- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT01600573
Pazopanib and Weekly Topotecan in Patients Recurrent Ovarian Cancer (TOPAZ)
A Phase I/II Study of Pazopanib and Weekly Topotecan in Patients With Platinum-resistant or Intermediate-sensitive Recurrent Ovarian Cancer
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Study Type
Enrollment (Anticipated)
Phase
- Phase 2
- Phase 1
Contacts and Locations
Study Contact
- Name: Jalid Sehouli, Prof. Dr.
- Phone Number: 564002 +49 (0) 30 450
- Email: jalid.sehouli@charite.de
Study Contact Backup
- Name: Radoslav Chekerov, Dr.
- Phone Number: 664399 030/450
- Email: radoslav.chekerov@charite.de
Study Locations
-
-
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Berlin, Germany, 13353
- Recruiting
- Charité Campus Virchow-Klinikum
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Principal Investigator:
- Jalid Sehouli, Prof. Dr.
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Sub-Investigator:
- Radoslav Chekerov, Dr.
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Contact:
- Jalid Sehouli, Prof. Dr.
- Phone Number: 564002 +49 (0) 30 450
- Email: jalid.sehouli@charite.de
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Contact:
- Radoslav Chekerov, Dr.
- Phone Number: 664399 +49 (0) 30/450
- Email: radoslav.chekerov@charite.de
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- written informed consent
- histologically confirmed diagnosis of epithelial ovarian cancer, primary peritoneal carcinoma or fallopian tube cancer
- platinum resistant (recurrence within 6 months of a platinum-containing regimen) or platinum refractory (progression during platinum treatment) or intermediate platinum-sensitive (recurrence within 12 months after a platinum-based primary therapy) disease
- no more than 2 prior treatment regimens for epithelial ovarian cancer
- Age more than 18 years
- ECOG of 0 or 1
- adequate organ function
- measurable disease or evaluable disease according to RECIST criteria
- able to swallow and retain oral medication
- life expectancy of at least 12 weeks
- non-childbearing potential or negative serum pregnancy test of women of childbearing potential and agrees to use adequate contraception for 14 days before exposure to investigational product, through the dosing period, and for at least 6 months after the last dose of investigational product. Female subjects who are lactating should discontinue nursing prior to the first dose of study drug and should refrain from nursing throughout the treatment period and for 14 days following the last dose of study drug.
Exclusion Criteria:
- prior malignancies; subject who have had another malignancy and have been disease-free for 5 years which effect progression free survival, or subject with a history of completely resected non-melanomatous skin carcinoma or successfully treated in situ carcinoma are eligible
- History or clinical evidence of central nervous system (CNS) metastases or leptomeningeal carcinomatosis, except for individuals who have previously-treated CNS metastases, are asymptomatic, and have had no requirement for steroids or anti-seizure medication for 6 months prior to first dose of study drug. Screening with CNS imaging studies (computed tomography [CT] or magnetic resonance imaging [MRI]) is required only if clinically indicated or if the subject has a history of CNS metastases.
- clinically significant gastrointestinal abnormalities that might interfere with oral dosing or that may increase the risk for gastrointestinal bleeding
- clinically significant gastrointestinal abnormalities that may affect absorption of investigational product
- Grade 3 or 4 diarrhoea
- Any unstable or serious concurrent condition (e.g., active infection requiring systemic therapy)
- poorly controlled hypertension [defined as systolic blood pressure (SBP) of ≥140 mmHg or diastolic blood pressure (DBP) of ≥ 90mmHg]
- Prolongation of corrected QT interval (QTc) >450 milliseconds using Bazett's formula
- History of any one or more of the following cardiovascular conditions within the past 6 months: Cardiac angioplasty or stenting; myocardial infarction; unstable angina; symptomatic peripheral vascular disease; coronary artery by-pass graft surgery
- Class III or IV congestive heart failure as defined by the New York Heart Association (NYHA)
- History of cerebrovascular accident including transient ischemic attack (TIA), pulmonary embolism or untreated deep venous thrombosis (DVT) within the past 6 months
- Macroscopic hematuria
- Hemoptysis in excess of 2.5 mL (or one half teaspoon) within 8 weeks of first dose of study drug
- Evidence of active bleeding or bleeding diathesis
- known endobronchial lesions and/or lesions infiltrating major pulmonary vessels and/or involvement of large pulmonary vessels by tumor
- prior major surgery or trauma within 14 days prior to first dose of study drug and/or presence of any non-healing wound, fracture, or ulcer
- Chemotherapy or radiation therapy or tumour embolization within 2 weeks prior to the first dose of study drug
- biological therapy, immunotherapy, hormonal therapy or treatment with an investigational agent within 14 days (for bevacizumab, 60 days) or 5 half-lives, whichever is longer prior to the first dose of study drug
- is unable or unwilling to discontinue predefined prohibited medications listed in the protocol (refer to section 4.2.3) for 14 days or five half-lives of a drug (whichever is longer) prior to first dose of study drug and for the duration of the study
- any ongoing toxicity from prior anti-cancer therapy that is >Grade 1 and/or that is progressing in severity, except alopecia
- known immediate or delayed hypersensitivity reaction or idiosyncrasy to drugs chemically related to pazopanib
- psychological, familial, sociological, or geographical conditions that do not permit compliance with the protocol
- clinically assessed as having inadequate venous access for PK sampling
- any condition that is unstable or could jeopardize the safety of the patient and their compliance in the study
- legal incapacity or limited legal capacity
- Participation in another clinical study with experimental therapy within the 30 days before start of treatment
- Subjects housed in an institution on official or legal orders
- Pregnancy or lactation period
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: pazopanib plus weekly topotecan
pazopanib in combination with weekly topotecan
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Phase I Trial: Dose level -I: Topotecan weekly 3mg/m2, Pazopanib 400 mg Dose level I: Topotecan weekly 4mg/m2, Pazopanib 400 mg Dose level II: Topotecan weekly 4mg/m2, Pazopanib 600 mg Dose level III: Topotecan weekly 4mg/m2, Pazopanib 800 mg Phase II Trial: Phase II will either use the MTD as determined in Phase I or a lower dose if deemed necessary.
Other Names:
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Phase I: Assessment of dose-limiting toxicity in order to determine the maximum tolerated dose (MTD) of pazopanib in combination with weekly topotecan
Time Frame: after 4 weeks
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Dose-limiting toxicities are defined as follows:
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after 4 weeks
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• Phase II: Progression-free survival according to RECIST criteria
Time Frame: up to 3.5 years
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• Phase II: Progression-free survival according to RECIST criteria
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up to 3.5 years
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
• Overall survival
Time Frame: up to 3.5 years
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• Overall survival
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up to 3.5 years
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• Response rate (CR, PR) according to RECIST criteria
Time Frame: up to 3.5 years
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• Response rate (CR, PR) according to RECIST criteria
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up to 3.5 years
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• Clinical benefit rate (CR, PR, SD)
Time Frame: up to 3.5 years
|
• Clinical benefit rate (CR, PR, SD)
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up to 3.5 years
|
• Duration of response
Time Frame: up to 3.5 years
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• Duration of response
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up to 3.5 years
|
• Time to progression (TTP)
Time Frame: up to 3.5 years
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• Time to progression (TTP)
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up to 3.5 years
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• Evaluation of CA-125 tumour response
Time Frame: up to 3.5 years
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• Evaluation of CA-125 tumour response
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up to 3.5 years
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Safety and tolerability of pazopanib in combination with weekly topotecan
Time Frame: up to 3.5 years
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Incidence and type of AE in terms of:
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up to 3.5 years
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• Quality of life as defined by EORTC-QLQ C 30 and Ovar 28 questionnaire
Time Frame: up to 3.5 years
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• Quality of life as defined by EORTC-QLQ C 30 and Ovar 28 questionnaire
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up to 3.5 years
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Collaborators and Investigators
Sponsor
Collaborators
Investigators
- Principal Investigator: jalid Sehouli, Prof. Dr., Charite University, Berlin, Germany
Study record dates
Study Major Dates
Study Start
Primary Completion (Anticipated)
Study Completion (Anticipated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Estimate)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Neoplasms by Histologic Type
- Neoplasms
- Urogenital Neoplasms
- Neoplasms by Site
- Carcinoma
- Neoplasms, Glandular and Epithelial
- Genital Neoplasms, Female
- Endocrine System Diseases
- Ovarian Diseases
- Adnexal Diseases
- Gonadal Disorders
- Endocrine Gland Neoplasms
- Ovarian Neoplasms
- Carcinoma, Ovarian Epithelial
- Molecular Mechanisms of Pharmacological Action
- Enzyme Inhibitors
- Antineoplastic Agents
- Topoisomerase Inhibitors
- Topoisomerase I Inhibitors
- Topotecan
Other Study ID Numbers
- PazTo_2010
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
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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Roswell Park Cancer InstituteCompletedFallopian Tube Carcinoma | Primary Peritoneal Carcinoma | Stage IIA Ovarian Cancer | Stage IIB Ovarian Cancer | Stage IIC Ovarian Cancer | Stage IIIA Ovarian Cancer | Stage IIIB Ovarian Cancer | Stage IIIC Ovarian Cancer | Stage IV Ovarian Cancer | Stage IA Ovarian Cancer | Stage IB Ovarian Cancer | Stage IC... and other conditionsUnited States
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