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Trial registered on ANZCTR
Registration number
ACTRN12607000078459
Ethics application status
Approved
Date submitted
10/01/2007
Date registered
23/01/2007
Date last updated
14/03/2008
Type of registration
Prospectively registered
Titles & IDs
Public title
A phase Ia study of MRC202 in patients with malignant ascites caused by cancer.
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Scientific title
A phase Ia (pharmacokinetic) study of intraperitoneal MRC202 in patients with peritoneal cancer refractory to standard treatments.
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Malignant ascites (hydoperitoneum) associated with cancer
1570
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Condition category
Condition code
Cancer
1671
1671
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0
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Ovarian and primary peritoneal
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
This is an open label study of patients with malignant ascites. The patients will initially have ascites drained. A 1L dose (varying concetrations of either 800mg/L, 1600mg/L or 2000mg/L) of MRC202 will be administered, immediately following drainage, via an intraperitoneal catheter. Patients will remain under observation for 4 weeks, after which a wash-out product will be administered. Blood and peritoneal fluid will be sampled regularly (1, 2, 4, 6, 8, 24, 48, 96 hours and at the 4 week timepoint).
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Intervention code [1]
1547
0
Treatment: Drugs
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Comparator / control treatment
No comparator.
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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Determine pharmakokinetics of MRC202 and sulfoxide metabolites
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Assessment method [1]
2313
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Timepoint [1]
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Sampling timepoints at 1, 2, 4, 6, 8, 24, 48 and 96 hours and 4 weeks after intraperitoneal administration.
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Primary outcome [2]
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Determine dose response to ensure it is within safety limits, as defined by Guidance on Good Clinical Practice (CPMP/ICH/135/95).
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Assessment method [2]
2314
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Timepoint [2]
2314
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At 4 weeks over limited range of exposures
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Secondary outcome [1]
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Determine feasibility of intraperitoneal adminstration for MRC202.
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Assessment method [1]
4039
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Timepoint [1]
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End of Phase Ia trial
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Secondary outcome [2]
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Determine feasibility of : Vascular Endothelial Groth Factor (VEGF); circulating endothelial cells; and Vascular Cell Adhesion Molecule - 1 (VCAM) expression in blood and peritoneal fluid as markers of inhibition of angiogensis.
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Assessment method [2]
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Timepoint [2]
4040
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At sampling timepoints of 1, 2, 4, 6, 8, 24, 48 and 96 hours and 4 weeks after intraperitoneal administration.
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Eligibility
Key inclusion criteria
Histologically or cytologically proven advanced or metastatic cancer.Positive or suggestive peritoneal cytology.Judged likely to benefit from insertion of peritoneal port for symptom control.Must have measurable or evaluable disease.Ascites refractory to standard treatments.ECOG 0-3 performance status.At least 3 weeks since prior chemotherapy (at least 6 weeks from agents know to be toxic to stem cells)Must have recovered from reversible side effects of prior therapy.At least 2 weeks since any prior radiotherapy.
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Minimum age
18
Years
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Maximum age
Not stated
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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
Unresolved ongoing infection requiring treatment.Decompensated liver disease with non-malignant ascites or coagulopathy or encephalopathy.Severe co-morbidity at the discretion of the investigatorsUnwilling or unable to have insertion of an intraperitoneal portacath.Pregnant or breast-feeding mothers.
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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
Single group
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Other design features
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Phase
Phase 1
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Type of endpoint/s
Pharmacokinetics
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Statistical methods / analysis
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Recruitment
Recruitment status
Stopped early
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Data analysis
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Reason for early stopping/withdrawal
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Date of first participant enrolment
Anticipated
10/02/2007
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Actual
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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
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Sample size
Target
12
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Funding & Sponsors
Funding source category [1]
1816
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Commercial sector/Industry
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Name [1]
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MRC Biotech Pty Ltd
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Address [1]
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Level 17, 201 Miller St
North Sydney, NSW, 2060
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Country [1]
1816
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Australia
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Primary sponsor type
Commercial sector/Industry
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Name
MRC Biotech Pty Ltd
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Address
Level 17, 201 Miller St
North Sydney, NSW, 2060
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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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NA
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Address [1]
1638
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Country [1]
1638
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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St. George Hospital
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Ethics committee address [1]
3405
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
3405
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Approval date [1]
3405
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17/01/2007
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Ethics approval number [1]
3405
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06/62
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Summary
Brief summary
The study is aimed at evaluating the suitablility of MRC202 as a therapy for malignant ascites associated with cancer. based on extensive animal studies MRC202 has been shown as potential an effective agent to slow or treat malignant ascites. This initial study is aimed as determining an appropriate dose concentration. Data from the study will be used to design a more comprehensive study assessing the efficacy of the drug.
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Trial website
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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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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 public queries
Name
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David Andrews
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Address
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MRC Biotech Pty Ltd
Level 17
201 Miller St
North Sydney NSW 2060
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Country
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Australia
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Phone
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+61 2 89232561
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Fax
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Email
10736
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[email protected]
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Contact person for scientific queries
Name
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David Andrews
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Address
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MRC Biotech Pty Ltd
Level 17
201 Miller St
North Sydney NSW 2060
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Country
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Australia
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Phone
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+61 2 89232561
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Fax
1664
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Email
1664
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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
No additional documents have been identified.
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