Full Text View
Tabular View
No Study Results Posted
Related Studies
Cediranib and Olaparib in Combination for Recurrent Ovarian or Triple-Negative Breast Cancer
This study is currently recruiting participants.
Verified April 2012 by Dana-Farber Cancer Institute

First Received on April 29, 2010.   Last Updated on April 25, 2012   History of Changes
Sponsor: Dana-Farber Cancer Institute
Collaborators: Massachusetts General Hospital
Beth Israel Deaconess Medical Center
University of Chicago
National Cancer Institute (NCI)
Information provided by (Responsible Party): Joyce Liu, MD, Dana-Farber Cancer Institute
ClinicalTrials.gov Identifier: NCT01116648
  Purpose

There are two parts to this study. The first part of this research study has the purpose of determining the safety of the combination of the two drugs cediranib and olaparib and the highest doses of these two drugs that can be given in combination to people safely. Cediranib is a drug that may help keep cancer cells from growing by affecting their blood supply. Olaparib is a drug that may stop cancer cells from growing abnormally. These drugs have been used in other research studies in ovarian and breast cancer, and information from those other research studies suggest that these may help to keep cancer from growing in this research study. This study is now entering the second part of the study, where we are comparing the effects of the combination of olaparib and cediranib to that of olaparib only in women with certain types of recurrent ovarian, fallopian tube, or primary peritoneal cancers.


Condition Intervention Phase
Ovarian Cancer
Primary Peritoneal Cancer
Fallopian Tube Cancer
Drug: cediranib
Drug: olaparib
Phase 1
Phase 2

Study Type: Interventional
Study Design: Allocation: Randomized
Endpoint Classification: Safety/Efficacy Study
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Treatment
Official Title: Phase I/II Study of Cediranib and Olaparib in Combination for Treatment of Recurrent Papillary-Serous Ovarian, Fallopian Tube or Peritoneal Cancer or for Treatment of Recurrent Triple-Negative Breast Cancer

Resource links provided by NLM:


Further study details as provided by Dana-Farber Cancer Institute:

Primary Outcome Measures:
  • Phase I: Establish the MTD of cediranib in combination with olaparib in the treatment of recurrent papillary-ovarian, fallopian tube, or peritoneal cancer or metastatic triple-negative breast cancer. [ Time Frame: 2 years ] [ Designated as safety issue: Yes ]
  • Phase II: Assess the efficacy of the combination of cediranib & olaparib compared to olaparib alone in recurrent grade 2 or 3 platinum-sensitive papillary-serous ovarian, fallopian tube, or peritoneal cancer, as measured by disease-free progression. [ Time Frame: 2 years ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Phase I: Assess side effects and toxicity of this drug combination in this patient population, as measured by CTCAE Active Version. [ Time Frame: 2 years ] [ Designated as safety issue: Yes ]
    The type and number of participants with adverse events will be assessed as a measure of safety and tolerability

  • Phase I: Assess clinical benefit, progression-free survival, and overall survival for this patient population. [ Time Frame: 5 years ] [ Designated as safety issue: No ]
  • Phase II: Assess tumor response, clinical response benefit, and overall survival for patients treated with cediranib and olaparib as compared with patients receiving olaparib alone. [ Time Frame: 5 years ] [ Designated as safety issue: No ]

Estimated Enrollment: 90
Study Start Date: November 2009
Estimated Study Completion Date: October 2014
Estimated Primary Completion Date: July 2012 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: Phase 1: Cediranib and olaparib (complete)
Phase I dose escalation of cediranib and olaparib in combination.
Drug: cediranib
Tablets taken orally once in the morning
Other Name: AZD2171
Drug: olaparib
Capsules taken orally twice a day
Other Name: AZD2281
Experimental: Phase 2: Cediranib and olaparib
Cediranib 30mg daily and olaparib 200mg twice daily.
Drug: cediranib
Tablets taken orally once in the morning
Other Name: AZD2171
Drug: olaparib
Capsules taken orally twice a day
Other Name: AZD2281
Active Comparator: Phase 2: Olaparib
Olaparib 400mg BID
Drug: olaparib
Capsules taken orally twice a day
Other Name: AZD2281

Detailed Description:

In the first part of the study, since we were looking for the highest dose of the study drug that can be administered safely without severe or unmanageable side effects, not everyone who participated in this part of the research study received the same dose of the study drug. This portion of the study has now completed.

In the second portion of the study, participants will be randomized to receive either the combination of cediranib and olaparib or to receive olaparib alone. Participants will know which arm they have been randomized to, but do not have any control over which arm it will be.

Each cycle lasts four weeks (28 days), and participants will be taking the study drugs for the entire four weeks. Participants will take drugs orally as specified in the given treatment arm. Cediranib tablets will be taken once in the morning and olaparib capsules will be taken twice a day.

Participants will be asked to monitor their blood pressure on a twice daily basis at home and keep a blood pressure diary. The following tests and procedures will be performed at specific time intervals while the participant is on the study: physical exam, vital signs, blood tests, CT scan/MRI, urine test and ECG.

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Female
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria (Phase I):

  • Histologically or cytologically confirmed epithelial ovarian cancer, primary peritoneal serous cancer, fallopian tube cancer, or triple-negative breast cancer
  • Ovarian, primary peritoneal, and fallopian tube participants must have either measurable disease by RECIST criteria or an elevated CA125 level at least twice the upper limit of normal on two separate occasions at least 1 day but not more then 3 months apart. Breast cancer participants must have measurable disease by RECIST criteria.
  • Prior chemotherapy for ovarian cancer patients must have included a first-line platinum-based regimen with or without intravenous consolidation chemotherapy
  • Breast cancer patients must have recurred post both an adriamycin-and taxane-containing regimen and have had at least 1 chemotherapy for metastatic breast cancer
  • Prior hormonal-based therapy for ovarian, primary peritoneal serous, fallopian tube cancer, or breast cancer is acceptable.
  • Patients may not have previously received a PARP-inhibitor, prior treatment with BSI-201 is allowed
  • Patients may not have had a prior anti-angiogenic agent in the recurrent setting
  • 18 years of age or older
  • Life expectancy of greater than 6 months
  • ECOG performance status 0 or 1
  • Adequate organ and marrow function as outlined in the protocol
  • Toxicities of prior therapy (excepting alopecia) should be resolved to less than or equal to Grade 1 as per NCI-CTCAE active version
  • Subjects with limited stage basal cell or squamous cell carcinoma of the skin or carcinoma in situ of the breast or cervix are eligible. Subjects with stage I or II cancer treated with a curative intent with no evidence of recurrent disease 5 years following diagnosis are eligible
  • Women of child-bearing potential and men must agree to use adequate contraception prior to study entry, for the duration of the study participation, and for 3 months following treatment discontinuation
  • Must be able to tolerate oral medications and not have gastrointestinal illnesses that would preclude absorption of cediranib or olaparib
  • Patients must be willing and able to check and record daily blood pressure readings

Additional inclusion criteria (Phase II only):

  • Participants must have histologically or cytologically confirmed grade 2 or 3 (high grade) papillary-serous or endometrioid epithelial ovarian cancer, primary peritoneal serous cancer, or fallopian tube cancer. Participants with epithelial ovarian, primary peritoneal, or fallopian tube cancers of other high-grade histologies who carry a known deleterious BRCA germline mutation by standard clinical testing (Myriad BRACAnalysis) will also be considered eligible
  • May have received up to 1 non-platinum-based line of therapy in the recurrent setting
  • May have received an unlimited number of platinum-based therapies in the recurrent setting
  • Participants should have platinum-sensitive disease, where platinum-sensitive is defined as having had a >6 month interval since last receiving platinum therapy prior to disease recurrence. Patients must have had a prior response whole on the platinum-containing regimen and cannot have experienced disease progression while receiving platinum
  • Must have measurable disease by RECIST 1.1 criteria

Exclusion Criteria:

  • Participants who have had chemotherapy or radiotherapy within 3 weeks (6 week for nitrosoureas or mitomycin C) prior to entering the study or those who have not recovered from adverse events due to agent administered more than 3 weeks earlier
  • Participants may not be receiving any other investigational agents nor have participated in an investigational trial within the past 4 weeks. Subjects may not have received prior treatment affecting the VEGF pathway in the recurrent setting, including thalidomide, bevacizumab, sunitinib, or sorafenib. Subjects may not have received prior treatment with oregovomab (OvaRex) or any other antibodies that may interfere with CA-125 measurements
  • Patients with untreated brain metastases, spinal cord compression, or evidence of symptomatic brain metastases or leptomeningeal disease as noted on screening CT or MRI scans should not be included on this study since neurologic dysfunction may confound the evaluation of neurologic and other adverse events
  • History of allergic reactions attributed to compounds of similar chemical or biologic composition to cediranib or olaparib
  • Participants receiving any medications or substances that are strong inhibitors or inducers of CYP3A4 are ineligible
  • Patients with any of the following: 1)History of myocardial infarction within six months, 2) QTc prolongation > 500 msec or other significant ECG abnormality noted within 14 days of treatment, 3) NYHA classification of III or IV, 4) Condition requiring use of drugs or biologics with proarrhythmic potential
  • History of stroke or transient ischemic attack within six months
  • Inadequately controlled hypertension on antihypertensive medications
  • Any prior history of hypertensive crisis or hypertensive encephalopathy
  • Clinically significant peripheral vascular disease or vascular disease
  • Unstable angina
  • Major surgical procedure, open biopsy, or significant traumatic injury within 28 days prior to starting cediranib
  • History of abdominal fistula, gastrointestinal perforation or intra-abdominal abscess
  • Current signs and/or symptoms of bowel obstruction
  • Current dependency on IV hydration or TPN
  • Evidence of coagulopathy or bleeding diathesis
  • Uncontrolled intercurrent illness
  • Known HIV-positive individuals
  • Pregnant women
  • Patients with pre-existing grade 2 or higher peripheral neuropathy
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT01116648

Contacts
Contact: Joyce Liu, MD 617-632-5269
Contact: Christine Lundquist 617-632-5839 clundquist@partners.org

Locations
United States, Illinois
University of Chicago Medical Center Recruiting
Chicago, Illinois, United States, 60637
Principal Investigator: Gini F Fleming, MD            
United States, Indiana
Fort Wayne Oncology/Hematology Active, not recruiting
Fort Wayne, Indiana, United States, 46845
United States, Maryland
National Cancer Institute Recruiting
Bethesda, Maryland, United States, 20892
Contact: Nicole Houston, RN     301-443-6431     houstonnd@mail.nih.gov    
Principal Investigator: Elise Kohn, MD            
United States, Massachusetts
Dana-Farber Cancer Institute Recruiting
Boston, Massachusetts, United States, 02115
Contact: Christin Whalen, RN         christin_whalen@dfci.harvard.edu    
Contact: Lauren Pereira         lauren_pereira@dfci.harvard.edu    
Principal Investigator: Joyce Liu, MD            
Massachusetts General Hospital Recruiting
Boston, Massachusetts, United States, 02114
Principal Investigator: Michael Birrer, MD, PhD            
Beth Israel Deaconess Medical Center Recruiting
Boston, Massachusetts, United States, 02115
Principal Investigator: Mary Buss, MD, MPH            
Sponsors and Collaborators
Dana-Farber Cancer Institute
Massachusetts General Hospital
Beth Israel Deaconess Medical Center
University of Chicago
Investigators
Principal Investigator: Joyce Liu, MD Dana-Farber Cancer Institute
  More Information

No publications provided

Responsible Party: Joyce Liu, MD, Medical Oncologist, Dana-Farber Cancer Institute
ClinicalTrials.gov Identifier: NCT01116648     History of Changes
Obsolete Identifiers: NCT01115829
Other Study ID Numbers: DFCI 09-293, U01CA062490-16S2, NCI 8348
Study First Received: April 29, 2010
Last Updated: April 25, 2012
Health Authority: United States: Food and Drug Administration

Keywords provided by Dana-Farber Cancer Institute:
cediranib
olaparib

Additional relevant MeSH terms:
Breast Neoplasms
Ovarian Neoplasms
Peritoneal Neoplasms
Fallopian Tube Neoplasms
Neoplasms by Site
Neoplasms
Breast Diseases
Skin Diseases
Endocrine Gland Neoplasms
Ovarian Diseases
Adnexal Diseases
Genital Diseases, Female
Genital Neoplasms, Female
Urogenital Neoplasms
Endocrine System Diseases
Gonadal Disorders
Abdominal Neoplasms
Digestive System Neoplasms
Digestive System Diseases
Peritoneal Diseases
Fallopian Tube Diseases

ClinicalTrials.gov processed this record on May 23, 2012