Trial of Pemetrexed and Carboplatin in Patients With Recurrent Ovarian or Primary Peritoneal Cancer
A Phase 1 and 2 Clinical Trial of ALIMTA® (Pemetrexed) in Combination With Carboplatin in Patients With Recurrent Ovarian or Primary Peritoneal Cancer
2 other identifiers
interventional
86
5 countries
22
Brief Summary
The purpose of this study is to determine efficacy of the combination therapy of pemetrexed and carboplatin as treatment for patients with platinum-sensitive ovarian cancer. This study also includes patients with primary peritoneal cancer.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_1 ovarian-cancer
Started Jul 2005
Typical duration for phase_1 ovarian-cancer
22 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
July 1, 2005
CompletedFirst Submitted
Initial submission to the registry
June 19, 2007
CompletedFirst Posted
Study publicly available on registry
June 21, 2007
CompletedPrimary Completion
Last participant's last visit for primary outcome
February 1, 2010
CompletedStudy Completion
Last participant's last visit for all outcomes
February 1, 2010
CompletedResults Posted
Study results publicly available
June 16, 2011
CompletedJune 16, 2011
May 1, 2011
4.6 years
June 19, 2007
February 17, 2011
May 17, 2011
Conditions
Outcome Measures
Primary Outcomes (2)
Phase 1 - Maximum Tolerated Dose (MTD) of Pemetrexed in Combination With Carboplatin
MTD was to be determined by increasing doses of pemetrexed up to 900 mg/m\^2 and carboplatin Area Under the Concentration-Time Curve (AUC) up to 6 mg/mL\*min based on observed pattern of dose limiting toxicity (DLT). See Outcome #3 for DLT. If none of 3 initial participants at a given level experienced a DLT in Cycle 1, enrollment proceeded to the next dose level. If at least 2 participants experienced a DLT in Cycle 1 at a dose level, that dose level was considered the MTD. However, based on results from a different Phase 2 Study (NCT00109096), further dose escalations were not explored.
First treatment to toxicity (up to 18 months)
Phase 2 - Percentage of Participants With Overall Tumor Response (Response Rate)
Response is defined as CR (Complete Response) or PR (Partial Response) per Response Evaluation Criteria in Solid Tumor (RECIST criteria). Possible evaluations include: CR: Disappearance of all target lesions. PR: At least a 30% decrease in the size of target lesions. Response rate (%) = (number of patients with CR+PR/number of patients in Phase 2)\*100
baseline to measured progressive disease (PD) (up to 18 months)
Secondary Outcomes (12)
Phase 1 - Number of Dose-Limiting Toxicities (DLTs)
baseline through end of Phase 1 (up to 18 months)
Phase 1 - Number of Participants With Adverse Events (Toxicity)
baseline measured to progressive disease (up to 18 months)
Phase 1 - Recommended Dose of Pemetrexed for Phase 2
baseline measured to progressive disease (up to 18 months)
Phase 1 - Recommended Area Under the Curve (AUC) Dose of Carboplatin for Phase 2
baseline measured to progressive disease (up to 18 months)
Phase 1 - Number of Participants With Tumor Response
baseline measured to progressive disease (up to 18 months)
- +7 more secondary outcomes
Study Arms (2)
Pemetrexed/Carboplatin Phase 1
EXPERIMENTALPemetrexed was administered intravenously over approximately 10 minutes on Day 1 of a 21-day cycle. Carboplatin was administered intravenously over approximately 30 minutes on Day 1 of a 21-day cycle, beginning approximately 30 minutes after the end of the pemetrexed infusion.
Pemetrexed/Carboplatin Phase 2
EXPERIMENTALPemetrexed was administered intravenously over approximately 10 minutes on Day 1 of a 21-day cycle. Carboplatin was administered intravenously over approximately 30 minutes on Day 1 of a 21-day cycle, beginning approximately 30 minutes after the end of the pemetrexed infusion.
Interventions
500, 600, 700, 800, or 900 milligrams per square meter (mg/m\^2), administered intravenously (IV), every 21 days x 6 cycles, dose escalate to Maximum Tolerated Dose (MTD)
area under the concentration time curve (AUC) 5 or 6 mg/mL\*min, administered intravenously (IV), every 21 days x 6 cycles, dose escalation to Maximum Tolerated Dose (MTD)
Dose determined from Phase 1: 500 mg/m\^2, administered IV, every 21 days x 6 cycles
Dose determined from Phase 1: AUC 6 mg/mL\*min, administered IV, every 21 days x 6 cycles
Eligibility Criteria
You may qualify if:
- Diagnosis of ovarian or primary peritoneal cancer confirmed by pathology
- Patients must have recurrent ovarian cancer which is sensitive to platinum therapy
- Prior radiation therapy is allowed
- Measurable disease as defined by the Response Evaluation Criteria In Solid Tumors (RECIST) guidelines, or non-measurable but cancer antigen 125 (CA-125) greater than or equal to 2X upper limit.
You may not qualify if:
- More than 2 lines of therapy for ovarian or primary peritoneal cancer.
- Pregnant or breast feeding.
- Have received treatment within the last 30 days with a drug that has not received regulatory approval for any indication at the time of study entry.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (22)
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Bahía Blanca, B8000HXM, Argentina
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Buenos Aires, C1199ACK, Argentina
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Ramos Mejía, B1704ESN, Argentina
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Salta, 4400, Argentina
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Calgary, Alberta, T2N 4N2, Canada
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Toronto, Ontario, M5G 2M9, Canada
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Berlin, 13353, Germany
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Bonn, 53127, Germany
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Chemnitz, D-09116, Germany
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Düsseldorf, 40489, Germany
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Erlangen, D-91054, Germany
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Essen, DE-45145, Germany
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Hamburg, 22081, Germany
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Jena, D-07743, Germany
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Kiel, D-24105, Germany
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Mainz, 55131, Germany
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Tübingen, 72076, Germany
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Gdansk, 80-402, Poland
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Olsztyn, 10-228, Poland
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Warsaw, 00909, Poland
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Gothenburg, 416 85, Sweden
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Lund, 22241, Sweden
Related Publications (2)
Bookman MA. 2006. GOG0182-ICON5: 5-arm phase III randomized trial of paclitaxel (P) and carboplatin (C) vs combinations with gemcitabine (G), PEG-lipososomal doxorubicin (D), or topotecan (T) in patients (pts) with advanced-stage epithelial ovarian (EOC) or primary peritoneal (PPC) carcinoma. J Clin Oncol 24 (suppl 18S). Abstract 5002.
BACKGROUNDSehouli J, Alvarez AM, Manouchehrpour S, Ghatage P, Szczylik C, Zimmermann A, Bauknecht T, Look KY, Oskay-Oezcelik G. A phase II trial of pemetrexed in combination with carboplatin in patients with recurrent ovarian or primary peritoneal cancer. Gynecol Oncol. 2012 Feb;124(2):205-9. doi: 10.1016/j.ygyno.2011.09.007. Epub 2011 Nov 1.
PMID: 22044606DERIVED
Related Links
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Results Point of Contact
- Title
- Chief Medical Officer
- Organization
- Eli Lilly and Company
Study Officials
- STUDY DIRECTOR
Call 1-877-CTLILLY (1-877-285-4559) or 1-317-615-4559 Mon - Fri 9 AM - 5 PM Eastern time (UTC/GMT - 5 hours, EST)
Eli Lilly and Company
Publication Agreements
- PI is Sponsor Employee
- No
- Restriction Type
- GT60
- Restrictive Agreement
- Yes
Study Design
- Study Type
- interventional
- Phase
- phase 1
- Allocation
- NON RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- INDUSTRY
Study Record Dates
First Submitted
June 19, 2007
First Posted
June 21, 2007
Study Start
July 1, 2005
Primary Completion
February 1, 2010
Study Completion
February 1, 2010
Last Updated
June 16, 2011
Results First Posted
June 16, 2011
Record last verified: 2011-05