Phase 1 Trial of IMAB027 in Patients With Recurrent Advanced Ovarian Cancer (OVAR) (OVAR)
Primary Purpose
Ovarian Cancer
Status
Completed
Phase
Phase 1
Locations
International
Study Type
Interventional
Intervention
IMAB027
Sponsored by
About this trial
This is an interventional treatment trial for Ovarian Cancer focused on measuring Advanced ovarian cancer, CLDN6 positive
Eligibility Criteria
Inclusion Criteria:
- Signed written informed consent
- Female patients ≥18 years of age, no upper age limit
- Histologically or cytologically confirmed CLDN6+ ovarian cancer of any histology type including primary peritoneal or fallopian tube tumors (histological documentation of the original primary tumor is required via a pathology report)
- Performance status ECOG 0-2
- Patients with measurable, non-measurable, or evaluable disease: Evaluable disease: defined as a confirmed CA-125 ≥2 x ULN, Measurable disease (RECIST 1.1): defined as at least one lesion that can be accurately measured in at least one dimension
- Availability of a FFPE tumor tissue sample or tumor cell positive paracentesis fluid samples (abdominal or pleural cavity) for the assessment of CLDN6 positivity
- Life expectancy of >12 weeks
Adequate organ function defined as:
Adequate hematologic function (ANC ≥1000/μl, platelets ≥100.000/μl, hemoglobin ≥9.0 g/dl (can be post transfusion)); Adequate renal function (serum creatinine ≤1.5 mg/dl [114.5 μmol/l] or creatinine clearance rate ≥30 ml/min); Adequate liver function (serum total bilirubin ≤2 x ULN, AST/ALT ≤3 x ULN)
- Patients of child-bearing potential must have a negative β-HCG urine test within 72 hours before receiving treatment
Exclusion Criteria:
- Patient is pregnant or breast-feeding
- Prior allergic reaction or intolerance to a monoclonal antibody (humanized or chimeric)
- Any prior anti-tumor therapy within 14 days prior to the start of IMAB027 treatment
- Other concurrent anticancer therapies
- HIV infection in medical history or active Hepatitis B or C infection requiring treatment
- History of any one or more of the following cardiovascular conditions within the past 6 months: Myocardial infarction (T-Wave/Non-T-Wave), Unstable angina pectoris Class II, III or IV congestive heart failure as defined by the New York Heart Association (NYHA), History of cerebrovascular accident, pulmonary embolism or untreated deep venous thrombosis (DVT). Patients with recent DVT who have been or are treated with therapeutic anti-coagulant agents (excluding warfarin) for at least 6 weeks are eligible
- Other investigational agents or devices concurrently or within 14 days before start of IMAB027 treatment
- Any hemoptysis or bleeding event that is clinically relevant within 2 weeks of first dose of study drug
- Clinical symptoms of brain metastases or tumor-associated spinal cord compression
- Need for continuous, systemic immunosuppressive therapy
- Any other medical condition that would, in the opinion of the Investigator, limit the patient's ability to complete the study
Sites / Locations
- UZ Brussels
- UZ Leuven
- Nationales Centrum für Tumorerkrankungen (NCT) Heidelberg, Universitätsklinikum Heidelberg
- Universitäts-Frauenklinik (UFK) Tübingen
- Universitätsklinikum Ulm, Frauenklinik
- Universitätsmedizin Mainz
- Gemeinschaftspraxis Hämatologie-Onkologie
- UKSH Kiel
- Charité - Universitätsmedizin Berlin
Arms of the Study
Arm 1
Arm Type
Experimental
Arm Label
IMAB027 administration
Arm Description
Monotherapy - different dose Levels.
Outcomes
Primary Outcome Measures
Safety and tolerability
Safety profile including type, frequency, severity, relationship of adverse events to investigational medicinal product, dose limiting toxicities, maximum tolerated dose
Secondary Outcome Measures
to assess pharmacokinetics
Cmax, AUC, terminal half-life and related pharmacokinetic parameters of IMAB027
to assess antitumoral activity
Disease control rates (CR, PR, SD), ratio previous/current remission time intervals and overall survival
to assess immunogenicity
Frequency of anti-IMAB027 antibodies
Full Information
NCT ID
NCT02054351
First Posted
January 29, 2014
Last Updated
November 7, 2021
Sponsor
Ganymed Pharmaceuticals GmbH
1. Study Identification
Unique Protocol Identification Number
NCT02054351
Brief Title
Phase 1 Trial of IMAB027 in Patients With Recurrent Advanced Ovarian Cancer (OVAR)
Acronym
OVAR
Official Title
A First-in-human Dose Escalation and Dose Finding Phase 1 Trial of IMAB027 in Patients With Recurrent Advanced Ovarian Cancer (OVAR)
Study Type
Interventional
2. Study Status
Record Verification Date
November 2021
Overall Recruitment Status
Completed
Study Start Date
February 6, 2014 (Actual)
Primary Completion Date
October 28, 2015 (Actual)
Study Completion Date
October 28, 2015 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Ganymed Pharmaceuticals GmbH
4. Oversight
Data Monitoring Committee
Yes
5. Study Description
Brief Summary
Advanced ovarian cancer is a high medical need indication. Cure is not available to these patients and treatment has palliative intent. A proportion of advanced stage ovarian cancer expresses substantial levels of Claudin 6 (CLDN6), a carcino-embryonic transmembrane protein, which is absent from normal adult human tissue. IMAB027 is a monoclonal antibody that binds to CLDN6. Preclinically IMAB027 was shown to inhibit tumor growth and to kill cancer cells by antibody-dependent cellular cytotoxicity and complement-dependent cytotoxicity. This trial is a first-in-human dose escalation and dose finding Phase 1 trial of IMAB027 in patients with recurrent advanced ovarian cancer to assess the safety and tolerability, the pharmacokinetics, the antitumoral activity and the immunogenicity of IMAB027.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Ovarian Cancer
Keywords
Advanced ovarian cancer, CLDN6 positive
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
42 (Actual)
8. Arms, Groups, and Interventions
Arm Title
IMAB027 administration
Arm Type
Experimental
Arm Description
Monotherapy - different dose Levels.
Intervention Type
Drug
Intervention Name(s)
IMAB027
Other Intervention Name(s)
ASP1650
Intervention Description
Stage 1 (Intrapatient dose escalation): The starting dose is set to 1 mg/m2, followed by 10 mg/m2, 30 mg/m2 and 100 mg/m2 Stage 2 (Interpatient dose escalation): 4 dose level 100 mg/m2, 300 mg/m2, 600 mg/m2, 1000 mg/m2 Extension period: 4 dose level 100 mg/m2, 300 mg/m2, 600 mg/m2, 1000 mg/m2
Primary Outcome Measure Information:
Title
Safety and tolerability
Description
Safety profile including type, frequency, severity, relationship of adverse events to investigational medicinal product, dose limiting toxicities, maximum tolerated dose
Time Frame
24 month
Secondary Outcome Measure Information:
Title
to assess pharmacokinetics
Description
Cmax, AUC, terminal half-life and related pharmacokinetic parameters of IMAB027
Time Frame
24 month
Title
to assess antitumoral activity
Description
Disease control rates (CR, PR, SD), ratio previous/current remission time intervals and overall survival
Time Frame
up to 3 years
Title
to assess immunogenicity
Description
Frequency of anti-IMAB027 antibodies
Time Frame
24 month
10. Eligibility
Sex
Female
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Signed written informed consent
Female patients ≥18 years of age, no upper age limit
Histologically or cytologically confirmed CLDN6+ ovarian cancer of any histology type including primary peritoneal or fallopian tube tumors (histological documentation of the original primary tumor is required via a pathology report)
Performance status ECOG 0-2
Patients with measurable, non-measurable, or evaluable disease: Evaluable disease: defined as a confirmed CA-125 ≥2 x ULN, Measurable disease (RECIST 1.1): defined as at least one lesion that can be accurately measured in at least one dimension
Availability of a FFPE tumor tissue sample or tumor cell positive paracentesis fluid samples (abdominal or pleural cavity) for the assessment of CLDN6 positivity
Life expectancy of >12 weeks
Adequate organ function defined as:
Adequate hematologic function (ANC ≥1000/μl, platelets ≥100.000/μl, hemoglobin ≥9.0 g/dl (can be post transfusion)); Adequate renal function (serum creatinine ≤1.5 mg/dl [114.5 μmol/l] or creatinine clearance rate ≥30 ml/min); Adequate liver function (serum total bilirubin ≤2 x ULN, AST/ALT ≤3 x ULN)
Patients of child-bearing potential must have a negative β-HCG urine test within 72 hours before receiving treatment
Exclusion Criteria:
Patient is pregnant or breast-feeding
Prior allergic reaction or intolerance to a monoclonal antibody (humanized or chimeric)
Any prior anti-tumor therapy within 14 days prior to the start of IMAB027 treatment
Other concurrent anticancer therapies
HIV infection in medical history or active Hepatitis B or C infection requiring treatment
History of any one or more of the following cardiovascular conditions within the past 6 months: Myocardial infarction (T-Wave/Non-T-Wave), Unstable angina pectoris Class II, III or IV congestive heart failure as defined by the New York Heart Association (NYHA), History of cerebrovascular accident, pulmonary embolism or untreated deep venous thrombosis (DVT). Patients with recent DVT who have been or are treated with therapeutic anti-coagulant agents (excluding warfarin) for at least 6 weeks are eligible
Other investigational agents or devices concurrently or within 14 days before start of IMAB027 treatment
Any hemoptysis or bleeding event that is clinically relevant within 2 weeks of first dose of study drug
Clinical symptoms of brain metastases or tumor-associated spinal cord compression
Need for continuous, systemic immunosuppressive therapy
Any other medical condition that would, in the opinion of the Investigator, limit the patient's ability to complete the study
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Senior Medical Director
Organizational Affiliation
Astellas Pharma Global Development, Inc.
Official's Role
Study Director
Facility Information:
Facility Name
UZ Brussels
City
Brussels
ZIP/Postal Code
1090
Country
Belgium
Facility Name
UZ Leuven
City
Leuven
ZIP/Postal Code
3000
Country
Belgium
Facility Name
Nationales Centrum für Tumorerkrankungen (NCT) Heidelberg, Universitätsklinikum Heidelberg
City
Heidelberg
State/Province
Baden-Württemberg
ZIP/Postal Code
69120
Country
Germany
Facility Name
Universitäts-Frauenklinik (UFK) Tübingen
City
Tübingen
State/Province
Baden-Württemberg
ZIP/Postal Code
72076
Country
Germany
Facility Name
Universitätsklinikum Ulm, Frauenklinik
City
Ulm
State/Province
Baden-Württemberg
ZIP/Postal Code
89075
Country
Germany
Facility Name
Universitätsmedizin Mainz
City
Mainz
State/Province
Rheinland-Pfalz
ZIP/Postal Code
55131
Country
Germany
Facility Name
Gemeinschaftspraxis Hämatologie-Onkologie
City
Dresden
State/Province
Sachsen
ZIP/Postal Code
1307
Country
Germany
Facility Name
UKSH Kiel
City
Kiel
State/Province
Schleswig-Holstein
ZIP/Postal Code
24105
Country
Germany
Facility Name
Charité - Universitätsmedizin Berlin
City
Berlin
ZIP/Postal Code
13353
Country
Germany
12. IPD Sharing Statement
Plan to Share IPD
No
IPD Sharing Plan Description
Access to anonymized individual participant level data will not be provided for this trial as it meets one or more of the exceptions described on www.clinicalstudydatarequest.com under "Sponsor Specific Details for Astellas."
Links:
URL
https://www.clinicaltrials.astellas.com/study/?pid=GM-IMAB-002-01
Description
Link to results and other applicable study documents on the Astellas Clinical Trials website
URL
https://www.trialsummaries.com/Study/StudyDetails?id=14577&tenant=MT_AST_9011
Description
Link to plain language summary of the study on the Trial Results Summaries website
Learn more about this trial
Phase 1 Trial of IMAB027 in Patients With Recurrent Advanced Ovarian Cancer (OVAR)
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