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A Phase 2 Study of PXD101 in Platinum Resistant Epithelial Ovarian Tumors and Micropapillary/Borderline (LMP) Ovarian Tumors


Phase 2
18 Years
N/A
Open (Enrolling)
Female
Fallopian Tube Cancer, Primary Peritoneal Cavity Cancer, Recurrent Borderline Ovarian Surface Epithelial-stromal Tumor, Recurrent Ovarian Epithelial Cancer, Stage III Borderline Ovarian Surface Epithelial-stromal Tumor, Stage III Ovarian Epithelial Cancer, Stage IV Borderline Ovarian Surface Epithelial-stromal Tumor, Stage IV Ovarian Epithelial Cancer

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Trial Information

A Phase 2 Study of PXD101 in Platinum Resistant Epithelial Ovarian Tumors and Micropapillary/Borderline (LMP) Ovarian Tumors


PRIMARY OBJECTIVES:

I. To determine the antitumor activity of PXD 101 as a single agent in the following patient
population using objective response rates (complete and partial): a) Platinum resistant
ovarian carcinoma (progression within 6 months of platinum based therapy); b) Micropapillary
/ borderline (Low Malignant potential) ovarian carcinoma.

SECONDARY OBJECTIVES:

I. To determine the antitumor activity of PXD 101 with regards to stable disease rates,
duration of response, progression- free, median and overall survival rates as well as
determine the safety and tolerability this drug.

TERTIARY OBJECTIVES:

I. To determine the relationship between clinical and pharmacodynamic effects of PXD101 in
patients with platinum resistant and micropapillary tumors undergoing treatment with this
drug.

OUTLINE: This is a multicenter study. Patients are stratified according to diagnosis
(micropapillary or borderline ovarian tumor vs platinum-resistant ovarian epithelial,
primary peritoneal, or fallopian tube cancer).

Patients receive belinostat intravenously (IV) over 30 minutes on days 1-5. Courses repeat
every 21 days in the absence of disease progression or unacceptable toxicity.

After completion of study treatment, patients are followed periodically for up to 5 years.


Inclusion Criteria:



- Diagnosis of 1 of the following:

- Micropapillary or borderline (low malignant potential) ovarian tumors

- No more than 3 prior chemotherapy regimens

- Histologically or cytologically confirmed ovarian epithelial cancer, primary
peritoneal cancer, or fallopian tube cancer

- Recurrent or persistent disease despite initial platinum-based chemotherapy
(i.e., platinum-resistant disease)

- Disease progression within 6 months after completion of chemotherapy

- Received 1-3 prior chemotherapy regimens

- At least 1 regimen must have included a platinum agent
(carboplatin or cisplatin)

- Measurable disease, defined as ≥ 1 lesion that can be accurately measured in ≥ 1
dimension as ≥ 20 mm by conventional techniques or as ≥ 10 mm by spiral CT scan

- Measurable disease outside the field of prior radiotherapy OR disease
progression after completion of radiotherapy

- No known brain metastases

- ECOG performance status (PS) ≤ 2 OR Karnofsky PS ≥ 60%

- WBC ≥ 3,000/mm^3

- Absolute neutrophil count ≥ 1,500/mm^3

- Platelet count ≥ 100,000/mm^3

- Bilirubin normal

- AST and ALT ≤ 2.5 times upper limit of normal

- Creatinine normal OR creatinine clearance ≥ 60 mL/min

- Not pregnant or nursing

- Fertile patients must use effective contraception

- No history of allergic reactions attributed to sulfonamides, arginine, and compounds
of similar chemical or biological composition to PXD101

- No uncontrolled intercurrent illness, including, but not limited to, any of the
following:

- Ongoing or active infection

- Psychiatric illness or social situation that would limit compliance with study
requirements

- No bowel obstruction unless receiving parenteral support

- No marked prolongation of QT/QTc interval (e.g., repeated demonstration of a QTc
interval > 500 msec)

- No long-QT syndrome

- No significant cardiovascular disease, including any of the following:

- Unstable angina pectoris

- Uncontrolled hypertension

- Congestive heart failure related to primary cardiac disease

- Any condition requiring anti-arrhythmic therapy

- Ischemic or severe valvular heart disease

- Myocardial infarction within the past 6 months

- See Disease Characteristics

- At least 4 weeks since prior chemotherapy (6 weeks for nitrosoureas and mitomycin C)
and recovered

- At least 4 weeks since prior radiotherapy or surgery and recovered

- No prior radiotherapy to > 40% of bone marrow

- At least 2 weeks since prior valproic acid

- No concurrent medication that may cause torsades de pointes, including any of the
following:

- Disopyramide

- Dofetilide

- Ibutilide

- Procainamide

- Quinidine

- Sotalol

- Bepridil

- Amiodarone

- Arsenic trioxide

- Cisapride

- Methadone

- Lidoflazine

- Clarithromycin

- Erythromycin

- Halofantrine

- Pentamidine

- Sparfloxacin

- Domperidone

- Droperidol

- Chlorpromazine

- Haloperidol

- Mesoridazine

- Thioridazine

- Pimozide

- No other concurrent anticancer therapy

- No other concurrent investigational agents

- No concurrent combination antiretroviral therapy for HIV-positive patients

Type of Study:

Interventional

Study Design:

Endpoint Classification: Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment

Outcome Measure:

Efficacy of belinostat in terms of complete or partial response; disappearance of all target lesions or at least a 30% decrease in the sum of the longest diameter (LD) of target lesions, taking as reference the baseline sum LD

Outcome Description:

Assessed by Response Evaluation Criteria in Solid Tumors (RECIST) or Rustin criteria.

Outcome Time Frame:

Up to 5 years

Safety Issue:

No

Principal Investigator

Amit Oza

Investigator Role:

Principal Investigator

Investigator Affiliation:

Princess Margaret Hospital Phase 2 Consortium

Authority:

United States: Food and Drug Administration

Study ID:

NCI-2009-00144

NCT ID:

NCT00301756

Start Date:

September 2006

Completion Date:

Related Keywords:

  • Fallopian Tube Cancer
  • Primary Peritoneal Cavity Cancer
  • Recurrent Borderline Ovarian Surface Epithelial-stromal Tumor
  • Recurrent Ovarian Epithelial Cancer
  • Stage III Borderline Ovarian Surface Epithelial-stromal Tumor
  • Stage III Ovarian Epithelial Cancer
  • Stage IV Borderline Ovarian Surface Epithelial-stromal Tumor
  • Stage IV Ovarian Epithelial Cancer
  • Peritoneal Neoplasms
  • Fallopian Tube Neoplasms
  • Neoplasms, Glandular and Epithelial
  • Ovarian Neoplasms

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