check_circleStudy Completed

Ovarian Neoplasms

Phase Ib study of anetumab ravtansine in combination with pegylated liposomal doxorubicin in patients with recurrent mesothelin-expressing platinum-resistant cancer

Trial purpose

Anetumab ravtansine is developed for the treatment of patients with recurrent platinum-resistant ovarian cancer. The purpose of the proposed trial is to identify the maximum tolerated dose of anetumab ravtansine that could be safely combined with pegylated liposomal doxorubicin in this indication.

Key Participants Requirements

Sex

Female

Age

18 - N/A
  • - Subjects with locally invasive or metastatic, epithelial ovarian, fallopian tube, or primary peritoneal cancer
    - Subjects must provide samples of tumor tissue
    - Subjects must have an Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1
  • - Subjects with low-grade ovarian, fallopian tube, or Primary peritoneal cancer
    - Women who are pregnant or breast feeding
    - Subjects who have an active hepatitis B virus or hepatitis C virus infection requiring treatment as defined in the protocol

Trial summary

Enrollment Goal
65
Trial Dates
June 2016 - October 2019
Phase
Phase 1
Could I Receive a placebo
No
Products
Anetumab ravtansine (BAY94-9343)
Accepts Healthy Volunteer
No

Where to participate

StatusInstitutionLocation
Completed
Oklahoma University Health Science CenterOklahoma City, 73104, United States
Completed
Yale University School of MedicineNew Haven, 06520-8064, United States
Completed
The Institute of OncologyChisinau, 2025, Moldova
Completed
UZ Leuven GasthuisbergLEUVEN, 3000, Belgium
Completed
Clinica Universidad de Navarra CUN en MadridMadrid, 28027, Spain
Completed
Ciutat Sanitària i Universitaria de la Vall d'HebronBarcelona, 08035, Spain
Completed
Instituto Valenciano de OncologíaValencia, 46009, Spain
Withdrawn
Institut Gustave RoussyVILLEJUIF CEDEX, 94805, France
Withdrawn
University of CincinnatiCincinnati, 45267, United States
Withdrawn
University of California, Los AngelesLos Angeles, 90095, United States
Completed
Rocky Mountain Cancer CentersAurora, 80012, United States
Withdrawn
Oncology Associates of OregonEugene, 97401, United States
Completed
Clínica Universidad de Navarra CUNPamplona, 31008, Spain
Withdrawn
National Cancer Center HospitalChuo-ku, 104-0045, Japan
Withdrawn
Saitama Medical University International Medical CenterHidaka, 350-1298, Japan
Withdrawn
Nippon Medical School Musashikosugi HospitalKawasaki, 211-8533, Japan
Withdrawn
Aichi Cancer Center HospitalNagoya, 464-8681, Japan

Primary Outcome

  • Maximum tolerated dose (MTD) of Anetumab ravtansine in combination with pegylated liposomal doxorubicin when given every three weeks
    MTD is defined as the highest dose of anetumab ravtansine administered in combination with pegylated liposomal doxorubicin that can be given such that not more than 1 of 6 subjects at a given dose level experiences a dose-limiting toxicity (DLT).
    date_rangeTime Frame:
    Up to 6 months, minimum: 1 cycle (=21days)
    enhanced_encryption
    Safety Issue:
    Yes
  • Incidence of serious and non-serious adverse events (AEs)
    date_rangeTime Frame:
    Up to 6 months
    enhanced_encryption
    Safety Issue:
    Yes

Secondary Outcome

  • AUC (area under the plasma concentration vs. time curve from zero to infinity after single (first) dose) of Anetumab ravtansine analytes (Antibody drug conjugates, Total Antibody, metabolites DM4, and DM4-Me)
    date_rangeTime Frame:
    At pre-dose, 0.5h, 1h, 1.5h, 2h, 3h, 5h, 8h, 24h, 48h, 168h, 336h and 504h post-dose, beginning on day 1 of cycle 1
    enhanced_encryption
    Safety Issue:
    No
  • AUC(0-tlast) (AUC from time zero to the last data point > lower limit of quantification) of Anetumab ravtansine analytes (Antibody drug conjugates, Total Antibody, metabolites DM4, and DM4-Me)
    date_rangeTime Frame:
    At pre-dose, 0.5h, 1h, 1.5h, 2h, 3h, 5h, 8h, 24h, 48h, 168h, 336h and 504h post-dose, beginning on day 1 of cycle 1
    enhanced_encryption
    Safety Issue:
    No
  • Cmax (maximum drug concentration in plasma after first dose administration) of Anetumab ravtansine analytes (Antibody drug conjugates, Total Antibody, metabolites DM4, and DM4-Me)
    date_rangeTime Frame:
    At pre-dose, 0.5h, 1h, 1.5h, 2h, 3h, 5h, 8h, 24h, 48h, 168h, 336h and 504h post-dose, beginning on day 1 of cycle 1
    enhanced_encryption
    Safety Issue:
    No
  • AUC of total pegylated liposomal doxorubicin
    date_rangeTime Frame:
    At pre-dose, 0.5h, 1h, 2h, 3h, 6h, 8h, 22h, 46h, and 166h post-dose , beginning on day 1 of cycle 1
    enhanced_encryption
    Safety Issue:
    No
  • AUC(0-tlast) of total pegylated liposomal doxorubicin
    date_rangeTime Frame:
    At pre-dose, 0.5h, 1h, 2h, 3h, 6h, 8h, 22h, 46h, and 166h post-dose , beginning on day 1 of cycle 1
    enhanced_encryption
    Safety Issue:
    No
  • Cmax of total pegylated liposomal doxorubicin
    date_rangeTime Frame:
    At pre-dose, 0.5h, 1h, 2h, 3h, 6h, 8h, 22h, 46h, and 166h post-dose, beginning on day 1 of cycle 1
    enhanced_encryption
    Safety Issue:
    No
  • Incidence of patients with CR, PR, SD or PD according to RECIST 1.1
    CR (complete response) PR (partial response) SD (stable disease) PD (progressive disease)
    date_rangeTime Frame:
    Up to 17 months or until discontinuation of study, whichever comes first
    enhanced_encryption
    Safety Issue:
    No
  • Incidence of positive anti-drug antibody titer
    date_rangeTime Frame:
    Up to 17 months or until discontinuation of study, whichever comes first
    enhanced_encryption
    Safety Issue:
    No
  • Incidence of positive neutralizing antibody titer
    date_rangeTime Frame:
    Up to 17 months or until discontinuation of study, whichever comes first
    enhanced_encryption
    Safety Issue:
    No

Trial design

An open-label Phase Ib dose escalation study to evaluate the safety, tolerability, pharmacokinetics, immunogenicity and maximum tolerated dose of anetumab ravtansine in combination with pegylated liposomal doxorubicin 30 mg/m2 given every 3 weeks in subjects with mesothelin-expressing platinum-resistant recurrent ovarian, fallopian tube or primary peritoneal cancer
Trial Type
Interventional
Intervention Type
Drug
Trial Purpose
Treatment
Allocation
N/A
Blinding
Open Label
Assignment
Single Group Assignment
Trial Arms
1