Nirogacestat i ovariegranulosacelletumorer
Et fase 2-forsøg med Nirogacestat hos patienter med tilbagevendende ovariegranulosacelletumorer
Studieoversigt
Status
Status
Betingelser
Betingelser
Intervention / Behandling
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
Undersøgelsestype
Tilmelding (Faktiske)
Tilmelding
Fase
Fase
- Fase 2
Kontakter og lokationer
Studiekontakt
Studiekontakt
- Navn: SpringWorks Clinical
- Telefonnummer: 877-279-4870
- E-mail: clinical@springworkstx.com
Studiesteder
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Alberta
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Edmonton, Alberta, Canada, T6G 1Z2
- Cross Cancer Institute
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California
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Los Angeles, California, Forenede Stater, 90033
- USC/Norris Comprehensive Cancer Center
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Los Angeles, California, Forenede Stater, 90095
- UCLA-JCCC Dept. of OBGYN - Women's Health Clinical Research Unit
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Florida
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Orlando, Florida, Forenede Stater, 32806
- Orlando Health Cancer Institute
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Orlando, Florida, Forenede Stater, 32804
- AdventHealth Orlando
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Tampa, Florida, Forenede Stater, 33612
- H. Lee Moffitt Cancer Center and Research Institute
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Louisiana
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Covington, Louisiana, Forenede Stater, 70433
- Women'S Cancer Care
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Maryland
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Baltimore, Maryland, Forenede Stater, 21204
- Greater Baltimore Medical Center
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Massachusetts
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Boston, Massachusetts, Forenede Stater, 02215
- Dana-Farber Cancer Institute
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Missouri
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St Louis, Missouri, Forenede Stater, 63141
- David C. Pratt Cancer Center
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New Mexico
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Albuquerque, New Mexico, Forenede Stater, 87102
- University of New Mexico Comprehensive Cancer Center
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New York
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New York, New York, Forenede Stater, 10032
- Columbia University Medical Center
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New York, New York, Forenede Stater, 10065
- Memorial Sloan Kettering Cancer Institute
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Ohio
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Kettering, Ohio, Forenede Stater, 45429
- Women's Cancer Center at Kettering
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Oklahoma
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Oklahoma City, Oklahoma, Forenede Stater, 73104
- OU Health Stephenson Cancer Center
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Washington
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Seattle, Washington, Forenede Stater, 98109
- UW/Fred Hutch Cancer Center
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Wisconsin
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Milwaukee, Wisconsin, Forenede Stater, 53226
- Froedtert and Medical College of Wisconsin
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Bialystok, Polen, 15-027
- Maria Sklodowska-Curie Bialystok Oncology Center
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Krakow, Polen, 30-348
- Jagiellonian Innovation Centre Clinical Research Centre
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Poznan, Polen, 60-569
- University Teaching Hospital Poznan, Department of Oncological Gynaecology
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Warsaw, Polen, 02-781
- Maria Sklodowska-Curie National Institute of Oncology-National Research Institute, Clinic of Oncological Gynecology
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Deltagelseskriterier
Berettigelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
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
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: N/A
- Interventionel model: Enkelt gruppeopgave
- Maskning: Ingen (Åben etiket)
Antal våben
Våben og indgreb
Deltagergruppe / ArmDeltagergruppe / Arm |
Intervention / BehandlingIntervention / Behandling |
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Eksperimentel: Nirogacestat Åben-Label
Nirogacestat 150 mg oralt, to gange dagligt Nirogacestat oral tablet: Nirogacestat tablet |
nirogacestat oral tablet
Andre navne:
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Hvad måler undersøgelsen?
Primære resultatmål
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
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Objective Response Rate (ORR)
Tidsramme: 2.5 years
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The percentage of participants with complete response (CR) + partial response (PR) assessed using Response Evaluation Criteria in Solid Tumors (RECIST) v1.1 criteria.
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2.5 years
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Sekundære resultatmål
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
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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.
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The number of participants without progression according to RECIST v1.1 or death at 6 months.
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First day of cycle 7 (approximately 6 months after the first dose of study treatment). Each cycle is 28 days.
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Overall Survival at Year 2
Tidsramme: 2 years after first dose of study treatment
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The number of participants who have not died of any cause by Year 2.
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2 years after first dose of study treatment
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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).
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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.
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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).
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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).
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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.
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Baseline and at Cycle 2 Day 1 (cycle length is 28 days).
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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).
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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.
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Baseline and at Cycle 3 Day 1 (cycle length is 28 days).
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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.
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Baseline and at Cycle 4 Day 1 (cycle length is 28 days).
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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.
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Baseline and at Cycle 5 Day 1 (cycle length is 28 days).
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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]).
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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.
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Baseline and at safety follow-up (up to a maximum of 34 months).
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Samarbejdspartnere og efterforskere
Sponsor
Sponsor
Efterforskere
Efterforskere
- Studieleder: Medical Responsible, SpringWorks Therapeutics, Inc., a healthcare company of Merck KGaA, Darmstadt, Germany
Publikationer og nyttige links
Datoer for undersøgelser
Studer store datoer
Studiestart (Faktiske)
Studiestart
Primær færdiggørelse (Faktiske)
Primær færdiggørelse
Studieafslutning (Faktiske)
Studieafslutning
Datoer for studieregistrering
Først indsendt
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først indsendt, der opfyldte QC-kriterier
Først opslået (Faktiske)
Først opslået
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering sendt
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Yderligere relevante MeSH-vilkår
- Urogenitale sygdomme
- Genitale sygdomme
- Sygdomme i det endokrine system
- Urogenitale neoplasmer
- Neoplasmer efter sted
- Neoplasmer
- Urogenitale sygdomme hos kvinder
- Kvinders urogenitale sygdomme og graviditetskomplikationer
- Kønssygdomme, kvindelige
- Neoplasmer i endokrine kirtler
- Ovariesygdomme
- Adnexale sygdomme
- Genitale neoplasmer, kvindelige
- Gonadale lidelser
- Ovariale neoplasmer
- Granulosa -celletumor i æggestokken
- Molekylære mekanismer for farmakologisk virkning
- Enzymhæmmere
- Gamma-sekretasehæmmere og -modulatorer
- Nirogacestat
Andre undersøgelses-id-numre
Andre undersøgelses-id-numre
- NIR-OGT-201
- 2022-001816-25 (EudraCT nummer)
Plan for individuelle deltagerdata (IPD)
Planlægger du at dele individuelle deltagerdata (IPD)?
IPD-planbeskrivelse
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
IPD-deling Understøttende informationstype
- STUDY_PROTOCOL
- SAP
- ANALYTIC_CODE
- CSR
Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter
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