UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000026475
Receipt number R000029143
Scientific Title A Phase III study comparing single-agent olaparib or the combination of cediranib and olaparib to standard platinum-based chemotherapy in women with recurrent platinum-sensitive ovarian, fallopian tube, or primary peritoneal cancer
Date of disclosure of the study information 2017/03/09
Last modified on 2024/04/05 19:41:26

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Basic information

Public title

A Phase III study comparing single-agent olaparib or the combination of cediranib and olaparib to standard platinum-based chemotherapy in women with recurrent platinum-sensitive ovarian, fallopian tube, or primary peritoneal cancer

Acronym

NRG-GY004

Scientific Title

A Phase III study comparing single-agent olaparib or the combination of cediranib and olaparib to standard platinum-based chemotherapy in women with recurrent platinum-sensitive ovarian, fallopian tube, or primary peritoneal cancer

Scientific Title:Acronym

NRG-GY004

Region

Japan Asia(except Japan) North America
Europe


Condition

Condition

platinum-sensitive ovarian, primary peritoneal or fallopian tube cancer

Classification by specialty

Obstetrics and Gynecology

Classification by malignancy

Malignancy

Genomic information

YES


Objectives

Narrative objectives1

Assess the efficacy of either single agent olaparib or the combination of cediranib and olaparib, as measured by PFS, as compared to standard platinum-based chemotherapy in the setting of recurrent platinum- sensitive ovarian, primary peritoneal or fallopian tube cancer.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2


Developmental phase

Phase III


Assessment

Primary outcomes

Assess the efficacy of either single agent olaparib or the combination of cediranib and olaparib, as measured by PFS, as compared to standard platinum-based chemotherapy in the setting of recurrent platinum- sensitive ovarian, primary peritoneal or fallopian tube cancer.

Key secondary outcomes

Assess the efficacy of single agent olaparib or the combination of cediranib and olaparib, as measured by response rate, and overall survival as compared to standard platinum-based chemotherapy in the setting of recurrent platinum-sensitive ovarian, primary peritoneal or fallopian tube cancer.


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -no one is blinded

Control

Active

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

3

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

Arm I(Reference Regimen): Platinum-based chemotherapy

Interventions/Control_2

Arm II:Olaparib monotherapy

Interventions/Control_3

Arm III:Olaparib and cediranib

Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit


Not applicable

Age-upper limit


Not applicable

Gender

Female

Key inclusion criteria

Patients must have platinum-sensitive recurrent high-grade serous or high-grade endometrioid ovarian, primary peritoneal, or fallopian tube cancers.
Patients must have evaluable disease-defined as one of the following:
RECIST 1.1 measurable disease OR Evaluable disease (defined as solid and/or cystic abnormalities on radiographic imaging that do not meet RECIST 1.1 definitions for target lesions OR ascites and/or pleural effusion that has been pathologically demonstrated to be disease-related) AND CA125 that has doubled from the post-treatment nadir and is also greater than 2 times ULN.
Prior chemotherapy must have included a first-line platinum-based regimen with or without intravenous consolidation chemotherapy.
Patients may have received an unlimited number of platinum-based therapies in the recurrent setting.
Patients may have received up to 1 non-platinum-based line of therapy in the recurrent setting. Prior hormonal therapy will not be considered to count as this non-platinum-based line.
Patients may not have had a prior anti-angiogenic agent in the recurrent setting. Prior use of bevacizumab in the upfront or upfront maintenance setting is allowed.
Patients may not have previously received a PARP-inhibitor.
Prior hormonal-based therapy for ovarian, primary peritoneal,or fallopian tube cancer is acceptable.
Patients must have an ECOG Performance Status of 0, 1 or 2
Patients must have adequate organ and marrow function.
Toxicities of prior therapy (excepting alopecia) should be resolved to less than or equal to Grade 1 as per NCI-CTCAE v4.0.
Patients must be able to swallow and retain oral medications and without gastrointestinal illnesses.
Patients must have adequately controlled blood pressure.
Patients must be willing and able to check and record daily blood pressure readings.
Women of child-bearing potential must have a negative pregnancy test prior to study entry.
Adequately controlled thyroid function.

Key exclusion criteria

Patients who have had chemotherapy or radiotherapy within 4 weeks of starting treatment prior to entering the study or those who have not recovered from adverse events due to agents administered more than 4 weeks earlier, or had hormonal therapy within 2 weeks prior to entering the study.
Patients may not be receiving any other investigational agents nor have participated in an investigational trial within the past 4 weeks, nor receiving any medication that may markedly affect renal function, nor have received prior treatment affecting the VEGF pathway, nor have previously received a PARP inhibitor.
Patients with untreated brain metastases, spinal cord compression, or evidence of symptomatic brain metastases or leptomeningeal disease as noted on CT or MRI scans.
History of allergic reactions attributed to compounds of similar chemical or biologic composition to cediranib or olaparib.
Participants receiving any medications or substances that are strong inhibitors or inducers of CYP3A4 are ineligible.
History of gastrointestinal perforation.
History of intra-abdominal abscess within the past 3 months.
Current signs and/or symptoms of bowel obstruction or signs.
Dependency on IV hydration or TPN.
Any concomitant or prior invasive malignancies with the following curatively treated exceptions.
History of myocardial infarction within six months,Unstable angina,Resting ECG with clinically significant abnormal findings,NYHA classification of III or IV.
History of stroke or transient ischemic attack within six months.
Any prior history of hypertensive crisis or hypertensive encephalopathy.
Clinically significant peripheral vascular disease or vascular disease.
Major surgical procedure, open biopsy, or significant traumatic injury within 28 days prior to starting cediranib.
Uncontrolled intercurrent illness.
Pregnant women
Known HIV-positive individuals.
No prior allogeneic bone marrow transplant or double umbilical cord blood transplantation.

Target sample size

561


Research contact person

Name of lead principal investigator

1st name JOYCE
Middle name
Last name LIU

Organization

DANA-FARBER CANCER INSTITUTE

Division name

Department of NRG Oncology

Zip code

02215

Address

450 BROOKLINE AVENUE BOSTON, MA 02215

TEL

617-632-8927

Email

joyce_liu@dfci.harvard.edu


Public contact

Name of contact person

1st name Keiichi
Middle name
Last name Fujiwara, MD.,PhD

Organization

Saitama Medical University International Medical Center

Division name

Department of Gynecologic Oncology

Zip code

350-1298

Address

1397-1, Yamane, HIdaka-city, Saitama

TEL

042-984-4111

Homepage URL


Email

nrg-japan@kuhs.ac.jp


Sponsor or person

Institute

NRG Oncology Group

Institute

Department

Personal name



Funding Source

Organization

NRG Oncology Group

Organization

Division

Category of Funding Organization

Outside Japan

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Saitama Med U International Med Ctr IRB

Address

1397-1 Yamane, Hidaka-city, Saitama

Tel

042-984-4523

Email

chikens@saitama-med.ac.jp


Secondary IDs

Secondary IDs

YES

Study ID_1

NCT02446600

Org. issuing International ID_1

National Cancer Institute (NCI)

Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions

埼玉医科大学国際医療センター(埼玉県)、岩手医科大学附属病院(岩手県)、国立がん研究センター中央病院(東京都)、鹿児島市立病院(鹿児島県)、がん研究会有明病院(東京都)


Other administrative information

Date of disclosure of the study information

2017 Year 03 Month 09 Day


Related information

URL releasing protocol

https://www.ctsu.org/Public/Default.aspx?ReturnUrl=%2f

Publication of results

Unpublished


Result

URL related to results and publications

https://www.ctsu.org/Public/Default.aspx?ReturnUrl=%2f

Number of participants that the trial has enrolled

578

Results

Unpublished

Results date posted

2022 Year 09 Month 22 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics

Unpublished

Participant flow

Unpublished

Adverse events

Unpublished

Outcome measures

Unpublished

Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

No longer recruiting

Date of protocol fixation

2016 Year 02 Month 04 Day

Date of IRB

2017 Year 01 Month 18 Day

Anticipated trial start date

2017 Year 08 Month 03 Day

Last follow-up date

2020 Year 03 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2017 Year 03 Month 09 Day

Last modified on

2024 Year 04 Month 05 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000029143


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name