A Study of Cediranib and Olaparib at the Time Ovarian Cancer Worsens on Olaparib
A Proof of Concept Clinical Trial of the Combination Cediranib-Olaparib at the Time of Disease Progression on Olaparib in Ovarian Cancer
1 other identifier
interventional
4
1 country
1
Brief Summary
This is a phase 2 study (the second phase in testing a new drug or drug combination) to see how useful adding investigational drug cediranib to olaparib after disease progression on olaparib alone in patients with ovarian cancer.
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 Jun 2015
1 active site
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
First Submitted
Initial submission to the registry
January 13, 2015
CompletedFirst Posted
Study publicly available on registry
January 16, 2015
CompletedStudy Start
First participant enrolled
June 1, 2015
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 1, 2018
CompletedStudy Completion
Last participant's last visit for all outcomes
June 1, 2018
CompletedJune 12, 2018
June 1, 2018
3 years
January 13, 2015
June 11, 2018
Conditions
Outcome Measures
Primary Outcomes (1)
Percentage of patients whose cancer shrinks or disappears after treatment
2 years
Secondary Outcomes (4)
Percentage of decrease in CA-125 levels after treatment
2 years
Mutation status of genes compared to response to treatment
2 years
Number of occurences per side effect and severity
2 years
Assess patient reported outcomes during treatment
2 years
Study Arms (1)
Cediranib and Olaparib
EXPERIMENTALCediranib, 20 mg , orally, once a day, every day. Olaparib, 150 mg or 200 mg (depending on previous treatment dose), orally, once a day, every day.
Interventions
Polyadenosine 5'diphosphoribose polymerase (PARP) Inhibitor
Vascular endothelial growth factor (VEGF) receptor tyrosine kinase inhibitor that is a potent inhibitor of all three VEGF receptors (VEGFR-1, -2 and -3)
Eligibility Criteria
You may qualify if:
- Age 18 years or older
- Performance status 2 or less
- Ovarian cancer, high grade serous or high grade endometrioid histology subtype
- Radiographically documented disease progression per RECIST 1.1
- Progression on olaparib therapy after an initial good response (more than 6 months)
- Patients must have adequate bone marrow, renal and hepatic function per local laboratory reference range
- Ongoing prior toxicities related to previous treatments recovered to grade 2 or less
- LVEF\>50% by echocardiograms or MUGA
- Urine dipstick for proteinuria \<2+
- Willing to undergo tumour biopsy pre-treatment
- Life expectancy of greater than 3 months
- Ability to understand and the willingness to sign a written informed consent document
You may not qualify if:
- Current bowel obstruction
- Known brain metastases
- Mean QTc \>470 msec (with Bazett's correction) in screening ECG or history of familial long QT syndrome.
- Uncontrolled intercurrent illness including, but not limited to hypertension, ongoing or active infection, symptomatic congestive heart failure, unstable angina pectoris, cardiac arrhythmia, or psychiatric illness/social situations that would limit compliance with study requirements
- A New York Heart Association classification of III or IV requiring concurrent use of drugs or biologics with proarrhythmic potential.
- History of allergic reactions attributed to compounds of similar chemical or biologic composition to olaparib or cediranib
- Unable to swallow orally administered medication and/or gastrointestinal disorders likely to interfere with absorption of the study medication.
- Myelodysplastic syndrome/acute myeloid leukaemia
- Immuno-compromised patients, e.g., patients who are known to be serologically positive for human immunodeficiency virus (HIV), patients with known active hepatitis (i.e.,hepatitis B or C) due to risk of transmitting the infection through blood or other body fluids.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- University Health Network, Torontolead
- AstraZenecacollaborator
Study Sites (1)
Princess Margaret Cancer Centre
Toronto, Ontario, M5G 2M9, Canada
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Amit Oza, M.D.
Princess Margaret Cancer Centre
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- NA
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
January 13, 2015
First Posted
January 16, 2015
Study Start
June 1, 2015
Primary Completion
June 1, 2018
Study Completion
June 1, 2018
Last Updated
June 12, 2018
Record last verified: 2018-06