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| ID | Type | Description | Link |
|---|---|---|---|
| 2008-000879-26 | EudraCT Number |
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This study investigates the safety and efficacy of Acetyl-L-Carnitine and compares it to the safety and efficacy of a placebo (inactive) tablet in the prevention of Sagopilone-induced peripheral neuropathy. Patients will receive intravenous infusion of sagopilone for 3 hours on day 1 of a 3-weeks cycle. Treatment with Sagopilone will be given as long as the patient is benefitting. In addition patients will receive ALC or placebo, starting 1 week before first sagopilone infusion and ending 30-33 days after the last infusion with sagopilone. Safety will be determined by laboratory and other evaluations. Efficacy of ALC will be determined by the incidence of all grades of peripheral neuropathy with the results of a patient questionnaire. Efficacy of the combination of ALC and Sagopilone will be determined by the tumor response.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Arm 1 | Experimental |
| |
| Arm 2 | Placebo Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Sagopilone 16 mg/m^2 i.v., Acetyl-L-Carnitine (ALC) 1000 mg tid, HRPC only: Prednisone or Prednisolone 5 mg bid | Drug | Subjects will receive intravenous (i.v.) infusion of Sagopilone for 3 hours on day 1 of a 3-weeks cycle. In addition, subjects will receive Acetyl-L-Carnitine (ALC) 1000 mg tid. Treatment with Sagopilone and ALC will be continued as long as there is benefit. Subjects with HRPC will also receive Prednisone or Prednisolone 5 mg bid, throughout the treatment with Sagopilone. |
| Measure | Description | Time Frame |
|---|---|---|
| Overall incidence of peripheral neuropathy (any grade) during at most 6 cycles of Sagopilone treatment, based on the Adverse Events. | Start of Sagopilone treatment until at most 6 cycles + 1 month. |
| Measure | Description | Time Frame |
|---|---|---|
| Efficacy of ALC: incidence of neuropathy of grade 3 or 4, time to onset of neuropathy, duration of neuropathy. | Start of treatment to safety Follow-up | |
| Efficacy of ALC: Percentage of discontinuations due to neuropathy. | Start of treatment to safety Follow-up |
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Inclusion Criteria:
Males or females aged >/= 18 years
Epithelial ovarian, peritoneal cavity or Fallopian tube cancer (except mucinous or clear cell tumors) or Adenocarcinoma of the prostate
At least 1 unidimensional measurable lesion (suitable for RECIST evaluation) or for patients without measurable disease, CA 125 levels >/= 2 times the upper limit of normal (ULN) within 3 months and confirmed within 2 weeks prior to first infusion (ovarian cancer) or PSA value >/= 5 ng/mL (HRPC).
Progression of disease (HRPC) despite adequate androgen-inhibiting hormone therapy.
Progression of disease (Ovarian Cancer) or symptomatic relapse after previous therapy (elevated CA125 levels alone are insufficient for inclusion) WHO performance status 0 to 1
No clinical residual neuropathy (CTCAE Grade 0 at baseline)
Adequate recovery from previous surgery, radiation, and chemotherapy (excluding alopecia)
Adequate function of major organs and systems.
Survival expectation =3 months
Histologically or cytologically proven:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Bayer Study Director | Bayer | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Bruxelles - Brussel | 1200 | Belgium | ||||
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 24105751 | Derived | Campone M, Berton-Rigaud D, Joly-Lobbedez F, Baurain JF, Rolland F, Stenzl A, Fabbro M, van Dijk M, Pinkert J, Schmelter T, de Bont N, Pautier P. A double-blind, randomized phase II study to evaluate the safety and efficacy of acetyl-L-carnitine in the prevention of sagopilone-induced peripheral neuropathy. Oncologist. 2013;18(11):1190-1. doi: 10.1634/theoncologist.2013-0061. Epub 2013 Oct 8. |
| Label | URL |
|---|---|
| Click here to find information about studies related to Bayer Healthcare products conducted in Europe | View source |
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|
| Sagopilone 16 mg/m^2 i.v. and placebo 1000 mg tid, HRPC only: Prednisone or Prednisolone 5 mg bid | Drug | Subjects will receive intravenous (i.v.) infusion of Sagopilone for 3 hours on day 1 of a 3-weeks cycle. Treatment will be continued as long as there is benefit. In addition, subjects will receive 21 weeks of placebo 1000 mg tid. After all patients have completed 6 cycles of treatment, an analysis will be performed to see whether ALC was better than placebo. If this is the case, patients still under placebo treatment will be offered to switch to ALC. Subjects with HRPC will also receive Prednisone or Prednisolone 5 mg bid, throughout the treatment with Sagopilone. |
|
| Safety of Sagopilone in combination with ALC. | Baseline to Safety follow-up |
| Efficacy of Sagopilone: 'best overall response' according to modRECIST criteria | Start treatment to End of Treatment |
| Efficacy of Sagopilone: 'best overall response' according to CA-125 or PSA response | Start treatment to End of Treatment |
| Efficacy of Sagopilone: Time to disease progression, Progression-free survival | Start treatment to Progression or Death |
| Efficacy of Sagopilone: Duration of response | Start treatment to Progression or Death |
| Efficacy of Sagopilone: WHO performance status. | Screening to end of Treatment |
| Pharmacokinetic: Sagopilone concentrations (optional) | Day 1,2,3,5,15 of cycle 1 and day2 |
| Pharmacokinetic: ALC concentrations | radomisation, day 1 of cycle 1 and 2 |
| Pharmacogenomics (optional): in tumor tissue, blood and ascites | Blood sample at screening, tissue sample and ascites whenever available |
| Caen |
| 14076 |
| France |
| Montpellier | 34298 | France |
| Nantes | 44805 | France |
| Paris | 75012 | France |
| Villejuif | 94805 | France |
| Tübingen | Baden-Wurttemberg | 72076 | Germany |
| Rostock | Mecklenburg-Vorpommern | 18059 | Germany |
| Bonn | North Rhine-Westphalia | 53105 | Germany |
| Essen | North Rhine-Westphalia | 45122 | Germany |
| Essen | North Rhine-Westphalia | 45147 | Germany |
| Magdeburg | Saxony-Anhalt | 38108 | Germany |
| Meldola | Forlì | 47014 | Italy |
| Bologna | 40138 | Italy |
| Rimini | 47900 | Italy |
| Roma | 00189 | Italy |
| Amsterdam | 1066 CX | Netherlands |
| Amsterdam | 1081 HV | Netherlands |
| Leiden | 2333 ZA | Netherlands |
| Maastricht | 6229 HX | Netherlands |
| Leicester | Leicestershire | LE1 5WW | United Kingdom |
| Northwood | Middlesex | HA6 2RN | United Kingdom |
| ID | Term |
|---|---|
| D011471 | Prostatic Neoplasms |
| D010051 | Ovarian Neoplasms |
| D010523 | Peripheral Nervous System Diseases |
| ID | Term |
|---|---|
| D005834 | Genital Neoplasms, Male |
| D014565 | Urogenital Neoplasms |
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
| D005832 | Genital Diseases, Male |
| D000091662 | Genital Diseases |
| D000091642 | Urogenital Diseases |
| D011469 | Prostatic Diseases |
| D052801 | Male Urogenital Diseases |
| D004701 | Endocrine Gland Neoplasms |
| D010049 | Ovarian Diseases |
| D000291 | Adnexal Diseases |
| D005831 | Genital Diseases, Female |
| D052776 | Female Urogenital Diseases |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
| D005833 | Genital Neoplasms, Female |
| D004700 | Endocrine System Diseases |
| D006058 | Gonadal Disorders |
| D009468 | Neuromuscular Diseases |
| D009422 | Nervous System Diseases |
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| ID | Term |
|---|---|
| C530494 | sagopilone |
| D000108 | Acetylcarnitine |
| C019658 | allantoicase |
| D011239 | Prednisolone |
| C494814 | BID protein, human |
| ID | Term |
|---|---|
| D002331 | Carnitine |
| D050337 | Trimethyl Ammonium Compounds |
| D000644 | Quaternary Ammonium Compounds |
| D000588 | Amines |
| D009930 | Organic Chemicals |
| D011246 | Pregnadienetriols |
| D011245 | Pregnadienes |
| D011278 | Pregnanes |
| D013256 | Steroids |
| D000072473 | Fused-Ring Compounds |
| D011083 | Polycyclic Compounds |
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