Liposomal Irinotecan Plus Cisplatin: Liposomal irinotecan and cisplatin are administered intravenously on Days 1 and 15 of each 28-day cycle.
Study summary
Phase I trial, Multiple centers, open-label, non-randomized single-arm study
Eligibility
Sex
ALL
Min age
20 Years
Max age
85 Years
Healthy volunteers
No
Inclusion Criteria:
* 1\. Patients with age 20-85 years old.
* 2\. Cytologically or histologically confirmed solid malignancies which are locally advanced, recurrent or metastatic diseases. The disease cannot be cured by surgical intervention or local therapies.
* 3\. The malignancies are refractory to standard systemic therapy or there is no available systemic therapy.
* 4\. Followings are the diseases entities which are limited in each part:
* a. Dose escalation phase (cohort 1): non-small cell lung cancer, small cell lung cancer, gastric cancer, neuroendocrine carcinoma, biliary tract cancer (including intrahepatic cholangiocarcinoma \[CCA\], extrahepatic CCA, gallbladder cancer, ampullary cancer), ovarian cancer, esophageal cancer, thymoma or thymic carcinoma.
* b. Dose expansion phase (cohort 2): only thymic carcinoma.
* 5\. Radiologically measurable disease as defined by RECIST v1.1.
* 6\. Baseline ECOG performance status score 0-1.
* 7\. Life expectancy of at least 12 weeks.
* 8\. Adequate hematologic parameters, and hepatic and renal functions defined as
* a. Absolute neutrophil count ≥ 1500 /μL (without growth factor support at least 7 days).
* b. Platelets ≥ 90000 /μL (evaluated at least 7 days after last platelet transfusion).
* c. Hemoglobin ≥ 9 g/dL (evaluated at least 14 days after last RBC transfusion).
* d. Total bilirubin ≤ 1.5X ULN.
* e. AST/ALT ≤ 2.5X ULN (≤ 5X ULN if attributable to liver metastases).
* f. serum creatinine ≤ 1.5 x ULN or creatinine clearance rate (CCr) ≥ 50 mL/min (calculated by Cockcroft-Gault formula \[CCr={((140-age) x weight \[kg\])/(72x serum creatinine \[mg/dL\])}x 0.85 (if female)\] or 24-hour urine collection).
* 9\. Normal ECG or ECG without any clinical significant findings.
* 10\. Able to understand and sign an informed consent (or have a legal representative who is able to do so).
* 11\. Women or men of reproductive potential should agree to use an effective contraceptive method.
Exclusion Criteria:
* 1\. Patients who have major surgery, radiotherapy or other systemic chemotherapy or immunotherapy within 3 weeks are not eligible. Patients who have palliative radiotherapy will be eligible if the irradiated area does not involve the only lesion of measurable / evaluable disease.
* 2\. Patient with history of severe allergy to liposomal irinotecan (nal-IRI; ONIVYDE®) or cisplatin.
* 3\. Significant cardiovascular impairment: (1) history of congestive heart failure greater than New York Heart Association (NYHA) Class II, left ventricular ejection fraction\< 50%; or (2) unstable angina, myocardial infarction or stroke within 6 months; or (3) uncontrolled cardiac arrhythmia.
* 4\. Patients with electrolyte abnormalities that have not been corrected.
* 5\. Patients with active metastatic lesions in central nervous system, or need prednisolone ≥ 10 mg/day to control related symptoms
* 6\. Patients with active bacterial, fungal, tuberculosis or human immunodeficiency virus infection
* 7\. Patients with positive hepatitis B surface antigen (HBsAg) but not receiving anti-hepatitis B drug. Patients who have positive HBsAg, positive anti-HBc, or positive anti-HCV are eligible if the corresponding HBV-DNA or HCV-RNA are undetectable.
* 8\. Subjects who have not recovered adequately from any toxicity from other anti-cancer treatment regimens and/or complications from major surgery prior to starting therapy.
* 9\. Patients who have peripheral neuropathy \> grade I of any etiology.
* 10\. Patients who have serious concomitant systemic disorders incompatible with the study, i.e. poorly controlled diabetes mellitus, auto-immune disorders, or other condition that in the opinion of the investigator would preclude the subject's participation in the study.
* 11\. Patients who have other prior or concurrent malignancy except for adequately treated in situ carcinoma or basal cell carcinoma of skin, or any malignancy which remains disease-free for 3 or more years after curative treatment.
* 12\. Females who are breastfeeding or pregnant at screening or baseline.
* 13\. Patients with psychiatric illness which would preclude study compliance.
* 13\. Patients with psychiatric illness which would preclude study compliance.
* 14\. Patients who have received any prior treatment with ONIVYDE® (liposomal irinotecan) or irinotecan-containing regimens
Primary outcome measure(s)
Maximum Tolerated Dose (MTD) and Recommended Phase 2 Dose (RP2D) — During cycle one, approximately 28 days To determine the maximum tolerated dose (MTD) and recommended phase 2 dose (RP2D) of liposomal irinotecan (nal-IRI) in combination with cisplatin in patients with advanced or metastatic solid malignancies.
Trial sites (6)
Facility
City
Region
Status
China Medical University Hospital
Taichung
Taiwan
Taichung Veterans General Hospital
Taichung
Taiwan
National Cheng Kung University Hospital
Tainan
Taiwan
MacKay Memorial Hospital
Taipei
Taiwan
National Taiwan University Hospital
Taipei
Taiwan
Taipei Veterans General Hospital
Taipei
Taiwan
More National Health Research Institutes, Taiwan trials in China
This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.
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