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Anti-tumor antibiotic

Peposertib + Chemotherapy for Ovarian Cancer

Phase 1
Waitlist Available
Led By Rachel N Grisham
Research Sponsored by National Cancer Institute (NCI)
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Patients with evidence of chronic hepatitis B virus (HBV) infection must have undetectable HBV viral load on suppressive therapy, if indicated
Patients must have a cardiac ejection fraction >= the institutional lower limit of normal (LLN)
Must not have
History of allergic reactions attributed to compounds of similar chemical or biologic composition to peposertib (M3814) or pegylated liposomal doxorubicin
Significant (uncontrolled) cardiac conduction abnormalities
Timeline
Screening 3 weeks
Treatment Varies
Follow Up up to 3 years
Awards & highlights
No Placebo-Only Group

Summary

This trial is testing peposertib + pegylated liposomal doxorubicin hydrochloride to treat ovarian cancer. The combination may work better than doxorubicin hydrochloride alone.

Who is the study for?
This trial is for women with recurrent ovarian, fallopian tube, or primary peritoneal cancer. Participants must have had at least one prior platinum-based chemotherapy and can be of any age above 18. They should not be pregnant or breastfeeding and must agree to use contraception. People with certain heart conditions, uncontrolled illnesses, or those unable to take oral medication are excluded.
What is being tested?
The study is testing the combination of a new drug called Peposertib with standard chemotherapy (pegylated liposomal doxorubicin hydrochloride) against ovarian cancer that has returned after treatment. The goal is to find out if this combo is more effective than the standard chemo alone.
What are the potential side effects?
Possible side effects include reactions related to Peposertib such as fatigue, nausea, and potential liver issues; plus typical chemo side effects like hair loss, mouth sores, low blood counts leading to increased infection risk, and heart problems.

Eligibility Criteria

Inclusion Criteria

You may be eligible if you check “Yes” for the criteria below
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I have chronic hepatitis B but it's under control with treatment.
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My heart's pumping ability is within the normal range.
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I have recurrent or persistent ovarian, fallopian tube, or peritoneal cancer.
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I am 18 years old or older.
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I can take care of myself but might not be able to do active work.
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I have had platinum-based chemotherapy before.

Exclusion Criteria

You may be eligible for the trial if you check “No” for criteria below:
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I have allergies to medications similar to peposertib or pegylated liposomal doxorubicin.
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I have serious heart rhythm problems that aren't under control.
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I do not have any uncontrolled illnesses or active infections.
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I have been treated with anthracyclines for ovarian cancer.
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I cannot stop taking my current medications or herbal supplements that may affect peposertib treatment.
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I cannot take pills by mouth.
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I am currently taking sorivudine or a similar drug.

Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~up to 3 years
This trial's timeline: 3 weeks for screening, Varies for treatment, and up to 3 years for reporting.

Treatment Details

Study Objectives

Study objectives can provide a clearer picture of what you can expect from a treatment.
Primary study objectives
Incidence of adverse events
Secondary study objectives
Pharmacokinetics (PK) parameters of nedisertib
Other study objectives
Progression-free survival
Neoplasms

Awards & Highlights

No Placebo-Only Group
All patients enrolled in this study will receive some form of active treatment.

Trial Design

1Treatment groups
Experimental Treatment
Group I: Treatment (peposertib, PLD)Experimental Treatment7 Interventions
Patients receive peposertib PO BID on days 1-21, days 1-28, or days 1-7 (depending on dose level) and pegylated liposomal doxorubicin hydrochloride IV on day 1. Cycles repeat every 28 days in the absence of disease progression or unacceptable toxicity. Patients also undergo CT scan or MRI during screening and every 8 weeks and after 6 months of study treatment, every 12 weeks. Patients undergo ECHO during screening and every 6 months. Starting in cycle 13, patients undergo ECHO or MUGA scan every 2 cycles. Additionally, patients undergo blood sample collection throughout the study.
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Biospecimen Collection
2004
Completed Phase 3
~2030
Computed Tomography
2017
Completed Phase 2
~2790
Echocardiography
2013
Completed Phase 4
~11580
Magnetic Resonance Imaging
2017
Completed Phase 3
~1180
Multigated Acquisition Scan
2015
Completed Phase 3
~270
Pegylated Liposomal Doxorubicin Hydrochloride
2001
Completed Phase 3
~4520
Peposertib
2021
Completed Phase 1
~20

Find a Location

Who is running the clinical trial?

National Cancer Institute (NCI)Lead Sponsor
13,945 Previous Clinical Trials
41,024,670 Total Patients Enrolled
24 Trials studying Fallopian Tube Carcinoma
4,263 Patients Enrolled for Fallopian Tube Carcinoma
Rachel N GrishamPrincipal InvestigatorJHU Sidney Kimmel Comprehensive Cancer Center LAO
~4 spots leftby Jun 2025