A Study of MK1775 in Combination With Topotecan/Cisplatin in Patients With Cervical Cancer (1775-008)
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Purpose
This study will be conducted in two parts. Part 1 will determine whether administration of MK1775 in combination with topotecan and cisplatin is generally well-tolerated and causes clinical objective responses in patients with cervical cancer. Part 1 will also define the recommended Phase 2 dose and maximum tolerated dose (MTD) of the combination of MK1775 with topotecan and cisplatin. Part 2 of the study will evaluate whether treatment with MK1775 in combination with topotecan and cisplatin causes an improvement in progression-free survival (PFS) compared to treatment with topotecan and cisplatin alone and will further evaluate the tolerability of the combination treatment.
| Condition | Intervention | Phase |
|---|---|---|
|
Cervical Cancer |
Drug: MK1775 + topotecan + cisplatin Drug: Comparator: MK1775 + topotecan + cisplatin Drug: Comparator: Placebo to MK1775 + topotecan + cisplatin |
Phase 1 Phase 2 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Parallel Assignment Masking: Double Blind (Subject, Investigator) Primary Purpose: Treatment |
| Official Title: | A Two Part, Phase I-IIa Study Evaluating MK1775 in Combination With Topotecan/Cisplatin in Adult Patients With Cervical Cancer |
- Part 1: Objective response rate [ Time Frame: Treatment response will be measured every two cycles (1 cycle = 21 days) ] [ Designated as safety issue: No ]
- Part 1: Maximum tolerated dose as determined by the number of dose limiting toxicities (DLTs) per dose level [ Time Frame: End of Cycle 1 (1 Cycle = 21 Days) ] [ Designated as safety issue: Yes ]
- Part 2: Progression-free survival [ Time Frame: Tumor progression will be assessed every two cycles (1 Cycle = 21 Days) ] [ Designated as safety issue: No ]
| Enrollment: | 7 |
| Study Start Date: | May 2010 |
| Study Completion Date: | June 2011 |
| Primary Completion Date: | June 2011 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: Part 1
Part 1: MK1775 + topotecan + cisplatin dose escalation
|
Drug: MK1775 + topotecan + cisplatin
Part 1: Dose escalation study. MK1775 capsules in sequentially rising dose levels twice daily for a total of nine doses on Days 1-5 of a 21-day cycle. Topotecan will be administered at a dosage of 0.75 mg/m^2 by intravenous (IV) infusion over 30 minutes on Days 1-3 . Cisplatin will be administered at a dosage of 50 mg/m^2 by IV infusion over 30 minutes on Day 1.
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|
Experimental: Part 2, Arm 1
Part 2, Arm 1: MK1775 + topotecan + cisplatin
|
Drug: Comparator: MK1775 + topotecan + cisplatin
Part 2, Arm 1: MK1775 capsules at the dose determined in Part 1 twice daily for a total of nine doses on Days 1-5 of a 21-day cycle. Topotecan will be administered at a dosage of 0.75 mg/m^2 by intravenous (IV) infusion over 30 minutes on Days 1-3 . Cisplatin will be administered at a dosage of 50 mg/m^2 by IV infusion over 30 minutes on Day 1.
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Active Comparator: Part 2, Arm 2
Part 2, Arm 2: Placebo to MK1775 + topotecan + cisplatin
|
Drug: Comparator: Placebo to MK1775 + topotecan + cisplatin
Part 2, Arm 2: Placebo to MK1775 capsules twice daily for a total of nine doses on Days 1-5 of a 21-day cycle. Topotecan will be administered at a dosage of 0.75 mg/m^2 by intravenous (IV) infusion over 30 minutes on Days 1-3 . Cisplatin will be administered at a dosage of 50 mg/m^2 by IV infusion over 30 minutes on Day 1.
|
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Female |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Patient has advanced, metastatic, and recurrent squamous cell, adenosquamous, or adeno-carcinoma of the uterine cervix (Stage II - IVb)
- Patient has received cisplatin in combination with radiation as initial or adjuvant treatment for their cervical cancer
- Patient has not received any other treatment for their cancer following the cisplatin-based chemo-radiation or targeted therapy except non-cytotoxic targeted therapy
- Recurrence must be at least 6 months post cisplatin-based chemotherapy
- Patient has measurable disease
- Patient's performance status on the Eastern Cooperative Oncology Group (ECOG) Performance Scale is less than or equal to 1
- Patient has a negative pregnancy test within 72 hours of the first dose of study medication
Exclusion Criteria:
- Patient has had chemotherapy, radiotherapy, or biological therapy within 6 months of entering the study
- Patient has a history of vascular thrombotic events or vascular reconstruction
- Patient has active central nervous system (CNS) metastases and/or carcinomatous meningitis
- Patient has a primary CNS tumor
- Patient requires the use of medications or products that are metabolized by, or inhibit or induce CYP3A4 (Cytochrome P450 3A4)
- Patient is expecting to reproduce within the duration of the study or is pregnant or breastfeeding
- Patient is known to be Human Immunodeficiency Virus (HIV)-positive
- Patient has known active Hepatitis B or C
- Patient has a known history of interstitial lung disease or pulmonary fibrosis
- Patient has symptomatic ascites or pleural effusion
- Patient has a clinical history suggestive of Li-Fraumeni Syndrome
Contacts and Locations
More Information
No publications provided
| Responsible Party: | Vice President, Late State Development Group Leader, Merck Sharp & Dohme Corp |
| ClinicalTrials.gov Identifier: | NCT01076400 History of Changes |
| Other Study ID Numbers: | 2010_515, MK1775-008 |
| Study First Received: | February 24, 2010 |
| Last Updated: | June 22, 2011 |
| Health Authority: | United States: Food and Drug Administration |
Additional relevant MeSH terms:
|
Uterine Cervical Neoplasms Uterine Neoplasms Genital Neoplasms, Female Urogenital Neoplasms Neoplasms by Site Neoplasms Uterine Cervical Diseases Uterine Diseases Genital Diseases, Female Cisplatin |
Topotecan Antineoplastic Agents Therapeutic Uses Pharmacologic Actions Radiation-Sensitizing Agents Physiological Effects of Drugs Topoisomerase I Inhibitors Topoisomerase Inhibitors Enzyme Inhibitors Molecular Mechanisms of Pharmacological Action |
ClinicalTrials.gov processed this record on May 19, 2013