Gemcitabine Hydrochloride With or Without WEE1 Inhibitor MK-1775 in Treating Patients With Recurrent Ovarian, Primary Peritoneal, or Fallopian Tube Cancer
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ClinicalTrials.gov Identifier: NCT02101775 |
Recruitment Status :
Active, not recruiting
First Posted : April 2, 2014
Results First Posted : September 8, 2023
Last Update Posted : March 8, 2024
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Sponsor:
National Cancer Institute (NCI)
Information provided by (Responsible Party):
National Cancer Institute (NCI)
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Study Type | Interventional |
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Study Design | Allocation: Randomized; Intervention Model: Parallel Assignment; Masking: Single (Participant); Primary Purpose: Treatment |
Conditions |
Ovarian Brenner Tumor Ovarian Carcinosarcoma Ovarian Clear Cell Cystadenocarcinoma Ovarian Endometrioid Adenocarcinoma Ovarian Mucinous Cystadenocarcinoma Ovarian Seromucinous Carcinoma Ovarian Serous Cystadenocarcinoma Ovarian Serous Surface Papillary Adenocarcinoma Ovarian Undifferentiated Carcinoma Recurrent Fallopian Tube Carcinoma Recurrent Ovarian Carcinoma Recurrent Primary Peritoneal Carcinoma |
Interventions |
Drug: Adavosertib Drug: Gemcitabine Hydrochloride Other: Laboratory Biomarker Analysis Other: Pharmacological Study Other: Placebo Administration Other: Questionnaire Administration |
Enrollment | 124 |
Participant Flow
Recruitment Details | Between Oct. 16, 2014 and Jan. 16, 2018, 124 women were enrolled, of whom 99 had high-grade serous ovarian cancer and were randomly assigned to AZD1775 plus gemcitabine (65 [66%]) or placebo plus gemcitabine (34 [34%]). 25 women with non-high-grade serous ovarian cancer were enrolled in the exploratory cohort. |
Pre-assignment Details | After randomization, five patients with high-grade serous ovarian cancer were found to be ineligible (four in the experimental group and one in the control group) and did not receive treatment. |
Arm/Group Title | Arm I (WEE1 Inhibitor AZD1775, Gemcitabine Hydrochloride) | Arm II (Placebo, Gemcitabine Hydrochloride) | Arm III (Exploratory Cohort) |
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Arm/Group Description | Patients receive WEE1 inhibitor AZD1775 PO on days 1, 2, 8, 9, 15, and 16 and gemcitabine hydrochloride IV over 30 minutes on days 1, 8, and 15. Courses repeat every 28 days in the absence of disease progression or unacceptable toxicity. | Patients receive placebo PO on days 1, 2, 8, 9, 15, and 16 and gemcitabine hydrochloride IV as patients in Arm I. Courses repeat every 28 days in the absence of disease progression or unacceptable toxicity. | Patients with non-high-grade serous ovarian cancer. Patients receive WEE1 inhibitor AZD1775 PO on days 1, 2, 8, 9, 15, and 16 and gemcitabine hydrochloride IV over 30 minutes on days 1, 8, and 15. Courses repeat every 28 days in the absence of disease progression or unacceptable toxicity. |
Period Title: Overall Study | |||
Started | 65 | 34 | 25 |
Completed | 61 | 33 | 25 |
Not Completed | 4 | 1 | 0 |
Reason Not Completed | |||
Adverse Event | 4 | 0 | 0 |
Admission to Hospital | 0 | 1 | 0 |
Baseline Characteristics
Arm/Group Title | Arm I (WEE1 Inhibitor AZD1775, Gemcitabine Hydrochloride) | Arm II (Placebo, Gemcitabine Hydrochloride) | Arm III (Exploratory WEE1 Inhibitor AZD1775, Gemcitabine | Total | |
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Arm/Group Description | Patients receive WEE1 inhibitor AZD1775 PO on days 1, 2, 8, 9, 15, and 16 and gemcitabine hydrochloride IV over 30 minutes on days 1, 8, and 15. Courses repeat every 28 days in the absence of disease progression or unacceptable toxicity. | Patients receive placebo PO on days 1, 2, 8, 9, 15, and 16 and gemcitabine hydrochloride as patients in Arm I. Courses repeat every 28 days in the absence of disease progression or unacceptable toxicity. | Patients with non-high-grade serous histology were enrolled in an exploratory single-arm cohort and received WEE1 inhibitor AZD1775 PO on days 1, 2, 8, 9, 15, and 16 and gemcitabine hydrochloride IV over 30 minutes on days 1, 8, and 15. Courses repeat every 28 days in the absence of disease progression or unacceptable toxicity. | Total of all reporting groups | |
Overall Number of Baseline Participants | 61 | 33 | 25 | 119 | |
Baseline Analysis Population Description |
[Not Specified]
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Age, Categorical
Measure Type: Count of Participants Unit of measure: Participants |
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Number Analyzed | 61 participants | 33 participants | 25 participants | 119 participants | |
<=18 years |
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
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|
Between 18 and 65 years |
42 68.9%
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21 63.6%
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20 80.0%
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83 69.7%
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>=65 years |
19 31.1%
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12 36.4%
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5 20.0%
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36 30.3%
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Age, Continuous
Median (Full Range) Unit of measure: Years |
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Number Analyzed | 61 participants | 33 participants | 25 participants | 119 participants | |
62
(45 to 75)
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63
(43 to 76)
|
58
(33 to 76)
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62
(33 to 76)
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Sex: Female, Male
Measure Type: Count of Participants Unit of measure: Participants |
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Number Analyzed | 61 participants | 33 participants | 25 participants | 119 participants | |
Female |
61 100.0%
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33 100.0%
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25 100.0%
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119 100.0%
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|
Male |
0 0.0%
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0 0.0%
|
0 0.0%
|
0 0.0%
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Race (NIH/OMB)
Measure Type: Count of Participants Unit of measure: Participants |
|||||
Number Analyzed | 61 participants | 33 participants | 25 participants | 119 participants | |
American Indian or Alaska Native |
2 3.3%
|
0 0.0%
|
1 4.0%
|
3 2.5%
|
|
Asian |
8 13.1%
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2 6.1%
|
7 28.0%
|
17 14.3%
|
|
Native Hawaiian or Other Pacific Islander |
0 0.0%
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0 0.0%
|
0 0.0%
|
0 0.0%
|
|
Black or African American |
1 1.6%
|
3 9.1%
|
1 4.0%
|
5 4.2%
|
|
White |
48 78.7%
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27 81.8%
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16 64.0%
|
91 76.5%
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|
More than one race |
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
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|
Unknown or Not Reported |
2 3.3%
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1 3.0%
|
0 0.0%
|
3 2.5%
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Region of Enrollment
Measure Type: Count of Participants Unit of measure: Participants |
Number Analyzed | 61 participants | 33 participants | 25 participants | 119 participants |
Canada |
38 62.3%
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25 75.8%
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12 48.0%
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75 63.0%
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|
United States |
23 37.7%
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8 24.2%
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13 52.0%
|
44 37.0%
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Outcome Measures
Adverse Events
Limitations and Caveats
- Randomization in a 2:1 ratio is associated with reduced statistical power - increased the sample size by 12% compared to a 1:1 randomization design
- No stratification factors because of the small sample size, potentially resulting in imbalances in BRCA mutation status
- Absence of quality-of-life assessment
More Information
Results Point of Contact
Name/Title: | Dr. Amit Oza |
Organization: | University Health Network - Princess Margaret Cancer Centre |
Phone: | 416-946-4501 ext 3911 |
EMail: | Amit.Oza@uhn.ca |
Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
Responsible Party: | National Cancer Institute (NCI) |
ClinicalTrials.gov Identifier: | NCT02101775 |
Obsolete Identifiers: | NCT02151292 |
Other Study ID Numbers: |
NCI-2014-00620 NCI-2014-00620 ( Registry Identifier: CTRP (Clinical Trial Reporting Program) ) PHL-093 NCI 9568 9568 ( Other Identifier: University Health Network-Princess Margaret Hospital ) 9568 ( Other Identifier: CTEP ) N01CM00032 ( U.S. NIH Grant/Contract ) N01CM00038 ( U.S. NIH Grant/Contract ) N01CM00071 ( U.S. NIH Grant/Contract ) U10CA180821 ( U.S. NIH Grant/Contract ) UM1CA186644 ( U.S. NIH Grant/Contract ) UM1CA186705 ( U.S. NIH Grant/Contract ) |
First Submitted: | March 28, 2014 |
First Posted: | April 2, 2014 |
Results First Submitted: | March 21, 2023 |
Results First Posted: | September 8, 2023 |
Last Update Posted: | March 8, 2024 |