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Further study details as provided by Dana-Farber Cancer Institute:
Primary Outcome Measures:
- To assess the activity of MK-2206 in patients with recurrent grade 2 or 3 platinum-resistant serous ovarian, fallopian tube, or peritoneal cancer [ Time Frame: 3 years ] [ Designated as safety issue: No ]To assess the activity of MK-2206 in patients with recurrent grade 2 or 3 platinum-resistant serous ovarian, fallopian tube, or peritoneal cancer, as measured by the frequency of patients experiencing an objective tumor response by RECIST criteria or who survive progression-free for at least 6 months after initiation of therapy
Secondary Outcome Measures:
- To assess the progression-free and overall survival following initiation of therapy with MK-2206 in the cohort of subjects enrolled on this study [ Time Frame: 3 years ] [ Designated as safety issue: No ]
- To determine the toxicities of MK-2206, as assessed by the active version of the NCI Common Toxicity Criteria (CTCAE v4.0) [ Time Frame: 3 years ] [ Designated as safety issue: Yes ]
- To explore the association between select biomarkers and response to MK-2206 (as assessed by objective tumor response, progression-free survival, and overall survival) [ Time Frame: 3 years ] [ Designated as safety issue: No ]
- To explore the development of feedback loop activation and target inhibition with MK-2206 via analysis of pre-treatment and post-treatment biopsies in select patients enrolled in the trial [ Time Frame: 3 years ] [ Designated as safety issue: No ]
Criteria
Inclusion Criteria:
- Grade 2 or 3 ovarian, fallopian tube, or primary peritoneal cancer
- Evidence of a defect in the P13K/AKT pathway
- Prior platinum-based chemotherapy
- Life expectancy > 6 months
- Normal organ and marrow function
- Toxicities from prior therapy resolved
- Able to tolerate oral medications
Exclusion Criteria:
- Pregnant or breastfeeding
- Receiving other study agents
- Brain metastases
- Subjects requiring insulin for control of hyperglycemia
- Prolonged QTc interval
- Preexisting significant heart block or bradycardia due to cardiac disease
- Uncontrolled intercurrent illness
- Bowel obstruction
- Dependency on IV hydration or TPN
- History of a different malignancy unless disease free for the last 5 years
- HIV-positive on combination antiretroviral therapy
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