Clinical trial • Phase I/II • Oncology
CARBOPLATIN for Esophageal cancer | Esophageal squamous cell carcinoma | Esophageal adenocarcinoma
Phase I/II trial of CARBOPLATIN for Esophageal cancer | Esophageal squamous cell carcinoma | Esophageal adenocarcinoma.
Overview
- Trial Therapeutic Area
- Oncology
- Trial Disease
- Esophageal cancer | Esophageal squamous cell carcinoma | Esophageal adenocarcinoma
- Trial Stage
- Phase I/II
- Drug Modality
- Small molecule
Key dates
- Initial CTIS Submission Date
- 28-06-2024
- First CTIS Authorization Date
- 10-07-2024
Trial design
None/Not specified-controlled, adaptive Phase I/II trial across 1 site in France.
- Comparator
- None/Not specified
- Adaptive
- True, Dose-escalation design to determine MTD and RP2D: testing multiple dose levels (carboplatin-paclitaxel at 50%, 75% and 100% of reference dose with radiotherapy total doses of 41.4, 45 and 50.4 Gy); amended phase I adds additional 2 dose levels (45 and 50.4 Gy with carboplatin-paclitaxel 100%).
- Single Multiple Or Escalation Dose Combined
- Yes
- Target Sample Size
- 54
Eligibility
Recruits 54 adults.
Inclusion criteria
- {"criterion_text":"-\tAge ≥ 75 ans\n-\tCritères gériatriques : GDS 15 < 7/15; MMSE (Folstein) > 23/30; Patient entouré (au moins 1 aidant); Vitesse de marche > 0,8m/sec sans chute dans les 3 derniers mois;Score de Charlson ≤2 si patient de plus de 80 ans, et ≤ 3 si patient âgé de 75 à 80 ans inclus.\n-\tApport calorique suffisant, 1000Kcal/m2/j, par voie orale ou gastrostomie\n-\tCancer de l’œsophage, de type épidermoïde ou adénocarcinome, histologiquement prouvé\n-\tT1T2T3, N0-1, M0-M1a selon TNM (UICC 6th Edition)\n-\tPatients inopérables\n-\tPatient capable de recevoir un traitement en ambulatoire,\n-\tAntécédent de cancer non métastatique traité en rémission depuis plus de 5 ans\n-\tBilan biologique : PNN > 1,5 G/L, plaquettes >100 G/L, AST et ALT ≤2.5X la normale, PAL ≤2.5X la normale, bilirubine totale ≤1.5X la normale, créatinine ≤120 µmol/l avec une clairance de la créatinine ≥60ml/min (Crockroft)\n-\tBilan respiratoire : VEMS ≥ 1l/s\n-\tPrésence ou antécédent de carcinome basocellulaire"}
Exclusion criteria
- {"criterion_text":"-\tCritères gériatriques : GDS 15 > 7/15; MMSE (Folstein) < 23/30;Patient isolé; Vitesse de marche < 0,8m/sec et ou une chute dans les 3 derniers mois; Score de Charlson >3 si patient de plus de 80 ans, et <4 si patient âgé de 75 à 80 ans inclus.\n-\tATCD de traitement par radiochimiothérapie cervicothoracique\n-\tCritères tumeurs -\tT4 -\tAutres types histologiques : adénocarcinomes du cardia de type Siewert III -\tFistule œsophagienne, perforation de l’œsophage -\tM1b selon TNM 6th édition -\tPatients opérables -\tPatients traités par une chimiothérapie première dans le cadre de leur cancer de l’œsophage -\tPatients déjà traités pour un cancer de l’œsophage présentant une récidive"}
Endpoints
Primary endpoints
- {"endpoint_text":"-l’absence : d’œsophagite de grade 3 rebelle à un traitement antalgique de palier 3 ou/et d’infection avec température ≥ 38°5 quel que soit la porte d’entrée, rebelle après un traitement antibiotique IV de plus de 48h pendant le traitement et 1 mois après la fin du traitement,","definition_or_measurement_approach":"Defined as absence of grade 3 esophagitis refractory to level 3 analgesic and/or infection with temperature ≥ 38.5°C regardless of entry point, refractory after IV antibiotic treatment >48 hours during treatment and up to 1 month after end of treatment."}
Secondary endpoints
- {"endpoint_text":"-\tL’observance au traitement","definition_or_measurement_approach":""}
- {"endpoint_text":"-\tToxicités aigües en cours de traitement","definition_or_measurement_approach":""}
- {"endpoint_text":"-\tEvaluation de la qualité de vie relative à la santé (EORTC QLQ-C30, ELD14)","definition_or_measurement_approach":"Quality of life measured using EORTC QLQ-C30 and ELD14 questionnaires."}
- {"endpoint_text":"-\tSurvie sans progression","definition_or_measurement_approach":""}
- {"endpoint_text":"-\tSurvie globale","definition_or_measurement_approach":""}
Recruitment
- Planned Sample Size
- 54
- Recruitment Window Months
- 150
Geography
- Total Number Of Sites
- 1
- Total Number Of Participants
- 54
France
- Earliest CTIS Part Ii Submission Date
- 05-07-2024
- Latest Decision Or Authorization Date
- 10-07-2024
- Processing Time Days
- 5
- Number Of Sites
- 1
- Number Of Participants
- 54
Sites
- Site Name
- CHU Besancon
- Department Name
- 25
- Principal Investigator Name
- Jihane BOUSTANI
- Principal Investigator Email
- jboustani@chu-besancon.fr
- Contact Person Name
- Jihane BOUSTANI
- Contact Person Email
- jboustani@chu-besancon.fr
Sponsor
Primary sponsor
- Full Name
- Centre Hospitalier Regional Universitaire
- Organisation Type
- Hospital/Clinic/Other health care facility
- Country Of Registered Address
- France
Investigational products
- Investigational Product Name
- Carboplatinum Hikma Farmacêutica 150 mg Solution à diluer pour perfusion
- Active Substance
- CARBOPLATIN
- Modality
- Small molecule
- Routes Of Administration
- INTRAVENOUS USE
- Route
- Intravenous
- Authorisation Status
- Marketing authorisation BE174754 (EU MP PRD5480445)
- Starting Dose
- 50% of reference dose (one of the dose levels tested)
- Dose Levels
- 50%, 75%, 100% (100% = AUC 2)
- Maximum Dose
- AUC 2
- Dose Escalation Increase
- Initial: 50% → then 75% → then 100% (100% = AUC 2)
- Investigational Product Name
- PACLITAXEL
- Active Substance
- PACLITAXEL
- Modality
- Small molecule
- Routes Of Administration
- INTRAVENOUS USE
- Route
- Intravenous
- Authorisation Status
- Product with EU substance number SUB09583MIG (marketing authorisation number not provided)
- Starting Dose
- 50% of reference dose (one of the dose levels tested)
- Dose Levels
- 50%, 75%, 100% (100% = 50 mg/m2)
- Maximum Dose
- 50 mg/m2
- Dose Escalation Increase
- Initial: 50% → then 75% → then 100% (100% = 50 mg/m2)
- Combination Treatment
- Yes
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