NUC-1031 in Patients With Platinum-Resistant Ovarian Cancer

NCT ID: NCT03146663

Last Updated: 2021-02-21

Study Results

Results available

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Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

PHASE2

Total Enrollment

53 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-09-28

Study Completion Date

2019-12-31

Brief Summary

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This study was designed to evaluate the effect of two dose levels of NUC-1031 (500 mg/m2 and 750mg/m2) in patients with ovarian cancer. The primary objective was to determine the anti-tumor activity of NUC-1031 at the selected dose level (500 mg/m2 or 750 mg/m2).

Detailed Description

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A total of 53 patients were randomized, of whom 51 patients were treated in Part I of the study, 24 patients in the 500 mg/m2 arm and 27 patients in the 750 mg/m2 arm. Eligible, consenting patients received NUC-1031 by IV infusion on Days 1, 8, and 15 of each 28-day cycle. Patients continued to receive NUC-1031 until the occurrence of disease progression and underwent imaging every 8 weeks. After disease progression, patients were followed for overall survival.

Part II of the study was designed to select one of the treatment dose levels for further evaluation based on clinical and laboratory assessments of patients recruited in Part I. Despite promising efficacy and a good tolerability profile in Part I, it was decided not to initiate Part II as the pre-specified boundary for efficacy was uncertain to be met in this heavily pre-treated population with significant co-morbidities.

Conditions

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Ovarian Cancer

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Arm A

NUC-1031 500 mg/m2 administered on Days 1, 8, and 15 of 28-day cycles

Group Type EXPERIMENTAL

NUC-1031 500 mg

Intervention Type DRUG

NUC-1031 500 mg/m2 on Days 1, 8, and 15 of a 28-day cycle.

Arm B

NUC-1031 750 mg/m2 administered on Days 1, 8, and 15 of 28-day cycles

Group Type EXPERIMENTAL

NUC-1031 750mg

Intervention Type DRUG

NUC-1031 750 mg/m2 on Days 1, 8, and 15 of a 28-day cycle

Interventions

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NUC-1031 500 mg

NUC-1031 500 mg/m2 on Days 1, 8, and 15 of a 28-day cycle.

Intervention Type DRUG

NUC-1031 750mg

NUC-1031 750 mg/m2 on Days 1, 8, and 15 of a 28-day cycle

Intervention Type DRUG

Other Intervention Names

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fosgemcitabine palabenamide fosgemcitabine palabenamide

Eligibility Criteria

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Inclusion Criteria

1. Provision of signed written informed consent.
2. Original diagnosis and/or histological confirmation of high-grade serous, high-grade endometrioid, undifferentiated/unclassifiable epithelial ovarian, fallopian tube or primary peritoneal cancer.
3. Time from the last line of platinum-based chemotherapy of less than 6 months.
4. Received at least 3 prior chemotherapy-containing regimens.
5. Age ≥18 years.
6. Ability to comply with protocol requirements.
7. Patients are not of childbearing potential or they must agree to use a physical method of contraception.

Exclusion Criteria

1. Disease that progressed while receiving initial line of platinum-based chemotherapy.
2. Received fewer than 3 prior chemotherapy-containing regimens.
3. Prior therapy with single-agent gemcitabine.
4. Prior history of hypersensitivity to gemcitabine.
5. Prior chemotherapy, radiation (other than short cycle of radiation to reduce bone pain), treatment with a VEGF inhibitor, PARP inhibitor or immunotherapy within 21 days of first receipt of study drug. Hormone therapy within 14 days of first receipt of study drug.
6. Residual side effects from chemotherapy or radiation, which have not gotten better except for nerve pain or tingling or hair loss.
7. Patients who have a history of another type of cancer diagnosed within the past 5 years, with the exception of adequately treated non-melanoma skin cancer curatively treated cervical cancer or ductal carcinoma in situ (DCIS) of the breast.
8. Presence of an serious illness, uncontrolled illness, or active infection requiring IV antibiotics.
9. Presence of any serious illnesses, serious medical conditions, serious medical history, active bacterial or viral infections including hepatitis B or C, or known to be HIV positive.
10. Currently pregnant, lactating or breastfeeding.
11. History of blocked intestines because of ovarian cancer, unless fully resolved.
Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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NuCana plc

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Elisabeth Oelmann, MD PhD

Role: STUDY_DIRECTOR

NuCana plc

Locations

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Arizona Oncology Associates, PC - HAL

Phoenix, Arizona, United States

Site Status

Arizona Oncology Associates, PC - HOPE

Tucson, Arizona, United States

Site Status

Rocky Mountain Cancer Centers, LLP

Lakewood, Colorado, United States

Site Status

Florida Cancer Specialists and Research Institute

St. Petersburg, Florida, United States

Site Status

Minnesota Oncology Hematology, P.A.

Edina, Minnesota, United States

Site Status

SCRI - HCA Health Midwest

Kansas City, Missouri, United States

Site Status

Nashville Tennessee Oncology

Nashville, Tennessee, United States

Site Status

Texas Oncology - South Austin

Austin, Texas, United States

Site Status

Texas Oncology The Woodlands, Gynecologic Oncology

The Woodlands, Texas, United States

Site Status

Texas Oncology - Tyler

Tyler, Texas, United States

Site Status

Edinburgh Cancer Centre

Edinburgh, , United Kingdom

Site Status

Cancer Research UK Clinical Trial Unit

Glasgow, , United Kingdom

Site Status

St Bartholomew's Hospital

London, , United Kingdom

Site Status

University College London Hospital

London, , United Kingdom

Site Status

Royal Marsden Hospital

London, , United Kingdom

Site Status

Imperial College Healthcare NHS Trust

London, , United Kingdom

Site Status

Oxford University Hospital Foundation Trust

Oxford, , United Kingdom

Site Status

Countries

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United States United Kingdom

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Other Identifiers

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2016-003287-39

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

PRO-105

Identifier Type: -

Identifier Source: org_study_id

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