Nirogacestat nei tumori a cellule della granulosa ovarica
Uno studio di fase 2 di Nirogacestat in pazienti con tumori a cellule della granulosa ovarica ricorrenti
Panoramica dello studio
Stato
Stato
Condizioni
Condizioni
Intervento / Trattamento
Intervento / Trattamento
Descrizione dettagliata
I tumori a cellule della granulosa ovarica (OvGCT) rappresentano il 5-7% di tutti i tumori ovarici (da ~1,5 a 2.000 pazienti/anno di nuova diagnosi negli Stati Uniti) e sono il sottotipo più comune di tumori del cordone sessuale ovarico (70%). Si prevede che il trattamento dei tumori delle cellule della granulosa con nirogacestat inibisca la proliferazione delle cellule della granulosa indotta da Notch.
Questo è uno studio multicentrico, a braccio singolo, in aperto, di Fase 2, volto a determinare l'efficacia, la sicurezza, la tollerabilità e la farmacocinetica di nirogacestat in partecipanti adulti con OvGCT recidivato/refrattario. I partecipanti continueranno il trattamento fino alla progressione della malattia come determinato dai criteri di valutazione della risposta nei tumori solidi (RECIST) v1.1 o tossicità inaccettabile.
Tipo di studio
Tipo di studio
Iscrizione (Effettivo)
Iscrizione
Fase
Fase
- Fase 2
Contatti e Sedi
Contatto studio
Contatto studio
- Nome: SpringWorks Clinical
- Numero di telefono: 877-279-4870
- Email: clinical@springworkstx.com
Luoghi di studio
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Alberta
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Edmonton, Alberta, Canada, T6G 1Z2
- Cross Cancer Institute
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Bialystok, Polonia, 15-027
- Maria Sklodowska-Curie Bialystok Oncology Center
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Krakow, Polonia, 30-348
- Jagiellonian Innovation Centre Clinical Research Centre
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Poznan, Polonia, 60-569
- University Teaching Hospital Poznan, Department of Oncological Gynaecology
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Warsaw, Polonia, 02-781
- Maria Sklodowska-Curie National Institute of Oncology-National Research Institute, Clinic of Oncological Gynecology
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California
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Los Angeles, California, Stati Uniti, 90033
- USC/Norris Comprehensive Cancer Center
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Los Angeles, California, Stati Uniti, 90095
- UCLA-JCCC Dept. of OBGYN - Women's Health Clinical Research Unit
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Florida
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Orlando, Florida, Stati Uniti, 32806
- Orlando Health Cancer Institute
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Orlando, Florida, Stati Uniti, 32804
- AdventHealth Orlando
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Tampa, Florida, Stati Uniti, 33612
- H. Lee Moffitt Cancer Center and Research Institute
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Louisiana
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Covington, Louisiana, Stati Uniti, 70433
- Women'S Cancer Care
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Maryland
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Baltimore, Maryland, Stati Uniti, 21204
- Greater Baltimore Medical Center
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Massachusetts
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Boston, Massachusetts, Stati Uniti, 02215
- Dana-Farber Cancer Institute
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Missouri
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St Louis, Missouri, Stati Uniti, 63141
- David C. Pratt Cancer Center
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New Mexico
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Albuquerque, New Mexico, Stati Uniti, 87102
- University of New Mexico Comprehensive Cancer Center
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New York
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New York, New York, Stati Uniti, 10032
- Columbia University Medical Center
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New York, New York, Stati Uniti, 10065
- Memorial Sloan Kettering Cancer Institute
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Ohio
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Kettering, Ohio, Stati Uniti, 45429
- Women's Cancer Center at Kettering
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Oklahoma
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Oklahoma City, Oklahoma, Stati Uniti, 73104
- OU Health Stephenson Cancer Center
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Washington
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Seattle, Washington, Stati Uniti, 98109
- UW/Fred Hutch Cancer Center
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Wisconsin
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Milwaukee, Wisconsin, Stati Uniti, 53226
- Froedtert and Medical College of Wisconsin
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Criteri di partecipazione
Criteri di ammissibilità
Criteri di ammissibilità
Età idonea allo studio
Accetta volontari sani
Descrizione
Criteri chiave di inclusione:
- Ha istologicamente confermato il tumore a cellule della granulosa dell'adulto ricorrente dell'ovaio prima della prima dose del trattamento in studio
- Avere prove radiologiche documentate di recidiva dopo almeno una terapia sistemica che non è suscettibile di chirurgia o radiazioni e avere una malattia misurabile secondo i criteri RECIST v1.1
- Avere un'adeguata funzionalità midollare, renale ed epatica come definito dai valori di laboratorio della visita di screening
Criteri chiave di esclusione:
- Ha segni di ostruzione intestinale che richiedono nutrizione parentale, sindrome da malassorbimento o condizioni gastrointestinali preesistenti che possono compromettere l'assorbimento di nirogacestat
- Ha avuto un importante evento cardio o tromboembolico entro 6 mesi dalla firma del consenso informato
- Ha un intervallo QT anormale allo screening, o ha una sindrome del QT lungo congenita o acquisita o una storia di fattori di rischio aggiuntivi per torsioni di punta
- Ha una storia attuale o cronica di malattia epatica o anomalie epatiche o biliari note
- Ha ricevuto qualsiasi trattamento per OvGCT incluso ma non limitato a quanto segue entro 28 giorni (o 5 emivite, a seconda di quale sia il più lungo) prima della prima dose del trattamento in studio: terapia anti-angiogenica, terapia ormonale, chemioterapia, immunoterapia, terapia mirata o qualsiasi trattamento sperimentale
Piano di studio
Come è strutturato lo studio?
Dettagli di progettazione
- Scopo principale: Trattamento
- Assegnazione: N / A
- Modello interventistico: Assegnazione di gruppo singolo
- Mascheramento: Nessuno (etichetta aperta)
Numero di armi
Armi e interventi
Gruppo di partecipanti / ArmGruppo di partecipanti / Arm |
Intervento / TrattamentoIntervento / Trattamento |
|---|---|
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Sperimentale: Nirogacestat Open-Label
Nirogacestat 150 mg per via orale, due volte al giorno Compressa orale di Nirogacestat: Compressa di Nirogacestat |
compresse orali di nirogacestat
Altri nomi:
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Cosa sta misurando lo studio?
Misure di risultato primarie
Misure di risultato primarie
Misura del risultato |
Misura Descrizione |
Lasso di tempo |
|---|---|---|
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Objective Response Rate (ORR)
Lasso di tempo: 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.
|
2.5 years
|
Misure di risultato secondarie
Misure di risultato secondarie
Misura del risultato |
Misura Descrizione |
Lasso di tempo |
|---|---|---|
|
Progression Free Survival at 6 Months (PFS-6)
Lasso di tempo: 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
Lasso di tempo: 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
|
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Duration of Response
Lasso di tempo: 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.
Lasso di tempo: 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.
|
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
Lasso di tempo: 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.
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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
Lasso di tempo: 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).
|
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Change From Baseline at Cycle 5 Day 1 in the Functional Assessment of Cancer Therapy - Ovarian Symptom Index (FOSI) Score
Lasso di tempo: 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
Lasso di tempo: 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
Lasso di tempo: 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).
|
Collaboratori e investigatori
Sponsor
Sponsor
Investigatori
Investigatori
- Direttore dello studio: Medical Responsible, SpringWorks Therapeutics, Inc., a healthcare company of Merck KGaA, Darmstadt, Germany
Pubblicazioni e link utili
Studiare le date dei record
Studia le date principali
Inizio studio (Effettivo)
Inizio studio
Completamento primario (Effettivo)
Completamento primario
Completamento dello studio (Effettivo)
Completamento dello studio
Date di iscrizione allo studio
Primo inviato
Primo inviato
Primo inviato che soddisfa i criteri di controllo qualità
Primo inviato che soddisfa i criteri di controllo qualità
Primo Inserito (Effettivo)
Primo Inserito
Aggiornamenti dei record di studio
Ultimo aggiornamento pubblicato (Effettivo)
Ultimo aggiornamento pubblicato
Ultimo aggiornamento inviato che soddisfa i criteri QC
Ultimo aggiornamento inviato che soddisfa i criteri QC
Ultimo verificato
Ultimo verificato
Maggiori informazioni
Termini relativi a questo studio
Termini MeSH pertinenti aggiuntivi
- Malattie urogenitali
- Malattie genitali
- Malattie del sistema endocrino
- Neoplasie urogenitali
- Neoplasie per sede
- Neoplasie
- Malattie urogenitali femminili
- Malattie urogenitali femminili e complicanze della gravidanza
- Malattie genitali, femmina
- Neoplasie delle ghiandole endocrine
- Malattie ovariche
- Malattie annessiali
- Neoplasie genitali, femmina
- Disturbi gonadici
- Neoplasie ovariche
- Tumore a cellule granulosa dell'ovaio
- Meccanismi molecolari dell'azione farmacologica
- Inibitori enzimatici
- Inibitori e modulatori della gamma secretasi
- Nirogacestat
Altri numeri di identificazione dello studio
Altri numeri di identificazione dello studio
- NIR-OGT-201
- 2022-001816-25 (Numero EudraCT)
Piano per i dati dei singoli partecipanti (IPD)
Hai intenzione di condividere i dati dei singoli partecipanti (IPD)?
Descrizione del piano IPD
Periodo di condivisione IPD
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
Criteri di accesso alla condivisione IPD
Tipo di informazioni di supporto alla condivisione IPD
- STUDIO_PROTOCOLLO
- LINFA
- CODICE_ANALITICO
- RSI
Informazioni su farmaci e dispositivi, documenti di studio
Studia un prodotto farmaceutico regolamentato dalla FDA degli Stati Uniti
Studia un dispositivo regolamentato dalla FDA degli Stati Uniti
Queste informazioni sono state recuperate direttamente dal sito web clinicaltrials.gov senza alcuna modifica. In caso di richieste di modifica, rimozione o aggiornamento dei dettagli dello studio, contattare register@clinicaltrials.gov. Non appena verrà implementata una modifica su clinicaltrials.gov, questa verrà aggiornata automaticamente anche sul nostro sito web .