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Solid TumoursPhase 1NCT00483860

A Phase I Topotecan Study in Subjects With Cancer and Impaired Renal Function

A Phase 1 study testing Topotecan in people with Solid Tumours, run by GlaxoSmithKline at 6 sites in 3 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

To determine the effect of renal impairment and prior platinum-based chemotherapy on the safety and blood levels of topotecan administered orally Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Solid Tumours
What is being tested?
Topotecan
Could I receive a placebo?
No, everyone receives an active treatment
How many people
59 participants
Where
6 sitesin 3 countries
Study dates
20 Jun 2007to 6 Feb 2012
Phase
Phase 1
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Capable of giving written informed consent, which includes compliance with the requirements and restrictions listed in the consent form.
  • Age 18 years or older.
  • A performance status score of 0, 1, or 2 on the Eastern Cooperative Oncology Group (ECOG) Scale.
  • Histologically- or cytologically-confirmed advanced solid tumors.
  • Failed conventional therapy for their tumor type; or subjects who have a tumor type for which no standard effective therapy exists; or subjects for whom single-agent topotecan therapy is suitable.
  • Completion of a 24-hour urine collection within 14 days prior to the first dose to calculate the creatinine clearance value and determine the renal impairment category (refer to Appendix 8).
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  • Using Cockcroft-Gault formula (refer to Appendix 6), documentation of stable renal function should be performed within 14 days of the first scheduled dose of study medication using at least 2 serum creatinine values separated by a minimum of 7 days. Stable renal function is defined as:
  • ≤25% change for CrCl <40 mL/min or
  • ≤10 mL/min change for CrCl ≥40 mL/min NOTE: Documentation of stable renal function will NOT be required if the 24-hour urine collection to determine the renal impairment category is completed within 7 days prior to the first dose.

Who cannot join

  • Currently undergoing dialysis.
  • Pregnant or lactating.
  • Women of childbearing potential who refuse to either abstain from sexual intercourse or practice adequate contraception
  • Male subjects with female partners of childbearing potential who have not had a prior vasectomy or if both the male subject and the female partner refuse to use adequate contraception beginning 14 days before exposure to study drug, continuing throughout the clinical trial, and for a period of 3 months after the last dose of study drug.
  • Uncontrolled emesis, regardless of etiology.
  • Bilirubin > 1.5 X ULN.
  • SGOT/AST, SGPT/ALT and alkaline phosphatase >2 times the upper limit of normal (ULN) if no evidence of potentially associated metastases (e.g., liver or bone) by computed tomography (CT) or magnetic resonance imaging (MRI). If potentially associated metastases (e.g., liver or bone) are present, subjects with <5 times ULN are eligible to participate, following discussion with and approval from a GSK Medical Monitor.
  • Hematological values outside of acceptable ranges. Active infection. Prior anti-cancer therapy, including, but not limited to, chemotherapy (except nitrosurea or mitomycin C), radiotherapy, biologic therapy, investigational therapy or major surgery within 21 days of the first scheduled dose of study drug. Prior nitrosurea of mitomycin C chemotherapy within 6 weeks of first scheduled dose of study drug. Failure to recover to Grade 1 or better from any toxicity (except alopecia) related to prior anti-cancer therapy by Day 1, Course 1 unless agreed to by a GSK Medical Monitor and the Investigator. Clinical evidence of a gastrointestinal (GI) condition (i.e., removal of a portion of the stomach, recent GI obstruction or GI neuropathy) or taking drugs that would alter GI absorption or motility. Currently taking or will require treatment with cyclosporin A. Concurrent severe medical problems unrelated to the malignancy, which would significantly limit full compliance with the study or expose the subject to extreme risk (including major surgery within 21 days or placement of biliary stents or nephrostomy tubes within 7 days). History of allergic reactions to topotecan or compounds chemically related to topotecan (e.g., irinotecan).

Trial locations and contacts

6 sites in 3 countries.

6 sites in 3 countries

United States2 sites
  • GSK Investigational Site

    Lebanon, New Hampshire, 03756

  • GSK Investigational Site

    Scottsdale, Arizona, 85258

Other trials in United States

Netherlands2 sites
  • GSK Investigational Site

    Amsterdam, 1066 CX

  • GSK Investigational Site

    Utrecht, 3584 CX

Other trials in Netherlands

South Korea2 sites
  • GSK Investigational Site

    Seoul, 110-744

  • GSK Investigational Site

    Seoul, 120-752

Other trials in South Korea

About this study

Official title: A Phase I Study of Oral Topotecan in Subjects With Cancer and Impaired Renal Function

To determine the effect of renal impairment and prior platinum-based chemotherapy on the safety and blood levels of topotecan administered orally

Conditions
Solid Tumours
Being tested
Topotecan
Keywords
Cancer, Solid tumor,, normal renal function, renal impairment,, prior platinum-based chemotherapy,
Medical subject headings
Neoplasms, Renal Insufficiency

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

Study groups in NCT00483860
Study groupRoleWhat they receive
TopotecanExperimentalonce a day
Receives: Drug: Topotecan

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Comparison of blood levels of topotecan following oral and IV dosing;

    Measured: blood samples will be drawn on Day 1 and Day 8 of Courses 1 and 2.

Secondary outcomes (1)
  1. Assessment of clinical laboratory tests, cardiac monitoring and disease progression. Comparison of blood levels of topotecan when taken orally with and without food;

    Measured: blood samples will be drawn on Day 1

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted7 Jun 2007 (estimated)
  2. Study start20 Jun 2007
  3. Primary completion6 Feb 2012
  4. Study completion6 Feb 2012

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 1
Primary purpose
Treatment
Allocation
Non-randomised
Intervention model
Single group
Masking
None (open label)
Enrolment
59 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00483860
Sponsor's protocol ID
SKF104864/722
Status last verified
Nov 2017
First submitted
5 Jun 2007
Last updated
13 Nov 2017
Results posted
No
Data monitoring committee
No

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing Topotecan in people with Solid Tumours, run by GlaxoSmithKline at 6 sites in 3 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 9 inclusion and 8 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 13 Nov 2017. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 6 sites in United States, Netherlands, South Korea. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Comparison of blood levels of topotecan following oral and IV dosing; (time frame: blood samples will be drawn on Day 1 and Day 8 of Courses 1 and 2.). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 13 Nov 2017.

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