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A Study of DNIB0600A in Comparison With Pegylated Liposomal Doxorubicin (PLD) in Participants With Platinum-Resistant Ovarian Cancer (PROC)

Primary Purpose

Ovarian Cancer

Status
Terminated
Phase
Phase 2
Locations
International
Study Type
Interventional
Intervention
DNIB0600A
PLD
Sponsored by
Genentech, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Ovarian Cancer

Eligibility Criteria

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

Inclusion Criteria:

  • Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1
  • Histologically documented epithelial ovarian cancer, primary peritoneal cancer, or fallopian tube cancer
  • Advanced epithelial ovarian, primary peritoneal, or fallopian tube cancer that has progressed or relapsed during or within 6 months after the most recent treatment with a platinum-containing chemotherapy regimen and for whom PLD is appropriate therapy
  • No more than 1 prior cytotoxic chemotherapy regimens for the treatment of PROC and not more than 2 total regimens (defined as any therapy [approved or investigational] with intent to treat the ovarian cancer)
  • Adequate hematologic, renal and liver function
  • Willing and able to perform a patient-reported outcome (PRO) survey (including the possibility of using an electronic PRO device)
  • For women of childbearing potential, agreement to use 1 highly effective form of contraception as defined by protocol through the course of study treatment and for 6 months after the last dose of study treatment

Exclusion Criteria:

  • Primary platinum-refractory disease defined as disease progression during or within 2 months of a first-line, platinum-containing chemotherapy regimen
  • Anti-tumor therapy, including chemotherapy, biologic, experimental, or hormonal therapy, within 4 weeks prior to Day 1
  • Palliative radiation within 2 weeks prior to Day 1
  • Prior anthracycline therapy, including prior treatment with PLD (for example, Doxil®, Caelyx®, or Lipodox®) in any setting (for example, in combination with carboplatin or as a single agent)
  • Prior treatment with NaPi2b or SCL34A2 targeted therapy
  • Major surgical procedure within 4 weeks prior to Day 1
  • Current Grade greater than (>) 1 toxicity (except alopecia and anorexia) from prior therapy or Grade >1 neuropathy from any cause
  • Left ventricular ejection fraction defined by multigated acquisition (MUGA)/echocardiogram below the institutional lower limit of normal
  • Evidence of significant, uncontrolled, concomitant disease that could affect compliance with the protocol or interpretation of results, including significant cardiovascular disease or significant pulmonary disease
  • Known active infection, or any major episode of infection requiring treatment with IV antibiotics or hospitalization (within 4 weeks prior to Cycle 1, Day 1)
  • Clinically significant history of liver disease, including viral or other hepatitis, current alcohol abuse, or cirrhosis
  • Presence of positive test results for hepatitis B or hepatitis C as detailed in the protocol
  • Known history of HIV seropositive status
  • Other malignancy within the last 5 years, except for adequately treated carcinoma in situ of the cervix, squamous carcinoma of the skin, adequately controlled limited basal cell skin cancer, or synchronous primary endometrial cancer or prior primary endometrial cancer
  • Untreated or active central nervous system metastases (progressing or requiring anticonvulsants or corticosteroids for symptomatic control)
  • Pregnancy or breastfeeding
  • Known history of NaPi2b deficiency (for example, congenital alveolar microlithiasis or testicular microlithiasis)
  • History of severe allergic or anaphylactic reactions to monoclonal antibody therapy (or recombinant antibody-related fusion proteins)
  • Metabolic dysfunction, physical examination finding, or clinical laboratory find giving reasonable suspicion of a disease or condition that contraindicated use of an investigational drug or may render the participant at high risk from treatment complications

Sites / Locations

  • St. Joseph'S Hospital & Medical Center
  • HonorHealth Research Institute - Pima Center
  • University of California Irvine Medical Center
  • Florida Cancer Specialists.
  • Hematology & Oncology Associates
  • Johns Hopkins Uni; Oncology Center
  • Massachusetts General Hospital
  • Dana Farber Cancer Inst.
  • Beth Israel Deaconess Medical Center
  • Oklahoma University Health Sciences Center
  • Northwest Cancer Specialists, P.C.
  • Magee Womens Hospital
  • Women & Infants Hospital
  • Sarah Cannon Cancer Center
  • UZ Leuven Gasthuisberg
  • CHU Sart-Tilman
  • London Regional Cancer Centre
  • Princess Margaret Hospital
  • Chum Hopital Notre Dame; Centre D'Oncologie
  • Centre Léon Bérard Centre Régional de Lutte Contre Le Cancer Rhône Alpes
  • Hôpital Européen Georges Pompidou
  • HOPITAL TENON; Cancerologie Medicale
  • Institut Gustave Roussy
  • Bialostockie Centrum Onkologi
  • Wojewodzkie Centrum Onkologii
  • Wojskowy Instytut Medyczny Centralny Szpital Kliniczny MON
  • Hospital Universitario Vall d'Hebron; Servicio de Neumologia
  • Hospital Clinic de Barcelona
  • Hospital General Universitario Gregorio Marañon
  • Hospital Universitario 12 de Octubre
  • HOSPITAL DE MADRID NORTE SANCHINARRO- CENTRO INTEGRAL ONCOLOGICO CLARA CAMPAL; Servicio de Oncologia
  • Sarah Cannon Research Institute
  • Christie Hospital
  • Royal Marsden NHS Foundation Trust
  • The Royal Marsden Hospital
  • The Clatterbridge Cancer Centre NHS Foundation Trust

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

DNIB0600A

PLD

Arm Description

DNIB0600A will be administered on Day 1 of each cycle (1 cycle = 21 days) until significant toxicity, disease progression, or withdrawal from the study (overall up to approximately 2.5 years).

PLD will be administered on Day 1 of each cycle (1 cycle = 28 days) until significant toxicity, disease progression, or withdrawal from the study (overall up to approximately 2.5 years).

Outcomes

Primary Outcome Measures

Progression-free Survival According to Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1)

Secondary Outcome Measures

Percentage of Participants With Objective Response According to RECIST v1.1
Duration of Objective Response
Overall Survival (OS)
Percentage of Participants With Adverse Events (AEs)
Area Under the Concentration-time Curve (AUC) of DNIB0600A
Maximum Concentration (Cmax) of DNIB0600A
Clearance (CL) of DNIB0600A
Elimination Half-life (t1/2) of DNIB0600A
Volume of Distribution at Steady State (Vss) of DNIB0600A
Percentage of Participants With Anti-therapeutic Antibodies (ATAs) Against DNIB0600A

Full Information

First Posted
November 15, 2013
Last Updated
August 17, 2017
Sponsor
Genentech, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT01991210
Brief Title
A Study of DNIB0600A in Comparison With Pegylated Liposomal Doxorubicin (PLD) in Participants With Platinum-Resistant Ovarian Cancer (PROC)
Official Title
A Randomized, Open-Label, Multicenter, Phase II Trial Evaluating the Safety and Activity of DNIB0600A Compared to Pegylated Liposomal Doxorubicin Administered Intravenously to Patients With Platinum-Resistant Ovarian Cancer
Study Type
Interventional

2. Study Status

Record Verification Date
August 2017
Overall Recruitment Status
Terminated
Why Stopped
The primary objective of PFS did not meet pre-specified criteria.
Study Start Date
February 6, 2014 (Actual)
Primary Completion Date
August 17, 2016 (Actual)
Study Completion Date
August 17, 2016 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Genentech, Inc.

4. Oversight

5. Study Description

Brief Summary
This randomized, multicenter, open-label study will evaluate the safety and efficacy of DNIB0600A (RO5541081) in comparison with PLD in participants with PROC, primary peritoneal cancer or fallopian tube cancer. Participants will be randomized to receive either DNIB0600A 2.4 milligrams per kilogram (mg/kg) intravenously (IV) every 3 weeks or PLD 40 milligrams per meter-squared (mg/m^2) IV every 4 weeks.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Ovarian Cancer

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
DNIB0600A
Arm Type
Experimental
Arm Description
DNIB0600A will be administered on Day 1 of each cycle (1 cycle = 21 days) until significant toxicity, disease progression, or withdrawal from the study (overall up to approximately 2.5 years).
Arm Title
PLD
Arm Type
Active Comparator
Arm Description
PLD will be administered on Day 1 of each cycle (1 cycle = 28 days) until significant toxicity, disease progression, or withdrawal from the study (overall up to approximately 2.5 years).
Intervention Type
Drug
Intervention Name(s)
DNIB0600A
Other Intervention Name(s)
RO5541081
Intervention Description
DNIB0600A will be administered at a dose of 2.4 mg/kg IV every 3 weeks.
Intervention Type
Drug
Intervention Name(s)
PLD
Intervention Description
PLD will be administered at a dose of 40 mg/m^2 IV every 4 weeks.
Primary Outcome Measure Information:
Title
Progression-free Survival According to Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST v1.1)
Time Frame
From baseline up to disease progression or death within 30 days of last study drug administration (overall up to approximately 2.5 years)
Secondary Outcome Measure Information:
Title
Percentage of Participants With Objective Response According to RECIST v1.1
Time Frame
From baseline up to 30 days of last study drug administration (overall up to approximately 2.5 years)
Title
Duration of Objective Response
Time Frame
From occurrence of a documented objective response until relapse or death from any cause (overall up to approximately 2.5 years)
Title
Overall Survival (OS)
Time Frame
From baseline up to death from any cause (overall up to approximately 2.5 years)
Title
Percentage of Participants With Adverse Events (AEs)
Time Frame
From baseline up to 30 days of last study drug administration (overall up to approximately 2.5 years)
Title
Area Under the Concentration-time Curve (AUC) of DNIB0600A
Time Frame
Pre-DNIB0600A infusion, 30 minutes post infusion (infusion length=90 minutes) on Day 1 of each Cycle (1cycle=21 days) (overall up to approximately 2.5 years); Day 8 of Cycle 1; Day 15 of Cycles 1-4
Title
Maximum Concentration (Cmax) of DNIB0600A
Time Frame
Pre-DNIB0600A infusion, 30 minutes post infusion (infusion length=90 minutes) on Day 1 of each Cycle (1cycle=21 days) (overall up to approximately 2.5 years); Day 8 of Cycle 1; Day 15 of Cycles 1-4
Title
Clearance (CL) of DNIB0600A
Time Frame
Pre-DNIB0600A infusion, 30 minutes post infusion (infusion length=90 minutes) on Day 1 of each Cycle (1cycle=21 days) (overall up to approximately 2.5 years); Day 8 of Cycle 1; Day 15 of Cycles 1-4
Title
Elimination Half-life (t1/2) of DNIB0600A
Time Frame
Pre-DNIB0600A infusion, 30 minutes post infusion (infusion length=90 minutes) on Day 1 of each Cycle (1cycle=21 days) (overall up to approximately 2.5 years); Day 8 of Cycle 1; Day 15 of Cycles 1-4
Title
Volume of Distribution at Steady State (Vss) of DNIB0600A
Time Frame
Pre-DNIB0600A infusion, 30 minutes post infusion (infusion length=90 minutes) on Day 1 of each Cycle (1cycle=21 days) (overall up to approximately 2.5 years); Day 8 of Cycle 1; Day 15 of Cycles 1-4
Title
Percentage of Participants With Anti-therapeutic Antibodies (ATAs) Against DNIB0600A
Time Frame
Pre-DNIB0600A infusion on Day 1 of Cycles 1-4 (1cycle=21 days), at approximately 15-30 days after last infusion administration (overall up to approximately 2.5 years)

10. Eligibility

Sex
Female
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1 Histologically documented epithelial ovarian cancer, primary peritoneal cancer, or fallopian tube cancer Advanced epithelial ovarian, primary peritoneal, or fallopian tube cancer that has progressed or relapsed during or within 6 months after the most recent treatment with a platinum-containing chemotherapy regimen and for whom PLD is appropriate therapy No more than 1 prior cytotoxic chemotherapy regimens for the treatment of PROC and not more than 2 total regimens (defined as any therapy [approved or investigational] with intent to treat the ovarian cancer) Adequate hematologic, renal and liver function Willing and able to perform a patient-reported outcome (PRO) survey (including the possibility of using an electronic PRO device) For women of childbearing potential, agreement to use 1 highly effective form of contraception as defined by protocol through the course of study treatment and for 6 months after the last dose of study treatment Exclusion Criteria: Primary platinum-refractory disease defined as disease progression during or within 2 months of a first-line, platinum-containing chemotherapy regimen Anti-tumor therapy, including chemotherapy, biologic, experimental, or hormonal therapy, within 4 weeks prior to Day 1 Palliative radiation within 2 weeks prior to Day 1 Prior anthracycline therapy, including prior treatment with PLD (for example, Doxil®, Caelyx®, or Lipodox®) in any setting (for example, in combination with carboplatin or as a single agent) Prior treatment with NaPi2b or SCL34A2 targeted therapy Major surgical procedure within 4 weeks prior to Day 1 Current Grade greater than (>) 1 toxicity (except alopecia and anorexia) from prior therapy or Grade >1 neuropathy from any cause Left ventricular ejection fraction defined by multigated acquisition (MUGA)/echocardiogram below the institutional lower limit of normal Evidence of significant, uncontrolled, concomitant disease that could affect compliance with the protocol or interpretation of results, including significant cardiovascular disease or significant pulmonary disease Known active infection, or any major episode of infection requiring treatment with IV antibiotics or hospitalization (within 4 weeks prior to Cycle 1, Day 1) Clinically significant history of liver disease, including viral or other hepatitis, current alcohol abuse, or cirrhosis Presence of positive test results for hepatitis B or hepatitis C as detailed in the protocol Known history of HIV seropositive status Other malignancy within the last 5 years, except for adequately treated carcinoma in situ of the cervix, squamous carcinoma of the skin, adequately controlled limited basal cell skin cancer, or synchronous primary endometrial cancer or prior primary endometrial cancer Untreated or active central nervous system metastases (progressing or requiring anticonvulsants or corticosteroids for symptomatic control) Pregnancy or breastfeeding Known history of NaPi2b deficiency (for example, congenital alveolar microlithiasis or testicular microlithiasis) History of severe allergic or anaphylactic reactions to monoclonal antibody therapy (or recombinant antibody-related fusion proteins) Metabolic dysfunction, physical examination finding, or clinical laboratory find giving reasonable suspicion of a disease or condition that contraindicated use of an investigational drug or may render the participant at high risk from treatment complications
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Clinical Trials
Organizational Affiliation
Genentech, Inc.
Official's Role
Study Director
Facility Information:
Facility Name
St. Joseph'S Hospital & Medical Center
City
Phoenix
State/Province
Arizona
ZIP/Postal Code
85013
Country
United States
Facility Name
HonorHealth Research Institute - Pima Center
City
Scottsdale
State/Province
Arizona
ZIP/Postal Code
85258
Country
United States
Facility Name
University of California Irvine Medical Center
City
Orange
State/Province
California
ZIP/Postal Code
92868
Country
United States
Facility Name
Florida Cancer Specialists.
City
Saint Petersburg
State/Province
Florida
ZIP/Postal Code
33705
Country
United States
Facility Name
Hematology & Oncology Associates
City
Covington
State/Province
Louisiana
ZIP/Postal Code
70433
Country
United States
Facility Name
Johns Hopkins Uni; Oncology Center
City
Baltimore
State/Province
Maryland
ZIP/Postal Code
21231
Country
United States
Facility Name
Massachusetts General Hospital
City
Boston
State/Province
Massachusetts
ZIP/Postal Code
02114
Country
United States
Facility Name
Dana Farber Cancer Inst.
City
Boston
State/Province
Massachusetts
ZIP/Postal Code
02115
Country
United States
Facility Name
Beth Israel Deaconess Medical Center
City
Boston
State/Province
Massachusetts
ZIP/Postal Code
02215
Country
United States
Facility Name
Oklahoma University Health Sciences Center
City
Oklahoma City
State/Province
Oklahoma
ZIP/Postal Code
73104
Country
United States
Facility Name
Northwest Cancer Specialists, P.C.
City
Tualatin
State/Province
Oregon
ZIP/Postal Code
97062
Country
United States
Facility Name
Magee Womens Hospital
City
Pittsburgh
State/Province
Pennsylvania
ZIP/Postal Code
15213
Country
United States
Facility Name
Women & Infants Hospital
City
Providence
State/Province
Rhode Island
ZIP/Postal Code
02905
Country
United States
Facility Name
Sarah Cannon Cancer Center
City
Germantown
State/Province
Tennessee
ZIP/Postal Code
38138
Country
United States
Facility Name
UZ Leuven Gasthuisberg
City
Leuven
ZIP/Postal Code
3000
Country
Belgium
Facility Name
CHU Sart-Tilman
City
Liège
ZIP/Postal Code
4000
Country
Belgium
Facility Name
London Regional Cancer Centre
City
London
State/Province
Ontario
ZIP/Postal Code
N6A 4L6
Country
Canada
Facility Name
Princess Margaret Hospital
City
Toronto
State/Province
Ontario
ZIP/Postal Code
M4X 1K9
Country
Canada
Facility Name
Chum Hopital Notre Dame; Centre D'Oncologie
City
Montreal
State/Province
Quebec
ZIP/Postal Code
H2L 4M1
Country
Canada
Facility Name
Centre Léon Bérard Centre Régional de Lutte Contre Le Cancer Rhône Alpes
City
Lyon
ZIP/Postal Code
69008
Country
France
Facility Name
Hôpital Européen Georges Pompidou
City
Paris
ZIP/Postal Code
75908
Country
France
Facility Name
HOPITAL TENON; Cancerologie Medicale
City
Paris
ZIP/Postal Code
75970
Country
France
Facility Name
Institut Gustave Roussy
City
Villejuif
ZIP/Postal Code
94805
Country
France
Facility Name
Bialostockie Centrum Onkologi
City
Bialystok
ZIP/Postal Code
15-027
Country
Poland
Facility Name
Wojewodzkie Centrum Onkologii
City
Gdansk
ZIP/Postal Code
80-219
Country
Poland
Facility Name
Wojskowy Instytut Medyczny Centralny Szpital Kliniczny MON
City
Warszawa
ZIP/Postal Code
04-141
Country
Poland
Facility Name
Hospital Universitario Vall d'Hebron; Servicio de Neumologia
City
Barcelona
ZIP/Postal Code
08035
Country
Spain
Facility Name
Hospital Clinic de Barcelona
City
Barcelona
ZIP/Postal Code
08036
Country
Spain
Facility Name
Hospital General Universitario Gregorio Marañon
City
Madrid
ZIP/Postal Code
28007
Country
Spain
Facility Name
Hospital Universitario 12 de Octubre
City
Madrid
ZIP/Postal Code
28041
Country
Spain
Facility Name
HOSPITAL DE MADRID NORTE SANCHINARRO- CENTRO INTEGRAL ONCOLOGICO CLARA CAMPAL; Servicio de Oncologia
City
Madrid
ZIP/Postal Code
28050
Country
Spain
Facility Name
Sarah Cannon Research Institute
City
London
ZIP/Postal Code
W1G 6AD
Country
United Kingdom
Facility Name
Christie Hospital
City
Manchester
ZIP/Postal Code
M20 3BG
Country
United Kingdom
Facility Name
Royal Marsden NHS Foundation Trust
City
Sutton, Surrey
ZIP/Postal Code
SM2 5PT
Country
United Kingdom
Facility Name
The Royal Marsden Hospital
City
Sutton
ZIP/Postal Code
SM2 5PT
Country
United Kingdom
Facility Name
The Clatterbridge Cancer Centre NHS Foundation Trust
City
Wirral
ZIP/Postal Code
L63 4JY
Country
United Kingdom

12. IPD Sharing Statement

Citations:
PubMed Identifier
29401246
Citation
Banerjee S, Oza AM, Birrer MJ, Hamilton EP, Hasan J, Leary A, Moore KN, Mackowiak-Matejczyk B, Pikiel J, Ray-Coquard I, Trask P, Lin K, Schuth E, Vaze A, Choi Y, Marsters JC, Maslyar DJ, Lemahieu V, Wang Y, Humke EW, Liu JF. Anti-NaPi2b antibody-drug conjugate lifastuzumab vedotin (DNIB0600A) compared with pegylated liposomal doxorubicin in patients with platinum-resistant ovarian cancer in a randomized, open-label, phase II study. Ann Oncol. 2018 Apr 1;29(4):917-923. doi: 10.1093/annonc/mdy023.
Results Reference
derived

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A Study of DNIB0600A in Comparison With Pegylated Liposomal Doxorubicin (PLD) in Participants With Platinum-Resistant Ovarian Cancer (PROC)

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