Consolidation Therapy With Hu3S193 for Women With Ovarian, Primary Peritoneal or Fallopian Tube Cancer
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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 |
- 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.
- 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 |
Inclusion Criteria:
- The Informed Consent Form (ICF) must be signed before the performance of any study specific procedure or treatment.
- Female patients of >= 18 years of age.
- 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.
- Expression of antigen Ley documented by immunohistochemistry of archived primary or metastatic tumor samples.
- 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.
- At least 5 and no more than 8 cycles of platinum combination therapy (i.e. doublet) as treatment for the first relapse.
- All side effects from chemotherapy must have been resolved or must be grade 1.
- Interval between the last dose of the treatment with platinum that achieved clinical CR and the first dose of Hu3S193 =< 8 weeks.
- Karnofsky performance status >= 70%.
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
- Expected survival >= 12 months.
- Patients must be willing to participate and be able to comply with the protocol throughout the study.
Exclusion Criteria:
- Mucinous or clear cell histology.
- Patients must not have received Bevacizumab as part of their treatment on relapse.
- Diagnosis of primary tumor relapse made exclusively based on elevated levels of serum CA-125 with values <2-fold the upper limit of normality.
- Concomitant use of systemic corticosteroids or immunosuppressive agents.
- Known CNS involvement by tumor.
- Clinically significant heart disease (New York Heart Association Class III or IV).
- ECG indicating clinically significant arrhythmia.
- History of myocardial infarction within 6 months.
- 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).
- 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.
- Exposure to any investigational product within 4 months prior to study inclusion.
- Previous treatment with a humanized murine antibody and/or fragment of such antibody.
- 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| Contact: Oren Smaletz, MD | 55 11 3709-2140 | oren.smaletz@receptabiopharma.com.br |
| Contact: Ana Gabriela Fontana | 55 11 3709-2140 | ana.gabriela@receptabiopharma.com.br |
| Brazil | |
| Núcleo de Oncologia da Bahia | Recruiting |
| Salvador, Bahia, Brazil, 40170-110 | |
| Contact: Ivana Lúcia de Oliveira Nascimento, MD 55 71 4009-7070 ivana@nob-ba.com.br | |
| Principal Investigator: Ivana Lúcia de Oliveira Nascimento, MD | |
| Oxion Hospital Dia Oncologia | Recruiting |
| Belo Horizonte, Minas Gerais, Brazil, 30150-280 | |
| Contact: Geraldo Felício da Cunha Jr., MD 55 31 3213-7665 geraldo.onco@gmail.com | |
| Principal Investigator: Geraldo Felício da Cunha Jr., MD | |
| Hospital Erasto Gaertner | Recruiting |
| Curitiba, Paraná, Brazil, 81520-060 | |
| Contact: Ana Luiza Wiermann, MD 55 41 3361-5195 analuizawiermann@uol.com.br | |
| Principal Investigator: Ana Luiza Wiermann, MD | |
| Hospital de Clínicas de Porto Alegre | Recruiting |
| Porto Alegre, Rio Grande do Sul, Brazil, 90035-903 | |
| Contact: Sérgio Jobim de Azevedo, MD 55 51 3359-8619 sazevedo@hcpa.ufrgs.br | |
| Principal Investigator: Sérgio Jobim de Azevedo, MD | |
| CliniOnco - Clínica de Oncologia de Porto Alegre | Completed |
| Porto Alegre, Rio Grande do Sul, Brazil, 90430-090 | |
| CEPON - Centro de Pesquisas Oncológicas de Santa Catarina | Recruiting |
| Florianópolis, Santa Catarina, Brazil, 88034-000 | |
| Contact: Yeni Verónica Nerón do Nascimento, MD 55 49 3331-1553 yenineron@terra.com.br | |
| Principal Investigator: Yeni Veronica Nerón do Nascimento, MD | |
| Hospital de Câncer de Barretos | Recruiting |
| Barretos, São Paulo, Brazil, 14784-700 | |
| Contact: João Soares Nunes, MD 55 17 3321-6637 jsnunes@hcancerbarretos.com.br | |
| Principal Investigator: João Soares Nunes, MD | |
| Fundação Amaral Carvalho | Recruiting |
| Jaú, São Paulo, Brazil, 17210-080 | |
| Contact: Gustavo Fernando Veraldi Ismael, MD 55 14 3602-1397 gismael@uol.com.br | |
| Principal Investigator: Gustavo Fernando Veraldi Ismael, MD | |
| INCA - Instituto Nacional de Câncer | Recruiting |
| Rio de Janeiro, Brazil, 20220-410 | |
| Contact: Cláudio Calazan, MD 55 21 3207-2964 calazan@gmail.com | |
| Principal Investigator: Cláudio Calazan, MD | |
| Instituto do Câncer do Estado de São Paulo "Octávio Frias de Oliveira" | Recruiting |
| São Paulo, Brazil, 01246-000 | |
| Contact: Maria del Pilar Estevez Diz, MD 55 11 3893-2617 maria.pilar@hcnet.usp.br | |
| Principal Investigator: Maria del Pilar Estevez Diz, MD | |
| Hospital Santa Marcelina | Recruiting |
| São Paulo, Brazil, 08270-070 | |
| Contact: Roberto Rocha, MD 55 11 2217-3766 | |
| Contact: Aline Marcondes 55 11 2217-3766 alinemarcondes@santamarcelina.org | |
| Principal Investigator: Roberto Rocha, MD | |
| Hospital Israelita Albert Einstein | Recruiting |
| São Paulo, Brazil, 05651-901 | |
| Contact: Oren Smaletz, MD 55 11 2151-1127 smaletzo@yahoo.com | |
| Principal Investigator: Oren Smaletz, MD | |
| 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: | February 26, 2013 |
| 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 May 16, 2013