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Trial registered on ANZCTR
Registration number
ACTRN12610000093088
Ethics application status
Approved
Date submitted
22/01/2010
Date registered
27/01/2010
Date last updated
21/02/2014
Type of registration
Prospectively registered
Titles & IDs
Public title
B2P2M2: Phase II trial of BNC105P as
2nd line chemotherapy for
advanced malignant pleural mesothelioma
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Scientific title
B2P2M2: Phase II, single arm trial to evaluate the response rate of BNC105P as 2nd line chemotherapy for advanced malignant pleural mesothelioma
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Secondary ID [1]
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nil
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Universal Trial Number (UTN)
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Trial acronym
B2P2M2
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Advanced malignant pleural mesothelioma
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Condition category
Condition code
Cancer
256813
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0
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Lung - Mesothelioma
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
All patients enrolled in the study will receive the same treatment consisting of BNC105P at a dose of 16mg/m^2 given intravenously over 10 minutes on days 1 and 8 of a 21 day cycle, repeated until progression or prohibitive toxicity.
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Intervention code [1]
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Treatment: Drugs
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Comparator / control treatment
This is a single arm study
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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Objective tumour response rate (complete response (CR) or partial response (PR) with Response Evaluation Criteria In Solid Tumour (RECIST) modified for mesothelioma)
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Assessment method [1]
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Timepoint [1]
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Tumour assessments are performed at baseline, then at weeks 6, 12, 18, 24 and then 12 weekly until progression
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Secondary outcome [1]
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Progression-free survival (PFS, progression or death) as assessed by computed tomography (CT) scan using RECIST modified for mesothelioma
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Assessment method [1]
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Timepoint [1]
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Tumour assessments are performed at baseline, then at weeks 6, 12, 18, 24 and then 12 weekly until progression.
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Secondary outcome [2]
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Treatment duration (TD, interval from first dose to last dose)
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Assessment method [2]
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Timepoint [2]
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Clinic visits are 3-weekly during treatment.
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Secondary outcome [3]
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Adverse events e.g. fatigue, nausea, lowering of blood counts. Adverse events will be assessed using physical examination, blood tests, and asking the patient about their health since the last assessment. Adverse Events will be graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) version 4.0)
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Assessment method [3]
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Timepoint [3]
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Adverse events are assessed at baseline, every 3 weeks during treatment, and 30-42 days after the last treatment dose.
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Secondary outcome [4]
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Health-related quality of life (using the European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire - Cancer 30 questions (QLQ-C30), Quality of Life Module - Lung 13 questions (QLM-L13), and Patient Data Form (PDF)).
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Assessment method [4]
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Timepoint [4]
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Quality of life questionaires are completed at baseline, every 3 weeks during treatment, and 30-42 days after the last treatment dose.
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Secondary outcome [5]
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Changes in spirometric lung function tests (Forced expiratory volume in one second (FEV1) and Forced vital capacity (FVC)).
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Assessment method [5]
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Timepoint [5]
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Spirometric lung function tests are completed at baseline, every 3 weeks during treatment, and 30-42 days after the last treatment dose.
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Secondary outcome [6]
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Overall survival (OS, death from any cause, as assessed by clinic visits and information available in the patient's medical record).
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Assessment method [6]
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Timepoint [6]
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Clinic visits are 3-weekly during treatment, then follow up visits are 12-weekly until 12 months after the last patient has entered the study.
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Eligibility
Key inclusion criteria
1. Confirmed diagnosis of malignant pleural mesothelioma.
2. Progression after first line chemotherapy with pemetrexed and a platinum (cisplatin and/or carboplatin).
3. Evidence of measurable disease as per RECIST modified for mesothelioma.
4. Performance status of ECOG 0-1.
5. Adequate hepatic, renal and haematological function.
6. Adequate cardiac function as assessed by Left ventricular ejection fraction (LVEF) and corrected QT interval (QTc).
7. Patient is able and willing to complete the Quality of Life (QOL) questionnaires, or unable due to illiteracy or visual impairment. Inability to complete the questionnaires will not exclude the patient from the study.
8. Patient is willing and able to comply with treatment and follow up.
9. Written informed consent.
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Minimum age
18
Years
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Maximum age
No limit
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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
1. Any prior chemotherapy other than pemetrexed and a platinum compound.
2. Chemotherapy within 20 days, radiotherapy within 14 days, major surgery within 28 days
3. Known brain or leptomeningeal disease
4. History of another malignancy within 5 years prior to registration
5. Untreated and/or uncontrolled cardiovascular conditions
6. Stroke, venous or arterial blood clots within 12 months prior to registration.
7. Poorly controlled hypertension
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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)
Patients will be enrolled through the Australasian Lung Trials Group (ALTG) Coordinating Centre, National Health and Medical Research Council Clinical Trials Centre (NHMRC CTC)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
This is a single arm study
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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
Single group
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Other design features
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Phase
Phase 2
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Type of endpoint/s
Safety/efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
14/07/2010
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Actual
14/07/2010
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Date of last participant enrolment
Anticipated
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Actual
27/04/2011
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
60
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
NSW,VIC,QLD,SA,WA
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Funding & Sponsors
Funding source category [1]
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Commercial sector/Industry
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Name [1]
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Bionomics Ltd
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Address [1]
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31 Dalgleish Street
Thebarton S.A. 5031
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Country [1]
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Australia
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Primary sponsor type
University
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Name
University of Sydney
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Address
NHMRC Clinical Trials Centre
Locked Bag 77
Camperdown NSW 1450
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
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Country [1]
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Other collaborator category [1]
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Other Collaborative groups
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Name [1]
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Australasian Lung Trials Group (ALTG)
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Address [1]
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ALTG Coordinating Centre
Locked Bag 77
Camperdown NSW 1450
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Country [1]
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Cancer Institute NSW Clinical Research Ethics Committee
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Ethics committee address [1]
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Cancer Institute NSW, Australian Technology Park, Suite 101, 1 Central Avenue, Eveleigh, NSW 2015
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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17/11/2009
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Approval date [1]
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28/01/2010
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Ethics approval number [1]
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2009c/12/117
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Summary
Brief summary
At present there is no standard 2nd line chemotherapy regime for patients with advanced malignant pleural mesothelioma (MPM) who progress after treatment with standard first line chemotherapy (i.e. pemetrexed and a platinum compound). BNC105P is a novel chemotherapy agent which has shown activity in MPM. In this study, BNC105P will be studied in a single arm, 2 stage, multi-centre design to determine its efficacy and safety as 2nd line chemotherapy for patients with MPM. All subjects will receive BNC105P on Day 1 and Day 8 of a 21 day cycle until unacceptable toxicity or disease progression. The primary endpoint will be tumour response, and secondary endpoints include progression-free survival, overall survival, adverse events, and quality of life. Correlative substudies will examine associations between potential biological markers and outcomes.
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Trial website
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Trial related presentations / publications
A.K. Nowak, C. Brown, M.J. Millward, J. Creaney, M.J. Byrne, B. Hughes et al. A phase II clinical trial of the Vascular Disrupting Agent BNC105P as second line chemotherapy for advanced Malignant Pleural Mesothelioma. Lung Cancer, 81 (2013), pp. 422-427.
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Public notes
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Contacts
Principal investigator
Name
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Dr Anna Novak
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Address
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c/o NHMRC Clinical Trials Centre
Locked Bag 77
Camperdown
NSW 1450
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Country
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Australia
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Phone
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+61 2 9562 5000
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Helen Taylor
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Address
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NHMRC Clinical Trials Centre
Locked Bag 77
Camperdown NSW 1450
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Country
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Australia
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Phone
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+61 2 9562 5000
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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
Name
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Prof Martin Stockler
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Address
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NHMRC Clinical Trials Centre
Locked Bag 77
Camperdown NSW 1450
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Country
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Australia
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Phone
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+61 2 9562 5000
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Fax
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
Source
Title
Year of Publication
DOI
Embase
The development and use of vascular targeted therapy in ovarian cancer.
2017
https://dx.doi.org/10.1016/j.ygyno.2017.01.031
Embase
Cytotoxic stilbenes and derivatives as promising antimitotic leads for cancer therapy.
2018
https://dx.doi.org/10.2174/1381612825666190111123959
N.B. These documents automatically identified may not have been verified by the study sponsor.
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