Satraplatin and Vinorelbine in Advanced Solid Tumors

NCT ID: NCT01220284

Last Updated: 2010-10-13

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

Get a concise snapshot of the trial, including recruitment status, study phase, enrollment targets, and key timeline milestones.

Recruitment Status

UNKNOWN

Clinical Phase

PHASE1

Total Enrollment

27 participants

Study Classification

INTERVENTIONAL

Study Start Date

2008-02-29

Study Completion Date

2011-02-28

Brief Summary

Review the sponsor-provided synopsis that highlights what the study is about and why it is being conducted.

Vinorelbine (NVB) and platinum compounds are anticancer agents with broad spectrum of efficacy, clinically and preclinically proven synergism and only partially overlapping toxicities. Combinations with vinorelbine and platinum compounds with limited neurotoxicity are among the most used palliative regimens in a variety of solid tumors, including NSCLC, breast and cervical cancer. The oral platinum analogue satraplatin (SATRA) has been brought into clinical development because of the antitumor activity and toxicity comparable to those of carboplatin, together with a good acceptability of the oral administration.The recent availability of oral formulation of anticancer agents of proven efficacy in some indications is likely to become a valid option which could affect clinical daily management. The oral administration of vinorelbine and satraplatin might represent a reasonable option of palliative treatment in patients with advanced breast cancer, NSCL, GU or GY tumors for which a curative treatment can not be provided.

Detailed Description

Dive into the extended narrative that explains the scientific background, objectives, and procedures in greater depth.

Conditions

See the medical conditions and disease areas that this research is targeting or investigating.

Advanced Solid Tumors

Study Design

Understand how the trial is structured, including allocation methods, masking strategies, primary purpose, and other design elements.

Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

Review each arm or cohort in the study, along with the interventions and objectives associated with them.

Satraplatin in combo with vinorelbine

Escalating doses of satraplatin and oral vinorelbine in subsequent cohorts of 3-6 patients according to the type and severity grade of acute toxicities observed during cycle 1.

The dose escalation process will be discontinued once the MTD is achieved.

Group Type EXPERIMENTAL

Satraplatin in combo with vinorelbine

Intervention Type DRUG

* Satraplatin (gelatin capsules) p.o. on days 1 to 5 (from 60 mg/m2 up to 80 mg/m2)
* Vinorelbine (soft capsules) p.o. on days 1, 8 and 15 (from 60 mg/m2 up to 80 mg/m2) The treatment is repeated every 4 weeks.

Interventions

Learn about the drugs, procedures, or behavioral strategies being tested and how they are applied within this trial.

Satraplatin in combo with vinorelbine

* Satraplatin (gelatin capsules) p.o. on days 1 to 5 (from 60 mg/m2 up to 80 mg/m2)
* Vinorelbine (soft capsules) p.o. on days 1, 8 and 15 (from 60 mg/m2 up to 80 mg/m2) The treatment is repeated every 4 weeks.

Intervention Type DRUG

Other Intervention Names

Discover alternative or legacy names that may be used to describe the listed interventions across different sources.

- Satraplatin (codenamed JM216) - Vinorelbine, Navelbine

Eligibility Criteria

Check the participation requirements, including inclusion and exclusion rules, age limits, and whether healthy volunteers are accepted.

Inclusion Criteria

1. Histologically/ cytologically confirmed solid tumor that is metastatic or unresectable and for which standard curative or palliative chemotherapy measures do not exist or are no longer effective.
2. Histological/cytological diagnosis of solid tumors in which treatment with oral vinorelbine and oral platinum compounds(preferentially breast, NSCL, GU or GY tumors) is medically indicated
3. Progressive disease (also in terms of tumor markers only, like CA 125 for ovary and PSA for prostate). No measurable disease is necessary.
4. Age 18-75 years
5. Prior chemotherapy of ≤ 2 lines for advanced disease
6. ECOG Performance Status \< 2
7. Life expectancy of at least 3 months
8. The patient or his/her legal representative must be able to read, understand and provide written evidence of informed consent
9. Female patients must not be pregnant or lactating and must be willing to practice contraception. The effects of satraplatin on the developing human fetus are unknown. For this reason, women of childbearing potential must agree to use adequate contraception (hormonal or barrier method of birth control or abstinence) prior to study entry and for the duration of study participation.
10. Male patients that are not surgically sterile must be practicing a medically acceptable contraceptive regimen while on study treatment
11. Adequate organ function as defined by the following:

* Serum creatinine \< 1.5 mg/dl (\< 132 umol/l)
* ANC \> 1500/microL
* Hb \> 10 g/dl
* Platelet \> 100,000/microL
* Total bilirubin \< ULN for the reference laboratory
* AST and ALT and alkaline phosphatase (AP) must be within the designated range allowing for eligibility.

Exclusion Criteria

1. Other chemotherapy treatment \< 4 weeks prior to enrolment
2. Treatment with vinorelbine \< 6 months from time of enrolment
3. Known resistance to platinum chemotherapy containing regimens (resistance is defined as PD while on treatment or a progression free interval \< 6 months after completion of platinum therapy)
4. Known resistance to vinca alkaloids, treatment (including continuous infusion). Resistance is defined as PD while on treatment or a progression free interval \< 6 months after completion of therapy
5. Hypersensitivity or allergic reactions to platinum compounds or vinorelbine
6. Radiotherapy involving \> 30% of the active bone marrow
7. Radiotherapy \< 4 weeks prior to enrolment
8. Pre-existing peripheral neuropathy \> grade 1
9. Pre-existing CTCAE hearing loss or tinnitus ≥ grade 2
10. Metastatic brain or meningeal tumors unless the patient is \> 6 months from definitive therapy, had a negative imaging study within 4 weeks of study entry, is clinically stable with respect to the tumor at the time of study entry, and is not receiving steroid therapy or taper
11. Patients who have not recovered (\> grade 1) from the following toxicities of previous regimens before enrolment: fatigue, mucositis, nausea/vomiting, diarrhoea
12. Subject is currently enrolled in, or has not yet completed at least 30 days since ending other investigational device or drug trial(s) or is receiving other investigational agent(s)
13. Uncontrolled intercurrent illness including, but not limited to, ongoing active infection, uncontrolled congestive heart failure, unstable angina pectoris, cardiac arrhythmia, or psychiatric illness that would limit compliance with study requirements
14. Pre-existing malabsorption syndrome, irritable bowel syndrome or other clinical situation which could affect oral absorption
15. History of human immunodeficiency (HIV) or acquired immunodeficiency syndrome (AIDS) related illness
16. Concurrent use of medications that inhibit cytochrome P450 3A4
17. History of bone marrow or major organ transplant
18. Prior high dose treatment with PBSC support
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

Meet the organizations funding or collaborating on the study and learn about their roles.

Agennix

INDUSTRY

Sponsor Role collaborator

Pierre Fabre Laboratories

INDUSTRY

Sponsor Role collaborator

Southern Europe New Drug Organization

OTHER

Sponsor Role lead

Responsible Party

Identify the individual or organization who holds primary responsibility for the study information submitted to regulators.

SENDO

Principal Investigators

Learn about the lead researchers overseeing the trial and their institutional affiliations.

Cristiana Sessa, MD

Role: STUDY_CHAIR

Swiss Cancer Institute

Locations

Explore where the study is taking place and check the recruitment status at each participating site.

Istituto Oncologico della Svizzera Italiana - Ospedale San Giovanni

Bellinzona, , Switzerland

Site Status

Kantonspital Graubünden

Chur, , Switzerland

Site Status

Countries

Review the countries where the study has at least one active or historical site.

Switzerland

References

Explore related publications, articles, or registry entries linked to this study.

Gallerani E, Cathomas R, Sessa C, Digena T, Bartosek AA, Dal Zotto L, von Moos R. A phase I study of the oral platinum agent satraplatin in combination with oral vinorelbine in patients with advanced solid malignancies. Onkologie. 2013;36(1-2):40-5. doi: 10.1159/000346671. Epub 2013 Jan 28.

Reference Type DERIVED
PMID: 23429330 (View on PubMed)

Other Identifiers

Review additional registry numbers or institutional identifiers associated with this trial.

2007DR2331

Identifier Type: OTHER

Identifier Source: secondary_id

SKSD00701

Identifier Type: -

Identifier Source: org_study_id