A Placebo-Controlled Study Evaluating the Potential Effects of Trabectedin on the Heart in Patients With Advanced Cancer

This study has been completed.
Sponsor:
Collaborator:
PharmaMar
Information provided by:
Johnson & Johnson Pharmaceutical Research & Development, L.L.C.
ClinicalTrials.gov Identifier:
NCT00786838
First received: November 4, 2008
Last updated: July 30, 2012
Last verified: July 2012
  Purpose

The purpose of the study is to determine the effects of trabectedin on the heart's electrical cycle as measured by an electrocardiogram in patients with advanced cancer. The study will also assess the safety of trabectedin and the way trabectedin is used by the body in patients with advanced cancer.


Condition Intervention Phase
Neoplasm Metastases
Drug: trabectedin
Phase 2

Study Type: Interventional
Study Design: Allocation: Non-Randomized
Endpoint Classification: Safety Study
Intervention Model: Single Group Assignment
Masking: Single Blind (Subject)
Primary Purpose: Treatment
Official Title: A Single-Blind, Multicenter, Placebo-Controlled, Sequential Design Study Evaluating the Potential Effects of a Single-Dose Administration of Trabectedin on the QT Intervals of the Electrocardiogram

Resource links provided by NLM:


Further study details as provided by Johnson & Johnson Pharmaceutical Research & Development, L.L.C.:

Primary Outcome Measures:
  • QT interval measured by a 12-lead ECG [ Time Frame: Up to Day 2 ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Type and number of treatment-emegent adverse events [ Time Frame: Up to 30 days after treatment ] [ Designated as safety issue: No ]

Enrollment: 76
Study Start Date: October 2008
Study Completion Date: December 2009
Primary Completion Date: December 2009 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: 001
trabectedin 3-hour placebo i.v. infusion on one day and trabectedin 1.3 mg/m2 3-hour i.v. infusion on another day (2 consecutive days of treatment) (single-blind). Patients may continue treatment with trabectedin until clinical benefit or drug is commercially available (open-label).
Drug: trabectedin
3-hour placebo i.v. infusion on one day and trabectedin 1.3 mg/m2 3-hour i.v. infusion on another day (2 consecutive days of treatment) (single-blind). Patients may continue treatment with trabectedin until clinical benefit or drug is commercially available (open-label).

Detailed Description:

This is a single-blind, placebo-controlled study to evaluate the potential effects of a single-dose of tracbetedin on the heart's electrical cycle as measured by electrocardiograms (ECGs) in patients with advanced cancer. Participation in the study will include a 21-day screening period, plus two days of single-blinded treatment followed by an optional open-label extension phase. During the single-blind treatment period (1 cycle) patients will sequentially receive trabectedin for 1 day and placebo for 1 day and be monitored for safety for up to 30 days. Only the investigator (physician conducting the study) and study staff will know which treatment the patient receives during the single-blind phase. The open-label phase is optional. The duration of the open-label extension will vary by patient. In this phase, patients will receive trabectedin for as long as the investigator determines that the patient is receiving benefit from the treatment, or until trabectedin becomes commercially available for use, whichever is earlier. There are 2 treatment phases: Single-blind and Open-Label. In the single-blind phase patients will receive one 3-hour intravenous (i.v.) infusion of trabectedin (1.3 mg/m2) on one day and one 3-hour i.v. infusion of trabectedin placebo on another day (treatments will be administered on 2 consecutive days). In the Open-label extension phase, the dose and schedule of trabectedin may modified at the discretion of the Investigator as appropriate depending on the type of malignancy diagnosed.

  Eligibility

Ages Eligible for Study:   18 Years to 65 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Patients with locally advanced or metastatic solid tumors who have received three or less prior lines of systemic chemotherapy
  • Patients who have relapsed or had progressive disease following standard of care treatment with chemotherapy, or intolerant to prior standard of care treatment with chemotherapy
  • Normal cardiac conduction and function as documented on a 12-lead ECG
  • Adequate organ function as evidenced by laboratory tests
  • Able to receive dexamethasone or its equivalent

Exclusion Criteria:

  • Patients treated with more than three prior chemotherapy regimens (including adjuvant therapy)
  • Previous exposure to trabectedin
  • Central nervous system (CNS) metastasis
  • Heart rhythm disturbances, unusual T wave and U wave (if present) morphology, blood pressure outside of normal range, a history of cardiac failure, myocardial infarction, or cardiomyopathy, or a history of additional risk factors for torsade de pointes (e.g. heart failure, electrolyte abnormalities, family history of Long QT Syndrome)
  • Patients who at screening are on medication that is known to prolong the QT interval or who are on CYP3A4 inhibitors or inducers
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00786838

Locations
United States, Florida
Miami, Florida, United States
United States, North Carolina
Charlotte, North Carolina, United States
United States, Pennsylvania
Philadelphia, Pennsylvania, United States
United States, Washington
Tacoma, Washington, United States
Belgium
Brussels, Belgium
Edegem, Belgium
Wilrijk, Belgium
France
Lyon, France
Marseille, France
Montpellier, France
Villejuif, France
India
Bangalore N/A, India
Pune, India
Korea, Republic of
Seoul, Korea, Republic of
Russian Federation
Moscow, Russian Federation
Moscow N/A, Russian Federation
St Petersburg N/A, Russian Federation
St-Petersburg, Russian Federation
Spain
Madrid, Spain
Sanchinarro, Spain
Sponsors and Collaborators
Johnson & Johnson Pharmaceutical Research & Development, L.L.C.
PharmaMar
Investigators
Study Director: Johnson & Johnson Pharmaceutical Research & Development, L.L. C. Clinical Trial Johnson & Johnson Pharmaceutical Research & Development, L.L.C.
  More Information

Additional Information:
No publications provided by Johnson & Johnson Pharmaceutical Research & Development, L.L.C.

Additional publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
Responsible Party: Senior Director Clinical Research, Johnson & Johnson Pharmaceutical Research and Development, L.L.C.
ClinicalTrials.gov Identifier: NCT00786838     History of Changes
Other Study ID Numbers: CR014917, ET743OVC1001
Study First Received: November 4, 2008
Last Updated: July 30, 2012
Health Authority: United States: Food and Drug Administration

Keywords provided by Johnson & Johnson Pharmaceutical Research & Development, L.L.C.:
Solid tumors
Breast
Sarcoma
Ovarian
locally advanced
QT interval
Trabectedin
ET743
YONDELIS
R279741
Ecteinascidin 743

Additional relevant MeSH terms:
Neoplasms
Neoplasm Metastasis
Neoplastic Processes
Pathologic Processes
Trabectedin
Antineoplastic Agents, Alkylating
Alkylating Agents
Molecular Mechanisms of Pharmacological Action
Pharmacologic Actions
Antineoplastic Agents
Therapeutic Uses

ClinicalTrials.gov processed this record on May 19, 2013