Oral administration of S 78454 in combination with cisplatin in patients with advanced non-keratinising nasopharyngeal carcinoma

ISRCTN ISRCTN96922360
DOI https://doi.org/10.1186/ISRCTN96922360
Protocol serial number CL1-78454-009
Sponsor Institut de Recherches Internationales Servier (France)
Funder Institut de Recherches Internationales Servier (France)
Submission date
19/04/2012
Registration date
08/06/2012
Last edited
18/04/2018
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Cancer
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Not provided at time of registration and not expected to be available in the future

Contact information

Dr Boon Cher Goh
Scientific

National University Cancer Institute
Department of Haematology - Oncology
5 Lower Kent Ridge Road
Main Building 1, Level 3
-
119074
Singapore

Study information

Primary study designInterventional
Study designMulticentre international non-randomised non-comparative open-label phase I study
Secondary study designNon randomised study
Study type Participant information sheet
Scientific titlePhase I dose escalation study of oral administration of Pan-Histone Deacetylase (HDAC) inhibitor S 78454 given in combination with a fixed dose infusion of cisplatin in patients with advanced non-keratinising nasopharyngeal carcinoma.
Study objectivesEstablish the safety and tolerability of S 78454 given in combination with a fixed dose infusion of cisplatin in patients with advanced non-keratinising nasopharyngeal carcinoma in terms of the maximum tolerated dose (MTD) and the dose-limiting toxicities (DLTs), and establish the recommended Phase II dose (RP2D).
Ethics approval(s)Ethics approval was obtained before recruitment of the first participants
Health condition(s) or problem(s) studiedAdvanced non-keratinising nasopharyngeal carcinoma
InterventionS 78454 capsules 80 mg twice a day (b.i.d.) to 140mg b.i.d.

Cisplatin / 1 infusion per cycle / 75mg/m² maximum

1. At least 2 cycles of combination treatment.
2. Cisplatin limited to 6 cycles
3. S78454 as long as the disease does not progress and treatment sufficiently tolerated or consent withdrawal
Intervention typeDrug
PhasePhase I
Drug / device / biological / vaccine name(s)Cisplatin
Primary outcome measure(s)

1. MTD and DLTs of oral S 78454 capsules with a fixed dose infusion of cisplatin
2. Establish the recommended phase II dose

Key secondary outcome measure(s)

1. Safety profile (adverse events, laboratory tests, physical exam, ECOG, vital signs, ECG, clinical neurological examination, audiometric tests)
2. To determine pharmacokinetic (PK) profile
3. Measure Tumour response according to revised Response Evaluation Criteria In Solid Tumors (RECIST)_ and plasma Epstein-Barr Virus (EBV) DNA levels

Completion date30/11/2013

Eligibility

Participant type(s)Patient
Age groupAdult
SexAll
Target sample size at registration40
Key inclusion criteria1. Male or female patients aged ≥21 (Singapore) ≥20 (Taiwan)
2. Histologically documented, measurable or evaluable advanced non-keratinising nasopharyngeal carcinoma, that has relapsed or is refractory to conventional, standard forms of therapy.
3. Ability to swallow oral capsule(s) without difficulty
4. Eastern Cooperative Oncology Group (ECOG) performance status ≤ 1
5. Estimated life expectancy > 12 weeks
6. Adequate haematological, renal and hepatic functions-Serum albumin 30 g/L
7. Written informed consent
Key exclusion criteria1. Pregnant or breastfeeding women, women of childbearing potential or men without effective contraception
2. Involvement in another clinical trial at the same time or within 4 weeks prior to inclusion, or patient already enrolled in the study
3. Major surgery within previous 4 weeks
4. Chemotherapy within previous 3 weeks (6 weeks in case of nitroso-ureas)
5. Biologic/target therapy or immunologic agents within previous 3 weeks
6. Radiotherapy within previous 4 weeks (except for palliative radiotherapy at localised lesions)
7. Abnormal thyroid function (defined as thyroid-stimulating hormone or free T4) except for patients with hypothyroidism diagnosed prior to study entry and stable on thyroid replacement
8. Concurrent therapeutic anticoagulation by anti-vitamin K (AVK)
9. Uncontrolled diabetes mellitus
10. Concomitant uncontrolled infection or severe systemic disease
11. Symptomatic or progressive brain metastasis
12. Patients with pre-existing gastrointestinal disorders
13. Patient with impaired cardiac function
14. Prior exposure to any Histone deacetylase inhibitors (HDACi)
15. Known organ dysfunction
16. Peripheral neuropathy > grade 1
17. Hearing impairment/tinnitus > grade 2
18. Known hypersensitivity to cisplatin
Date of first enrolment01/03/2012
Date of final enrolment30/11/2013

Locations

Countries of recruitment

  • Singapore
  • Taiwan

Study participating centre

National University Cancer Institute
-
119074
Singapore

Results and Publications

Individual participant data (IPD) Intention to shareYes
IPD sharing plan summaryAvailable on request
IPD sharing planThe datasets generated during and/or analysed during the current study will be available upon request from https://clinicaltrials.servier.com if a Marketing Authorisation has been granted after 1st January 2014.

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Basic results No No
Participant information sheet Participant information sheet 11/11/2025 11/11/2025 No Yes

Editorial Notes

18/04/2018: Internal review.
28/03/2018: Publication and dissemination plan and IPD sharing statement updated.
24/01/2018: Publication plan and IPD sharing statement added.
29/11/2017: Results summary added.
17/12/2015: Sponsoring/funding responsibility for the S 78454 project was transferred from Servier, France to Pharmacyclics, USA on 23/11/2014. However, as this study has already been completed at this time, the sponsor/funder remains stated as Servier. However, in case of any questions, please contact Pharmacyclics (info@pcyc.com).