Study of Combretastatin and Paclitaxel/Carboplatin in the Treatment of Anaplastic Thyroid Cancer (FACT)

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT00507429
Recruitment Status : Terminated (Low rate of subject accrual)
First Posted : July 26, 2007
Results First Posted : June 9, 2014
Last Update Posted : June 9, 2014
Information provided by (Responsible Party):
Mateon Therapeutics

Brief Summary:
The purpose of the study is to determine the safety and efficacy of combretastatin combined with paclitaxel and carboplatin in the treatment of anaplastic thyroid cancer (ATC).

Condition or disease Intervention/treatment Phase
Anaplastic Thyroid Cancer Drug: CA4P Drug: paclitaxel Drug: carboplatin Phase 2 Phase 3

Detailed Description:
Anaplastic thyroid carcinoma (ATC) is a high-grade neoplasm, characterized by an aggressive clinical course with brief survival, and refractoriness to currently available local and systemic modalities of treatment. There is no standard therapy for ATC, and no randomized comparative trials have been known to be conducted in this disease. One potential strategy is to combine the anti-tumor activity of the vascular disrupting agent combretastatin with conventional cytotoxic agents. This study will compare the overall survival of ATC patients treated with the triplet combination of combretastatin, paclitaxel, and carboplatin compared with the doublet treatment of paclitaxel and carboplatin.

Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 80 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: A Phase II/III Study to Evaluate the Safety and Efficacy of Combretastatin A-4 Phosphate in Combination With Paclitaxel and Carboplatin in Comparison With Paclitaxel and Carboplatin Against Anaplastic Thyroid Carcinoma [FACT]
Study Start Date : August 2007
Actual Primary Completion Date : October 2011
Actual Study Completion Date : November 2011

Arm Intervention/treatment
Experimental: Arm 1: CA4P + Carboplatin + paclitaxel
Six 21-day cycles: CA4P (60 mg/m2 on Days 1, 8, 15), carboplatin (AUC 6) + paclitaxel (200 mg/m2) on Day 2
Drug: CA4P
CA4P 60mg/m squared for Days 1, 8, 15 for 6 cycles
Other Names:
  • combretastatin
  • fosbretabulin
  • Zybrestat

Active Comparator: Arm 2: Carboplatin + Paclitaxel
Six 21-day cycles of Carboplatin (AUC 6) + paclitaxel (200 mg/m2) given on Day 1
Drug: paclitaxel
200mg/m squared on Day 1
Other Names:
  • Taxol
  • Paxene

Drug: carboplatin
6 AUC on Day 1 following paclitaxel
Other Name: Paraplatin

Primary Outcome Measures :
  1. Overall Survival [ Time Frame: From randomization to date last known alive ]

Secondary Outcome Measures :
  1. To Determine Progression Free Survival [ Time Frame: from randomization through end of study visit ]
  2. To Determine Percentage of 1 Year Survival [ Time Frame: from randomization through end of study visit ]

Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • Anaplastic thyroid carcinoma histologically or cytologically confirmed by a pathology review
  • Refractory to or progressed during or after therapy, or relapsed within 6 months following initial combined modality therapy (usually including systemic chemotherapy and radiation) for regionally advanced disease
  • Systemic therapy is limited to one chemotherapy regimen that is clearly administered contiguously, (i.e., in an uninterrupted primary therapeutic approach)
  • Prior radiation: 3 weeks must have elapsed since radiation and disease must be present beyond radiation ports
  • Minimum of 3 weeks must have elapsed from the time of last chemotherapy prior to the first dose of study drug
  • Patients with bulky thyroid/neck masses and/or suspicion of airway obstruction must undergo screening (indirect and direct laryngoscopy) to ensure patency of the trachea/airway prior to study enrollment and treatment
  • ECOG Performance Score less than or equal to 2
  • Adequate bone marrow reserve as evidenced by absolute neutrophil count (ANC) greater than 1,500/microL, platelet count greater than 75,000/microL.
  • Adequate renal function as evidenced by serum creatinine less than or equal to 2.0 mg/dL (less than 177 micromol/L)
  • Adequate hepatic function as evidenced by serum total bilirubin less than 2X greater than the upper limit of normal (ULN) (less than3X ULN in patients with liver metastases), AST (aspartate aminotransferase)/ALT (alanine aminotransferase) less than or equal to 3X the ULN for the local reference lab (less than or equal to 5X the ULN for patients with liver metastases)
  • No clinically important sequelae from any prior surgery or radiotherapy.

Exclusion Criteria:

  • Tumors confined to the thyroid.
  • Clinically evident brain metastasis, including symptomatic involvement, evidence of cerebral edema by CT or MRI, radiographic evidence of progression of brain metastasis since definitive therapy, or continued requirement for corticosteroids
  • Patients who receive chemotherapy for metastatic disease after completion of a combined modality approach.
  • History of malignancies other than ATC except curatively treated basal cell carcinoma of the skin, cervical intra-epithelial neoplasia, or localized prostate cancer with a current PSA of less than 4.0 mg/dL or microg/L
  • Known hypersensitivity to CA4P, paclitaxel or carboplatin, or any of their components
  • Receiving concurrent investigational therapy or who have received investigational therapy for any indication within 28 days of the first scheduled day of dosing
  • Greater than Grade 2 peripheral neuropathy
  • History of prior cerebrovascular event, including transient ischemic attack
  • Uncontrolled hypertension (blood pressure greater than 150/100 mm Hg despite medication)
  • Symptomatic vascular disease (e.g. intermittent claudication)
  • History of unstable angina pectoris pattern, myocardial infarction (including non-Q wave MI) within the past 6 months, or NYHA Class III and IV congestive heart failure
  • History of torsade de pointes
  • Bradycardia (less than 60 b/m), heart block (excluding 1st degree block, being PR interval prolongation only), and congenital long QT syndrome
  • Any ventricular arrhythmias, or new ST segment elevation or depression or Q wave on ECG
  • Ejection fractions less than normal (i.e. less than 45%)
  • QTc prolongation greater than 450 ms
  • Requirement of any drugs known to prolong the QTc interval, including anti-arrhythmic medications
  • Potassium concentrations below 4.0 mEq/dL and magnesium concentrations below 1.8 mg/dL despite being on an electrolyte supplement
  • Requirement of any drugs known to prolong the QTc interval
  • History of solid organ transplant or bone marrow transplant

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT00507429

  Hide Study Locations
United States, California
USC/Norris Comprehensive Cancer Center
Los Angeles, California, United States, 90033
United States, Colorado
University of Colorado Cancer Center
Aurora, Colorado, United States, 80045
United States, Connecticut
Yale University, School of Medicine
New Haven, Connecticut, United States, 06520
United States, Georgia
Winship Cancer Institute, Emory University
Atlanta, Georgia, United States, 30322
United States, Maryland
Sidney Kimmel Comprehensive Cancer Care Center at John Hopkins
Baltimore, Maryland, United States, 21231
United States, Minnesota
University of Minnesota Otolaryngology Department
Minneapolis, Minnesota, United States, 55455
United States, Ohio
Ireland Cancer Center/Division od Hematology
Cleveland, Ohio, United States, 44106
United States, Oregon
Oregon Health and Science University
Portland, Oregon, United States, 97239
United States, Texas
University of Texas M.D. Anderson Cancer Center
Houston, Texas, United States, 77030
United States, West Virginia
West Virginia University
Morgantown, West Virginia, United States, 26506
Belarus National Medical University
Minsk, Belarus
Regional Oncology Dispensary with Inpatient Sector
Plodiv, Bulgaria
Specialized Hospital for Active Treatment of Oncology
Sofia, Bulgaria, 1504
Universtiy Multiprofile Hospital, ISUI, Clinic of Oncotherapy
Sofia, Bulgaria
University Hospital, Cairo
Cairo, Egypt
Mediciti Hospital
Hyderabaad, Andhra Pradesh, India, 500063
All India Institute of Medical Sciences
New Delhi, Delhi, India, 110029
Apollo Cancer Institute
New Delhi, Delhi, India, 110076
Kidwai Memorial Hospital
Bangalore, Karnataka, India
Shirdi Sai Baba Cancer Hospital
Manipal, Karnataka, India, 576119
Tata Memorial Centre
Mumbai, Maharashtra, India, 400012
Ruby Hall Clinic
Pune, Maharashtra, India, 411011
Christian Medial College
Vellore, Tamil Nadu, India
Telaviv Sourasky Medical Center, Head and Neck Service Division of Oncology
Tel-Aviv, Israel, 64239
Lo Studio E la Cura
Milano, Italy, 20133
INT Napoli Fondazione Pascale
Napoli, Italy
Istituto Oncologico Veneto (IOV) - IRCCS
Padova, Italy, 35128
Azienda Ospedaliero - Universitaria Pisana
Pisa, Italy, 56124
Zaklad Medyczny Nuklearnej i Endykrynologii
Gliwice, Poland, 44-101
Klinika Nowotworow Glowy i Szyji
Warszawa, Poland, 02-781
Institutul Oncologic
Cluj-Napoca, Romania, 400015
SC Meditech SRL
Craiova, Romania, 200535
Centr of Medical Oncology
Iasi, Romania, 700106
Clinical County Hospital Sibiu
Sibiu, Romania, 550245
Emergency Clinical County Hospital "Sf. loan cel Nou"
Suceava, Romania, 720237
Russian Federation
City Clinical Oncology Dispensary
Saint Petersburg, Russian Federation, 198255
Ukrainian Academy of Medical Science
Lomonosova 33/43, Kiev, Ukraine, 03022
Regional Clinical Oncology Dispensary
Lvov, Ukraine
United Kingdom
Beatson Oncology Centre, Gartnavel General Hospital
Glasgow, Scotland, United Kingdom, G12 OYN
Royal Marsden Hospital and Institute of Cancer Research
London, United Kingdom, SW3 6JJ
Southampton Hospital Oncology Centre
Southampton, United Kingdom
Sponsors and Collaborators
Mateon Therapeutics
Principal Investigator: Julie A. Sosa, MD, FACS Yale University School of Medicine, New Haven, CT

Additional Information:
Responsible Party: Mateon Therapeutics Identifier: NCT00507429     History of Changes
Other Study ID Numbers: OXC4T4-302
First Posted: July 26, 2007    Key Record Dates
Results First Posted: June 9, 2014
Last Update Posted: June 9, 2014
Last Verified: February 2014

Keywords provided by Mateon Therapeutics:
thyroid neoplasms
thyroid cancer
thyroid carcinoma

Additional relevant MeSH terms:
Thyroid Diseases
Thyroid Neoplasms
Thyroid Carcinoma, Anaplastic
Endocrine System Diseases
Endocrine Gland Neoplasms
Neoplasms by Site
Head and Neck Neoplasms
Neoplasms, Glandular and Epithelial
Neoplasms by Histologic Type
Albumin-Bound Paclitaxel
Antineoplastic Agents, Phytogenic
Antineoplastic Agents
Tubulin Modulators
Antimitotic Agents
Mitosis Modulators
Molecular Mechanisms of Pharmacological Action