Study for Women With Platinum Resistant Ovarian Cancer Evaluating EC145 in Combination With Doxil® (PROCEED) (PROCEED)

Tracking Information
First Submitted Date ICMJE	July 7, 2010
First Posted Date ICMJE	July 27, 2010
Last Update Posted Date	August 4, 2015
Study Start Date ICMJE	April 2011
Actual Primary Completion Date	May 2015 (Final data collection date for primary outcome measure)
Current Primary Outcome Measures ICMJE; (submitted: March 22, 2011)	Progression-free survival based on investigator assessment using RECIST v1.1. [ Time Frame: up to 26 months ]; Progression is assessed at 6 week intervals through Week 24 and at 8 week intervals thereafter.
Original Primary Outcome Measures ICMJE; (submitted: July 26, 2010)	Progression-free survival based on investigator assessment using RECIST v1.1. [ Time Frame: Approximately 24 months ]; Progression is assessed at 6 week intervals through Week 24 and at 8 week intervals thereafter.
Change History	Complete list of historical versions of study NCT01170650 on ClinicalTrials.gov Archive Site
Current Secondary Outcome Measures ICMJE; (submitted: March 22, 2011)	Compare overall survival of participants between treatment arms. [ Time Frame: Approximately 20 months after last patient randomized ]OS analysis will occur when 384 deaths have occurred.; Incidence of Adverse Events, Serious Adverse Events, and Deaths. [ Time Frame: up to 26 months ]Adverse events (as a measure of safety and tolerability) will be assessed at each study visit.
Original Secondary Outcome Measures ICMJE; (submitted: July 26, 2010)	Compare overall survival of participants between treatment arms. [ Time Frame: Approximately 20 months after last patient randomized ]OS analysis will occur when 375 deaths have occurred.; Incidence of Adverse Events, Serious Adverse Events, and Deaths. [ Time Frame: Approximately 24 months ]Adverse events (as a measure of safety and tolerability) will be assessed at each study visit.
Current Other Outcome Measures ICMJE	Not Provided
Original Other Outcome Measures ICMJE	Not Provided
Descriptive Information
Brief Title ICMJE	Study for Women With Platinum Resistant Ovarian Cancer Evaluating EC145 in Combination With Doxil® (PROCEED)
Official Title ICMJE	A Randomized Double-Blind Phase 3 Trial Comparing EC145 and Pegylated Liposomal Doxorubicin (PLD/Doxil®/Caelyx®) in Combination Versus PLD in Participants With Platinum-Resistant Ovarian Cancer
Brief Summary	The purpose of this study is to compare progression-free survival (PFS) (based upon investigator assessment using RECIST v1.1) in participants with platinum-resistant ovarian cancer who receive combination therapy with EC145 and pegylated liposomal doxorubicin (EC145+PLD) with that in participants who receive PLD and placebo.
Detailed Description	This is a Phase 3 clinical trial to evaluate the efficacy and safety of the combination of EC145 and pegylated liposomal doxorubicin (PLD; available in the United States as Doxil® and outside the United States as Caelyx®) compared to PLD and placebo. Enrollment of 640 patients including approximately 500 that are folate receptor positive is planned. EC145 is a drug that is specifically designed to enter cancer cells via the folate vitamin receptor (FR) that is not generally found on normal cells. Experimental evidence shows that this target receptor is expressed on virtually all ovarian cancers. Early clinical evidence in a small number of Phase I participants, in a subset of participants in a completed single-arm Phase II study, and interim data from an ongoing randomized Phase 2 study (PRECEDENT) suggests that EC145 may have antitumor effect in women with platinum-resistant ovarian cancer and that EC145 alone and in combination with PLD is generally well-tolerated. This evidence suggests that EC145 may be useful as chemotherapy against platinum-resistant ovarian cancer. All participants will undergo imaging with the FR-targeting investigational diagnostic agent EC20 during the screening period to assess binding of the imaging agent EC20 to tumors. This non-invasive procedure will provide additional information on the utility of using EC20 imaging to identify subjects with the FR molecular "target" prior to treatment with EC145 therapy.
Study Type ICMJE	Interventional
Study Phase	Phase 3
Study Design ICMJE	Allocation: Randomized; Intervention Model: Parallel Assignment; Masking: Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor); Primary Purpose: Treatment
Condition ICMJE	Ovarian Cancer
Intervention ICMJE	Drug: EC145 IV bolus on days 1,3,5 and 15,17,19 of a 4-week cycle; Drug: Pegylated Liposomal Doxorubicin (PLD/Doxil®/Caelyx®) 50 mg/m2 (calculated on the basis of ideal body weight) every 4 weeks. Dose reductions permitted for toxicity. Other Names: Doxil Caelyx; Drug: placebo IV bolus on days 1,3,5 and 15,17,19 of a 4-week cycle; Drug: EC20 During the screening period participants will receive a single intravenous administration of EC20 prior to SPECT imaging
Study Arms	Experimental: Arm A EC145 + Pegylated Liposomal Doxorubicin (PLD) Interventions: Drug: EC145 Drug: Pegylated Liposomal Doxorubicin (PLD/Doxil®/Caelyx®) Drug: EC20; Active Comparator: Arm B placebo + Pegylated Liposomal Doxorubicin (PLD) Interventions: Drug: Pegylated Liposomal Doxorubicin (PLD/Doxil®/Caelyx®) Drug: placebo Drug: EC20
Publications *	Not Provided
* Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
Recruitment Information
Recruitment Status ICMJE	Suspended
Estimated Enrollment ICMJE; (submitted: March 22, 2011)	640
Original Estimated Enrollment ICMJE; (submitted: July 26, 2010)	500
Estimated Study Completion Date	October 2016
Actual Primary Completion Date	May 2015 (Final data collection date for primary outcome measure)
Eligibility Criteria ICMJE	Inclusion Criteria: Participants must sign an approved informed consent form (ICF).; Participants must be ≥ 18 years of age.; Participants must have pathology-confirmed epithelial ovarian, fallopian tube, or primary peritoneal carcinoma.; Participants must have primary or secondary platinum-resistant ovarian cancer.; Participants must have at least a single (RECIST v1.1-defined) measurable lesion.; For the purpose of obtaining a RECIST v1.1 baseline scan, participants must have a radiological evaluation conducted no more than 28 days prior to beginning study therapy (PLD). NOTE: For participants with a history of CNS metastasis, baseline radiological imaging must include an evaluation of the head.; Participants must have had prior debulking surgery.; Participants must have received prior platinum-based chemotherapy for management of primary disease but must not have received more than 2 prior systemic cytotoxic regimens.; Participants are allowed to have received, but are not required to have received, one additional non-cytotoxic antitumor agent (eg, biologic or cytostatic) for the management of ovarian cancer.; Participants must have an Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 1.; Participants must have recovered (to baseline/stabilization) from prior cytotoxic therapy-associated acute toxicities.; Participants must have adequate organ function including: Bone Marrow Reserve: Absolute neutrophil count (ANC) ≥ 1.5x10^9/L prior to treatment. Participants on maintenance doses of granulocyte colony stimulating factor (G-CSF) are eligible. Platelets ≥ 100x10^9/L Hemoglobin ≥ 9 g/dL Use of supportive care measures (eg, use of white blood cell [WBC] growth factors, antiemetics, epoetin) should follow the ASCO guidelines as listed at www.asco.org. Participants should receive full supportive care, including transfusion of blood as mandated by clinical need; however, transfusions administered for the sole purpose of meeting the study inclusion criteria between the time informed consent is signed and first dose of EC145/placebo/PLD is administered are not allowed. Hepatic: Total bilirubin level < 1.5 x ULN and ALT, AST, GGT, and alkaline phosphatase levels < 2.5 x ULN. Renal: Serum creatinine level ≤ 1.5 x ULN or for participants with serum creatinine levels above 1.5 x ULN, creatinine clearance ≥ 50 mL/min/1.73m^2 Cardiac: Left ventricular ejection fraction (LVEF) equal to or greater than the institutional lower limit of normal. Exclusion Criteria: Patients refractory to primary platinum therapy where "refactory" is defined as disease progression within 6 months of first dose of initial platinum-based therapy.; Diagnosis of "tumor of low-malignant potential".; Prior exposure to PLD or anthracycline therapy.; Prior exposure to FR-targeted therapy (eg, EC145, EC0225, EC0489, farletuzumab).; Prior therapy with vinorelbine (Navelbine®) or vinca-containing compounds.; Prior abdominal or pelvic radiation therapy or radiation therapy to > 10% of the bone marrow at any time in the past or prior radiation therapy within the past 3 years to the breast/sternum, dermal lesions, head or neck.; Recent (i.e., ≤ 6 weeks) history of abdominal surgery or peritonitis; Serious comorbidities (as determined by the investigator) such as, but not limited to, active congestive heart failure or recent myocardial infarction. Patients who require antifolate therapy for the management of comorbid conditions (e.g., rheumatoid arthritis) will be excluded from the trial.; Pregnant or nursing.; Concurrent malignancy requiring therapy (excluding non-invasive carcinoma or carcinoma in situ).; Symptomatic central nervous system (CNS) metastasis.; Other concurrent chemotherapy, immunotherapy, radiotherapy, or any ancillary therapy that is considered to be investigational (i.e., used for non-approved indications(s) and in the context of a research investigation). Use of low dose corticosteroid therapy (e.g., for nausea prophylaxis) is acceptable; however, concomitant tamoxifen therapy is not. Supportive care measures are allowed.
Sex/Gender	Sexes Eligible for Study: Female
Ages	18 Years and older (Adult, Senior)
Accepts Healthy Volunteers	No
Contacts ICMJE	Contact information is only displayed when the study is recruiting subjects
Listed Location Countries ICMJE	Not Provided
Removed Location Countries	Belgium, Canada, Czech Republic, France, Germany, Hungary, Israel, Korea, Republic of, Poland, Russian Federation, Spain, United Kingdom, United States
Administrative Information
NCT Number ICMJE	NCT01170650
Other Study ID Numbers ICMJE	8109-002; EC-FV-06 ( Other Identifier: Endocyte )
Has Data Monitoring Committee	Yes
U.S. FDA-regulated Product	Not Provided
IPD Sharing Statement	Not Provided
Responsible Party	Endocyte
Study Sponsor ICMJE	Endocyte
Collaborators ICMJE	Not Provided
Investigators ICMJE	Study Director: Binh Nguyen, MD Endocyte
PRS Account	Endocyte
Verification Date	August 2015
ICMJE Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP