Enzalutamide in Metastatic or Advanced Non-resectable Granulosa Cell Ovarian Tumors: GREKO III Study
GREKO III
Open Label Phase II Clinical Trial of Enzalutamide in Metastatic or Advanced Non-resectable Granulosa Cell Ovarian Tumors: GreKo III Study
2 other identifiers
interventional
16
1 country
8
Brief Summary
The good tolerability profile of enzalutamide, the fact that the administration of steroids is not necessary and the impressive results achieved in prostate cancer, make this drug an ideal candidate to be tested in ovarian granulosa cancer, a tumor that could somehow be considered as "female prostate 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 Apr 2018
8 active sites
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
February 19, 2018
CompletedFirst Posted
Study publicly available on registry
March 13, 2018
CompletedStudy Start
First participant enrolled
April 13, 2018
CompletedPrimary Completion
Last participant's last visit for primary outcome
November 11, 2020
CompletedStudy Completion
Last participant's last visit for all outcomes
November 11, 2020
CompletedFebruary 22, 2023
February 1, 2023
2.6 years
February 19, 2018
February 21, 2023
Conditions
Outcome Measures
Primary Outcomes (1)
Overall response rate (ORR)
Number of responses according to RECIST 1.1 criteria
Up to 6 months
Secondary Outcomes (4)
Clinical benefit rate
Up to 6 months
Progression-free survival (PFS)
Up to 6 months
Overall survival (OS)
Up to 6 months
Incidence of Treatment-Emergent Adverse Events
Up to 6 months
Study Arms (1)
Enzalutamide
EXPERIMENTALEnzalutamide 160 mg daily p.o. (4 capsules 40mg per day)
Interventions
Eligibility Criteria
You may qualify if:
- Patients who have given written informed consent
- Women aged 18 years or over
- Eastern Cooperative Oncology Group (ECOG) ≤ 1
- Diagnosis of histologically confirmed ovarian granulose carcinoma
- Availability of sufficient biopsy material for confirmation of the diagnosis by a centralized pathologist and determination of the mutation FOXL2402C→ G(C134W). If this material is not available, principal investigator of the study will confirm eligibility of the patient.
- Metastatic or unresectable disease
- Radiologically measurable disease. In case you there is not measurable disease, principal investigator of the study will confirm eligibility of the patient. - - Life expectancy ≥ 12 weeks
- Patients with adequate hepatic function, defined by: Aspartate transaminase (AST) and alanine aminotransferase (ALT) serum values ≤ 3 x upper limit of normal (except in the presence of metastasis in which case values ≤ 5 x upper limit of normal will be allowed), Total bilirubin values ≤ 1,5 x upper limit of normal
- Patients with adequate bone marrow function, defined by: Absolute neutrophil count ≥ 1.5 x 109 / L, Platelets ≥100 x 109/L, Hemoglobin ≥ 9 g/dL
- Patients with adequate renal function: serum creatinine ≤ 1,5 x upper limit of normal
- Absence of any disability to follow the study protocol
- Women childbearing potential who are sexually active, not undergoing hysterectomy or double adnexectomy, should follow the following contraceptive indications: Negative Pregnancy Test in serum or urine in the 72 hours before the start of treatment, use of a medically accepted method of contraception during: 2 months prior to the start of study treatment, during the study and up to 3 months after the last dose of treatment.
You may not qualify if:
- Patients with another primary tumor 2 years before beginning the drug under study, with the exception of adequately treated or totally surgically removed cervical carcinoma in-situ or basalioma or superficial bladder carcinoma
- Patients who have received radical radiotherapy ≤ 4 weeks prior to the start of study treatment or who have not recovered from toxicities of radiotherapy. Palliative radiation therapy for painful bone lesions bone is allowed up to 14 days prior to the beginning of the study treatment
- History of seizures or any conditions that may predispose to suffer them
- Current or previously treated brain metastases or disease leptomeningeal.
- Patients with cardiac insufficiency or heart disease clinically significant including any of the following: History or presence of uncontrolled severe ventricular arrhythmias, clinically significant resting bradycardia, any of the following diseases within 6 months prior to the start of the study drug -Myocardial infarction (MI), severe or unstable angina, coronary revascularization, congestive cardiac insufficiency (CCI), cerebrovascular accident (CVA), transient ischemic accident (TIA)-
- Diagnosis of human immunodeficiency virus (HIV) infection.
- Pregnant or lactating women.
- Women of childbearing potential not using an effective contraceptive method. - Patients who do not want or can follow the study protocol.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Grupo Español de Tumores Huérfanos e Infrecuenteslead
- Astellas Pharma Inccollaborator
- Apices Soluciones S.L.collaborator
Study Sites (8)
Hospital de Mar
Barcelona, Spain
Hospital Reina Sofia
Córdoba, Spain
Hospital Madrid Sanchinarro (CIOCC)
Madrid, Spain
Hospital Universitario La Paz
Madrid, Spain
Hospital Son Llatzer
Palma de Mallorca, Spain
Hospital de Navarra
Pamplona, Spain
Complejo Hospitalario Universitario de Santiago
Santiago de Compostela, Spain
Hospital La Fe
Valencia, Spain
Related Publications (1)
Garcia-Donas J, Redondo A, Santaballa A, Garrigos L, Rubio MJ, Lainez N, Gonzalez MI, Cueva JF, Barquin A, Grazioso TP, Hurtado A, Sevillano E, Grande E, Rodriguez-Moreno JF, Navarro P. Phase II clinical trial assessing the efficacy of enzalutamide in advanced non-resectable granulosa cell ovarian tumors: The GREKO III study (GETHI2016-01). Gynecol Oncol. 2024 Dec;191:233-239. doi: 10.1016/j.ygyno.2024.10.019. Epub 2024 Oct 24.
PMID: 39454227DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Garcia-Donas, MD
CIOCC (Hospital Universitario HM Sanchinarro)
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
February 19, 2018
First Posted
March 13, 2018
Study Start
April 13, 2018
Primary Completion
November 11, 2020
Study Completion
November 11, 2020
Last Updated
February 22, 2023
Record last verified: 2023-02
Data Sharing
- IPD Sharing
- Will not share