NCT01535157

Brief Summary

The purpose of this study is to determine the effectiveness of fenretinide (4-HPR/LXS) plus ketoconazole in the treatment of recurrent ovarian cancer or primary peritoneal carcinoma. In addition, researchers would like to determine if the drugs are most effective together or if fenretinide (4-HPR/LXS) is most effective alone.

Trial Health

57
Monitor

Trial Health Score

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

Enrollment
12

participants targeted

Target at below P25 for phase_1 ovarian-cancer

Timeline
Completed

Started Feb 2012

Typical duration for phase_1 ovarian-cancer

Geographic Reach
1 country

3 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

February 1, 2012

Completed
2 days until next milestone

First Submitted

Initial submission to the registry

February 3, 2012

Completed
14 days until next milestone

First Posted

Study publicly available on registry

February 17, 2012

Completed
5.3 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 1, 2017

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

June 1, 2017

Completed
Last Updated

August 27, 2020

Status Verified

August 1, 2020

Enrollment Period

5.3 years

First QC Date

February 3, 2012

Last Update Submit

August 25, 2020

Conditions

Keywords

Chemotherapy

Outcome Measures

Primary Outcomes (4)

  • Phase 2: Progression Free Survival

    The objective response rate will be calculated as the percent of evaluable patients whose best response is a CR or PR, and assoicated exact 95% confidence intervals will be calculated. Time to treatment failure, duration of response and survival will be estimated using the product-limit method of Kaplan and Meier.

    From date of enrollment until date of documented progression or date of death (up to 48 months after last patient enters treatment)

  • Phase 2: Overall Survival

    The objective response rate will be calculated as the percent of evaluable patients whose best response is a CR or PR, and assoicated exact 95% confidence intervals will be calculated. Time to treatment failure, duration of response and survival will be estimated using the product-limit method of Kaplan and Meier.

    From enrollment up to first date of progressive disease or death from any cause (up to 48 months after last patient entered treatment)

  • Phase 1: To determine the systemic toxicity profile of 4-HPR/LXS oral powder + ketoconazole

    Toxicity information recorded will include the type, severity, time of onset, time of resolution, and the probable association with the study regimen.

    From time of first dose to the last (average 6 months)

  • Phase 2: Event Free Survival

    The objective response rate will be calculated as the percent of evaluable patients whose best response is a CR or PR, and assoicated exact 95% confidence intervals will be calculated. Time to treatment failure, duration of response and survival will be estimated using the product-limit method of Kaplan and Meier.

    From enrollment up to the first date of progressive disease or death from any cause (up to 48 months after last patient entered on treatment)

Secondary Outcomes (1)

  • Pharmacokinetics -

    up to 48 months after the last subject enrolled

Study Arms (1)

Fenretinide/LXS + Ketoconozale

EXPERIMENTAL

One course is defined as 7 days of Fenretinide/LXS + Ketoconazole followed by 14 days of rest. A course is repeated every 21 days if no evidence of disease progression for six courses.

Drug: Fenretinide/LXS + Ketoconazole

Interventions

Starting dose is: Fenretinide/LXS 800 mg 4-HPR/m2/day and Ketoconazole 400 mg/day

Also known as: 4-HPR, N-(4-hydroxyphenyl)retinamide, Nizoral, Feoris
Fenretinide/LXS + Ketoconozale

Eligibility Criteria

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

You may qualify if:

  • Recurrent epithelial ovarian cancer or primary peritoneal carcinoma that can be platinum sensitive or platinum resistant
  • SWOG Performance Status 0-2
  • Previously received a platinum and paclitaxel containing regimen
  • Projected Life Expectancy of at least 3 months
  • Adequate bone marrow function
  • Adequate organ function
  • Must have received at least 1 prior salvage regimen for recurrent ovarian cancer
  • Recovery from acute toxicities from surgery, radiation or chemotherapy
  • At least 3 weeks from last therapy

You may not qualify if:

  • Prior fenretinide oral capsule use allowed. If prior IV fenretinide use, must contact study chair for eligibility
  • Second malignancy within last 5 years
  • Use of concomitant antioxidants, such as vitamin C or E
  • Untreated or symptomatic brain metastases
  • History of hypertriglyceride levels \> 200 mg/dl; triglyceride levels \< 200 and receiving treatment are okay.
  • Use of certain medications is prohibited - contact study coordinator for information

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (3)

University of Oklahoma Health Sciences Center

Oklahoma City, Oklahoma, 73104, United States

Location

The University of Texas Southwestern Medical Center

Dallas, Texas, 75390, United States

Location

Joe Arrington Cancer Research and Treatment Center

Lubbock, Texas, 79416, United States

Location

Related Links

MeSH Terms

Conditions

Ovarian Neoplasms

Interventions

KetoconazoleFenretinide

Condition Hierarchy (Ancestors)

Endocrine Gland NeoplasmsNeoplasms by SiteNeoplasmsOvarian DiseasesAdnexal DiseasesGenital Diseases, FemaleFemale Urogenital DiseasesFemale Urogenital Diseases and Pregnancy ComplicationsUrogenital DiseasesGenital Neoplasms, FemaleUrogenital NeoplasmsGenital DiseasesEndocrine System DiseasesGonadal Disorders

Intervention Hierarchy (Ancestors)

PiperazinesHeterocyclic Compounds, 1-RingHeterocyclic CompoundsRetinoidsCarotenoidsPolyenesAlkenesHydrocarbons, AcyclicHydrocarbonsOrganic ChemicalsCyclohexenesCyclohexanesCycloparaffinsHydrocarbons, AlicyclicHydrocarbons, CyclicTerpenesPigments, BiologicalBiological Factors

Study Officials

  • Jayanthi Lea, MD

    University of Texas Southwestern Medical Center

    STUDY CHAIR
  • Barry J Maurer, MD, PhD

    Texas Tech University Health Sciences Center

    STUDY DIRECTOR

Study Design

Study Type
interventional
Phase
phase 1
Allocation
NA
Masking
NONE
Purpose
TREATMENT
Intervention Model
SINGLE GROUP
Sponsor Type
NETWORK
Responsible Party
SPONSOR

Study Record Dates

First Submitted

February 3, 2012

First Posted

February 17, 2012

Study Start

February 1, 2012

Primary Completion

June 1, 2017

Study Completion

June 1, 2017

Last Updated

August 27, 2020

Record last verified: 2020-08

Locations