This study investigates the safety and efficacy of Acetyl-L-Carnitine and compares it to the safety and efficacy of a placebo (inactive) tablet in the prevention of Sagopilone-induced peripheral neuropathy. Patients will receive intravenous infusion of sagopilone for 3 hours on day 1 of a 3-weeks cycle. Treatment with Sagopilone will be given as long as the patient is benefitting. In addition patients will receive ALC or placebo, starting 1 week before first sagopilone infusion and ending 30-33 days after the last infusion with sagopilone. Safety will be determined by laboratory and other evaluations. Efficacy of ALC will be determined by the incidence of all grades of peripheral neuropathy with the results of a patient questionnaire. Efficacy of the combination of ALC and Sagopilone will be determined by the tumor response.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
TRIPLE
Enrollment
150
Subjects will receive intravenous (i.v.) infusion of Sagopilone for 3 hours on day 1 of a 3-weeks cycle. In addition, subjects will receive Acetyl-L-Carnitine (ALC) 1000 mg tid. Treatment with Sagopilone and ALC will be continued as long as there is benefit. Subjects with HRPC will also receive Prednisone or Prednisolone 5 mg bid, throughout the treatment with Sagopilone.
Subjects will receive intravenous (i.v.) infusion of Sagopilone for 3 hours on day 1 of a 3-weeks cycle. Treatment will be continued as long as there is benefit. In addition, subjects will receive 21 weeks of placebo 1000 mg tid. After all patients have completed 6 cycles of treatment, an analysis will be performed to see whether ALC was better than placebo. If this is the case, patients still under placebo treatment will be offered to switch to ALC. Subjects with HRPC will also receive Prednisone or Prednisolone 5 mg bid, throughout the treatment with Sagopilone.
Unnamed facility
Bruxelles - Brussel, Belgium
Unnamed facility
Caen, France
Unnamed facility
Montpellier, France
Unnamed facility
Nantes, France
Unnamed facility
Paris, France
Unnamed facility
Villejuif, France
Unnamed facility
Tübingen, Baden-Wurttemberg, Germany
Unnamed facility
Rostock, Mecklenburg-Vorpommern, Germany
Unnamed facility
Bonn, North Rhine-Westphalia, Germany
Unnamed facility
Essen, North Rhine-Westphalia, Germany
...and 12 more locations
Overall incidence of peripheral neuropathy (any grade) during at most 6 cycles of Sagopilone treatment, based on the Adverse Events.
Time frame: Start of Sagopilone treatment until at most 6 cycles + 1 month.
Efficacy of ALC: incidence of neuropathy of grade 3 or 4, time to onset of neuropathy, duration of neuropathy.
Time frame: Start of treatment to safety Follow-up
Efficacy of ALC: Percentage of discontinuations due to neuropathy.
Time frame: Start of treatment to safety Follow-up
Safety of Sagopilone in combination with ALC.
Time frame: Baseline to Safety follow-up
Efficacy of Sagopilone: 'best overall response' according to modRECIST criteria
Time frame: Start treatment to End of Treatment
Efficacy of Sagopilone: 'best overall response' according to CA-125 or PSA response
Time frame: Start treatment to End of Treatment
Efficacy of Sagopilone: Time to disease progression, Progression-free survival
Time frame: Start treatment to Progression or Death
Efficacy of Sagopilone: Duration of response
Time frame: Start treatment to Progression or Death
Efficacy of Sagopilone: WHO performance status.
Time frame: Screening to end of Treatment
Pharmacokinetic: Sagopilone concentrations (optional)
Time frame: Day 1,2,3,5,15 of cycle 1 and day2
Pharmacokinetic: ALC concentrations
Time frame: radomisation, day 1 of cycle 1 and 2
Pharmacogenomics (optional): in tumor tissue, blood and ascites
Time frame: Blood sample at screening, tissue sample and ascites whenever available
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