A Dose-finding Study of RO5323441 in Patients With Metastatic Treatment-Refractory Colorectal or Ovarian Cancer
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Purpose
This exploratory, open label study will assess the the dose-effect relationship, efficacy and safety of RO5323441 in patients with metastatic treatment-refractory colorectal or ovarian cancer. Cohorts of patients will receive doses of intravenous RO5323441 in the range of 25mg to 3g every 1 or 2 weeks and will undergo serial dynamic contrast-enhanced magnetic resonance imaging (DCE-MRI) assessments. In the absence of disease progression and unacceptable toxicity, patients may continue to receive their maximum dose of RO5323441 for a core treatment phase of up to a total of 6 months. Treatment with RO5323441 can be extended at the investigator's discretion until disease progression or unacceptable toxicity occurs. Target sample size is <100.
| Condition | Intervention | Phase |
|---|---|---|
|
Colorectal Cancer, Ovarian Cancer |
Drug: RO5323441 |
Phase 1 |
| Study Type: | Interventional |
| Study Design: | Allocation: Non-Randomized Endpoint Classification: Pharmacodynamics Study Intervention Model: Single Group Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | Open-label, Exploratory, Pharmacodynamic (PD) Dose-finding Study of Intravenous RO5323441 in Patients With Metastatic Treatment-refractory Colorectal and Ovarian Cancer |
- RO5323441 concentration - pharmacodynamic effect relationship using DCE-MRI [ Time Frame: up to 19.5 months ] [ Designated as safety issue: No ]
- Feasibility of within-patient dose escalation [ Time Frame: from baseline to Day 127 (+/-3) ] [ Designated as safety issue: No ]
- Additional DCE-MRI effects (time-course of DCE-MRI effects, test-retest reproducibility) [ Time Frame: up to 19.5 months ] [ Designated as safety issue: No ]
- Candidate biomarkers associated with PD effect of RO5323441 [ Time Frame: up to 19.5 months ] [ Designated as safety issue: No ]
- Pharmacokinetics: maximum and trough concentrations of RO5323441 [ Time Frame: up to 19.5 months ] [ Designated as safety issue: No ]
- Safety and tolerability: Adverse events, vital signs, laboratory parameters [ Time Frame: up to 19.5 months ] [ Designated as safety issue: No ]
- Efficacy: ORR, duration of response, progression-free survival according to RECIST criteria, CTI/MRI assessments [ Time Frame: up to 19.5 months ] [ Designated as safety issue: No ]
| Enrollment: | 7 |
| Study Start Date: | May 2010 |
| Study Completion Date: | December 2010 |
| Primary Completion Date: | December 2010 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
| Experimental: Single Arm |
Drug: RO5323441
cohorts receiving multiple doses iv
|
Eligibility| Ages Eligible for Study: | 19 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- adult patients, >/=19 years of age
- metastatic or unresectable colorectal or ovarian cancer refractory to, or unsuitable for standard therapy
- presence of tumor lesions suitable for DCE-MRI evaluation
- WHO performance status 0-1
- adequate bone marrow, liver and renal function
Exclusion Criteria:
- patient unsuitable for MRI scanning (e.g. metal implants, pacemaker, claustrophobia, hypersensitivity to DCE-MRI contrast material)
- brain metastases
- clinically significant ascites
- active bleeding, bleeding diathesis, oral anti-vitamin K medication (other than low dose coumarin) or history of coagulation disorders
- radiation therapy within 3 weeks, or anti-neoplastic therapy <30 days prior to first dose of study drug
- chronic therapy with systemic steroids or another immunosuppressive agent <2 weeks prior to first dose of study drug
- treated with bevacizumab in last regimen of systemic therapy
Contacts and Locations| Belgium | |
| Leuven, Belgium, 3000 | |
| Spain | |
| Barcelona, Spain, 08035 | |
| United Kingdom | |
| Manchester, United Kingdom, M20 4BX | |
| Study Director: | Clinical Trials | Hoffmann-La Roche |
More Information
No publications provided
| Responsible Party: | Disclosures Group, Hoffmann-La Roche |
| ClinicalTrials.gov Identifier: | NCT01148758 History of Changes |
| Other Study ID Numbers: | BP22909, 2009-016014-25 |
| Study First Received: | May 5, 2010 |
| Last Updated: | November 15, 2011 |
| Health Authority: | Belgium: Ministry of Social Affairs, Public Health and the Environment |
Additional relevant MeSH terms:
|
Colorectal Neoplasms Ovarian Neoplasms Intestinal Neoplasms Gastrointestinal Neoplasms Digestive System Neoplasms Neoplasms by Site Neoplasms Digestive System Diseases Gastrointestinal Diseases Colonic Diseases |
Intestinal Diseases Rectal Diseases Endocrine Gland Neoplasms Ovarian Diseases Adnexal Diseases Genital Diseases, Female Genital Neoplasms, Female Urogenital Neoplasms Endocrine System Diseases Gonadal Disorders |
ClinicalTrials.gov processed this record on May 16, 2013