Clinical Trials /

Study of Peposertib in Combination With Capecitabine and RT in Rectal Cancer

NCT03770689

Description:

The main purpose of the study is to define maximum tolerated dose (MTD), recommended Phase II dose (RP2D) safety and tolerability of Peposertib in combination with capecitabine and radiotherapy (RT).

Related Conditions:
  • Rectal Carcinoma
Recruiting Status:

Active, not recruiting

Phase:

Phase 1/Phase 2

Trial Eligibility

Document

Title

  • Brief Title: Study of Peposertib in Combination With Capecitabine and RT in Rectal Cancer
  • Official Title: A Multicenter Study With an Open-label Phase Ib Part Followed by a Randomized, Placebo-controlled, Double-blind, Phase II Part to Evaluate Efficacy, Safety, Tolerability, and Pharmacokinetics of the DNA-PK Inhibitor Peposertib (M3814) in Combination With Capecitabine and RT in Participants With Locally Advanced Rectal Cancer

Clinical Trial IDs

  • ORG STUDY ID: MS100036_0020
  • SECONDARY ID: 2018-002275-18
  • NCT ID: NCT03770689

Conditions

  • Locally Advanced Rectal Cancer

Interventions

DrugSynonymsArms
PeposertibM3814, MSC2490484APeposertib + Capecitabine + RT
CapecitabinePeposertib + Capecitabine + RT

Purpose

The main purpose of the study is to define maximum tolerated dose (MTD), recommended Phase II dose (RP2D) safety and tolerability of Peposertib in combination with capecitabine and radiotherapy (RT).

Trial Arms

NameTypeDescriptionInterventions
Peposertib + Capecitabine + RTExperimental
  • Peposertib
  • Capecitabine

Eligibility Criteria

        Inclusion Criteria:

          -  Participants who have an Eastern Cooperative Oncology Group Performance Status less
             than or equals to (<=) 1

          -  Participants who have histologically confirmed and localized resectable rectal cancer
             (Stage 3)

          -  Participants who received induction chemotherapy are allowed to be enrolled to this
             study except this induction is resulting in clinical complete response (cCR) or tumor
             progression

          -  Participants who have lower edge of the tumor located in rectum

          -  Adequate hematological, hepatic and renal function as defined in the protocol

          -  Male participants if they agree to the following during the study intervention period
             and for at least 12 weeks after the last dose of study intervention

          -  Female participants are eligible if not pregnant or breastfeeding

          -  Other protocol defined inclusion criteria could apply

        Exclusion Criteria:

          -  Participants with history of any other significant medical disease or psychiatric
             conditions that might in the assessment of the Investigator preclude safe
             participation in the study

          -  Participants with history of difficulty swallowing, malabsorption, or other chronic
             gastrointestinal disease or conditions that may hamper compliance and/or absorption of
             the study intervention

          -  Unstable cardiovascular function within 6 months prior to enrollment

          -  Hypertension uncontrolled by medication (ie, systolic blood pressure >= 150 millimeter
             of mercury (mmHg) and diastolic blood pressure >= 90 mmHg)

          -  Participants with history of other malignant disease within the past 5 years, other
             than successfully treated basal carcinoma of the skin or carcinoma in situ of the
             cervix

          -  Participants with known human immunodeficiency virus positivity, known active
             hepatitis (for example, hepatitis B virus or hepatitis C virus), current alcohol
             abuse, or cirrhosis

          -  Participants with ongoing active infection or treatment with a live attenuated vaccine
             within 4 weeks of dosing

          -  Participants with concomitant use of H2-blocker or proton pump inhibitors (PPIs) (or
             unable to stop at least 5 days prior to the first treatment). Note that calcium
             carbonate is acceptable

          -  Participation in any interventional clinical study within 28 days prior to Screening
             or during participation in this study

          -  Other protocol defined exclusion criteria could apply.
      
Maximum Eligible Age:N/A
Minimum Eligible Age:18 Years
Eligible Gender:All
Healthy Volunteers:No

Primary Outcome Measures

Measure:Number of Participants Experiencing a Dose Limiting Toxicity (DLT)
Time Frame:Time from first dose of study drug to end of chemo radiotherapy with a final assessment at 4 weeks post-surgery
Safety Issue:
Description:

Secondary Outcome Measures

Measure:Occurrence of Treatment-related Adverse Events (TEAEs) According to National Cancer Institute Common Terminology Criteria of Adverse Events (NCI-CTCAE) version 5.0
Time Frame:Time from first dose of study drug to final assessment at 1 year
Safety Issue:
Description:
Measure:Number of Participants With Abnormalities (Grade Greater than or equals to (>=) 3) in Laboratory Test Values
Time Frame:Time from first study drug to final assessment at 1 year
Safety Issue:
Description:
Measure:Number of Participants With Markedly Abnormal Vital Sign Measurements
Time Frame:Time from first dose of study drug to final assessment at 1 year
Safety Issue:
Description:
Measure:Number of Participants With Clinically Significant Abnormal Electrocardiogram (ECG) Findings
Time Frame:Time from first dose of study drug to final assessment at 1 year
Safety Issue:
Description:
Measure:Proportion of Participants With Pathological Complete Response (pCR) and Clinical Complete Response (cCR)
Time Frame:Pathology evaluation of specimen after surgery (pCR) and clinical evaluation 1 to 2 weeks prior to surgery (cCR)
Safety Issue:
Description:
Measure:Disease-free Survival
Time Frame:Time from first study drug to final assessment at 1 year
Safety Issue:
Description:
Measure:Proportion of Participants With Pathological Complete Response (pCR)
Time Frame:Evaluation of specimen after surgery
Safety Issue:
Description:
Measure:Proportion of Participants With Clinical Complete Response (cCR)
Time Frame:Time from first study drug until 1 to 2 weeks prior to surgery
Safety Issue:
Description:
Measure:Time from Surgery to Local Recurrence and Distant Metastasis
Time Frame:Time from surgery to final assessment at 1 year
Safety Issue:
Description:
Measure:Neoadjuvant Rectal Score
Time Frame:Pathology evaluation of specimen after surgery
Safety Issue:
Description:
Measure:Maximum Observed Drug Concentration (Cmax) of Peposertib
Time Frame:Pre-dose, 1, 2, 3 and 4 hour post-dose on Fraction Day (FD1) and Fraction Day 9
Safety Issue:
Description:
Measure:Area Under the Plasma Concentration-time Curve From Time Zero to Last Sampling Time (tlast) (AUC0-t) of Peposertib
Time Frame:Pre-dose, 1, 2, 3 and 4 hour post-dose on Fraction Day 1 and Fraction Day 9
Safety Issue:
Description:
Measure:Time to Reach Maximum Plasma Concentration (tmax) of Peposertib
Time Frame:Pre-dose, 1, 2, 3 and 4 hour post-dose on Fraction Day 1 and Fraction Day 9
Safety Issue:
Description:
Measure:Total Body Clearance of Drug From Plasma Following Oral Administration (CL/f) of Peposertib
Time Frame:Pre-dose, 1, 2, 3 and 4 hour post-dose on Fraction Day 1 and Fraction Day 9
Safety Issue:
Description:
Measure:Apparent Volume of Distribution (Vz/f) of Peposertib
Time Frame:Pre-dose, 1, 2, 3 and 4 hour post-dose on Fraction Day 1 and Fraction Day 9
Safety Issue:
Description:
Measure:Apparent Terminal Half-life (t1/2) of Peposertib
Time Frame:Pre-dose, 1, 2, 3 and 4 hour post-dose on Fraction Day 1 and Fraction Day 9
Safety Issue:
Description:

Details

Phase:Phase 1/Phase 2
Primary Purpose:Interventional
Overall Status:Active, not recruiting
Lead Sponsor:EMD Serono Research & Development Institute, Inc.

Trial Keywords

  • DNA-PK inhibitor
  • Peposertib
  • capecitabine

Last Updated

August 31, 2021