search
Back to results

Recombinant Anti-tumor and Anti-virus Protein for Injection in Treatment of Metastatic Colorectal Cancer

Primary Purpose

Metastatic Colorectal Cancer

Status
Completed
Phase
Phase 2
Locations
China
Study Type
Interventional
Intervention
Recombinant anti-tumor and anti-virus protein for injection
Recombinant anti-tumor and anti-virus protein for injection
Saline Injection
Recombinant anti-tumor and anti-virus protein for injection
Sponsored by
The Affiliated Hospital of the Chinese Academy of Military Medical Sciences
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Metastatic Colorectal Cancer focused on measuring Colorectal Cancer, Novaferon

Eligibility Criteria

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

Inclusion Criteria:

  • Aged above 18 years.
  • ECOG performance status 0, 1 or 2.
  • Pathologically confirmed metastatic colorectal cancer.
  • Failure of Second-Line or Above Treatment, and irinotecan- and oxaliplatin--containing regimens (If recurrence and metastasis occurred within 6 months after discontinuation of adjuvant chemotherapy, the adjuvant chemotherapy is considered to be first-line treatment). more than 4 weeks before enrollment after discontinuation of chemotherapy.
  • Minimum of 4 weeks since any local radiotherapy or surgery for the control of symptoms or severe complications(local radiotherapy for the control of bone metastases is not the limit),and adequately recovered from toxicities of any prior therapy).
  • At least one measurable lesion according to the RECIST criteria that has not been previously local treated. Minimum indicator lesion size as follows: greater than or equal to 10 mm measured by spiral CT or NMR.
  • The organ function is normal (laboratory test results came within 1 week before administration in the absence of ongoing supportive care): ANC ≥ 1.5 x 109/L, Platelets ≥ 80 x 109/L, Hgb ≥ 8.5 g/dL, serum total bilirubin ≤ 1.5 x upper limit of normal (ULN), and serum AST and ALT ≤ 2.5 x ULN(≤ 5 x ULN if liver metastases), serum creatinine ≤1.5 x ULN.
  • Have been fully aware of the study and voluntarily signed the informed consent.
  • Life expectancy of at least 3 months.

Exclusion Criteria:

  • Pregnancy or breast-feeding women or women who may be pregnant were positive drug test before administration.
  • Patient of child-bearing potential(male or less than 1 year postmenopausal women) were reluctant to take contraceptive measures.
  • Patient who were allergic to Interferon-α or who had interferon-α antibody.
  • Patients with uncontrolled central nervous system (CNS) metastases.
  • Patient with any other Malignant tumors within five years (except for a complete cure of carcinoma in situ of the cervix or basal cell cancer or squamous cell skin cancer).
  • Patient with Clinically uncontrolled active infection such as acute pneumonia, active hepatitis B, etc.
  • Patient associated with Significant Systemic illness including, but not limited to, the following: cerebrovascular disease, uncontrolled diabetes, uncontrolled hypertension, acute myocardial infarction, unstable angina, Congestive heart failure ,serious dysrhythmias, metabolic diseases, thrombosis or thromboembolic events occurred(including transient ischemic attack) in the last 6 months.
  • Patient with serious autoimmune diseases in the past or at present, such as systemic lupus erythematosus, rheumatoid arthritis, thyroiditis, etc.
  • Patient with ascites, pleural and pericardial effusion that cannot be controlled by drainage or symptomatic treatment.
  • Investigator think Patient is not appropriate to participate in this trial for any clinical or laboratory abnormalities, or patient with any grade ≥ 2 toxicity according to NCI CTC AE 3.0 standard .
  • Patient who also are accepting other systemic anti-tumor therapy (local radiotherapy for the control of bone metastases is not the limit)), in this study received 4 weeks before the start of drug treatment of other tests.
  • Patient who had serious psychological or psychiatric disorder or Drug addiction or alcohol dependence.
  • Patient who are estimated to be lack of compliance in this study.
  • Patient with acute or subacute intestinal obstruction.

Sites / Locations

  • 307 Hospital of PLA

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Experimental

Experimental

Placebo Comparator

Experimental

Arm Label

The first group

The second group

Placebo group

The third group

Arm Description

Recombinant anti-tumor and anti-virus protein for injection, twice per week

Recombinant anti-tumor and anti-virus protein for injection, three times per week

Saline Injection, three times per week

High dose of recombinant anti-tumor and anti-virus protein for injection, three times per week

Outcomes

Primary Outcome Measures

Overall survival (OS)
OS is defined as the length of time from random assignment to death or to last contact.

Secondary Outcome Measures

Progression-free survival (PFS)
PFS is defined as the length of time from random assignment to disease progression or to death resulting from any cause other than the progress.
Quality of life (QoL)
Quality of life is assessed using EORTC-C30 (the Quality of Life Questionnaire of the European Organisation for Research and Treatment of Cancer.)
Adverse Events(AEs)
AEs are evaluated according to National Cancer Institute Common Terminology Criteria for Adverse Events v3.0.
pharmacodynamics
As the drug concentration is very low, and no commercialized kits for original drug test, So original drug will not detect. Mopterin and MxA protein (alternate index) levels in serum will be used as alternative targets for pharmacodynamic studies
Disease Control Rate
The disease control rate is defined as the percentage of subjects having achieved confirmed Complete Response + Partial Response + Stable Disease as best overall response according to radiological assessments (based on modified WHO criteria)

Full Information

First Posted
June 27, 2011
Last Updated
January 4, 2016
Sponsor
The Affiliated Hospital of the Chinese Academy of Military Medical Sciences
Collaborators
Beijing Genova Biotech Company, Ltd.
search

1. Study Identification

Unique Protocol Identification Number
NCT01386242
Brief Title
Recombinant Anti-tumor and Anti-virus Protein for Injection in Treatment of Metastatic Colorectal Cancer
Official Title
Phase II/III Study of Recombinant Anti-tumor and Anti-Virus Protein for Injection Compared With Placebo in Metastatic Colorectal Cancer After Failure of Second-Line and More Than Second-line Treatment
Study Type
Interventional

2. Study Status

Record Verification Date
April 2015
Overall Recruitment Status
Completed
Study Start Date
May 2011 (undefined)
Primary Completion Date
May 2013 (Actual)
Study Completion Date
May 2014 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
The Affiliated Hospital of the Chinese Academy of Military Medical Sciences
Collaborators
Beijing Genova Biotech Company, Ltd.

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The purpose of this study is to evaluate the efficacy and safety of recombinant anti-tumor and anti-virus protein for injection in treating patients with metastatic colorectal cancer after failure of second-line and more than second-line treatment.
Detailed Description
Explanation for study design The trial including two stages. The first is an exploration stage to decide delivery frequency and dose of study drug. It is single-blinded, subjects will be randomly divided into 4 groups with a 2:2:2:1 ratio. Study drug given twice per week or 3 times per, dose of the drug are from 20μg to 40μg. The sample size is 105, duration is 12 to 18 months. Based on preliminary efficacy and safety, the better dosage regimen will decided for the second stage.The second stage is double-blinded,subject will be randomly divided into treatment group or placebo group with 2:1 ratio and sample size is 600. Primary purpose To compare overall survival between study drug and placebo groups . Secondary purpose Progression free survival were compared in both groups. Disease control rate were compared in both groups. Quality of life scores were compared in both groups. Determine the safety and tolerance of recombinant anti-tumor and anti-virus protein for injection Supplementary pharmacodynamics of recombinant anti-tumor and anti-virus protein for injection Exploratory purpose Evaluate effects of recombinant anti-tumor and anti-virus protein for injection on the anti-tumor immunity, angiogenesis, apoptosis, cell proliferation, immune cells and cytokines levels.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Metastatic Colorectal Cancer
Keywords
Colorectal Cancer, Novaferon

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
Participant
Allocation
Randomized
Enrollment
108 (Actual)

8. Arms, Groups, and Interventions

Arm Title
The first group
Arm Type
Experimental
Arm Description
Recombinant anti-tumor and anti-virus protein for injection, twice per week
Arm Title
The second group
Arm Type
Experimental
Arm Description
Recombinant anti-tumor and anti-virus protein for injection, three times per week
Arm Title
Placebo group
Arm Type
Placebo Comparator
Arm Description
Saline Injection, three times per week
Arm Title
The third group
Arm Type
Experimental
Arm Description
High dose of recombinant anti-tumor and anti-virus protein for injection, three times per week
Intervention Type
Drug
Intervention Name(s)
Recombinant anti-tumor and anti-virus protein for injection
Other Intervention Name(s)
Brand name: Novaferon
Intervention Description
Recombinant anti-tumor and anti-virus protein for injection,10μg,im,twice per week for first 2 weeks, followed by 20μg, im, twice per week after 2 weeks
Intervention Type
Drug
Intervention Name(s)
Recombinant anti-tumor and anti-virus protein for injection
Other Intervention Name(s)
Brand name: Novaferon
Intervention Description
Recombinant anti-tumor and anti-virus protein for injection, 10μg/1mL,im,three times per week for first 2 weeks, followed by 20μg,im, three times per week after 2 weeks.
Intervention Type
Other
Intervention Name(s)
Saline Injection
Intervention Description
Saline Injection, 1mL, im,three times per week
Intervention Type
Drug
Intervention Name(s)
Recombinant anti-tumor and anti-virus protein for injection
Other Intervention Name(s)
Brand name: Novaferon
Intervention Description
Recombinant anti-tumor and anti-virus protein for injection, 10μg, im, three times per week for first week, followed by 20μg for two weeks, and followed by 30μg for a week, and followed a maintenance dose of 40μg, the frequency of administration is three times per week.
Primary Outcome Measure Information:
Title
Overall survival (OS)
Description
OS is defined as the length of time from random assignment to death or to last contact.
Time Frame
every 8 weeks until death, the average OS is thought to be 4.5~6 months
Secondary Outcome Measure Information:
Title
Progression-free survival (PFS)
Description
PFS is defined as the length of time from random assignment to disease progression or to death resulting from any cause other than the progress.
Time Frame
every 6 weeks until disease progress, the estimate averge time is 2~3 months
Title
Quality of life (QoL)
Description
Quality of life is assessed using EORTC-C30 (the Quality of Life Questionnaire of the European Organisation for Research and Treatment of Cancer.)
Time Frame
every 2 weeks in first 4 weeks and every 4 weeks after 4 weeks, it will last to the treatment end.
Title
Adverse Events(AEs)
Description
AEs are evaluated according to National Cancer Institute Common Terminology Criteria for Adverse Events v3.0.
Time Frame
from informed consent form signed to 28 days after termination of administration.
Title
pharmacodynamics
Description
As the drug concentration is very low, and no commercialized kits for original drug test, So original drug will not detect. Mopterin and MxA protein (alternate index) levels in serum will be used as alternative targets for pharmacodynamic studies
Time Frame
The first 2 weeks during 10ug dosage were given and the following 11weeks during 20ug dosage were given
Title
Disease Control Rate
Description
The disease control rate is defined as the percentage of subjects having achieved confirmed Complete Response + Partial Response + Stable Disease as best overall response according to radiological assessments (based on modified WHO criteria)
Time Frame
every 6 weeks until disease progression

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Aged above 18 years. ECOG performance status 0, 1 or 2. Pathologically confirmed metastatic colorectal cancer. Failure of Second-Line or Above Treatment, and irinotecan- and oxaliplatin--containing regimens (If recurrence and metastasis occurred within 6 months after discontinuation of adjuvant chemotherapy, the adjuvant chemotherapy is considered to be first-line treatment). more than 4 weeks before enrollment after discontinuation of chemotherapy. Minimum of 4 weeks since any local radiotherapy or surgery for the control of symptoms or severe complications(local radiotherapy for the control of bone metastases is not the limit),and adequately recovered from toxicities of any prior therapy). At least one measurable lesion according to the RECIST criteria that has not been previously local treated. Minimum indicator lesion size as follows: greater than or equal to 10 mm measured by spiral CT or NMR. The organ function is normal (laboratory test results came within 1 week before administration in the absence of ongoing supportive care): ANC ≥ 1.5 x 109/L, Platelets ≥ 80 x 109/L, Hgb ≥ 8.5 g/dL, serum total bilirubin ≤ 1.5 x upper limit of normal (ULN), and serum AST and ALT ≤ 2.5 x ULN(≤ 5 x ULN if liver metastases), serum creatinine ≤1.5 x ULN. Have been fully aware of the study and voluntarily signed the informed consent. Life expectancy of at least 3 months. Exclusion Criteria: Pregnancy or breast-feeding women or women who may be pregnant were positive drug test before administration. Patient of child-bearing potential(male or less than 1 year postmenopausal women) were reluctant to take contraceptive measures. Patient who were allergic to Interferon-α or who had interferon-α antibody. Patients with uncontrolled central nervous system (CNS) metastases. Patient with any other Malignant tumors within five years (except for a complete cure of carcinoma in situ of the cervix or basal cell cancer or squamous cell skin cancer). Patient with Clinically uncontrolled active infection such as acute pneumonia, active hepatitis B, etc. Patient associated with Significant Systemic illness including, but not limited to, the following: cerebrovascular disease, uncontrolled diabetes, uncontrolled hypertension, acute myocardial infarction, unstable angina, Congestive heart failure ,serious dysrhythmias, metabolic diseases, thrombosis or thromboembolic events occurred(including transient ischemic attack) in the last 6 months. Patient with serious autoimmune diseases in the past or at present, such as systemic lupus erythematosus, rheumatoid arthritis, thyroiditis, etc. Patient with ascites, pleural and pericardial effusion that cannot be controlled by drainage or symptomatic treatment. Investigator think Patient is not appropriate to participate in this trial for any clinical or laboratory abnormalities, or patient with any grade ≥ 2 toxicity according to NCI CTC AE 3.0 standard . Patient who also are accepting other systemic anti-tumor therapy (local radiotherapy for the control of bone metastases is not the limit)), in this study received 4 weeks before the start of drug treatment of other tests. Patient who had serious psychological or psychiatric disorder or Drug addiction or alcohol dependence. Patient who are estimated to be lack of compliance in this study. Patient with acute or subacute intestinal obstruction.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Xu jianming, M.D.
Organizational Affiliation
The Affiliated Hospital of the Chinese Academy of Military Medical Scienc
Official's Role
Principal Investigator
Facility Information:
Facility Name
307 Hospital of PLA
City
Beijing
State/Province
Beijing
ZIP/Postal Code
100071
Country
China

12. IPD Sharing Statement

Citations:
PubMed Identifier
25926350
Citation
Jia R, Wang Y, Mao XY, Li SS, Xu N, Xiong JP, Shen L, Bai L, Liu W, Liu LJ, Ge FJ, Chen YL, Lin L, Xu JM. Phase II Study of Recombinant Antitumor and Antivirus Protein Injection Compared With Placebo in Metastatic Colorectal Cancer After Failure of Standard Treatment. Oncologist. 2015 Jun;20(6):619-20. doi: 10.1634/theoncologist.2014-0439. Epub 2015 Apr 29.
Results Reference
derived

Learn more about this trial

Recombinant Anti-tumor and Anti-virus Protein for Injection in Treatment of Metastatic Colorectal Cancer

We'll reach out to this number within 24 hrs