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A phase Ia study of MRC202 in patients with malignant ascites caused by cancer.

Phase 1
Conditions
Malignant ascites (hydoperitoneum) associated with cancer
Cancer - Ovarian and primary peritoneal
Registration Number
ACTRN12607000078459
Lead Sponsor
MRC Biotech Pty Ltd
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Stopped early
Sex
All
Target Recruitment
12
Inclusion Criteria

Histologically or cytologically proven advanced or metastatic cancer.Positive or suggestive peritoneal cytology.Judged likely to benefit from insertion of peritoneal port for symptom control.Must have measurable or evaluable disease.Ascites refractory to standard treatments.ECOG 0-3 performance status.At least 3 weeks since prior chemotherapy (at least 6 weeks from agents know to be toxic to stem cells)Must have recovered from reversible side effects of prior therapy.At least 2 weeks since any prior radiotherapy.

Exclusion Criteria

Unresolved ongoing infection requiring treatment.Decompensated liver disease with non-malignant ascites or coagulopathy or encephalopathy.Severe co-morbidity at the discretion of the investigatorsUnwilling or unable to have insertion of an intraperitoneal portacath.Pregnant or breast-feeding mothers.

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Determine pharmakokinetics of MRC202 and sulfoxide metabolites[Sampling timepoints at 1, 2, 4, 6, 8, 24, 48 and 96 hours and 4 weeks after intraperitoneal administration.];Determine dose response to ensure it is within safety limits, as defined by Guidance on Good Clinical Practice (CPMP/ICH/135/95).[At 4 weeks over limited range of exposures ]
Secondary Outcome Measures
NameTimeMethod
Determine feasibility of : Vascular Endothelial Groth Factor (VEGF); circulating endothelial cells; and Vascular Cell Adhesion Molecule - 1 (VCAM) expression in blood and peritoneal fluid as markers of inhibition of angiogensis.[At sampling timepoints of 1, 2, 4, 6, 8, 24, 48 and 96 hours and 4 weeks after intraperitoneal administration.];Determine feasibility of intraperitoneal adminstration for MRC202.[End of Phase Ia trial]
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