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Effectiveness of MORAb-003 in Women With Ovarian Cancer Who Have Relapsed After Platinum-Based Chemotherapy

Primary Purpose

Ovarian Cancer, Fallopian Tube Cancer, Peritoneal Neoplasms

Status
Completed
Phase
Phase 2
Locations
International
Study Type
Interventional
Intervention
Farletuzumab
Chemo Plus Far
Sponsored by
Morphotek
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Ovarian Cancer focused on measuring Ovarian Cancer, Primary Fallopian Tube Cancer, Peritoneal Cancer

Eligibility Criteria

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

Inclusion Criteria: Female subjects at least 18 years of age, with a histologically confirmed diagnosis of non-mucinous epithelial ovarian cancer (including fallopian tube and primary peritoneal cancer) in first relapse after a first remission of 6 to 18 months duration. Subjects must have undergone surgery. Subjects must have received primary chemotherapy, including at least one platinum agent. Subject is eligible for retreatment with the same chemotherapy regimen that was used to induce remission (Exception: may reduce the dose of or discontinue taxane if contraindicated due to neurotoxicity.) CA125 must have been elevated prior to original chemotherapy. CA125 must be elevated at the time of relapse. Life expectancy greater than or equal to 6 months, as estimated by the investigator. Eastern Cooperative Oncology Group performance status of 0, 1 or 2 Subjects must consent to use a medically acceptable method of contraception throughout the study period and for 28 days after final MORAb-003 administration, unless surgically sterile. Any significant concomitant medical conditions must be well controlled and stable in the opinion of the investigator for at least 30 days prior to Study Day 1. Laboratory and clinical results within the 2 weeks prior to Study Day 1 as follows: Absolute neutrophil count (ANC) ≥ 1.2 x 10e9/L Platelet count ≥ 100 x 10e9/L Hemoglobin ≥ 8 g/dL Subject must be willing and able to provide written informed consent. Translations of informed consent information may be provided, subject to the local institutional review board's (IRB's) policy. Exclusion Criteria: Known central nervous system (CNS) tumor involvement. Evidence of other active malignancy requiring treatment. Clinically significant heart disease (e.g., congestive heart failure of New York Heart Association Class III or IV, angina not well controlled by medication, or myocardial infarction within 6 months). Electrocardiogram (ECG) demonstrating clinically significant arrhythmias (Exception: Subjects with chronic atrial arrhythmia, i.e., atrial fibrillation or paroxysmal supraventricular tachycardia [SVT], are eligible). Active serious systemic disease, including active bacterial or fungal infection. Active hepatitis or HIV infection. Treatment within three months with immunomodulatory therapy (e.g. interferons, immunoglobulin therapy, interleukin 1 receptor antagonist [IL-1RA] or systemic corticosteroids). Short term systemic corticosteroids or topical or intra-articular steroids are acceptable, subject to the judgment of the investigator. Treatment with a monoclonal antibody therapy AND have evidence of an immune or allergic reaction or documented HAHA. Maintenance of first remission by taxane or other chemotherapeutic agent(s). Initiation or planned initiation of cancer therapy not given to induce primary remission. Substitutions of agents materially similar to those used in the original regimen are permissible. Breast-feeding, pregnant, or likely to become pregnant during the study.

Sites / Locations

  • Sharp HealthCare
  • St. Vincent Gynecologic Oncology
  • Hematology and Oncology Specialists, LLC
  • Jayne Gurtler, M.D.
  • Hematology and Oncology Specialists, LLC
  • Johns Hopkins University
  • The Center for Cancer and Hematologic Disease
  • The Cancer Institute of New Jersey
  • Cooper University Hospital
  • New York Oncology Hematology
  • Gabrail Cancer Center
  • Lehigh Valley Women's Cancer Center
  • Gynecology Oncology Research & Development
  • Mary Crowley Medical Research Center
  • South Texas Oncology & Hematology
  • Tyler Cancer Center
  • Northern Virginia Pelvic Surgery Associates
  • Peninsula Cancer Center
  • Krankenhaus Nordwest
  • Nationales Centrum fur Tumorerkrankungen

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Experimental

Arm Label

Far Only

Chemo Plus Far

Arm Description

Farletuzumab only (Far Only): farletuzumab, 100 milligrams (mg)/square meter (m2).

Chemo+Far: paclitaxel 175 mg/m2 (or docetaxel, 75 mg/m2) plus carboplatin area under the concentration-time curve (AUC) 5-6 intravenously (IV) on Day 1 of a 21-day cycle plus farletuzumab, 100 mg/m2.

Outcomes

Primary Outcome Measures

Serologic Response (Change in CA125 Level)
Defined using modified Gynecologic Cancer Intergroup (GCIG) criteria: Number of participants who achieved a 50% response = >50% decrease from baseline CA-125 (higher of 2 pretreatment CA-125 assessments and the level must be at least 52.5 kU/L).
Serologic Response (Change in Cancer Antigen [CA-125] Level)
Defined using modified Gynecologic Cancer Intergroup (GCIG) criteria: Number of participants who had a 50% response = >50% decrease from baseline CA-125 (higher of 2 pretreatment CA-125 assessments and the level must be at least 52.5 kU/L).

Secondary Outcome Measures

Time to Serologic Response (Change in CA-125 Level)
Time to Serologic Response is defined as the time (weeks) from the date of first farletuzumab infusion to first documentation of 50% decrease from baseline CA-125 (higher of 2 pretreatment CA-125 assessments and at least twice the upper limit of normal) and then confirmed after 21 days.
Duration of Serologic Response (CA-125)
Calculated as the time from the first documentation of 50% or greater reduction in CA-125 to the first documentation of serologic progression or death due to any cause. Serologic progression was defined as the first date of the CA-125 level being >2 X ULN on two occasions.
Overall Response Rate
The Overall Response Rate (ORR) will be determined by applying standard RECIST criteria to objective measures of disease, such as CT or MRI scans. Participants will be assigned to one of the categories of change in disease status, namely, "complete response" (CR), "partial response" (PR), "stable disease" (SD), or "progressive disease" (PD). ORR is defined as the percentage of participants with objective evidence of CR or PR.
Progression-free Survival (PFS)
PFS is defined for participants treated in Chemo Plus Far as the time (in months) from date of first dose in Chemo Plus Far until date of the first observation of progression based on first date of the CA-125 >2 X ULN on two occasions, or date of death, whatever the cause. If progression or death is not observed for a participant, the PFS time is censored at the later date of last tumor assessment or CA125 assessment without evidence of progression prior to the date of initiation of further anti-tumor treatment.
Percentage of Participants Who Had a Prolongation of Remission
Percentage of participants whose second remission was longer than their first remission. The length of remission will be determined for participants who attain CR or PR (or SD and investigator's assessment of clinical benefit). Prolongation of remission will be defined as a length of remission occurring on this study that is ≥ 1 day longer than the length of remission to the original therapy. The length of remission on this study (second remission) will be defined as the amount of time from the date of first CR or PR to the end of this remission.

Full Information

First Posted
April 24, 2006
Last Updated
September 4, 2015
Sponsor
Morphotek
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1. Study Identification

Unique Protocol Identification Number
NCT00318370
Brief Title
Effectiveness of MORAb-003 in Women With Ovarian Cancer Who Have Relapsed After Platinum-Based Chemotherapy
Official Title
A Study of the Efficacy of MORAb-003 in Subjects With Platinum-Sensitive Epithelial Ovarian Cancer in First Relapse
Study Type
Interventional

2. Study Status

Record Verification Date
September 2015
Overall Recruitment Status
Completed
Study Start Date
May 2006 (undefined)
Primary Completion Date
February 2010 (Actual)
Study Completion Date
June 2010 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Morphotek

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The purpose of this study is to determine if an investigational drug called MORAb-003 is useful by itself or when used with other approved cancer drugs in treating women with ovarian cancer. MORAb-003 is a monoclonal antibody directed against an antigen on most ovarian cancers.
Detailed Description
MORAb-003 is a monoclonal antibody that has the potential to be an effective agent against epithelial ovarian cancer (including primary fallopian tube and peritoneal adenocarcinoma) either alone or in combination with other drugs. MORAb-003 works by a different mechanism from other cancer therapeutics and has been shown to be well tolerated. This study allows the opportunity to determine if MORAb-003 can work either as a single agent to treat a CA125-only relapse, or in combination with standard platinum and taxane chemotherapy to treat a symptomatic relapse, and to prolong a second response to chemotherapy.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Ovarian Cancer, Fallopian Tube Cancer, Peritoneal Neoplasms
Keywords
Ovarian Cancer, Primary Fallopian Tube Cancer, Peritoneal Cancer

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
Far Only
Arm Type
Experimental
Arm Description
Farletuzumab only (Far Only): farletuzumab, 100 milligrams (mg)/square meter (m2).
Arm Title
Chemo Plus Far
Arm Type
Experimental
Arm Description
Chemo+Far: paclitaxel 175 mg/m2 (or docetaxel, 75 mg/m2) plus carboplatin area under the concentration-time curve (AUC) 5-6 intravenously (IV) on Day 1 of a 21-day cycle plus farletuzumab, 100 mg/m2.
Intervention Type
Drug
Intervention Name(s)
Farletuzumab
Other Intervention Name(s)
MORAb-003, Far Only
Intervention Description
Weekly Farletuzumab infusions Dose dependent on dosing group
Intervention Type
Drug
Intervention Name(s)
Chemo Plus Far
Intervention Description
Chemo+Far: paclitaxel 175 mg/m2 (or docetaxel, 75 mg/m2) plus carboplatin area under the concentration-time curve (AUC) 5-6 intravenously (IV) on Day 1 of a 21-day cycle plus farletuzumab, 100 mg/m2.
Primary Outcome Measure Information:
Title
Serologic Response (Change in CA125 Level)
Description
Defined using modified Gynecologic Cancer Intergroup (GCIG) criteria: Number of participants who achieved a 50% response = >50% decrease from baseline CA-125 (higher of 2 pretreatment CA-125 assessments and the level must be at least 52.5 kU/L).
Time Frame
Baseline to response (up to 30 weeks)
Title
Serologic Response (Change in Cancer Antigen [CA-125] Level)
Description
Defined using modified Gynecologic Cancer Intergroup (GCIG) criteria: Number of participants who had a 50% response = >50% decrease from baseline CA-125 (higher of 2 pretreatment CA-125 assessments and the level must be at least 52.5 kU/L).
Time Frame
Baseline to response (up to 27 weeks)
Secondary Outcome Measure Information:
Title
Time to Serologic Response (Change in CA-125 Level)
Description
Time to Serologic Response is defined as the time (weeks) from the date of first farletuzumab infusion to first documentation of 50% decrease from baseline CA-125 (higher of 2 pretreatment CA-125 assessments and at least twice the upper limit of normal) and then confirmed after 21 days.
Time Frame
Baseline to response (up to 27 weeks)
Title
Duration of Serologic Response (CA-125)
Description
Calculated as the time from the first documentation of 50% or greater reduction in CA-125 to the first documentation of serologic progression or death due to any cause. Serologic progression was defined as the first date of the CA-125 level being >2 X ULN on two occasions.
Time Frame
Baseline to response (up to 44 months)
Title
Overall Response Rate
Description
The Overall Response Rate (ORR) will be determined by applying standard RECIST criteria to objective measures of disease, such as CT or MRI scans. Participants will be assigned to one of the categories of change in disease status, namely, "complete response" (CR), "partial response" (PR), "stable disease" (SD), or "progressive disease" (PD). ORR is defined as the percentage of participants with objective evidence of CR or PR.
Time Frame
Baseline to response (up to 44 months)
Title
Progression-free Survival (PFS)
Description
PFS is defined for participants treated in Chemo Plus Far as the time (in months) from date of first dose in Chemo Plus Far until date of the first observation of progression based on first date of the CA-125 >2 X ULN on two occasions, or date of death, whatever the cause. If progression or death is not observed for a participant, the PFS time is censored at the later date of last tumor assessment or CA125 assessment without evidence of progression prior to the date of initiation of further anti-tumor treatment.
Time Frame
Baseline to response (up to 44 months)
Title
Percentage of Participants Who Had a Prolongation of Remission
Description
Percentage of participants whose second remission was longer than their first remission. The length of remission will be determined for participants who attain CR or PR (or SD and investigator's assessment of clinical benefit). Prolongation of remission will be defined as a length of remission occurring on this study that is ≥ 1 day longer than the length of remission to the original therapy. The length of remission on this study (second remission) will be defined as the amount of time from the date of first CR or PR to the end of this remission.
Time Frame
Baseline to response (up to 44 months)

10. Eligibility

Sex
Female
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Female subjects at least 18 years of age, with a histologically confirmed diagnosis of non-mucinous epithelial ovarian cancer (including fallopian tube and primary peritoneal cancer) in first relapse after a first remission of 6 to 18 months duration. Subjects must have undergone surgery. Subjects must have received primary chemotherapy, including at least one platinum agent. Subject is eligible for retreatment with the same chemotherapy regimen that was used to induce remission (Exception: may reduce the dose of or discontinue taxane if contraindicated due to neurotoxicity.) CA125 must have been elevated prior to original chemotherapy. CA125 must be elevated at the time of relapse. Life expectancy greater than or equal to 6 months, as estimated by the investigator. Eastern Cooperative Oncology Group performance status of 0, 1 or 2 Subjects must consent to use a medically acceptable method of contraception throughout the study period and for 28 days after final MORAb-003 administration, unless surgically sterile. Any significant concomitant medical conditions must be well controlled and stable in the opinion of the investigator for at least 30 days prior to Study Day 1. Laboratory and clinical results within the 2 weeks prior to Study Day 1 as follows: Absolute neutrophil count (ANC) ≥ 1.2 x 10e9/L Platelet count ≥ 100 x 10e9/L Hemoglobin ≥ 8 g/dL Subject must be willing and able to provide written informed consent. Translations of informed consent information may be provided, subject to the local institutional review board's (IRB's) policy. Exclusion Criteria: Known central nervous system (CNS) tumor involvement. Evidence of other active malignancy requiring treatment. Clinically significant heart disease (e.g., congestive heart failure of New York Heart Association Class III or IV, angina not well controlled by medication, or myocardial infarction within 6 months). Electrocardiogram (ECG) demonstrating clinically significant arrhythmias (Exception: Subjects with chronic atrial arrhythmia, i.e., atrial fibrillation or paroxysmal supraventricular tachycardia [SVT], are eligible). Active serious systemic disease, including active bacterial or fungal infection. Active hepatitis or HIV infection. Treatment within three months with immunomodulatory therapy (e.g. interferons, immunoglobulin therapy, interleukin 1 receptor antagonist [IL-1RA] or systemic corticosteroids). Short term systemic corticosteroids or topical or intra-articular steroids are acceptable, subject to the judgment of the investigator. Treatment with a monoclonal antibody therapy AND have evidence of an immune or allergic reaction or documented HAHA. Maintenance of first remission by taxane or other chemotherapeutic agent(s). Initiation or planned initiation of cancer therapy not given to induce primary remission. Substitutions of agents materially similar to those used in the original regimen are permissible. Breast-feeding, pregnant, or likely to become pregnant during the study.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Susan C. Weil, M.D.
Organizational Affiliation
Morphotek
Official's Role
Study Director
Facility Information:
Facility Name
Sharp HealthCare
City
San Diego
State/Province
California
ZIP/Postal Code
92123
Country
United States
Facility Name
St. Vincent Gynecologic Oncology
City
Indianapolis
State/Province
Indiana
ZIP/Postal Code
46260
Country
United States
Facility Name
Hematology and Oncology Specialists, LLC
City
Covington
State/Province
Louisiana
ZIP/Postal Code
70433
Country
United States
Facility Name
Jayne Gurtler, M.D.
City
Metairie
State/Province
Louisiana
ZIP/Postal Code
70006
Country
United States
Facility Name
Hematology and Oncology Specialists, LLC
City
Metarie
State/Province
Louisiana
ZIP/Postal Code
70006
Country
United States
Facility Name
Johns Hopkins University
City
Baltimore
State/Province
Maryland
ZIP/Postal Code
21231
Country
United States
Facility Name
The Center for Cancer and Hematologic Disease
City
Cherry Hill
State/Province
New Jersey
ZIP/Postal Code
08003
Country
United States
Facility Name
The Cancer Institute of New Jersey
City
New Brunswick
State/Province
New Jersey
ZIP/Postal Code
08901
Country
United States
Facility Name
Cooper University Hospital
City
Voorhees
State/Province
New Jersey
ZIP/Postal Code
08043
Country
United States
Facility Name
New York Oncology Hematology
City
Albany
State/Province
New York
ZIP/Postal Code
12206
Country
United States
Facility Name
Gabrail Cancer Center
City
Canton
State/Province
Ohio
ZIP/Postal Code
44718
Country
United States
Facility Name
Lehigh Valley Women's Cancer Center
City
Allentown
State/Province
Pennsylvania
ZIP/Postal Code
18104
Country
United States
Facility Name
Gynecology Oncology Research & Development
City
Greenville
State/Province
South Carolina
ZIP/Postal Code
29601
Country
United States
Facility Name
Mary Crowley Medical Research Center
City
Dallas
State/Province
Texas
ZIP/Postal Code
75246
Country
United States
Facility Name
South Texas Oncology & Hematology
City
San Antonio
State/Province
Texas
ZIP/Postal Code
78229
Country
United States
Facility Name
Tyler Cancer Center
City
Tyler
State/Province
Texas
ZIP/Postal Code
75702
Country
United States
Facility Name
Northern Virginia Pelvic Surgery Associates
City
Annandale
State/Province
Virginia
ZIP/Postal Code
22003
Country
United States
Facility Name
Peninsula Cancer Center
City
Newport News
State/Province
Virginia
ZIP/Postal Code
23601
Country
United States
Facility Name
Krankenhaus Nordwest
City
Frankfurt
Country
Germany
Facility Name
Nationales Centrum fur Tumorerkrankungen
City
Heidelberg
Country
Germany

12. IPD Sharing Statement

Citations:
PubMed Identifier
23474348
Citation
Armstrong DK, White AJ, Weil SC, Phillips M, Coleman RL. Farletuzumab (a monoclonal antibody against folate receptor alpha) in relapsed platinum-sensitive ovarian cancer. Gynecol Oncol. 2013 Jun;129(3):452-8. doi: 10.1016/j.ygyno.2013.03.002. Epub 2013 Mar 6.
Results Reference
derived

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Effectiveness of MORAb-003 in Women With Ovarian Cancer Who Have Relapsed After Platinum-Based Chemotherapy

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