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Study Summary
No. 2006-0889:.......Ovary......Robert Coleman......Gynecologic Oncology
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Study Summary Title
Study Summary
Number:
2006-0889
Study Title:A Study of the Efficacy of MORAb-003 in Subjects with Platinum-Sensitive Epithelial Ovarian Cancer in First Relapse
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Physician New Patient Referral
Name:Robert ColemanPatients Call:800-392-1611 (in U.S.A.) 713-792-6161 (outside U.S.A.)
Dept:Gynecologic OncologyReferring MD
Call:
800-392-1611 (in U.S.A.) 713-792-6161 (outside U.S.A.)
Phone:713-563-6719
Contact us about clinical trials
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General Information
Disease Group:OvarySupported By:N/A
Phase of Study:Phase IIReturn
Visit:
Weekly
Treatment
Agents:
Carboplatin
MORAb-003
Taxol
Taxotere
Home Care:None
Treatment Loc:Independent Multicenter Arrangements
Estimated
Length of Stay
in Houston:
Not applicable
Description/
Intervention:
The goal of this clinical research study is to learn if MORAb-003 alone or in
combination with standard chemotherapy can help to control ovarian, fallopian
tube, or primary peritoneal cancer in patients who have had the cancer come
back after previous treatment. The safety of this drug and drug combination
will also be studied.
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Study Objectives / Outcomes
The objective of this study is to determine the efficacy of multiple intravenous infusions of MORAb-003 in platinum-sensitive subjects with a first relapse of epithelial ovarian cancer (including fallopian tube and primary peritoneal cancer) within 6 to 18 months of first remission. The efficacy will be determined in three settings:
· As a single agent in asymptomatic subjects with an increased CA125 (with or without measurable disease) to achieve a response in CA125 and/or measurable tumor burden (Arm A)
· In combination with standard (platinum with or without taxane) chemotherapy to improve the response rate (relative to historical control) of chemotherapy to induce second response (Arm B)
o In subjects who relapse with symptoms or disease burden that requires standard (platinum with or without taxane) chemotherapy
o In subjects who have progressed and require standard chemotherapy after Arm A single-agent MORAb-003.
· As single-agent maintenance therapy to prolong the second response in subjects who achieve a CR or PR (or SD and an investigator's assessment of a clinical benefit) after MORAb-003 in combination with standard chemotherapy (Arm C).
· To determine the safety of MORAb-003 in combination with standard chemotherapy.
· To determine the occurrence of human anti-human antibodies.
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Study Status Information
Study Activation / Registration Date:06/29/2007
IRB Review and Approval Date:03/29/2007
Study Type:Phase Ii Or Phase I/Ii
Recruitment Status:Terminated
Projected Accrual:60
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Enrollment Eligibility
If you do not meet the enrollment eligibility, there may be other treatment options for you. Please Contact the Referral Office for more information.

Inclusion Criteria:1) Female subjects, >/= 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.

2) Subjects must have undergone surgery. Subjects must have received primary chemotherapy, including carboplatin. All subjects must have had appropriate surgery for ovarian, peritoneal, or fallopian tube carcinoma with documented histologic evaluation to confirm diagnosis and stage.

3) 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 or any other condition that, in the opinion of the treating physician, would preclude retreatment with a taxane.)

4) CA125 must have been elevated prior to original chemotherapy.

5) CA125 must be double the nadir value, measured at two time points at least one week apart, and must be at least 52.5 kU/L.

6) Life expectancy >/= 6 months, as estimated by the investigator.

7) Eastern Cooperative Oncology Group performance status or 0, 1 or 2

8) 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.

9) 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.

10) Laboratory and clinical results within the 2 weeks prior to Study Day 1 as follows: Absolute neutrophil count (ANC) >/= 1.5 x 10^9/L; Platelet count >/= 100 x 10^9/L; Hemoglobin >/= 8 g/dL

11) Subject must be willing and able to provide written informed consent. Translations of informed consent information may be provided, subject to the local IRB's policy.

Exclusion Criteria:1) Known central nervous system (CNS) tumor involvement.

2) Evidence of other active malignancy requiring treatment.

3) 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).

4) ECG demonstrating clinically significant arrhythmias (Exception: Subjects with chronic atrial arrhythmia, i.e., atrial fibrillation or paroxysmal SVT, are eligible).

5) Active serious systemic disease, excluding the patient's current cancer diagnosis, such as a bacterial or fungal infection, that would prevent the patient from participating in this treatment trial.

6) History of HIV infection.

7) Treatment within three months with immunomodulatory therapy (e.g. interferons, immunoglobulin therapy, IL-1RA or systemic corticosteroids). Short term systemic corticosteroids or topical or intra-articular steroids are acceptable, subject to the judgment of the investigator.

8) Treatment with a monoclonal antibody therapy AND have evidence of an immune or allergic reaction or documented HAHA.

9) Long term maintenance of first remission by taxane or other chemotherapeutic agent(s). Hormone therapy is permissible but must be discontinued at least 4 weeks prior to study entry.

10) Surgery for secondary cytoreduction. Subjects who underwent interval cytoreductive surgery followed by adjuvant chemotherapy are eligible pending approval by the study sponsor prior to the subject receiving the first dose of MORAb-003.

11) 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.

12) Breast-feeding, pregnant, or likely to become pregnant during the study.

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Links
Registration Number: NCT00318370
Study Information on Clinical Trials Registry (clinicaltrials.gov)

Other Links:
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Results


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