NCT00653328

Brief Summary

RATIONALE: There is emerging data to suggest that the optimal use of angiogenesis inhibitors may be in combination with chemotherapy. The optimal use of atrasentan may be in combination with chemotherapy in women with relapsed and refractory ovarian cancer,fallopian tube cancer, and peritoneal serous papillary adenocarcinoma. Due to its manageable toxicity profile, ease of administration, and activity in both platinum sensitive as well as platinum-resistant patients, Doxil has become the 2nd-line treatment of choice for women with advanced stage ovarian cancer that has progressed following 1st-line platinum/taxane therapy. PURPOSE: To determine if a treatment combination of atrasentan + Doxil is an effective 2nd line treatment in patients with recurrent ovarian cancer, fallopian tube cancer, or peritoneal cancer.

Trial Health

57
Monitor

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
15

participants targeted

Target at below P25 for phase_2

Timeline
Completed

Started May 2003

Longer than P75 for phase_2

Geographic Reach
1 country

6 active sites

Status
terminated

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

May 1, 2003

Completed
4.9 years until next milestone

First Submitted

Initial submission to the registry

April 3, 2008

Completed
1 day until next milestone

First Posted

Study publicly available on registry

April 4, 2008

Completed
11 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

March 1, 2009

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

March 1, 2009

Completed
2.1 years until next milestone

Results Posted

Study results publicly available

April 21, 2011

Completed
Last Updated

May 23, 2012

Status Verified

May 1, 2012

Enrollment Period

5.8 years

First QC Date

April 3, 2008

Results QC Date

September 30, 2010

Last Update Submit

May 16, 2012

Conditions

Keywords

recurrent ovarian epithelial cancerfallopian tube cancerperitoneal cavity cancer

Outcome Measures

Primary Outcomes (1)

  • Median Time to Tumor Progression

    Tumor progression is determined by appropriate imaging techniques according to RECIST criteria or by CA-125 serum level \>=2x baseline and \>=70 IU/ml, confirmed by a second determination at least 28 days after the first determination

    Date on study to the date of measured progressive disease, every 2 cycles (2 months)

Secondary Outcomes (3)

  • Number of Patients With Objective Response

    At month 2 and monthly thereafter to cessation of treatment

  • Overall Survival

    Date on study to date of death from any cause

  • Number of Patients With Worst Grade Toxicities

    Weekly for 2 weeks, then monthly for 5 months

Study Arms (1)

Therapeutic Intervention

EXPERIMENTAL
Drug: atrasentan hydrochlorideDrug: doxil

Interventions

Atrasentan 10 mg orally everyday continuously beginning on Day 1.

Also known as: ABT-627, Xinlay
Therapeutic Intervention
doxilDRUG

50 mg/m2 intravenously every 28 days

Also known as: pegylated liposomal doxorubicin hydrochloride (Doxil)
Therapeutic Intervention

Eligibility Criteria

Age18 Years+
Sexfemale
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Histologically or cytologically confirmed adenocarcinoma arising from the ovary, fallopian tubes, or peritoneum (i.e., peritoneal serous papillary adenocarcinoma)
  • Received prior treatment with either cisplatin or carboplatin in combination with paclitaxel or docetaxel as first-line chemotherapy
  • Radiographic evidence of progressive disease and/or a doubling of CA-125 levels ≥ 70 IU/mL following first-line chemotherapy
  • Measurable disease as defined by RECIST criteria
  • No CNS metastases
  • PATIENT CHARACTERISTICS:
  • ECOG performance status 0-2
  • Absolute neutrophil count ≥ 1,500/μL
  • Hemoglobin ≥ 9.5 g/dL
  • Platelets \> 100,000/μL
  • Serum creatinine ≤ 1.5 times upper limit of normal (ULN)
  • Total bilirubin ≤ 1.5 times ULN
  • AST and ALT ≤ 2.5 times ULN (≤ 5.0 times ULN if liver metastases are present)
  • LVEF ≥ 50% by MUGA
  • Not pregnant or nursing
  • +5 more criteria

You may not qualify if:

  • Not specified
  • PRIOR CONCURRENT THERAPY:
  • See Disease Characteristics
  • Recovered from all prior toxicities to ≤ grade 1 by NCI-CTC Version 2 criteria
  • No other prior systemic therapies for this cancer except cisplatin or carboplatin in combination with paclitaxel or docetaxel as first-line chemotherapy
  • More than 4 weeks since prior chemotherapy
  • No concurrent anticancer therapy

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (6)

Central Georgia Hematology Oncology Associates, P.C.

Macon, Georgia, 31201, United States

Location

Kentuckiana Cancer Institute

Louisville, Kentucky, 40202, United States

Location

The Jones Clinic

Germantown, Tennessee, 38138, United States

Location

Jackson-Madison County Hospital

Jackson, Tennessee, 383013956, United States

Location

St. Thomas Health Services

Nashville, Tennessee, 37205, United States

Location

Vanderbilt-Ingram Cancer Center

Nashville, Tennessee, 37232, United States

Location

MeSH Terms

Conditions

Fallopian Tube NeoplasmsOvarian NeoplasmsCarcinoma, Ovarian Epithelial

Interventions

Atrasentanliposomal doxorubicin

Condition Hierarchy (Ancestors)

Genital Neoplasms, FemaleUrogenital NeoplasmsNeoplasms by SiteNeoplasmsFallopian Tube DiseasesAdnexal DiseasesGenital Diseases, FemaleFemale Urogenital DiseasesFemale Urogenital Diseases and Pregnancy ComplicationsUrogenital DiseasesGenital DiseasesEndocrine Gland NeoplasmsOvarian DiseasesEndocrine System DiseasesGonadal DisordersCarcinomaNeoplasms, Glandular and EpithelialNeoplasms by Histologic Type

Intervention Hierarchy (Ancestors)

BenzodioxolesDioxolesHeterocyclic Compounds, 1-RingHeterocyclic CompoundsPyrrolidinesHeterocyclic Compounds, 2-RingHeterocyclic Compounds, Fused-Ring

Results Point of Contact

Title
Marta Crispens, M.D.
Organization
Vanderbilt-Ingram Cancer Center

Study Officials

  • Marta Crispens, MD

    Vanderbilt-Ingram Cancer Center

    PRINCIPAL INVESTIGATOR

Publication Agreements

PI is Sponsor Employee
Yes

Study Design

Study Type
interventional
Phase
phase 2
Allocation
NON RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
SINGLE GROUP
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Associate Professor; Gynecological Oncologist

Study Record Dates

First Submitted

April 3, 2008

First Posted

April 4, 2008

Study Start

May 1, 2003

Primary Completion

March 1, 2009

Study Completion

March 1, 2009

Last Updated

May 23, 2012

Results First Posted

April 21, 2011

Record last verified: 2012-05

Locations