Ovarian CancerPhase 2NCT00096993
A Study to Evaluate rhuMab 2C4 and Gemcitabine in Subjects With Ovarian, Primary Peritoneal, or Fallopian Tube Cancer
A Phase 2 study testing Gemcitabine and Pertuzumab in people with Ovarian Cancer and Peritoneal Cancer, run by Genentech, Inc. at 41 sites in United States.
Trial summary
This is a Phase II, randomized, placebo-controlled, double-blind, multicenter clinical trial of pertuzumab in combination with gemcitabine relative to placebo in combination with gemcitabine in subjects with advanced ovarian, primary peritoneal, or fallopian tube cancer that is resistant to platinum-based chemotherapy. Read more about this study
- Who is it for?
- Ages 18 years and older, women only
- Conditions the study is for
- Ovarian Cancer, Peritoneal Cancer, Fallopian Tube Cancer
- What is being tested?
- Gemcitabine and Pertuzumab
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 131 participants
- Where
- 41 sitesUnited States
- Study dates
- Jan 2005to Sep 2007
- 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
- Signed informed consent
- Age >= 18 years
- Advanced, histologically documented ovarian, primary peritoneal, or fallopian tube carcinoma
- Representative tumor specimens in paraffin blocks or at least 12 unstained slides with an associated pathology report, obtained at any time prior to entry of study for evaluation of HER2 activation
- Measurable disease with at least one lesion that can be accurately measured in at least one dimension (longest dimension recorded), Or:
- Clinically or radiologically detectable disease (e.g., ascites, peritoneal deposits, mesenteric thickening or lesions that do not fulfill RECIST for measurable disease)
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- Platinum-resistant or refractory carcinoma
- Life expectancy >= 12 weeks
- ECOG performance status 0 or 1
- LVEF >= 50%, as determined by ECHO
- Use of an effective means of contraception (for women of childbearing potential)
- Clinical laboratory test results: Granulocyte count >= 1500/uL; Platelet count >= 75,000/uL; Hemoglobin >= 9 g/dL (hemoglobin may be supported by transfusion or erythropoietin or other approved hematopoietic growth factors; darbopoeitin [Aranesp(R)] is permitted); Serum bilirubin <= 1.5 the ULN; Alkaline phosphatase, AST, and ALT <= 2.5 ULN (AST, ALT <= 5 ULN for subjects with liver metastasis); Serum creatinine <= 1.5 ULN; International normalized ratio (INR) <= 1.5 and activated partial thromboplastin time (aPTT) <= 1.5 ULN (except for subjects receiving anti-coagulation therapy)
Who cannot join
- Prior treatment with gemcitabine
- Two or more prior regimens for the treatment of platinum-resistant disease
- Two or more non-platinum-containing regimens for the treatment of platinum-sensitive disease
- Prior treatment with experimental anti-cancer agents within 4 weeks prior to Day 1 (the day the first study treatment infusions are administered)
- Prior treatment with HER2 pathway inhibitors (e.g., Herceptin(R) [trastuzumab], Iressa(R) [gefitinib], Tarceva<TM> [erlotinib hydrochloride], cetuximab, GW572016)
- History or clinical evidence of central nervous system or brain metastases
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- Uncontrolled hypercalcemia ( > 11.5 mg/dL)
- Prior exposure of > 360 mg/m^2 doxorubicin or liposomal doxorubicin, > 120 mg/m^2 mitoxantrone, or > 90 mg/m^2 idarubicin
- History of other malignancies within 5 years of Day 1, except for adequately treated carcinoma in situ of the cervix, ductal carcinoma in situ (DCIS) of breast, basal or squamous cell skin cancer
- History of serious systemic disease, unstable angina, myocardial infarction within 6 months prior to Day 1 of treatment, symptoms of CHF, or unstable symptomatic arrhythmia requiring medication (subjects with chronic atrial arrhythmia [i.e., atrial fibrillation, paroxysmal supraventricular tachycardia] are eligible)
- Known HIV infection
- Pregnancy or lactation
- Major surgery or significant traumatic injury within 3 weeks prior to Day 1 of treatment
- Inability to comply with study and follow-up procedures
- Any other diseases, metabolic dysfunction, physical examination finding, or clinical laboratory finding giving reasonable suspicion of a disease or condition that contraindicates the use of an investigational drug or that may affect the interpretation of the results or render the subject at high risk from treatment complications
Trial locations and contacts
41 sites in 1 country.
41 sites in 1 country
United States41 sites
Northern Virginia Pelvic Surgery Assoc.
Annandale, Virginia, 22003
Greater Baltimore Medical Center
Baltimore, Maryland, 21204
Franklin Square Hospital Center
Baltimore, Maryland, 21237
Alta Bates Comp. Cancer Ctr
Berkeley, California, 94704
Univ. of Alabama at Birmingham
Birmingham, Alabama, 35233
St. Luke's Mountain States Tumor Institute
Boise, Idaho, 83712
Massachusetts General Hospital
Boston, Massachusetts, 02114
Dana-Farber Cancer Institute
Boston, Massachusetts, 02115
Carolinas Medical Center
Charlotte, North Carolina, 28203
Center for Cancer and Hematologic Disease
Cherry Hill, New Jersey, 08003
University Of Chicago
Chicago, Illinois, 60637
North Idaho Cancer Center
Coeur d'Alene, Idaho, 83814
Ohio State University College of Medicaine
Columbus, Ohio, 43210
Pelvic Surgery Assoc.
Columbus, Ohio, 43222
Corvallis Clinic
Corvallis, Oregon, 97330
Wayne State Univ. Barbara Ann Karmanos Cancer Inst.
Detroit, Michigan, 48201
California Cancer Crae, Inc
Greenbrae, California, 94904
Comprehensive Cancer Institute
Huntsville, Alabama, 35801
Indiana University
Indianapolis, Indiana, 46202
St. Vincent Hospital
Indianapolis, Indiana, 46260
Integrated Community Oncology Network
Jacksonville, Florida, 32256
University of Kentucky
Lexington, Kentucky, 40536
Cedars-Sinai Medical Center
Los Angeles, California, 90048
University of California, Los Angeles
Los Angeles, California, 90095
Northwest Alabama Cancer Center
Muscle Shoals, Alabama, 35661
Norwalk Medical Group
Norwalk, Connecticut, 06856
Oklahoma Univ. Medical Center
Oklahoma City, Oklahoma, 73104
Florida Hospital
Orlando, Florida, 32804
Ventura County Hematology Oncology Specialists
Oxnard, California, 93030
Kaiser Permanente Northwest Division
Portland, Oregon, 97227
Womens and Infants Hospital
Providence, Rhode Island, 02905
Carilion Gyn/Onc
Roanoke, Virginia, 24014
Sutter Cancer Center
Sacramento, California, 95816
Southern California Permanente Medical Group (Kaiser)
San Diego, California, 92120
Sharp Healthcare
San Diego, California, 92123
Memorial Health Univ. Med. Ctr.
Savannah, Georgia, 31404
Hematology Oncology, P.C.
Stamford, Connecticut, 06902
Arizona Cancer Center
Tucson, Arizona, 85724
Carle Clinic Association
Urbana, Illinois, 61801
Cooper Health System
Voorhees Township, New Jersey, 08043
Cancer Center of Kansas
Wichita, Kansas, 67214
About this study
Official title: A Phase II, Randomized, Placebo-Controlled, Double-Blind Study to Evaluate the Efficacy of Pertuzumab (rhuMAb 2C4) in Combination With Gemcitabine and the Effect of Tumor-Based HER2 Activation in Subjects With Platinum-Resistant Ovarian, Primary Peritoneal, or Fallopian Tube Cancer
This is a Phase II, randomized, placebo-controlled, double-blind, multicenter clinical trial of pertuzumab in combination with gemcitabine relative to placebo in combination with gemcitabine in subjects with advanced ovarian, primary peritoneal, or fallopian tube cancer that is resistant to platinum-based chemotherapy.
- Conditions
- Ovarian Cancer, Peritoneal Cancer, Fallopian Tube Cancer
- Being tested
- Placebo, Gemcitabine, Pertuzumab
- Keywords
- Omnitarg, Cancer, Platinum-Resistant
- Medical subject headings
- Ovarian Neoplasms, Fallopian Tube Neoplasms, Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
PlaceboDrug
Placebo was provided as a single-use formulation for infusion.
GemcitabineDrug
Also called Gemzar
Gemcitabine was provided as a solution for infusion.
PertuzumabDrug
Also called rhuMAb 2C4
Pertuzumab was provided as a single-use formulation for infusion.
| Study group | Role | What they receive |
|---|---|---|
| Placebo + gemcitabine | Placebo comparator | Participants received placebo intravenously on Day 1 of every 3 week cycle for up to 1 year (up to 17 treatment cycles). In addition, participants received gemcitabine 800 mg/m^2 intravenously on Days 1 and 8 of every 3 week cycle for up to 1 year (up to 17 treatment cycles). Receives: Drug: Placebo; Drug: Gemcitabine |
| Pertuzumab + gemcitabine | Active comparator | Participants received pertuzumab intravenously on Day 1 of every 3 week cycle for up to 1 year (up to 17 treatment cycles). Participants received pertuzumab at a loading dose of 840 mg in Cycle 1 followed by a dose of 420 mg in Cycles 2 and beyond. In addition, participants received gemcitabine 800 mg/m^2 intravenously on Days 1 and 8 of every 3 week cycle for up to 1 year (up to 17 treatment cycles Receives: Drug: Gemcitabine; Drug: Pertuzumab |
What is being measured
The primary outcome is the main question the study is designed to answer.
Progression-free Survival
Progression-free survival was defined as the time from the first day of treatment (Cycle 1, Day 1) to the time of documented disease progression or death, whichever occurred first. Disease progression was assessed by the investigator according to Response Evaluation Criteria in Solid Tumors (RECIST). Complete Response (CR) was defined as disappearance of all target lesions; Partial Response (PR) was defined as >=30% decrease in the sum of the longest diameter of target lesions and Overall Response (OR) = CR + PR.
Measured: Baseline to the end of the study (up to 1 year)
Secondary outcomes (4)
Percentage of Participants With an Objective Response
An objective response was defined as a complete or partial response determined on two consecutive occasions ≥ 4 weeks apart. Responses were determined by Response Evaluation Criteria in Solid Tumors (RECIST). A complete response was defined as the disappearance of all target lesions or the disappearance of all non-target lesions and normalization of tumor marker level. A partial response was defined as at least a 30% decrease in the sum of the longest diameter of target lesions, taking as reference the baseline sum of the longest diameter of target lesions.
Measured: Baseline to the end of the study (up to 1 year)
Duration of the Objective Response
Duration of the objective response was defined as the time from the initial response to disease progression or death from any cause.
Measured: Baseline to the end of the study (up to 1 year)
Percentage of Participants Free From Disease Progression at 4 Months
Disease progression was defined as at least a 20% increase in the sum of the longest diameter of target lesions, taking as reference the smallest sum of the longest diameter recorded since treatment started or the appearance of 1 or more new lesions and/or unequivocal progression of existing non-target lesions.
Measured: Baseline to Month 4
Duration of Survival
Duration of survival was defined as the time from randomization until death from any cause.
Measured: Baseline to the end of the study (up to 1 year)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted18 Nov 2004 (estimated)
- Study startJan 2005
- Primary completionSep 2007
- Study completionSep 2007
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.
- Other trials for Ovarian CancerStudies of the same condition, open and under way.
- More trials run by Genentech, Inc.The 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
- Double blind
- Who is masked
- Participant, Investigator
- Enrolment
- 131 participants (actual)
Sponsor and investigators
- Lead sponsor
- Genentech, Inc.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Virginia Patton, M.D., Study director, Genentech, Inc.
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00096993
- Sponsor's protocol ID
- TOC3258g
- Status last verified
- Jun 2015
- First submitted
- 17 Nov 2004
- Last updated
- 10 Jun 2015
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
Study at a glance
From the registry record, last updated by the sponsor on 10 Jun 2015. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase II, Randomized, Placebo-Controlled, Double-Blind Study to Evaluate the Efficacy of Pertuzumab (rhuMAb 2C4) in Combination With Gemcitabine and the Effect of Tumor-Based HER2 Activation in Subjects With Platinum-Resistant Ovarian, Primary Peritoneal, or Fallopian Tube Cancer
- ClinicalTrials.gov ID
- NCT00096993
- Acronym / sponsor ID
- TOC3258g
- Conditions
- Ovarian Cancer, Peritoneal Cancer, Fallopian Tube Cancer
- Keywords
- Omnitarg, Cancer, Platinum-Resistant
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 131 participants (actual)
- Lead sponsor
- Genentech, Inc.Industry (pharma, biotech, devices)
- Study start
- Jan 2005
- Primary completion
- Sep 2007 (actual)
- Study completion
- Sep 2007 (actual)
- First posted
- 18 Nov 2004 (estimated)
- Results
- Posted 10 Jun 2015
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This is a Phase II, randomized, placebo-controlled, double-blind, multicenter clinical trial of pertuzumab in combination with gemcitabine relative to placebo in combination with gemcitabine in subjects with advanced ovarian, primary peritoneal, or fallopian tube cancer that is resistant to platinum-based chemotherapy.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Placebo + gemcitabine | Placebo comparator | Drug: Placebo, Drug: GemcitabineParticipants received placebo intravenously on Day 1 of every 3 week cycle for up to 1 year (up to 17 treatment cycles). In addition, participants received gemcitabine 800 mg/m^2 intravenously on Days 1 and 8 of every 3 week cycle for up to 1 year (up to 17 treatment cycles). |
| Pertuzumab + gemcitabine | Active comparator | Drug: Gemcitabine, Drug: PertuzumabParticipants received pertuzumab intravenously on Day 1 of every 3 week cycle for up to 1 year (up to 17 treatment cycles). Participants received pertuzumab at a loading dose of 840 mg in Cycle 1 followed by a dose of 420 mg in Cycles 2 and beyond. In addition, participants received gemcitabine 800 mg/m^2 intravenously on Days 1 and 8 of every 3 week cycle for up to 1 year (up to 17 treatment cycles |
Who may qualify
- Ages
- 18 years and older
- Sex
- Female only
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (12 listed)
- Signed informed consent
- Age >= 18 years
- Advanced, histologically documented ovarian, primary peritoneal, or fallopian tube carcinoma
- Representative tumor specimens in paraffin blocks or at least 12 unstained slides with an associated pathology report, obtained at any time prior to entry of study for evaluation of HER2 activation
- Measurable disease with at least one lesion that can be accurately measured in at least one dimension (longest dimension recorded), Or:
Key exclusion criteria (15 listed)
- Prior treatment with gemcitabine
- Two or more prior regimens for the treatment of platinum-resistant disease
- Two or more non-platinum-containing regimens for the treatment of platinum-sensitive disease
- Prior treatment with experimental anti-cancer agents within 4 weeks prior to Day 1 (the day the first study treatment infusions are administered)
- Prior treatment with HER2 pathway inhibitors (e.g., Herceptin(R) [trastuzumab], Iressa(R) [gefitinib], Tarceva<TM> [erlotinib hydrochloride], cetuximab, GW572016)
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 |
|---|---|---|
| PlaceboPlacebo was provided as a single-use formulation for infusion. | Drug | Placebo + gemcitabine |
| GemcitabineAlso: GemzarGemcitabine was provided as a solution for infusion. | Drug | Pertuzumab + gemcitabine, Placebo + gemcitabine |
| PertuzumabAlso: rhuMAb 2C4Pertuzumab was provided as a single-use formulation for infusion. | Drug | Pertuzumab + gemcitabine |
Primary outcome
Progression-free Survival
Time frame: Baseline to the end of the study (up to 1 year)
Progression-free survival was defined as the time from the first day of treatment (Cycle 1, Day 1) to the time of documented disease progression or death, whichever occurred first. Disease progression was assessed by the investigator according to Response Evaluation Criteria in Solid Tumors (RECIST). Complete Response (CR) was defined as disappearance of all target lesions; Partial Response (PR) was defined as >=30% decrease in the sum of the longest diameter of target lesions and Overall Response (OR) = CR + PR.
4 secondary outcomes
Percentage of Participants With an Objective Response
Time frame: Baseline to the end of the study (up to 1 year)
Duration of the Objective Response
Time frame: Baseline to the end of the study (up to 1 year)
Percentage of Participants Free From Disease Progression at 4 Months
Time frame: Baseline to Month 4
Duration of Survival
Time frame: Baseline to the end of the study (up to 1 year)
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 10 Jun 2015.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
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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.
Virginia Patton, M.D. study director
Genentech, Inc.
41 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 Gemcitabine and Pertuzumab in people with Ovarian Cancer and Peritoneal Cancer, run by Genentech, Inc. at 41 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 12 inclusion and 15 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 10 Jun 2015. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 41 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. Some participants in this study may receive a placebo. 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 10 Jun 2015). 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?
Progression-free Survival (time frame: Baseline to the end of the study (up to 1 year)). 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 Jun 2015.