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Phase 1/2a Study of DTA-H19 in Advanced Stage Ovarian Cancer

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT00826150
Recruitment Status : Completed
First Posted : January 21, 2009
Last Update Posted : November 14, 2012
Information provided by (Responsible Party):
Anchiano Therapeutics Israel Ltd.

Brief Summary:
This study is designed to assess the safety, tolerability, pharmacokinetics (PK) and preliminary efficacy of DTA-H19 administered intraperitoneally (IP) in subjects with advanced stage ovarian cancer, or primary peritoneal carcinoma

Condition or disease Intervention/treatment Phase
Ovarian Cancer Biological: BC-819 Phase 1 Phase 2

Detailed Description:

This is a Phase 1/2a, open label, dose escalation, repeat dose study in 11 subjects with recurrent, platinum resistant advanced stage ovarian cancer or primary peritoneal carcinoma designed to determine the tolerability, safety, quality of life, PK, and preliminary efficacy of DTA-H19 administered intraperitoneally(IP).

Primary Objective: The primary objectives of this study are:

  • To determine the maximum tolerated dose (MTD) of IP DTA-H19; and,
  • To identify any dose limiting toxicities (DLTs).

Secondary Objectives: Secondary objectives of this study are:

  • To determine quality of life of subjects with advanced ovarian cancer, primary peritoneal carcinoma treated with IP DTA-H19;
  • To determine the the reduction in malignant ascites as measured by Ultrasound and change in frequency of parecenteses necessary.
  • To determine the overall survival distribution.

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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 14 participants
Intervention Model: Single Group Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: Phase 1/2a, Dose-Escalation, Safety, Pharmacokinetic, and Preliminary Efficacy Study of Intraperitoneal Administration of DTA-H19 in Subjects With Advanced Stage Ovarian Cancer
Study Start Date : June 2009
Actual Primary Completion Date : July 2012
Actual Study Completion Date : October 2012

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Ovarian Cancer

Arm Intervention/treatment
Experimental: BC-819
BC-819 60, 120 and 240 mg IP administration
Biological: BC-819

Cohort #1: 60 mg IP weekly for 3 weeks, one week rest, then repeat for 2 more courses / 60 mg IP weekly for 3 weeks, four week rest, then repeat for 1 more course.

Cohort #2: 120 mg IP weekly for 3 weeks, four week rest, then repeat for 1 more course.

Cohort #3: 240 mg IP weekly for 3 weeks, four week rest, then repeat for 1 more course.

Other Name: DTA-H19

Primary Outcome Measures :
  1. maximum tolerated dose of DTA-H19 given intraperitoneally [ Time Frame: 8 weeks ]

Secondary Outcome Measures :
  1. Quality of Life [ Time Frame: 12 Weeks ]
  2. progression-free survival [ Time Frame: 3 months and 1 year ]
  3. overall survival [ Time Frame: 3 months and 1 year ]
  4. time to progression [ Time Frame: 3 months and 1 year ]

Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   Female
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • Provide written informed consent and be at least 18 years of age.
  • Have histopathologically documented epithelial ovarian carcinoma or primary peritoneal carcinoma with evidence of ascites.
  • Have either a) platinum-refractory disease (i.e. persistent disease following completion of platinum-based primary chemotherapy) and have failed at least primary platinum-based chemotherapy; or b) platinum-resistant recurrent disease and have failed at least one regimen of second line chemotherapy.
  • Be able to tolerate placement of IP catheter.
  • Be at least 2 weeks from last treatment to allow recovery from prior toxicity but in the judgment of the investigator with sufficient time to ensure that the effects of prior treatments will not confound safety evaluations.
  • Have a Karnofsky performance status score of ≥ 70%.
  • Not be of child-bearing potential.
  • Have a life expectancy of ≥ 3 months.
  • Have serum creatinine < 2.0 mg/dL, total bilirubin less than the institution's 3x upper limit of normal (ULN); AST and ALT <= 2.5 x ULN,total albumin ≥ 2.5 g/dL, PT, PTT, and PT/INR within normal limits, absolute neutrophil count (ANC) > 1,500 x 103 cells/mL, platelets ≥ 100,000/mL, and hemoglobin ≥ 10 mg/dL.
  • Have a biopsy specimen or an ascites fluid that is positive for H19 expression.
  • Have screening procedures completed within 6-weeks before starting treatment.
  • No significant history of cardiac disease, i.e., uncontrolled hypertension, unstable angina or congestive heart failure.
  • - No plans to receive concurrent chemotherapy, hormonal therapy, radiotherapy, immunotherapy or any other type of therapy for treatment of cancer while on this protocol.

Exclusion Criteria:

  • Have evidence of extra abdominal disease with the exception of isolated small nodules (e.g., liver or pulmonary nodules) that are not causing symptoms.
  • Have known brain metastases.
  • Have known HIV infection.
  • Have known active viral or bacterial infections.
  • Have presence of any psychological, familiar, sociological, or geographical condition potentially hampering compliance with the study protocol or follow up schedule.
  • Have a medical condition contraindicated for laparotomy, laparoscopy, or surgery.
  • Have significant bowel involvement denoted by persistent grade 3 vomiting (≥6 episodes in 24 hrs; IV fluids, or total parenteral nutrition (TPN) indicated ≥24 hrs) after removal of ascites, inability to tolerate oral diet or medications, requirement for total parenteral nutrition, or recent (past six weeks) episode of bowel obstruction.
  • Have a history of coagulopathy.

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT00826150

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The Edith Wolfson Medical Center
Holon, Israel
Hadassah University Hospital
Jerusalem, Israel
Meir Hospital
Kfar Saba, Israel
Sheba Medical Center
Tel Hashomer, Israel
Sponsors and Collaborators
Anchiano Therapeutics Israel Ltd.
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Principal Investigator: Tally Levy, M.D. The Edith Wolfson Medical Center
Principal Investigator: David Edelman, MD Hadassah University Hospital
Principal Investigator: Ami Fishman, MD Meir Medical Center
Principal Investigator: Eitan Rami, MD. Rabin Medical Center
Principal Investigator: Ofer Lavie, M.D. Carmel Medical Center
Principal Investigator: Ronnie Shapira-Frommer, MD Sheba Medical Center

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Responsible Party: Anchiano Therapeutics Israel Ltd. Identifier: NCT00826150     History of Changes
Other Study ID Numbers: BC-08-01
First Posted: January 21, 2009    Key Record Dates
Last Update Posted: November 14, 2012
Last Verified: November 2012

Keywords provided by Anchiano Therapeutics Israel Ltd.:
ovarian cancer
H19 gene

Additional relevant MeSH terms:
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Ovarian Neoplasms
Carcinoma, Ovarian Epithelial
Endocrine Gland Neoplasms
Neoplasms by Site
Ovarian Diseases
Adnexal Diseases
Genital Diseases, Female
Genital Neoplasms, Female
Urogenital Neoplasms
Endocrine System Diseases
Gonadal Disorders
Neoplasms, Glandular and Epithelial
Neoplasms by Histologic Type