Study of XL147 (SAR245408) in Advanced or Recurrent Endometrial Carcinoma
Primary Purpose
Endometrial Cancer, Endometrial Neoplasms
Status
Completed
Phase
Phase 2
Locations
International
Study Type
Interventional
Intervention
XL147 (SAR245408)
Sponsored by
About this trial
This is an interventional treatment trial for Endometrial Cancer focused on measuring endometrial cancer, endometrial carcinoma, carcinoma of the endometrium, cancer of the endometrium
Eligibility Criteria
Inclusion Criteria:
- The subject has a histologically confirmed diagnosis of EC (endometrioid, serous, clear cell adenocarcinoma, adenosquamous carcinoma, or mixed histology, any grade) that is advanced (ie, persistent, locally advanced) or recurrent, and is incurable by standard therapies and has received one platinum based chemotherapy regimen for EC.
- The subject is at least 18 years old.
- The subject has an Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1.
- The subject has at least one measurable lesion
- Tissue samples from archival or fresh tissue, or a tissue block of the subject's tumor
- The subject has adequate organ and marrow function
- The subject is capable of understanding the informed consent and complying with the protocol and has signed the informed consent document before any study-specific screening procedures or evaluations are performed.
- Sexually active subjects of childbearing potential and their partners must agree to use medically accepted methods of contraception during the course of the study and for 3 months after discontinuation of study drug.
- Subjects of childbearing potential must have a negative pregnancy test at screening.
Exclusion Criteria:
- The subject has previously been treated with a selective PI3K inhibitor, mTOR inhibitor, or AKT inhibitor.
- The subject has uterine sarcomas (leiomyosarcoma), mixed Mullerian tumors, squamous carcinoma of the uterus, and/or adenosarcomas of the uterus.
- Certain restrictions on prior treatments apply
- The subject has not recovered from toxicity due to prior therapy to Grade ≤ 1 or to pre-therapy baseline (excluding alopecia and peripheral neuropathy).
- The subject has a known primary brain tumor or brain metastasis.
- The subject has any other diagnosis of malignancy or evidence of malignancy (except non-melanoma skin cancer or in situ carcinoma of the cervix) within 2 years before screening for this study.
- The subject has a diagnosis of uncontrolled diabetes mellitus or has a fasting plasma glucose > 160 mg/dL.
- The subject is currently receiving anticoagulation with therapeutic doses of warfarin (low-dose warfarin ≤ 1 mg/day is permitted).
- The subject has prothrombin time (PT)/international normalized ratio (INR) or partial thromboplastin time (PTT) test results at screening that are above 1.3 x the laboratory upper limit of normal.
- The subject has uncontrolled, significant intercurrent illness
- The subject has a baseline corrected QT interval ≥ 470 ms.
- The subject is known to be positive for the human immunodeficiency virus (HIV). (Note: Baseline HIV screening is not required.)
- The subject is pregnant or breastfeeding.
- The subject has a previously identified allergy or hypersensitivity to components of the study treatment formulation.
Sites / Locations
- Investigational Site Number 1526
- Investigational Site Number 1532
- Investigational Site Number 1239
- Investigational Site Number 1133
- Investigational Site Number 1325
- Investigational Site Number 1434
- Investigational Site Number 1132
- Investigational Site Number 1134
- Investigational Site Number 1142
- Investigational Site Number 1527
- Investigational Site Number 3212
- Investigational Site Number 3211
- Investigational Site Number 3218
Arms of the Study
Arm 1
Arm Type
Experimental
Arm Label
Single Arm
Arm Description
All subjects will receive single-agent XL147 dosed daily
Outcomes
Primary Outcome Measures
Efficacy as defined by overall response rate and progression-free survival (PFS) at 6 months
Safety of XL147 in the EC population
Secondary Outcome Measures
Duration of response and PFS
Characterize pharmacokinetic and pharmacodynamic profiles of XL147
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT01013324
Brief Title
Study of XL147 (SAR245408) in Advanced or Recurrent Endometrial Carcinoma
Official Title
A Phase 2 Study of XL147 (SAR245408) in Subjects With Advanced or Recurrent Endometrial Carcinoma
Study Type
Interventional
2. Study Status
Record Verification Date
May 2016
Overall Recruitment Status
Completed
Study Start Date
January 2010 (undefined)
Primary Completion Date
March 2013 (Actual)
Study Completion Date
March 2013 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Sanofi
4. Oversight
Data Monitoring Committee
Yes
5. Study Description
Brief Summary
There has not been any systemic therapy approved in the United States or in Europe for treating advanced or recurrent endometrial cancer (EC). This study will evaluate the safety and preliminary efficacy of XL147 in advanced or recurrent EC.
Constitutively active phosphatidylinositol-3 kinase (PI3K)/phosphatase and tensin homolog on chromosome 10 (PTEN) pathway signaling is common in EC and involved in the development and/or progression of the disease. PTEN deficiency and/or activating mutations/amplification in the PIK3CA gene that encodes the p110α catalytic subunit of PI3K have been frequently detected in EC patients. XL147 is a potent and highly selective inhibitor of the Class I PI3K family of lipid kinases. In addition, in vivo preclinical data have demonstrated that XL147 targets both proximal and distal signaling in the PI3K/PTEN pathway. Therefore, XL147 may have utility in the treatment of subjects with advanced or recurrent EC.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Endometrial Cancer, Endometrial Neoplasms
Keywords
endometrial cancer, endometrial carcinoma, carcinoma of the endometrium, cancer of the endometrium
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
67 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Single Arm
Arm Type
Experimental
Arm Description
All subjects will receive single-agent XL147 dosed daily
Intervention Type
Drug
Intervention Name(s)
XL147 (SAR245408)
Intervention Description
dosed as capsules taken orally daily
Primary Outcome Measure Information:
Title
Efficacy as defined by overall response rate and progression-free survival (PFS) at 6 months
Time Frame
every 8-10 weeks
Title
Safety of XL147 in the EC population
Time Frame
scheduled evaluations every 2-4 weeks
Secondary Outcome Measure Information:
Title
Duration of response and PFS
Time Frame
every 8-10 weeks
Title
Characterize pharmacokinetic and pharmacodynamic profiles of XL147
Time Frame
at periodic visits not less than every 4 weeks
10. Eligibility
Sex
Female
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
The subject has a histologically confirmed diagnosis of EC (endometrioid, serous, clear cell adenocarcinoma, adenosquamous carcinoma, or mixed histology, any grade) that is advanced (ie, persistent, locally advanced) or recurrent, and is incurable by standard therapies and has received one platinum based chemotherapy regimen for EC.
The subject is at least 18 years old.
The subject has an Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1.
The subject has at least one measurable lesion
Tissue samples from archival or fresh tissue, or a tissue block of the subject's tumor
The subject has adequate organ and marrow function
The subject is capable of understanding the informed consent and complying with the protocol and has signed the informed consent document before any study-specific screening procedures or evaluations are performed.
Sexually active subjects of childbearing potential and their partners must agree to use medically accepted methods of contraception during the course of the study and for 3 months after discontinuation of study drug.
Subjects of childbearing potential must have a negative pregnancy test at screening.
Exclusion Criteria:
The subject has previously been treated with a selective PI3K inhibitor, mTOR inhibitor, or AKT inhibitor.
The subject has uterine sarcomas (leiomyosarcoma), mixed Mullerian tumors, squamous carcinoma of the uterus, and/or adenosarcomas of the uterus.
Certain restrictions on prior treatments apply
The subject has not recovered from toxicity due to prior therapy to Grade ≤ 1 or to pre-therapy baseline (excluding alopecia and peripheral neuropathy).
The subject has a known primary brain tumor or brain metastasis.
The subject has any other diagnosis of malignancy or evidence of malignancy (except non-melanoma skin cancer or in situ carcinoma of the cervix) within 2 years before screening for this study.
The subject has a diagnosis of uncontrolled diabetes mellitus or has a fasting plasma glucose > 160 mg/dL.
The subject is currently receiving anticoagulation with therapeutic doses of warfarin (low-dose warfarin ≤ 1 mg/day is permitted).
The subject has prothrombin time (PT)/international normalized ratio (INR) or partial thromboplastin time (PTT) test results at screening that are above 1.3 x the laboratory upper limit of normal.
The subject has uncontrolled, significant intercurrent illness
The subject has a baseline corrected QT interval ≥ 470 ms.
The subject is known to be positive for the human immunodeficiency virus (HIV). (Note: Baseline HIV screening is not required.)
The subject is pregnant or breastfeeding.
The subject has a previously identified allergy or hypersensitivity to components of the study treatment formulation.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Clinical Sciences & Operations
Organizational Affiliation
Sanofi
Official's Role
Study Director
Facility Information:
Facility Name
Investigational Site Number 1526
City
Newport Beach
State/Province
California
ZIP/Postal Code
92663
Country
United States
Facility Name
Investigational Site Number 1532
City
Orlando
State/Province
Florida
ZIP/Postal Code
32806
Country
United States
Facility Name
Investigational Site Number 1239
City
Augusta
State/Province
Georgia
ZIP/Postal Code
30912
Country
United States
Facility Name
Investigational Site Number 1133
City
Boston
State/Province
Massachusetts
ZIP/Postal Code
02115
Country
United States
Facility Name
Investigational Site Number 1325
City
Columbus
State/Province
Ohio
ZIP/Postal Code
43210
Country
United States
Facility Name
Investigational Site Number 1434
City
Oklahoma City
State/Province
Oklahoma
ZIP/Postal Code
73084
Country
United States
Facility Name
Investigational Site Number 1132
City
Abington
State/Province
Pennsylvania
ZIP/Postal Code
19001
Country
United States
Facility Name
Investigational Site Number 1134
City
Philadelphia
State/Province
Pennsylvania
ZIP/Postal Code
19111
Country
United States
Facility Name
Investigational Site Number 1142
City
Providence
State/Province
Rhode Island
ZIP/Postal Code
02905
Country
United States
Facility Name
Investigational Site Number 1527
City
Dallas
State/Province
Texas
ZIP/Postal Code
75230
Country
United States
Facility Name
Investigational Site Number 3212
City
Kortrijk
ZIP/Postal Code
8500
Country
Belgium
Facility Name
Investigational Site Number 3211
City
Leuven
ZIP/Postal Code
3000
Country
Belgium
Facility Name
Investigational Site Number 3218
City
Wilrijk
ZIP/Postal Code
2610
Country
Belgium
12. IPD Sharing Statement
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Study of XL147 (SAR245408) in Advanced or Recurrent Endometrial Carcinoma
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