AMG386 Comb w. Either Pegylated Liposomal Doxorubicin or Topotecan Subjects w. Advanced Recurrent Epithelial Ovarian CR

Cancer Clinical Trial

Official title:

A Phase 1b Study of AMG 386 in Combination With Either Pegylated Liposomal Doxorubicin or Topotecan in Subjects With Advanced Recurrent Epithelial Ovarian Cancer

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT00770536
• Other study ID #: 20070182
• Status: Completed
• Phase: Phase 1
• First received: October 9, 2008
• Last updated: September 25, 2015
• Start date: January 2009
• Est. completion date: June 2015

Study information

• Verified date: September 2015
• Source: Amgen
• Contact: n/a
• Is FDA regulated: No
• Health authority: United States: Food and Drug AdministrationUnited States: Institutional Review BoardUnited States: Western Institutional Review Board
• Study type: Interventional

Clinical Trial Summary

This study is a 2 part, 2 cohort, open-label, dose escalation/de escalation study of AMG 386 in combination with either pegylated liposomal doxorubicin or topotecan in subjects with recurrent ovarian cancer. Up to 100 subjects will be enrolled to receive AMG 386 in combination with either pegylated liposomal doxorubicin every 4 weeks (cohort A) or topotecan weekly on days 1, 8, and 15 of a 28 day dosing schedule (cohort B). Subject enrollment and assignment to either cohort will be based on eligibility and the investigator's discretion.

It is hypothesized that AMG 386, in combination with each of the chemotherapy regimens:

either pegylated liposomal doxorubicin or topotecan will be safe and well tolerated in subjects with recurrent ovarian cancer.

Description:

The purpose of this study is to evaluate the effectiveness and safety of AMG 386 when used with pegylated liposomal doxorubicin or topotecan in subjects with advanced recurrent epithelial ovarian, fallopian tube, or primary peritoneal cancer

Recruitment information / eligibility

• Status: Completed
• Enrollment: 103
• Est. completion date: June 2015
• Est. primary completion date: January 2012
• Accepts healthy volunteers: No
• Gender: Female
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• Histologically or cytologically documented recurrent invasive epithelial ovarian, fallopian tube, or primary peritoneal cancer

• Subjects must have received at least one platinum containing regimen

• Radiographically documented progression per RECIST criteria with modifications or progression of CA 125 as adopted by GCIG during or subsequent to the last chemotherapy regimen

• Subjects may include those with measurable or non measurable disease

• All scans and x-rays used to document measurable or non measurable disease must be done within 28 days prior to enrollment

• Female 18 years of age or older at the time the written informed consent is obtained

• GOG Performance Status of 0 or 1

• Left Ventricular Ejection Fraction (LVEF) >= institutional lower limit of normal for subjects assigned to cohort A only

• Adequate organ function as assessed by laboratory studies (hematological and chemistries)

• Life expectancy >= 3 months (per investigator opinion)

• Subjects of child bearing potential who have not undergone a bilateral salpingo oophorectomy and are sexually active must consent to use an accepted and effective double barrier non hormonal method of contraception from signing the informed consent through 6 months after last dose of study drug

Exclusion Criteria:

• Subjects believed to be a higher than average risk of bowel perforation. This includes symptoms of partial or complete bowel obstruction, recent (within 6 months) history of fistula or bowel perforation, subjects requiring total parenteral nutrition and continuous hydration

• Previous abdominal /or pelvic external beam radiotherapy

• Known history of central nervous system metastases

• Subjects with a history of prior malignancy, except:

• Malignancy treated with curative intent and with no known active disease present for >= 3 years before study day 1 and felt to be at low risk for recurrence by treating physician

• Adequately treated non melanomatous skin cancer or lentigo maligna without evidence of disease

• Adequately treated cervical carcinoma in situ without evidence of disease

• Prior myeloablative high dose chemotherapy with allogeneic or autologous stem cell (or bone marrow) transplant

• History of arterial or deep venous thromboembolism within 12 months prior to enrollment

• Clinically significant cardiac disease within 12 months prior to enrollment

• Prior treatment with doxorubicin or pegylated liposomal doxorubicin (cohort A subjects) and topotecan (cohort B subjects)

• Current or within 30 days prior to enrollment treatment with immune modulators such as systemic cyclosporine and tacrolimus

Study Design

Allocation: Non-Randomized, Endpoint Classification: Safety Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment

Related Conditions & MeSH terms

• Cancer
• Carcinoma
• Fallopian Tube Cancer
• Fallopian Tube Neoplasms
• Gynecological Malignancies
• Metastases
• Oncology
• Ovarian Cancer
• Ovarian Neoplasms
• Solid Tumors
• Tumors

Intervention

Drug:
• A1: AMG 386 10 mg/kg + Liposomal doxorubicin
Liposomal doxorubicin 50 mg/m2 IV Q4W in combination with AMG 386 10 mg/kg IV QW
• A3: AMG 386 15mg/kg + Liposomal doxorubicin
A3: AMG 386 15 mg/kg IV QW + Liposomal doxorubicin 50 mg/m2 IV Q4W
• B1: AMG 386 10 mg/kg + Topotecan
B1: AMG 386 10 mg/kg IV QW + Topotecan 4 mg/m2 IV days 1, 8, 15, of a 28 day dosing schedule
• B3: AMG 386 15mg/kg + Topotecan
AMG 386 15mg/kg IV QW + Topotecan 4mg/m2 IV days 1, 8, 15 of a 28 day dosing schedule

Locations

Country	Name	City	State
Australia	Research Site	Adelaide	South Australia
Australia	Research Site	Footscray	Victoria
Australia	Research Site	Parkville	Victoria
Belgium	Research Site	Leuven
Belgium	Research Site	Liège
Belgium	Research Site	Liège
Belgium	Research Site	Wilrijk
United States	Research Site	Bismarck	North Dakota
United States	Research Site	Columbus	Ohio
United States	Research Site	Orlando	Florida
United States	Research Site	Philadelphia	Pennsylvania
United States	Research Site	Sacramento	California
United States	Research Site	St. Louis Park	Minnesota
United States	Research Site	Tampa	Florida
United States	Research Site	Tucson	Arizona
United States	Research Site	Winston Salem	North Carolina

Sponsors (1)

Lead Sponsor	Collaborator
Amgen

Countries where clinical trial is conducted

United States,  Australia,  Belgium, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	The primary objective is to identify the incidence of adverse events and clinical laboratory abnormalities defined as dose limiting toxicity in subjects treated with AMG 386 + pegylated liposomal doxorubicin (cohort A) and with AMG 386 + topotecan		first 4 weeks of treatment	Yes
Secondary	To evaluate the treatment effect as measured by: objective response rate (ORR), duration of response (DOR), PFS, change in tumor burden, CA 125 Response and Progression by GCIG and CA-125 duration of response		Treatment and follow-up phase of study	No
Secondary	To evaluate the incidence of adverse events and clinical laboratory abnormalities not defined as DLTs.		first 4 weeks of treatment	Yes
Secondary	To determine the pharmacokinetics of pegylated liposomal doxorubicin (and its metabolite, doxorubicinol), topotecan and AMG 386 (Cmax, AUC, and Cmin for intensive assessment; Cmax and Cmin for sparse assessment).		Treatment and follow-up phase of study	No
Secondary	To estimate the incidence of anti AMG 386 antibody formation.		Treatment and follow-up phase of study	Yes

External Links

•   AmgenTrials clinical trials website