A Study to Evaluate Rucaparib in Combination With Other Anticancer Agents in Participants With a Solid Tumor (SEASTAR)
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ClinicalTrials.gov Identifier: NCT03992131 |
Recruitment Status :
Terminated
(Due to a change in development priorities, no further clinical development of the lucitanib plus rucaparib or lucitanib plus sacituzumab govitecan combinations is planned at this time.)
First Posted : June 20, 2019
Results First Posted : January 16, 2024
Last Update Posted : January 16, 2024
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Condition or disease | Intervention/treatment | Phase |
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Ovarian Cancer Triple-negative Breast Cancer Urothelial Carcinoma Solid Tumor | Drug: Rucaparib Drug: Lucitanib Drug: Sacituzumab govitecan | Phase 1 Phase 2 |
Study Type : | Interventional (Clinical Trial) |
Actual Enrollment : | 25 participants |
Allocation: | Non-Randomized |
Intervention Model: | Parallel Assignment |
Masking: | None (Open Label) |
Primary Purpose: | Treatment |
Official Title: | SEASTAR: A Phase 1b/2, Open-label, Parallel Arm Study to Assess the Safety, Tolerability, Pharmacokinetics, and Preliminary Efficacy of Oral Rucaparib in Combination With Other Anticancer Agents in Patients With a Solid Tumor |
Actual Study Start Date : | June 28, 2019 |
Actual Primary Completion Date : | March 8, 2022 |
Actual Study Completion Date : | April 22, 2022 |
Arm | Intervention/treatment |
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Experimental: Arm A: Rucaparib and Lucitanib
Participants will receive oral rucaparib twice daily (BID) and oral lucitanib once daily (QD) continuously in 28-day cycles.
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Drug: Rucaparib
Rucaparib will be administered per schedule specified in the arm description.
Other Names:
Drug: Lucitanib Lucitanib will be administered per schedule specified in the arm description.
Other Name: CO-3810 |
Experimental: Arm B: Rucaparib BID and Sacituzumab Govitecan
Participants will receive oral rucaparib BID, administered continuously, in combination with intravenous (IV) sacituzumab govitecan administration on Day 1 and Day 8 of a 21-day cycle.
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Drug: Rucaparib
Rucaparib will be administered per schedule specified in the arm description.
Other Names:
Drug: Sacituzumab govitecan Sacituzumab govitecan will be administered per schedule specified in the arm description.
Other Name: IMMU-132 |
Experimental: Arm B: Rucaparib QD and Sacituzumab Govitecan
Participants will receive oral rucaparib QD, administered continuously, in combination with IV sacituzumab govitecan administration on Day 1 and Day 8 of a 21-day cycle.
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Drug: Rucaparib
Rucaparib will be administered per schedule specified in the arm description.
Other Names:
Drug: Sacituzumab govitecan Sacituzumab govitecan will be administered per schedule specified in the arm description.
Other Name: IMMU-132 |
- Number of Participants With Objective Response, as Assessed by the Investigator Per Response Evaluation Criteria in Solid Tumors (RECIST) Version (v)1.1 (Phase 2) [ Time Frame: From the first dose of study drug until the date of documented response to treatment, assessed up to 2 years ]Objective response was defined as a documented and confirmed best overall response of complete response (CR) or partial response (PR) as assessed by the investigator. CR: Disappearance of all target and non-target lesions; any pathological lymph nodes (whether target or nontarget) must have reduction in short axis to <10 millimeters (mm); and normalization of tumor marker level. PR: At least a 30% decrease in the sum of the longest diameter (LD) of target lesions, taking as reference the baseline sum LD.
- Duration of Response (DOR) (Phase 2) [ Time Frame: From the date of first best response to disease progression or death, whichever occurs first, assessed up to 2 years ]Duration of response was measured from the date that best response (CR or PR) was first recorded until the first date that disease progression was documented per RECIST v1.1. CR: Disappearance of all target and non-target lesions; any pathological lymph nodes (whether target or nontarget) must have reduction in short axis to <10 mm; and normalization of tumor marker level. PR: At least a 30% decrease in the sum of the LD of target lesions, taking as reference the baseline sum LD. Progressive disease: At least a 20% increase in the sum of the LD of target lesions, taking as reference the smallest sum on study (this included the baseline sum if that was the smallest on study). In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm. The appearance of one or more new lesions and/or unequivocal progression of existing nontarget lesions was also considered progression.
- Progression-free Survival (PFS) (Phase 2) [ Time Frame: From the first dose of study drug to documented radiographic progression or death, whichever occurs first, assessed up to 2 years ]PFS was measured as the 1+ the number of days from the first dose of study drug to documented radiographic progression, according to RECIST v1.1, as determined by the investigator, or death due to any cause, whichever occurred first. Progressive disease: At least a 20% increase in the sum of the LD of target lesions, taking as reference the smallest sum on study (this included the baseline sum if that was the smallest on study). In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm. The appearance of one or more new lesions and/or unequivocal progression of existing nontarget lesions was also considered progression.
- Number of Participants With Objective Response, as Assessed by the Investigator Per RECIST v1.1 (Phase 1b) [ Time Frame: From the first dose of study drug until the date of documented response to treatment, assessed up to 2 years ]Objective response was defined as a documented and confirmed best overall response of CR or PR as assessed by the investigator. CR: Disappearance of all target and non-target lesions; any pathological lymph nodes (whether target or nontarget) must have reduction in short axis to <10 mm; and normalization of tumor marker level. PR: At least a 30% decrease in the sum of the LD of target lesions, taking as reference the baseline sum LD.
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Ages Eligible for Study: | 18 Years and older (Adult, Older Adult) |
Sexes Eligible for Study: | All |
Accepts Healthy Volunteers: | No |
Inclusion Criteria Phase 1b (all arms):
- Solid tumor, advanced or metastatic, progressed on standard treatment participants in Arm B must have either triple negative breast cancer OR urothelial carcinoma OR ovarian cancer OR have a solid tumor with a deleterious mutation in BRCA1, BRCA2, PALB2, RAD51C or RAD51D
- Measurable disease per RECIST v1.1
- Adequate organ function
- Eastern Cooperative Oncology Group (ECOG) 0 or 1
- Tumor tissue for genomic analysis
Exclusion Criteria Phase 1b (all arms):
- Known history of myelodysplastic syndrome (MDS)
- Symptomatic and/or untreated central nervous system (CNS) metastases
Inclusion Criteria Phase 2 (all arms):
- Histologically or cytologically confirmed solid tumor, previously treated and measurable per RECIST v1.1, as follows:
- Arm A: ovarian cancer with gBRCAwt disease, either platinum-sensitive OR platinum-resistant
- Arm B: Metastatic triple negative breast cancer OR advanced/ metastatic urothelial carcinoma OR relapsed ovarian cancer
- At least 1 prior line of standard therapy for advanced disease
- Adequate organ function
- ECOG 0 or 1
- Tumor tissue for genomic analysis
Exclusion Criteria Phase 2 (all arms):
- Prior poly (adenosine diphosphate [ADP]-ribose) polymerase (PARP) inhibitor treatment allowed for participants with ovarian cancer
- Known history of MDS
- Symptomatic and/or untreated CNS metastases
To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT03992131
United States, Massachusetts | |
Dana Farber Cancer Institute | |
Boston, Massachusetts, United States, 02215 | |
United States, Tennessee | |
Sarah Cannon Research Institute | |
Nashville, Tennessee, United States, 37203 | |
United States, Texas | |
MD Anderson Cancer Center | |
Houston, Texas, United States, 77030 |
Documents provided by pharmaand GmbH:
Responsible Party: | pharmaand GmbH |
ClinicalTrials.gov Identifier: | NCT03992131 |
Other Study ID Numbers: |
CO-338-098 2018-003759-39 ( EudraCT Number ) |
First Posted: | June 20, 2019 Key Record Dates |
Results First Posted: | January 16, 2024 |
Last Update Posted: | January 16, 2024 |
Last Verified: | January 2024 |
Studies a U.S. FDA-regulated Drug Product: | Yes |
Studies a U.S. FDA-regulated Device Product: | No |
Triple Negative Breast Neoplasms Neoplasms Neoplasms by Site Breast Neoplasms Breast Diseases Skin Diseases Rucaparib Sacituzumab govitecan |
Immunoconjugates Immunologic Factors Physiological Effects of Drugs Poly(ADP-ribose) Polymerase Inhibitors Enzyme Inhibitors Molecular Mechanisms of Pharmacological Action Antineoplastic Agents |