BridgeMD
Phase 1/2a/3 Evaluation of Adding AL3818 to Standard Platinum-Based Chemotherapy in Subjects With Recurrent or Metastatic Endometrial, Ovarian, Fallopian, Primary Peritoneal or Cervical Carcinoma.
EU CTIS ID: 2024-516166-11-00
What this study is testing
To evaluate the efficacy between the Active Arm (AL3818 in combination with background chemotherapy) and Control Arm (background chemotherapy alone arm) as measured by the primary endpoint of Progression Free Survival (PFS). PFS will be evaluated by a blinded independent radiological review (BICR).
- Therapeutic confirmatory (Phase III)
A plain-language read of the study's public EU CTIS listing. The study team confirms the details.
Who can take part
You may be able to join if
- Female = 18 years of age
- Histologically proven diagnosis of: Phase III/Part 3: (1) Platinum-resistant (progression within 6 months after last platinum-based chemotherapy) ovarian, fallopian, or primary peritoneal cancer that meets one of the following criteria: i. Subject has received at least two prior lines of systemic therapy including a bevacizumab-containing regimen as standard of care ii. Subject has received at least two prior lines of systemic therapy, has not received a prior bevacizumab-containing regimen and is not eligible for a bevacizumab containing regimen based on Investigator’s assessment (2) Platinum-refractory (progression during first-line platinum-based chemotherapy) ovarian, fallopian, or primary peritoneal cancer after at least one prior line of systemic therapy (3) For groups 1-2 above: Subjects with positive deleterious or suspected deleterious, germline or somatic BRCA mutated status must have received a PARP inhibitor as a prior line of therapy. Histologic cell types eligible are squamous cell carcinoma, adenosquamous carcinoma or adenocarcinoma
- Have measurable disease defined by RECIST 1.1 confirmed by CT or MRI scan within 28 days of enrollment.
- Life expectancy of = 3 months at the time of enrollment.
- Able to take orally administered study medication.
- Have adequate baseline function and performance status within 28 days of enrollment: a. Bone marrow function: absolute neutrophil count (ANC) = 1,500/mm3, platelets =100,000/mm3 b. Renal function: creatinine = 1.5 x institutional upper limit normal (ULN) or if creatinine is >1.5 x ULN, creatinine clearance must be > 50 mL/min. c. Hepatic function: bilirubin = 1.5 x ULN or = 3.0 x ULN for subjects with Gilbert Syndrome; AST and ALT = 3.0 × ULN. d. Coagulation profile: international normalized ratio (INR) is = 1.5 and an aPTT or PTT <1.2 x ULN. e. ECOG performance = 2
You likely can't join if
- Serious, non-healing wound, ulcer or bone fracture
- Clinically significant, uncontrolled hypokalemia, hypomagnesaemia, and/or hypocalcaemia.
- Hemoptysis within 3 months prior to enrollment.
- Acute or chronic liver disease, active hepatitis A or B with known cirrhosis or liver dysfunction.
- Cytotoxic chemotherapy, immunotherapy, or radiotherapy within 28 days (42 days in cases of mitomycin C, nitrosourea, lomustine) prior to enrollment.
- Concomitant treatment with strong inhibitors or inducers of CYP3A4, CYP2C9 and CYP2C19 within 14 days prior to enrollment and during the study unless there is an emergent or lifethreatening medical condition that required it.
See the full eligibility criteria
Who can join
- Female = 18 years of age
- Histologically proven diagnosis of: Phase III/Part 3: (1) Platinum-resistant (progression within 6 months after last platinum-based chemotherapy) ovarian, fallopian, or primary peritoneal cancer that meets one of the following criteria: i. Subject has received at least two prior lines of systemic therapy including a bevacizumab-containing regimen as standard of care ii. Subject has received at least two prior lines of systemic therapy, has not received a prior bevacizumab-containing regimen and is not eligible for a bevacizumab containing regimen based on Investigator’s assessment (2) Platinum-refractory (progression during first-line platinum-based chemotherapy) ovarian, fallopian, or primary peritoneal cancer after at least one prior line of systemic therapy (3) For groups 1-2 above: Subjects with positive deleterious or suspected deleterious, germline or somatic BRCA mutated status must have received a PARP inhibitor as a prior line of therapy. Histologic cell types eligible are squamous cell carcinoma, adenosquamous carcinoma or adenocarcinoma
- Have measurable disease defined by RECIST 1.1 confirmed by CT or MRI scan within 28 days of enrollment.
- Life expectancy of = 3 months at the time of enrollment.
- Able to take orally administered study medication.
- Have adequate baseline function and performance status within 28 days of enrollment: a. Bone marrow function: absolute neutrophil count (ANC) = 1,500/mm3, platelets =100,000/mm3 b. Renal function: creatinine = 1.5 x institutional upper limit normal (ULN) or if creatinine is >1.5 x ULN, creatinine clearance must be > 50 mL/min. c. Hepatic function: bilirubin = 1.5 x ULN or = 3.0 x ULN for subjects with Gilbert Syndrome; AST and ALT = 3.0 × ULN. d. Coagulation profile: international normalized ratio (INR) is = 1.5 and an aPTT or PTT <1.2 x ULN. e. ECOG performance = 2
- Women of child-bearing potential must agree to use contraceptive measures starting 1 week before C1D1 until 4 weeks after the last dose of study treatment and have a negative serum pregnancy test within 28 days of enrollment.
- Provide written informed consent and authorization permitting release of Protected Health Information.
- Ability and willingness to comply with the study protocol for the duration of the study and with follow-up procedures.
What rules you out
- Serious, non-healing wound, ulcer or bone fracture
- Clinically significant, uncontrolled hypokalemia, hypomagnesaemia, and/or hypocalcaemia.
- Hemoptysis within 3 months prior to enrollment.
- Acute or chronic liver disease, active hepatitis A or B with known cirrhosis or liver dysfunction.
- Cytotoxic chemotherapy, immunotherapy, or radiotherapy within 28 days (42 days in cases of mitomycin C, nitrosourea, lomustine) prior to enrollment.
- Concomitant treatment with strong inhibitors or inducers of CYP3A4, CYP2C9 and CYP2C19 within 14 days prior to enrollment and during the study unless there is an emergent or lifethreatening medical condition that required it.
- Known history of human immunodeficiency virus infection (HIV).
- Active bacterial infections requiring systemic antibiotics (excluding uncomplicated urinary tract infection).
- Other invasive malignancies, with the exception of non-melanoma skin cancer, who had (or have) any evidence of other cancer present within the last 5 years prior to enrollment or whose previous cancer treatment contraindicates this protocol therapy.
- History of non-malignant gastrointestinal bleeding, gastric stress ulcerations, or peptic ulcer disease within the past 3-months prior to enrollment that in the opinion of the investigator may place the subject at risk of side effects on an anti-angiogenesis product.
- History of significant vascular disease (e.g. aortic aneurysm, aortic dissection).
- Major surgical procedure within 28 days or minor surgical procedure performed within 7 days prior to C1D1 (a major surgical procedure is defined as requiring general anesthesia).
- Intra-abdominal abscess within the last 3 months of enrollment.
- Pre-existing uncontrolled hypertension as documented by two baseline blood pressure readings taken at least five minutes apart, defined as systolic BP >160 mm Hg or diastolic BP >90 mm Hg pressure.
- QTc > 470 msec on screening ECG per Fridericia’s formula.
- History of or existing risk factors for Torsades de pointes (TdP) (e.g., heart failure, hypokalemia, family history of Long QT Syndrome).
- (Intentionally left blank)
- Active bleeding or pathologic conditions that carry high risk of bleeding, such as known bleeding disorder, coagulopathy, or tumor involving major vessels.
- History or evidence upon physical examination of central nervous system (CNS) disease including primary brain tumor; seizures not controlled with standard medical therapy; and history of cerebrovascular accident (CVA, stroke), transient ischemic attack (TIA), or subarachnoid hemorrhage within 6 months of enrollment. a. Subjects with metastatic CNS tumors may participate in this study if the subject is > 28 days from therapy completion (including radiation and/or surgery), is clinically stable at the time of study enrollment, and is not receiving corticosteroid therapy.
- Proteinuria on urinalysis within 28 days of enrollment. Subjects discovered to have a urine protein of 1+ on dipstick or = 30 mg/dl at baseline should undergo a 24-hour urine collection and demonstrate < 1000 mg protein per 24 hours or spot urine protein (mg/dL) to creatinine (mg/dL) ratio must be <1.0 to allow participation in the study.
- Clinically significant cardiovascular disease including uncontrolled hypertension; myocardial infarction or unstable angina within 6 months prior to enrollment; New York Heart Association (NYHA) Grade II or greater congestive heart failure (Appendix E); serious cardiac arrhythmia requiring medication; and Grade II or greater peripheral vascular disease.
- Women who are pregnant or nursing.
- (Intentionally left blank)
The study team makes the final eligibility decision.
Where it's taking place
- United States
- United Kingdom
- China
Questions & answers
Do participants get paid in this trial?
This listing doesn't specify compensation. Many trials still reimburse travel or offer a stipend, so it's worth asking the study team when you connect.
Is it free to join, and do I need insurance?
Searching and applying through BridgeMD is free. In clinical trials the study-related treatment and visits are generally provided at no cost to you. You usually don't need insurance to take part - confirm specifics with the study team.
How long does this study last?
The listing doesn't state an exact length. The study team walks you through the schedule and number of visits before you decide to enroll.
Who can join this trial?
This study is enrolling female, 18-64 years, 65+ years. The study team makes the final eligibility decision.
Where is this trial taking place?
Study sites include United States; United Kingdom; China. Enter your location above to see the nearest site and check your eligibility.
Explore other conditions
BridgeMD is an information and trial-matching tool - not medical advice, and not the study sponsor. Details come from EU CTIS; the study team decides eligibility.