NCT03146663

Brief Summary

This study was designed to evaluate the effect of two dose levels of NUC-1031 (500 mg/m2 and 750mg/m2) in patients with ovarian cancer. The primary objective was to determine the anti-tumor activity of NUC-1031 at the selected dose level (500 mg/m2 or 750 mg/m2).

Trial Health

60
Monitor

Trial Health Score

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

Enrollment
53

participants targeted

Target at P50-P75 for phase_2 ovarian-cancer

Timeline
Completed

Started Sep 2017

Shorter than P25 for phase_2 ovarian-cancer

Geographic Reach
2 countries

17 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

First Submitted

Initial submission to the registry

May 4, 2017

Completed
6 days until next milestone

First Posted

Study publicly available on registry

May 10, 2017

Completed
5 months until next milestone

Study Start

First participant enrolled

September 28, 2017

Completed
2.3 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 31, 2019

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

December 31, 2019

Completed
1.1 years until next milestone

Results Posted

Study results publicly available

February 21, 2021

Completed
Last Updated

February 21, 2021

Status Verified

February 1, 2021

Enrollment Period

2.3 years

First QC Date

May 4, 2017

Results QC Date

December 31, 2020

Last Update Submit

February 16, 2021

Conditions

Keywords

Platinum-resistantovarian neoplasmantineoplastic agentsovarian diseasescancer of the ovary

Outcome Measures

Primary Outcomes (1)

  • Best Overall Response

    Best overall response to study treatment, as assessed by blinded independent central review according to RECIST v1.1, in the evaluable population of patients who received at least one dose of study treatment and had measurable disease at baseline. Complete Response (CR): disappearance of all target and non-target lesions, normalization of tumor markers, and pathological lymph nodes must have short axis measurements \<10 mm. Partial Response (PR): ≥30% decrease in the sum of measures of target lesions, taking as reference the baseline sum of diameters. Non-target lesions must be non-progressive disease. Stable Disease (SD): neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD taking as reference the smallest sum of diameters on study. Progressive Disease (PD): ≥20% increase in the sum of measured lesions taking as reference the smallest sum of diameters recorded on study and an absolute increase of ≥5mm.

    Assessed from date of randomization until disease progression, up to end of the study (approximately 2 years)

Study Arms (2)

Arm A

EXPERIMENTAL

NUC-1031 500 mg/m2 administered on Days 1, 8, and 15 of 28-day cycles

Drug: NUC-1031 500 mg

Arm B

EXPERIMENTAL

NUC-1031 750 mg/m2 administered on Days 1, 8, and 15 of 28-day cycles

Drug: NUC-1031 750mg

Interventions

NUC-1031 500 mg/m2 on Days 1, 8, and 15 of a 28-day cycle.

Also known as: fosgemcitabine palabenamide
Arm A

NUC-1031 750 mg/m2 on Days 1, 8, and 15 of a 28-day cycle

Also known as: fosgemcitabine palabenamide
Arm B

Eligibility Criteria

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

You may qualify if:

  • Provision of signed written informed consent.
  • Original diagnosis and/or histological confirmation of high-grade serous, high-grade endometrioid, undifferentiated/unclassifiable epithelial ovarian, fallopian tube or primary peritoneal cancer.
  • Time from the last line of platinum-based chemotherapy of less than 6 months.
  • Received at least 3 prior chemotherapy-containing regimens.
  • Age ≥18 years.
  • Ability to comply with protocol requirements.
  • Patients are not of childbearing potential or they must agree to use a physical method of contraception.

You may not qualify if:

  • Disease that progressed while receiving initial line of platinum-based chemotherapy.
  • Received fewer than 3 prior chemotherapy-containing regimens.
  • Prior therapy with single-agent gemcitabine.
  • Prior history of hypersensitivity to gemcitabine.
  • Prior chemotherapy, radiation (other than short cycle of radiation to reduce bone pain), treatment with a VEGF inhibitor, PARP inhibitor or immunotherapy within 21 days of first receipt of study drug. Hormone therapy within 14 days of first receipt of study drug.
  • Residual side effects from chemotherapy or radiation, which have not gotten better except for nerve pain or tingling or hair loss.
  • Patients who have a history of another type of cancer diagnosed within the past 5 years, with the exception of adequately treated non-melanoma skin cancer curatively treated cervical cancer or ductal carcinoma in situ (DCIS) of the breast.
  • Presence of an serious illness, uncontrolled illness, or active infection requiring IV antibiotics.
  • Presence of any serious illnesses, serious medical conditions, serious medical history, active bacterial or viral infections including hepatitis B or C, or known to be HIV positive.
  • Currently pregnant, lactating or breastfeeding.
  • History of blocked intestines because of ovarian cancer, unless fully resolved.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (17)

Arizona Oncology Associates, PC - HAL

Phoenix, Arizona, 85016, United States

Location

Arizona Oncology Associates, PC - HOPE

Tucson, Arizona, 85711, United States

Location

Rocky Mountain Cancer Centers, LLP

Lakewood, Colorado, 80228, United States

Location

Florida Cancer Specialists and Research Institute

St. Petersburg, Florida, 33705, United States

Location

Minnesota Oncology Hematology, P.A.

Edina, Minnesota, 55435-2150, United States

Location

SCRI - HCA Health Midwest

Kansas City, Missouri, 64132, United States

Location

Nashville Tennessee Oncology

Nashville, Tennessee, 37203, United States

Location

Texas Oncology - South Austin

Austin, Texas, 78745, United States

Location

Texas Oncology The Woodlands, Gynecologic Oncology

The Woodlands, Texas, 77380, United States

Location

Texas Oncology - Tyler

Tyler, Texas, 75702, United States

Location

Edinburgh Cancer Centre

Edinburgh, EH4 2XR, United Kingdom

Location

Cancer Research UK Clinical Trial Unit

Glasgow, G12 0YN, United Kingdom

Location

St Bartholomew's Hospital

London, EC1A 7BE, United Kingdom

Location

University College London Hospital

London, NW1 2PG, United Kingdom

Location

Royal Marsden Hospital

London, SW3 6JJ, United Kingdom

Location

Imperial College Healthcare NHS Trust

London, W12 0HS, United Kingdom

Location

Oxford University Hospital Foundation Trust

Oxford, OX3 7LE, United Kingdom

Location

MeSH Terms

Conditions

Ovarian NeoplasmsOvarian Diseases

Interventions

NUC-1031

Condition Hierarchy (Ancestors)

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

Limitations and Caveats

Despite promising efficacy and a good tolerability profile in Part I, it was decided not to initiate Part II as the pre-specified boundary for efficacy was uncertain to be met in this heavily pre-treated population with significant co-morbidities.

Results Point of Contact

Title
Medical and Scientific Affairs Department
Organization
NuCana Plc

Study Officials

  • Elisabeth Oelmann, MD PhD

    NuCana plc

    STUDY DIRECTOR

Publication Agreements

PI is Sponsor Employee
No
Restrictive Agreement
No

Study Design

Study Type
interventional
Phase
phase 2
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

May 4, 2017

First Posted

May 10, 2017

Study Start

September 28, 2017

Primary Completion

December 31, 2019

Study Completion

December 31, 2019

Last Updated

February 21, 2021

Results First Posted

February 21, 2021

Record last verified: 2021-02

Data Sharing

IPD Sharing
Will not share

No IPD will be shared.

Locations