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Study Summary
No. 2008-0289:.......Fallopian Tube; Ovary; Peritoneum......Diane C. Bodurka......Gynecologic Oncology
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Study Summary Title
Study Summary
Number:
2008-0289
Study Title:A Phase 2, Non-randomized, Open-label, Multicenter Study of IMC-1121B in the Treatment of Persistent or Recurrent Epithelial Ovarian, Fallopian Tube, or Primary Peritoneal Carcinoma
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Physician New Patient Referral
Name:Diane C. BodurkaPatients 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:713-745-3357
Contact us about clinical trials
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General Information
Disease Group:Fallopian Tube
Ovary
Peritoneum
Supported By:ImClone Systems Incorporated
Phase of Study:Phase IIReturn
Visit:
Every two weeks in the absence of disease progression, the development of
unacceptable toxicity or withdrawal criteria.
Treatment
Agents:
IMC-1121BHome Care:none
Treatment Loc:Both at MDACC & outside MDACC at one or more Collaborating Sites or Institutions
Estimated
Length of Stay
in Houston:
n/a
Description/
Intervention:
The goal of this clinical research study is to learn if IMC-1121B can help to
control ovarian, fallopian tube, or primary peritoneal cancer that has spread
and has not responded to treatment. The safety of this drug will also be
studied.
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Study Objectives / Outcomes
Primary Objectives
The primary objective in this study, in patients with persistent or recurrent epithelial ovarian, fallopian tube, or primary peritoneal carcinoma, is to jointly determine the following two rates: progression-free survival rate at 6 months (PFS-6) and objective response rate (ORR)

Secondary Objectives
The secondary objectives of this study are to determine separately:
    • Safety and tolerability
    • Progression-free survival (PFS)
    • Overall survival rate at 1 year (OS-1)
    • Overall survival time (OS)
    • Progression-free survival rate at 6 months (PFS-6)
    • Objective response rate (ORR)
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Study Status Information
Study Activation / Registration Date:11/14/2008
IRB Review and Approval Date:06/16/2008
Study Type:Phase Ii Or Phase I/Ii
Recruitment Status:Closed
Projected Accrual:55
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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) The patient has recurrent or persistent epithelial ovarian, fallopian tube, or primary peritoneal carcinoma. Histologic documentation of the original primary tumor is required via a pathology report.

2) The patient has at least one unidimensionally-measurable target lesion (>/= 2 cm with conventional techniques, or >/= 1 cm by spiral computed tomography [CT] or magnetic resonance imaging [MRI]), as defined by Response Evaluation Criteria in Solid Tumors (RECIST).Tumors within a previously irradiated field will be designated as "nontarget" lesions unless progression is documented or a biopsy is obtained to confirm persistence at least 90 days following completion of radiation therapy.

3) The patient has recovered to Grade </= 1 by the NCI-CTCAE v3.0 from the effects of recent surgery, radiotherapy, chemotherapy, hormonal therapy, or other targeted therapies for ovarian cancer, with the exception of alopecia or peripheral neuropathy (which must have resolved to Grade </= 2). Any other prior therapy directed at the malignant tumor must be discontinued at least three weeks prior to the first dose of study medication, or hormonal therapy discontinued at least one week prior to the first dose of study medication. Continuation of hormone replacement therapy is permitted.

4) The patient has completed at least one platinum-based chemotherapeutic regimen for management of primary disease, and must have at least one of the following: a platinum-free interval of < 12 months after the final dose of primary platinum-based therapy, progression during platinum-based therapy, or persistent disease after platinum-based therapy.

5) The patient has an Eastern Cooperative Oncology Group Performance Status (ECOG PS) of 0-1 at study entry.

6) The patient has adequate hematological functions (absolute neutrophil count [ANC] >/= 1200 cells/mL, hemoglobin >/= 9 g/dL, and platelets >/= 100,000 cells/mL).

7) The patient has adequate hepatic function (bilirubin </= 1.5 times the upper limit of normal [ULN]; aspartate transaminase [AST] and/or alanine transaminase [ALT] </= 3.0 times ULN, or </= 5.0 times ULN if the transaminase elevation is due to liver metastases).

8) The patient has adequate renal function (serum creatinine </= 1.5 x ULN or creatinine clearance [measured or calculated] >/= 60 mL/min).

9) The patient's urinary protein is </= 1+ on dipstick or routine urinalysis (UA). If urine dipstick or routine analysis indicated >/= 2+ proteinuria, then a 24-hour urine must be collected and must demonstrate < 1000 mg of protein in 24 hours to allow participation in the study.

10) The patient has adequate coagulation function, as defined by international normalized ratio (INR) </= 1.5 and a partial thromboplastin time (PTT) </= 1.5 X ULN if not receiving anticoagulation therapy. Patients on full-dose anticoagulation must be on a stable dose of oral anticoagulant or low molecular weight heparin, and if on warfarin must have therapeutic INR and have no active bleeding (defined as within 14 days of first dose of study medication) or pathological condition that carries a high risk of bleeding (eg, tumor involving major vessels or known varices).

11) For patients who have received anthracycline therapy, the left ventricular ejection fraction (LVEF) must be within normal institutional range by a pretreatment echocardiogram or multigated acquisition (MUGA) scan.

12) If sexually active, the patient is post-menopausal, surgically sterile, or using effective contraception in the opinion of the investigator.

13) The patient is >/= 18 years of age.

14) The patient has a life expectancy of >/= 3 months.

15) The patient is able to provide informed written consent and is amenable to compliance with protocol schedules and testing.

Exclusion Criteria:1) The patient has a concurrent active malignancy, other than adequately treated nonmelanomatous skin cancer or other noninvasive carcinoma or in situ neoplasm. A patient with previous history of malignancy is eligible provided that she has been disease-free for > 3 years.

2) The patient has received a noncytotoxic regimen (usually called targeted therapy such as bevacizumab) for recurrent or persistent disease. (Patients may have received a noncytotoxic regimen as primary treatment.)

3) The patient has received radiotherapy for the treatment of ovarian, fallopian tube, or primary peritoneal cancer within 3 weeks (21 days) prior to the first dose of study medication.

4) The patients has received prior radiotherapy to any portion of the abdominal cavity or pelvis other than for the treatment of ovarian, fallopian tube, or primary peritoneal cancer within the last 3 years. (Prior radiation for localized cancer [eg, of the breast, head and neck, or skin] is permitted, provided that it was completed > 3 years prior to the first dose of study medication, and the patient remains free of recurrent or metastatic disease.)

5) The patient has received prior chemotherapy for any abdominal or pelvic tumor, other than for the treatment of ovarian, fallopian tube, or primary peritoneal cancer < 3 years prior to the first dose of study medication. Prior adjuvant chemotherapy for localized breast cancer is permitted, provided that it was completed > 3 years prior to the first dose of study medication, and that the patient remains free of recurrent or metastatic disease.

6) The patient has undergone major abdominal surgery within 4 weeks (28 days) prior to first dose of study medication.

7) The patient has a suspected impending bowel obstruction, based on clinical or radiographic criteria.

8) The patient has received any hormonal therapy directed at the malignant tumor discontinued therapy within 1 week (7 days) prior to first dose of study medication.

9) The patient has received any other prior therapy directed at the malignant tumor, including immunologic agents, within 3 weeks (21 days) prior to first dose of study medication.

10) The patient has received previous treatment with IMC-1121B.

11) The patient has participated in clinical trials of experimental agents within 4 weeks (28 days) prior to first dose of study medication.

12) The patient has a history of uncontrolled hereditary or acquired bleeding or thrombotic disorders.

13) The patient has an ongoing or active infection requiring systemic antibiotics, symptomatic congestive heart failure, unstable angina pectoris, symptomatic or poorly controlled cardiac arrhythmia, myocardial infarction < 6 months, Grade >/= 2 peripheral vascular disease, poorly controlled hypertension* despite standard medical management poorly controlled thrombotic or hemorrhagic disorder, psychiatric illness or social situations that would limit compliance with study requirements, or any other serious uncontrolled medical disorders in the opinion of the investigator.

14) continued from no. 13 * Poorly Controlled Hypertension is defined as: Blood pressure that in the opinion of the investigator is consistently elevated beyond what the investigator believes to be clinically acceptable for an individual patient, given that patient's medical and psychological status. Failure of this condition to respons to appropriate medical treatment would be exclusionary.

15) The patient has any history of brain metastases or leptomeningeal disease. Screening for CNS involvement for testing asymptomatic patients is not required.

16) The patient has known human immunodeficiency virus infection or acquired immunodeficiency syndrome-related illness.

17) The patient is pregnant (confirmed by serum beta human chorionic gonadotropin [beta-HCG] test) or lactating.

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Links
Registration Number: NCT00721162
Study Information on Clinical Trials Registry (clinicaltrials.gov)

Other Links:
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Results


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