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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT03455140
Additional trial details provided through ANZCTR are available at the end of this record.
Registration number
NCT03455140
Ethics application status
Date submitted
1/02/2018
Date registered
6/03/2018
Titles & IDs
Public title
A Study Evaluating the Safety and Activity of Pegylated Recombinant Human Arginase (BCT-100)
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Scientific title
A Phase I/II Study Evaluating the Safety and Activity of Pegylated Recombinant Human Arginase (BCT-100) in Relapsed/Refractory Cancers of Children and Young Adults
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Secondary ID [1]
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RG_16-040
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Universal Trial Number (UTN)
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Trial acronym
PARC
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Cancer
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Pediatric Solid Tumor
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Pediatric AML
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Pediatric ALL
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Condition category
Condition code
Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - PEG- BCT-100
Experimental: Group 1 - Leukaemia - PEG- BCT-100 in patients with Leukaemia Starting dose 1600U/Kg IV infusion weekly
Experimental: Group 2 - Neuroblastoma - PEG- BCT-100 in patients with Neuroblastoma Starting dose 1600U/Kg IV infusion weekly
Experimental: Group 3 - Sarcomas - PEG- BCT-100 in patients with Sarcomas Starting dose 1600U/Kg IV infusion weekly
Experimental: Group 4 - High Grade Glioma - PEG- BCT-100 in patients with High Grade Gliomas Starting dose 1600U/Kg IV infusion weekly
Treatment: Drugs: PEG- BCT-100
PEGylated recombinant human arginase 1
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Intervention code [1]
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Treatment: Drugs
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Phase I: to establish the recommended phase II dose (RP2D) of BCT-100 in children and young adults as assessed by dose limiting toxicity (DLT) and complete arginine depletion
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Assessment method [1]
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Safety profile as measured by the occurrence/non-occurrence of DLT within 28 days of treatment with BCT-100.
o Optimal dose as measured by the complete depletion of arginine. This is defined as AAD \<8µM arginine in the blood after 3 doses of BCT-100.
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Timepoint [1]
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28 days
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Primary outcome [2]
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Phase II: to determine the activity of single agent BCT-100 against relapsed/refractory leukaemia, neuroblastoma, sarcoma and high grade glioma in children and young adults as measured by disease response after 8 weeks.
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Assessment method [2]
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Disease response (Complete Response (CR) or Partial Response (PR)) after 8 weeks of treatment with BCT-100
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Timepoint [2]
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After 8 weeks
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Secondary outcome [1]
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The incidence and severity of Adverse Events (AEs) as Assessed by CTCAE v4
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Assessment method [1]
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Incidence and severity of Adverse Events (AEs) defined by National Cancer Institute Common Terminology Criteria for Adverse Events (CTCAE) v4
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Timepoint [1]
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28 days after treatment completion
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Secondary outcome [2]
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Disease response - Leukaemia
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Assessment method [2]
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Disease response ( CR / PR) according to Cheson criteria
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Timepoint [2]
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Within 1 year
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Secondary outcome [3]
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Disease response - Sarcoma
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Assessment method [3]
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Disease response ( CR / PR) according to RECIST criteria
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Timepoint [3]
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Within 1 year
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Secondary outcome [4]
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Disease response - High Grade Glioma
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Assessment method [4]
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Disease response ( CR / PR) according to RANO criteria
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Timepoint [4]
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Within 1 year
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Secondary outcome [5]
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Disease response - Neuroblastoma
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Assessment method [5]
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Disease response ( CR / PR) according to INCR criteria
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Timepoint [5]
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Within 1 year
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Secondary outcome [6]
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Progression free survival (PFS)
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Assessment method [6]
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Timepoint [6]
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Up to three years after registration
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Secondary outcome [7]
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Overall survival (OS).
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Assessment method [7]
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Timepoint [7]
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Up to three years after registration
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Secondary outcome [8]
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Maximum Plasma Concentration [Cmax], of BCT-100 in the paediatric population.
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Assessment method [8]
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0
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Timepoint [8]
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Up to 24 weeks
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Secondary outcome [9]
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Time to maximum Plasma Concentration [Tmax], of BCT-100 in the paediatric population.
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Assessment method [9]
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0
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Timepoint [9]
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Up to 24 weeks
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Secondary outcome [10]
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Minimum Plasma Concentration [Cmin], of BCT-100 in the paediatric population.
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Assessment method [10]
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0
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Timepoint [10]
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Up to 24 weeks
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Secondary outcome [11]
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Area Under the Curve [AUC], of BCT-100 in the paediatric population.
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Assessment method [11]
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0
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Timepoint [11]
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Up to 24 weeks
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Secondary outcome [12]
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Duration of adequate arginine depletion in blood.
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Assessment method [12]
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BCT-100 concentration in blood
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Timepoint [12]
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Up to 24 weeks
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Secondary outcome [13]
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Duration of adequate arginine depletion in bone marrow .
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Assessment method [13]
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BCT-100 concentration in bone marrow
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Timepoint [13]
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Up to 24 weeks
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Secondary outcome [14]
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Duration of adequate arginine depletion in cerebrospinal fluid.
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Assessment method [14]
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BCT-100 concentration in cerebrospinal fluid
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Timepoint [14]
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Up to 24 weeks
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Eligibility
Key inclusion criteria
* Aged 1- <25 years old at the time of study registration
* Histologically confirmed disease in one of the following four groups:
* Group 1 - Acute lymphoblastic leukaemia (ALL) and acute myeloid leukaemia (AML)
* Group 2 - Neuroblastoma Group 3 - Sarcoma
* Group 4 - High grade glioma (as defined by 2016 WHO CNS classification)
* Radiological or laboratory evidence of disease progression (during or after completion of first line treatment) or any subsequent recurrence (biopsy at relapse is not mandated).
* Measurable bone marrow disease (group 1) or at least one evaluable radiological site of disease (group 2, 3 and 4).
* Adequate liver function defined as a total bilirubin =1.5x the upper limit of normal for age and ALT = 3x the upper limit of normal for age
* Documented negative pregnancy test for female patients of childbearing potential within 7 days of trial entry
* Sexually active patients must agree to use adequate and appropriate contraception while on study drug and for 12 months following treatment discontinuation
* Written informed consent given by patient and/or parents/legal representative
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Minimum age
1
Year
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Maximum age
25
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
* Previous treatment with another therapeutic arginine depleting drug (bacterial or human) or arginase inhibitor
* Presence of any = CTCAE grade 3 clinically significant treatment-related toxicity from prior therapies
* Pregnant or lactating female
* Evidence of uncontrolled infection
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 1
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
28/08/2018
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
22/07/2022
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Sample size
Target
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Accrual to date
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Final
49
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Recruitment in Australia
Recruitment state(s)
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Recruitment hospital [1]
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Women's & Children's Hospital - Adelaide
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Recruitment hospital [2]
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Queensland Children's Hospital - Brisbane
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Recruitment hospital [3]
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Royal Children's Hospital Melbourne - Melbourne
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Recruitment hospital [4]
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Perth Children's Hospital - Perth
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Recruitment hospital [5]
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Children's Hospital Westmead - Sydney
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Recruitment hospital [6]
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Sydney Children's Hospital - Sydney
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Recruitment postcode(s) [1]
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- Adelaide
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Recruitment postcode(s) [2]
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- Brisbane
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Recruitment postcode(s) [3]
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- Melbourne
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Recruitment postcode(s) [4]
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- Perth
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Recruitment postcode(s) [5]
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- Sydney
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Recruitment outside Australia
Country [1]
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Netherlands
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State/province [1]
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Utrecht
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Country [2]
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United Kingdom
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State/province [2]
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Birmingham
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Country [3]
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United Kingdom
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State/province [3]
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Bristol
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Country [4]
0
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United Kingdom
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State/province [4]
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Cambridge
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Country [5]
0
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United Kingdom
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State/province [5]
0
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Glasgow
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Country [6]
0
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United Kingdom
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State/province [6]
0
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Leeds
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Country [7]
0
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United Kingdom
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State/province [7]
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Manchester
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Country [8]
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United Kingdom
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State/province [8]
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Sutton
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Funding & Sponsors
Primary sponsor type
Other
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Name
University of Birmingham
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Address
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Country
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Ethics approval
Ethics application status
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Summary
Brief summary
PARC is an international phase I/II trial evaluating the safety and activity of pegylated recombinant human arginase (BCT-100) in children and young people with relapsed/refractory leukaemia, neuroblastoma, sarcoma and high grade gliomas (brain cancers). Currently the outcomes for these patients are poor and the therapeutic options are limited with a significant toxicity burden. Therefore new treatments which work in different ways to standard chemotherapy are urgently needed. Research has shown that arginine (a nutrient) is important in the survival of cancer cells. BCT-100 is a drug which can deplete arginine levels and starve cancer cells - a completely new approach. BCT-100 has been tested in adults and shown to be active with almost no side-effects. This trial will test whether this dose of BCT-100 is also safe and active in children with relapsed/refractory leukaemia, neuroblastoma, sarcoma and high grade glioma. The trial will also study how BCT-100 is broken down in the body and look for new biological markers of treatment response. Up to 64 children with relapsed cancers will be recruited over 2 years.
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Trial website
https://clinicaltrials.gov/study/NCT03455140
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Francis J Mussai, DPhil
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Address
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University of Birmingham
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for scientific queries
Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT03455140
Additional trial details provided through ANZCTR
Accrual to date
Recruiting in Australia
Recruitment state(s)
SA
Funding & Sponsors
Primary sponsor
Primary sponsor name
Primary sponsor address
Primary sponsor country
Secondary sponsor category [1]
32
Other Collaborative groups
Name [1]
32
ANZCHOG
Address [1]
32
27-31 Wright Street, Clayton VIC 3168
Country [1]
32
Australia
Ethics approval
Ethics application status
Public notes
Women's and Children's Hospital
Contacts
Principal investigator
Title
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Dr
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Name
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Maria Kirby
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Address
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72 King William Rd, North Adelaide SA 5006
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Country
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Australia
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Phone
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+618 8161 7411
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Fax
157
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Email
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[email protected]
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Contact person for public queries
Title
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Mrs
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Name
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Robyn Strong
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Address
158
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27-31 Wright Street, Clayton VIC 3168
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Country
158
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Australia
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Phone
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+613 8572 2684
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Title
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Dr
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Name
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Maria Kirby
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Address
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72 King William Rd, North Adelaide SA 5006
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Country
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Australia
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Phone
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+618 8161 7411
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Fax
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Email
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[email protected]
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