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Efficacy and Safety Study of M200(Volociximab in Combination With Liposomal Doxorubicin)

Primary Purpose

Ovarian Cancer, Primary Peritoneal Cancer

Status
Completed
Phase
Phase 1
Locations
International
Study Type
Interventional
Intervention
M200 (Volociximab)
Liposomal Doxorubicin
M200 (Volociximab)
M200 (Volociximab)
Sponsored by
AbbVie (prior sponsor, Abbott)
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Ovarian Cancer, Primary Peritoneal Cancer focused on measuring Ovarian neoplasms, Angiogenesis inhibitors, Angiogenesis, Volociximab, Ovarian cancer, Antibody, Monoclonals

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)FemaleDoes not accept healthy volunteers

Inclusion Criteria:

  • Females aged >= 18 years old at the time of informed consent.
  • Advanced (Stage III or IV) histologically documented epithelial ovarian cancer or primary peritoneal cancer (excluding small, round-cell histologies).
  • Recurrent or persistent disease.
  • Received no more than 2 prior cancer treatment regimens, at least one of which must have included a platinum/taxane based therapy. If the same regimen is given more than once, it will count as one regimen. If components of a regimen are given more than once using the same schedule, it will count as one regimen.
  • At least 1 target lesion to assess response by RECIST criteria. (Tumors within a previously irradiated field are designated as non-target)
  • Other protocol-defined inclusion criteria apply.

Exclusion Criteria:

  • Subjects taking immunomodulatory agents including, but not limited to, interferons, interleukins, systemic steroids, cyclosporine, tacrolimus, calcineurin inhibitors, chronic low dose methotrexate, or azathioprine. (Use of inhaled or intranasal steroids or oral steroids 10 mg/day prednisone or its equivalent are permitted.)
  • Subjects who require treatment with an anti coagulant with the exception of low dose Aspirin® (81 mg/day), warfarin (1 mg/day), or heparin for IV catheter patency
  • Evidence of bleeding diathesis or coagulopathy. (Prior history of DVT will not exclude subjects from participating in this study.)
  • History of abdominal fistula, gastrointestinal perforation, or intra-abdominal abscess within 6 months prior to Day 1.
  • Non-healing wound, ulcer, or bone fracture.
  • Evidence of autoimmune disease including, but not limited to, ulcerative colitis, Crohn's disease, rheumatoid arthritis, systemic lupus erythematosus, scleroderma, and other disease in which immune function or immune competence is known to be impaired.
  • Active infection requiring systemic antibiotics, antivirals, or antifungals including HIV/AIDS, hepatitis B, or hepatitis C infection.
  • Other protocol-defined exclusion criteria apply

Sites / Locations

  • Site Reference ID/Investigator# 75281
  • Site Reference ID/Investigator# 75275
  • Site Reference ID/Investigator# 75296
  • Site Reference ID/Investigator# 75299
  • Site Reference ID/Investigator# 75300
  • Site Reference ID/Investigator# 75301
  • Site Reference ID/Investigator# 75274
  • Site Reference ID/Investigator# 75294
  • Site Reference ID/Investigator# 75279
  • Site Reference ID/Investigator# 75295
  • Site Reference ID/Investigator# 75280
  • Site Reference ID/Investigator# 75297
  • Site Reference ID/Investigator# 75298
  • Site Reference ID/Investigator# 75278
  • Site Reference ID/Investigator# 75334
  • Site Reference ID/Investigator# 75335
  • Site Reference ID/Investigator# 75337
  • Site Reference ID/Investigator# 75336
  • Site Reference ID/Investigator# 75338
  • Site Reference ID/Investigator# 75415
  • Site Reference ID/Investigator# 75333
  • Site Reference ID/Investigator# 75344
  • Site Reference ID/Investigator# 75339
  • Site Reference ID/Investigator# 75341
  • Site Reference ID/Investigator# 75342
  • Site Reference ID/Investigator# 75343
  • Site Reference ID/Investigator# 75345
  • Site Reference ID/Investigator# 75340
  • Site Reference ID/Investigator# 75346
  • Site Reference ID/Investigator# 75348
  • Site Reference ID/Investigator# 75347
  • Site Reference ID/Investigator# 75349
  • Site Reference ID/Investigator# 75351
  • Site Reference ID/Investigator# 75352
  • Site Reference ID/Investigator# 75350
  • Site Reference ID/Investigator# 75353
  • Site Reference ID/Investigator# 75354
  • Site Reference ID/Investigator# 75355
  • Site Reference ID/Investigator# 75416

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm Type

Other

Other

Other

Other

Other

Arm Label

Cohort 1

Cohort 2

Group A

Group B

Group C

Arm Description

Three subjects will be treated with liposomal doxorubicin, 40 mg/m2 q4wk, and volociximab, 7.5 mg/kg qwk

liposomal doxorubicin, 40 mg/m2 q4wk, and volociximab 15 mg/kg qwk

liposomal doxorubicin, 40 mg/m2 q4wk

liposomal doxorubicin, 40 mg/m2 q4wk, and volociximab 15 mg/kg q2wk (or other dose and schedule)

liposomal doxorubicin, 40 mg/m2 q4wk, and volociximab 15 mg/kg qwk (or other dose and schedule)

Outcomes

Primary Outcome Measures

To evaluate the efficacy of volociximab in combination with liposomal doxorubicin in advanced epithelial ovarian cancer or primary peritoneal cancer. To evaluate the safety and tolerability of volociximab in combination with liposomal doxorubicin.

Secondary Outcome Measures

Full Information

First Posted
March 5, 2008
Last Updated
January 10, 2013
Sponsor
AbbVie (prior sponsor, Abbott)
Collaborators
Biogen
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1. Study Identification

Unique Protocol Identification Number
NCT00635193
Brief Title
Efficacy and Safety Study of M200(Volociximab in Combination With Liposomal Doxorubicin)
Official Title
A Phase 1/2, Open-Label, Adaptive, Randomized Study of Liposomal Doxorubicin With or Without M200 (Volociximab) for the Treatment of Subjects With Advanced Epithelial Ovarian Cancer or Primary Peritoneal Cancer That Have Relapsed After Prior Therapy With a Platinum/Taxane-Based Chemotherapy
Study Type
Interventional

2. Study Status

Record Verification Date
January 2013
Overall Recruitment Status
Completed
Study Start Date
July 2007 (undefined)
Primary Completion Date
October 2008 (Actual)
Study Completion Date
October 2009 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
AbbVie (prior sponsor, Abbott)
Collaborators
Biogen

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
This is an open-label study of liposomal doxorubicin with or without volociximab for the treatment of subjects with advanced epithelial ovarian cancer or primary peritoneal cancer relapsed after prior therapy with Plat/Taxane-based chemo. Volociximab is an anti-angiogenic integrin inhibitor being developed for the treatment of solid tumors. Preclinical data with a surrogate volociximab antibody administered as monotherapy indicate encouraging efficacy in terms of tumor reduction and anti-angiogenic effects in mouse ovarian cancer xenograft models. In clinical studies, volociximab has been evaluated in several solid tumor types, including pancreatic, renal, and melanoma, with many subjects who entered the studies with progressive disease remaining progression-free for several months. In all studies in solid tumors, volociximab has shown a favorable safety profile when administered at 10 mg/kg q2wks and more recently at 15 mg/kg qwk. A study of volociximab in combination with liposomal doxorubicin in subjects with ovarian cancer or primary peritoneal cancer who have relapsed after prior platin/taxane therapies is warranted to further evaluate the drug's efficacy and safety. The investigators have thus far activated stage 2 of this study at 11/25 sites. Worldwide, the study aims to enroll 150 subjects.
Detailed Description
This is an open-label study of liposomal doxorubicin with or without volociximab for the treatment of subjects with advanced epithelial ovarian cancer or primary peritoneal cancer relapsed after prior therapy with Plat/Taxane-based chemo. Volociximab is an anti-angiogenic integrin inhibitor being developed for the treatment of solid tumors. Preclinical data with a surrogate volociximab antibody administered as monotherapy indicate encouraging efficacy in terms of tumor reduction and anti-angiogenic effects in mouse ovarian cancer xenograft models. In clinical studies, volociximab has been evaluated in several solid tumor types, including pancreatic, renal, and melanoma, with many subjects who entered the studies with progressive disease remaining progression-free for several months.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Ovarian Cancer, Primary Peritoneal Cancer
Keywords
Ovarian neoplasms, Angiogenesis inhibitors, Angiogenesis, Volociximab, Ovarian cancer, Antibody, Monoclonals

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1, Phase 2
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
138 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Cohort 1
Arm Type
Other
Arm Description
Three subjects will be treated with liposomal doxorubicin, 40 mg/m2 q4wk, and volociximab, 7.5 mg/kg qwk
Arm Title
Cohort 2
Arm Type
Other
Arm Description
liposomal doxorubicin, 40 mg/m2 q4wk, and volociximab 15 mg/kg qwk
Arm Title
Group A
Arm Type
Other
Arm Description
liposomal doxorubicin, 40 mg/m2 q4wk
Arm Title
Group B
Arm Type
Other
Arm Description
liposomal doxorubicin, 40 mg/m2 q4wk, and volociximab 15 mg/kg q2wk (or other dose and schedule)
Arm Title
Group C
Arm Type
Other
Arm Description
liposomal doxorubicin, 40 mg/m2 q4wk, and volociximab 15 mg/kg qwk (or other dose and schedule)
Intervention Type
Drug
Intervention Name(s)
M200 (Volociximab)
Intervention Description
7.5 mg/kg, IV infusion every week until disease progression
Intervention Type
Drug
Intervention Name(s)
Liposomal Doxorubicin
Intervention Description
40 mg/m2, IV infustions every 4 weeks until disease progression, the maxium number of doses a subject can receive is 12.
Intervention Type
Drug
Intervention Name(s)
M200 (Volociximab)
Intervention Description
15 mg/kg, IV infusions every week until disease progression
Intervention Type
Drug
Intervention Name(s)
M200 (Volociximab)
Intervention Description
15 mg/kg, IV infustions every other week until disease progression
Primary Outcome Measure Information:
Title
To evaluate the efficacy of volociximab in combination with liposomal doxorubicin in advanced epithelial ovarian cancer or primary peritoneal cancer. To evaluate the safety and tolerability of volociximab in combination with liposomal doxorubicin.
Time Frame
50-57 days

10. Eligibility

Sex
Female
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Females aged >= 18 years old at the time of informed consent. Advanced (Stage III or IV) histologically documented epithelial ovarian cancer or primary peritoneal cancer (excluding small, round-cell histologies). Recurrent or persistent disease. Received no more than 2 prior cancer treatment regimens, at least one of which must have included a platinum/taxane based therapy. If the same regimen is given more than once, it will count as one regimen. If components of a regimen are given more than once using the same schedule, it will count as one regimen. At least 1 target lesion to assess response by RECIST criteria. (Tumors within a previously irradiated field are designated as non-target) Other protocol-defined inclusion criteria apply. Exclusion Criteria: Subjects taking immunomodulatory agents including, but not limited to, interferons, interleukins, systemic steroids, cyclosporine, tacrolimus, calcineurin inhibitors, chronic low dose methotrexate, or azathioprine. (Use of inhaled or intranasal steroids or oral steroids 10 mg/day prednisone or its equivalent are permitted.) Subjects who require treatment with an anti coagulant with the exception of low dose Aspirin® (81 mg/day), warfarin (1 mg/day), or heparin for IV catheter patency Evidence of bleeding diathesis or coagulopathy. (Prior history of DVT will not exclude subjects from participating in this study.) History of abdominal fistula, gastrointestinal perforation, or intra-abdominal abscess within 6 months prior to Day 1. Non-healing wound, ulcer, or bone fracture. Evidence of autoimmune disease including, but not limited to, ulcerative colitis, Crohn's disease, rheumatoid arthritis, systemic lupus erythematosus, scleroderma, and other disease in which immune function or immune competence is known to be impaired. Active infection requiring systemic antibiotics, antivirals, or antifungals including HIV/AIDS, hepatitis B, or hepatitis C infection. Other protocol-defined exclusion criteria apply
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Mihail Obrocea, MD
Organizational Affiliation
AbbVie
Official's Role
Study Director
Facility Information:
Facility Name
Site Reference ID/Investigator# 75281
City
Anaheim
State/Province
California
ZIP/Postal Code
92801
Country
United States
Facility Name
Site Reference ID/Investigator# 75275
City
Redondo Beach
State/Province
California
ZIP/Postal Code
90277
Country
United States
Facility Name
Site Reference ID/Investigator# 75296
City
Sunrise
State/Province
Florida
ZIP/Postal Code
33323
Country
United States
Facility Name
Site Reference ID/Investigator# 75299
City
Atlanta
State/Province
Georgia
ZIP/Postal Code
30309
Country
United States
Facility Name
Site Reference ID/Investigator# 75300
City
Savannah
State/Province
Georgia
ZIP/Postal Code
31404
Country
United States
Facility Name
Site Reference ID/Investigator# 75301
City
Hinsdale
State/Province
Illinois
ZIP/Postal Code
60521
Country
United States
Facility Name
Site Reference ID/Investigator# 75274
City
Baltimore
State/Province
Maryland
ZIP/Postal Code
21215
Country
United States
Facility Name
Site Reference ID/Investigator# 75294
City
Jackson City
State/Province
Missouri
ZIP/Postal Code
65109
Country
United States
Facility Name
Site Reference ID/Investigator# 75279
City
Oklahoma City
State/Province
Oklahoma
ZIP/Postal Code
73104
Country
United States
Facility Name
Site Reference ID/Investigator# 75295
City
Corpus Christi
State/Province
Texas
ZIP/Postal Code
78404
Country
United States
Facility Name
Site Reference ID/Investigator# 75280
City
Dallas
State/Province
Texas
ZIP/Postal Code
75246
Country
United States
Facility Name
Site Reference ID/Investigator# 75297
City
Danville
State/Province
Virginia
ZIP/Postal Code
23185
Country
United States
Facility Name
Site Reference ID/Investigator# 75298
City
Williamsburg
State/Province
Virginia
ZIP/Postal Code
23185
Country
United States
Facility Name
Site Reference ID/Investigator# 75278
City
Green Bay
State/Province
Wisconsin
ZIP/Postal Code
54301
Country
United States
Facility Name
Site Reference ID/Investigator# 75334
City
Toorak Gardens
ZIP/Postal Code
5065
Country
Australia
Facility Name
Site Reference ID/Investigator# 75335
City
Woodville South
ZIP/Postal Code
5011
Country
Australia
Facility Name
Site Reference ID/Investigator# 75337
City
Antwerp
ZIP/Postal Code
2020
Country
Belgium
Facility Name
Site Reference ID/Investigator# 75336
City
Brussels
ZIP/Postal Code
1200
Country
Belgium
Facility Name
Site Reference ID/Investigator# 75338
City
Leuven
ZIP/Postal Code
3000
Country
Belgium
Facility Name
Site Reference ID/Investigator# 75415
City
Milan
ZIP/Postal Code
20133
Country
Italy
Facility Name
Site Reference ID/Investigator# 75333
City
Milan
ZIP/Postal Code
20141
Country
Italy
Facility Name
Site Reference ID/Investigator# 75344
City
Bialystok
ZIP/Postal Code
15-027
Country
Poland
Facility Name
Site Reference ID/Investigator# 75339
City
Krakow
ZIP/Postal Code
31-531
Country
Poland
Facility Name
Site Reference ID/Investigator# 75341
City
Lublin
ZIP/Postal Code
20-090
Country
Poland
Facility Name
Site Reference ID/Investigator# 75342
City
Poznan
ZIP/Postal Code
61-001
Country
Poland
Facility Name
Site Reference ID/Investigator# 75343
City
Poznan
ZIP/Postal Code
61-848
Country
Poland
Facility Name
Site Reference ID/Investigator# 75345
City
Szczecin
ZIP/Postal Code
70-111
Country
Poland
Facility Name
Site Reference ID/Investigator# 75340
City
Wroclaw
ZIP/Postal Code
50-367
Country
Poland
Facility Name
Site Reference ID/Investigator# 75346
City
Moscow
ZIP/Postal Code
129128
Country
Russian Federation
Facility Name
Site Reference ID/Investigator# 75348
City
Moscow
ZIP/Postal Code
143423
Country
Russian Federation
Facility Name
Site Reference ID/Investigator# 75347
City
St. Petersburg
ZIP/Postal Code
198255
Country
Russian Federation
Facility Name
Site Reference ID/Investigator# 75349
City
Barcelona
ZIP/Postal Code
08035
Country
Spain
Facility Name
Site Reference ID/Investigator# 75351
City
Barcelona
ZIP/Postal Code
08036
Country
Spain
Facility Name
Site Reference ID/Investigator# 75352
City
Barcelona
ZIP/Postal Code
08208
Country
Spain
Facility Name
Site Reference ID/Investigator# 75350
City
Girona
ZIP/Postal Code
17007
Country
Spain
Facility Name
Site Reference ID/Investigator# 75353
City
Madrid
ZIP/Postal Code
28040
Country
Spain
Facility Name
Site Reference ID/Investigator# 75354
City
Stockholm
ZIP/Postal Code
17176
Country
Sweden
Facility Name
Site Reference ID/Investigator# 75355
City
Umea
ZIP/Postal Code
901 85
Country
Sweden
Facility Name
Site Reference ID/Investigator# 75416
City
Bellinzona
ZIP/Postal Code
6500
Country
Switzerland

12. IPD Sharing Statement

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Efficacy and Safety Study of M200(Volociximab in Combination With Liposomal Doxorubicin)

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