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Trial record 22 of 48 for:    rucaparib

Bevacizumab and Rucaparib in Recurrent Carcinoma of the Cervix or Endometrium

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Know the risks and potential benefits of clinical studies and talk to your health care provider before participating. Read our disclaimer for details. Identifier: NCT03476798
Recruitment Status : Recruiting
First Posted : March 26, 2018
Last Update Posted : July 13, 2018
Clovis Oncology, Inc.
Information provided by (Responsible Party):
University of Oklahoma

Brief Summary:
This is a phase II study of rucaparib, a small molecule inhibitor poly (adenosine diphosphate [ADP]-ribose) polymerase (PARP), being tested in combination with bevacizumab in patients with recurrent cervical or endometrial cancer. The objective of this study is to determine the proportion of these patients who survive progression-free for at least 6 months while receiving this drug combination.

Condition or disease Intervention/treatment Phase
Cervical Cancer Endometrial Cancer Drug: Rucaparib Drug: Bevacizumab Phase 2

Detailed Description:
Patients who consent to participate in this study will receive treatment with rucaparib and bevacizumab until unacceptable toxicity or tumor progression. Subjects will take one rucaparib pill will be taken twice daily, and bevacizumab will be adimistered via IV onDay 1 of each 21 day cycle. Subjects will receive tests and procedures that are part of regular cancer care as well as those required for the purposes of this study. If there is no cancer found in scans after 6 cycles of treatment, patients may continue with study treatment for 1 year. Follow up visits will occur every 3 months for the first 2 years after treatment is completed and every 6 months for 3 additional years.

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Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 55 participants
Intervention Model: Single Group Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: A Phase II Trial of Bevacizumab and Rucaparib in Recurrent Carcinoma of the Cervix or Endometrium
Actual Study Start Date : June 29, 2018
Estimated Primary Completion Date : February 2021
Estimated Study Completion Date : February 2023

Resource links provided by the National Library of Medicine

Arm Intervention/treatment
Experimental: Bevacizumab + Rucaparib Drug: Rucaparib
Rucaparib 600mg PO BID daily

Drug: Bevacizumab
Bevacizumab 15mg/kg IV on day 1 of each cycle

Primary Outcome Measures :
  1. Number of patients who survive progression-free [ Time Frame: 6 months ]
    To estimate the proportion of patients treated with bevacizumab who are progression-free.

Secondary Outcome Measures :
  1. Number of patients who have objective tumor response [ Time Frame: 6 months ]
    To estimate the proportion of patients treated with bevacizumab and rucaparib who have objective tumor response (complete or partial)

  2. Number of patients who experience toxicity [ Time Frame: 6 months ]
    To determine the nature and degree of toxicity in combination of rucaparib and bevacizumab.

  3. Number of patients with overall survival [ Time Frame: 5 years ]
    To estimate the overall survival of patients treated with combination rucaparib and bevacizumab.

Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years to 99 Years   (Adult, Older Adult)
Sexes Eligible for Study:   Female
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • Patients with histologically-documented carcinoma of the cervix or endometrium.
  • Patients with measurable and/or evaluable lesions as defined by RECIST 1.1.
  • Patients who have progressed tumor after first line treatment for Stage 4B, recurrent or persistent squamous cell or adenocarcinoma of the cervix, or adenocarcinoma of the endometrium.
  • ECOG performance status of 0, 1, or 2.
  • Patients must agree to have tumor biopsy for correlative studies.
  • Patients must have acceptable organ and marrow function.
  • Patients must have a life expectancy of at least 3 months.
  • Patients should have no major existing co-morbidities or medical conditions that will preclude therapy in the view of the principal investigator.
  • Prior bevacizumab is allowed if off drug ≥ 28 days prior to study enrollment.
  • Female patients of reproductive potential and their male partners must agree to practice total abstinence or use a highly effective method of contraception prior to study entry, during treatment and for 6 months following the last dose of rucaparib.
  • Negative serum pregnancy test result less than 3 days prior to administration of the first dose of rucaparib.

Exclusion Criteria:

  • Patients who have active second malignancy, i.e., patient known to have potentially fatal cancer present for which she may be (but not necessarily) currently receiving treatment.
  • Prior treatment with any PARP inhibitor.
  • Untreated or symptomatic central nervous system (CNS) metastases.
  • Patients with asymptomatic CNS metastases are eligible provided they have been clinically stable for at least 4 weeks.
  • Patients who have received treatment with chemotherapy within 4 weeks (6 weeks for nitrosoureas or mitomycin C); or radiation, biologic/targeted agents, experimental drugs within 3 weeks prior to first dose of rucaparib; and/or ongoing adverse effects from such treatment > NCI CTCAE Grade 1 (Grade 2 non-hematologic toxicity to most recent treatment may be permitted with prior advanced approval from Sponsor).
  • Hospitalization for bowel obstruction within 3 months prior to enrollment.
  • Patients must have no history of gross hemoptysis (defined as bright red blood of a ½ teaspoon or more) or coagulopathy.
  • Patients with history of major tumor-related bleeding that is not controlled despite locoregional treatment or at high risk of recurrent tumor-related bleeding will be excluded.
  • Patients should not have a history of thrombosis (e.g. pulmonary embolism or deep venous thrombosis) and should not be on therapeutic anticoagulation (prophylactic use of warfarin 1 mg per day is allowed) and INR should be less than 1.5 at registration.
  • Patients with history of hypertension must be well-controlled (≤150/100) on a stable regimen of anti-hypertensive therapy.
  • Patients with tumors that invaded major vessels (e.g. the carotid) as shown unequivocally by imaging studies will be excluded due to the possibility of increased risk for tumor bleeding with bevacizumab therapy.
  • Patients should not have a major surgical procedure, open biopsy, or significant traumatic injury within 28 days prior to study enrollment, or anticipation of need for major surgical procedure during the course of the study.
  • No history of abdominal fistula, gastrointestinal perforation, or intra-abdominal abscess within 28 days prior to registration. No serious non-healing wound, ulcer, or bone fracture.
  • Patients should not have unstable angina or myocardial infarction within the previous 6 months; no uncontrolled hypertension; no symptomatic congestive heart failure; no serious cardiac arrhythmia requiring medication; no clinically significant peripheral vascular disease; no history of any CNS cerebrovascular ischemia or stroke within the last 6 months; no active serious infection.
  • Patients should not have other coexisting medical condition that would preclude full compliance with the study.
  • Patients may not be receiving any other investigational agents.
  • Patients should not have a history of prior severe infusion reaction to a monoclonal antibody. Patients with known hypersensitivity of Chinese hamster ovary cell products or other recombinant human antibodies.
  • Pregnant women are excluded from this study because rucaparib and bevacizumab have the potential for teratogenic or abortifacient effects.
  • Patients who are breast feeding should discontinue before going on study.
  • HIV-positive patients receiving combination anti-retroviral therapy are excluded from the study because of possible drug interactions with rucaparib and bevacizumab.

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT03476798

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Contact: Ingrid Block, APRN 405 271-8777

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United States, Oklahoma
Stephenson Cancer Center, University of Oklahoma Health Sciences Center Recruiting
Oklahoma City, Oklahoma, United States, 73117
Contact: Ingrid Block    405-271-8777   
Sponsors and Collaborators
University of Oklahoma
Clovis Oncology, Inc.
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Principal Investigator: Camille Gunderson, MD Obstetrics and Gynecology

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Responsible Party: University of Oklahoma Identifier: NCT03476798     History of Changes
Other Study ID Numbers: 8985
First Posted: March 26, 2018    Key Record Dates
Last Update Posted: July 13, 2018
Last Verified: July 2018

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Studies a U.S. FDA-regulated Drug Product: Yes
Studies a U.S. FDA-regulated Device Product: No

Additional relevant MeSH terms:
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Uterine Cervical Neoplasms
Endometrial Neoplasms
Uterine Neoplasms
Genital Neoplasms, Female
Urogenital Neoplasms
Neoplasms by Site
Uterine Cervical Diseases
Uterine Diseases
Genital Diseases, Female
Antineoplastic Agents, Immunological
Antineoplastic Agents
Angiogenesis Inhibitors
Angiogenesis Modulating Agents
Growth Substances
Physiological Effects of Drugs
Growth Inhibitors
Poly(ADP-ribose) Polymerase Inhibitors
Enzyme Inhibitors
Molecular Mechanisms of Pharmacological Action