PiSARRO: p53 Suppressor Activation in Recurrent High Grade Serous Ovarian Cancer, a Phase Ib/II Study of Systemic Carboplatin Combination Chemotherapy With or Without APR-246
试验速览
- 阶段
- 1 期
- 状态
- 已完成
- 入组人数
- 247
- 试验地点
- 55
- 主要终点
- Phase Ib: Dose-limiting Toxicities (DLT) (See Description) of Combined APR-246 and Carboplatin/PLD Regimen
研究概览
简要总结
The purpose of this study is to make a preliminary assessment of the efficacy of a combined APR-246 and carboplatin/PLD chemotherapy regimen, compared with carboplatin/PLD chemotherapy regimen alone, in patients with platinum sensitive recurrent high grade serous ovarian cancer (HGSOC) with mutated p53. In addition, the study aims to assess the safety profile of the combined APR-246 and carboplatin/PLD chemotherapy regimen compared with carboplatin/PLD chemotherapy regimen alone, to evaluate potential biomarkers, and to assess the biological activity in tumor and surrogate tissues. The trial will enroll up to a maximum of 400 patients.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 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
- •Confirmed High Grade Serous Ovarian Cancer, and positive nuclear immunohistochemical (IHC) staining for p53
- •Disease Progression between 6-24 months after a first or second platinum based regimen
- •At least a single measurable lesion. Phase II patients only
- •Adequate organ function prior to registration
- •Toxicities from previous cancer therapies must have recovered to grade 1 (defined by Common Terminology Criteria for Adverse Events [CTCAE] 4.0) Chronic stable grade 2 peripheral neuropathy secondary to neurotoxicity from prior therapies may be considered on a case by case basis
- •ECOG performance status of 0 to 1
排除标准
- •Prior exposure to cumulative doses of doxorubicin >400 mg/m2 or epirubicin >720 mg/m2
- •History of allergic reactions to carboplatin, platinum containing compounds or mannitol and/or hypersensitivity to PLD or to any of the excipients
- •Unable to undergo imaging by either CT scan or MRI
- •Evidence of any other medical conditions (such as psychiatric illness, infectious diseases, neurological conditions, physical examination or laboratory findings) that may interfere with the planned treatment, affect patient compliance or place the patient at high risk from treatment related complications
- •Concurrent malignancy requiring therapy (excluding non-invasive carcinoma or carcinoma in situ)
- •Is taking concurrent (or within 4 week prior to registration) chemotherapy, immunotherapy, radiotherapy, or any ancillary therapy that is considered to be investigational (i.e., used for non-approved indications(s) and in the context of a research investigation). Supportive care measures are allowed
研究组 & 干预措施
Phase Ib. APR-246 (35mg/kg) + Carboplatin/PLD.
Dose escalation of APR-246.
干预措施: APR-246 (Drug)
Phase Ib. APR-246 (35mg/kg) + Carboplatin/PLD.
Dose escalation of APR-246.
干预措施: Carboplatin and Pegylated Liposomal Doxorubicin Hydrochloride (PLD) (Drug)
Phase II: Arm A. APR-246 + Carboplatin/PLD.
Experimental
干预措施: APR-246 (Drug)
Phase II: Arm A. APR-246 + Carboplatin/PLD.
Experimental
干预措施: Carboplatin and Pegylated Liposomal Doxorubicin Hydrochloride (PLD) (Drug)
Phase II: Arm B. Carboplatin/PLD.
Active Comparator
干预措施: Carboplatin and Pegylated Liposomal Doxorubicin Hydrochloride (PLD) (Drug)
Phase Ib. APR-246 (50mg/kg) + Carboplatin/PLD.
Dose escalation of APR-246.
干预措施: APR-246 (Drug)
Phase Ib. APR-246 (50mg/kg) + Carboplatin/PLD.
Dose escalation of APR-246.
干预措施: Carboplatin and Pegylated Liposomal Doxorubicin Hydrochloride (PLD) (Drug)
Phase Ib. APR-246 (67.5mg/kg) + Carboplatin/PLD.
Dose escalation of APR-246.
干预措施: APR-246 (Drug)
Phase Ib. APR-246 (67.5mg/kg) + Carboplatin/PLD.
Dose escalation of APR-246.
干预措施: Carboplatin and Pegylated Liposomal Doxorubicin Hydrochloride (PLD) (Drug)
结局指标
主要结局
Phase Ib: Dose-limiting Toxicities (DLT) (See Description) of Combined APR-246 and Carboplatin/PLD Regimen
时间窗: Until the end of the first treatment cycle, i.e., Day 28
DLT: Hematological and non-hematological toxicities according to grade/days stated in the protocol.
Phase Ib and II: Progression Free Survival (PFS)
时间窗: Up to 24 months
Phase Ib: Progression-free Survival is calculated from date of enrollment to the date of disease progression or death due to any cause, whichever occurs first. Symptomatic deterioration is not considered PD. For a patient without evidence of disease progression or death, Progression-free survival will be censored at the date of last evaluable tumor assessment. Patients with no evaluable tumor assessments will be censored at the date of first study drug administration. Phase II: Progression-free survival (PFS) based on Blinded Independent Central Review (BICR) is the primary endpoint and is defined as the number of days from the date of randomization to the date of objective disease progression or relapse (according to RECIST v1.1 only) or death due to any cause, whichever occurs first. If neither event occurs, PFS is censored at the date of the last evaluable tumor assessment. Symptomatic deterioration is not considered objective disease progression.
次要结局
- Phase Ib and Phase II: Overall Response Rate (RR)(Up to 24 months)
