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Trial details imported from ClinicalTrials.gov

For full trial details, please see the original record at https://clinicaltrials.gov/ct2/show/NCT03414047




Registration number
NCT03414047
Ethics application status
Date submitted
12/01/2018
Date registered
29/01/2018
Date last updated
19/08/2022

Titles & IDs
Public title
A Study of Prexasertib (LY2606368) in Platinum-Resistant or Refractory Recurrent Ovarian Cancer
Scientific title
A Phase 2 Study of Prexasertib in Platinum-Resistant or Refractory Recurrent Ovarian Cancer
Secondary ID [1] 0 0
I4D-MC-JTJN
Secondary ID [2] 0 0
16712
Universal Trial Number (UTN)
Trial acronym
Linked study record

Health condition
Health condition(s) or problem(s) studied:
Ovarian Cancer 0 0
Condition category
Condition code
Cancer 0 0 0 0
Ovarian and primary peritoneal

Intervention/exposure
Study type
Interventional
Description of intervention(s) / exposure
Treatment: Drugs - Prexasertib

Experimental: Prexasertib Cohort 1 - Participants received 105 milligram per square meter (mg/m²) prexasertib as an approximately 60 (+10) minute IV infusion on Day 1 and 15 of a 28-day cycle. Participants were with platinum-resistant disease, breast cancer susceptibility gene (BRCA) negative and have received =3 lines of prior therapy.

Experimental: Prexasertib Cohort 2 - Participants received 105 mg/m² prexasertib as an approximately 60 (+10) minute IV infusion on Day 1 and 15 of a 28-day cycle. Participants were with platinum-resistant disease, BRCA negative and have received <3 lines of prior therapy.

Experimental: Prexasertib Cohort 3 - Participants received 105 mg/m² prexasertib as an approximately 60 (+10) minute IV infusion on Day 1 and 15 of a 28-day cycle. Participants were with platinum-resistant disease, BRCA positive and received a prior poly ADP ribose polymerase (PARP) inhibitor.

Experimental: Prexasertib Cohort 4 - Participants received 105 mg/m² prexasertib as an approximately 60 (+10) minute IV infusion on Day 1 and 15 of a 28-day cycle. Participants were with platinum refractory disease, BRCA positive or negative, no restriction on number of lines of prior therapy.


Treatment: Drugs: Prexasertib
Administered IV
Intervention code [1] 0 0
Treatment: Drugs
Comparator / control treatment
Control group

Outcomes
Primary outcome [1] 0 0
Percentage of Participants Who Achieve Complete Response (CR) or Partial Response (PR): Overall Response Rate (ORR)
Timepoint [1] 0 0
Baseline through Disease Progression (Up to 6 months)
Secondary outcome [1] 0 0
Pharmacokinetics (PK): Maximum Plasma Concentration (Cmax) of Prexasertib
Timepoint [1] 0 0
Cycle 1, Cycle 2, Cycle 4, Cycle 6 (Day 1 (End of prexasertib infusion (+15 min), 1-2 hours following end of prexasertib infusion), Cycle 2, day 1(Prior to start of prexasertib infusion)
Secondary outcome [2] 0 0
Disease Control Rate (DCR): Percentage of Participants With a Best Overall Response of CR, PR, or Stable Disease (SD) for at Least 4 Months
Timepoint [2] 0 0
Baseline through Disease Progression (up to 6 months)
Secondary outcome [3] 0 0
Duration of Response
Timepoint [3] 0 0
Date of CR or PR to Date of Disease Progression or Death Due to Any Cause (up to 20 months)
Secondary outcome [4] 0 0
Percentage of Participants With at Least a 50% Reduction in CA-125 Levels From Baseline
Timepoint [4] 0 0
Baseline, 4 Weeks
Secondary outcome [5] 0 0
Progression-Free Survival
Timepoint [5] 0 0
Baseline to Disease Progression or Death from any Cause (Up to 22 months)
Secondary outcome [6] 0 0
Overall Survival
Timepoint [6] 0 0
Baseline to Date of Death from Any Cause (Up to 26 months)

Eligibility
Key inclusion criteria
- Women who have high-grade serous ovarian, primary peritoneal or fallopian tube cancer.

- Cohorts 1 to 3: Have platinum-resistant disease and have documented test results
assessing alterations in the BRCA1 and BRCA2 genes prior to receiving study treatment.

- Cohort 1: Are BRCA negative and have received 3 or more prior lines of therapy.

- Cohort 2: Are BRCA negative and have received less than 3 prior lines of therapy.

- Cohort 3: Are BRCA positive and have previously received a PARP.

- Cohort 4: Have primary platinum refractory disease.

- Have adequate organ function.

- Must be able and willing to undergo mandatory tumor biopsy.
Minimum age
18 Years
Maximum age
No limit
Sex
Females
Can healthy volunteers participate?
No
Key exclusion criteria
- Cohorts 1-3: Have previously received all of the following agents at any time in the
platinum-resistant setting: gemcitabine, pegylated liposomal doxorubicin, and
paclitaxel.

- Have known central nervous system malignancy or metastasis.

- Have previously participated in any study involving a checkpoint kinase 1 inhibitor or
have hypersensitivity to the study drug or excipients.

- Have at least one of the following:

- history of abdominal fistula or gastrointestinal perforation

- intra-abdominal abscess within last 3 months prior to the first dose of study
drug

- a radiographically confirmed bowel obstruction within 3 months prior to the first
dose of study drug

- Have a symptomatic human immunodeficiency virus infection or symptomatic
activated/reactivated hepatitis A, B, or C (screening is not required).

- Have a serious cardiac condition.

- Have a history of prior radiotherapy to the whole pelvis.

- Have chronic daily treatment with corticosteroids, excluding inhaled or topical
steroids.

- Have known factors that may increase the risk of infection while on study drug
treatment. These may include, but are not limited to, an indwelling peritoneal
catheter or open wounds. Catheters for vascular access are permitted.

Study design
Purpose of the study
Treatment
Allocation to intervention
Non-randomised trial
Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Masking / blinding
Open (masking not used)
Who is / are masked / blinded?



Intervention assignment
Parallel
Other design features
Phase
Phase 2
Type of endpoint/s
Statistical methods / analysis

Recruitment
Recruitment status
Completed
Data analysis
Reason for early stopping/withdrawal
Other reasons
Date of first participant enrolment
Anticipated
Actual
10/04/2018
Date of last participant enrolment
Anticipated
Actual
Date of last data collection
Anticipated
Actual
3/10/2020
Sample size
Target
Accrual to date
Final
172
Recruitment in Australia
Recruitment state(s)
NSW,QLD,SA,VIC
Recruitment hospital [1] 0 0
Concord Repatriation General Hospital - Concord
Recruitment hospital [2] 0 0
Prince of Wales Hospital - Randwick
Recruitment hospital [3] 0 0
Westmead Hospital - Wentworthville
Recruitment hospital [4] 0 0
Royal Brisbane and Womens Hospital - Herston
Recruitment hospital [5] 0 0
Mater Adult Hospital Brisbane - South Brisbane
Recruitment hospital [6] 0 0
Flinders Medical Centre - Bedford Park
Recruitment hospital [7] 0 0
Burnside War Memorial Hospital - Toorak Gardens
Recruitment hospital [8] 0 0
Peter MacCallum Cancer Centre - Melbourne
Recruitment postcode(s) [1] 0 0
2139 - Concord
Recruitment postcode(s) [2] 0 0
2031 - Randwick
Recruitment postcode(s) [3] 0 0
2145 - Wentworthville
Recruitment postcode(s) [4] 0 0
4029 - Herston
Recruitment postcode(s) [5] 0 0
4101 - South Brisbane
Recruitment postcode(s) [6] 0 0
5042 - Bedford Park
Recruitment postcode(s) [7] 0 0
5065 - Toorak Gardens
Recruitment postcode(s) [8] 0 0
3000 - Melbourne
Recruitment outside Australia
Country [1] 0 0
United States of America
State/province [1] 0 0
Arizona
Country [2] 0 0
United States of America
State/province [2] 0 0
California
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United States of America
State/province [3] 0 0
Florida
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United States of America
State/province [4] 0 0
Massachusetts
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United States of America
State/province [5] 0 0
Missouri
Country [6] 0 0
United States of America
State/province [6] 0 0
New Hampshire
Country [7] 0 0
United States of America
State/province [7] 0 0
Oklahoma
Country [8] 0 0
United States of America
State/province [8] 0 0
Pennsylvania
Country [9] 0 0
United States of America
State/province [9] 0 0
Rhode Island
Country [10] 0 0
United States of America
State/province [10] 0 0
South Dakota
Country [11] 0 0
United States of America
State/province [11] 0 0
Tennessee
Country [12] 0 0
United States of America
State/province [12] 0 0
Washington
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Belgium
State/province [13] 0 0
Brussel
Country [14] 0 0
Belgium
State/province [14] 0 0
Leuven
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Belgium
State/province [15] 0 0
Wilrijk
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Israel
State/province [16] 0 0
Haifa
Country [17] 0 0
Israel
State/province [17] 0 0
Jerusalem
Country [18] 0 0
Israel
State/province [18] 0 0
Ramat Gan
Country [19] 0 0
Italy
State/province [19] 0 0
Lazio
Country [20] 0 0
Italy
State/province [20] 0 0
Milan
Country [21] 0 0
Italy
State/province [21] 0 0
Naples
Country [22] 0 0
Korea, Republic of
State/province [22] 0 0
Korea
Country [23] 0 0
Korea, Republic of
State/province [23] 0 0
Seoul
Country [24] 0 0
Spain
State/province [24] 0 0
Barcelona
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Spain
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Cordoba
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Spain
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Madrid
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United Kingdom
State/province [27] 0 0
Greater London
Country [28] 0 0
United Kingdom
State/province [28] 0 0
Greater Manchester
Country [29] 0 0
United Kingdom
State/province [29] 0 0
Middlesex
Country [30] 0 0
United Kingdom
State/province [30] 0 0
Surrey
Country [31] 0 0
United Kingdom
State/province [31] 0 0
Northampton

Funding & Sponsors
Primary sponsor type
Commercial sector/Industry
Name
Eli Lilly and Company
Address
Country

Ethics approval
Ethics application status

Summary
Brief summary
The purpose of this study is to evaluate the efficacy and safety of prexasertib in women with
platinum-resistant or refractory recurrent ovarian cancer.
Trial website
https://clinicaltrials.gov/ct2/show/NCT03414047
Trial related presentations / publications
Public notes

Contacts
Principal investigator
Name 0 0
Call 1-877-CTLILLY (1-877-285-4559) or 1-317-615-4559 Mon - Fri 9 AM - 5 PM Eastern time (UTC/GMT - 5 hours, EST)
Address 0 0
Eli Lilly and Company
Country 0 0
Phone 0 0
Fax 0 0
Email 0 0
Contact person for public queries
Name 0 0
Address 0 0
Country 0 0
Phone 0 0
Fax 0 0
Email 0 0
Contact person for scientific queries