Epithelial Ovarian CancerPhase 2NCT01666444
VTX-2337 and Pegylated Liposomal Doxorubicin (PLD) in Patients With Recurrent or Persistent Epithelial Ovarian, Fallopian Tube or Primary Peritoneal Cancer
A Phase 2 study testing pegylated liposomal doxorubicin (PLD) and VTX-2337 in people with Epithelial Ovarian Cancer and Fallopian Tube Cancer, run by Celgene at 136 sites in United States.
Trial summary
The purpose of this study is to compare the overall survival of patients treated with VTX-2337 + pegylated liposomal doxorubicin (PLD) versus those treated with PLD alone in women with recurrent or persistent, epithelial ovarian, fallopian tube or primary peritoneal cancer. Read more about this study
- Who is it for?
- Ages 18 years and older, women only
- Conditions the study is for
- Epithelial Ovarian Cancer, Fallopian Tube Cancer, Primary Peritoneal Cancer
- What is being tested?
- pegylated liposomal doxorubicin (PLD) and VTX-2337
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 297 participants
- Where
- 136 sitesUnited States
- Study dates
- 31 Oct 2012to 31 Jul 2016
- Phase
- Phase 2
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- Women only
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Patients must have recurrent or persistent epithelial ovarian, fallopian tube, or primary peritoneal carcinoma.
- Patients with the following histologic cell types are eligible: serous adenocarcinoma, endometrioid adenocarcinoma, mucinous adenocarcinoma, undifferentiated carcinoma, clear cell adenocarcinoma, mixed epithelial adenocarcinoma, transitional cell carcinoma, malignant Brenner's tumor or adenocarcinoma not otherwise specified.
- Patient must have measurable disease as defined by RECIST 1.1.
- Patients must have received treatment with a platinum-based chemotherapeutic regimen for management of primary disease containing carboplatin, cisplatin or another organoplatinum compound. This initial treatment may have included intraperitoneal therapy, consolidation, non-cytotoxic agents or extended therapy administered after surgical or non-surgical assessment.
- Patients are allowed to receive, but are not required to receive, one additional cytotoxic regimen for management of recurrent or persistent disease.
- Patients are allowed to have received, but are not required to have received, biologic/targeted therapy (e.g., bevacizumab and/or PARP inhibitor) as part of their primary treatment regimen or for management of recurrent or persistent disease.
Show all 20Show fewer
- Patients must have platinum-resistant disease, defined as having a platinum-free interval (PFI) of < 12 months after first- or second-line platinum-based chemotherapy, or having disease progression while receiving second-line platinum-based chemotherapy.
- Patients must have adequate bone marrow, renal, hepatic, and neurologic functions as defined by the following:
- Bone marrow function: absolute neutrophil count (ANC) ≥ 1,500/mm3. This ANC cannot have been induced or supported by granulocyte colony stimulating factors. Platelets ≥ 100,000/mm3. Hemoglobin ≥ 9 g/dL.
- Renal function: creatinine ≤ 1.5 x institutional upper limit normal (ULN).
- Hepatic function: bilirubin < 1.2 mg/dL, SGOT (AST) and SGPT (ALT) ≤ 3.0 x ULN and alkaline phosphatase ≤ 2.5 x ULN.
- Patients must have recovered from effects of recent surgery, radiotherapy or chemotherapy:
- Patients should be free of active infection requiring parenteral antibiotics.
- Any hormonal therapy directed at the malignant tumor must be discontinued at least one week prior to registration. Continuation of hormone replacement therapy is permitted.
- Any other prior therapy directed at the malignant tumor, including chemotherapy, biologic/targeted agents and immunologic agents, must be discontinued at least three weeks prior to registration.
- Any prior radiation therapy must be completed at least four weeks prior to registration.
- Patients must have a GOG performance status of 0 or 1.
- Patients of childbearing potential must have a negative pregnancy test prior to the study entry and be practicing an effective form of contraception. If applicable, patients must discontinue breastfeeding prior to study entry.
- Patients must meet the entry requirements and undergo the baseline procedures.
- Patients must have signed an IRB-approved informed consent form and authorization permitting release of personal health information.
Who cannot join
- Patients who have had treatment with VTX-2337, doxorubicin, PLD, or any other anthracycline.
- Patients who have received an investigational agent < 30 days prior to registration.
- Patients who have received oral or parenteral corticosteroids < 2 weeks prior to registration or who require ongoing systemic immunosuppressive therapy for any reason.
- Patients with active autoimmune disease. "Active" refers to any condition currently requiring therapy. Examples of autoimmune disease include systemic lupus erythematosus, multiple sclerosis, inflammatory bowel disease and rheumatoid arthritis.
- Patients with a history of other invasive malignancies, with the exception of non-melanoma skin cancer, are excluded if there is any evidence of the other malignancy being present within the last three years.
- Patients who have received prior radiotherapy OTHER THAN for the treatment of ovarian, fallopian tube or primary peritoneal cancer within the last three years are excluded.
Show all 12Show fewer
- Patients who have received prior chemotherapy OTHER THAN for the treatment of ovarian, fallopian tube or primary peritoneal cancer within the last three years are excluded.
- Patients with history or evidence upon physical examination of CNS disease, including primary brain tumor, seizures not controlled with standard medical therapy, any brain metastases, or history of cerebrovascular accident (CVA, stroke), transient ischemic attack (TIA) or subarachnoid hemorrhage within six months of the first date of treatment on this study.
- Patients with clinically significant cardiovascular disease.
- Patients who are pregnant or nursing.
- Patients under the age of 18.
- Patients with clinical symptoms or signs of gastrointestinal obstruction and/or who require parenteral hydration or nutrition.
Trial locations and contacts
136 sites in 1 country.
136 sites in 1 country
United States136 sites
Abington Memorial Hospital; Hanjani Institute for Gynecologic Oncology
Abington, Pennsylvania, 19001
Summa Health System
Akron, Ohio, 44304
Women's Cancer Care Associates
Albany, New York, 12208
Southwest Gynecologic Oncology Associates
Albuquerque, New Mexico, 87016
University of New Mexico Cancer Center
Albuquerque, New Mexico, 87106
McFarland Clinic
Ames, Iowa, 50010
St. Joseph Mercy Hospital
Ann Arbor, Michigan, 48106
Mid Atlantic Pelvic Surgery Associates
Annandale, Virginia, 22003
Hope Women's Cancer Center
Asheville, North Carolina, 28806
Northside Hospital
Atlanta, Georgia, 30342
Georgia Regents University
Augusta, Georgia, 30912
University of Colorado Cancer Center
Aurora, Colorado, 80045
University of Maryland Medical Center
Baltimore, Maryland, 21201
Greater Baltimore Medical Center
Baltimore, Maryland, 21204
Sinai Hospital of Baltimore
Baltimore, Maryland, 21215
Johns Hopkins Medical Institution
Baltimore, Maryland, 21287
Bronson Battle Creek
Battle Creek, Michigan, 49017
SUNY Downstate Medical Center
Brooklyn, New York, 11203
Roswell Park Cancer Institute
Buffalo, New York, 14263
Providence Saint Joseph Medical Center
Burbank, California, 91505
Lahey Hospital & Medical Center
Burlington, Massachusetts, 01805
Alamance Regional Cancer Center
Burlington, North Carolina, 27215
Cooper University Hospital
Camden, New Jersey, 08103
Medical University of South Carolina
Charleston, South Carolina, 29425
Carolinas Medical Center / Levine Cancer Institute
Charlotte, North Carolina, 28204
Northwestern University - Robert H. Lurie Comprehensive Cancer Center
Chicago, Illinois, 60611
Rush University Medical Center
Chicago, Illinois, 60612
University of Cincinnati
Cincinnati, Ohio, 45267
University Hospitals of Cleveland
Cleveland, Ohio, 44106
Fairview Hospital Moll Pavilion Cancer Center
Cleveland, Ohio, 44111
Cleveland Clinic Foundation
Cleveland, Ohio, 44195
Ellis Fischel Cancer Center - University of Missouri
Columbia, Missouri, 65211
Ohio State University Medical Center
Columbus, Ohio, 43210
Carolinas Medical Center - Northeast
Concord, North Carolina, 28025
Minnesota Oncology Coon Rapids Clinic
Coon Rapids, Minnesota, 55433
UT Southwestern Medical Center
Dallas, Texas, 75390
Geisinger Medical Center
Danville, Pennsylvania, 17822
Karmanos Cancer Institute - Wayne State University
Detroit, Michigan, 48201
Henry Ford Health System
Detroit, Michigan, 48202
Fairview Southdale Hospital
Edina, Minnesota, 55435
Northeast Georgia Medical Center
Gainesville, Georgia, 30501
University of Texas Medical Branch
Galveston, Texas, 77555
Grand Rapids Clinical Oncology
Grand Rapids, Michigan, 49503
Saint Mary's Health Care
Grand Rapids, Michigan, 49503
Spectrum Health at Butterworth Campus
Grand Rapids, Michigan, 49503
Gynecologic Oncology of West Michigan
Grand Rapids, Michigan, 49546
Green Bay Oncology at St. Vincent's Hospital
Green Bay, Wisconsin, 54301
St Vincent Hospital
Green Bay, Wisconsin, 54301
Green Bay Oncology at St. Mary's Hospital
Green Bay, Wisconsin, 54303
Bon Secours St. Francis Hospital
Greenville, South Carolina, 29601
Hackensack University Medical Center
Hackensack, New Jersey, 07601
Hartford Hospital
Hartford, Connecticut, 06102
St. Francis Hospital and Medical Center
Hartford, Connecticut, 06105
Kaiser Permanente Medical Center
Hayward, California, 94545
Sudarshan K. Sharma, MD, LTD
Hinsdale, Illinois, 60521
Kapiolani Medical Center for Women and Children
Honolulu, Hawaii, 96826
MD Anderson Cancer Center
Houston, Texas, 77030
The Methodist Hospital
Houston, Texas, 77030
Indiana University Medical Center
Indianapolis, Indiana, 46202
St. Vincent Gynecologic Oncology
Indianapolis, Indiana, 46260
University of Iowa Hospitals and Clinics
Iowa City, Iowa, 52242
St. Dominic-Jackson Memorial Hospital
Jackson, Mississippi, 32916
University of Mississippi Medical Center
Jackson, Mississippi, 39216
West Michigan Cancer Center
Kalamazoo, Michigan, 49007
Women's Cancer Center at Kettering Medical Center
Kettering, Ohio, 45429
Monter Cancer Center
Lake Success, New York, 11042
Memorial Medical Center
Las Cruces, New Mexico, 88011
Women's Cancer Care Center of Nevada
Las Vegas, Nevada, 89169
Dartmouth-Hitchcock Medical Center
Lebanon, New Hampshire, 03756
Winthrop P. Rockefeller Cancer Institute - University of Arkansas
Little Rock, Arkansas, 72205
Long Beach Memorial Medical Center
Long Beach, California, 90806
Central Georgia Gynecologic Oncology
Macon, Georgia, 31201
University of Wisconsin-Madison
Madison, Wisconsin, 53792
North Shore University Hospital
Manhasset, New York, 11030
Holy Family Memorial Medical Center
Manitowoc, Wisconsin, 54221
Bay Area Medical Center
Marinette, Wisconsin, 54143
Marshfield Clinic
Marshfield, Wisconsin, 54449
Hillcrest Hospital - Cleveland Clinic
Mayfield Heights, Ohio, 44124
Lake University Seidman Cancer Center
Mentor, Ohio, 44060
Aurora St. Luke's Medical Center Gynecologic Oncology
Milwaukee, Wisconsin, 53215
Medical College of Wisconsin
Milwaukee, Wisconsin, 53226
Abbott Northwestern Hospital
Minneapolis, Minnesota, 55404
Mercy Health Partners - Mercy Campus
Muskegon, Michigan, 49444
The Hospital of Central Connecticut
New Britain, Connecticut, 06050
Yale - New Haven Hospital
New Haven, Connecticut, 06520
Long Island Jewish Medical Center
New Hyde Park, New York, 11040
NYU Langone Medical Center - Cancer Institute
New York, New York, 10016
Columbia University Medical Center
New York, New York, 10032
Memorial Sloan Kettering Cancer Center
New York, New York, 10065
Kaiser Permanente Medical Center
Oakland, California, 94611
Peggy and Charles Stephenson Cancer Center
Oklahoma City, Oklahoma, 73104
MD Anderson Cancer Center - Orlando
Orlando, Florida, 32806
University of Pennsylvania Medical Center
Philadelphia, Pennsylvania, 19104
Fox Chase Cancer Center
Philadelphia, Pennsylvania, 19111
St. Joseph's Hospital and Medical Center
Phoenix, Arizona, 85013
Hillman Cancer Center - University of Pittsburgh
Pittsburgh, Pennsylvania, 15213
Western Pennsylvania Hospital
Pittsburgh, Pennsylvania, 15224
Women and Infants Hospital of Rhode Island
Providence, Rhode Island, 02905
Reed City Hospital - Spectrum Health
Reed City, Michigan, 49677
Virginia Gynecology Oncology
Richmond, Virginia, 23229
Carilion Clinic Gynecological Oncology
Roanoke, Virginia, 24016
Kaiser Permanente Medical Center
Roseville, California, 95661
Sutter Cancer Center
Sacramento, California, 95816
Kaiser Permanente Medical Center
Sacramento, California, 95825
Metro Minnesota Clinical Oncology Program
Saint Louis Park, Minnesota, 55416
Park Nicollet Frauenshuh Cancer Center
Saint Louis Park, Minnesota, 55426
Minnesota Oncology Hematology - St. Paul Cancer Center
Saint Paul, Minnesota, 55102
Huntsman Cancer Institute, University of Utah
Salt Lake City, Utah, 84112
Kaiser Permanente Medical Center
San Francisco, California, 94115
Kaiser Permanente Medical Center
San Jose, California, 95119
Kaiser Permanente Medical Center
Santa Clara, California, 95051
Memorial Health University Medical Center
Savannah, Georgia, 31404
St. Joseph's - Candler Gynecologic Oncology
Savannah, Georgia, 31405
Maine Medical Partners Women's Health
Scarborough, Maine, 04074
Pacific Gynecology Specialists
Seattle, Washington, 98104
Seattle Cancer Care Alliance
Seattle, Washington, 98109
Northwest Hospital - UW Medicine
Seattle, Washington, 98133
Women's Cancer Care of Seattle
Seattle, Washington, 98133
University of Washington Medical Center
Seattle, Washington, 98195
Avera Cancer Institute
Sioux Falls, South Dakota, 57105
Kaiser Permanente Medical Center
South San Francisco, California, 94080
Gibbs Cancer Center
Spartanburg, South Carolina, 29303
Women's Cancer Associates
St. Petersburg, Florida, 33701
Stanford University School of Medicine
Stanford, California, 94305
Gynecologic Oncology of Central New York - SUNY Upstate
Syracuse, New York, 13057
Munson Medical Center
Traverse City, Michigan, 49684
Tulsa Cancer Institute
Tulsa, Oklahoma, 74146
Carle Cancer Center
Urbana, Illinois, 61801
Kaiser Permanente Medical Center
Vallejo, California, 94586
Kaiser Permanente Medical Center
Walnut Creek, California, 94596
Aspirus Regional Cancer Center
Wausau, Wisconsin, 54401
Reading Hospital (McGlinn Family Regional Cancer Center)
West Reading, Pennsylvania, 19611
University of Kansas Medical Center
Westwood, Kansas, 66205
Wake Forest University Health Science
Winston-Salem, North Carolina, 27157
Woodbury Clinic - CornerStone Medical Specialty Centre
Woodbury, Minnesota, 55125
University of Massachusetts Memorial Healthcare
Worcester, Massachusetts, 01605
About this study
Official title: A Randomized, Double-Blind, Placebo-Controlled Phase II Study of VTX-2337 in Combination With Pegylated Liposomal Doxorubicin (PLD) in Patients With Recurrent or Persistent Epithelial Ovarian, Fallopian Tube or Primary Peritoneal Cancer
The purpose of this study is to compare the overall survival of patients treated with VTX-2337 + pegylated liposomal doxorubicin (PLD) versus those treated with PLD alone in women with recurrent or persistent, epithelial ovarian, fallopian tube or primary peritoneal cancer.
VTX-2337, a small molecule agonist of Toll-like Receptor 8 (TLR8), activates multiple components of the innate immune system and is being developed as a novel therapeutic agent for use in oncology. Experimental data obtained in an animal model of ovarian cancer supports the combination of VTX-2337 with PLD. In this model, the combination of VTX-2337 and PLD resulted in a significant reduction in tumor growth compared to either agent alone and an increase in the number of T lymphocytes infiltrating the tumor. The combination of PLD and VTX-2337 has been tested in a small number of women with ovarian cancer in a Phase 1b study and appears to be generally well-tolerated.
Read the detailed description
OBJECTIVES
Primary Objectives:
- To compare the overall survival (OS) of patients treated with VTX-2337 + PLD versus those treated with PLD alone in women with recurrent or persistent, epithelial ovarian, fallopian tube or primary peritoneal cancer.
- To compare the progression-free survival (PFS) between the two treatment groups using Immune-Related Response Evaluation Criteria in Solid Tumors (irRECIST).
Secondary Objectives:
- To compare the progression-free survival (PFS) between the two treatment groups using Response Evaluation Criteria In Solid Tumors (RECIST 1.1).
- To compare the nature, frequency and severity of drug-related adverse events (AEs) between the two treatment groups.
Exploratory Objectives:
- To compare the best overall response rate (ORR) and duration of response (based on the probability of being in response function [PBRF]) between the two treatment groups using irRECIST and RECIST 1.1.
- To compare the disease control rate (DCR) between the two treatment groups using irRECIST and RECIST 1.1.
- To assess the impact of immune status and response on the clinical effects (OS, PFS, DCR, ORR, PBRF, AEs) of study treatment.
- To assess the effect of TLR8 polymorphisms and BRCA1/BRCA2 mutations on the clinical effects (OS, PFS, DCR, ORR, PBRF, AEs) of study treatment.
- To assess the effect of immune cell subsets, as measured by immunohistochemistry and micro RNA in primary tumor tissue (e.g. immune score), on the clinical effects (OS, PFS, DCR, ORR, PBRF, AEs) of study treatment.
- To assess whether the presence of autoantibodies to tumor-derived proteins are predictive of the clinical effects (OS, PFS, DCR, ORR, PBRF, AEs) of study treatment.
OUTLINE:
This is Phase 2 multicenter clinical study to evaluate the efficacy and safety of the combination of VTX-2337 + PLD compared to PLD + Placebo.
The dosing schedule will be the same for both treatment arms, and will be based on a 28-day cycle. The starting dose schedule is PLD on Day 1 plus VTX-2337 or placebo on Day 3, Day 10, and Day 17 for the first 4 cycles. Starting with cycle 5, the dose regimen will be PLD on Day 1 plus VTX-2337 or placebo on Day 3.
Blood samples are collected periodically during cycle 1 for pharmacodynamics, pharmacogenomics, and other research studies.
Patients will receive therapy until disease progression based on Immune-Related RECIST or until adverse effects prohibit further therapy. Following treatment completion, all patients will be followed with physical exams and histories every three months for the first two years, and then every six months for the next three years, and then
- Being tested
- pegylated liposomal doxorubicin (PLD), VTX-2337, Placebo
- Keywords
- recurrent epithelial ovarian cancer, recurrent fallopian tube cancer, recurrent primary peritoneal cavity cancer, ovarian serous cystadenocarcinoma, ovarian endometrioid adenocarcinoma, ovarian mucinous cystadenocarcinoma, ovarian undifferentiated adenocarcinoma, ovarian clear cell cystadenocarcinoma, ovarian mixed epithelial carcinoma, Brenner tumor
- Medical subject headings
- Carcinoma, Ovarian Epithelial, Fallopian Tube Neoplasms, Brenner Tumor
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
pegylated liposomal doxorubicin (PLD)Drug
Also called Doxil, Lipodox
VTX-2337Drug
TLR8 Agonist
PlaceboDrug
| Study group | Role | What they receive |
|---|---|---|
| PLD 40 mg/m2 plus VTX-2337 | Experimental | The dosing schedule will be be based on a 28-day cycle. The starting dose schedule is PLD on Day 1 plus VTX-2337 on Day 3, Day 10, and Day 17 for the first 4 cycles. Starting with cycle 5, the dose regimen will be PLD on Day 1 plus VTX-2337 on Day 3 only, without additional doses of VTX-2337 on Days 10 and Day 17. Receives: Drug: pegylated liposomal doxorubicin (PLD); Drug: VTX-2337 |
| PLD 40 mg/m2 plus placebo | Active comparator | The dosing schedule will be based on a 28-day cycle. The starting dose schedule is PLD on Day 1 plus placebo on Day 3, Day 10, and Day 17 for the first 4 cycles. Starting with cycle 5, the dose regimen will be PLD on Day 1 plus placebo on Day 3 only. Receives: Drug: pegylated liposomal doxorubicin (PLD); Drug: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Overall Survival
Comparison of duration of survival between the 2 treatment groups
Measured: Survival is measured from date of enrollment and randomization on the study until death from any cause, or if alive at last contact, date of last contact.
Secondary outcomes (2)
Progression-free Survival (PFS)
Comparison of PFS between the 2 treatment groups
Measured: Progression-free survival is measured from enrollment and randomization on the study until first indication of progression based on irRECIST criteria or death from any cause, or if progression-free at last contact, the date of last disease assessment.
Frequency and Severity of Adverse Events (AEs)
An AE is any untoward medical occurrence associated with the use of a drug in humans, whether or not considered drug-related. An AE can be unfavorable and unintended sign, symptom, or disease which is temporally associated with the use of investigational product (IP), whether or not considered related to the IP. A serious AE = an AE occurring at any dose that: • Results in death • Is life- threatening • Requires or prolongs existing inpatient hospitalization • Results in persistent or significant disability/incapacity • Is a congenital anomaly/birth defect; • Constitutes an important medical event. The Investigator assessed the relationship of each AE to IP and graded the severity according to the National Cancer Institute Common Terminology Criteria for Adverse Events, Version 4.0: Grade (GR) 1 = Mild; asymptomatic or mild symptoms; GR 2 = Moderate (minimal, local or noninvasive intervention indicated); GR 3 = Severe or medically significant; GR 4 = Life-threatening; GR 5 = Death
Measured: Assessed during each cycle of therapy and within 30 days after the last cycle of therapy
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted16 Aug 2012 (estimated)
- Study start31 Oct 2012
- Primary completion31 Jul 2016
- Study completion31 Jul 2016
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (2)Papers the sponsor has linked to this study.
- Other trials for Epithelial Ovarian CancerStudies of the same condition, open and under way.
- More trials run by CelgeneThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 2
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 297 participants (actual)
Sponsor and investigators
- Lead sponsor
- Celgene
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- Gynecologic Oncology Group
- Responsible party
- Sponsor
- Investigators
- Bradley J. Monk, MD, Study chair, St. Joseph's Hospital and Medical Center, Phoenix AZAmar Patel, MD, Study director, Celgene
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01666444
- Sponsor's protocol ID
- GOG-3003
- Status last verified
- Sep 2019
- First submitted
- 10 Aug 2012
- Last updated
- 26 Sep 2019
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
Publications
Newhouse R, Nelissen E, El-Shakankery KH, Rogozinska E, Bain E, Veiga S, Morrison J. Pegylated liposomal doxorubicin for relapsed epithelial ovarian cancer. Cochrane Database Syst Rev. 2023 Jul 5;7(7):CD006910. doi: 10.1002/14651858.CD006910.pub3.
PubMed 37407274Monk BJ, Brady MF, Aghajanian C, Lankes HA, Rizack T, Leach J, Fowler JM, Higgins R, Hanjani P, Morgan M, Edwards R, Bradley W, Kolevska T, Foukas P, Swisher EM, Anderson KS, Gottardo R, Bryan JK, Newkirk M, Manjarrez KL, Mannel RS, Hershberg RM, Coukos G. A phase 2, randomized, double-blind, placebo- controlled study of chemo-immunotherapy combination using motolimod with pegylated liposomal doxorubicin in recurrent or persistent ovarian cancer: a Gynecologic Oncology Group partners study. Ann Oncol. 2017 May 1;28(5):996-1004. doi: 10.1093/annonc/mdx049.
PubMed 28453702
Study at a glance
From the registry record, last updated by the sponsor on 26 Sep 2019. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Randomized, Double-Blind, Placebo-Controlled Phase II Study of VTX-2337 in Combination With Pegylated Liposomal Doxorubicin (PLD) in Patients With Recurrent or Persistent Epithelial Ovarian, Fallopian Tube or Primary Peritoneal Cancer
- ClinicalTrials.gov ID
- NCT01666444
- Acronym / sponsor ID
- GOG-3003
- Keywords
- recurrent epithelial ovarian cancer, recurrent fallopian tube cancer, recurrent primary peritoneal cavity cancer, ovarian serous cystadenocarcinoma, ovarian endometrioid adenocarcinoma, ovarian mucinous cystadenocarcinoma, ovarian undifferentiated adenocarcinoma, ovarian clear cell cystadenocarcinoma
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 297 participants (actual)
- Lead sponsor
- CelgeneIndustry (pharma, biotech, devices)
- Collaborators
- Gynecologic Oncology Group
- Study start
- 31 Oct 2012 (actual)
- Primary completion
- 31 Jul 2016 (actual)
- Study completion
- 31 Jul 2016 (actual)
- First posted
- 16 Aug 2012 (estimated)
- Results
- Posted 26 Sep 2019
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this study is to compare the overall survival of patients treated with VTX-2337 + pegylated liposomal doxorubicin (PLD) versus those treated with PLD alone in women with recurrent or persistent, epithelial ovarian, fallopian tube or primary peritoneal cancer.
VTX-2337, a small molecule agonist of Toll-like Receptor 8 (TLR8), activates multiple components of the innate immune system and is being developed as a novel therapeutic agent for use in oncology. Experimental data obtained in an animal model of ovarian cancer supports the combination of VTX-2337 with PLD. In this model, the combination of VTX-2337 and PLD resulted in a significant reduction in tumor growth compared to either agent alone and an increase in the number of T lymphocytes infiltrating the tumor. The combination of PLD and VTX-2337 has been tested in a small number of women with ovarian cancer in a Phase 1b study and appears to be generally well-tolerated.
Detailed description
OBJECTIVES
Primary Objectives:
- To compare the overall survival (OS) of patients treated with VTX-2337 + PLD versus those treated with PLD alone in women with recurrent or persistent, epithelial ovarian, fallopian tube or primary peritoneal cancer.
- To compare the progression-free survival (PFS) between the two treatment groups using Immune-Related Response Evaluation Criteria in Solid Tumors (irRECIST).
Secondary Objectives:
- To compare the progression-free survival (PFS) between the two treatment groups using Response Evaluation Criteria In Solid Tumors (RECIST 1.1).
- To compare the nature, frequency and severity of drug-related adverse events (AEs) between the two treatment groups.
Exploratory Objectives:
- To compare the best overall response rate (ORR) and duration of response (based on the probability of being in response function [PBRF]) between the two treatment groups using irRECIST and RECIST 1.1.
- To compare the disease control rate (DCR) between the two treatment groups using irRECIST and RECIST 1.1.
- To assess the impact of immune status and response on the clinical effects (OS, PFS, DCR, ORR, PBRF, AEs) of study treatment.
- To assess the effect of TLR8 polymorphisms and BRCA1/BRCA2 mutations on the clinical effects (OS, PFS, DCR, ORR, PBRF, AEs) of study treatment.
- To assess the effect of immune cell subsets, as measured by immunohistochemistry and micro RNA in primary tumor tissue (e.g. immune score), on the clinical effects (OS, PFS, DCR, ORR, PBRF, AEs) of study treatment.
- To assess whether the presence of autoantibodies to tumor-derived proteins are predictive of the clinical effects (OS, PFS, DCR, ORR, PBRF, AEs) of study treatment.
OUTLINE:
This is Phase 2 multicenter clinical study to evaluate the efficacy and safety of the combination of VTX-2337 + PLD compared to PLD + Placebo.
The dosing schedule will be the same for both treatment arms, and will be based on a 28-day cycle. The starting dose schedule is PLD on Day 1 plus VTX-2337 or placebo on Day 3, Day 10, and Day 17 for the first 4 cycles. Starting with cycle 5, the dose regimen will be PLD on Day 1 plus VTX-2337 or placebo on Day 3.
Blood samples are collected periodically during cycle 1 for pharmacodynamics, pharmacogenomics, and other research studies.
Patients will receive therapy until disease progression based on Immune-Related RECIST or until adverse effects prohibit further therapy. Following treatment completion, all patients will be followed with physical exams and histories every three months for the first two years, and then every six months for the next three years, and then
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| PLD 40 mg/m2 plus VTX-2337 | Experimental | Drug: pegylated liposomal doxorubicin (PLD), Drug: VTX-2337The dosing schedule will be be based on a 28-day cycle. The starting dose schedule is PLD on Day 1 plus VTX-2337 on Day 3, Day 10, and Day 17 for the first 4 cycles. Starting with cycle 5, the dose regimen will be PLD on Day 1 plus VTX-2337 on Day 3 only, without additional doses of VTX-2337 on Days 10 and Day 17. |
| PLD 40 mg/m2 plus placebo | Active comparator | Drug: pegylated liposomal doxorubicin (PLD), Drug: PlaceboThe dosing schedule will be based on a 28-day cycle. The starting dose schedule is PLD on Day 1 plus placebo on Day 3, Day 10, and Day 17 for the first 4 cycles. Starting with cycle 5, the dose regimen will be PLD on Day 1 plus placebo on Day 3 only. |
Who may qualify
- Ages
- 18 years and older
- Sex
- Female only
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (20 listed)
- Patients must have recurrent or persistent epithelial ovarian, fallopian tube, or primary peritoneal carcinoma.
- Patients with the following histologic cell types are eligible: serous adenocarcinoma, endometrioid adenocarcinoma, mucinous adenocarcinoma, undifferentiated carcinoma, clear cell adenocarcinoma, mixed epithelial adenocarcinoma, transitional cell carcinoma, malignant Brenner's tumor or adenocarcinoma not otherwise specified.
- Patient must have measurable disease as defined by RECIST 1.1.
- Patients must have received treatment with a platinum-based chemotherapeutic regimen for management of primary disease containing carboplatin, cisplatin or another organoplatinum compound. This initial treatment may have included intraperitoneal therapy, consolidation, non-cytotoxic agents or extended therapy administered after surgical or non-surgical assessment.
- Patients are allowed to receive, but are not required to receive, one additional cytotoxic regimen for management of recurrent or persistent disease.
Key exclusion criteria (12 listed)
- Patients who have had treatment with VTX-2337, doxorubicin, PLD, or any other anthracycline.
- Patients who have received an investigational agent < 30 days prior to registration.
- Patients who have received oral or parenteral corticosteroids < 2 weeks prior to registration or who require ongoing systemic immunosuppressive therapy for any reason.
- Patients with active autoimmune disease. "Active" refers to any condition currently requiring therapy. Examples of autoimmune disease include systemic lupus erythematosus, multiple sclerosis, inflammatory bowel disease and rheumatoid arthritis.
- Patients with a history of other invasive malignancies, with the exception of non-melanoma skin cancer, are excluded if there is any evidence of the other malignancy being present within the last three years.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| pegylated liposomal doxorubicin (PLD)Also: Doxil, Lipodox | Drug | PLD 40 mg/m2 plus VTX-2337, PLD 40 mg/m2 plus placebo |
| VTX-2337TLR8 Agonist | Drug | PLD 40 mg/m2 plus VTX-2337 |
| Placebo | Drug | PLD 40 mg/m2 plus placebo |
Primary outcome
Overall Survival
Time frame: Survival is measured from date of enrollment and randomization on the study until death from any cause, or if alive at last contact, date of last contact.
Comparison of duration of survival between the 2 treatment groups
2 secondary outcomes
Progression-free Survival (PFS)
Time frame: Progression-free survival is measured from enrollment and randomization on the study until first indication of progression based on irRECIST criteria or death from any cause, or if progression-free at last contact, the date of last disease assessment.
Frequency and Severity of Adverse Events (AEs)
Time frame: Assessed during each cycle of therapy and within 30 days after the last cycle of therapy
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 26 Sep 2019.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 37407274Newhouse R, Nelissen E, El-Shakankery KH, Rogozinska E, Bain E, Veiga S, Morrison J. Pegylated liposomal doxorubicin for relapsed epithelial ovarian cancer. Cochrane Database Syst Rev. 2023 Jul 5;7(7):CD006910. doi: 10.1002/14651858.CD006910.pub3.
- Derived from this study: PubMed 28453702Monk BJ, Brady MF, Aghajanian C, Lankes HA, Rizack T, Leach J, Fowler JM, Higgins R, Hanjani P, Morgan M, Edwards R, Bradley W, Kolevska T, Foukas P, Swisher EM, Anderson KS, Gottardo R, Bryan JK, Newkirk M, Manjarrez KL, Mannel RS, Hershberg RM, Coukos G. A phase 2, randomized, double-blind, placebo- controlled study of chemo-immunotherapy combination using motolimod with pegylated liposomal doxorubicin in recurrent or persistent ovarian cancer: a Gynecologic Oncology Group partners study. Ann Oncol. 2017 May 1;28(5):996-1004. doi: 10.1093/annonc/mdx049.
Related trials for Epithelial Ovarian Cancer
Recruiting
Methylation Profiling in Self-Samples for Identification of (Epi)Genetic Biomarkers for Gynecological Cancers
Gynaecological Cancers, Ovarian Cancer
Recruiting
A Study to Compare Two Surgical Procedures in Individuals With BRCA1 Mutations to Assess Reduced Risk of Ovarian Cancer
Ovarian Carcinoma
RecruitingPhase 2
Investigation of Ubamatamab Combination Therapy in Adult Participants With Platinum-Resistant Ovarian Cancer
Ovarian Cancer, Fallopian Tube Cancer
Recruiting
The Vanguard Study: Testing a New Way to Screen for Cancer
Bladder Carcinoma, Breast Carcinoma
RecruitingPhase 3
Torvutatug Samrotecan Plus Bevacizumab as First-line Maintenance in Non-Homologous Recombination Deficiency (Non-HRD) Positive Advanced Epithelial Ovarian Cancer
Epithelial Ovarian Cancer
Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Bradley J. Monk, MD study chair
St. Joseph's Hospital and Medical Center, Phoenix AZ
Amar Patel, MD study director
Celgene
136 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing pegylated liposomal doxorubicin (PLD) and VTX-2337 in people with Epithelial Ovarian Cancer and Fallopian Tube Cancer, run by Celgene at 136 sites in United States.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 20 inclusion and 12 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 26 Sep 2019. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 136 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 26 Sep 2019). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Overall Survival (time frame: Survival is measured from date of enrollment and randomization on the study until death from any cause, or if alive at last contact, date of last contact.). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT01666444, which also lists 2 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 26 Sep 2019.