- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT01267084
A Study to Assess the Potential Effects of Ketoconazole on the Pharmacokinetics of Trabectedin in Patients With Advanced Malignancies
October 12, 2015 updated by: Janssen Research & Development, LLC
An Open-Label, Multicenter Study to Assess the Potential Effects of Ketoconazole on the Pharmacokinetics of Trabectedin in Subjects With Advanced Malignancies
The purpose of this study is to evaluate the potential effects of ketoconazole on blood levels of trabectedin after administration to patients with advanced malignancies.
Study Overview
Status
Completed
Conditions
Intervention / Treatment
Detailed Description
This is an open-label study (patients will know the names of the study drugs they receive), randomized (patients will be assigned 1 of 2 treatment sequences by chance) that is designed to examine the pharmacokinetics (blood levels) of trabectedin when coadministered with ketoconazole in patients with advanced malignancies.
Study drugs include trabectedin and ketoconazole.
Trabectedin is a drug being developed to treat patients with cancer that will be administered intravenously (IV) through a catheter (tube) into a central vein over a period of 3 hours once every 21 days with and without ketoconazole.
Ketoconazole is an antifungal agent taken as tablets orally (by mouth), that may interfere with the metabolism of trabectedin.
In addition, dexamethasone or equivalent steroid, a drug used to prevent nausea and vomiting in chemotherapy patients that may have protective effects on the liver, will be administered to patients before the administration of trabectedin in each treatment cycle.
This study will consist of 2 parts, Part A and B. In Part A, trabectedin+ketoconazole followed by trabectedin alone will be administered with ketoconazole to 4 patients to evaluate safety.
If the safety and PK data collected in Part A is deemed acceptable, enrollment in Part B of the study will begin and patients will receive 1 of 2 treatment sequences of trabectedin and ketoconazole.
Patients in Part A and Part B who complete the treatment phase of the study or who are discontinued due to ketoconazole toxicity, and who in the opinion of the investigator would derive an overall clinical benefit from further treatment with trabectedin will have the opportunity to continue treatment with trabectedin in the optional extension phase.
The dose and schedule of trabectedin may be modified by the treating physician in the optional extension phase to be more appropriate for the type of malignancy being treated.
Patients will receive 20 mg of IV dexamethasone or equivalent steroid prior to trabectedin administration in all cycles.
Part A consists of ketoconazole 200mg 2x daily+trabectedin 0.2mg/m2 i.v.
followed 21 days later by trabectedin 1.3mg/m2 i.v.
Part B consists of Sequence 1 (ketoconazole 200mg 2x daily+trabectedin 0.2mg/m2 i.v.followed 21 days later by trabectedin 1.3mg/m2 i.v.) and Sequence 2 (trabectedin 1.3mg/m2 i.v followed 21 days later by ketoconazole 200mg 2x daily+trabectedin 0.2mg/m2 i.v).
Dexamethasone 20mg i.v. or equivalent, will be given 30 minutes before trabectedin in each cycle.
Study Type
Interventional
Enrollment (Actual)
12
Phase
- Phase 2
- Phase 1
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
-
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Brussel, Belgium
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Wilrijk, Belgium
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Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
18 years and older (ADULT, OLDER_ADULT)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria:
- Patients with locally advanced or metastatic disease, any solid tumor except hepatocellular carcinoma (cancer of the liver), who have been relapsed or had progressive disease following standard of care treatment with chemotherapy prior to enrollment, or intolerant to prior standard of care treatment with chemotherapy
Exclusion Criteria:
- Patients with previous exposure to trabectedin
- Patients with cancer that has metastasized (spread) to the central nervous system
- Patients with known liver disease
- Patients who had a myocardial infarct (heart attack) within 6 months before enrollment or who have any other clinically significant or unstable medical condition as assessed by the Investigator
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: TREATMENT
- Allocation: RANDOMIZED
- Interventional Model: CROSSOVER
- Masking: NONE
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
EXPERIMENTAL: Part 1
Patients will receive trabectedin+ketoconazole followed by trabectedin alone.
Each cycle will be will be separated by 21 days.
Patients will receive 6 total consecutive doses of ketoconazole.
Dexamethasone or equivalent steroid will be administered before trabectedin in each cycle.
|
Patients will receive trabectedin 1.3 mg/m2 when given alone and 0.2mg/m2 when given with ketoconazole, intravenously (into a vein) for 3-hour.
Patients will receive ketoconazole 1 X 200 mg tablet, two times a day, orally (by mouth)
Patients will receive dexamethasone 20 mg or equivalent steroid intravenously, 30 minutes before trabectedin in each cycle.
|
EXPERIMENTAL: Part 2
Patients will receive 1 of 2 treatment sequences; Sequence 1: trabectedin+ketoconazole followed by trabectedin alone or Sequence 2: trabectedin alone followed by trabectedin+ketoconazole.
Each cycle will be separated by 21 days.
Patients will receive 15 total consecutive doses of ketoconazole.
Dexamethasone or equivalent steroid will be administered before trabectedin in each cycle.
|
Patients will receive trabectedin 1.3 mg/m2 when given alone and 0.2mg/m2 when given with ketoconazole, intravenously (into a vein) for 3-hour.
Patients will receive ketoconazole 1 X 200 mg tablet, two times a day, orally (by mouth)
Patients will receive dexamethasone 20 mg or equivalent steroid intravenously, 30 minutes before trabectedin in each cycle.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Pharmacokinetics of trabectedin
Time Frame: At protocol-specified time points for up to 8 days during each 21-day cycle in Sequence 1 and Sequence 2
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At protocol-specified time points for up to 8 days during each 21-day cycle in Sequence 1 and Sequence 2
|
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Pharmacokinetics of ketoconazole
Time Frame: 1 day during Sequence 1 or Sequence 2 after ketoconazole is coadministered with trabectedin
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This will be measured when ketoconazole will be administered.
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1 day during Sequence 1 or Sequence 2 after ketoconazole is coadministered with trabectedin
|
Secondary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Number of patients with adverse events
Time Frame: Time from 1st dose of trabectedin up to 30 days after the last dose of trabectedin
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Time from 1st dose of trabectedin up to 30 days after the last dose of trabectedin
|
Findings from clinical laboratory evaluations
Time Frame: Time from 1st dose of trabectedin up to 30 days after the last dose of trabectedin
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Time from 1st dose of trabectedin up to 30 days after the last dose of trabectedin
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Findings from vital signs measurements
Time Frame: Time from 1st dose of trabectedin up to 30 days after the last dose of trabectedin
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Time from 1st dose of trabectedin up to 30 days after the last dose of trabectedin
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Findings from physical examinations
Time Frame: Time from 1st dose of trabectedin up to 30 days after the last dose of trabectedin
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Time from 1st dose of trabectedin up to 30 days after the last dose of trabectedin
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Evaluation of Survival data
Time Frame: At a time point to be determined by the sponsor at a later date
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At a time point to be determined by the sponsor at a later date
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Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Collaborators
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start
February 1, 2011
Primary Completion (ACTUAL)
November 1, 2012
Study Completion (ACTUAL)
November 1, 2012
Study Registration Dates
First Submitted
December 23, 2010
First Submitted That Met QC Criteria
December 23, 2010
First Posted (ESTIMATE)
December 24, 2010
Study Record Updates
Last Update Posted (ESTIMATE)
October 14, 2015
Last Update Submitted That Met QC Criteria
October 12, 2015
Last Verified
October 1, 2015
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Pathologic Processes
- Neoplasms
- Neoplastic Processes
- Neoplasm Metastasis
- Physiological Effects of Drugs
- Molecular Mechanisms of Pharmacological Action
- Anti-Infective Agents
- Autonomic Agents
- Peripheral Nervous System Agents
- Enzyme Inhibitors
- Anti-Inflammatory Agents
- Antineoplastic Agents
- Antiemetics
- Gastrointestinal Agents
- Glucocorticoids
- Hormones
- Hormones, Hormone Substitutes, and Hormone Antagonists
- Antineoplastic Agents, Hormonal
- Antineoplastic Agents, Alkylating
- Alkylating Agents
- Cytochrome P-450 CYP3A Inhibitors
- Cytochrome P-450 Enzyme Inhibitors
- Hormone Antagonists
- Antifungal Agents
- Steroid Synthesis Inhibitors
- 14-alpha Demethylase Inhibitors
- Dexamethasone
- Ketoconazole
- Trabectedin
Other Study ID Numbers
- CR017539
- ET743OVC1003 (OTHER: Janssen Research & Development, LLC)
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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