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Solid TumorsPhase 1NCT01930292

Debio 1143 in Combination With Carboplatin and Paclitaxel in Patient With Advanced Solid Malignancies

A Phase 1 study testing Part A: Debio 1143, Paclitaxel and Carboplatin in people with Solid Tumors, run by Debiopharm International SA at 4 sites in France.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

This is a two-part trial in patients with squamous non-small cell lung cancer (NSCLC), platinum (Pt)-refractory ovarian cancer, and basal-like/claudin low triple negative breast cancer (TNBC). Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Solid Tumors
What is being tested?
Part A: Debio 1143, Paclitaxel and Carboplatin
Could I receive a placebo?
No, everyone receives an active treatment
How many people
31 participants
Where
4 sitesFrance
Study dates
Apr 2013to Mar 2016
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

  • Meets protocol-specified criteria for qualification and contraception
  • Is willing and able to remain confined in the study unit for the entire duration of each treatment period and comply with restrictions related to food, drink and medications
  • Voluntarily consents to participate and provides written informed consent prior to any protocol-specific procedures

Who cannot join

  • Has history or current use of over-the-counter medications, dietary supplements, or drugs (including nicotine and alcohol) outside protocol-specified parameters
  • Has signs, symptoms or history of any condition that, per protocol or in the opinion of the investigator, might compromise:
  • the safety or well-being of the participant or study staff;
  • the safety or well-being of the participant's offspring (such as through pregnancy or breast-feeding); or
  • the analysis of results

Trial locations and contacts

4 sites in 1 country.

France4 sites
  • Centre Georges François Leclerc

    Dijon, 21079

  • Centre Léon Bérard

    Lyon, 69008

  • Institut Curie

    Paris, 75248

  • Institut Claudius Regaud

    Toulouse, 31052

Other trials in France

About this study

Official title: A Phase I Study to Evaluate the Safety and Determine the Maximum Tolerated Dose (MTD) of Debio 1143 Combined With Carboplatin and Paclitaxel in Patients With Squamous Non-Small Cell Lung Cancer (NSCLC), Platinum-refractory Ovarian Cancer, and Basal-like/Claudin Low Triple Negative Breast Cancer (TNBC)

This is a two-part trial in patients with squamous non-small cell lung cancer (NSCLC), platinum (Pt)-refractory ovarian cancer, and basal-like/claudin low triple negative breast cancer (TNBC).

The primary objective of Part A is to determine the maximum tolerated dose (MTD) of Debio 1143 when administered to these patients in combination with full doses of paclitaxel and carboplatin.

The primary objective of Part B is to consolidate the safety profile of the recommended dose of Debio 1143 when administered to these patients in combination with full doses of paclitaxel and carboplatin.

Conditions
Solid Tumors
Being tested
Part A: Debio 1143, Paclitaxel, Carboplatin, Part B: Debio 1143

What participants receive

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

  • Part A: Debio 1143Drug

    Adaptive doses of Debio1143 oral capsules, between 50 and 400 mg until the recommended dose (RD) is determined.

  • PaclitaxelDrug

    Paclitaxel standard of care, intravenous (IV), once on day 1 or 2 of each 21-day treatment cycle, after pre-medication to prevent severe hypersensitivity reactions.

  • CarboplatinDrug

    Carboplatin standard of care, intravenous (IV), once on day 1 or 2 of each 21-day treatment cycle.

  • Part B: Debio 1143Drug

    RD of Debio1143 oral capsules, once daily for five consecutive days starting on day 1 or 2 of each 21-day treatment cycle.

Study groups in NCT01930292
Study groupRoleWhat they receive
Part A: Debio 1143ExperimentalEligible participants receive Part A: Debio 1143 once daily for 5 consecutive days in each 21-day treatment cycle according to dose escalation rules (in combination with Paclitaxel and Carboplatin standard of care)
Receives: Drug: Part A: Debio 1143; Drug: Paclitaxel; Drug: Carboplatin
Part B: Lung CancerExperimentalParticipants with Lung Cancer receive Part B: Debio 1143 once daily for 5 consecutive days in each 21-day treatment cycle (in combination with Paclitaxel and Carboplatin standard of care)
Receives: Drug: Paclitaxel; Drug: Carboplatin; Drug: Part B: Debio 1143
Part B: Ovarian CancerExperimentalParticipants with Ovarian Cancer receive Part B: Debio 1143 once daily for 5 consecutive days in each 21-day treatment cycle (in combination with Paclitaxel and Carboplatin standard of care)
Receives: Drug: Paclitaxel; Drug: Carboplatin; Drug: Part B: Debio 1143
Part B: Breast CancerExperimentalParticipants with Breast Cancer receive Part B: Debio 1143 once daily for 5 consecutive days in each 21-day treatment cycle (in combination with Paclitaxel and Carboplatin standard of care)
Receives: Drug: Paclitaxel; Drug: Carboplatin; Drug: Part B: Debio 1143

What is being measured

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

  1. Part A: Number of participants with dose-limiting toxicities

    Categories: each Debio 1143 dose level and overall

    Measured: up to 18 weeks

  2. Part B: Percentage of participants with adverse events (AEs) and serious AEs (SAEs) according to National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) criteria

    Measured: up to 18 weeks + 28 days

Secondary outcomes (42)
  1. Part A: Percentage of participants with AEs and serious adverse events (SAEs) according to National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) criteria

    Categories: each Debio 1143 dose level and overall

    Measured: up to 18 weeks + 28 days

  2. Part A: Number of participants with change in vital signs

    Categories: each Debio 1143 dose level and overall

    Measured: up to 18 weeks

  3. Part A: Number of participants with change in electrocardiogram (ECG)

    Categories: each Debio 1143 dose level and overall

    Measured: up to 18 weeks

  4. Part A: Number of participants with change in Eastern Cooperative Oncology Group (ECOG) performance status (PS)

    Categories: each Debio 1143 dose level and overall

    Measured: up to 18 weeks

  5. Part B: Number of participants with change in vital signs

    Categories: each indication at the recommended dose (RD)

    Measured: up to 18 weeks

  6. Part B: Number of participants with change in electrocardiogram (ECG)

    Categories: each indication at the recommended dose (RD)

    Measured: up to 18 weeks

  7. Part B: Number of participants with change in Eastern Cooperative Oncology Group (ECOG) performance status (PS)

    Categories: each indication at the recommended dose (RD)

    Measured: up to 18 weeks

  8. Part A: Percentage of participants with incidence of laboratory abnormalities according to NCI-CTCAE criteria

    Categories: each Debio 1143 dose level and overall

    Measured: up to 18 weeks

  9. Part B: Percentage of participants with incidence of laboratory abnormalities according to NCI-CTCAE criteria

    Categories: each indication at the RD

    Measured: up to 18 weeks

  10. Part A: Percentage of participants with treatment discontinuations due to AEs and SAEs

    Categories: each Debio 1143 dose level and overall

    Measured: up to 18 weeks + 28 days

  11. Part B: Percentage of participants with treatment discontinuations due to AEs and SAEs

    Categories: each indication at the RD

    Measured: up to 18 weeks + 28 days

  12. Part A: Number of participants with change in left ventricular ejection fraction (LVEF)

    Categories: each Debio 1143 dose level and overall

    Measured: up to 18 weeks

  13. Part B: Number of participants with change in left ventricular ejection fraction (LVEF)

    Categories: each indication at the RD

    Measured: up to 18 weeks

  14. Part A: Number of participants with tumour response: disease control, change in tumour size from baseline and overall response

    Categories: each Debio 1143 dose level and overall

    Measured: up to 18 weeks

  15. Part B: Number of participants with tumour response: disease control, change in tumour size from baseline and overall response

    Categories: each indication at the RD

    Measured: up to 18 weeks

  16. Part A: Percentage of participants with progression-free survival (PFS) at 6 months

    Categories: each Debio 1143 dose level and overall

    Measured: at 6 months

  17. Part B: Percentage of participants with progression-free survival (PFS) at 6 months

    Categories: each indication at the RD

    Measured: at 6 months

  18. Part A: Percentage of participants with survival at 1 year

    Categories: each Debio 1143 dose level and overall

    Measured: at 12 months

  19. Part B: Percentage of participants with survival at 1 year

    Categories: each indication at the RD

    Measured: at 12 months

  20. Part B: Maximum concentration (Cmax) in the pharmacokinetic (PK) subset

    Categories: Debio 1143 alone; Debio 1143 when administered with paclitaxel and carboplatin; paclitaxel, 6αOH-paclitaxel (metabolite), and carboplatin (total and free Pt) when administered as chemotherapy alone; paclitaxel, 6αOH-paclitaxel (metabolite), and carboplatin (total and free Pt) when administered in combination with Debio 1143

    Measured: up to 18 weeks

  21. Part B: Lowest concentration before the next dose (Ctrough) of Debio 1143 in the PK subset

    Categories: alone and in combination with chemotherapy

    Measured: up to 18 weeks

  22. Part B: Time to maximum concentration (tmax) in the PK subset

    Categories: Debio 1143 alone; Debio 1143 when administered with paclitaxel and carboplatin; paclitaxel, 6αOH-paclitaxel (metabolite), and carboplatin (total and free Pt) when administered as chemotherapy alone; paclitaxel, 6αOH-paclitaxel (metabolite), and carboplatin (total and free Pt) when administered in combination with Debio 1143

    Measured: up to 18 weeks

  23. Part B: Area under the concentration versus time curve from the beginning to a point in time (AUC0-t) in the PK subset

    Categories: Debio 1143 alone; Debio 1143 when administered with paclitaxel and carboplatin; paclitaxel, 6αOH-paclitaxel (metabolite), and carboplatin (total and free Pt) when administered as chemotherapy alone; paclitaxel, 6αOH-paclitaxel (metabolite), and carboplatin (total and free Pt) when administered in combination with Debio 1143

    Measured: up to 18 weeks

  24. Part B: Area under the concentration versus time curve extrapolated to infinity (AUC∞) in the PK subset

    Categories: Debio 1143 alone; Debio 1143 when administered with paclitaxel and carboplatin; paclitaxel, 6αOH-paclitaxel (metabolite), and carboplatin (total and free Pt) when administered as chemotherapy alone; paclitaxel, 6αOH-paclitaxel (metabolite), and carboplatin (total and free Pt) when administered in combination with Debio 1143

    Measured: up to 18 weeks

  25. Part B: Terminal rate constant (λz) in the PK subset

    Categories: Debio 1143 alone; Debio 1143 when administered with paclitaxel and carboplatin; paclitaxel, 6αOH-paclitaxel (metabolite), and carboplatin (total and free Pt) when administered as chemotherapy alone; paclitaxel, 6αOH-paclitaxel (metabolite), and carboplatin (total and free Pt) when administered in combination with Debio 1143

    Measured: up to 18 weeks

  26. Part B: Apparent terminal half-life (t½) in the PK subset

    Categories: Debio 1143 alone; Debio 1143 when administered with paclitaxel and carboplatin; paclitaxel, 6αOH-paclitaxel (metabolite), and carboplatin (total and free Pt) when administered as chemotherapy alone; paclitaxel, 6αOH-paclitaxel (metabolite), and carboplatin (total and free Pt) when administered in combination with Debio 1143

    Measured: up to 18 weeks

  27. Part B: Mean residence time (MRT) in the PK subset

    Categories: Debio 1143 alone; Debio 1143 when administered with paclitaxel and carboplatin; paclitaxel, 6αOH-paclitaxel (metabolite), and carboplatin (total and free Pt) when administered as chemotherapy alone; paclitaxel, 6αOH-paclitaxel (metabolite), and carboplatin (total and free Pt) when administered in combination with Debio 1143

    Measured: up to 18 weeks

  28. Part B: Apparent clearance (CL/F) of Debio 1143 in the PK subset

    Categories: alone and in combination with chemotherapy

    Measured: up to 18 weeks

  29. Part B: Apparent volume of distribution during the terminal phase (Vz/F) of Debio 1143 in the PK subset

    Categories: alone and in combination with chemotherapy

    Measured: up to 18 weeks

  30. Part B: Total amount of Debio 1143 excreted in urine (Ae) in the PK subset

    Categories: alone and in combination with chemotherapy

    Measured: up to 18 weeks

  31. Part B: Total amount of Debio 1143 excreted in urine in the first 8 hours (Ae0-8) in the PK subset

    Categories: alone and in combination with chemotherapy

    Measured: up to 18 weeks

  32. Part B: Total amount of Debio 1143 excreted in urine between 8 and 24 hours (Ae8-24) in the PK subset

    Categories: alone and in combination with chemotherapy

    Measured: up to 18 weeks

  33. Part B: Renal clearance calculated as Ae/AUC∞ (CLR) of Debio 1143 in the PK subset

    Categories: alone and in combination with chemotherapy

    Measured: up to 18 weeks

  34. Part B: Fraction of the dose excreted in urine calculated as Ae/dose (fe) of Debio 1143 in the PK subset

    Categories: alone and in combination with chemotherapy

    Measured: up to 18 weeks

  35. Part B: Area under the concentration versus time curve in the first 12 hours (AUC0-12) in the PK subset

    Categories: paclitaxel, 6αOH-paclitaxel (metabolite), and carboplatin (total and free Pt) when administered as chemotherapy alone; paclitaxel, 6αOH-paclitaxel (metabolite), and carboplatin (total and free Pt) when administered in combination with Debio 1143

    Measured: up to 18 weeks

  36. Part B: Total body clearance (CL) in the PK subset

    Categories: paclitaxel, 6αOH-paclitaxel (metabolite), and carboplatin (total and free Pt) when administered as chemotherapy alone; paclitaxel, 6αOH-paclitaxel (metabolite), and carboplatin (total and free Pt) when administered in combination with Debio 1143

    Measured: up to 18 weeks

  37. Part B: Volume of distribution at steady-state (Vss) in the PK subset

    Categories: paclitaxel, 6αOH-paclitaxel (metabolite), and carboplatin (total and free Pt) when administered as chemotherapy alone; paclitaxel, 6αOH-paclitaxel (metabolite), and carboplatin (total and free Pt) when administered in combination with Debio 1143

    Measured: up to 18 weeks

  38. Part B: Mean Residence Area under the concentration versus time curve (MR,AUC) in the PK subset

    Categories: paclitaxel, 6αOH-paclitaxel (metabolite), and carboplatin (total and free Pt) when administered as chemotherapy alone; paclitaxel, 6αOH-paclitaxel (metabolite), and carboplatin (total and free Pt) when administered in combination with Debio 1143

    Measured: up to 18 weeks

  39. Part B: Mean Residence Maximum Concentration (MR,Cmax) in the PK subset

    Categories: paclitaxel, 6αOH-paclitaxel (metabolite), and carboplatin (total and free Pt) when administered as chemotherapy alone; paclitaxel, 6αOH-paclitaxel (metabolite), and carboplatin (total and free Pt) when administered in combination with Debio 1143

    Measured: up to 18 weeks

  40. Part B: Platinum Refraction (PtR) in ovarian cancer participants included in the PK subset

    Categories: paclitaxel, 6αOH-paclitaxel (metabolite), and carboplatin (total and free Pt) when administered as chemotherapy alone; paclitaxel, 6αOH-paclitaxel (metabolite), and carboplatin (total and free Pt) when administered in combination with Debio 1143

    Measured: up to 18 weeks

  41. Part B: Cmax in patients other than the PK subset

    Categories: paclitaxel, 6αOH-paclitaxel (metabolite), and carboplatin (total and free Pt) when administered as chemotherapy alone; paclitaxel, 6αOH-paclitaxel (metabolite), and carboplatin (total and free Pt) when administered in combination with Debio 1143

    Measured: up to 18 weeks

  42. Part B: Concentration observed at time n (Cn) following Debio 1143 administration in patients other than the PK subset

    Categories: paclitaxel, 6αOH-paclitaxel (metabolite), and carboplatin (total and free Pt) when administered as chemotherapy alone; paclitaxel, 6αOH-paclitaxel (metabolite), and carboplatin (total and free Pt) when administered in combination with Debio 1143

    Measured: up to 18 weeks

Timeline

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

  1. First posted28 Aug 2013 (estimated)
  2. Study startApr 2013
  3. Primary completionMar 2016
  4. Study completionMar 2016

Why it stopped: Part B was cancelled based on business decision

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
Parallel groups
Masking
None (open label)
Enrolment
31 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01930292
Sponsor's protocol ID
Debio 1143-103
Other IDs
2012-003676-40
Status last verified
Mar 2016
First submitted
21 Jun 2013
Last updated
24 Mar 2016
Results posted
No
Data monitoring committee
No

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing Part A: Debio 1143, Paclitaxel and Carboplatin in people with Solid Tumors, run by Debiopharm International SA at 4 sites in France.

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 3 inclusion and 5 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: stopped early, as of the sponsor's last update on 24 Mar 2016. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 4 sites in France. 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 was stopped early (reason given: Part B was cancelled based on business decision). Results are not available in the source record.

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?

Part A: Number of participants with dose-limiting toxicities (time frame: up to 18 weeks). The study lists 2 primary outcomes in all. 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 24 Mar 2016.

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