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    Clinical Trial Results:
    Safety of extended use of the weekly oral docetaxel formulation ModraDoc006/r in patients with advanced solid tumours

    Summary
    EudraCT number
    2017-000347-41
    Trial protocol
    NL  
    Global end of trial date
    16 Jul 2018

    Results information
    Results version number
    v1(current)
    This version publication date
    06 Nov 2022
    First version publication date
    06 Nov 2022
    Other versions

    Trial information

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    Trial identification
    Sponsor protocol code
    N17DEX
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    NCT03150368
    WHO universal trial number (UTN)
    -
    Sponsors
    Sponsor organisation name
    Modra Pharmaceuticals
    Sponsor organisation address
    Barbara Strozzilaan 201, Amsterdam, Netherlands, 1083 HN
    Public contact
    M. Keessen, Modra Pharmaceuticals, 0031 0202050188, info@modrapharmaceuticals.com
    Scientific contact
    S. Marchetti, NKI-AVL, 0031 0205122446, s.marchetti@nki.nl
    Paediatric regulatory details
    Is trial part of an agreed paediatric investigation plan (PIP)
    No
    Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Results analysis stage
    Analysis stage
    Final
    Date of interim/final analysis
    18 Dec 2020
    Is this the analysis of the primary completion data?
    Yes
    Primary completion date
    16 May 2018
    Global end of trial reached?
    Yes
    Global end of trial date
    16 Jul 2018
    Was the trial ended prematurely?
    No
    General information about the trial
    Main objective of the trial
    To determine the safety of extended use treatment with weekly ModraDoc006/r available for patients who completed treatment in one of the phase I trials with ModraDoc006/r, who might have clinical benefit of continued treatment with the oral docetaxel formulation.
    Protection of trial subjects
    The study was conducted in accordance with the protocol, the current principles of the Declaration of Helsinki, International Council for Harmonisation of Technical Requirements for Pharmaceuticals for Human Use (ICH) Good Clinical Practice (GCP) requirements, the Medical Research Involving Human Subjects Act and any other applicable local laws and regulations.
    Background therapy
    -
    Evidence for comparator
    -
    Actual start date of recruitment
    11 May 2017
    Long term follow-up planned
    No
    Independent data monitoring committee (IDMC) involvement?
    No
    Population of trial subjects
    Number of subjects enrolled per country
    Country: Number of subjects enrolled
    Netherlands: 17
    Worldwide total number of subjects
    17
    EEA total number of subjects
    17
    Number of subjects enrolled per age group
    In utero
    0
    Preterm newborn - gestational age < 37 wk
    0
    Newborns (0-27 days)
    0
    Infants and toddlers (28 days-23 months)
    0
    Children (2-11 years)
    0
    Adolescents (12-17 years)
    0
    Adults (18-64 years)
    13
    From 65 to 84 years
    4
    85 years and over
    0

    Subject disposition

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    Recruitment
    Recruitment details
    Written informed consent was obtained before the start of any study related procedures. Patients had the right to withdraw from the study at any time, without giving an explanation and without prejudice to their subsequent care.

    Pre-assignment
    Screening details
    Screening assessments were done within 35 days before first dose according to the extended use program of ModraDoc006/r. In case of previous phase I studies with ModraDoc006/r with a duration of 4 weeks or less, the screening visit of this phase I study was used as screening visit for the present study (N17DEX).

    Period 1
    Period 1 title
    Overall trial (overall period)
    Is this the baseline period?
    Yes
    Allocation method
    Not applicable
    Blinding used
    Not blinded

    Arms
    Arm title
    ModraDoc006/r extension treatment
    Arm description
    ModraDoc006/r is administered in patients who participated in other phase I trials with ModraD0c006/r at a similar dose regimen as in the previous ModraDoc006/r study.
    Arm type
    Experimental

    Investigational medicinal product name
    ModraDoc006
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Tablet
    Routes of administration
    Oral use
    Dosage and administration details
    ModraDoc006 bi-daily once weekly (BIDW) 30 mg in the morning, and 20 mg in the evening

    Investigational medicinal product name
    ritonavir
    Investigational medicinal product code
    Other name
    Norvir®
    Pharmaceutical forms
    Tablet
    Routes of administration
    Oral use
    Dosage and administration details
    ritonavir bi-daily once weekly (BIDW) 100 mg in the morning, and 100 mg in the evening

    Number of subjects in period 1
    ModraDoc006/r extension treatment
    Started
    17
    Completed
    17

    Baseline characteristics

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    Baseline characteristics reporting groups
    Reporting group title
    Overall trial
    Reporting group description
    -

    Reporting group values
    Overall trial Total
    Number of subjects
    17 17
    Age categorical
    Units: Subjects
        Adults (18-64 years)
    13 13
        From 65-84 years
    4 4
    Age continuous
    Units: years
        median (full range (min-max))
    58.8 (45 to 76) -
    Gender categorical
    Units: Subjects
        Female
    11 11
        Male
    6 6

    End points

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    End points reporting groups
    Reporting group title
    ModraDoc006/r extension treatment
    Reporting group description
    ModraDoc006/r is administered in patients who participated in other phase I trials with ModraD0c006/r at a similar dose regimen as in the previous ModraDoc006/r study.

    Primary: Safety analysis

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    End point title
    Safety analysis [1]
    End point description
    To determine the safety of extended use treatment with weekly ModraDoc006/r in patients who completed treatment in one of the phase I trials with ModraDoc006/r, who might derive clinical benefit by continued treatment with the oral docetaxel formulation
    End point type
    Primary
    End point timeframe
    Overall trial
    Notes
    [1] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: In general, ModraDoc006/r was reasonably well tolerated. However, due to the low number of patients enrolled and the limited number of patients exposed for prolonged period of time to the study drug, no firm conclusions on the long-term safety of ModraDoc006/r should be drawn.
    End point values
    ModraDoc006/r extension treatment
    Number of subjects analysed
    17
    Units: Subjects
        Patients reporting at least 1 TEAE
    17
        Patients reporting drug related TEAEs
    16
        Patients reporting serious TEAEs
    8
        Patients reporting TEAEs leading to withdrawal
    4
        Patients reporting TEAEs leading to death
    2
    No statistical analyses for this end point

    Adverse events

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    Adverse events information
    Timeframe for reporting adverse events
    Toxicities were scored from the first study drug administration until the end of treatment visit.
    Adverse event reporting additional description
    Toxicity was scored according to the CTC-AE (Common Terminology Criteria for Adverse Events, version 3.0).
    Assessment type
    Systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    17.1
    Reporting groups
    Reporting group title
    Full analysis set
    Reporting group description
    The full analysis set included all 17 enrolled patients. All patients received one or more doses of the study medication and are included in the per protocol analysis set and in the safety analysis set.

    Serious adverse events
    Full analysis set
    Total subjects affected by serious adverse events
         subjects affected / exposed
    8 / 17 (47.06%)
         number of deaths (all causes)
    2
         number of deaths resulting from adverse events
    2
    Cardiac disorders
    Pericardial effusion
         subjects affected / exposed
    1 / 17 (5.88%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 1
    Blood and lymphatic system disorders
    Anaemia
         subjects affected / exposed
    1 / 17 (5.88%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Gastrointestinal disorders
    Ileus
         subjects affected / exposed
    1 / 17 (5.88%)
         occurrences causally related to treatment / all
    0 / 4
         deaths causally related to treatment / all
    0 / 1
    Nausea
         subjects affected / exposed
    4 / 17 (23.53%)
         occurrences causally related to treatment / all
    4 / 6
         deaths causally related to treatment / all
    0 / 0
    Vomiting
         subjects affected / exposed
    2 / 17 (11.76%)
         occurrences causally related to treatment / all
    3 / 3
         deaths causally related to treatment / all
    0 / 0
    Respiratory, thoracic and mediastinal disorders
    Dyspnoea
         subjects affected / exposed
    1 / 17 (5.88%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Infections and infestations
    Candida infection
         subjects affected / exposed
    1 / 17 (5.88%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Metabolism and nutrition disorders
    Hypercalcaemia
         subjects affected / exposed
    1 / 17 (5.88%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Frequency threshold for reporting non-serious adverse events: 0%
    Non-serious adverse events
    Full analysis set
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    17 / 17 (100.00%)
    Investigations
    Alanine aminotransferase increased
         subjects affected / exposed
    2 / 17 (11.76%)
         occurrences all number
    2
    Aspartate aminotransferase increased
         subjects affected / exposed
    2 / 17 (11.76%)
         occurrences all number
    2
    Platelet count decreased
         subjects affected / exposed
    2 / 17 (11.76%)
         occurrences all number
    6
    General disorders and administration site conditions
    Fatigue
         subjects affected / exposed
    5 / 17 (29.41%)
         occurrences all number
    7
    Medical device site haemorrhage
         subjects affected / exposed
    1 / 17 (5.88%)
         occurrences all number
    1
    Oedema peripheral
         subjects affected / exposed
    1 / 17 (5.88%)
         occurrences all number
    1
    Pyrexia
         subjects affected / exposed
    1 / 17 (5.88%)
         occurrences all number
    1
    Eye disorders
    Scleral disorder
         subjects affected / exposed
    1 / 17 (5.88%)
         occurrences all number
    1
    Gastrointestinal disorders
    Abdominal pain
         subjects affected / exposed
    1 / 17 (5.88%)
         occurrences all number
    1
    Abdominal pain upper
         subjects affected / exposed
    1 / 17 (5.88%)
         occurrences all number
    1
    Diarrhoea
         subjects affected / exposed
    9 / 17 (52.94%)
         occurrences all number
    14
    Gastrointestinal inflammation
         subjects affected / exposed
    1 / 17 (5.88%)
         occurrences all number
    1
    Gingival pain
         subjects affected / exposed
    1 / 17 (5.88%)
         occurrences all number
    1
    Nausea
         subjects affected / exposed
    7 / 17 (41.18%)
         occurrences all number
    15
    Rectal haemorrhage
         subjects affected / exposed
    1 / 17 (5.88%)
         occurrences all number
    2
    Vomiting
         subjects affected / exposed
    5 / 17 (29.41%)
         occurrences all number
    17
    Skin and subcutaneous tissue disorders
    Alopecia
         subjects affected / exposed
    2 / 17 (11.76%)
         occurrences all number
    2
    Dry skin
         subjects affected / exposed
    1 / 17 (5.88%)
         occurrences all number
    1
    Onychomadesis
         subjects affected / exposed
    1 / 17 (5.88%)
         occurrences all number
    1
    Musculoskeletal and connective tissue disorders
    Muscle spasms
         subjects affected / exposed
    1 / 17 (5.88%)
         occurrences all number
    1
    Infections and infestations
    Candida infection
         subjects affected / exposed
    1 / 17 (5.88%)
         occurrences all number
    1
    Metabolism and nutrition disorders
    Decreased appetite
         subjects affected / exposed
    4 / 17 (23.53%)
         occurrences all number
    5

    More information

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    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? No

    Interruptions (globally)

    Were there any global interruptions to the trial? No

    Limitations and caveats

    Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data.
    None reported
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    The status and protocol content of GB trials is no longer updated since 1 January 2021. For the UK, as of 31 January 2021, EU Law applies only to the territory of Northern Ireland (NI) to the extent foreseen in the Protocol on Ireland/NI. Legal notice
    As of 31 January 2023, all EU/EEA initial clinical trial applications must be submitted through CTIS . Updated EudraCT trials information and information on PIP/Art 46 trials conducted exclusively in third countries continues to be submitted through EudraCT and published on this website.

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