Phase 2 Study of Docetaxel +/- OGX-427 in Patients With Relapsed or Refractory Metastatic Bladder Cancer

Completed · Phase 2

Conditions studied: Bladder Cancer, Urothelial Carcinoma

In brief

This is a randomized, open-label Phase 2 clinical trial to evaluate whether suppression of Hsp27 (Heat shock protein 27) production using OGX-427, a second-generation antisense oligonucleotide (ASO), in combination with docetaxel can prolong survival time compared to docetaxel alone in participants with locally advanced or metastatic urothelial carcinoma (UC) that are relapsed or refractory after receiving a platinum-containing regimen.

Key facts

Study ID

NCT01780545

Run by

Noah Hahn, M.D.

People needed

200

Starts

2013-04-01

Expected to finish

2017-10-01

Last updated by the study team

2022-07-11

Who can join

Age: 18 and older. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• Participants must have histologically documented metastatic or locally inoperable advanced urothelial carcinoma (bladder, urethra, ureter and renal pelvis) (T4b, N2, N3, or M1 disease. NOTE: Aberrant differentiation such as squamous, glandular (adenocarcinoma), and micropapillary are eligible unless the tumor is considered a pure histological variant according to the pathology report. Participants with small cell histology are not eligible.
• Participants must have measurable disease defined as at least one target lesion that has not been irradiated and can be accurately measured in at least one dimension by RECIST v1.1 criteria.
• Participants must have received prior systemic chemotherapy treatment for metastatic urothelial carcinoma. NOTE: Up to 2 prior systemic chemotherapeutic regimens given in the metastatic disease setting for urothelial carcinoma are allowed.
• Specifically, subjects must meet one or more of the following criteria:
• Progression during or after treatment with a regimen that includes a platinum salt (e.g., carboplatin or cisplatin) OR
• Disease recurrence within one year after neoadjuvant or adjuvant platinum-based systemic chemotherapy, measured from the date of last dose of chemotherapy or surgery until the day the informed consent is signed
• Participants must be ≥18 years since no dosing or adverse event data are currently available on the use of OGX-427 in participants <18 years of age.
• Minimum of 21 days have elapsed since prior major surgery, with recovery from any adverse events.
• Minimum of 14 days have elapsed since any prior radiation therapy, with recovery from any adverse events.
• The effects of OGX-427 on the developing human fetus are unknown. For this reason, women of child-bearing potential and men must agree to use adequate contraception (hormonal or barrier method of birth control; abstinence) prior to study entry and for the duration of study participation. Should a woman become pregnant or suspect she is pregnant while participating in this study, she should inform her treating physician immediately.
• Ability to understand and the willingness to sign a written informed consent document.

You may not qualify if…

• History of treatment with docetaxel in any setting. Participants treated with prior paclitaxel are eligible.
• Prior enrollment in the OncoGenex Phase 2 Study OGX-427-02.
• Participants may not be receiving other investigational agents.
• Participants with known brain or spinal cord metastases are excluded from this clinical trial because of their poor prognosis and because they often develop progressive neurologic dysfunction that would confound the evaluation of neurologic and other adverse events. NOTE: Brain imaging is not required unless the patient has symptoms or physical signs of central nervous system (CNS) disease.
• History of allergic reactions or severe hypersensitivity reactions to drugs formulated with polysorbate 80 or antisense oligonucleotides.
• Peripheral neuropathy ≥Grade 2.
• Uncontrolled intercurrent illness including, but not limited to ongoing or active infection or psychiatric illness/social situations that would limit compliance with study requirements.
• Cerebrovascular accident or pulmonary embolus within 3 months of randomization.
• Pregnant women and breast feeding women are excluded from this study because of the risk to a fetus due to docetaxel chemotherapy and OGX-427 systemic treatment (fertility toxicology studies have not been completed for OGX-427).
• Active second malignancy (except non-melanomatous skin cancer or incidental prostate cancer found on cystectomy): active secondary malignancy is defined as a current need for cancer therapy or a high possibility (>30%) of recurrence during the study.

Where it is running

• University of Alabama Hematology Oncology Clinic at Medical West — Birmingham, Alabama, United States
• City of Hope: Duarte — Duarte, California, United States
• City of Hope: Antelope Valley — Lancaster, California, United States
• USC: Norris Comprehensive Cancer Center — Los Angeles, California, United States
• UCLA: Jonsson Comprehensive Cancer Center — Los Angeles, California, United States
• IU Health Goshen Hospital — Goshen, Indiana, United States
• Indiana University Melvin & Bren Simon Cancer Center — Indianapolis, Indiana, United States
• IU Health Central Indiana Cancer Centers — Indianapolis, Indiana, United States
• IU Health at Ball Memorial Hospital — Muncie, Indiana, United States
• University of Maryland: Greenebaum Cancer Center — Baltimore, Maryland, United States
• Johns Hopkins University: Sidney Kimmel Comprehensive Cancer Center — Baltimore, Maryland, United States
• Dana-Farber Cancer Institute — Boston, Massachusetts, United States
• University of Michigan Cancer Center — Ann Arbor, Michigan, United States
• Siteman Cancer Center — St Louis, Missouri, United States
• Nebraska Cancer Specialists — Omaha, Nebraska, United States
• Dartmouth-Hitchcock Medical Center: Norris Cotton Cancer Center — Manchester, New Hampshire, United States
• Memorial Sloan-Kettering Cancer Center: Basking Ridge — Basking Ridge, New Jersey, United States
• John Theurer Cancer Center: Hackensack University Medical Center — Hackensack, New Jersey, United States
• Rutgers Cancer Institute of New Jersey — New Brunswick, New Jersey, United States
• University of New Mexico Cancer Center: Albuquerque — Albuquerque, New Mexico, United States
• University of New Mexico Cancer Center: Las Cruces — Las Cruces, New Mexico, United States
• Roswell Park Cancer Institute — Buffalo, New York, United States
• Memorial Sloan-Kettering Cancer Center: Commack — Commack, New York, United States
• New York University Clinical Cancer Center — New York, New York, United States
• Memorial Sloan-Kettering Cancer Center: Main Campus — New York, New York, United States

Full record on ClinicalTrials.gov

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