Imatinib Mesylate in Combination With Docetaxel for Advanced, Platinum-Refractory Ovarian Cancer
Imatinib Mesylate (Gleevec®, STI571) in Combination With Docetaxel (Taxotere) for the Treatment of Advanced, Platinum-Refractory Ovarian Cancer and Primary Peritoneal Carcinomatosis: Hoosier Oncology Group GYN03-62
1 other identifier
interventional
23
1 country
9
Brief Summary
Imatinib mesylate is an inhibitor of the receptor tyrosine kinases for platelet-derived growth factor (PDGF) and stem cell factor (SCF), c-Kit, and inhibits PDGF- and SCF-mediated cellular events. Docetaxel promotes cell growth arrest by inhibiting the deassembly of tubulin and by promoting at the same time microtubule assembly. Docetaxel has single agent activity in ovarian cancer with response rates of 30-40% in the platinum refractory setting. The combination of imatinib mesylate and docetaxel has potential synergistic effects, based on previous reports showing synergy in-vitro and in-vivo between PDGFR inhibitors or PI3K inhibitors and taxane chemotherapy. This trial will investigate the efficacy the combination of imatinib mesylate and docetaxel in treating patients with advanced, platinum-refractory ovarian cancer and primary peritoneal carcinomatosis.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for phase_2 ovarian-cancer
Started Dec 2003
9 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
December 1, 2003
CompletedFirst Submitted
Initial submission to the registry
September 12, 2005
CompletedFirst Posted
Study publicly available on registry
September 22, 2005
CompletedPrimary Completion
Last participant's last visit for primary outcome
October 1, 2005
CompletedStudy Completion
Last participant's last visit for all outcomes
July 1, 2007
CompletedFebruary 19, 2016
February 1, 2016
1.8 years
September 12, 2005
February 17, 2016
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
· To determine response rate (CR, PR and SD) of patients with advanced, platinum-refractory ovarian cancer, whose tumors over-express PDGFR or c-kit receiving imatinib mesylate in combination with docetaxel.
24 months
Secondary Outcomes (3)
· To assess the safety and tolerability of imatinib mesylate in combination with docetaxel in patients with advanced, platinum-refractory ovarian cancer, whose tumors over-express PDGFR or c-kit.
24 months
· To determine progression free survival and overall survival in patients with advanced, platinum-refractory ovarian cancer, whose tumors over-express PDGFR or c-kit, receiving imatinib mesylate in combination with docetaxel.
24 months
· To determine whether basal level of Akt expression or Akt activation (phospho-Akt) in ovarian tumors impacts response to treatment with imatinib and docetaxel.
24 months
Study Arms (1)
Investigational Treatment
EXPERIMENTALImatinib Mesylate + Docetaxel
Interventions
Eligibility Criteria
You may qualify if:
- Histologically documented diagnosis of ovarian cancer, primary peritoneal carcinomatosis or fallopian tube cancer·
- Immunohistochemical documentation of c-Kit or PDGFR expression by tumor
- At least one measurable site of disease as defined by RECIST or evidence of disease progression by CA125 measurement
- Platinum-refractory or platinum-resistant
You may not qualify if:
- No prior exposure to imatinib (Gleevec®) as single agent or in combination
- No chemotherapy within 28 days (42 days for nitrosourea or mitomycin-C) prior to being registered to protocol therapy.
- No prior radiotherapy to ³ 25 % of the bone marrow
- No known brain metastases.
- Negative pregnancy test
- No current breastfeeding
- No investigational agents within 28 days prior to protocol therapy
- No prior malignancy in the past 5 years unless the other primary malignancy is not currently clinically significant, nor requiring active intervention, or if other primary malignancy is a basal cell skin cancer or a cervical carcinoma in situ
- No severe and/or uncontrolled medical disease (i.e., uncontrolled diabetes, chronic renal disease, or active uncontrolled infection)
- No known diagnosis of human immunodeficiency virus (HIV) infection.
- No major surgery within 28 days prior to being registered to protocol therapy.
- No refractory ascites requiring drainage more frequently than once a month
- No presence of clinically significant small bowel obstruction
- No prior exposure to docetaxel (exposure to paclitaxel is allowed)
- No parenteral nutrition within 28 days prior to being registered to protocol therapy.
- +6 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Daniela Matei, MDlead
- Novartis Pharmaceuticalscollaborator
- Sanoficollaborator
- Walther Cancer Institutecollaborator
Study Sites (9)
Medical & Surgical Specialists, LLC
Galesburg, Illinois, 61401, United States
Elkhart Clinic
Elkhart, Indiana, 46515, United States
Oncology Hematology Associates of SW Indiana
Evansville, Indiana, 47714, United States
Fort Wayne Oncology & Hematology, Inc
Fort Wayne, Indiana, 46815, United States
Indiana University Cancer Center
Indianapolis, Indiana, 46202, United States
Arnett Cancer Care
Lafayette, Indiana, 47904, United States
Medical Consultants, P.C.
Muncie, Indiana, 47303, United States
Center for Cancer Care, Inc., P.C.
New Albany, Indiana, 47150, United States
AP&S Clinic
Terre Haute, Indiana, 47804, United States
Related Publications (1)
Matei D, Emerson RE, Schilder J, Menning N, Baldridge LA, Johnson CS, Breen T, McClean J, Stephens D, Whalen C, Sutton G. Imatinib mesylate in combination with docetaxel for the treatment of patients with advanced, platinum-resistant ovarian cancer and primary peritoneal carcinomatosis : a Hoosier Oncology Group trial. Cancer. 2008 Aug 15;113(4):723-32. doi: 10.1002/cncr.23605.
PMID: 18618737RESULT
Related Links
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- STUDY CHAIR
Daniela Matei, M.D.
Hoosier Oncology Group, LLC
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- NA
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR INVESTIGATOR
- PI Title
- Sponsor-Investigator
Study Record Dates
First Submitted
September 12, 2005
First Posted
September 22, 2005
Study Start
December 1, 2003
Primary Completion
October 1, 2005
Study Completion
July 1, 2007
Last Updated
February 19, 2016
Record last verified: 2016-02
Data Sharing
- IPD Sharing
- Will not share