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Platinum Sensitive Recurrent High-grade Serous Ovarian Cancer With Mutated p53Phase 1/2NCT02098343

p53 Suppressor Activation in Recurrent High Grade Serous Ovarian Cancer, a Phase Ib/II Study of Systemic Carboplatin Combination Chemotherapy With or Without APR-246

A Phase 1/2 study testing APR-246 and Carboplatin and Pegylated Liposomal Doxorubicin Hydrochloride (PLD) in people with Platinum Sensitive Recurrent High-grade Serous Ovarian Cancer With Mutated p53, run by Aprea Therapeutics at 55 sites in 8 countries.

Completed

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

Official record
Search all trials

Trial summary

The purpose of this study is to make a preliminary assessment of the efficacy of a combined APR-246 and carboplatin/PLD chemotherapy regimen, compared with carboplatin/PLD chemotherapy regimen alone, in patients with platinum sensitive recurrent high grade serous ovarian cancer (HGSOC) with mutated p53. Read more about this study

Who is it for?
Ages 18 years and older, women only
What is being tested?
APR-246 and Carboplatin and Pegylated Liposomal Doxorubicin Hydrochloride (PLD)
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
247 participants
Where
55 sitesin 8 countries
Study dates
Mar 2014to Apr 2019
Phase
Phase 1/2
Are there results?
Yes, posted in the registrySummary in the doctors' view

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
  • Women only
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Confirmed High Grade Serous Ovarian Cancer, and positive nuclear immunohistochemical (IHC) staining for p53
  • Disease Progression between 6-24 months after a first or second platinum based regimen
  • At least a single measurable lesion. Phase II patients only
  • Adequate organ function prior to registration
  • Toxicities from previous cancer therapies must have recovered to grade 1 (defined by Common Terminology Criteria for Adverse Events [CTCAE] 4.0) Chronic stable grade 2 peripheral neuropathy secondary to neurotoxicity from prior therapies may be considered on a case by case basis
  • ECOG performance status of 0 to 1

Who cannot join

  • Prior exposure to cumulative doses of doxorubicin >400 mg/m2 or epirubicin >720 mg/m2
  • History of allergic reactions to carboplatin, platinum containing compounds or mannitol and/or hypersensitivity to PLD or to any of the excipients
  • Unable to undergo imaging by either CT scan or MRI
  • Evidence of any other medical conditions (such as psychiatric illness, infectious diseases, neurological conditions, physical examination or laboratory findings) that may interfere with the planned treatment, affect patient compliance or place the patient at high risk from treatment related complications
  • Concurrent malignancy requiring therapy (excluding non-invasive carcinoma or carcinoma in situ)
  • Is taking concurrent (or within 4 week prior to registration) chemotherapy, immunotherapy, radiotherapy, or any ancillary therapy that is considered to be investigational (i.e., used for non-approved indications(s) and in the context of a research investigation). Supportive care measures are allowed

Trial locations and contacts

55 sites in 8 countries.

55 sites in 8 countries

United States15 sites
  • Massachusetts General Hospital

    Boston, Massachusetts, 02114

  • Dana Farber Cancer Institute

    Boston, Massachusetts, 02215

  • University of Chicago

    Chicago, Illinois, 60637

  • Parkland, UT Southwestern Medical Center

    Dallas, Texas, 75390

  • University of Texas Southwestern Medical Center

    Dallas, Texas, 75390

  • Barbara Ann Karmanos Cancer Institute

    Detroit, Michigan, 48201

  • The University of Texas MD Anderson Cancer Center

    Houston, Texas, 77030

  • UCLA

    Los Angeles, California, 90095

  • Vanderbilt University Medical Center

    Nashville, Tennessee, 37232

  • The University of Pennsylvania

    Philadelphia, Pennsylvania, 19104

  • Fox Chase Cancer Center

    Philadelphia, Pennsylvania, 19111

  • UPMC Hillman Cancer Center, Magee-Womens Hospital

    Pittsburgh, Pennsylvania, 15213

  • Oregon Health & Science University

    Portland, Oregon, 97239

  • Massey Cancer Center, Virginia Commonwealth University

    Richmond, Virginia, 23298

  • Swedish Cancer Institute

    Seattle, Washington, 98104

Other trials in United States

Spain11 sites
  • Institut Català d'Oncologia, Hospital Germans Trias i Pujol

    Badalona, 08916

  • Hospital Vall d'Hebron

    Barcelona, 08035

  • Hospital Universitario Reina Sofia

    Córdoba, 14004

  • Centro Oncologico MD Anderson

    Madrid, 28033

  • Hospital Universitario Ramón y Cajal

    Madrid, 28034

  • Hospital Universitario Fundación Jiménez Díaz

    Madrid, 28040

  • Hospital Universitario HM Sanchinarro

    Madrid, 28050

  • Hospital Universitario Virgen de la Victoria

    Málaga, 29010

  • Hospital Clinico Universitario de Valencia

    Valencia, 46010

  • Hospital Universitario Araba

    Vitoria-Gasteiz, 01009

  • Hospital Clínico Universitario Lozano Blesa

    Zaragoza, 50009

Other trials in Spain

France7 sites
  • Centre Léon Bérard

    Lyon, 69373

  • Centre Hospitalier Lyon Sud

    Lyon, 69495

  • Centre Catherine de Sienne

    Nantes, 44202

  • Institut Curie

    Paris, 75005

  • Hôpital des Diaconesses (Site Reuilly)

    Paris, 75012

  • Centre Paul Strass

    Strasbourg, 67065

  • Institut Gustave Roussy

    Villejuif, 94805

Other trials in France

United Kingdom7 sites
  • Bristol Haematology & Oncology Centre, University Hospitals Bristol

    Bristol, BS2 8ED

  • Cambridge Cancer Trials Centre, Cambridge University Hospitals NHS Foundation Trust, Addenbrooke's Hospital

    Cambridge, CB2 0QQ

  • Edinburgh Cancer Research Centre, The University of Edinburgh

    Edinburgh, EH4 2XR

  • The Clatterbridge Cancer Center NHS Foundation Trust

    Liverpool, CH63 4JY

  • The Royal Marsden NHS Foundation Trust

    London, SM2 5PT

  • Imperial College London, Hammersmith Hospital Campus

    London, W12 0NN

  • The Christie NHS Foundation Trust

    Manchester, M20 4BX

Other trials in United Kingdom

Belgium5 sites
  • Antwerp University Hospital

    Antwerp, 2650

  • Institut Jules Bordet

    Brussels, 1000

  • Cliniques Universitaires Saint Luc

    Brussels, B-1200

  • Medische oncologie, Universitair Ziekenhuis Gent

    Ghent, 9000

  • Leuven University Hospitals

    Leuven, B-3000

Other trials in Belgium

Germany5 sites
  • Praxisklinik, Krebsheilkunde für Frauen

    Berlin, 10367

  • Charité Campus Virchow-Klinikum

    Berlin, 13353

  • Universitätsklinikum Carl Gustav Carus

    Dresden, 01307

  • Universitätsklinikum Hamburg-Eppendorf

    Hamburg, 20246

  • Universitätsfrauenklinik Ulm

    Ulm, 89075

Other trials in Germany

Netherlands4 sites
  • Academisch Medisch Centrum

    Amsterdam, 1105 AZ

  • Universitair Medisch Centrum Groningen

    Groningen, 9700 RB

  • Leids Universitair Medisch Centrum

    Leiden, 2300 RC

  • Academisch Ziekenhuis Maastricht

    Maastricht, 6229 HX

Other trials in Netherlands

Sweden1 site
  • Karolinska University Hospital

    Stockholm, SE-171 76

Other trials in Sweden

About this study

Official title: PiSARRO: p53 Suppressor Activation in Recurrent High Grade Serous Ovarian Cancer, a Phase Ib/II Study of Systemic Carboplatin Combination Chemotherapy With or Without APR-246

The purpose of this study is to make a preliminary assessment of the efficacy of a combined APR-246 and carboplatin/PLD chemotherapy regimen, compared with carboplatin/PLD chemotherapy regimen alone, in patients with platinum sensitive recurrent high grade serous ovarian cancer (HGSOC) with mutated p53. In addition, the study aims to assess the safety profile of the combined APR-246 and carboplatin/PLD chemotherapy regimen compared with carboplatin/PLD chemotherapy regimen alone, to evaluate potential biomarkers, and to assess the biological activity in tumor and surrogate tissues. The trial will enroll up to a maximum of 400 patients.

Being tested
APR-246, Carboplatin and Pegylated Liposomal Doxorubicin Hydrochloride (PLD)
Keywords
Ovarian cancer, Ovarian carcinoma, High Grade Serous Ovarian Cancer, Recurrent Cancer, Resistant Cancer
Medical subject headings
Ovarian Neoplasms, Recurrence

What participants receive

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

  • APR-246Drug

    Intravenous infusion.

  • Carboplatin and Pegylated Liposomal Doxorubicin Hydrochloride (PLD)Drug

    Intravenous infusion.

Study groups in NCT02098343
Study groupRoleWhat they receive
Phase Ib. APR-246 (35mg/kg) + Carboplatin/PLD.ExperimentalDose escalation of APR-246.
Receives: Drug: APR-246; Drug: Carboplatin and Pegylated Liposomal Doxorubicin Hydrochloride (PLD)
Phase II: Arm A. APR-246 + Carboplatin/PLD.ExperimentalExperimental
Receives: Drug: APR-246; Drug: Carboplatin and Pegylated Liposomal Doxorubicin Hydrochloride (PLD)
Phase II: Arm B. Carboplatin/PLD.Active comparatorActive Comparator
Receives: Drug: Carboplatin and Pegylated Liposomal Doxorubicin Hydrochloride (PLD)
Phase Ib. APR-246 (50mg/kg) + Carboplatin/PLD.ExperimentalDose escalation of APR-246.
Receives: Drug: APR-246; Drug: Carboplatin and Pegylated Liposomal Doxorubicin Hydrochloride (PLD)
Phase Ib. APR-246 (67.5mg/kg) + Carboplatin/PLD.ExperimentalDose escalation of APR-246.
Receives: Drug: APR-246; Drug: Carboplatin and Pegylated Liposomal Doxorubicin Hydrochloride (PLD)

What is being measured

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

  1. Phase Ib: Dose-limiting Toxicities (DLT) (See Description) of Combined APR-246 and Carboplatin/PLD Regimen

    DLT: Hematological and non-hematological toxicities according to grade/days stated in the protocol.

    Measured: Until the end of the first treatment cycle, i.e., Day 28

  2. Phase Ib and II: Progression Free Survival (PFS)

    Phase Ib: Progression-free Survival is calculated from date of enrollment to the date of disease progression or death due to any cause, whichever occurs first. Symptomatic deterioration is not considered PD. For a patient without evidence of disease progression or death, Progression-free survival will be censored at the date of last evaluable tumor assessment. Patients with no evaluable tumor assessments will be censored at the date of first study drug administration.

    Phase II: Progression-free survival (PFS) based on Blinded Independent Central Review (BICR) is the primary endpoint and is defined as the number of days from the date of randomization to the date of objective disease progression or relapse (according to RECIST v1.1 only) or death due to any cause, whichever occurs first. If neither event occurs, PFS is censored at the date of the last evaluable tumor assessment. Symptomatic deterioration is not considered objective disease progression.

    Measured: Up to 24 months

Secondary outcomes (1)
  1. Phase Ib and Phase II: Overall Response Rate (RR)

    Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0) for target lesions and assessed by MRI: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), >=30% decrease in the sum of the longest diameter of target lesions; Overall Response (OR) = CR + PR.

    Measured: Up to 24 months

Timeline

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

  1. First posted28 Mar 2014 (estimated)
  2. Study startMar 2014
  3. Primary completionApr 2019
  4. Study completionApr 2019

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 1/2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Single group
Masking
None (open label)
Enrolment
247 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02098343
Sponsor's protocol ID
APR-407
Status last verified
Mar 2025
First submitted
19 Mar 2014
Last updated
17 Mar 2025
Data monitoring committee
Yes

Publications

  • Lehmann S, Bykov VJ, Ali D, Andren O, Cherif H, Tidefelt U, Uggla B, Yachnin J, Juliusson G, Moshfegh A, Paul C, Wiman KG, Andersson PO. Targeting p53 in vivo: a first-in-human study with p53-targeting compound APR-246 in refractory hematologic malignancies and prostate cancer. J Clin Oncol. 2012 Oct 10;30(29):3633-9. doi: 10.1200/JCO.2011.40.7783. Epub 2012 Sep 10.

    PubMed 22965953
  • Deneberg S, Cherif H, Lazarevic V, Andersson PO, von Euler M, Juliusson G, Lehmann S. An open-label phase I dose-finding study of APR-246 in hematological malignancies. Blood Cancer J. 2016 Jul 15;6(7):e447. doi: 10.1038/bcj.2016.60. No abstract available.

    PubMed 27421096

Questions about this trial

What is this clinical trial studying?

A Phase 1/2 study testing APR-246 and Carboplatin and Pegylated Liposomal Doxorubicin Hydrochloride (PLD) in people with Platinum Sensitive Recurrent High-grade Serous Ovarian Cancer With Mutated p53, run by Aprea Therapeutics at 55 sites in 8 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 6 inclusion and 6 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 17 Mar 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 55 sites in United States, Spain, France, United Kingdom, Belgium and 3 more countries. 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 combined 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.

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

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

Are results available for this study?

Yes. Results are posted in the registry (first posted 21 Sep 2022). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

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?

Phase Ib: Dose-limiting Toxicities (DLT) (See Description) of Combined APR-246 and Carboplatin/PLD Regimen (time frame: Until the end of the first treatment cycle, i.e., Day 28). 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?

On the ClinicalTrials.gov record for NCT02098343, which also lists 2 linked publications.

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 17 Mar 2025.

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