study
Arm 1
Arm Type
Experimental
Arm Label
PEP02
Arm Description
Outcomes
Primary Outcome Measures
To evaluate the DLT and the toxicity profile
To establish the MTD
To characterize the pharmacokinetics of biweekly PEP02 in patients with metastatic colorectal cancer who failed to first-line oxaliplatin-based chemotherapy
Secondary Outcome Measures
To collect data for preliminary evaluation of tumor response
To explore the association of the pharmacogenetics of PEP02 including UGT1A family - UGT1A1 and UGT1A9 with pharmacokinetic parameters and toxicity
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT00940758
Brief Title
Phase I and Pharmacokinetic Study of Biweekly PEP02 in mCRC Refractory to 1st-line Oxaliplatin Base Therapy
Official Title
Phase I and Pharmacokinetic Study of Biweekly PEP02 (Liposome Irinotecan) in Patients With Metastatic Colorectal Cancer Refractory to First-line Oxaliplatin-based Chemotherapy
Study Type
Interventional
2. Study Status
Record Verification Date
April 2017
Overall Recruitment Status
Completed
Study Start Date
June 2009 (Actual)
Primary Completion Date
May 2012 (Actual)
Study Completion Date
June 2014 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
PharmaEngine
4. Oversight
Data Monitoring Committee
No
5. Study Description
Brief Summary
The purpose of this study is to evaluate the dose-limiting toxicity (DLT), toxicity profile, maximum tolerated dose (MTD) and characterize the pharmacokinetics of biweekly PEP02 treatment.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Metastatic Colorectal Cancer
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
18 (Actual)
8. Arms, Groups, and Interventions
Arm Title
PEP02
Arm Type
Experimental
Intervention Type
Drug
Intervention Name(s)
PEP02
Intervention Description
Dose escalation: 50-100 mg/m2 biweekly
Primary Outcome Measure Information:
Title
To evaluate the DLT and the toxicity profile
Time Frame
3 years
Title
To establish the MTD
Time Frame
3 years
Title
To characterize the pharmacokinetics of biweekly PEP02 in patients with metastatic colorectal cancer who failed to first-line oxaliplatin-based chemotherapy
Time Frame
3 years
Secondary Outcome Measure Information:
Title
To collect data for preliminary evaluation of tumor response
Time Frame
3 years
Title
To explore the association of the pharmacogenetics of PEP02 including UGT1A family - UGT1A1 and UGT1A9 with pharmacokinetic parameters and toxicity
Time Frame
3 years
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Histopathologically confirmed metastatic colorectal cancer
Documented disease progression after first-line chemotherapy containing oxaliplatin
Both genders, age 18 years
ECOG performance status 0 or 1
Adequate organ and marrow function
Written informed consent to participate in the study
Exclusion Criteria:
Have received irinotecan treatment
With active CNS metastases (indicated by clinical symptoms, cerebral edema, steroid requirement, or progressive growth)
With clinically significant gastrointestinal disorder (e.g. bleeding, inflammation, obstruction, including partial or complete obstruction secondary to peritoneal carcinomatosis, or diarrhea > grade 1)
With uncontrolled intercurrent illness that could limit study compliance considered to be ineligible for the study by the investigators including, but NOT limited to, any of the following:ongoing or active infection requiring antibiotic treatment, symptomatic congestive heart failure, unstable angina pectoris, or cardiac arrhythmia psychiatric illness or social situation that would preclude study compliance
With other primary malignancies, except those remain disease-free for 3 or more years after curative treatment.
Prior chemotherapy within 3 weeks
Major surgery or radiotherapy within 4 weeks
Prior participation in any investigational drug study within 3 weeks
History of allergic reaction to liposome product
Pregnant or breastfeeding (a urine pregnancy test must be performed on all patients who are of childbearing potential before entering the study, and the result must be negative)
Facility Information:
Facility Name
National Cheng Kung University Hospital
City
Tainan
ZIP/Postal Code
704
Country
Taiwan
12. IPD Sharing Statement
Learn more about this trial
Phase I and Pharmacokinetic Study of Biweekly PEP02 in mCRC Refractory to 1st-line Oxaliplatin Base Therapy
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