Trial in Patients With Relapsed Ovarian Cancer

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ClinicalTrials.gov Identifier: NCT03267589

Recruitment Status : Recruiting

First Posted : August 30, 2017

Last Update Posted : October 31, 2019

See Contacts and Locations

Sponsor:

Collaborators:

Gynecologic Cancer Intergroup (GCIG)

European Network of Gynaecological Oncological Trial Groups (ENGOT)

SGCTG: The Scottish Gynaecological Cancer Trials Group, UK

Princess Margaret Hospital, Canada

Belgian Gynaecological Oncology Group

KGOG: Korean Gynaelogical Onology Group, Korea

Gynecologic Oncology Trial & Investigation Consortium

NOGGO: Nord-Ostdeutsche Gesellschaft Fur Gynäkologische Onkologie, Germany

COGI: Cooperative Ovarian Cancer Group for Immunotherapy

Australia New Zealand Gynaecological Oncology Group

Information provided by (Responsible Party):

Nordic Society of Gynaecological Oncology - Clinical Trials Unit ( Nordic Society for Gynaecologic Oncology )

Study Description

Brief Summary:

The overall objectiv is to obtain preliminary evidence of efficacy of novel agents for the management of relapsed ovarian cancer, and in part 2 efficacy of novel agents compared to the standard of care (SoC).

Condition or disease	Intervention/treatment	Phase
Ovarian Cancer	Drug: Durvalumab, Tremelilumab, MEDI 9447, MEDI 0562	Phase 2

Study Design

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Study Type :	Interventional (Clinical Trial)
Estimated Enrollment :	75 participants
Allocation:	Non-Randomized
Intervention Model:	Parallel Assignment
Intervention Model Description:	Part 1: single cohorts of novel agents Part 2: randomized phase 2 against standard of care.
Masking:	None (Open Label)
Primary Purpose:	Treatment
Official Title:	NSGO-OV-UMB1; ENGOT-OV30 / NSGO: A Phase II Umbrella Trial in Patients With Relapsed Ovarian Cancer
Actual Study Start Date :	June 16, 2018
Estimated Primary Completion Date :	March 30, 2020
Estimated Study Completion Date :	September 30, 2023

Resource links provided by the National Library of Medicine

Genetics Home Reference related topics: Ovarian cancer

MedlinePlus related topics: Ovarian Cancer

Drug Information available for: Durvalumab

Genetic and Rare Diseases Information Center resources: Ovarian Cancer Ovarian Epithelial Cancer

U.S. FDA Resources

Arms and Interventions

Arm	Intervention/treatment
Experimental: Cohort A Intervention: MEDI9447 (CD73) + durvalumab	Drug: Durvalumab, Tremelilumab, MEDI 9447, MEDI 0562 Three different combination are being tested. Each cohort has different combination
Experimental: Cohort B Intervention: MEDI0562 (OX40) + durvalumab	Drug: Durvalumab, Tremelilumab, MEDI 9447, MEDI 0562 Three different combination are being tested. Each cohort has different combination
Experimental: Cohort C Intervention: MEDI0562 (OX40) + tremelimumab combination	Drug: Durvalumab, Tremelilumab, MEDI 9447, MEDI 0562 Three different combination are being tested. Each cohort has different combination

Outcome Measures

Primary Outcome Measures :

Disease control rate (DCR) [ Time Frame: 16 weeks ]
Disease control rate (DCR) (CR+PR+SD)

Secondary Outcome Measures :

Progression-Free Survival (PFS) by RECIST v1.1 [ Time Frame: 10 months ]
PFS by RECIST v1.1
PFS by Immune-RECIST [ Time Frame: 10 months ]
PFS by Immune-RECIST
Overall survival (OS) [ Time Frame: 36 months ]
Overall survival (OS)
Objective response rate [ Time Frame: 10 months ]
Objective response rate according to RECIST v1.1 (ORR)
Duration of (Overall) Response (DoR) [ Time Frame: 10 months ]
Duration of (Overall) Response (DoR)

Eligibility Criteria

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

Criteria

Inclusion Criteria:

Platinum-sensitive disease: defined as disease progression ≥ 6 months following the last administered dose of platinum-based therapy. Patients must have received atleast one line of chemotherapy for platinum-sensitive disease. OR
Platinum-resistant disease: defined as disease progression < 6 months following the last administered dose of platinum-based therapy.

OR
Platinum-refractory disease: defined as lack of response or disease progression while receiving the most recent therapy.

Other key inclusion criteria:
Histological confirmed ovarian, fallopian tube or peritoneal cancers.
Histological types: high-grade serious, high-grade endometriod, undifferentiated, carcinosarcoma or mixed histology.
Subjects must have at least 1 measurable lesion as defined by RECIST guidelines. This should not be the same lesion used for biopsy.
Patients entering cohort A: Archival tumour tissue must be screened for CD73 and only CD73 positive patients (defined as >10% of tumor cells positive) will enter this trial.
Patient agrees to undergo all analysis (blood, serum, tissue); radiological examinations according to protocol.
Mandatory tumour biopsy before treatment (before day 0) and at day 56 of treatment.
Patients must give informed consent.
Patients must be at least 18 years of age.
ECOG performance status 0-1
Serum albumin >30g/l.
Adequate organ function
Life expectancy of at least 12 weeks.
Patients must be fit to receive Investigational medical products (IMPs)

Exclusion Criteria:

Subjects using immunosuppressive medications within 14 days.
Immunodeficiency or organ transplant
Live vaccines within 28 days prior to the first dose.
Major surgery within 28 days prior to the first dose.
Ovarian sarcomas, small cell carcinoma with neuroendocrine differentiation, non-epithelial can-cers.
Cancer therapies (chemotherapy, radiotherapy, surgery, immunotherapy, biologic or hormonal therapy) within 28 days prior to the first dose.
Concurrent treatment with an investigational agent or participation in another clinical trial.
Previous malignant disease: patients are not eligible for the study if actively being treated of inva-sive cancer other than ovarian cancer. Patients with previous malignant disease other than ovarian cancer who are relapse-free and treatment-free for more than three years may enter this study. Pa-tients with previous history of in-situ carcinoma, stage 1A cervical cancer or non-invasive basal cell and squamous cell skin carcinoma can enter this trial.
Active infection including tuberculosis
History of a cerebral vascular accident, transient ischemic attack or subarachnoid hemorrhage within the past 6 months.
History of clinically significant hemorrhage in the past 3 months.
Untreated CNS disease, leptomeningeal disease or cord compression. Subjects with treated dis-ease should have at least 4 weeks of neurologic and radiographic stability and be off steroids for 14 days.
Significant cardiovascular disease's.
Persistance of clinically relevant therapy related toxicity from previous anticancer therapy (any grade 3-4 toxicity or grade ≥2 neuropathy).
Known hypersensitivity to the trial drugs, or to their excipients.
Has had prior exposure to IMPs, or any other immunotherapy.
Active or prior documented autoimmune or inflammatory disorders
For cohorts B and C: Medical condition requiring current systemic anticoagulation, or a history of congenital hypercoagulable condition. Subjects taking aspirin at doses < 325 mg per day are eli-gible provided that prothrombin time is within the institutional range of normal. Use of local anti-coagulation for port maintenance is permitted

Contacts and Locations

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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 ClinicalTrials.gov identifier (NCT number): NCT03267589

Contacts

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Contact: Mansoor R Mirza, MD	+4535459624	mansoor@rh.regionh.dk
Contact: Dorte Nørvang, RN	+4535453311	dorte.noervang@regionh.dk

Locations

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Denmark
VejleSygehus	Not yet recruiting
Vejle, Region Syddanmark, Denmark, 7100
Contact: Jon Henriksen, MD Jon.Henriksen@rsyd.dk
Principal Investigator: Jon Henriksen, MD
Rigshospitalet	Recruiting
København Ø, Sjaelland, Denmark, 2100
Contact: MANSOOR RAZA MIRZA +4535459624 mansoor@rh.regionh.dk
Finland
Tampere University Hospital	Not yet recruiting
Tampere, Finland
Contact: Annika Auranen, MD anaura@utu.fi
Principal Investigator: Johanna Maenpaa, MD, PhD
Norway
Haukeland University Hospital	Not yet recruiting
Bergen, Haukeland, Norway, 5021
Contact: Line Bjørge, MD Line.Bjorge@uib.no
Principal Investigator: Line Bjørge
The Norwegian Radium Hospital	Not yet recruiting
Oslo, Norway, 0310
Contact: Kristina Lindemann, MD, PhD +47 22934000 ext 5690 klinde@ous-hf.no
Principal Investigator: Kristina Lindemann, MD, PhD

Sponsors and Collaborators

Nordic Society for Gynaecologic Oncology