NCT00771810

Brief Summary

This research study will investigate the safety and effectiveness of two different dose levels of a new, unapproved drug to be given along with the chemotherapy regimens gemcitabine and carboplatin or gemcitabine and cisplatin prescribed to women for the treatment of ovarian cancer. This experimental drug is called TXA127 and is being tested for effectiveness to see if it will help reduce some of the side effects of the chemotherapy, primarily low blood platelet levels that lead to excess bleeding. This study also intends to test the safety of TXA127 when given as an injection under the skin on a daily basis concurrently with up to 6 cycles of the prescribed chemotherapy.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
34

participants targeted

Target at P25-P50 for phase_2

Timeline
Completed

Started Oct 2008

Typical duration for phase_2

Geographic Reach
1 country

6 active sites

Status
completed

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

October 1, 2008

Completed
8 days until next milestone

First Submitted

Initial submission to the registry

October 9, 2008

Completed
4 days until next milestone

First Posted

Study publicly available on registry

October 13, 2008

Completed
3.1 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 1, 2011

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

December 1, 2011

Completed
1.5 years until next milestone

Results Posted

Study results publicly available

June 7, 2013

Completed
Last Updated

November 13, 2017

Status Verified

October 1, 2017

Enrollment Period

3.2 years

First QC Date

October 9, 2008

Results QC Date

February 25, 2013

Last Update Submit

October 10, 2017

Conditions

Keywords

Ovarian CancerThrombocytopeniaCytopeniaChemotherapy

Outcome Measures

Primary Outcomes (1)

  • Chemotherapy Cycles During Which the Platelet Count Measures Below 50,000/mm3

    Mean percentage of cycles with platelet counts below 50,000/mm3

    During a maximum of six 3-week chemotherapy cycles

Secondary Outcomes (9)

  • Subjects With Platelet Counts Below 50,000/mm3

    During a maximum of six 3-week chemotherapy cycles

  • Treatment Cycles With Platelets Counts Below 25,000/mm3

    During a maximum of six 3-week chemotherapy cycles

  • Chemotherapy Dose Intensity and Dose Density

    During a maximum of six 3-week chemotherapy cycles

  • Lymphopenia as Determined by Lymphocyte Count

    During a maximum of six 3-week chemotherapy cycles

  • Neutropenia

    During a maximum of six 3-week chemotherapy cycles

  • +4 more secondary outcomes

Study Arms (3)

Placebo

PLACEBO COMPARATOR

Combination gemcitabine and platinum-based chemotherapy with concurrent placebo

Drug: Placebo

TXA127 100 ug/kg

EXPERIMENTAL

Combination gemcitabine and platinum-based chemotherapy with concurrent 100 ug/kg/day TXA127

Drug: TXA127

TXA127 300 ug/kg

EXPERIMENTAL

Combination gemcitabine and platinum-based chemotherapy with concurrent 300 ug/kg/day TXA127

Drug: TXA127

Interventions

TXA127DRUG

Once daily subcutaneous injection of 100 ug/kg

Also known as: Angiotensin 1-7
TXA127 100 ug/kg

Once daily subcutaneous injection of placebo

Placebo

Eligibility Criteria

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

You may qualify if:

  • Females at least 18 years of age with ovarian carcinoma who are one of the following:
  • Newly diagnosed with ovarian cancer and chemotherapy naïve, or
  • Post a single previous course of chemotherapy, with a 3-month disease-progression and treatment-free interval, with the exception of antibody therapy, prior to the study screening visit, or
  • Post two or more previous courses of chemotherapy with a 6-month disease-progression and treatment-free interval, with the exception of antibody therapy, prior to the study screening visit.
  • Must be scheduled for a course of combination chemotherapy consisting of gemcitabine and cisplatin or gemcitabine and carboplatin to be administered in 21-day cycles
  • Eastern Cooperative Oncology Group (ECOG) Performance Status of 0, 1, or 2
  • Adequate bone marrow, renal, and hepatic functions as measured by standard chemistry and hematology blood tests
  • Adequate blood coagulation parameters as measured by standard blood tests for coagulation

You may not qualify if:

  • Significant unstable cardiovascular disease
  • Uncontrolled high blood pressure
  • Current use of an angiotensin converting enzyme (ACE) inhibitor or angiotensin II antagonists
  • Evidence of metastatic disease to the bone
  • Metastatic disease to the CNS requiring treatment or radiation therapy
  • Uncontrolled infection(s)
  • Concurrent use of hematopoietic or erythropoietic agents

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (6)

University of Southern Alabama Mitchell Cancer Institute

Mobile, Alabama, 36604, United States

Location

USC - LAC Medical Center

Los Angeles, California, 90033, United States

Location

University of California - Irvine, Chao Family Comprehensive Cancer Center

Orange, California, 92868, United States

Location

Rush University Medical Center

Chicago, Illinois, 60612, United States

Location

Associates in Women's Health

Wichita, Kansas, 67208, United States

Location

Schwartz Gynecologic Oncology, PLLC

Brightwaters, New York, 11718, United States

Location

Related Publications (2)

  • Rodgers KE, Oliver J, diZerega GS. Phase I/II dose escalation study of angiotensin 1-7 [A(1-7)] administered before and after chemotherapy in patients with newly diagnosed breast cancer. Cancer Chemother Pharmacol. 2006 May;57(5):559-68. doi: 10.1007/s00280-005-0078-4. Epub 2005 Aug 12.

    PMID: 16096787BACKGROUND
  • Ellefson DD, diZerega GS, Espinoza T, Roda N, Maldonado S, Rodgers KE. Synergistic effects of co-administration of angiotensin 1-7 and Neupogen on hematopoietic recovery in mice. Cancer Chemother Pharmacol. 2004 Jan;53(1):15-24. doi: 10.1007/s00280-003-0710-0. Epub 2003 Oct 16.

    PMID: 14569417BACKGROUND

MeSH Terms

Conditions

ThrombocytopeniaNeutropeniaLymphopeniaAnemiaOvarian NeoplasmsCytopenia

Interventions

angiotensin I (1-7)

Condition Hierarchy (Ancestors)

Blood Platelet DisordersHematologic DiseasesHemic and Lymphatic DiseasesAgranulocytosisLeukopeniaLeukocyte DisordersImmunologic Deficiency SyndromesImmune System DiseasesEndocrine Gland NeoplasmsNeoplasms by SiteNeoplasmsOvarian DiseasesAdnexal DiseasesGenital Diseases, FemaleFemale Urogenital DiseasesFemale Urogenital Diseases and Pregnancy ComplicationsUrogenital DiseasesGenital Neoplasms, FemaleUrogenital NeoplasmsGenital DiseasesEndocrine System DiseasesGonadal Disorders

Limitations and Caveats

Feasibility considerations (e.g., slow patient enrollment and lower incidence of Grade 3-4 thrombocytopenia than planned) necessitated early termination of the study after 34 patients had been enrolled.

Results Point of Contact

Title
Elizabeth Wagner
Organization
Tarix Pharmaceuticals

Study Officials

  • Gere S diZerega, MD

    US Biotest, Inc.

    STUDY DIRECTOR

Publication Agreements

PI is Sponsor Employee
No
Restriction Type
GT60
Restrictive Agreement
Yes

Study Design

Study Type
interventional
Phase
phase 2
Allocation
RANDOMIZED
Masking
QUADRUPLE
Who Masked
PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
Purpose
SUPPORTIVE CARE
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

October 9, 2008

First Posted

October 13, 2008

Study Start

October 1, 2008

Primary Completion

December 1, 2011

Study Completion

December 1, 2011

Last Updated

November 13, 2017

Results First Posted

June 7, 2013

Record last verified: 2017-10

Locations