Clinical trial • Phase II|Phase IV • Oncology

Bleomycin sulfate for Recurrent vulvar carcinoma

Phase II|Phase IV trial of Bleomycin sulfate for Recurrent vulvar carcinoma.

Overview

Trial Therapeutic Area
Oncology
Trial Disease
Recurrent vulvar carcinoma
Trial Stage
Phase II|Phase IV
Drug Modality
Small molecule

Key dates

Initial CTIS Submission Date
14-10-2024
First CTIS Authorization Date
27-11-2024

Trial design

Randomised, open-label, arm a (experimental arm): patients will receive intravenous administration of blm + auc2-carboplatin; arm b (reference arm): patients will receive intravenous administration of blm alone. no further dose/schedule details are specified in the provided source (protocol text references auc2 for carboplatin in arm a).-controlled Phase II|Phase IV trial across 1 site in Italy.

Randomised
Yes
Open Label
Yes
Comparator
Arm A (experimental arm): patients will receive intravenous administration of BLM + AUC2-CARBOPLATIN; Arm B (reference arm): patients will receive intravenous administration of BLM alone. No further dose/schedule details are specified in the provided source (protocol text references AUC2 for carboplatin in Arm A).
Target Sample Size
92

Eligibility

Recruits 92 Adults only (Age ≥ 18). The protocol excludes persons with inability to understand/complete questionnaires due to language difficulties, severe psychiatric illness or dementia. Signed informed consent is required from participants; no paediatric consent/assent procedures are included..

Pregnancy Exclusion
Pregnant or breastfeeding.
Vulnerable Population
Adults only (Age ≥ 18). The protocol excludes persons with inability to understand/complete questionnaires due to language difficulties, severe psychiatric illness or dementia. Signed informed consent is required from participants; no paediatric consent/assent procedures are included.

Inclusion criteria

  • {"criterion_text":"-\tAge ≥ 18 years old"}
  • {"criterion_text":"-\tRecurrent VC confirmed by histological examination"}
  • {"criterion_text":"-\tPatient who underwent multiple treatments (surgery and radiation therapy or chemoradiation, radiation therapy or chemoradiation and chemotherapy)."}
  • {"criterion_text":"-\tPatient not eligible for standard therapies (surgery, radiation therapy and systemic chemotherapy in case of metastatic disease) due to the performance status (ECOG Performance Status ≥ 3 )"}
  • {"criterion_text":"-\tLife expectancy more than three months"}
  • {"criterion_text":"-\tMeasurable disease according to RECIST 1.1"}
  • {"criterion_text":"-\tAdequate bone marrow, liver, and kidney function (creatinine <1.5 mg/dl), and coagulation parameters as follows: o\tBone marrow (Hemoglobin ≥ 8.0 g/dL with or without transfusion support, Platelet count ≥ 75 × 109/L?) o\tINR >1.5; o\tAspartate aminotransferase (AST)/serum glutamic-oxaloacetic transaminase (SGOT), alanine aminotransferase (ALT)/serum glutamic-pyruvate transaminase (SGPT) ≤3.0 × upper limit of normal (ULN) o\tTotal bilirubin ≤2.0 × ULN or ≤3 × ULN except for subjects with Gilbert’s syndrome o\tSerum creatinine <1.5 mg/dl and creatinine clearance > 30 ml/min All blood assessments must be performed within 15 days from ECT treatment."}
  • {"criterion_text":"-\tFor females of childbearing potential, a negative serum pregnancy human chorionic gonadotropin (hCG) pregnancy test within 72 hours of study Day 1."}
  • {"criterion_text":"-\tSigned informed consent obtained prior to initiation of any study-specific procedures and treatment as confirmation of the patient’s awareness and willingness to comply the study requirements."}

Exclusion criteria

  • {"criterion_text":"-\tHistory of other malignancies in the previous five years, except basal cell carcinoma of the skin."}
  • {"criterion_text":"-\tHistory of psychological, familial, sociological, or geographical condition potentially preventing compliance with the study protocol and follow-up schedule."}
  • {"criterion_text":"-\tAllergic reactions to the two chemotherapy drugs (BLM and AUC2-CARBOPLATIN) and/or their excipients."}
  • {"criterion_text":"-\tEvidence of pulmonary fibrosis."}
  • {"criterion_text":"-\tHistory of clinically significant cardiovascular abnormalities such as congestive heart failure (New York Heart Association classification ≥ II [NYHA 1994]), myocardial infarction within 6 months of study entry."}
  • {"criterion_text":"-\tPatients requiring treatment for systemic bacterial, fungal, or viral infection ongoing at the day of the procedure. (Patients on antimicrobial, antifungal, or antiviral prophylaxis are not excluded)."}
  • {"criterion_text":"-\tPregnant or breastfeeding."}
  • {"criterion_text":"-\tDisability to understand and complete the questionnaire due to language difficulties, severe psychiatric illness or dementia. Unstable or severe uncontrolled medical condition (e.g., unstable cardiac function, unstable pulmonary condition, uncontrolled diabetes) or any important medical illness or abnormal laboratory finding that would, in the Investigator’s judgment, increase the risk to the patient associated with his or her participation in the study"}

Endpoints

Primary endpoints

  • {"endpoint_text":"-\tlocal progression free survival","definition_or_measurement_approach":""}

Recruitment

Planned Sample Size
92
Recruitment Window Months
60
Consent Approach
Signed informed consent obtained prior to initiation of any study-specific procedures and treatment. Consent is provided by the adult participant (age ≥18). Subject information and informed consent documents are included in the trial documentation (L1_SIS, L1_ICF titles listed); no assent procedures for minors are provided and no explicit language versions are specified in the available source.

Geography

Total Number Of Sites
1
Total Number Of Participants
92

Italy

Earliest CTIS Part Ii Submission Date
23-09-2024
Latest Decision Or Authorization Date
27-11-2024
Processing Time Days
65
Number Of Sites
1
Number Of Participants
92

Sites

Site Name
Azienda Ospedaliero-Universitaria Di Bologna IRCCS Istituto Di Ricerca E Di Cura A Carattere Scientifico
Department Name
Dipartimento Oncoematologico, Oncologia Ginecologica
Principal Investigator Name
Anna Myriam Perrone
Principal Investigator Email
myriam.perrone@aosp.bo.it
Contact Person Name
Anna Myriam Perrone
Contact Person Email
myriam.perrone@aosp.bo.it
Number Of Participants
92

Sponsor

Primary sponsor

Full Name
Azienda Ospedaliero-Universitaria Di Bologna IRCCS Istituto Di Ricerca E Di Cura A Carattere Scientifico
Organisation Type
Hospital/Clinic/Other health care facility
Country Of Registered Address
Italy

Investigational products

Investigational Product Name
BLEOPRIM 15 mg polvere per soluzione iniettabile
Active Substance
Bleomycin sulfate
Modality
Small molecule
Routes Of Administration
INTRAVENOUS USE
Route
Intravenous
Authorisation Status
Authorised (marketing authorisation in Italy)
Maximum Dose
Max daily 15 mg/m2; max total 30 mg/m2
Investigational Product Name
Carboplatino AHCL 10 mg/ml Concentrato per soluzione per infusione
Active Substance
Carboplatin
Modality
Small molecule
Routes Of Administration
INTRAVENOUS USE
Route
Intravenous
Authorisation Status
Authorised (marketing authorisation in Italy)
Starting Dose
AUC2 (as stated in arm description)
Maximum Dose
Max daily 70 mg/m2; max total 140 mg/m2
Combination Treatment
Yes

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