Ovarian Cancer Clinical Trial
Official title:
A Phase Ib/II Study of CRLX101 in Combination With Weekly Paclitaxel in Patients With Recurrent or Persistent Epithelial Ovarian, Fallopian Tube or Primary Peritoneal Cancer
The purpose of this study is to estimate the maximum tolerated doses (MTD) of CRLX101 when
administered in combination with weekly paclitaxel in women with recurrent or persistent,
epithelial ovarian, fallopian tube or primary peritoneal cancer.
Determine through pharmacokinetic evaluation(sometimes described as what the body does to a
drug, refers to the movement of drug into, through and out of the body-the time and course of
its absorption, bioavailability, distribution, metabolism, and excretion) whether or not the
disposition of paclitaxel is affected by the concurrent administration of CRLX101.
Recurrent ovarian cancer represents a therapeutic challenge. Patients with resistant disease,
showing progression within six months of platinum-containing therapy, have a poor prognosis,
with median overall survival (OS) approximately 12 months.Ultimately most patients with
recurrent disease ultimately develop platinum resistance, and novel strategies are needed.
In this setting the most active agents are pegylated liposomal doxorubicin (PLD), paclitaxel
and topotecan. Multiple trials have demonstrated that combination therapy produces increased
toxicity without improved efficacy.
This study proposes to examine the combination of CRLX101 in combination with weekly
paclitaxel. Preclinical studies show synergistic activity in the SKOV3 human ovarian cancer
xenograft ovarian cancer cell lines (14), as well as in vivo (15,16), perhaps via an
antiangiogenic mechanism.
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