Metastatic Colorectal CancerPhase 3IMPALANCT02077868
Evaluation of MGN1703 Maintenance Treatment in Patients With mCRC With Tumor Reduction During Induction Treatment
A Phase 3 study testing Usual Maintenance and MGN1703 treatment in people with Metastatic Colorectal Cancer, run by Mologen AG at 125 sites in 8 countries.
Trial summary
The purpose of this this trial is to prove the efficacy and safety of MGN1703 as a maintenance therapy after first-line chemotherapeutic treatment of metastatic colorectal cancer. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Metastatic Colorectal Cancer
- What is being tested?
- Usual Maintenance and MGN1703 treatment
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 540 participants
- Where
- 125 sitesin 8 countries
- Study dates
- Sep 2014to May 2020
- Phase
- Phase 3
- Are there results?
- None posted in the registry
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
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Signed written informed consent
- Male or female patient 18 years or older
- Histologically confirmed diagnosis of colorectal cancer presenting with unresectable stage IV (UICC) disease (primary tumor may be present)
- Complete or partial response, as assessed by local investigators according to RECIST 1.1, within 12-30 weeks from start of induction treatment with standard first-line chemotherapy with or without biological agents
- ECOG PS 0-1
- Haematology and biochemistry laboratory results within the limits normally expected for the patient population recovering after receiving induction treatment
- Male and female patients of childbearing potential (i.e. did not undergo surgical sterilization - hysterectomy, bilateral tubal ligation, or bilateral oophorectomy - and are not post-menopausal for at least 24 consecutive months) must use an effective method of contraception. Females of child bearing potential must have a negative serum pregnancy test
Who cannot join
- History of other malignant tumors within the last 5 years, except basal cell carcinoma or curatively excised cervical carcinoma in situ
- Known brain metastases (present or treated)
- Contraindication to receiving MGN1703 as per current investigator brochure
- Known hypersensitivity to any component of the study product
- Prior allogeneic stem cell transplantation or organ transplantation
- Active or uncontrolled infections or undiagnosed febrile condition
Show all 18Show fewer
- Severe anemia requiring repeated blood cell transfusion
- Pre-existing autoimmune or antibody-mediated diseases or immune deficiency
- Chronic systemic immune therapy or immunosuppressant medication other than steroids within the last 6 weeks; continuous systemic steroid treatment within the last 2 weeks prior to start of study treatment
- Use of systemic antibiotic therapy within the last 2 weeks prior to start of study treatment
- Inadequate pulmonary function according to the Investigator's judgment, history of interstitial lung disease e.g. pneumonitis or pulmonary fibrosis or evidence of interstitial lung disease on baseline chest CT scan
- HIV seropositivity or active HBV/HCV infection
- Serious concomitant disease or medical condition that in the judgment of the investigator renders the patient at high risk of treatment complications
- Female patient who is pregnant or breast feeding
- Contraindication to receive the planned standard maintenance treatment according to applicable SmPC
- Treatment with any anti-cancer investigational drug within 12 months prior to study treatment or participation in another clinical study with other investigational drugs within 28 days prior to study treatment
- Vaccination within 1 months prior to start of study treatment
- Any medical, mental, psychological or psychiatric condition that in the opinion of the investigator would not permit the patient to complete the study or understand the patient information
Trial locations and contacts
125 sites in 8 countries.
125 sites in 8 countries
Germany58 sites
Klinikum Augsburg
Augsburg, 86156
Zentralklinik Bad Berka GmbH
Bad Berka
Internistische Schwerpunktpraxis
Bad Reichenhall
Klinikum Mittelbaden Baden-Baden Balg
Baden-Baden, 76532
Klinikum Mittelbaden Medizinische Klinik II
Baden-Baden, 76532
Klinikum Bayreuth GmbH
Bayreuth, 95445
Charité - Universitätsmedizin Berlin - Campus Benjamin Franklin
Berlin, 12203
Medizinisches Versorgungszentrum Ärzteforum Seestrasse
Berlin
Ärzteforum Hennigsdorf
Berlin
St. Josef-Hospital im Katholischen Klinikum Bochum
Bochum, 44791
Onkologie / Hämatologie
Bottrop, 46236
Überörtliche Gemeinschaftspraxis
Bottrop, 46236
DIAKO Ev. Diakonie-Krankenhaus gemeinnützige GmbH
Bremen
Universitätsklinikum Köln
Cologne
Gefos Dortmund MBM
Dortmund
Onkozentrum Dresden/Freiberg
Dresden
Unversitätsklinikum Carl Gustav Carus
Dresden
Kliniken Essen-Mitte
Essen, 45136
Frankfurter Diakonie Kliniken
Frankfurt
Universitätsklinikum Frankfurt
Frankfurt
Klinik für Tumorbiologie
Freiburg im Breisgau
Universitätsklinikum Freiburg
Freiburg im Breisgau
Medizinisches Versorgungszentrum Osthessen GmbH
Fulda
Universitätsklinikum Gießen und Marburg, Standort Gießen
Giessen, 35385
MVZ Onkologische Kooperation Harz
Goslar
Onkologische Schwerpunktpraxis
Gütersloh
Universitätsklinikum Halle (Saale)
Halle, 06120
Facharztzentrum Eppendorf
Hamburg
Medizinische Hochschule Hannover
Hanover
Onkologische Schwerpunktpraxis Leer-Emden
Leer
Klinikum Leverkusen
Leverkusen, 51375
Onkologie Dreiländerdreieck
Loerrach, 79539
Onkologie Dreiländereck - Onkologische Schwerpunktpraxis Lörrach
Loerrach, 79541
Klinikum Ludwigsburg
Ludwigsburg
Universitaetsmedizin der Johannes-Gutenberg-Universitaet
Mainz
Klinikum Mannheim GmbH
Mannheim
University Hospital Marburg
Marburg
Kliniken Maria Hilf GmbH
Mönchengladbach
Klinikum Bogenhausen
München
Klinikum Neuperlach
München
Klinikum rechts der Isar
München
Klinikum Nürnberg
Nuremberg
Pius-Hospital Oldenburg
Oldenburg, 26121
Klinikum Oldenburg
Oldenburg
Sana Kliniken Ostholstein
Oldenburg
Paracelsus-Krankenhaus Ruit
Ostfildern
St. Vincenz-Krankenhaus
Paderborn
Oncologianova GmbH
Recklinghausen
Elblandkliniken
Riesa
Vivantes Klinikum
Spandau
Klinikum Stuttgart - Katharinenhospital
Stuttgard, 70174
Kliniken Südostbayern
Traunstein
Universitätsklinikum Tübingen
Tübingen, 72076
Universitätsklinikum Ulm
Ulm, 89081
Universitätsklinikum Ulm
Ulm
Horst Schmidt Klinik
Wiesbaden
Marienhospital
Witten
HELIOS Klinikum Wuppertal Medizinische Klinik I
Wuppertal, 42283
France21 sites
Hôpital Jean Minjoz
Besançon
Institut Bergonié
Bordeaux, 33076
CHRU Brest - Hôpital Morvan
Brest, 29609
Hôpital Henri Mondor
Créteil, 94010
Polyclinique du Bois
La Chaussée-Saint-Victor, 41260
Centre Hospitalier Départemental Vendée
La Roche-sur-Yon, 85925
Clinique Victor Hugo
Le Mans, 72000
Centre Hospitalier Régional Universitaire de Lille (CHRU) - Hôpital Claude Huriez
Lille, 59037
CHU Hôpital de la Timone
Marseille, 13385
Centre Hospitalier Belfort-Montbéliard
Montbéliard
Hôpital Antoine-Béclère
Paris, 72012
Groupe Hosptalier Paris Saint Joseph
Paris, 75014
Institut Mutualiste Montsouris
Paris, 75014
Hôpital Européen Georges Pompidou (HEGP)
Paris, 75015
Hopital Pitie-Salpetriere
Paris, 75651
Gustave Roussy Cancer Campus
Paris
CHU de Poitiers
Poitiers, 86021
Centre Eugene Marquis
Rennes, 35042
Centre Hospitalier Privé Saint-Grégoire
Saint-Grégoire
Clinique Saint Anne, Strasbourg Oncologie Liberale
Strasbourg, 67000
Hôpital Rangueil
Toulouse, 31059
Spain20 sites
Complexo Hospitalario Universitario A Coruña
A Coruña
Hospital Clinic
Barcelona
Hospital de la Santa Creu i Sant Pau
Barcelona
Hospital Universitari Germans Trias i Pujol
Barcelona
Hospital Universitario Vall d'Hebron
Barcelona
Parc Tauli Sabadell Hospital
Barcelona
Hospital Reina Sofía
Córdoba
Hospital de la Santa Creu i Sant Pau
L'Hospitalet de Llobregat
Hospital Universitario Arnau de Vilanova
Lleida
Hospital Clínico San Carlos
Madrid
Hospital General Universitario Gregorio Marañón
Madrid
Hospital Universitario 12 de Octubre
Madrid
Hospital Universitario Puerta de Hierro - Majadahonda
Madrid
Hospital Universitario Ramon y Cajal
Madrid
Hospital Regional Universitario Carlos Haya
Málaga
Hospital Universitario Central de Asturias
Oviedo
Hospital Son Llatzer
Palma de Mallorca
Hospital Universitario 12 de Octubre
Santander
Complejo Hospitalario Universitario
Santiago de Compostela
Consorcio Hospital General de Valencia
Valencia
Italy9 sites
Candiolo Cancer Institute
Candiolo
Azienda Ospedaliero-Universitaria Careggi
Florence
University Hospital San Martino
Genova
Ospedale San Raffaele
Milan
Istituto Oncologico Veneto
Padova
Policlinico San Mateo
Pavia
Ospedale Infermi di Rimini, U.O. Oncologia
Rimini, 47923
Ospedale Civile SS Annunziata, U.O.C. Oncologia Medica
Sassari, 7100
Azienda Ospedaliero-Universitaria Santa Maria della Misericordia
Udine
United Kingdom7 sites
Aberdeen Royal Infirmary
Aberdeen
The Royal Bournemouth and Christchurch Hospitals NHS Foundation Trust - Royal Bournemouth Hospital
Bournemouth, BH7 7DW
Royal Marsden Hospital
London
The Christie Clinic
Manchester
Oxford University Hospitals NHS Trust - Churchill Hospital
Oxford, OX3 7LE
Royal Marsden Hospital
Sutton
York Teaching Hospitals NHS Fondation Trust, Research and Development department
York, YO31 8HE
Austria4 sites
Landesklinikum Krems
Krems
Kaiser-Franz-Josef-Spital
Vienna
Krankenhaus Hietzing
Vienna
Universitätsklinik Wien
Vienna
Belgium3 sites
Onze-Lieve-Vrouwziekenhuis VZW (OLV)
Aalst, 9300
Antwerp University Hospital
Edegem, 2650
UZ Leuven
Leuven
Estonia3 sites
East-Tallinn Central Hospital
Tallinn
North Estonia Medical Centre
Tallinn
University clinic Tartu
Tartu
About this study
Official title: Evaluation of an Immunomodulatory Maintenance Treatment in Patients With Metastatic Colorectal Cancer With Tumor Reduction During Induction Treatment
The purpose of this this trial is to prove the efficacy and safety of MGN1703 as a maintenance therapy after first-line chemotherapeutic treatment of metastatic colorectal cancer.
Read the detailed description
Due to the toxicity of chemotherapeutic medications treatment breaks are common practice in the treatment of metastatic colorectal cancer. During these treatment breaks a variety of maintenance treatments are available.
MGN1703 is developed not only to help the Patient to recover from chemotherapy but also to boost the patient's immune System and thus help him to effectively fight the Tumor himself.
After the concept has already been proved in a previous study this Trial is conducted to further evaluate the safety and efficacy of MGN1703 Treatment.
- Conditions
- Metastatic Colorectal Cancer
- Being tested
- Usual Maintenance, MGN1703 treatment
- Keywords
- CRC, mCRC, maintenance treatment, immune modulation, colorectal cancer, immunotherapy, metastatic
- Medical subject headings
- Colorectal Neoplasms, Neoplasm Metastasis
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Usual MaintenanceOther
Usual maintenance therapy according to local investigator's practice, e.g. treatment break, reduced treatment, continued treatment, and other
MGN1703 treatmentDrug
Also called dSLIM
MGN1703 will be used as single agent maintenance treatment
| Study group | Role | What they receive |
|---|---|---|
| Control Arm A | Other | Patients in Control Arm A receive usual maintenance Treatment according to local investigator's decsision Receives: Other: Usual Maintenance |
| Treatment Arm B | Experimental | MGN1703 treatment as maintenance therapy Receives: Drug: MGN1703 treatment |
What is being measured
The primary outcome is the main question the study is designed to answer.
Overall survival
Overall survival after randomization
Measured: 36 months
Secondary outcomes (4)
Progression Free Survival (PFS)
PFS1: from randomization until first PD PFS2: from start of re-introduction therapy until second PD PFS3: from start of first-line Treatment until second PD
Measured: 36 months
Safety
AEs, vital signs, ECGs, safety labs as required
Measured: 36 months
Overall Response rate
Complete and partial responses according RECIST 1.1 after randomization
Measured: 36 months
Quality of life (QoL)
QoL according EORTC questionnaires
Measured: 36 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted4 Mar 2014 (estimated)
- Study startSep 2014
- Primary completionFeb 2019
- Study completionMay 2020 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Metastatic Colorectal CancerStudies of the same condition, open and under way.
- 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 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 540 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Mologen AG
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- David Cunningham, MD, Principal investigator, Royal Marsden Hospital London
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02077868
- Sponsor's protocol ID
- MGN1703-C06
- Acronym
- IMPALA
- Status last verified
- Sep 2019
- First submitted
- 28 Feb 2014
- Last updated
- 10 Sep 2019
- Results posted
- No
- Data monitoring committee
- Yes
Study at a glance
From the registry record, last updated by the sponsor on 10 Sep 2019. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Evaluation of an Immunomodulatory Maintenance Treatment in Patients With Metastatic Colorectal Cancer With Tumor Reduction During Induction Treatment
- ClinicalTrials.gov ID
- NCT02077868
- Acronym / sponsor ID
- IMPALA / MGN1703-C06
- Conditions
- Metastatic Colorectal Cancer
- Keywords
- CRC, mCRC, maintenance treatment, immune modulation, colorectal cancer, immunotherapy, metastatic
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Unknown status
- Enrolment
- 540 participants (estimated)
- Lead sponsor
- Mologen AGIndustry (pharma, biotech, devices)
- Study start
- Sep 2014 (actual)
- Primary completion
- Feb 2019 (actual)
- Study completion
- May 2020 (estimated)
- First posted
- 4 Mar 2014 (estimated)
- Results
- Not posted in the source record
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 this trial is to prove the efficacy and safety of MGN1703 as a maintenance therapy after first-line chemotherapeutic treatment of metastatic colorectal cancer.
Detailed description
Due to the toxicity of chemotherapeutic medications treatment breaks are common practice in the treatment of metastatic colorectal cancer. During these treatment breaks a variety of maintenance treatments are available.
MGN1703 is developed not only to help the Patient to recover from chemotherapy but also to boost the patient's immune System and thus help him to effectively fight the Tumor himself.
After the concept has already been proved in a previous study this Trial is conducted to further evaluate the safety and efficacy of MGN1703 Treatment.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Control Arm A | Other | Other: Usual MaintenancePatients in Control Arm A receive usual maintenance Treatment according to local investigator's decsision |
| Treatment Arm B | Experimental | Drug: MGN1703 treatmentMGN1703 treatment as maintenance therapy |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (7 listed)
- Signed written informed consent
- Male or female patient 18 years or older
- Histologically confirmed diagnosis of colorectal cancer presenting with unresectable stage IV (UICC) disease (primary tumor may be present)
- Complete or partial response, as assessed by local investigators according to RECIST 1.1, within 12-30 weeks from start of induction treatment with standard first-line chemotherapy with or without biological agents
- ECOG PS 0-1
Key exclusion criteria (18 listed)
- History of other malignant tumors within the last 5 years, except basal cell carcinoma or curatively excised cervical carcinoma in situ
- Known brain metastases (present or treated)
- Contraindication to receiving MGN1703 as per current investigator brochure
- Known hypersensitivity to any component of the study product
- Prior allogeneic stem cell transplantation or organ transplantation
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 |
|---|---|---|
| Usual MaintenanceUsual maintenance therapy according to local investigator's practice, e.g. treatment break, reduced treatment, continued treatment, and other | Other | Control Arm A |
| MGN1703 treatmentAlso: dSLIMMGN1703 will be used as single agent maintenance treatment | Drug | Treatment Arm B |
Primary outcome
Overall survival
Time frame: 36 months
Overall survival after randomization
4 secondary outcomes
Progression Free Survival (PFS)
Time frame: 36 months
Safety
Time frame: 36 months
Overall Response rate
Time frame: 36 months
Quality of life (QoL)
Time frame: 36 months
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 10 Sep 2019.
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CRC
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.
David Cunningham, MD principal investigator
Royal Marsden Hospital London
125 sites in 8 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Usual Maintenance and MGN1703 treatment in people with Metastatic Colorectal Cancer, run by Mologen AG at 125 sites in 8 countries.
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 7 inclusion and 18 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: status not confirmed, as of the sponsor's last update on 10 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 125 sites in Germany, France, Spain, Italy, United Kingdom and 3 more countries. 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 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Results are not available in the source record.
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: 36 months). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
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 10 Sep 2019.