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CompletedNCT00666991Updated Feb 27, 2014

Pharmacokinetic, Safety and Efficacy Study of Nanoparticle Paclitaxel in Patients With Peritoneal Cancers

A Phase 1 interventional study of nanoparticulate paclitaxel in Peritoneal Neoplasms, sponsored by CritiTech, Inc.. Completed at 3 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2014-02-27.

Sponsored by CritiTech, Inc. · Phase 1, Interventional, and Treatment

Phase
Phase 1
Study type
Interventional
Enrollment
22
Allocation
Non-randomized
Ages
18 Years and older
Sex
All
01

Study summary

The purpose of this study is to evaluate the safety, pharmacokinetics and preliminary efficacy of an intraperitoneally administered suspension of nanoparticulate paclitaxel in patients with refractory malignancies principally confined to the peritoneal cavity.

Read the detailed description

This is an open-label, Phase 1, dose-escalation study evaluating the safety, pharmacokinetics and preliminary efficacy of an intraperitoneally administered suspension of nanoparticle paclitaxel (Nanotax) in patients with refractory malignancies principally confined to the peritoneal cavity.

Nanotax will be administered via intraperitoneal infusion once every 28 days (equals one treatment cycle), continuing on this treatment schedule until disease progression or unacceptable toxicity is experienced.

This study will treat one patient per predefined dose level until one patient experiences a dose limiting toxicity (DLT) or until one patient has a Grade 2 or higher non-hematological toxicity or a Grade 3 or higher hematological toxicity during the first cycle of treatment. At this time, two additional patients will be treated at this dose level. If these 2 additional patients do not experience a DLT, then the next cohort of three patients will be treated at the next highest dose level. If 2/3 or 3/3 patients experience a DLT then the next cohort of three patients is enrolled at the next lower dose level. If 1/3 of the patients experience a DLT, then the next cohort of three patients is enrolled at the same dose level. If 0/3 patients experience a DLT, then the next cohort of three patients is enrolled at the next highest dose level. If 2 (or more)/6 patients at a given level experience a DLT, then the maximum tolerated dose has been exceeded and another cohort of three patients is treated at the next lower dose level.

The protocol will not treat above the highest dose level of 275 mg/m2.

Adverse event data will be collected throughout the study. Peritoneal fluid and blood samples will be collected prior to Nanotax administration and up to 14 days following infusion for Cycle 1 and Cycle 2 only. Evaluation of tumor response using RECIST criteria will be conducted following each treatment cycle.

02

Conditions studied

  • Peritoneal Neoplasms

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Keywords

  • ovarian cancer
  • Mullerian tumors
  • peritoneal cavity carcinoma
  • gastrointestinal tract tumor
  • GI tract tumor
  • pancreatic cancer
  • colon cancer
03

In context

Peritoneal Neoplasms

361 studies on the registry are indexed under Peritoneal Neoplasms; 56 are open to participants now.

This study's enrollment of 22 is below the median of 45 across 288 interventional studies indexed under Peritoneal Neoplasms.

Browse Peritoneal Neoplasms studies →

Lead sponsor

This is the only study on the registry with CritiTech, Inc. as lead sponsor.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Patients must be at least 18 years of age.
  • Patients must have histologic or cytologic diagnosis of carcinoma predominantly confined to the peritoneal cavity.
  • Patients must have failed all potentially curative therapy and have no other systemic treatment options available for extra-peritoneal disease. Patients with ovarian cancer that are platinum sensitive must have failed primary and at least one salvage regimen. Patients may undergo surgical debulking prior to entry into the trial.
  • At least 28 days must have elapsed since completion of any other previous chemotherapy treatment received prior to registration in this study.
  • Patients may have received prior abdominal surgery greater than 2 weeks prior to registration. Patients must have recovered from all effects of the surgical procedure.
  • Patients must have a Zubrod Performance Status of 0 - 2.
  • Patients must have a pretreatment granulocyte count greater than or equal to 1,500/microliter and platelet count greater than or equal to 100,000/microliter obtained within 14 days prior to registration.
  • Patients must have adequate renal function as documented by a serum creatinine less than or equal to 1.5 times the institutional upper limit of normal obtained within 14 days prior to registration.
  • Patients must have adequate hepatic function as documented by a bilirubin of less than or equal to 2 times the institutional upper limit of normal and an SGOT less than 5 times the institutional upper limit of normal obtained within 14 days prior to registration. Patients with hepatobiliary stents are eligible for this trial if the bilirubin meets the above parameter.
  • There should be no plans for the patient to receive concomitant radiation therapy, hormonal therapy, or other chemotherapy for their tumor while on this protocol.

Exclusion criteria

Exclusion Criteria:

  • Patients with active inflammatory bowel disease or chronic diarrhea
  • Patients with uncontrolled hypertension, unstable angina, symptomatic congestive heart failure, myocardial infarction within previous 6 months or serious uncontrolled cardiac arrhythmia
  • Patients with active infection requiring systemic therapy
  • Pregnant or nursing women
  • Patients with Grade 2 or greater sensory neuropathy (by NCI Common Toxicity Criteria) at the time of study registration
  • Patients taking concomitant medications demonstrated to inhibit or induce CYP3A4 or CYP2C8
  • Patients with pre-existing conditions that prohibit the use of intravenous dexamethasone at the recommended dose
05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Single group
Masking
None (open label)
Enrollment
22 participants (actual)

Study arms

  • Experimental
    Nanotax, 50 mg/m2

    Nanoparticulate paclitaxel (Nanotax) administered via intraperitoneal infusion at a dose of 50 mg/m2 once every 28 days until progression or unacceptable toxicity

    Drug: nanoparticulate paclitaxel

  • Experimental
    Nanotax, 82.5 mg/m2

    Nanoparticulate paclitaxel (Nanotax) administered via intraperitoneal infusion at a dose of 82.5 mg/m2 once every 28 days until progression or unacceptable toxicity

    Drug: nanoparticulate paclitaxel

  • Experimental
    Nanotax, 125 mg/m2

    Nanoparticulate paclitaxel (Nanotax) administered via intraperitoneal infusion at a dose of 125 mg/m2 once every 28 days until progression or unacceptable toxicity

    Drug: nanoparticulate paclitaxel

  • Experimental
    Nanotax, 175 mg/m2

    Nanoparticulate paclitaxel (Nanotax) administered via intraperitoneal infusion at a dose of 175 mg/m2 once every 28 days until progression or unacceptable toxicity

    Drug: nanoparticulate paclitaxel

  • Experimental
    Nanotax, 225 mg/m2

    Nanoparticulate paclitaxel (Nanotax) administered via intraperitoneal infusion at a dose of 225 mg/m2 once every 28 days until progression or unacceptable toxicity

    Drug: nanoparticulate paclitaxel

  • Experimental
    Nanotax 275 mg/m2

    Nanoparticulate paclitaxel (Nanotax) administered via intraperitoneal infusion at a dose of 275 mg/m2 once every 28 days until progression or unacceptable toxicity

    Drug: nanoparticulate paclitaxel

Interventions

  • Drugnanoparticulate paclitaxel

    This is a Phase 1, dose-escalation study with 6 cohorts of 1 - 6 patients. Patients receive Nanotax via intraperitoneal infusion once every 28 days continuing on this treatment schedule until disease progression or unacceptable toxicity is experienced. Dosing cohorts are as follows: 50 mg/m2, 82.5 mg/m2, 125 mg/m2, 175 mg/m2, 225 mg/m2, and 275 mg/m2.

    Also known as: Nanotax

06

What researchers measure

Primary outcomes

  1. Determine maximum tolerated dose and to assess qualitative and quantitative toxicities

    Time frame: Through last patient visit

Secondary outcomes

  1. Determine preliminary anti-tumor activity using RECIST criteria

    Time frame: Through last patient visit

  2. Determine pharmacokinetics of intraperitoneal administration

    Time frame: Up to 14 days following Cycles 1 and 2

07

Study locations

3 sites
  • University of Kansas Medical Center
    Kansas City, Kansas 66160, United States
  • Cancer Center of Kansas
    Wichita, Kansas 67208, United States
  • Peggy and Charles Stephenson Oklahoma Cancer Center
    Oklahoma City, Oklahoma 73104, United States
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Feb 27, 2014, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT00666991
Lead sponsor
CritiTech, Inc.
Collaborators
University of Kansas Medical Center, Beckloff Associates, Inc.
Responsible party
Sponsor
First posted
Apr 25, 2008
Start date
Jul 2008
Primary completion
May 2013
Completion
May 2013
Last update
Feb 27, 2014

Study contacts

Gary Johnson, M.D.
principal investigator · University of Kansas Medical Center
Julia Chapman, M.D.
principal investigator · University of Kansas Medical Center
Thomas K Schulz, M.D.
principal investigator · Cancer Center of Kansas
Kathleen Moore, MD
principal investigator · Peggy and Charles Stephenson Oklahoma Cancer Center

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Feb 2014. You cannot join it, but the record below documents what was studied.

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