Consolidation Therapy With Hu3S193 for Women With Ovarian, Primary Peritoneal or Fallopian Tube Cancer

This study is ongoing, but not recruiting participants.
Sponsor:
Information provided by (Responsible Party):
Recepta Biopharma
ClinicalTrials.gov Identifier:
NCT01137071
First received: May 31, 2010
Last updated: March 21, 2014
Last verified: March 2014
  Purpose

RATIONALE: Monoclonal antibodies, such as Hu3S193, can block tumor growth in different ways. Some block the ability of tumor cells to grow and spread. Others find tumor cells and help kill them or carry tumor-killing substances to them.

PURPOSE: This phase II trial is studying how well Hu3S193 works as a consolidation therapy for women with relapsing platinum-sensitive ovarian, primary peritoneal or fallopian tube cancer.


Condition Intervention Phase
Fallopian Tube Cancer
Ovarian Cancer
Peritoneal Cavity Cancer
Biological: Monoclonal antibody Hu3S193
Biological: hu3S193
Phase 2

Study Type: Interventional
Study Design: Endpoint Classification: Safety/Efficacy Study
Intervention Model: Single Group Assignment
Masking: Open Label
Primary Purpose: Treatment
Official Title: A Phase II Trial of Hu3S193 Consolidation Therapy for Patients With Relapsing Platinum-sensitive Ovarian, Primary Peritoneal and Fallopian Tubes Adenocarcinoma, Who Achieved a Second Complete Response

Resource links provided by NLM:


Further study details as provided by Recepta Biopharma:

Primary Outcome Measures:
  • Increase of Progression Free Survival [ Time Frame: From platinum-based rescue chemotherapy start date until documented disease progression or death of any cause whichever occurred first. An average of 16.5 months is expected. ] [ Designated as safety issue: No ]
    PFS is defined by the interval from the beginning of rescue platinum-based chemotherapy until documented disease progression or death for any cause while the patient was under study or during the prolonged follow-up period. Disease progression is defined by appearance of any new lesion (measurable and non-measurable) by the RECIST criteria. Disease progression date is the date when a new lesion is documented.


Secondary Outcome Measures:
  • Two-year overall survival rate [ Time Frame: 2 years from the beginning of platinum-based rescue chemotherapy start date ] [ Designated as safety issue: No ]
  • Safety [ Time Frame: From the first infusion date up to 30 days after patient's last infusion date ] [ Designated as safety issue: Yes ]
    Vital signs and adverse events will be assessed throughout the study treatment. Patients will be closely followed regarding adverse events for a period of up to 30 days after the last intravenous application of investigational product, until adverse events are resolved or until they begin a new treatment. After the 30-day period, the investigator may report the adverse events that in his/her opinion are related to the investigational product.

  • 1-year disease progression-free survival rate [ Time Frame: 1 year from the beginning of platinum-based rescue chemotherapy start date ] [ Designated as safety issue: No ]

Estimated Enrollment: 51
Study Start Date: April 2011
Estimated Study Completion Date: December 2015
Estimated Primary Completion Date: June 2015 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: hu3S193
hu3S193 will be administered to 51 patients at the dose of 30mg/m2 every other week (total of 12 infusions) for a total of 23 weeks.
Biological: Monoclonal antibody Hu3S193
30 mg/m2, IV as a single agent every two weeks, in a total of 12 doses (treatment period duration: 23 weeks). Anti-Lewis Y humanized monoclonal antibody designated "orphan drug" by the FDA on March 09, 2012 for the treatment of ovarian cancer, not yet approved for the orphan designation.
Other Name: Hu3S193
Biological: hu3S193

Detailed Description:

This is a phase II multicenter trial with Hu3S193 as a single agent in a consolidation strategy in patients with relapsing platinum-sensitive ovarian, primary peritoneal and fallopian tubes cancer who achieve a second Complete Response after a platinum-based chemotherapy after platinum-based chemotherapeutical regimen. Fifty-one (51) patients with relapsing platinum-sensitive ovarian, primary peritoneal or fallopian tubes adenocarcinoma will receive doses of 30 mg/m2 of Hu3S193 as a single agent every two weeks, in a total of 12 doses (treatment period duration: 23 weeks). After the treatment period, patients will be evaluated every 3 months for the first two years, and every 6 months for more 3 years, and then in an annual-basis until disease progression or death, whichever happens first.

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Female
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  1. The Informed Consent Form (ICF) must be signed before the performance of any study specific procedure or treatment.
  2. Female patients of >= 18 years of age.
  3. Relapsing ovarian adenocarcinoma, fallopian tubes or primary peritoneal who achieved a complete clinical response after the first treatment of relapse with platinum-based regimen. A complete response is defined as the absence of cancer related symptoms, normal physical exam, normal CA-125 level, normal chest X-ray and CT-scan of abdomen/pelvis. Eligibility allows the presence of nonspecific findings as long as not showing clear evidence of disease such as: lymph node and/or soft tissue abnormalities <= 1.0 cm which are frequently present on the pelvis and will not be considered to be a conclusive evidence of disease.
  4. Expression of antigen Ley documented by immunohistochemistry of archived primary or metastatic tumor samples.
  5. The patient must have been submitted at least to hysterectomy and bilateral salpingo-oophorectomy before entering the study and must have received platinum-based chemotherapy as adjunctive or neo-adjunctive treatment at the first presentation.
  6. At least 5 and no more than 8 cycles of platinum combination therapy (i.e. doublet) as treatment for the first relapse.
  7. All side effects from chemotherapy must have been resolved or must be grade 1.
  8. Interval between the last dose of the treatment with platinum that achieved clinical CR and the first dose of Hu3S193 =< 8 weeks.
  9. Karnofsky performance status >= 70%.
  10. Results of laboratorial exams in the first 2 weeks before drug infusion within the following values:

    • Absolute Neutrophil Count >= 1.5 x 10x3 / mm3
    • Platelet count >= 100 x 10x3 / mm3
    • Blood bilirubin <= 2.0 mg/dL
    • Aspartate aminotransaminase (AST) and Alanine aminotransferase (ALT) <= 2.5 x upper limit of normal (ULN).
    • Blood creatinine <= 2.0 mg/dL.
    • Prothrombin time < 1.3 x control
  11. Expected survival >= 12 months.
  12. Patients must be willing to participate and be able to comply with the protocol throughout the study.

Exclusion Criteria:

  1. Mucinous or clear cell histology.
  2. Patients must not have received Bevacizumab as part of their treatment on relapse.
  3. Diagnosis of primary tumor relapse made exclusively based on elevated levels of serum CA-125 with values <2-fold the upper limit of normality.
  4. Concomitant use of systemic corticosteroids or immunosuppressive agents.
  5. Known CNS involvement by tumor.
  6. Clinically significant heart disease (New York Heart Association Class III or IV).
  7. ECG indicating clinically significant arrhythmia.
  8. History of myocardial infarction within 6 months.
  9. Other serious diseases, (e.g.: serious infections requiring antibiotics, bleeding disorders, chronic inflammatory bowel disease, or diseases that may interfere in the obtainment of accurate study results).
  10. Radiotherapy treatment, radiopharmaceuticals (e.g. 32P), biological therapy, anti-estrogen therapy (including tamoxifen), immunotherapy or surgery within 4 weeks before the first administration of investigational product fail to recover from toxic effects of any of these therapies within 6 weeks prior to study inclusion.
  11. Exposure to any investigational product within 4 months prior to study inclusion.
  12. Previous treatment with a humanized murine antibody and/or fragment of such antibody.
  13. Previous history of tumor (excluding appropriately treated non-melanoma skin cancer or carcinoma in situ of the cervix or no evidence of disease within at least 5 years for previous breast cancer or stage I endometrial cancer).
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT01137071

Locations
Brazil
Núcleo de Oncologia da Bahia
Salvador, Bahia, Brazil, 40170-110
Cetus Hospital-Dia Oncologia Ltda - Filial Belo Horizonte
Belo Horizonte, Minas Gerais, Brazil, 30150-280
Hospital Erasto Gaertner
Curitiba, Paraná, Brazil, 81520-060
Hospital de Clínicas de Porto Alegre
Porto Alegre, Rio Grande do Sul, Brazil, 90035-903
Hospital de Câncer de Barretos
Barretos, São Paulo, Brazil, 14784-700
Fundação Amaral Carvalho
Jaú, São Paulo, Brazil, 17210-080
Hospital Israelita Albert Einstein
São Paulo, Brazil, 05651-901
Instituto do Câncer do Estado de São Paulo "Octávio Frias de Oliveira"
São Paulo, Brazil, 01246-000
Sponsors and Collaborators
Recepta Biopharma
Investigators
Study Chair: Oren Smaletz, MD Recepta Biopharma S.A.
  More Information

No publications provided

Responsible Party: Recepta Biopharma
ClinicalTrials.gov Identifier: NCT01137071     History of Changes
Other Study ID Numbers: RCP-Ov-01.10
Study First Received: May 31, 2010
Last Updated: March 21, 2014
Health Authority: United States: Food and Drug Administration
Brazil: National Health Surveillance Agency

Additional relevant MeSH terms:
Ovarian Neoplasms
Peritoneal Neoplasms
Fallopian Tube Neoplasms
Endocrine Gland Neoplasms
Neoplasms by Site
Neoplasms
Ovarian Diseases
Adnexal Diseases
Genital Diseases, Female
Genital Neoplasms, Female
Urogenital Neoplasms
Endocrine System Diseases
Gonadal Disorders
Abdominal Neoplasms
Digestive System Neoplasms
Digestive System Diseases
Peritoneal Diseases
Fallopian Tube Diseases
Antibodies
Antibodies, Monoclonal
Immunologic Factors
Physiological Effects of Drugs
Pharmacologic Actions

ClinicalTrials.gov processed this record on August 18, 2014