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Individualizing Pazopanib Therapy by exploRing the Role of Early Metabolic responsE and Drug Exposure as a preDICTor for Treatment Outcome in Patients With STS (PREDICT)

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ClinicalTrials.gov Identifier: NCT01995981
Recruitment Status : Completed
First Posted : November 27, 2013
Last Update Posted : December 19, 2017
Sponsor:
Collaborator:
GlaxoSmithKline
Information provided by (Responsible Party):
Radboud University

Tracking Information
First Submitted Date November 21, 2013
First Posted Date November 27, 2013
Last Update Posted Date December 19, 2017
Actual Study Start Date December 2013
Actual Primary Completion Date November 10, 2017   (Final data collection date for primary outcome measure)
Current Primary Outcome Measures
 (submitted: November 29, 2013)
  • FDG (18F-2-fluoro-2-deoxy-D-glucose fluorodeoxyglucose) uptake [ Time Frame: baseline, 2 weeks and 8 weeks after start treatment ]
  • Pharmacokinetics (AUC) [ Time Frame: 0, 1, 2, 3, 4, 6, 8, 10, 24 hours post-dose ]
    This measurement is performed at 2 weeks and 8 weeks after start treatment
Original Primary Outcome Measures
 (submitted: November 26, 2013)
  • FDG (18F-2-fluoro-2-deoxy-D-glucose fluorodeoxyglucose) uptake [ Time Frame: baseline, 2 weeks and 8 weeks after start treatment ]
  • Pharmacokinetics (AUC) [ Time Frame: 0, 1, 2, 3, 4, 6, 8, 10, 24 hours post-dose ]
    This measurement is performed at 2 weeks and 8 weeks after start treatmentdone
Change History
Current Secondary Outcome Measures
 (submitted: November 26, 2013)
Adverse events (CTCAE v4.0) [ Time Frame: 2 weeks and 8 weeks after start treatment ]
Original Secondary Outcome Measures Same as current
Current Other Pre-specified Outcome Measures Not Provided
Original Other Pre-specified Outcome Measures Not Provided
 
Descriptive Information
Brief Title Individualizing Pazopanib Therapy by exploRing the Role of Early Metabolic responsE and Drug Exposure as a preDICTor for Treatment Outcome in Patients With STS
Official Title Individualizing Pazopanib Therapy by exploRing the Role of Early Metabolic responsE and Drug Exposure as a preDICTor for Treatment Outcome in Patients With STS
Brief Summary

This study is a phase IV post registration prospective observational feasibility study in patients with metastatic soft tissue sarcoma. Pazopanib is the registered treatment for patients with advanced soft tissue sarcoma after chemotherapy with doxorubicin or ifosfamide.

  • This study looks at the possibility of using 18F-2-fluoro-2-deoxy-D-glucose fluorodeoxyglucose (FDG) positron emission tomography PET scans as an early biomarker of pazopanib treatment effect in patients.
  • It also studies pazopanib pharmacokinetics to see if there are differences between elderly and younger patients.

The primary objectives are:

  • To evaluate whether early metabolic response is correlated to clinical benefit.
  • To evaluate the effect of age (≥ 70 years) on pazopanib pharmacokinetics.

The secondary objectives are:

  • To evaluate whether early metabolic response (% decrease in FDG uptake due to pazopanib therapy) is correlated with pazopanib exposure.
  • To evaluate whether early metabolic response (% decrease in FDG uptake due to pazopanib therapy) is correlated with the histological subtypes.
Detailed Description Not Provided
Study Type Observational
Study Design Observational Model: Case-Only
Time Perspective: Prospective
Target Follow-Up Duration Not Provided
Biospecimen Retention:   Samples With DNA
Description:
whole blood
Sampling Method Non-Probability Sample
Study Population Patients with advanced soft tissue sarcoma who have an indication for pazopanib treatment.
Condition Sarcoma, Soft Tissue
Intervention Drug: Pazopanib
Other Name: Votrient
Study Groups/Cohorts Advanced soft tissue sarcoma patients
Advanced soft tissue sarcoma patients, who have an indication for pazopanib treatment.
Intervention: Drug: Pazopanib
Publications * van der Graaf WT, Blay JY, Chawla SP, Kim DW, Bui-Nguyen B, Casali PG, Schöffski P, Aglietta M, Staddon AP, Beppu Y, Le Cesne A, Gelderblom H, Judson IR, Araki N, Ouali M, Marreaud S, Hodge R, Dewji MR, Coens C, Demetri GD, Fletcher CD, Dei Tos AP, Hohenberger P; EORTC Soft Tissue and Bone Sarcoma Group; PALETTE study group. Pazopanib for metastatic soft-tissue sarcoma (PALETTE): a randomised, double-blind, placebo-controlled phase 3 trial. Lancet. 2012 May 19;379(9829):1879-86. doi: 10.1016/S0140-6736(12)60651-5. Epub 2012 May 16.

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Recruitment Information
Recruitment Status Completed
Actual Enrollment
 (submitted: December 18, 2017)
22
Original Estimated Enrollment
 (submitted: November 26, 2013)
30
Actual Study Completion Date November 10, 2017
Actual Primary Completion Date November 10, 2017   (Final data collection date for primary outcome measure)
Eligibility Criteria

Inclusion Criteria:

  1. Subjects must provide written informed consent prior to performance of study-specific procedures or assessments and must be willing to comply with treatment and follow-up.
  2. Age ≥ 18 years. Patients aged 66-69 are eligible for the imaging arm of the study, however they are excluded from the assessment of altered pharmacokinetic behavior in elderly.
  3. Histological confirmed diagnosis of selective subtypes of advanced soft tissue sarcoma (STS) who have received prior chemotherapy for metastatic disease or who have progressed within 12 months after (neo) adjuvant therapy. The following subtypes are eligible:

    Fibroblastic, so-called fibrohistiocytic, leiomyosarcoma, malignant glomus tumours, skeletal muscles, vascular, uncertain differentiation. The following subtypes are NOT eligible: Adipocytic sarcoma (all subtypes), all rhabdomyosarcoma that were not alveolar or pleomorphic, chondrosarcoma, osteosarcoma, Ewing tumours/primitive neuroectodermal tumor, GIST, dermatofibrosarcoma protuberance, inflammatory myofibroblastic sarcoma, malignant mesothelioma and mixed mesodermal tumours of the uterus.

  4. Eastern Cooperative Oncology Group (ECOG) performance status of 0-2.
  5. Measurable disease criteria (RECIST 1.1).
  6. No radio-, chemo- or tumor specific targeted therapy within the last 4 weeks prior to study entry.
  7. Adequate organ system function as defined in the research protocol.
  8. Minimal evaluable lesion of ≥ 15mm.

Exclusion Criteria:

  1. Prior malignancy.
  2. Central nervous system (CNS) metastases at baseline, with the exception of those subjects who have previously-treated CNS metastases and who meet both of the following criteria: a) are asymptomatic and b) have no requirement for steroids or enzyme-inducing anticonvulsants in prior 6 months time interval.
  3. Clinically significant gastrointestinal abnormalities that may increase the risk for gastrointestinal bleeding including.
  4. Clinically significant gastrointestinal abnormalities that may affect absorption of investigational product including.
  5. Corrected QT interval (QTc) > 480msecs.
  6. History of any one or more of the following cardiovascular conditions within the past 6 months:

    • Cardiac angioplasty or stenting
    • Myocardial infarction
    • Unstable angina
    • Coronary artery bypass graft surgery
    • Symptomatic peripheral vascular disease
    • Class III or IV congestive heart failure, as defined by the New York Heart Association (NYHA)
  7. Poorly controlled hypertension
  8. History of cerebrovascular accident including transient ischemic attack (TIA), pulmonary embolism or untreated deep venous thrombosis (DVT) within the past 6 months.
  9. Major surgery or trauma within 28 days prior to first dose of investigational product and/or presence of any non-healing wound, fracture, or ulcer.
  10. Evidence of active bleeding or bleeding diathesis.
  11. Known endobronchial lesions and/or lesions infiltrating major pulmonary vessels that increase the risk of pulmonary hemorrhage.
  12. Recent hemoptysis.
  13. Any serious and/or unstable pre-existing medical, psychiatric, or other condition that could interfere with subject's safety, provision of informed consent, or compliance to study procedures.
  14. Unable or unwilling to discontinue use of prohibited medications listed in the research protocol for at least 14 days or five half-lives of a drug (whichever is longer) prior to the first dose of study drug and for the duration of the study.
  15. Concurrent use of other substances known or likely to interfere with the pharmacokinetics of pazopanib
  16. Treatment with any of the following anti-cancer therapies: radiation therapy, surgery or tumor embolization within 14 days prior to the first dose of pazopanib OR chemotherapy, immunotherapy, biologic therapy, investigational therapy or hormonal therapy within 14 days or five half-lives of a drug (whichever is longer) prior to the first dose of Pazopanib.
  17. Administration of any non-oncologic investigational drug within 30 days or 5 half lives whichever is longer prior to receiving the first dose of study treatment.
  18. Any ongoing toxicity from prior anti-cancer therapy that is > Grade 1 and/or that is progressing in severity, except alopecia.
  19. For FDG-PET imaging part of the study:

    • uncontrolled diabetes mellitus
    • only evaluable tumors in brain or urinary tract, as these cannot be evaluated by FDG-PET scan.
Sex/Gender
Sexes Eligible for Study: All
Ages 18 Years and older   (Adult, Older Adult)
Accepts Healthy Volunteers No
Contacts Contact information is only displayed when the study is recruiting subjects
Listed Location Countries Netherlands,   United Kingdom
Removed Location Countries  
 
Administrative Information
NCT Number NCT01995981
Other Study ID Numbers UMCN-ONCO-201303
2013-003533-16 ( EudraCT Number )
Has Data Monitoring Committee No
U.S. FDA-regulated Product Not Provided
IPD Sharing Statement Not Provided
Responsible Party Radboud University
Study Sponsor Radboud University
Collaborators GlaxoSmithKline
Investigators
Principal Investigator: Winette van der Graaf, prof. PhD. MD Radboud University
Principal Investigator: Wim Oyen, prof. PhD. MD Radboud University
Principal Investigator: Nielka van Erp, PharmD. PhD. Radboud University
PRS Account Radboud University
Verification Date June 2015