Study of Peposertib in Combination With Capecitabine and RT in Rectal Cancer

NCT ID: NCT03770689

Last Updated: 2023-03-21

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE1/PHASE2

Total Enrollment

19 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-03-20

Study Completion Date

2022-02-21

Brief Summary

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The main purpose of the study was to define maximum tolerated dose (MTD), recommended Phase II dose (RP2D) safety and tolerability of Peposertib in combination with capecitabine and radiotherapy (RT).

Detailed Description

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Conditions

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Locally Advanced Rectal Cancer

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Peposertib 50 mg + RT + Capecitabine

Participants received peposertib 50 milligram (mg) once daily in combination with capecitabine 825 milligram per square meter (mg/m\^2) twice daily 5 days per week and radiotherapy (RT) of 50 to 50.4 Gray (Gy) to the tumor area and 45 Gy to the electively irradiated tissues in 25 to 28 fractions up to 5.5 weeks treatment period.

Group Type EXPERIMENTAL

Peposertib 50 mg

Intervention Type DRUG

Participants received peposertib 50 milligram (mg) once daily 5 days per week up to 5.5 weeks.

Capecitabine

Intervention Type DRUG

Participants received capecitabine at a dose of 825 milligram per square meter (mg/m\^2) twice daily 5 days per week up to 5.5 weeks.

Radiotherapy (RT)

Intervention Type RADIATION

Participants received RT 50 to 50.4 Gray (Gy) to the tumor area and 45 Gy to the electively irradiated tissues in 25 to 28 fractions up to 5.5 weeks.

Peposertib 100 mg + RT + Capecitabine

Participants received peposertib 100 mg once daily in combination with capecitabine 825 mg/m\^2 twice daily 5 days per week and RT of 50 to 50.4 Gy to the tumor area and 45 Gy to the electively irradiated tissues in 25 to 28 fractions up to 5.5 weeks treatment period.

Group Type EXPERIMENTAL

Peposertib 100 mg

Intervention Type DRUG

Participants received peposertib 100 mg once daily 5 days per week up to 5.5 weeks.

Capecitabine

Intervention Type DRUG

Participants received capecitabine at a dose of 825 milligram per square meter (mg/m\^2) twice daily 5 days per week up to 5.5 weeks.

Radiotherapy (RT)

Intervention Type RADIATION

Participants received RT 50 to 50.4 Gray (Gy) to the tumor area and 45 Gy to the electively irradiated tissues in 25 to 28 fractions up to 5.5 weeks.

Peposertib 150 mg + RT + Capecitabine

Participants received peposertib 150 mg once daily in combination with capecitabine 825 mg/m\^2 twice daily 5 days per week and RT of 50 to 50.4 Gy to the tumor area and 45 Gy to the electively irradiated tissues in 25 to 28 fractions up to 5.5 weeks treatment period.

Group Type EXPERIMENTAL

Peposertib 150 mg

Intervention Type DRUG

Participants received peposertib 150 mg once daily 5 days per week up to 5.5 weeks.

Capecitabine

Intervention Type DRUG

Participants received capecitabine at a dose of 825 milligram per square meter (mg/m\^2) twice daily 5 days per week up to 5.5 weeks.

Radiotherapy (RT)

Intervention Type RADIATION

Participants received RT 50 to 50.4 Gray (Gy) to the tumor area and 45 Gy to the electively irradiated tissues in 25 to 28 fractions up to 5.5 weeks.

Peposertib 250 mg + RT + Capecitabine

Participants received peposertib 250 mg once daily in combination with capecitabine 825 mg/m\^2 twice daily 5 days per week and RT of 50 to 50.4 Gy to the tumor area and 45 Gy to the electively irradiated tissues in 25 to 28 fractions up to 5.5 weeks treatment period.

Group Type EXPERIMENTAL

Peposertib 250 mg

Intervention Type DRUG

Participants received peposertib 250 mg once daily 5 days per week up to 5.5 weeks.

Capecitabine

Intervention Type DRUG

Participants received capecitabine at a dose of 825 milligram per square meter (mg/m\^2) twice daily 5 days per week up to 5.5 weeks.

Radiotherapy (RT)

Intervention Type RADIATION

Participants received RT 50 to 50.4 Gray (Gy) to the tumor area and 45 Gy to the electively irradiated tissues in 25 to 28 fractions up to 5.5 weeks.

Interventions

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Peposertib 50 mg

Participants received peposertib 50 milligram (mg) once daily 5 days per week up to 5.5 weeks.

Intervention Type DRUG

Peposertib 100 mg

Participants received peposertib 100 mg once daily 5 days per week up to 5.5 weeks.

Intervention Type DRUG

Peposertib 150 mg

Participants received peposertib 150 mg once daily 5 days per week up to 5.5 weeks.

Intervention Type DRUG

Peposertib 250 mg

Participants received peposertib 250 mg once daily 5 days per week up to 5.5 weeks.

Intervention Type DRUG

Capecitabine

Participants received capecitabine at a dose of 825 milligram per square meter (mg/m\^2) twice daily 5 days per week up to 5.5 weeks.

Intervention Type DRUG

Radiotherapy (RT)

Participants received RT 50 to 50.4 Gray (Gy) to the tumor area and 45 Gy to the electively irradiated tissues in 25 to 28 fractions up to 5.5 weeks.

Intervention Type RADIATION

Other Intervention Names

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M3814 MSC2490484A

Eligibility Criteria

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Inclusion Criteria

* Participants who have an Eastern Cooperative Oncology Group Performance Status less than or equals to (\<=) 1
* Participants who have histologically confirmed and localized resectable rectal cancer (Stage 3)
* Participants who received induction chemotherapy are allowed to be enrolled to this study except this induction is resulting in clinical complete response (cCR) or tumor progression
* Participants who have lower edge of the tumor located in rectum
* Adequate hematological, hepatic and renal function as defined in the protocol
* Male participants if they agree to the following during the study intervention period and for at least 12 weeks after the last dose of study intervention
* Female participants are eligible if not pregnant or breastfeeding

Exclusion Criteria

* Participants with history of any other significant medical disease or psychiatric conditions that might in the assessment of the Investigator preclude safe participation in the study
* Participants with history of difficulty swallowing, malabsorption, or other chronic gastrointestinal disease or conditions that may hamper compliance and/or absorption of the study intervention
* Unstable cardiovascular function within 6 months prior to enrollment
* Hypertension uncontrolled by medication (ie, systolic blood pressure \>= 150 millimeter of mercury (mmHg) and diastolic blood pressure \>= 90 mmHg)
* Participants with history of other malignant disease within the past 5 years, other than successfully treated basal carcinoma of the skin or carcinoma in situ of the cervix
* Participants with known human immunodeficiency virus positivity, known active hepatitis (for example, hepatitis B virus or hepatitis C virus), current alcohol abuse, or cirrhosis
* Participants with ongoing active infection or treatment with a live attenuated vaccine within 4 weeks of dosing
* Participants with concomitant use of H2-blocker or proton pump inhibitors (PPIs) (or unable to stop at least 5 days prior to the first treatment). Note that calcium carbonate is acceptable
* Participation in any interventional clinical study within 28 days prior to Screening or during participation in this study
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Merck KGaA, Darmstadt, Germany

INDUSTRY

Sponsor Role collaborator

EMD Serono Research & Development Institute, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Medical Responsible

Role: STUDY_DIRECTOR

Merck KGaA, Darmstadt, Germany

Locations

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University of Colorado Cancer Center

Aurora, Colorado, United States

Site Status

Yale University - Pediatric Respiratory Medicine

New Haven, Connecticut, United States

Site Status

Northwell Health, Inc

Great Neck, New York, United States

Site Status

Memorial Sloan-Kettering Cancer Center (MSKCC) - New York

New York, New York, United States

Site Status

Montefiore Medical Center

The Bronx, New York, United States

Site Status

Ohio State University Clinical Trials Management Office - Ohio State CTMO Parent

Columbus, Ohio, United States

Site Status

University of Toledo Medical Center - Hematology/Oncology

Toledo, Ohio, United States

Site Status

Med. Univ. of South Carolina

Charleston, South Carolina, United States

Site Status

Greenville Hospital System University Medical Center (ITOR)

Greenville, South Carolina, United States

Site Status

The University of Texas MD Anderson Cancer Center

Houston, Texas, United States

Site Status

Hospital Universitari Vall d'Hebron - Dept of Oncology

Barcelona, , Spain

Site Status

Hospital Universitario 12 de Octubre - Servicio de Oncologia

Madrid, , Spain

Site Status

Hospital Regional Universitario de Malaga

Málaga, , Spain

Site Status

Hospital Clinico Universitario de Valencia - Servicio de Hematologia y Oncologia Medica

Valencia, , Spain

Site Status

Countries

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United States Spain

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Related Links

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https://medical.emdserono.com/en_US/home.html

US Medical Information website, Medical Resources

Other Identifiers

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2018-002275-18

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

MS100036_0020

Identifier Type: -

Identifier Source: org_study_id

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