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Completed

NCT Number: NCT03075462

A Study of Fluzoparib Given in Combination With Apatinib in Ovarian or Breast Cancer Patients

Fluzoparib is an oral potent, selective poly-ADP ribose polymerase-1 (PARP-1) and PARP-2 inhibitor; Apatinib is an oral selective vascular endothelial growth factor receptor (VEGFR) inhibitor. This open-label, dose finding phase I trial studies the tolerability and the best dose of fluzoparib in combination with apatinib and to see how well these two drugs work together in the treatment of patients with recurrent ovarian cancer or triple negative breast cancer. The safety and efficacy of fluzoparib in combination with apatinib will be explored. Both dose escalation and dose expansion parts are included in this study.

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Key information

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 1.
  • Life expectancy of more than 12 weeks.
  • Histologically or cytologically confirmed high-grade papillary-serous epithelial ovarian cancer,primary peritoneal, or fallopian tube cancers; subjects with a known deleterious breast cancer gene (BRCA) mutation and any other high-grade histology are also eligible. Subjects should have platinum-sensitive disease, where platinum-sensitive disease is defined as having had a > 6 month interval since last receiving platinum therapy prior to disease recurrence. Additionally, subjects with histologically or cytologically confirmed triple negative breast cancer (TNBC), that is locally advanced or metastatic, are also eligible.
  • Prior therapy:subjects with ovarian cancer,primary peritoneal, or fallopian tube cancers have received only 2 lines of platinum-based chemotherapies, and TNBC patients have received only 1 line of standard chemotherapy. Each prior chemotherapy must be given for at least 2 cycles.
  • At least one measurable lesion that can be accurately assessed by imaging (CT/MRI) at baseline
  • Subjects who have overall good overall general condition.
  • Signed informed consent.

Exclusion criteria

  • Subjects who received any previous treatment with any PARP inhibitors.
  • Subjects who received any previous treatment with any VEGFR inhibitors.
  • Less than 4 weeks from the last clinical trial.
  • Less than 4 weeks from the last radiotherapy, chemotherapy, surgery, hormone treatment and target therapy.
  • Unstable or uncontrolled hypertension.
  • Subjects that are unable to swallow, or dysfunction of gastrointestinal absorption.
  • Subjects with brain metastases.
  • Subjects with uncontrolled hypokalemia and hypomagnesemia before study entry.
  • Subjects with a known hypersensitivity to fluzoparib, apatinib or any of the excipients of the products.
  • Ongoing infection (determined by investigator).
  • History of immunodeficiency, including HIV-positive, suffering from other acquired, congenital immunodeficiency disease, or history of organ transplantation.
  • Pregnant or breast-feeding women.

Treatment and study plan

Fluzoparib

Drug

Fluzoparib either at 40,60,80mg twice daily,capsule oral.

Other names: SHR3162, HS10160

apatinib

Drug

Apatinib at 250mg once daily, tablet oral

Primary outcomes

  1. The type and incidence of adverse events [safety and tolerability]

    Time frame: From screening up to 28 days after end of treatment

    Adverse events defined according to Common Terminology for Adverse Events (CTCAE) v4.03

Secondary outcomes

  1. Objective Response Rate (ORR)

    Time frame: 24 months (approx) from the start of treatment

    [Complete response + Partial response (CR+PR)] based on RECIST 1.1

  2. Disease Control Rate (DOR)

    Time frame: 24 months (approx) from the start of treatment

    [Complete response + Partial response + Stable disease (CR+PR+SD)] based on RECIST 1.1

  3. Time to Progression (TTP)

    Time frame: From date of enrollment until the date of first objective progression or CA-125 progression (only for ovarian cancer patients), assessed up to 36 months

    The time from start of the treatment until radiographic disease progression or CA-125 progression specific for ovarian cancer patients

  4. Overall Survival (OS)

    Time frame: From Cycle 1, Day 1 until death or up to 48 months (approx)

    Time from start of fluzoparib treatment until death due to any cause

  5. Cmax

    Time frame: From the start of fluzoparib treatment alone to Cycle 2, Day 1 of combined treatment

    Maximum Plasma Concentration

  6. T1/2 (Half-life)

    Time frame: From the start of fluzoparib treatment alone to Cycle 2, Day 1 of combined treatment

    The time required for the plasma concentration of a drug to be reduced by 50%

  7. Area under curve (AUC)

    Time frame: Within the first 5 weeks from start of fluzoparib treatment

    Area under the plasma concentration-time curve

  8. V/F

    Time frame: From the start of fluzoparib treatment alone to Cycle 2, Day 1 of combined treatment

    Volume of distribution

  9. CL/F

    Time frame: From the start of fluzoparib treatment alone to Cycle 2, Day 1 of combined treatment

    Plasma Clearance

Sponsors and collaborators

Lead sponsor

Jiangsu HengRui Medicine Co., Ltd.

Industry

Collaborators

  • Peking University Cancer Hospital & Institute

Registry information

Official study title

An Open, Non-randomised, Multi-centre Phase I Study to Assess the Safety and Efficacy of Fluzoparib Given in Combination With Apatinib in Patients With Recurrent Ovarian Cancer or Triple Negative Breast Cancer

Important dates

Study start
2017
Primary completion
2021
Study completion
2021
First posted
Mar 9, 2017
Registry last updated
Jul 1, 2022

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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