Metastatic Renal Cell Cancer Clinical Trial
Official title:
A Multicentre, Open Label, Early Stopping Design, Proof Of Concept Study With Tasquinimod In Treating Patients With Advanced Or Metastatic Hepatocellular, Ovarian, Renal Cell And Gastric Carcinomas
This was an exploratory proof of concept study to determine the clinical activity of tasquinimod in patients with advanced or metastatic hepatocellular carcinoma, ovarian carcinoma, renal cell carcinoma and gastric carcinoma who had progressed after standard therapies.
This was an early stopping design, Phase II, open label, exploratory proof of concept study
to evaluate the activity of tasquinimod in four independent cohorts of patients with
different tumour types (patients with hepatocellular, ovarian, renal cell or gastric
carcinoma, each with progressive disease after standard therapies). Patients initially
received 0.5 mg/day tasquinimod dose, increasing to 1 mg/day after at least 2 weeks, unless
there were any individual patient safety and tolerability concerns. The treatment period
continued until patient disease progression, lost to follow-up, withdrawal or death. During
the treatment period, initial study visits were at Week 2, 4 and 8 (± 2 days) for the
hepatocellular carcinoma, the ovarian carcinoma and the renal cell carcinoma cohorts and at
Week 2, 4 and 6 (± 2 days) for the gastric carcinoma cohort, to allow careful safety
monitoring and to facilitate the identification of the individually tolerated dose. After
Week 8, when most patients should have reached their tolerable dose, visit frequency was
decreased as follows: at Week 16 and 24 (± 2 days) for the hepatocellular carcinoma, the
ovarian carcinoma and the renal cell carcinoma cohorts; and at Week 12, 18 and 24 (± 2 days)
for the gastric carcinoma cohort. Thereafter visits were once every 8 weeks (± 2 days) for
all cohorts. An end of study treatment/withdrawal (EoST/WD) Visit was to be performed at
least 14 days after the last dose of study treatment, and/or before treatment with any
alternative antitumour therapy was started. Patients who stopped study treatment before
disease progression were to be followed up with tumour imaging every 8 weeks until disease
progression. Each patient was subsequently followed up for survival (by visit or telephone
call) every 3 months after the EoST/WD Visit until death, lost to follow-up, or withdrawal of
consent, or until all surviving patients had been followed-up for at least 9 months after
their last administration of study treatment.
The clinical activity of tasquinimod was evaluated independently in each cohort of patients
of the four different tumour types. Data were presented as of the following study cut-off
dates:
- Hepatocellular carcinoma cohort: 03 December 2014 (efficacy data); 11 April 2016 (safety
data).
- Ovarian carcinoma cohort: 27 November 2013 (efficacy data); 05 October 2015 (safety
data).
- Renal cell carcinoma cohort: 04 December 2013.
- Gastric carcinoma cohort: 27 September 2013.
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