Ignite Creation Date:
2025-12-24 @ 1:04 PM
Ignite Modification Date:
2026-01-11 @ 9:23 AM
Study NCT ID:
NCT05385861
Status:
ENROLLING_BY_INVITATION
Last Update Posted:
2025-08-15
First Post:
2022-05-09
Is NOT Gene Therapy:
True
Has Adverse Events:
False
Brief Title:
Nal-IRI (ONIVYDE® ) and Carboplatin in Patients With Advanced or Metastatic GEP-NET
Sponsor:
Organization:
Raw JSON
{'hasResults': False, 'derivedSection': {'miscInfoModule': {'versionHolder': '2025-12-24'}, 'conditionBrowseModule': {'meshes': [{'id': 'C535650', 'term': 'Gastro-enteropancreatic neuroendocrine tumor'}]}, 'interventionBrowseModule': {'meshes': [{'id': 'C584112', 'term': 'irinotecan sucrosofate'}, {'id': 'D016190', 'term': 'Carboplatin'}], 'ancestors': [{'id': 'D056831', 'term': 'Coordination Complexes'}, {'id': 'D009930', 'term': 'Organic Chemicals'}]}}, 'protocolSection': {'designModule': {'phases': ['PHASE1', 'PHASE2'], 'studyType': 'INTERVENTIONAL', 'designInfo': {'allocation': 'NA', 'maskingInfo': {'masking': 'NONE'}, 'primaryPurpose': 'TREATMENT', 'interventionModel': 'SINGLE_GROUP', 'interventionModelDescription': 'an investigator-initiated, single-arm phase 1/2 study'}, 'enrollmentInfo': {'type': 'ESTIMATED', 'count': 52}}, 'statusModule': {'overallStatus': 'ENROLLING_BY_INVITATION', 'startDateStruct': {'date': '2025-08-14', 'type': 'ACTUAL'}, 'expandedAccessInfo': {'hasExpandedAccess': False}, 'statusVerifiedDate': '2025-08', 'completionDateStruct': {'date': '2025-12-31', 'type': 'ESTIMATED'}, 'lastUpdateSubmitDate': '2025-08-14', 'studyFirstSubmitDate': '2022-05-09', 'studyFirstSubmitQcDate': '2022-05-17', 'lastUpdatePostDateStruct': {'date': '2025-08-15', 'type': 'ACTUAL'}, 'studyFirstPostDateStruct': {'date': '2022-05-23', 'type': 'ACTUAL'}, 'primaryCompletionDateStruct': {'date': '2025-12-31', 'type': 'ESTIMATED'}}, 'outcomesModule': {'primaryOutcomes': [{'measure': 'MTD and RP2D', 'timeFrame': '3 Years', 'description': '• in phase 1 cohort, to determine MTD (maximum tolerated dose) and recommended phase 2 dose (RP2D)'}, {'measure': 'tumor response rate', 'timeFrame': '3 Years', 'description': '• in phase 2 cohort, to assess the objective tumor response rate'}], 'secondaryOutcomes': [{'measure': 'PFS and OS', 'timeFrame': '3 Years', 'description': '• to assess other efficacy variables, including disease control rate, progression free survival (PFS), and overall survival (OS)'}, {'measure': 'To explore the treatment-related adverse events as assessed by CTCAE v5.0', 'timeFrame': '3 Years', 'description': '• Number of participants with treatment-related adverse events as assessed by CTCAE v5.0'}]}, 'oversightModule': {'isFdaRegulatedDrug': False, 'isFdaRegulatedDevice': False}, 'conditionsModule': {'conditions': ['GEP-NET']}, 'descriptionModule': {'briefSummary': 'The current study is an investigator-initiated, single-arm phase 1/2 study that enrolled patients with advanced or recurrent and/or metastatic gastroenteropancreatic poorly differentiated neuroendocrine carcinoma for the treatment of nal-IRI (ONIVYDE®) plus carboplatin as the first-line chemotherapy.', 'detailedDescription': "Eligible patients will be treated into two cohorts.\n\nIn adaptive phase 1 cohort:\n\nSix patients will be enrolled in safety run-in cohort of dose level 0. If less than 2 patients experience dose-limiting toxicity (DLT) in dose level 0, dose level 1 will be tested. However, if more than 1 patients experience DLT in dose level 0, dose level -1 will be tested. The MTD at which no more than 1 of the 6 patients experience DLT will be determined for the phase 2 cohort. Otherwise, additional 6 patients will be tested in the dose level -1. Based on results from safety run-in cohort, PR2D will be determined. The evaluable patients in RP2D cohort will be incorporated into phase 2 cohort for final analysis.\n\nDose in phase 1 cohort:\n\nDose level 1= onivyde 100 mg/m2 plus carboplatin AUC=4, intravenously both on day 1, q3wk Dose level 0= onivyde 80 mg/m2 plus carboplatin AUC=4, intravenously both on day 1, q3wk Dose level -1= onivyde 60 mg/m2 plus carboplatin AUC=4, intravenously both on day 1, q3wk Carboplatin dose (mg) is calculated by the Calvert formula: AUC x (eGFR + 25). Cockcroft-Gault equation: eGFR (calculated Ccr)= \\[(140-age) x weight x 0.85 (if female)\\] / (72 x serum Cr). The maximum eGFR for dose calculation is 125 ml/min.\n\nThe definition of DLT:\n\nFollowing toxicities occur during the first cycle of the combination chemotherapy with nal-IRI (ONIVYDE®) and carboplatin will be considered as DLTs. Toxicities are assessed by the Common Terminology Criteria for Adverse Events version 5.0 (CTCAE v5.0).\n\n* Grade 4 neutropenia (ANC \\< 500/μL) ≥3 days' duration under primary G-CSF support\n* Grade 3 or higher neutropenia (ANC \\< 1,000/μL) with concurrent active infection requiring IV antibiotics treatment\n* Grade 4 thrombocytopenia (platelet counts \\< 25,000/μL)\n* Grade 3 thrombocytopenia (platelet counts \\< 50,000/μL) associated with active bleeding that transfusion is required\n* Any grade 3 or higher treatment-related non-hematologic toxicity (except for anorexia/nausea, vomiting, and asthenia/fatigue)\n* Any adverse drug reactions lead to more than 3 weeks delay\n\nIn Phase 2 Cohort Patients will be treated until disease progression, unacceptable toxicity or other condition meeting the treatment discontinuation criteria.\n\nTumor response will be assessed according to Response Evaluation Criteria in Solid Tumors version 1.1 (RECIST v1.1) every 6 weeks.\n\nAdverse events (AEs) will be evaluated according to the National Cancer Institute's Common Terminology Criteria for Adverse Events version 5.0 (CTCAE v5.0).\n\nPatients sign additional consent to participate in the next generation sequencing study will be required to have extra tissue samplings at the study entry.\n\nA follow-up visit is required approximately 30 days after treatment discontinuation. Overall survival status will be followed by clinic visit or by phone every 3 months until death or the maximum of 3 years, whichever occurs first."}, 'eligibilityModule': {'sex': 'ALL', 'stdAges': ['ADULT', 'OLDER_ADULT'], 'maximumAge': '80 Years', 'minimumAge': '20 Years', 'healthyVolunteers': False, 'eligibilityCriteria': 'Inclusion Criteria:\n\n1. histologically confirmed locally advanced or metastatic gastroenteropancreatic poorly differentiated neuroendocrine carcinoma.\n2. patients either are chemotherapy-naive or had received adjuvant chemotherapy \\> 6 months before recurrence.\n3. at least one measurable lesion according to the RECIST version 1.1..\n4. patients were aged 20 to 80 years with ECOG performance status of 0 to 1.\n5. patients had a life expectancy ≥ 3 months.\n6. patients had adequate renal function with defined as serum creatinine ≤ 2 times the upper limit of normal (ULN) or eGFR (calculated Ccr) ≥ 45 mL/min.\n7. patients had adequate hepatic function, defined as total bilirubin ≤ 1.5 times the ULN and alanine aminotransferase ≤ 2.5 the ULN and ≤ 5 times the ULN within the setting of liver metastases.\n8. patients had adequate bone marrow function, defined as an absolute neutrophil count ≥ 1500/mm3, platelet count ≥ 100,000/mm3, and hemoglobin ≥ 9 g/dL.\n9. Normal ECG or abnormal ECG without any clinical significantly findings.\n10. Able to understand and sign an informed consent (or have a legal representative who is able to do so).\n\nExclusion Criteria:\n\n1. a history of palliative chemotherapy or disease recurrence \\< 6 months from the time of last adjuvant chemotherapy and/or radiotherapy.\n2. known hypersensitivity to liposome product, irinotecan or carboplatin.\n3. receipt of major surgery within the past 4 weeks before study enrollment.\n4. With clinically significant gastrointestinal disorder including bleeding, inflammation, occlusion or diarrhea \\> grade 2.\n5. concurrent severe infection with intravenous systemic antibiotics treatment.\n6. severe, uncontrolled medical condition including severe liver disease, heart disease, uncontrolled diabetes or hypertension, or pulmonary disease.\n7. another previous malignancy diagnosed within the past 5 years except for nonmelanoma skin cancer or stage I cervical cancer.\n8. active CNS metastasis defined by clinical symptoms, cerebral edema, steroid or anti-convulsant requirement, or progressive growth. Patients with a history of CNS metastasis or cord compression are allowed in the study if they have been treated and are clinically stable.\n9. psychiatric illness or social situation that would preclude study compliance\n10. women with pregnant or breast feeding (a urine pregnancy test must be performed on all patients who are of childbearing potential before entering the study, and the result must be negative).'}, 'identificationModule': {'nctId': 'NCT05385861', 'briefTitle': 'Nal-IRI (ONIVYDE® ) and Carboplatin in Patients With Advanced or Metastatic GEP-NET', 'organization': {'class': 'OTHER', 'fullName': 'National Health Research Institutes, Taiwan'}, 'officialTitle': 'A Phase I/II Study of Nal-IRI (ONIVYDE® ) and Carboplatin in Patients With Advanced or Metastatic Gastroenteropancreatic Poorly Differentiated Neuroendocrine Carcinoma', 'orgStudyIdInfo': {'id': 'T2222'}}, 'armsInterventionsModule': {'armGroups': [{'type': 'EXPERIMENTAL', 'label': 'nal-IRI (ONIVYDE®) and Carboplatin', 'description': 'nal-IRI (ONIVYDE®) and Carboplatin', 'interventionNames': ['Drug: nanoliposomal irinotecan plus carboplatin']}], 'interventions': [{'name': 'nanoliposomal irinotecan plus carboplatin', 'type': 'DRUG', 'otherNames': ['Phase 1 cohort', 'Phase 2 Cohort'], 'description': 'Dose in phase 1 cohort:\n\nDose level 1= nanoliposomal irinotecan 100 mg/m2 plus carboplatin AUC=4, intravenously both on day 1, q3wk\n\nDose level 0= nanoliposomal irinotecan 80 mg/m2 plus carboplatin AUC=4, intravenously both on day 1, q3wk\n\nDose level -1= nanoliposomal irinotecan 60 mg/m2 plus carboplatin AUC=4, intravenously both on day 1, q3wk\n\nCarboplatin dose (mg) is calculated by the Calvert formula: AUC x (eGFR + 25). Cockcroft-Gault equation: eGFR (calculated Ccr)= \\[(140-age) x weight x 0.85 (if female)\\] / (72 x serum Cr). The maximum eGFR for dose calculation is 125 ml/min.\n\nIn Phase 2 Cohort Patients will be treated until disease progression, unacceptable toxicity or other condition meeting the treatment discontinuation criteria.', 'armGroupLabels': ['nal-IRI (ONIVYDE®) and Carboplatin']}]}, 'contactsLocationsModule': {'locations': [{'city': 'Kaohsiung City', 'country': 'Taiwan', 'facility': 'Chang-Gung Memorial Hospital, Kaohsiung', 'geoPoint': {'lat': 22.61626, 'lon': 120.31333}}, {'city': 'Kaohsiung City', 'country': 'Taiwan', 'facility': 'Kaohsiung Medical University Chung-Ho Memorial Hospital', 'geoPoint': {'lat': 22.61626, 'lon': 120.31333}}, {'city': 'Linkou District', 'country': 'Taiwan', 'facility': 'Chang Gung Memorial Hospital (Lin-Kou),', 'geoPoint': {'lat': 25.07777, 'lon': 121.39348}}, {'city': 'Taichung', 'country': 'Taiwan', 'facility': 'China Medical University Hospital', 'geoPoint': {'lat': 24.1469, 'lon': 120.6839}}, {'city': 'Tainan', 'country': 'Taiwan', 'facility': 'National Cheng-Kung University Hospital', 'geoPoint': {'lat': 22.99083, 'lon': 120.21333}}, {'city': 'Taipei', 'country': 'Taiwan', 'facility': 'Taipei Veterans General Hospital', 'geoPoint': {'lat': 25.05306, 'lon': 121.52639}}], 'overallOfficials': [{'name': 'Tsang-Wu Liu', 'role': 'STUDY_DIRECTOR', 'affiliation': 'Taiwan Cooperative Oncology Group, NHRI'}]}, 'sponsorCollaboratorsModule': {'leadSponsor': {'name': 'National Health Research Institutes, Taiwan', 'class': 'OTHER'}, 'collaborators': [{'name': 'Taipei Veterans General Hospital, Taiwan', 'class': 'OTHER_GOV'}, {'name': 'Chang Gung Memorial Hospital', 'class': 'OTHER'}, {'name': 'China Medical University Hospital', 'class': 'OTHER'}, {'name': 'National Cheng-Kung University Hospital', 'class': 'OTHER'}, {'name': 'Kaohsiung Medical University Chung-Ho Memorial Hospital', 'class': 'OTHER'}], 'responsibleParty': {'type': 'SPONSOR'}}}}