Pertuzumab in Platinum-Resistant Low Human Epidermal Growth Factor Receptor 3 (HER3) Messenger Ribonucleic Acid (mRNA) Epithelial Ovarian Cancer (PENELOPE)
Ovarian Cancer
About this trial
This is an interventional treatment trial for Ovarian Cancer
Eligibility Criteria
Inclusion Criteria:
- Histologically or cytologically confirmed epithelial ovarian, primary peritoneal, and/or fallopian tube cancer that is platinum-resistant or refractory
- Low Human epidermal growth factor receptor (HER) 3 messenger ribonucleic acid (mRNA) expression
- At least one measurable and/or non-measurable lesion according to Response Evaluation Criteria in Solid Tumors (RECIST) version (V) 1.1
- Eastern Cooperative Oncology Group (ECOG) performance status 0 to 2
- Left ventricular ejection fraction (LVEF) greater than or equal to (>/=) 50 percent (%)
- Negative serum pregnancy test in women of childbearing potential
- Women of childbearing potential must agree to use effective contraception as defined by protocol during and for at least 6 months post study treatment
Exclusion Criteria:
- Non-epithelial tumors
- Ovarian tumors with low malignant potential (borderline tumors)
- History of other malignancy of prognostic relevance within the last 5 years, except for carcinoma in situ of the cervix or basal cell carcinoma, or tumors with a negligible risk for metastasis or death, such as adequately controlled basal-cell carcinoma or squamous cell carcinoma of the skin or carcinoma in situ of the cervix or carcinoma in situ of the breast
- Previous treatment with more than 2 chemotherapy regimens
- Any prior radiotherapy to the pelvis or abdomen
- History or evidence on physical/neurological examination of central nervous system disease unrelated to cancer (uncontrolled seizures), unless adequately treated with standard medical therapy
- Pre-existing peripheral neuropathy >/= common toxicity criteria (CTC) grade 2 (applicable for paclitaxel cohort only)
- Inadequate organ function
- Uncontrolled hypertension or clinically significant cardiovascular disease
- Current known infection with human immunodeficiency virus (HIV) or active infection with hepatitis B virus (HBV), or hepatitis C virus (HCV)
- Current chronic daily treatment with corticosteroids (>/= 10 mg per day of methylprednisolone or equivalent), excluding inhaled steroids
- History of receiving any investigational treatment within 28 days prior to first study drug administration
- For Part 2 of the trial: prior enrollment into Part 1 of the trial
- Concurrent participation in any therapeutic clinical trial
Sites / Locations
- Tiroler Landeskrankenanstalten Ges.M.B.H.; Abt. Für Gynäkologie
- Medizinische Universität Wien; Univ.Klinik für Frauenheilkunde - Klinik für Gynäkologie
- UZ Leuven Gasthuisberg
- Herlev Hospital; Onkologisk afdeling
- Rigshospitalet, Onkologisk Klinik
- Institut Bergonie; Oncologie
- Centre Francois Baclesse; Oncologie
- Centre Georges Francois Leclerc; Oncologie 3
- CRLCC Val dAurelle Paul Lam
- Hopital Tenon; Oncologie Radiotherapie
- Ch Lyon Sud; Chir Onc Gyne Sct Jules Courmont
- Clinique Armoricaine Radiologie; Hopital de Jour
- Ico Rene Gauducheau; Oncologie
- Centre Alexis Vautrin; Oncologie Medicale
- Institut Gustave Roussy; Oncologie Medicale
- Universitätsklinikum "Carl Gustav Carus"; Frauenheilkunde und Geburtshilfe
- Evangelischen Krankenhauses Düsseldorf; Frauenklinik
- Universitätsklinikum Essen; Zentrum Für Frauenheilkunde
- Kliniken Essen-Mitte Evang. Huyssens-Stiftung, Klinik für Gynäkologie und gynäkologische Onkologie
- Universitätsklinikum Freiburg; Frauenklinik
- Universitätsklinikum Greifswald; Klinik für Frauenheilkunde und Brustzentrum
- Universitätsklinikum Hamburg-Eppendorf (UKE); Klinik und Poliklinik für Gynäkologie
- Gynaekologisch-Onkologische Schwerpunktpraxis Prof. Dr. med. Lueck, Dr. Schrader und Dr. Noeding
- Nationales Centrum für Tumorerkrankungen (NCT) ; Gyn. Onk. Frauenklinik; Uniklinikum Heidelberg
- UNI-Klinikum Campus Kiel Klinik f.Gynäkologie u.Geburtshilfe
- St. Elisabeth Krankenhaus Köln GmbH; Gynäkologie und Geburtshilfe
- Klinikum Konstanz, Frauenklinik
- Klinikum rechts der Isar der TU München; Frauenklinik & Poliklinik
- Sana Klinikum Offenbach GmbH; Klinik für Gynäkologie & Geburtshilfe
- Hämatologisch/Onkologische Praxis Dr. Herbrick - Zipp/Prof. Dr. Decker, Studienzentrum
- Universitätsfrauen- und Poliklinik am Klinikum Suedstadt
- Universitätsklinik Tübingen; Frauenklinik
- Universitätsklinikum Ulm Am Michelsberg; Frauenklinik
- HELIOS Dr. Horst Schmidt Kliniken Wiesbaden; Klinik für Gynäkologie und gynäkologische Onkologie
- Istituto Tumori Napoli;Unità Operativa Oncologia Medica Uro-Ginecologica
- Istituto Regina Elena; Oncologia Medica A
- Ente Ospedaliero Ospedali Galliera; S.C. Oncologia Medica
- A.O.Spedali Civili; Ostetricia e Ginecologia
- Istituto Nazionale dei Tumori; Divisione Oncologia Chirurgica e Ginecologica
- Istituto Europeo Di Oncologia
- A.O.U Pisana; Dipartimento di Ginecologia Oncologica
- Antoni van Leeuwenhoek Ziekenhuis
- Academ Ziekenhuis Groningen; Medical Oncology
- Academisch Ziekenhuis Leiden; Clinical Oncology
- UMC St Radboud
- The Norvegian Radium Hospital Montebello; Dept of Oncology
- Corporacio Sanitaria Parc Tauli; Servicio de Oncologia
- Hospital Son Llatzer; Servicio de Oncologia
- Hospital Univ Vall d'Hebron; Servicio de Oncologia
- Hospital Clínic i Provincial; Servicio de Hematología y Oncología
- Hospital de la Santa Creu i Sant Pau; Servicio de Oncologia
- Hospital Duran i Reynals; Oncologia
- Hospital Universitari Germans Trias i Pujol; Servicio de Oncologia
- Hospital Universitario Reina Sofia; Servicio de Oncologia
- Hospital Universitari de Girona Dr. Josep Trueta; Servicio de Oncologia
- Hospital Universitari Arnau de Vilanova de Lleida; Servicio de Oncologia
- Hospital General Universitario Gregorio Marañon; Servicio de Oncologia
- Centro Oncologico MD Anderson Internacional; Servicio de Oncologia
- Hospital Universitario 12 de Octubre; Servicio de Oncologia
- Hospital Universitario La Paz; Servicio de Oncologia
- Centro Integral Oncologico Clara Campal (CIOCC); Dirección Médica
- Hospital Regional Universitario Carlos Haya; Servicio de Oncologia
- Hospital Universitario Virgen de Arrixaca; Servicio de Oncologia
- Instituto Valenciano Oncologia; Oncologia Medica
- Hospital Universitario la Fe; Servicio de Oncologia
- Hospital Universitario Miguel Servet; Servicio Oncologia
- Universitetssjukhuset; Onkologkliniken
- Skånes University Hospital, Skånes Department of Onclology
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Experimental
Experimental
Experimental
Placebo Comparator
Part 1: Pertuzumab + Topotecan
Part 1: Pertuzumab + Paclitaxel
Part 2: Pertuzumab+Chemotherapy
Part 2: Placebo+Chemotherapy
Participants received pertuzumab and topotecan in cycles of 3 weeks until progressive disease as per investigator's assessment, unacceptable toxicity, withdrawal of consent, or death.
Participants received pertuzumab and paclitaxel in cycles of 3 weeks until progressive disease as per investigator's assessment, unacceptable toxicity, withdrawal of consent, or death.
Participants received pertuzumab and chemotherapy (paclitaxel or topotecan or gemcitabine) in cycles of 3 weeks until progressive disease as per investigator's assessment, unacceptable toxicity, withdrawal of consent, or death. Chemotherapy was administered as per investigators discretion.
Participants received pertuzumab matching placebo and chemotherapy (paclitaxel or topotecan or gemcitabine) in cycles of 3 weeks until progressive disease as per investigator's assessment, unacceptable toxicity, withdrawal of consent, or death. Chemotherapy was administered as per investigators discretion.