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A Study of MM-121 With Paclitaxel in Platinum Resistant/ Refractory Advanced Ovarian Cancers

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: NCT01447706
Recruitment Status : Completed
First Posted : October 6, 2011
Results First Posted : May 12, 2016
Last Update Posted : May 12, 2016
Information provided by (Responsible Party):
Merrimack Pharmaceuticals

Brief Summary:
To determine whether the combination of MM-121 plus paclitaxel is more effective than paclitaxel alone

Condition or disease Intervention/treatment Phase
Epithelial Ovarian Cancer Fallopian Tube Cancer Peritoneal Cancer Drug: MM-121 Drug: Paclitaxel Phase 2

Detailed Description:
This is a multicenter, open-label, randomized, Phase II study of MM-121 in patients with platinum resistant or refractory recurrent/advanced ovarian cancers. Up to 210 patients will be randomized (2:1) to receive MM-121 plus paclitaxel or paclitaxel alone.

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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 223 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: A Phase II Randomized Open Label Study of MM-121 in Combination With Paclitaxel Versus Paclitaxel Alone in Patients With Platinum Resistant/ Refractory Advanced Ovarian Cancers
Study Start Date : October 2011
Actual Primary Completion Date : September 2013
Actual Study Completion Date : June 2015

Arm Intervention/treatment
Active Comparator: Paclitaxel
Standard dosing paclitaxel: 80 mg/m2 QW intravenously)
Drug: Paclitaxel
Standard dosing Paclitaxel (IV)

Experimental: MM-121 (SAR256212) + Paclitaxel
administered intravenously at 40 mg/kg loading dose on Cycle 1, Week 1 followed by 20 mg/kg QW for all subsequent doses
Drug: MM-121
MM-121 (SAR256212) (IV)
Other Name: SAR256212

Drug: Paclitaxel
Standard dosing Paclitaxel (IV)

Primary Outcome Measures :
  1. Progression Free Survival [ Time Frame: Time from first dose to date of progression, the longest time frame of 3.9 years ]
    To determine whether MM-121 + paclitaxel was more effective than paclitaxel alone in prolonging progression-free survival in advanced ovarian cancers resistant or refractory to platinum agents. PFS was a time to event measure, and progression of disease is defined using Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.1), "as a 20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a non-target lesion, or the appearance of new lesions". Progression free survival was defined as the number of months from the date of randomization to the date of death or progression. If neither death nor progression was observed during the study, PFS data was censored at the last non-progressive disease valid tumor assessment unless the patient was discontinued due to symptomatic deterioration. If this occurred, the patient was counted as having progressive disease (PD).

Secondary Outcome Measures :
  1. Overall Survival [ Time Frame: Time from first dose to date of death, with a median of approximately 13 months ]
    To determine whether MM-121 + paclitaxel is more effective than paclitaxel alone in prolonging overall survival. This was a time-to-event analysis of time from first dose to date of death.

Information from the National Library of Medicine

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, Learn About Clinical Studies.

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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:

  • Locally advanced/metastatic or recurrent epithelial ovarian cancer, fallopian tube cancer or primary peritoneal cancer
  • Received at least one prior platinum based chemotherapy regimen
  • Platinum-resistant or refractory
  • Eligible for weekly paclitaxel
  • Adequate liver and kidney function
  • 18 years of age or above

Exclusion Criteria:

  • Evidence of any other active malignancy
  • History of severe allergic reactions to paclitaxel or other drugs formulated in Cremophor®EL

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): NCT01447706

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United States, Arizona
Arizona Center for Cancer Care
Glendale, Arizona, United States, 85306
Pinnacle Oncology
Scottsdale, Arizona, United States, 85258
United States, California
Comprehensive Blood and Cancer Center
Bakersfield, California, United States, 93309
Wilshire Oncology Medical Group
Corona, California, United States, 92879
North County Oncology
Oceanside, California, United States, 92056
Central Coast Medical Oncology
Santa Maria, California, United States, 93454
United States, Indiana
Indiana University Simon Cancer Center
Indianapolis, Indiana, United States, 46202
United States, North Carolina
Carolinas Medical Center/Blumenthal Cancer Center
Charlotte, North Carolina, United States, 28203
United States, Ohio
ProMedica Health System, Inc.
Toledo, Ohio, United States, 43606
United States, Tennessee
Chattanooga GYN Oncology
Chattanooga, Tennessee, United States, 37403
Sponsors and Collaborators
Merrimack Pharmaceuticals
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Study Director: Victor Moyo, MD Merrimack Pharmaceuticals
Publications automatically indexed to this study by Identifier (NCT Number):
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Responsible Party: Merrimack Pharmaceuticals Identifier: NCT01447706    
Other Study ID Numbers: MM-121-04-02-08 (ARD11586)
First Posted: October 6, 2011    Key Record Dates
Results First Posted: May 12, 2016
Last Update Posted: May 12, 2016
Last Verified: April 2016
Keywords provided by Merrimack Pharmaceuticals:
Ovarian Cancer
Fallopian tube cancer
Peritoneal Cancer
Phase II
locally advanced/metastatic or recurrent
Additional relevant MeSH terms:
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Ovarian Neoplasms
Carcinoma, Ovarian Epithelial
Fallopian Tube Neoplasms
Endocrine Gland Neoplasms
Neoplasms by Site
Ovarian Diseases
Adnexal Diseases
Genital Diseases, Female
Female Urogenital Diseases
Female Urogenital Diseases and Pregnancy Complications
Urogenital Diseases
Genital Neoplasms, Female
Urogenital Neoplasms
Genital Diseases
Endocrine System Diseases
Gonadal Disorders
Neoplasms, Glandular and Epithelial
Neoplasms by Histologic Type
Fallopian Tube Diseases
Antineoplastic Agents, Phytogenic
Antineoplastic Agents
Tubulin Modulators
Antimitotic Agents
Mitosis Modulators
Molecular Mechanisms of Pharmacological Action