A Study to Determine the Bioequivalence of Oraxol in Cancer Patients Treated With Intravenous Paclitaxel
Status:
Completed
Trial end date:
2019-03-27
Target enrollment:
Participant gender:
Summary
This is a multicenter, open-label, 2-stage study with a 2-treatment period crossover design.
Eligible participants are adults with cancer for whom weekly therapy with IV paclitaxel at a
dose of 80 mg/m2 over 1 hour is indicated.
Stage 1 will consist of an initial cohort (Cohort 1) up to 6 evaluable participants who will
receive a dosing regimen of Oraxol consisting of a 15-mg oral HM30181AK-US tablet plus an
oral paclitaxel dose of 205 mg/m2, both administered once daily for 3 consecutive days. The
stages and cohorts are further described in the "Study Design - Stages and Cohorts" table
below. An interim analysis of pharmacokinetic (PK) data from Cohort 1 will be conducted to
determine if the administered regimen would appear likely to achieve BE (AUC0-∞), if tested
in a greater number of participants in Stage 2. If it appears unlikely that the selected
regimen will meet the criteria for BE based on AUC0-∞ data, a second cohort (Cohort 2) of up
to 6 evaluable participants may be enrolled in Stage 1, and the dose of paclitaxel in Oraxol
may be adjusted by a maximum of +/- 25%. If Cohort 2 is enrolled, a second interim analysis
will be conducted.
After the interim analysis/analyses (depending on the outcomes), a decision will be made by
consensus of the DSMB, Kinex, Zenith Technology, and the Principal Investigator as to what
dose should be administered in Stage 2. The DSMB will consist of a clinical oncologist, an
ethicist, an independent statistician, and additional members, as deemed necessary. A DSMB
charter will describe the planned evaluations and decision points used to determine the dose
for Stage 2. An additional 18 to 42 evaluable participants will be enrolled into Stage 2
based on the Stage 1 results (AUC0-∞). Thus a total of up to 54 evaluable participants could
potentially be enrolled in this study (6 each from Stage 1, Cohorts 1 and 2, and up to 42
participants in Stage 2).