MedPath

Randomized, multicentre, prospective, two-arm, open-label Phase II study to investigate the efficacy and safety of two ZK219477 i.v. infusions (3-hour infusion of 16mg/m2 versus 0.5-hour infusion of 16mg/m2) in patients with recurrent ovarian cancer progressing during, or within 6 months of the end of platinum-based chemotherapy

Phase 1
Conditions
Recurrent ovarian cancer
Registration Number
EUCTR2005-000635-15-GB
Lead Sponsor
Schering AG
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
ot Recruiting
Sex
Not specified
Target Recruitment
0
Inclusion Criteria

1. Females aged =18 years

2. Histologically proven cancer of any of the following types:

- Epithelial ovarian cancer
- Peritoneal cavity cancer
- Fallopian tube cancer

3. Suitability of response assessment by the following:

- Measurable disease according to modRECIST, or
- CA-125 levels = 2 times upper limit of normal (ULN) within 2 weeks prior to the
first infusion

4. WHO performance status 0-1

5. Up to 2 previous chemotherapies; the most recent chemotherapy must have been
a platinum-containing therapy

6. Progression of measurable disease or symptomatic relapse during or within 6 months of
previous therapy (elevated CA-125 levels alone are insufficient for inclusion)

7. Time period since prior therapy:

- Prior radiotherapy: = 4 weeks
- Prior chemotherapy: = 4 weeks
- Prior immunotherapy: = 3 weeks

8. Adequate recovery from previous surgery, radiation, and chemotherapy (excluding alopecia)

9. Adequate function of major organs and systems

- Nervous system:
- No peripheral neuropathy = Grade 2
- No altered mental status

- Hematopoietic:
- Hemoglobin = 9 g/dL
- Absolute neutrophil count = 1,500/mm3
- Platelet count = 100,000/mm3

- Hepatic:
- Bilrubin within normal range
- AST/ALT = 5 x ULN

- Renal:
- Creatinine = 1.5 x ULN

- Cardiovascular:
- No symtomatic congestive heart failure
- No unstable angina pectoris
- No arrhythmia needing continuous treatment

- No other uncontrolled concurrent illness

10. Survival expectation = 3 months

11. written informed consent
Are the trial subjects under 18? no
Number of subjects for this age range:
F.1.2 Adults (18-64 years) yes
F.1.2.1 Number of subjects for this age range
F.1.3 Elderly (>=65 years) yes
F.1.3.1 Number of subjects for this age range

Exclusion Criteria

1. More than 2 previous chemotherapies

2. Prior treatment with epothilones

3. Use of any investigational drug within 4 weeks before start of study treatment or
inadequate recovery from any toxic effects of such therapy

4. Previous radiation to the whole pelvis

5. Symptomatic brain metastases requiring whole-brain irradiation

6. Active infection

7. Any concomitant malignancy; the following exceptions are allowed;

- Non-melanoma skin cancer
- Carcinoma in situ of the cervix
- Malignancy with definitive treatment = 5 years ago without relapse

8. Mixed mesodermal tumor (MMT)

9. Prior hormone therapy for any malignancy within 1 month

10. Childbearing potential

11. Any conditions that in the opinion of the investigator could affect the compliance
with the study protocol

Study & Design

Study Type
Interventional clinical trial of medicinal product
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Main Objective: To investigate the efficacy of ZK 219477 in patients with recurrent ovarian cancer progressing during, or within 6 months of platinum-based chemotherapy (proof of concept);<br> Secondary Objective: To investigate the safety and tolerability of ZK 219477 in this patient population<br><br> To assess the impact of the infusion duration on the tolerability of ZK 219477<br> ;<br> Primary end point(s): In patients with measurable disease:<br><br> - Proportion of patients with either CR or PR as best overall response<br><br><br> In patients without measurable disease:<br><br> - Proportion of patients with = 50% reduction in CA-125 levels compared to the<br> pretreatment sample<br>
Secondary Outcome Measures
NameTimeMethod
© Copyright 2025. All Rights Reserved by MedPath