To assess the anti-tumor activity of CAP7.1 based on the observed objective response rate and rate of disease stabilization, as defined by the below primary and secondary endpoints, in patients with Non-Small Cell Lung Carcinoma (NSCLC), SCLC or biliary cancer who have progressed despite one or more previous chemotherapy line.
A phase II evaluation will be performed in adult patients in parallel studies in 3 tumor types: NSCLC, SCLC and Biliary Tract Cancer. All patients will have advanced or metastatic disease with primary or secondary resistance to standard therapy. In each tumor type the patients will be randomized to receive either therapy with CAP7.1 or best supportive care according to institution standards. Patient in the Control group who progress may cross over to CAP7.1, however these patients will be analyzed separately from the patients randomized to CAP7.1.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
45
CAP7.1 is a prodrug of Etoposide released after via specific carboxyesterase
Charite, University Hospital
Berlin, Germany
Time to disease progression
Assessment of antitumor activity based on RECIST 1.1 criteria (complete response; partial response; stable disease)
Time frame: 18 month
1. Percentage of Subjects With Objective Response [i.e., complete response (CR) + partial response (PR)] According to RECIST1.1
Time frame: Start of study treatment until 26 days post-last study treatment (approximately 4 years and 2 months)
Time to Treatment Failure
Time frame: Start of study treatment until 26 days post-last study treatment (approximately 4 years and 2 months)
Progression-Free Survival (PFS)
Time frame: Start of study treatment until 26 days post-last study treatment (approximately 4 years and 2 months)
Disease-free survival
Time frame: Start of study treatment until 26 days post-last study treatment (approximately 4 years and 2 months)
Overall Survival (OS)
Time frame: Start of study treatment until 26 days post-last study treatment (approximately 4 years and 2 months)
Number of Subjects With Treatment Emergent Adverse Events (TEAEs)
Time frame: Start of study treatment until 26 days post-last study treatment (approximately 4 years and 2 months)
Maximum Observed Drug Concentration (Cmax) of CAP7.1 in Plasma
Time frame: Start of study treatment until 26 days post-last study treatment (approximately 4 years and 2 months)
Time to Reach Maximum Drug Concentration (tmax) of CAP7.1 in Plasma
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Time frame: Start of study treatment until 26 days post-last study treatment (approximately 4 years and 2 months)
Half-life Associated With the Terminal Slope (t1/2) of CAP7.1 in Plasma
Time frame: Start of study treatment until 26 days post-last study treatment (approximately 4 years and 2 months)
Area Under the Concentration Versus Time Curve From Zero to Infinity (AUC) of CAP7.1 in Plasma
Time frame: Start of study treatment until 26 days post-last study treatment (approximately 4 years and 2 months)