ClinicalTrials.gg
TerminatedNCT03146663Updated Feb 21, 2021Results posted

NUC-1031 in Patients With Platinum-Resistant Ovarian Cancer

A Phase 2 interventional study of NUC-1031 500 mg and NUC-1031 750mg in Ovarian Cancer, sponsored by NuCana plc. Terminated at 17 sites in 2 countries. Open to female participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2021-02-21.

Sponsored by NuCana plc · Phase 2, Interventional, and Treatment

Why this study was terminated
Despite promising efficacy and a good tolerability profile in Part I, it was decided not to initiate Part II as the pre-specified boundary for efficacy was uncertain to be met in this heavily pre-treated population with significant co-morbidities
Phase
Phase 2
Study type
Interventional
Enrollment
53
Allocation
Randomized
Ages
18 Years and older
Sex
Female
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 1,777 studies in Ovarian Neoplasms with a site in United States — 279 open to participants now, 454 under way, 46 of them phase 3. Ovarian Neoplasms · United States.

Enrollment
680th of 1,496
53 · median 47
Started
2017
with 76 others
Phase 2
485 of 1,777
53 open now
Registered
1,037th of 1,777
by date

Among the 1,777 studies in Ovarian Neoplasms with a site in United States, this one is the 680th largest by enrollment of the 1,496 interventional ones that give a count, is one of 77 that started in 2017, is one of 485 in phase 2, and was the 1,037th registered.

Ovarian Neoplasms

3,381 studies on the registry are indexed under Ovarian Neoplasms; 790 are open to participants now.

Browse Ovarian Neoplasms studies →

Open to participants now

279 of the 1,777 studies in Ovarian Neoplasms with a site in United States are open now. Recruiting first, the newest first:

274 more — sign in →

All 279 open studies →

A study can be open while its sites in United States have not opened yet or have stopped. Only those recruiting at a site in United States →

Who these studies take

Of the 606 Ovarian Neoplasms studies recruiting now, 443 (73%) set no upper age limit and 107 (18%) stop at 75 or younger; 39 take children under 18; 45 take healthy volunteers.

This study: 18 Years and older · female · no healthy volunteers.

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02

Study summary

This study was designed to evaluate the effect of two dose levels of NUC-1031 (500 mg/m2 and 750mg/m2) in patients with ovarian cancer. The primary objective was to determine the anti-tumor activity of NUC-1031 at the selected dose level (500 mg/m2 or 750 mg/m2).

Read the detailed description

A total of 53 patients were randomized, of whom 51 patients were treated in Part I of the study, 24 patients in the 500 mg/m2 arm and 27 patients in the 750 mg/m2 arm. Eligible, consenting patients received NUC-1031 by IV infusion on Days 1, 8, and 15 of each 28-day cycle. Patients continued to receive NUC-1031 until the occurrence of disease progression and underwent imaging every 8 weeks. After disease progression, patients were followed for overall survival.

Part II of the study was designed to select one of the treatment dose levels for further evaluation based on clinical and laboratory assessments of patients recruited in Part I. Despite promising efficacy and a good tolerability profile in Part I, it was decided not to initiate Part II as the pre-specified boundary for efficacy was uncertain to be met in this heavily pre-treated population with significant co-morbidities.

03

Conditions studied

  • Ovarian Cancer

Keywords

  • Platinum-resistant
  • ovarian neoplasm
  • antineoplastic agents
  • ovarian diseases
  • cancer of the ovary
04

Who can participate

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

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Provision of signed written .
  2. Original diagnosis and/or histological confirmation of high-grade serous, high-grade endometrioid, undifferentiated/unclassifiable epithelial ovarian, fallopian tube or primary peritoneal cancer.
  3. Time from the last line of platinum-based chemotherapy of less than 6 months.
  4. Received at least 3 prior chemotherapy-containing regimens.
  5. Age ≥18 years.
  6. Ability to comply with protocol requirements.
  7. Patients are not of or they must agree to use a physical method of .

Exclusion criteria

Exclusion Criteria:

  1. Disease that progressed while receiving initial line of platinum-based chemotherapy.
  2. Received fewer than 3 prior chemotherapy-containing regimens.
  3. Prior therapy with single-agent gemcitabine.
  4. Prior history of to gemcitabine.
  5. Prior chemotherapy, radiation (other than short cycle of radiation to reduce bone pain), treatment with a VEGF inhibitor, PARP inhibitor or immunotherapy within 21 days of first receipt of study drug. Hormone therapy within 14 days of first receipt of study drug.
  6. Residual side effects from chemotherapy or radiation, which have not gotten better except for nerve pain or tingling or hair loss.
  7. Patients who have a history of another type of cancer diagnosed within the past 5 years, with the exception of adequately treated non-melanoma skin cancer curatively treated cervical cancer or ductal carcinoma in situ (DCIS) of the breast.
  8. Presence of an serious illness, uncontrolled illness, or active infection requiring IV antibiotics.
  9. Presence of any serious illnesses, serious medical conditions, serious medical history, active bacterial or viral infections including or C, or known to be positive.
  10. Currently pregnant, lactating or breastfeeding.
  11. History of blocked intestines because of ovarian cancer, unless fully resolved.
Terms in these criteria, in plain language(6)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
53 participants (actual)

Study arms

  • Experimental
    Arm A

    NUC-1031 500 mg/m2 administered on Days 1, 8, and 15 of 28-day cycles

    Drug: NUC-1031 500 mg

  • Experimental
    Arm B

    NUC-1031 750 mg/m2 administered on Days 1, 8, and 15 of 28-day cycles

    Drug: NUC-1031 750mg

Interventions

  • NUC-1031 500 mg/m2 on Days 1, 8, and 15 of a 28-day cycle.

    Also known as: fosgemcitabine palabenamide

  • NUC-1031 750 mg/m2 on Days 1, 8, and 15 of a 28-day cycle

    Also known as: fosgemcitabine palabenamide

06

What researchers measure

Primary outcomes

  1. Best Overall Response

    Best overall response to study treatment, as assessed by blinded independent central review according to RECIST v1.1, in the evaluable population of patients who received at least one dose of study treatment and had measurable disease at baseline. Complete Response (CR): disappearance of all target and non-target lesions, normalization of tumor markers, and pathological lymph nodes must have short axis measurements \<10 mm. Partial Response (PR): ≥30% decrease in the sum of measures of target lesions, taking as reference the baseline sum of diameters. Non-target lesions must be non-progressive disease. Stable Disease (SD): neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD taking as reference the smallest sum of diameters on study. Progressive Disease (PD): ≥20% increase in the sum of measured lesions taking as reference the smallest sum of diameters recorded on study and an absolute increase of ≥5mm.

    Time frame: Assessed from date of randomization until disease progression, up to end of the study (approximately 2 years)

07

Results

Posted Feb 21, 2021
Limitations and caveats
Despite promising efficacy and a good tolerability profile in Part I, it was decided not to initiate Part II as the pre-specified boundary for efficacy was uncertain to be met in this heavily pre-treated population with significant co-morbidities.

Participant flow

A total of 87 patients were screened, of whom 53 patients were randomized and 51 patients received at least one dose of NUC-1031. These 51 patients were included in the full analysis set and the safety analysis set.

Participant flow — Overall Study
MilestoneArm AArm B
Started2528
Completed2427
Not completed11
Withdrew: Did not receive study treatment11

Outcome measures

PrimaryBest Overall Response

Best overall response to study treatment, as assessed by blinded independent central review according to RECIST v1.1, in the evaluable population of patients who received at least one dose of study treatment and had measurable disease at baseline. Complete Response (CR): disappearance of all target and non-target lesions, normalization of tumor markers, and pathological lymph nodes must have short axis measurements \<10 mm. Partial Response (PR): ≥30% decrease in the sum of measures of target lesions, taking as reference the baseline sum of diameters. Non-target lesions must be non-progressive disease. Stable Disease (SD): neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD taking as reference the smallest sum of diameters on study. Progressive Disease (PD): ≥20% increase in the sum of measured lesions taking as reference the smallest sum of diameters recorded on study and an absolute increase of ≥5mm.

Time frame:
Assessed from date of randomization until disease progression, up to end of the study (approximately 2 years)
Reported as:
Count of participants · Participants
Best Overall Response
ParticipantsArm AArm B
Complete response01
Partial response20
Stable disease88
Progressive disease1210
Not evaluable12
Missing15
Post-hocBest Overall Response (in Evaluable for Response Set)

Post-hoc analysis of best overall response to study treatment, as assessed by blinded independent central review according to RECIST v1.1, in the per protocol evaluable for response set of patients. Per protocol evaluable for response set is defined as all patients from the Full Analysis Set who had measurable disease at baseline, at least one post-baseline scan and who received a dose of NUC-1031 on all dosing days of Cycle 1.

Time frame:
Assessed from date of randomization until disease progression, up to end of the study (approximately 2 years)
Reported as:
Count of participants · Participants
Best Overall Response (in Evaluable for Response Set)
ParticipantsArm AArm B
Complete response01
Partial response20
Stable disease61
Progressive disease83
Not evaluable10

Adverse events

Collected over Date of consent until 30 days after the last dose of study treatment, up to end of the study (approximately 2 years). Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Arm A21/24 (87.5%)8/24 (33.3%)24/24 (100%)
Arm B21/27 (77.8%)10/27 (37%)26/27 (96.3%)
Most frequent serious events
Showing 10 of 21
Most frequent serious events
EventArm AArm B
VomitingGastrointestinal disorders2/242/27
ConstipationGastrointestinal disorders1/240/27
Small intestinal obstructionGastrointestinal disorders1/240/27
InfectionInfections and infestations1/241/27
BacteraemiaInfections and infestations1/240/27
Lung infectionInfections and infestations1/240/27
PyrexiaGeneral disorders1/241/27
Super vena cava syndromeVascular disorders1/240/27
LeukocytosisBlood and lymphatic system disorders1/240/27
Pulmonary embolismRespiratory, thoracic and mediastinal disorders1/240/27
Most frequent other events
Showing 10 of 47
Most frequent other events
EventArm AArm B
NauseaGastrointestinal disorders16/2415/27
FatigueGeneral disorders16/2414/27
VomitingGastrointestinal disorders12/2412/27
DiarrhoeaGastrointestinal disorders10/245/27
DyspnoeaRespiratory, thoracic and mediastinal disorders9/240/27
ConstipationGastrointestinal disorders8/245/27
AnaemiaBlood and lymphatic system disorders8/246/27
PyrexiaGeneral disorders7/242/27
Alanine aminotransferase increasedInvestigations7/246/27
Decreased appetiteMetabolism and nutrition disorders7/246/27

Baseline characteristics

Age, Customized
Age, Customized(Participants)Arm AArm BTotal
<55 years6410
55 - <66 years61016
66 - 75 years91019
>75 years448
Sex/Gender, Customized
Sex/Gender, Customized(Participants)Arm AArm BTotal
Female252853
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Arm AArm BTotal
Hispanic or Latino101
Not Hispanic or Latino242852
Unknown or Not Reported000
Race/Ethnicity, Customized
Race/Ethnicity, Customized(Participants)Arm AArm BTotal
Asian101
Black/African American022
White232649
Other101
Original diagnosis
Original diagnosis(Participants)Arm AArm BTotal
Ovarian162036
Fallopian tube426
Primary peritoneal358
Other202
Not recorded011
Metastatic disease
Metastatic disease(Participants)Arm AArm BTotal
Yes252651
No011
Not recorded011
Time since initial diagnosis
Time since initial diagnosis(years)Arm AArm BTotal
Median4.3 (1.8 to 17.3)5.6 (1.7 to 15.6)5.0 (1.7 to 17.3)
Histology
Histology(Participants)Arm AArm BTotal
High grade serous242347
High grade endometroid112
Other033
Not recorded011

9 further baseline measures are reported on the registry.

08

Study locations

17 sites
  • Arizona Oncology Associates, PC - HAL
    Phoenix, Arizona 85016, United States
  • Arizona Oncology Associates, PC - HOPE
    Tucson, Arizona 85711, United States
  • Rocky Mountain Cancer Centers, LLP
    Lakewood, Colorado 80228, United States
  • Florida Cancer Specialists and Research Institute
    Saint Petersburg, Florida 33705, United States
  • Minnesota Oncology Hematology, P.A.
    Edina, Minnesota 55435-2150, United States
  • SCRI - HCA Health Midwest
    Kansas City, Missouri 64132, United States
  • Nashville Tennessee Oncology
    Nashville, Tennessee 37203, United States
  • Texas Oncology - South Austin
    Austin, Texas 78745, United States
  • Texas Oncology The Woodlands, Gynecologic Oncology
    The Woodlands, Texas 77380, United States
  • Texas Oncology - Tyler
    Tyler, Texas 75702, United States
  • Edinburgh Cancer Centre
    Edinburgh, EH4 2XR, United Kingdom
  • Cancer Research UK Clinical Trial Unit
    Glasgow, G12 0YN, United Kingdom
  • St Bartholomew's Hospital
    London, EC1A 7BE, United Kingdom
  • University College London Hospital
    London, NW1 2PG, United Kingdom
  • Royal Marsden Hospital
    London, SW3 6JJ, United Kingdom
  • Imperial College Healthcare NHS Trust
    London, W12 0HS, United Kingdom
  • Oxford University Hospital Foundation Trust
    Oxford, OX3 7LE, United Kingdom
09

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: No — No IPD will be shared.

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Sep 2017 to primary completion in Dec 2019, 27 months.

Results were first posted in Feb 2021, 1 year 1 month after primary completion.

How these figures are worked out, and which studies are left out of them.

Registered
May 4, 2017
First posted
May 10, 2017
StartActual
Sep 28, 2017
Primary completionActual
Dec 31, 2019
CompletionActual
Dec 31, 2019
Results first posted
Feb 21, 2021
Last update
Feb 21, 2021
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Feb 21, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03146663
Lead sponsor
NuCana plc
Responsible party
Sponsor
First posted
May 10, 2017
Start date
Sep 28, 2017
Primary completion
Dec 31, 2019
Completion
Dec 31, 2019
Results posted
Feb 21, 2021
Last update
Feb 21, 2021

Study contacts

Elisabeth Oelmann, MD PhD
study director · NuCana plc

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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