A Study of ABT-263 as Single Agent in Women With Platinum Resistant/Refractory Recurrent Ovarian Cancer (MONAVI-1)
Studienübersicht
Status
Status
Bedingungen
Bedingungen
Intervention / Behandlung
Intervention / Behandlung
Studientyp
Studientyp
Einschreibung (Tatsächlich)
Einschreibung
Phase
Phase
- Phase 2
Kontakte und Standorte
Studienorte
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-
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Besançon, Frankreich
- CHU Besançon - Hôpital Jean Minjoz
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Bordeaux, Frankreich
- Institut Bergonie
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Caen, Frankreich
- Centre François Baclesse
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Lille, Frankreich
- Centre Oscar Lambret
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Lyon, Frankreich
- CHU
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Lyon, Frankreich
- Centre Léon Bérard
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Montpellier, Frankreich
- ICM Val d'Aurelle
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Nancy, Frankreich
- ICL Institut de Cancérologie de Lorraine
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Nantes, Frankreich
- Centre Catherine de Sienne
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Nantes, Frankreich
- ICO Centre René Gauducheau
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Nantes, Frankreich
- ICO Paul Papin
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Nice, Frankreich
- Centre Antoine Lacassagne
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Paris, Frankreich
- Hôpital Europeén Georges Pompidou
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Paris, Frankreich
- Hôpital Tenon
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Toulouse, Frankreich
- Institut Claudius Regaud
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Villejuif, Frankreich
- Gustave Roussy
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-
Teilnahmekriterien
Zulassungskriterien
Zulassungskriterien
Studienberechtigtes Alter
Akzeptiert gesunde Freiwillige
Studienberechtigte Geschlechter
Beschreibung
Inclusion Criteria:
- - Woman older than 18 years
- Subjects with Eastern Cooperative Oncology Group (ECOG) performance status ≤ 2
- Histologically and/or cytologically documented high grade serous epithelial cancer of ovarian, fallopian tube or peritoneum
- Platinum resistant ovarian cancer defined as relapsing within 6 months after a platinum based chemotherapy OR platinum refractory ovarian cancer defined as progressing during a platinum based chemotherapy (excepted refractory patients in first line)
- Subjects having received at least 2 prior lines of treatments including platinum regimen
- Subjects who are willing and able to comply with the protocol and study procedures including willingness to undergo tumor biopsy before therapy at screening
- There is no limitation to prior number of therapies
- Patients must have documented disease progression
- Subjects who have measurable disease according to Response Evaluation Criteria in Solid Tumors (RECIST) v1.1
Adequate bone marrow, renal and hepatic function per local laboratory reference range as follows:• Absolute Neutrophil Count ≥ 1500/ mm3
- Platelets ≥ 150,000 / mm3
- Hemoglobin ≥ 9.0 g/dL
- Renal function: Serum creatinine ≤1.2mg/dL or calculated creatinine clearance ≥ 60mL/min
- AST/ALT ≤ 3.0× the upper limit of normal (ULN); [Subjects with liver metastasis may have AST, ALP, and ALT less then or equal to 5.0 X ULN]
- Bilirubin ≤ 1.25×ULN
- Coagulation: aPTT and PT not to exceed 1.2 × ULN
- LVEF > 50% by echocardiograms or MUGA
- Patients must give written informed consent
Exclusion Criteria:
- Patient's refusal or impossibility to perform biopsy on relapsing disease
- Bowel occlusive syndrome or other gastro-intestinal disorder that does not allow oral medication such as malabsorption
- Patients with platinum refractory disease in first line
- Received radio-immunotherapy within 6 months of 1st dose of study drug
- Received steroid therapy for anti-neoplastic intent within 7 days of the 1st dose of study drug (Inhaled steroids for asthma, topical steroids, replacement/stress corticosteroids, or corticosteroids taken as premedication are allowed)
- Consumption of grapefruit or grapefruit products within 3 days prior to the first dose of study drug
- Patient receiving treatments strong CYP3A4 inhibitors or inducers (Appendix A)
- Positive for HIV and VHC
- Predisposing condition/currently exhibiting signs of bleeding
- Currently receiving anticoagulation therapy, exception of low-dose anticoagulation medications for prophylaxis
- Received aspirin within 7 days of start dose of study drug
- Active peptic ulcer disease / other potentially hemorrhagic esophagitis/gastritis
- Active immune thrombocytopenic purpura, autoimmune hemolytic anemia or history of being refractory to platelet transfusions (within 1 year of 1st dose of study drug)
- Uncontrolled cardiac, renal, neurologic, psychiatric, endocrinologic, metabolic, immunologic, or hepatic disease, active systemic fungal infection; diagnosis of fever and neutropenia within 1 week of study drug administration
- A evidence of current/active malignancies other than ovarian cancer
- Pregnant or lactating women
Studienplan
Wie ist die Studie aufgebaut?
Designdetails
- Hauptzweck: Behandlung
- Zuteilung: N / A
- Interventionsmodell: Einzelgruppenzuweisung
- Maskierung: Keine (Offenes Etikett)
Anzahl der Arme
Waffen und Interventionen
Teilnehmergruppe / ArmTeilnehmergruppe / Arm |
Intervention / BehandlungIntervention / Behandlung |
|---|---|
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Experimental: ABT-263
oral Navitoclax (ABT-263) daily
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Was misst die Studie?
Primäre Ergebnismessungen
Primäre Ergebnismessungen
Ergebnis Maßnahme |
Zeitfenster |
|---|---|
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The primary endpoint is the progression-free survival (PFS) in the whole cohort of patients with a recurrent platinum-resistant ovarian cancer.
Zeitfenster: the time to progression (or death from any cause) from date of randomization until date of first documented progression or date of death from any cause,whichever came first, assessed up to 12 months. Evaluation at interim and final analyses.
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the time to progression (or death from any cause) from date of randomization until date of first documented progression or date of death from any cause,whichever came first, assessed up to 12 months. Evaluation at interim and final analyses.
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Sekundäre Ergebnismessungen
Sekundäre Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
|---|---|---|
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Bim expression level
Zeitfenster: biopsy sample before initiation of treatment by ABT-263 and assessment within 6 months after end of inclusions
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Bim expression level expressed by immunohistochemistry on biopsy of relapsing tumor at inclusion
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biopsy sample before initiation of treatment by ABT-263 and assessment within 6 months after end of inclusions
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Response rate
Zeitfenster: evaluated every 6 weeks during treatment to progression or death for any cause.(during average 12 months)]
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- Response rate defined by a complete response (CR), a partial response (PR) or a stable disease (SD) according to the RECIST v1.1
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evaluated every 6 weeks during treatment to progression or death for any cause.(during average 12 months)]
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Overall survival (OS)
Zeitfenster: From date of randomization until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 48 months.
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From date of randomization until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 48 months.
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Incidence of Treatment-Emergent Adverse Events according to the NCI CTC AE version 4.0
Zeitfenster: From date of treatment start until end of study participation (during average 12 months)]
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Toxicities
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From date of treatment start until end of study participation (during average 12 months)]
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Peak Plasma Concentration of ABT-263
Zeitfenster: 8-hour post-dose PK on D1 of C1 & 2. Dosage will be done within 12 months after end of inclusions
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8-hour post-dose PK on D1 of C1 & 2. Dosage will be done within 12 months after end of inclusions
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Residual concentration of ABT-263
Zeitfenster: Pre-dose 0 and cycles 3, 4, 6 . Dosage will be done within 12 months after end of inclusions
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Pre-dose 0 and cycles 3, 4, 6 . Dosage will be done within 12 months after end of inclusions
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Mitarbeiter und Ermittler
Sponsor
Sponsor
Mitarbeiter
Mitarbeiter
Publikationen und hilfreiche Links
Studienaufzeichnungsdaten
Haupttermine studieren
Studienbeginn (Tatsächlich)
Studienbeginn
Primärer Abschluss (Tatsächlich)
Primärer Abschluss
Studienabschluss (Tatsächlich)
Studienabschluss
Studienanmeldedaten
Zuerst eingereicht
Zuerst eingereicht
Zuerst eingereicht, das die QC-Kriterien erfüllt hat
Zuerst eingereicht, das die QC-Kriterien erfüllt hat
Zuerst gepostet (Schätzen)
Zuerst gepostet
Studienaufzeichnungsaktualisierungen
Letztes Update gepostet (Tatsächlich)
Letztes Update gepostet
Letztes eingereichtes Update, das die QC-Kriterien erfüllt
Letztes eingereichtes Update, das die QC-Kriterien erfüllt
Zuletzt verifiziert
Zuletzt verifiziert
Mehr Informationen
Begriffe im Zusammenhang mit dieser Studie
Zusätzliche relevante MeSH-Bedingungen
- Neubildungen nach histologischem Typ
- Neubildungen
- Urogenitale Neoplasmen
- Neubildungen nach Standort
- Karzinom
- Neubildungen, Drüsen und Epithelien
- Genitale Neubildungen, weiblich
- Erkrankungen des endokrinen Systems
- Eierstockerkrankungen
- Adnexerkrankungen
- Gonadenstörungen
- Neoplasmen der endokrinen Drüse
- Eierstocktumoren
- Karzinom, Eierstockepithel
- Antineoplastische Mittel
- Navitoclax
Andere Studien-ID-Nummern
Andere Studien-ID-Nummern
- 2015-000193-35
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