The study seeks to assess the safety, pharmacodynamics, pharmacokinetics and efficacy of belinostat (PXD101) administered in combination with carboplatin or paclitaxel or both in patients with solid tumours followed by maximum tolerated dose (MTD) expansion (phase II) in ovarian and bladder cancer patients The clinical trial is now in the MTD (phase II) portion of the study enrolling bladder cancer patients. Enrollment of ovarian patients is complete.
MTD Expansion I(Phase II): A total of 18-32 patients with epithelial ovarian, primary peritoneal, fallopian tube or mixed mullerian tumours of ovarian origin, in need of relapse treatment will be enrolled. MTD Expansion II (phase II): A total of 15 patients with urothelial (transitional cell) carcinoma of the bladder will be enrolled.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
80
Gynecologic Oncology Associates
Newport Beach, California, United States
Research Facility
Orlando, Florida, United States
Hematology and Oncology Specialists, LLC
Covington, Louisiana, United States
Hematology & Oncology Specialists, LLC
Metairie, Louisiana, United States
Greater Baltimore Medical Center
Baltimore, Maryland, United States
Massachusetts General Hospital Cancer Center
Boston, Massachusetts, United States
Women & Infants Hospital of Rhode Island
Providence, Rhode Island, United States
The Finsen Center, Rigshospitalet
Copenhagen, Denmark
Research Facility, Herlev University Hospital
Herlev, Denmark
The Beatson West of Scotland Cancer Centre
Glasgow, United Kingdom
...and 1 more locations
Maximum Tolerable Dose (MTD) Belinostat, Part A,
To determine the maximum tolerated dose of belinostat (PXD101) in doses up to 1000 mg/m²/day administered in combination with standard doses of carboplatin (AUC of 5) and paclitaxel (175 mg/m2).
Time frame: Cycle 1
Dose Limiting Toxicities (DLT), Part A
To determine the number of participants experiencing dose limiting toxicities of belinostat (PXD101) in doses up to 1000 mg/m²/day administered in combination with standard doses of carboplatin and paclitaxel or both.
Time frame: Cycle 1
Best Overall Response (CR or PR)
Best overall responses were assessed by RECIST (Response Evaluation Criteria in Solid Tumors) criteria. Clinical tumor evaluation will take place after each cycle. Formal radiological evaluation after every 2 cycles. If a response is noted, a follow-up radiographic assessment must be performed 4 weeks (+ 1 week) after the response is noted
Time frame: Throughout study until PD (progressive disease) or lost to follow up
To Determine the Pharmacodynamic Effects of Belinostat (in the Combination) on Histone Acetylation in Peripheral Blood Mononuclear Cells (Selected Sites)
Time frame: Throughout the study
Time to Progression
Time to progression, defined as the interval between the first dates of treatment until the first notation of disease progression. RECIST criteria
Time frame: Throughout study
Time to Response
Time to response (RECIST) was assessed as the interval between the first dates of treatment until the first notation of response.
Time frame: Throughout study
Duration of Response
Defined as interval from the time criteria for CR or PR are met, until the first date that recurrent or progressive disease is objectively documented.
Time frame: Throughout study
Belinostat Cmax
Time frame: Cycle 1 day 1: Pre-Infusion, 0 min, 5 min, 15 min, 30 min, 1 h, 2 h, 3 h, 3 h 15 min, 3 h 30 min, 4 h, 5 h, 6 h, 6 h 15 min, 6 h 30 min, 7h, 8h, 9h, 24h
Belinostat Mean t½
Time frame: Cycle 1 Day 1: Cycle 1 day 1: Pre-Infusion, 0 min, 5 min, 15 min, 30 min, 1 h, 2 h, 3 h, 3 h 15 min, 3 h 30 min, 4 h, 5 h, 6 h, 6 h 15 min, 6 h 30 min, 7h, 8h, 9h, 24h
Belinostat AUC (0-infinity)
Time frame: Cycle 1 Day 1: Cycle 1 day 1: Pre-Infusion, 0 min, 5 min, 15 min, 30 min, 1 h, 2 h, 3 h, 3 h 15 min, 3 h 30 min, 4 h, 5 h, 6 h, 6 h 15 min, 6 h 30 min, 7h, 8h, 9h, 24h
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