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Nirogacestat i ovariegranulosacelletumorer

Et fase 2-forsøg med Nirogacestat hos patienter med tilbagevendende ovariegranulosacelletumorer

Dette fase 2 kliniske forsøg vil studere effektiviteten af ​​nirogacestat i ovariegranulosacelletumorer (OvGCT'er). Nirogacestat er en gammasekretasehæmmer (GSI), som antages at nedsætte væksten og aktiviteten af ​​ovariegranulosatumorer.

Studieoversigt

Status

Afsluttet

Betingelser

Intervention / Behandling

Detaljeret beskrivelse

Ovarie granulosacelletumorer (OvGCT'er) repræsenterer 5-7% af alle ovariecancer (~1,5 til 2k nydiagnosticerede patienter/år i USA) og er den mest almindelige undertype af ovarie-kønsstrengtumorer (70%). Behandling af granulosacelletumorer med nirogacestat forventes at hæmme Notch-induceret granulosacelleproliferation.

Dette er et multicenter, enkelt-arm, fase 2 åbent behandlingsstudie for at bestemme effektiviteten, sikkerheden, tolerabiliteten og farmakokinetikken af ​​nirogacestat hos voksne deltagere med recidiverende/refraktær OvGCT. Deltagerne vil fortsætte behandlingen indtil sygdomsprogression som bestemt af Respons Evaluation Criteria in Solid Tumors (RECIST) v1.1 eller uacceptabel toksicitet.

Undersøgelsestype

Interventionel

Tilmelding (Faktiske)

53

Fase

  • Fase 2

Kontakter og lokationer

Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.

Studiekontakt

Studiesteder

    • Alberta
      • Edmonton, Alberta, Canada, T6G 1Z2
        • Cross Cancer Institute
    • California
      • Los Angeles, California, Forenede Stater, 90033
        • USC/Norris Comprehensive Cancer Center
      • Los Angeles, California, Forenede Stater, 90095
        • UCLA-JCCC Dept. of OBGYN - Women's Health Clinical Research Unit
    • Florida
      • Orlando, Florida, Forenede Stater, 32806
        • Orlando Health Cancer Institute
      • Orlando, Florida, Forenede Stater, 32804
        • AdventHealth Orlando
      • Tampa, Florida, Forenede Stater, 33612
        • H. Lee Moffitt Cancer Center and Research Institute
    • Louisiana
      • Covington, Louisiana, Forenede Stater, 70433
        • Women'S Cancer Care
    • Maryland
      • Baltimore, Maryland, Forenede Stater, 21204
        • Greater Baltimore Medical Center
    • Massachusetts
      • Boston, Massachusetts, Forenede Stater, 02215
        • Dana-Farber Cancer Institute
    • Missouri
      • St Louis, Missouri, Forenede Stater, 63141
        • David C. Pratt Cancer Center
    • New Mexico
      • Albuquerque, New Mexico, Forenede Stater, 87102
        • University of New Mexico Comprehensive Cancer Center
    • New York
      • New York, New York, Forenede Stater, 10032
        • Columbia University Medical Center
      • New York, New York, Forenede Stater, 10065
        • Memorial Sloan Kettering Cancer Institute
    • Ohio
      • Kettering, Ohio, Forenede Stater, 45429
        • Women's Cancer Center at Kettering
    • Oklahoma
      • Oklahoma City, Oklahoma, Forenede Stater, 73104
        • OU Health Stephenson Cancer Center
    • Washington
      • Seattle, Washington, Forenede Stater, 98109
        • UW/Fred Hutch Cancer Center
    • Wisconsin
      • Milwaukee, Wisconsin, Forenede Stater, 53226
        • Froedtert and Medical College of Wisconsin
      • Bialystok, Polen, 15-027
        • Maria Sklodowska-Curie Bialystok Oncology Center
      • Krakow, Polen, 30-348
        • Jagiellonian Innovation Centre Clinical Research Centre
      • Poznan, Polen, 60-569
        • University Teaching Hospital Poznan, Department of Oncological Gynaecology
      • Warsaw, Polen, 02-781
        • Maria Sklodowska-Curie National Institute of Oncology-National Research Institute, Clinic of Oncological Gynecology

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

18 år og ældre (Voksen, Ældre voksen)

Tager imod sunde frivillige

Ingen

Beskrivelse

Nøgleinklusionskriterier:

  • Har histologisk bekræftet tilbagevendende granulosacelletumor af voksen type i æggestokken før første dosis af undersøgelsesbehandling
  • Har dokumenteret radiologiske tegn på tilbagefald efter mindst én systemisk behandling, der ikke er modtagelig for kirurgi eller stråling og har målbar sygdom i henhold til RECIST v1.1-kriterier
  • Har tilstrækkelig knoglemarvs-, nyre- og leverfunktion som defineret ved screeningsbesøgs laboratorieværdier

Nøgleekskluderingskriterier:

  • Har tegn på tarmobstruktion, der kræver forældrenes ernæring, malabsorptionssyndrom eller allerede eksisterende gastrointestinale tilstande, der kan hæmme absorptionen af ​​nirogacestat
  • Har haft en større cardio- eller trombo-embolisk hændelse inden for 6 måneder efter at have underskrevet informeret samtykke
  • Har unormalt QT-interval ved screening, eller har medfødt eller erhvervet lang QT-syndrom eller en historie med yderligere risikofaktorer for Torsades de Pointes
  • Har aktuel eller kronisk anamnese med leversygdom eller kendte lever- eller galdeabnormiteter
  • Har modtaget nogen behandling for OvGCT, herunder men ikke begrænset til følgende inden for 28 dage (eller 5 halveringstider, alt efter hvad der er længst) før den første dosis af undersøgelsesbehandlingen: anti-angiogene terapi, hormonbehandling, kemoterapi, immunterapi, målrettet terapi eller enhver undersøgelsesbehandling

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

  • Primært formål: Behandling
  • Tildeling: N/A
  • Interventionel model: Enkelt gruppeopgave
  • Maskning: Ingen (Åben etiket)

Våben og indgreb

Deltagergruppe / Arm
Intervention / Behandling
Eksperimentel: Nirogacestat Åben-Label

Nirogacestat 150 mg oralt, to gange dagligt

Nirogacestat oral tablet: Nirogacestat tablet

nirogacestat oral tablet
Andre navne:
  • PF-03084014

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Objective Response Rate (ORR)
Tidsramme: 2.5 years
The percentage of participants with complete response (CR) + partial response (PR) assessed using Response Evaluation Criteria in Solid Tumors (RECIST) v1.1 criteria.
2.5 years

Sekundære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Progression Free Survival at 6 Months (PFS-6)
Tidsramme: First day of cycle 7 (approximately 6 months after the first dose of study treatment). Each cycle is 28 days.
The number of participants without progression according to RECIST v1.1 or death at 6 months.
First day of cycle 7 (approximately 6 months after the first dose of study treatment). Each cycle is 28 days.
Overall Survival at Year 2
Tidsramme: 2 years after first dose of study treatment
The number of participants who have not died of any cause by Year 2.
2 years after first dose of study treatment
Duration of Response
Tidsramme: First day of every other cycle (each cycle is 28 days) for the first year, and then every 3 cycles thereafter until study completion (estimated to be an average of 2.5 years).
The time from response (Complete Response [CR] + Partial Response [PR] using RECIST v.1.) to disease progression and/or death, in participants with CR or PR.
First day of every other cycle (each cycle is 28 days) for the first year, and then every 3 cycles thereafter until study completion (estimated to be an average of 2.5 years).
Change From Baseline at Cycle 2 Day 1 in the Functional Assessment of Cancer Therapy - Ovarian Symptom Index (FOSI) Score.
Tidsramme: Baseline and at Cycle 2 Day 1 (cycle length is 28 days).
Participant reported ovarian cancer symptoms as measured by Functional Assessment of Cancer Therapy - Ovarian Symptom Index (FOSI). The FOSI is an 8-question evaluation scored on a Likert scale of 0-4 from not at all to very much. Metrics assessed include lack of energy, vomiting, pain, nausea, swelling in stomach area, concern condition will get worse, quality of life assessment and stomach cramps. Higher score means worse outcome. The responses to the statements except for statement 7 (I am content with the quality of my life right now) were reversed and the sum of non-missing responses is calculated. The FOSI score is the sum multiplied by 8, then divided by the number of responded statements. The FOSI score was missing if a participants had 5 or more missing values in the 8 individual symptom scores at a visit.
Baseline and at Cycle 2 Day 1 (cycle length is 28 days).
Change From Baseline at Cycle 3 Day 1 Treatment in the Functional Assessment of Cancer Therapy - Ovarian Symptom Index (FOSI) Score
Tidsramme: Baseline and at Cycle 3 Day 1 (cycle length is 28 days).
Participant reported ovarian cancer symptoms as measured by Functional Assessment of Cancer Therapy - Ovarian Symptom Index (FOSI). The FOSI is an 8-question evaluation scored on a Likert scale of 0-4 from not at all to very much. Metrics assessed include lack of energy, vomiting, pain, nausea, swelling in stomach area, concern condition will get worse, quality of life assessment and stomach cramps. Higher score means worse outcome. The responses to the statements except for statement 7 (I am content with the quality of my life right now) were reversed and the sum of non-missing responses is calculated. The FOSI score is the sum multiplied by 8, then divided by the number of responded statements. The FOSI score was missing if a participants had 5 or more missing values in the 8 individual symptom scores at a visit.
Baseline and at Cycle 3 Day 1 (cycle length is 28 days).
Change From Baseline at Cycle 4 Day 1 in the Functional Assessment of Cancer Therapy - Ovarian Symptom Index (FOSI) Score
Tidsramme: Baseline and at Cycle 4 Day 1 (cycle length is 28 days).
Participant reported ovarian cancer symptoms as measured by Functional Assessment of Cancer Therapy - Ovarian Symptom Index (FOSI). The FOSI is an 8-question evaluation scored on a Likert scale of 0-4 from not at all to very much. Metrics assessed include lack of energy, vomiting, pain, nausea, swelling in stomach area, concern condition will get worse, quality of life assessment and stomach cramps. Higher score means worse outcome. The responses to the statements except for statement 7 (I am content with the quality of my life right now) were reversed and the sum of non-missing responses is calculated. The FOSI score is the sum multiplied by 8, then divided by the number of responded statements. The FOSI score was missing if a participants had 5 or more missing values in the 8 individual symptom scores at a visit.
Baseline and at Cycle 4 Day 1 (cycle length is 28 days).
Change From Baseline at Cycle 5 Day 1 in the Functional Assessment of Cancer Therapy - Ovarian Symptom Index (FOSI) Score
Tidsramme: Baseline and at Cycle 5 Day 1 (cycle length is 28 days).
Participant reported ovarian cancer symptoms as measured by Functional Assessment of Cancer Therapy - Ovarian Symptom Index (FOSI). The FOSI is an 8-question evaluation scored on a Likert scale of 0-4 from not at all to very much. Metrics assessed include lack of energy, vomiting, pain, nausea, swelling in stomach area, concern condition will get worse, quality of life assessment and stomach cramps. Higher score means worse outcome. The responses to the statements except for statement 7 (I am content with the quality of my life right now) were reversed and the sum of non-missing responses is calculated. The FOSI score is the sum multiplied by 8, then divided by the number of responded statements. The FOSI score was missing if a participants had 5 or more missing values in the 8 individual symptom scores at a visit.
Baseline and at Cycle 5 Day 1 (cycle length is 28 days).
Change From Baseline at End of Treatment in the Functional Assessment of Cancer Therapy - Ovarian Symptom Index (FOSI) Score
Tidsramme: Baseline and at end of treatment (estimated to be an average of 5.5 months [minimum of 0 month and maximum of 33 months]).
Participant reported ovarian cancer symptoms as measured by Functional Assessment of Cancer Therapy - Ovarian Symptom Index (FOSI). The FOSI is an 8-question evaluation scored on a Likert scale of 0-4 from not at all to very much. Metrics assessed include lack of energy, vomiting, pain, nausea, swelling in stomach area, concern condition will get worse, quality of life assessment and stomach cramps. Higher score means worse outcome. The responses to the statements except for statement 7 (I am content with the quality of my life right now) were reversed and the sum of non-missing responses is calculated. The FOSI score is the sum multiplied by 8, then divided by the number of responded statements. The FOSI score was missing if a participants had 5 or more missing values in the 8 individual symptom scores at a visit.
Baseline and at end of treatment (estimated to be an average of 5.5 months [minimum of 0 month and maximum of 33 months]).
Change From Baseline at Safety Follow-up in the Functional Assessment of Cancer Therapy - Ovarian Symptom Index (FOSI) Score
Tidsramme: Baseline and at safety follow-up (up to a maximum of 34 months).
Participant reported ovarian cancer symptoms as measured by Functional Assessment of Cancer Therapy - Ovarian Symptom Index (FOSI). The FOSI is an 8-question evaluation scored on a Likert scale of 0-4 from not at all to very much. Metrics assessed include lack of energy, vomiting, pain, nausea, swelling in stomach area, concern condition will get worse, quality of life assessment and stomach cramps. Higher score means worse outcome. The responses to the statements except for statement 7 (I am content with the quality of my life right now) were reversed and the sum of non-missing responses is calculated. The FOSI score is the sum multiplied by 8, then divided by the number of responded statements. The FOSI score was missing if a participants had 5 or more missing values in the 8 individual symptom scores at a visit.
Baseline and at safety follow-up (up to a maximum of 34 months).

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Sponsor

Efterforskere

  • Studieleder: Medical Responsible, SpringWorks Therapeutics, Inc., a healthcare company of Merck KGaA, Darmstadt, Germany

Publikationer og nyttige links

Den person, der er ansvarlig for at indtaste oplysninger om undersøgelsen, leverer frivilligt disse publikationer. Disse kan handle om alt relateret til undersøgelsen.

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart (Faktiske)

30. august 2022

Primær færdiggørelse (Faktiske)

8. juli 2025

Studieafslutning (Faktiske)

14. juli 2025

Datoer for studieregistrering

Først indsendt

13. april 2022

Først indsendt, der opfyldte QC-kriterier

20. april 2022

Først opslået (Faktiske)

27. april 2022

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

25. august 2026

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

31. juli 2026

Sidst verificeret

1. juli 2026

Mere information

Begreber relateret til denne undersøgelse

Andre undersøgelses-id-numre

  • NIR-OGT-201
  • 2022-001816-25 (EudraCT nummer)

Plan for individuelle deltagerdata (IPD)

Planlægger du at dele individuelle deltagerdata (IPD)?

JA

IPD-planbeskrivelse

SpringWorks Therapeutics er forpligtet til datagennemsigtighed og deling af data til yderligere forskning, samtidig med at forskningsdeltagernes privatliv og fortrolighed bevares. Relevante data på patientniveau fra afsluttede kliniske forsøg vil blive gjort tilgængelige af SpringWorks for kvalificerede forskere efter godkendelse af rimelige anmodninger efter afidentifikation/anonymisering i henhold til gældende lovgivning.

IPD-delingstidsramme

IPD from completed trials will be publicly available within 6 months after all of the following events:

  • Approval of a product/new indication by major authorities (FDA, EMA, PMDA if requested) with no pending submissions
  • Public results via primary manuscript or trial registry disclosure
  • Legal authority to share data
  • Privacy protections are in place If approval is not sought or development is globally discontinued, data will be publicly available within 18 months after global trial completion. Further information on how to request data can be found on our website bit.ly/IPD21

IPD-delingsadgangskriterier

Qualified researchers may propose access to IPD from sponsored trials via https://vivli.org/members/ourmembers/.

IPD-deling Understøttende informationstype

  • STUDY_PROTOCOL
  • SAP
  • ANALYTIC_CODE
  • CSR

Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter

Studerer et amerikansk FDA-reguleret lægemiddelprodukt

Ja

Studerer et amerikansk FDA-reguleret enhedsprodukt

Ingen

Disse oplysninger blev hentet direkte fra webstedet clinicaltrials.gov uden ændringer. Hvis du har nogen anmodninger om at ændre, fjerne eller opdatere dine undersøgelsesoplysninger, bedes du kontakte register@clinicaltrials.gov. Så snart en ændring er implementeret på clinicaltrials.gov, vil denne også blive opdateret automatisk på vores hjemmeside .