E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
platinum resistant or refractory ovarian cancer |
|
MedDRA Classification |
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 9.1 |
E.1.2 | Level | LLT |
E.1.2 | Classification code | 10033130 |
|
E.1.3 | Condition being studied is a rare disease | No |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
To assess the activity of a combination of pazopanib and weekly paclitaxel compared to weekly paclitaxel in terms of progression-free survival (PFS). |
|
E.2.2 | Secondary objectives of the trial |
To assess: �Toxicity �Response rate �Overall survival (OAS) |
|
E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
� Cytologic / histologic diagnosis of stage IC-IV ovarian cancer � Disease progressed during first line chemotherapy or disease relapsed within 6 months after the last platinum treatment � Disease evaluable by RECIST or Ca 125 GCIG criteria � No residual peripheral neurotoxicity from previous chemotherapy treatment � PS 0-1 � Age � 18 and < 75 years. � Life expectancy of at least 3 months � Able to swallow and retain oral medication � Written informed consent prior to performance of study specific procedures or assessments � Ability and willingness to comply with treatment and follow up assessments and procedures |
|
E.4 | Principal exclusion criteria |
� Previous or concomitant malignant neoplasia (not including basocellular or spinocellular skin carcinoma or in-situ carcinoma of the uterine cervix, provided they are being adequately treated) � Previous treatment with weekly paclitaxel � More than 2 previous chemotherapy treatments � Serious heart disease, including heart failure, atrioventricular block of any degree, serious arrhythmia or history of any one or more of the following cardiovascular conditions within the past 6 months: cardiac angioplasty or stenting, myocardial infarction, unstable angina, symptomatic peripheral vascular disease, coronary artery by-pass graft surgery, class II, III or IV congestive heart failure as defined by the New York Heart Association (NYHA) � Hemoglobin < 9 g/dL, neutrophils < 1500/mm3, platelets < 100000/mm3 � Impairment of renal function (patients should have 2 functioning kidneys): creatinine � 1.5 times the upper normal limit UNL; calculated creatinine clearance < 50 mL/min; urine protein to creatinine ratio � 1: then, a 24-hour urine protein must be assessed and subject must have a 24-hour urine protein value <1gr to be eligible � Impairment of liver function (SGOT or SGPT � 2.5 UNL, alkaline phosphatase > 2.5 ULN, total bilirubin > 1.5 times the UNL) � Prothrombin time (PT) or international normalized ratio (INR) or activated partial thromboplastin time (PTT) > 1.2 times the UNL � Pregnancy, breast feeding, or inadequate contraception � Unable to discontinue prohibited medications (see protocol section 6.7) � Clinically significant gastrointestinal abnormalities which might interfere with oral dosing, including but not limited to malabsorption syndrome, major resection of the stomach or small bowel that could affect drug absorption, active peptic ulcer disease, inflammatory bowel disease, ulcerative colitis, other gastrointestinal conditions with increased risk of perforation, history of abdominal fistula, gastrointestinal perforation, or intra-abdominal abscess within 28 days prior to beginning study treatment, signs or symptoms of GI obstruction � Any unstable or serious concurrent condition � Prolongation of corrected QT interval (QTc) >480 ms � History of cerebrovascular accident, pulmonary embolism or untreated deep venous thrombosis (DVT) within the past 6 months � Macroscopic hematuria � Major surgery or trauma within 30 days � Hypertension uncontrolled with adequate therapy (systolic blood pressure (BP) of � 140mmHg, or diastolic BP of � 90mmHg) � Any ongoing toxicity from prior anti-cancer therapy that is >Grade 1 and/or that is progressing in severity � Present or suspected haemorrhagic syndromes � Patients` inability to access the centre due to area of residence |
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E.5 End points |
E.5.1 | Primary end point(s) |
PROGRESSION FREE SURVIVAL |
|
E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | No |
E.6.2 | Prophylaxis | No |
E.6.3 | Therapy | Yes |
E.6.4 | Safety | Yes |
E.6.5 | Efficacy | Yes |
E.6.6 | Pharmacokinetic | No |
E.6.7 | Pharmacodynamic | No |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | No |
E.6.10 | Pharmacogenetic | No |
E.6.11 | Pharmacogenomic | No |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | No |
E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | No |
E.7.1.1 | First administration to humans | No |
E.7.1.2 | Bioequivalence study | No |
E.7.1.3 | Other | No |
E.7.1.3.1 | Other trial type description | |
E.7.2 | Therapeutic exploratory (Phase II) | Yes |
E.7.3 | Therapeutic confirmatory (Phase III) | No |
E.7.4 | Therapeutic use (Phase IV) | No |
E.8 Design of the trial |
E.8.1 | Controlled | Yes |
E.8.1.1 | Randomised | Yes |
E.8.1.2 | Open | Yes |
E.8.1.3 | Single blind | No |
E.8.1.4 | Double blind | No |
E.8.1.5 | Parallel group | Yes |
E.8.1.6 | Cross over | No |
E.8.1.7 | Other | No |
E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | Yes |
E.8.2.2 | Placebo | No |
E.8.2.3 | Other | No |
E.8.3 |
The trial involves single site in the Member State concerned
| No |
E.8.4 | The trial involves multiple sites in the Member State concerned | Yes |
E.8.4.1 | Number of sites anticipated in Member State concerned | 40 |
E.8.5 | The trial involves multiple Member States | No |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | No |
E.8.6.2 | Trial being conducted completely outside of the EEA | Information not present in EudraCT |
E.8.7 | Trial has a data monitoring committee | No |
E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
| |
E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | 3 |
E.8.9.1 | In the Member State concerned months | 0 |
E.8.9.1 | In the Member State concerned days | |
E.8.9.2 | In all countries concerned by the trial years | 3 |
E.8.9.2 | In all countries concerned by the trial months | 0 |