Cvac as Maintenance Treatment in Patients With EOC in Complete Remission Following First-Line Chemotherapy (CANVAS)
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Purpose
The purpose of this study is to determine if an investigational cell therapy called Cvac can help prevent EOC from returning when administered to patients who are in complete remission after surgical removal of their tumor followed by standard first-line chemotherapy.
Following surgery and study randomization, patients will undergo leukapheresis for manufacture of the study agent and then begin first-line chemotherapy. After completion of chemotherapy and confirmation of complete remission, patients will enter the treatment phase of the study.
| Condition | Intervention | Phase |
|---|---|---|
|
Epithelial Ovarian Cancer |
Biological: Placebo Study Agent Biological: Cvac |
Phase 2 Phase 3 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Parallel Assignment Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor) Primary Purpose: Prevention |
| Official Title: | A Randomized, Double-Blinded, Placebo-Controlled Trial of Cvac as Maintenance Treatment in Patients With Epithelial Ovarian Cancer in Complete Remission Following First-Line Chemotherapy |
- Progression-free survival (PFS) for maintenance treatment of patients with EOC in complete remission following first-line chemotherapy [ Time Frame: From date of randomization until the date of first documented progression, date of death from any cause, or end of study, whichever comes first, assessed up to 156 weeks ] [ Designated as safety issue: No ]PFS is defined as the time from randomization to the date of radiological scan used to determine PD, evaluated every 8 weeks after baseline.
- Overall survival (OS) [ Time Frame: Participants will be followed from randomization until the date of death from any cause or end of study, whichever comes first, assesessed up to 156 weeks. ] [ Designated as safety issue: No ]Assess Cvac as compared to placebo for overall survival
- Assessment of safety and tolerability of Cvac as compared to placebo [ Time Frame: 10 - 12 months ] [ Designated as safety issue: Yes ]Evaluated by AEs, laboratory test results, ECGs, physical examinations, and vital signs
- Assessment of health-related quality of life questionnaires(QoL) [ Time Frame: From baseline and throughout PFS up to 156 weeks ] [ Designated as safety issue: No ]Quality-of-life data will be derived from the quality of life questionnaires according to the corresponding scoring manuals and will be summarized for each treatment group. Patients' health states will be derived from the EQ-5D-3L questionnaire. Data will be summarized by treatment group and analyzed using descriptive statistics.
| Estimated Enrollment: | 1000 |
| Study Start Date: | January 2012 |
| Estimated Study Completion Date: | December 2015 |
| Estimated Primary Completion Date: | March 2015 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
| Placebo Comparator: Placebo |
Biological: Placebo Study Agent
Study agent will be administered via intradermal injection, every 4 weeks for the first 3 doses and thereafter every 12 weeks for 3 additional doses
|
|
Active Comparator: Cvac
Cvac as compared with placebo for the maintenance treatment of patients with EOC in CR following first line chemotherapy
|
Biological: Cvac
Study agent dosing will be administered as an intradermal injection every 4 weeks for the first 3 doses, then every 12 weeks for 3 additional doses, for a total of 6 doses over 44 weeks.
|
Detailed Description:
This study proposes a nontoxic immunotherapeutic approach to extend the progression free interval following first-line treatment in patients in complete remission.
Most patients with ovarian cancer achieve complete clinical remission after optimal debulking surgery and platinum-based chemotherapy. However, most patients, despite high response rates to first-line treatment, will relapse and undergo subsequent lines of chemotherapy. Generally, the progression-free interval between treatments becomes shorter with each relapse, and the patient eventually dies of the disease. The ability to increase the progression-free intervals between chemotherapeutic treatments would have a significant benefit to a patient's quality of life and would potentially lead to longer overall survival.
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Female |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- A confirmed diagnosis of Stage III or IV epithelial ovarian, primary peritoneal, or fallopian tube cancer
- Have undergone optimal debulking surgery, defined as ≤ 1 cm of residual tumor
- Eligible for, and plan to undergo standard platinum and taxane first-line chemotherapy
- Mucin 1-positive tumor as determined by central immunohistopathology
- Adequate renal function
- Adequate liver function
- Adequate bone marrow function
- Life expectancy of at least 12 months at the time of screening as judged by the investigator
Exclusion Criteria:
- Non-epithelial ovarian cancer, including ovarian germ cell, sarcoma, mixed Mullerian tumors, or mucinous carcinoma of the peritoneum
- Malignancy other than EOC, except those that have been in CR for a minimum of 3 years, and except carcinoma in-situ of the cervix or basal cell and squamous cell carcinomas of the skin that have been adequately treated
- Evidence of severe or uncontrolled cardiac disease
- Active uncontrolled infection
- Uncontrolled hypertension
- Diagnosed immunodeficiency or autoimmune disorder
Contacts and Locations| Contact: Study Administrator | Canvas@primabiomed.com.au |
Hide Study Locations| United States, California | |
| Innovative Clinical Research Institute | Recruiting |
| Downey, California, United States, 90241 | |
| California Cancer Center | Recruiting |
| Greenbrae, California, United States, 94904 | |
| LAC-USC Medical Center | Recruiting |
| Los Angeles, California, United States, 90033 | |
| St Joseph Hospital | Recruiting |
| Orange, California, United States, 92868 | |
| University of California, San Francisco | Recruiting |
| San Francisco, California, United States, 94115 | |
| Stanford University School of Medicine | Not yet recruiting |
| Stanford, California, United States, 94305 | |
| United States, Florida | |
| Collaborative Research Group | Recruiting |
| Boynton Beach, Florida, United States, 33435 | |
| Sarasota Memorial Hospital | Recruiting |
| Sarasota, Florida, United States, 34239 | |
| United States, Georgia | |
| University Gynecologic Oncology | Recruiting |
| Atlanta, Georgia, United States, 30342 | |
| Memorial Health University Medical Center | Recruiting |
| Savannah, Georgia, United States, 31404 | |
| United States, Illinois | |
| University of Chicago Medical Center | Not yet recruiting |
| Chicago, Illinois, United States, 60637 | |
| United States, New Jersey | |
| Women`s Cancer Center | Recruiting |
| Morristown, New Jersey, United States, 07962 | |
| United States, Ohio | |
| Cleveland Clinic Foundation | Recruiting |
| Cleveland, Ohio, United States, 44195 | |
| United States, Oregon | |
| Portland Medical Group | Recruiting |
| Portland, Oregon, United States, 97213 | |
| United States, Washington | |
| Fred Hutchinson Cancer Research Center | Recruiting |
| Seattle, Washington, United States, 98109 | |
| Swedish Cancer Center | Recruiting |
| Seattle, Washington, United States, 98104 | |
| Australia | |
| Royal Adelaide Hospital | Recruiting |
| Adelaide, Australia | |
| Finders Medical Centre | Recruiting |
| Bedford Park, Australia | |
| Greenslopes Private Hospital | Recruiting |
| Greenslopes, Australia | |
| Royal Brisbane and Women`s Hospital | Recruiting |
| Herston, Australia | |
| Launceston General Hospital | Recruiting |
| Launceston, Australia | |
| Royal Women`s Hospital | Recruiting |
| Parkville, Australia | |
| Austria | |
| University Hospital Graz | Not yet recruiting |
| Graz, Austria | |
| General Public Hospital Klagenfurt am Woerthersee | Not yet recruiting |
| Klagenfurt, Austria | |
| General Hospital Linz | Not yet recruiting |
| Linz, Austria | |
| Hospital Hietzing | Not yet recruiting |
| Wien, Austria | |
| Belarus | |
| Gomel Regional Clinical Oncological Dispensary | Recruiting |
| Gomel, Belarus | |
| N.N. Alexandrov National Cancer Centre | Recruiting |
| Minsk, Belarus | |
| Belgium | |
| ZNA Middleheim | Not yet recruiting |
| Antwerpen, Belgium | |
| Brussels Saint-Luc University Hospital | Not yet recruiting |
| Brussels, Belgium | |
| Antwerpen University Hospital | Not yet recruiting |
| Edegem, Belgium | |
| Ziekenhuis Oost Limburg | Not yet recruiting |
| Genk, Belgium | |
| University Hospital Brussel | Not yet recruiting |
| Jette, Belgium | |
| CH Peltzer-La Tourelle | Not yet recruiting |
| Verviers, Belgium | |
| Sint Augustinus Hospital | Not yet recruiting |
| Wilrijk, Belgium | |
| UCL University Clinics of Mont Godinne | Not yet recruiting |
| Yvoir, Belgium | |
| Bulgaria | |
| Univercity Multiprofile Hospital for Active Treatment `DrGeorgi Stranski, EAD | Recruiting |
| Pleven, Bulgaria | |
| `Complex Cancer Center Plovdiv` EOOD | Recruiting |
| Plovdiv, Bulgaria | |
| Specialized Hospital for Active Treatment for Oncology EAD | Recruiting |
| Sofia, Bulgaria | |
| Multiprofile Hospital for Active Treatment `Tokuda Hospital Sofia`, AD | Recruiting |
| Sofia, Bulgaria | |
| Univercity Multiprofile Hospital for Active Treatment Tzaritza Yoanna ISUL EAD | Recruiting |
| Sofia, Bulgaria | |
| Multiprofile Hospital for Active Treatment `Sveta Marina` EAD | Not yet recruiting |
| Varna, Bulgaria | |
| Comprehensive Cancer Centre Vratsa | Recruiting |
| Vratsa, Bulgaria | |
| France | |
| Polyclinique Bordeaux Nord Aquitaine | Not yet recruiting |
| Bordeaux, France | |
| Centre Leon Berard | Not yet recruiting |
| Lyon, France | |
| Institut Curie | Not yet recruiting |
| Paris, France | |
| APHP | Not yet recruiting |
| Paris, France | |
| Institut de Cancerologie de l`Ouest | Not yet recruiting |
| Saint Herblain, France | |
| Germany | |
| University Hospital Bonn | Not yet recruiting |
| Bonn, Germany | |
| University Hospital Essen | Not yet recruiting |
| Essen, Germany | |
| University Hospital Heidelberg | Not yet recruiting |
| Heidelberg, Germany | |
| HELIOS Hospital Krefeld | Not yet recruiting |
| Krefeld, Germany | |
| Hospital St Georg gGmbH | Not yet recruiting |
| Leipzig, Germany | |
| Hospital Lippe GmbH | Not yet recruiting |
| Lemgo, Germany | |
| Technical University Muenchen | Not yet recruiting |
| Muenchen, Germany | |
| Elbland Riesa Grossenhain Hospital eGmbH | Not yet recruiting |
| Riesa, Germany | |
| University Hospital Tuebingen | Not yet recruiting |
| Tuebingen, Germany | |
| Korea, Republic of | |
| Seoul National University Hospital | Not yet recruiting |
| Seoul, Korea, Republic of | |
| The Catholic University of Korea Seoul St. Mary`s Hospital | Not yet recruiting |
| Seoul, Korea, Republic of | |
| Samsung Medical Center | Not yet recruiting |
| Seoul, Korea, Republic of | |
| Asan Medical Center | Not yet recruiting |
| Seoul, Korea, Republic of | |
| Yonsei University Health System | Not yet recruiting |
| Seoul, Korea, Republic of | |
| Latvia | |
| Daugavpils Regional Hospital | Not yet recruiting |
| Daugavpils, Latvia | |
| Piejuras Hospital | Not yet recruiting |
| Liepaja, Latvia | |
| Riga East Clinical University Hospital | Not yet recruiting |
| Riga, Latvia | |
| Lithuania | |
| Hospital of Lithuanian University of Health Sciences Kaunas Clinics | Recruiting |
| Kaunas, Lithuania | |
| Institute of Oncology, Vilnius University | Recruiting |
| Vilnius, Lithuania | |
| Vilnius University Hospital Santariskiu Clinics | Recruiting |
| Vilnius, Lithuania | |
| Poland | |
| Bialystok Oncology Center, Specialist Oncology Hospital | Not yet recruiting |
| Bialystok, Poland | |
| Medical Univesity of Gdansk, Academic Clinical Centre | Not yet recruiting |
| Gdansk, Poland | |
| Oncology Centre of Gdynia | Not yet recruiting |
| Gdynia, Poland | |
| Maria SklodowskaCurie Memorial Cancer Center and Institute of Oncology, Krakow Branch | Not yet recruiting |
| Krakow, Poland | |
| M Kopernik Hospital in Lodz, Regional Centre of Oncology | Not yet recruiting |
| Lodz, Poland | |
| Medical University of Lublin | Not yet recruiting |
| Lublin, Poland | |
| Poznan University of Medical Scieneces, University Hospital of Lord`s Transfiguration | Not yet recruiting |
| Poznan, Poland | |
| Greater Poland Cancer Centre | Not yet recruiting |
| Poznan, Poland | |
| Romania | |
| Spitalul Sf Constantin | Not yet recruiting |
| Brasov, Judet Brasov, Romania | |
| SC Oncolab SRL | Not yet recruiting |
| Craiova, Judet Dolj, Romania | |
| Spitalul Clinic Judetean Mures | Not yet recruiting |
| Tg. Mures, Judet Mures, Romania | |
| Spitalul Municipal Ploiesti | Not yet recruiting |
| Ploiesti, Judet Prahova, Romania | |
| Spitalul Judetean de Urgenta Sf Ioan cel Nou Suceava | Not yet recruiting |
| Suceava, Judet Suceava, Romania | |
| Spitalul Clinic de Obstetrica si Ginecologie Filantropia | Not yet recruiting |
| Bucuresti, Romania | |
| Thailand | |
| Ramathibodi Hospital Bangkok | Not yet recruiting |
| Bangkok, Thailand | |
| Chulalongkorn University Bangkok | Not yet recruiting |
| Bangkok, Thailand | |
| Siriraj Hospital Mahidol University | Not yet recruiting |
| Bangkok, Thailand | |
| Ukraine | |
| Municipal Institution of Cherkassy Regional Council, `Cherkassy Regional Oncology Dispensary` | Recruiting |
| Cherkassy, Ukraine | |
| Municipal Institution of City Clinical Hospital number4, Dnepropetrovsk State Medical Academy | Recruiting |
| Dnipropetrovsk, Ukraine | |
| Municipal Clinical Healthcare Institution `Donetsk Regional AntiTumor Centre` | Recruiting |
| Donetsk, Ukraine | |
| Ivano-Frankivsk Regional Oncology Clinical Centre, Chemotherapy Department | Recruiting |
| Ivano-Frankivsk, Ukraine | |
| Kharkiv Regional Clinical Oncology Centre, Kharkiv Medical Academy of PostGraduate Education | Recruiting |
| Kharkiv, Ukraine | |
| Kyiv City Clinical Oncology Centre | Recruiting |
| Kyiv, Ukraine | |
| Volyn Regional Oncology Dispensary | Recruiting |
| Lutsk, Ukraine | |
| Lviv State Regional Oncology Medical and Diagnostic Centre | Recruiting |
| Lviv, Ukraine | |
| Municipal Institution of Sumy Regional Clinical Oncology Dispensary | Recruiting |
| Sumy, Ukraine | |
| Transcarpathian Regional Clinical Oncology Dispensary | Not yet recruiting |
| Uzhgorod, Ukraine | |
More Information
Publications:
| Responsible Party: | Prima BioMed Ltd |
| ClinicalTrials.gov Identifier: | NCT01521143 History of Changes |
| Other Study ID Numbers: | CAN-004 |
| Study First Received: | January 17, 2012 |
| Last Updated: | June 3, 2013 |
| Health Authority: | United States: Food and Drug Administration |
Keywords provided by Prima BioMed Ltd:
|
EOC |
Additional relevant MeSH terms:
|
Ovarian Neoplasms Neoplasms, Glandular and Epithelial Endocrine Gland Neoplasms Neoplasms by Site Neoplasms Ovarian Diseases Adnexal Diseases |
Genital Diseases, Female Genital Neoplasms, Female Urogenital Neoplasms Endocrine System Diseases Gonadal Disorders Neoplasms by Histologic Type |
ClinicalTrials.gov processed this record on June 18, 2013