Combination Study Of SB-485232 (Interleukin 18) And Doxil For Advanced Stage Epithelial Ovarian Cancer
Contact Information
Stanford University School of Medicine 300 Pasteur Drive Stanford, CA 94305Brief
The purpose of this study is to identify a dose of SB-485232 which is safe, tolerable and biologically active when used in combination with pegylated liposomal doxorubicin (Doxil) in patients with epithelial ovarian cancer. This study will use a standard treatment regimen of pegylated liposomal doxorubicin (Doxil) in combination with rising doses of SB-485232. The dose selected from this study will be used in a future studies to evaluate the efficacy of this combination.
Recruiting Status:
RecruitingStanford Recruiting Status:
RecruitingCondition(s):
Intervention(s):
- Drug: SB-485232 (interleukin 18), pegylated liposomal doxorubicin
Phase:
Phase 1Eligibility
Ages Eligible for Study:
18 years to Any AgeGenders Eligible for Study:
FemaleHealth of Volunteers:
People with the conditions listed in this trial can participate as controls.Key Inclusion Criteria:
- Female, age >=18 years of age.
- Histologically confirmed diagnosis of epithelial ovarian carcinoma.
- Candidate to receive pegylated liposomal doxorubicin for treatment of advanced stage ovarian cancer as per standard of care and in the opinion of the treating principal investigator.
- Measurable lesion(s) according to RECIST.
- ECOG performance status of 0, 1 or 2.
- Predicted life expectancy of >=4 months.
- No chemotherapy, immunotherapy, hormonal therapy, or biological therapy for cancer, radiotherapy, or surgical procedures (except for minor surgical procedures) within four weeks before beginning treatment with SB-485232 (six weeks for nitrosoureas and mitomycin C). Subjects must have recovered from toxicities (incurred as a result of previous therapy) sufficiently to be entered into a Phase I study.
- Disease-free period of at least five years from prior malignancies (except for curatively treated basal and squamous cell carcinomas of the skin and/or carcinoma of the cervix in situ).
- Left ventricular ejection fraction (LVEF) >=50 % as determined by MUGA scan.
- A signed and dated written informed consent form is obtained from the subject.
- The subject is able to understand and comply with protocol requirements, timetables, instructions and protocol-stated restrictions.
- The subject is likely to maintain good venous blood access for PK and PD sampling throughout the study.
- A female is eligible to enter and participate in the study if she is of:
o Non-childbearing potential (i.e., physiologically incapable of becoming pregnant) including any female who:
o Has had a hysterectomy,
o Has had a bilateral oophorectomy (ovariectomy),
o Has had a bilateral tubal ligation, or
o Is post-menopausal (demonstrate total cessation of menses for greater than one year). If amenorrheic for less than one year, post-menopausal status will be confirmed by serum follicle stimulating hormone (FSH) and oestradiol concentrations at screening.
or,
- Childbearing potential, has a negative serum pregnancy test at the screening visit, and agrees to one of the following GSK acceptable contraceptive methods:
o Any intrauterine device (IUD) with a documented failure rate of less than 1% per year.
o Vasectomized partner who is sterile prior to the female subject's entry and is the sole sexual partner for that female.
o Oral contraceptive (either combined or progesterone only).
o Because of unacceptable failure rate of barrier (chemical and/or physical) methods, the barrier method of contraception must only be used in combination with other acceptable methods described above. Adequate organ function as described in in protocol.
Key Exclusion Criteria:
- Significant cardiac, pulmonary, metabolic, renal, hepatic, gastrointestinal or autoimmune conditions that in the opinion of the investigator and/or GSK medical monitor, places the subject at an unacceptable risk as participant in this trial.
- Any severe concurrent disease or condition, including significant active autoimmune diseases such as rheumatoid arthritis, which in the judgment of the principal investigator, would make the subject inappropriate for study participation.
- History of myocardial infarction, unstable angina, or acute coronary syndrome within the past six months.
- The subject has a history of hypersensitivity reactions to a conventional formulation of doxorubicin HCl or the components of pegylated liposomal doxorubicin.
- The subject has a history of receiving a total cumulative dosage of doxorubicin HCl exceeding the currently recommended limit of 550 mg/m^2 or will exceed the 550 mg/m^2 dosage limit during the course of the current study. A subject will also be excluded if they received a lower cumulative dosage of doxorubicin HCl (i.e., 400 mg/m^2) and also had prior radiotherapy to the mediastinal area or concomitant therapy with other potentially cardiotoxic agents such as cyclophosphamide. Prior use of other anthracyclines or anthracenediones should be included in calculations of total cumulative doxorubicin HCl dosage.
- Women who are pregnant or are breast-feeding.
- Corrected QT interval (QTc) >=480 msec (average of three measurements to be made at screening).
- The subject has diabetes mellitus with poor glycemic control.
- The subject has a history of human immunodeficiency virus (HIV) or other immunodeficiency disease.
- The subject has positive Hepatitis B surface antigen.
- The subject has a history of a severe infusion-related reaction following treatment with pegylated liposomal doxorubicin as described in the protocol.
- The subject has an acute infection or severe or uncontrolled infections requiring systemic antibiotic therapy.
- Any serious medical or psychiatric disorder that would interfere with subject safety or informed consent.
- Psychological, familial, sociological, or geographical conditions that do not permit compliance with the protocol.
- Known leptomeningeal disease or evidence of prior or current metastatic brain disease. Routine screening with central nervous system (CNS) imaging studies (CT or MRI) is required only if clinically indicated.
- Receiving concurrent chemotherapy, immunotherapy, radiotherapy, or investigational therapy.
- Oral corticosteroids within 14 days of study entry.
- History of ventricular arrhythmias requiring drug or device therapy.
- Any investigational drug within 30 days or five half-lives (whichever is longer) preceding the first dose of SB-485232.
- The subject has active signs of a bowel obstruction.
Additional Study Details
Official Title:
A Phase I, Dose Escalation Study to Assess the Safety & Biological Activity of Interleukin 18 (SB-485232) Administered by IV Infusion in Combination With Pegylated Liposomal Doxorubicin (Doxil) in Advanced Stage Epithelial Ovarian CancerAnticipated start date:
10/3/2008Lead Sponsor:
GlaxoSmithKlineInvestigator(s):
Study Type:
InterventionalPurpose:
TreatmentAllocation:
Non-randomizedMasking:
OpenControl:
noneAssignment:
Single GroupEndpoints:
Safety/EfficacyPrimary Outcomes:
- Safety and tolerability of SB-485232/Doxil combination therapy
Secondary Outcomes:
- Biological activity of SB-485232/Doxil combination therapy
- Pharmacokinetic parameters for SB-485232 and Doxil: AUC(0-t), Cmax, and Cmin
- Pharmacodynamic biomarker responses
- Immunogenicity (anti-SB-485232 and anti-PEG antibodies)
- Anti-tumor activity (Radiographic tumor assessments and serum CA-125 levels)
Total Number to be Enrolled:
18Total Number to be Enrolled at Stanford:
6More Information
Secondary ID(s):
- 98753
- GYNOVA0011
- ILI108621
- NCT00659178
Locations & Contacts
Stanford Locations & Contacts:
Stanford University School of Medicine 300 Pasteur Drive Stanford, CA 94305Non-Stanford Locations:
The Stanford website does not have any locations outside of Stanford listed for this trial. You may want to check clinicaltrials.gov for posible additional locations.
This listing was last updated:
8/18/2009PLEASE NOTE:
Study Coordinators and Research Nurses cannot give medical advice over the phone. Telephone numbers are provided for obtaining additional information on specific clinical research trials only. If you have specific questions which require clinical expertise, please call your primary care physician. If you do not have a primary care physician please feel free to call the SHC Physician Referral Service at (800) 756-9000 or send an email.
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