A Phase II Study Of Single Agent Depsipeptide (FK228) In Recurrent, Platinum Sensitive Adeno-Carcinoma Of The Ovary Or Peritoneum
试验速览
- 阶段
- 2 期
- 状态
- 终止
- 入组人数
- 51
- 试验地点
- 2
- 主要终点
- Toxicity as assessed by CTCAE version 3.0
研究概览
简要总结
This phase II trial is studying how well depsipeptide (romidepsin) works in treating patients with recurrent ovarian epithelial or peritoneal cavity cancer. Drugs used in chemotherapy, such as depsipeptide (romidepsin), work in different ways to stop tumor cells from dividing so they stop growing or die. Depsipeptide (romidepsin) may also stop the growth of ovarian epithelial or peritoneal cavity cancer by stopping blood flow to the tumor and by blocking the enzymes necessary for their growth
详细描述
PRIMARY OBJECTIVES:
I. To estimate the response rate of recurrent, platinum-sensitive adenocarcinoma of the ovarian or peritoneal to depsipeptide (romidepsin).
II. To determine the toxicity of depsipeptide in this patient population.
OUTLINE: This is a multicenter study.
Patients receive depsipeptide (romidepsin) intravenously (IV) over 4 hours on days 1, 8, and 15. Courses repeat every 28 days in the absence of disease progression or unacceptable toxicity.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- Female
- 接受健康志愿者
- 否
入选标准
- •Histologically or cytologically confirmed primary ovarian epithelial or peritoneal cavity cancer
- •Histologic confirmation of recurrent disease not required
- •Measurable disease, defined as ≥ 1 unidimensionally measurable lesion ≥ 20 mm by conventional techniques (including palpation, plain x-ray, computed tomography [CT] scan, or magnetic resonance imaging [MRI]) OR ≥ 10 mm by spiral CT scan
- •Achieved a complete response after initial prior platinum-containing (cisplatin or carboplatin) chemotherapy regimen (e.g., conventional-dose therapy, high-dose therapy, consolidation therapy, or extended therapy after surgical or nonsurgical assessment)
- •Patients who have not received paclitaxel or docetaxel as initial therapy may receive a second regimen containing these drugs
- •No prior chemotherapy for persistent or recurrent disease, including re-treatment with the original regimen
- •Platinum-sensitive disease, defined as having a treatment-free interval with no evidence of progressive disease for > 6 but < 12 months after completion of a platinum-based regimen
- •No known brain metastases
- •Performance status - Eastern Cooperative Oncology Group (ECOG) 0-2
- •Performance status - Karnofsky 60-100%
- •More than 6 months
- •White blood cells (WBC) ≥ 3,000/mm^3
- •Absolute neutrophil count ≥ 1,500/mm^3
- •Platelet count ≥ 100,000/mm^3
- •Bilirubin normal
- •Aspartate aminotransferase (AST) and alanine aminotransferase (ALT) ≤ 2.5 times upper limit of normal (ULN)
- •Creatinine ≤ 1.5 times ULN
- •Creatinine clearance ≥ 60 mL/min
- •No New York Heart Association class III or IV congestive heart failure
- •No myocardial infarction within the past year
- •No uncontrolled dysrhythmias
- •No poorly controlled angina
- •No history of serious ventricular arrhythmia (e.g., ventricular tachycardia or ventricular fibrillation, ≥ 3 beats in a row)
- •QTc interval < 500 msec
- •No other significant cardiac disease
- •Potassium normal
- •Magnesium normal
- •No uncontrolled electrolyte abnormality (hypokalemia and hypomagnesemia)
- •No ongoing or active infection requiring antibiotics
- •No history of allergic reactions attributed to compounds of similar chemical or biological composition to study drug
- •No neuropathy ≥ grade 2
- •No other uncontrolled illness
- •No psychiatric illness or social situation that would preclude study compliance
- •No other invasive malignancy within the past 5 years except nonmelanoma skin cancer
- •Not pregnant or nursing
- •Negative pregnancy test
- •Fertile patients must use effective contraception
- •No prior monoclonal antibodies, cytokines, or signal transduction inhibitors for recurrent disease
- •No concurrent biologic therapy
- •See Disease Characteristics
- •More than 4 weeks since prior chemotherapy (6 weeks for nitrosoureas or mitomycin) for the primary malignancy
- •No prior FR901228 (depsipeptide)
- •No other concurrent chemotherapy
- •More than 4 weeks since prior hormonal therapy for the primary malignancy
- •Concurrent estrogen replacement therapy allowed
- •More than 4 weeks since prior radiotherapy
- •No prior radiotherapy to > 25% of bone marrow
- •No concurrent radiotherapy
- •Recovered from all prior therapy
- •More than 4 weeks since prior noncytotoxic therapy for the primary malignancy
- 另有 6 项未显示
排除标准
- 未提供
研究组 & 干预措施
Treatment (single-agent depsipeptide)
Patients receive depsipeptide (romidepsin) IV over 4 hours on days 1, 8, and 15. Courses repeat every 28 days in the absence of disease progression or unacceptable toxicity.
干预措施: romidepsin (Drug)
结局指标
主要结局
Toxicity as assessed by CTCAE version 3.0
时间窗: Up to 5 years
Response rate
时间窗: Up to 5 years
Estimated as proportion of patients with complete or partial reduction in tumor burden.
Time to progression
时间窗: From first treatment until the date of progression, assessed up to 5 years
Survival
时间窗: From first treatment until death or the last date of contact, assessed up to 5 years
次要结局
未报告次要终点