Ovarian CancerPhase 2/3MIMOSANCT00418574
Efficacy Multicentre Trial of ImmunoTherapy Vaccination With Abagovomab to Treat Ovarian Cancer Patients
A Phase 2/3 study testing Abagovomab in people with Ovarian Cancer, run by Menarini Group at 150 sites in 9 countries.
Trial summary
The purpose of this study is to evaluate the benefit of vaccination with Abagovomab, an experimental immunotherapy in ovarian cancer patients. The benefit will be evaluated in terms of time the remission status is kept as well as prolongation of life expectancy. Read more about this study
- Who is it for?
- Ages 18 years and older, women only
- Conditions the study is for
- Ovarian Cancer
- What is being tested?
- Abagovomab
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 888 participants
- Where
- 150 sitesin 9 countries
- Study dates
- Dec 2006to Jun 2011
- Phase
- Phase 2/3
- 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
- At a maximum of 12 weeks after the last cycle of first line standard platinum/taxane intravenous (IV) or intraperitoneal (IP) chemotherapy, patients must fulfill all the following inclusion criteria:
- Age >/= 18 years;
- Properly executed written informed consent;
- History of histological and CA125 (> 35 U/ml) confirmed diagnosis of stage III-IV epithelial ovarian, fallopian tube, or primary peritoneal cancer;
- History of debulking surgery and 6-8 cycles of standard platinum/taxane based non-investigational IV-IP chemotherapy;
- Complete clinical response defined as:
Show all 18Show fewer
- Normal physical examination;
- No symptoms suggestive of persistent cancer;
- No definite evidence of disease by computed tomography (CT) of the abdomen and pelvis within the previous 4 weeks;
- Negative chest x-ray (or chest CT scan) within the previous 4 weeks;
- Serum CA125 within the normal laboratory range.
- Adequate hematologic, renal and hepatic function:
- Absolute Neutrophil Count (ANC) >/=1.5 * 109/l;
- Platelets >/= 75 * 109/l;
- Haemoglobin >/= 6.2 mmol/l (>9.9 g/dl);
- Serum creatinine </= 1.5 * ULN (Upper Limit of Normal);
- Bilirubin </= 1.5 * ULN; AST, ALT, AP </= 2.5 * ULN.
- Eastern Cooperative Oncology Group (ECOG) Performance Status (PS) </= 2.
Who cannot join
- Patients are ineligible to participate in the study, if any of the following criteria are present:
- any other invasive malignancies, with the exception of non-melanoma skin cancer or cervical carcinoma in situ, within the last 5 years or whose previous cancer treatment contraindicates this protocol therapy;
- known active autoimmune disease requiring chronic treatment with immunosuppressive agents (e.g., rheumatoid arthritis, ulcerative colitis, etc.);
- known immune deficiency (e.g. HIV, hypogammaglobulinemia, etc.);
- known infection with hepatitis B, or hepatitis C;
- history of recent myocardial infarction (</= 6 months) or decompensated heart failure (New York Heart Association - NYHA class >/= III);
Show all 19Show fewer
- previous or concomitant use of any anti-cancer therapy other than the platinum-taxane based 1st line chemotherapy for ovarian cancer; any maintenance or consolidation therapy is not permitted after completion of standard front line chemotherapy.
- concomitant use of any other investigational agent;
- any prior investigational anti-cancer vaccine or monoclonal antibody;
- known allergy to murine proteins;
- any significant medical or psychiatric condition, drug or alcohol abuse that might prevent the patient from complying with all study procedures;
- clinically significant active infection;
- concomitant use of any immunosuppressive agent (e.g., steroids, cyclosporin, etc.);
- major surgery within the previous 2 weeks;
- radiotherapy within the previous 4 weeks;
- any significant toxicity from prior chemotherapy;
- unreliability or inability to follow protocol requirements;
- potentially childbearing and not willing to use adequate contraceptive methods throughout the entire study period;
- pregnancy.
Trial locations and contacts
150 sites in 9 countries.
150 sites in 9 countries
Germany45 sites
Helios Kliniken GmbH, Klinikum Buch
Berlin, 13125
Charité - Campus Virchow Klinikum
Berlin, 13353
Universitätsklinikum Bonn
Bonn, 53125
Klinikum Bremen-Mitte gGmbH
Bremen, 28177
Klinikum Chemnitz GmbH
Chemnitz, 09009
St.-Josefs-Hospital Cloppenburg
Cloppenburg, 49661
Klinikum der Universität zu Köln
Cologne, 50924
Universitätsklinikum Carl Gustav Carus Dresden
Dresden, 01307
Evangelisches Krankenhaus
Düsseldorf, 40217
Kreisklinik Ebersberg gGmbH
Ebersberg, 85560
Universitätsklinikum Erlangen
Erlangen, 91054
Universitätsklinikum
Essen, 45122
Klinikum der JWG Universität Frankfurt
Frankfurt, 60591
Universitätsklinikum
Freiburg im Breisgau, 79106
Universitätsklinikum
Göttingen, 37075
Klinikum der Ernst-Moritz-Universität
Greifswald, 17487
Martin-Luther-Universität Halle-Wittenberg, Klinikum der Medizinischen Fakultät
Halle, 6120
Universitätskrankenhaus Hamburg-Eppendorf
Hamburg, 20251
Medizinische Hochschule Hannover
Hanover, 30625
Universitätsklinikum Jena
Jena, 07743
St. Vincentius Kliniken AG
Karlsruhe, 76137
Klinikum Kassel
Kassel, 32125
Universitätsklinikum Schleswig-Holstein Campus Kiel
Kiel, 24105
Kreiskrankenhaus Leonberg
Leonberg, 71229
Asklepios Klinik Lich
Lich, 35423
Vincenz-Krankenhaus
Limburg, 65549
Klinik St. Marienstift
Magdeburg, 39101
Städtisches Klinikum Magdeburg
Magdeburg, 39104
Otto-von-Guericke-Universität
Magdeburg, 39108
Johannes-Gutenberg-Universität
Mainz, 55131
Universitätsklinikum Gießen u. Marburg
Marburg, 35043
Klinikum der Universität München-Innenstadt
München, 80337
Klinikum Großhadern
München, 81377
Klinikum rechts der Isar
München, 81657
Klinikum Offenbach GmbH
Offenbach, 63069
St. Vincenz-Krankenhaus Paderborn
Paderborn, 33098
Elblandkliniken Meißen-Radebeul GmbH
Radebeul, 01445
Krankenhaus St. Josef
Regensburg, 93053
Klinikum Südstadt der Hansestadt Rostock
Rostock, 18059
Universitätsklinikum Tübingen
Tübingen, 72576
Universitätsklinikum
Ulm, 89075
Klinikum der Stadt Villingen-Schwenningen GmbH
Villingen-Schwenningen, 78050
St. Josefs-Hospital
Wiesbaden, 65189
r. Horst Schmidt Kliniken GmbH
Wiesbaden, 65199
Klinikum der Stadt Wolfsburg-FrauenklinikWolfsburg
Wolfsburg, 38440
United States22 sites
Harry and Jeanette Weinberg Cancer Institute at Franklin Square
Baltimore, Maryland, 21237
Beth Israel Deaconess Medical Center
Boston, Massachusetts, 02215
Roswell Park Cancer Institute
Buffalo, New York, 14263
University of Colorado
Denver, Colorado, 80262
Wayne State University
Detroit, Michigan, 48202
Duke University Medical Center
Durham, North Carolina, 27710
University of Connecticut Health Center
Farmington, Connecticut, 06030
Hackensack University Medical Center, Obstetrics and Gynecology Oncology
Hackensack, New Jersey, 07601
Indiana University Cancer Pavilion
Indianapolis, Indiana, 46202
Women's Cancer Center
Las Vegas, Nevada, 89109
Cedars-Sinai Medical Center
Los Angeles, California, 90048
University of California, Los Angeles (UCLA)
Los Angeles, California, 90095-1740
The West Clinic
Memphis, Tennessee, 38120
University of Miami
Miami, Florida, 33136
Memorial Sloan-Kettering Cancer Centre
New York, New York, 10021
Florida Hospital Cancer Institute
Orlando, Florida, 32804
University of Pittsburgh
Pittsburgh, Pennsylvania, 15213
Women and Infants Hospital of Rhode Island
Providence, Rhode Island, 02903
Curtis and Elizabeth Anderson Cancer Institute
Savannah, Georgia, 31404
Washington University
St Louis, Missouri, 63130
The Cancer Care Center
St Louis, Missouri, 63141
Stanford University
Stanford, California, 94305-5317
Spain21 sites
Centro Oncológico Regional de Galicia, Servicio de Oncologia Medica
A Coruña, 15009
Hospital Germans Trias y Pujol
Badalona, 08916
Hospital Vall d'Hebrón, Servicio de Oncologia
Barcelona, 8035
Hospital Clinic i Provincial de Barcelona, Servicio de Oncologia
Barcelona, 8036
Hospital Reina Sofia
Córdoba, 14004
Hospital de Elche, Servico de Oncologia
Elche, 3203
Instituto Catalán de Oncología - Hospital Universitari de Girona "Dr. Josep Trueta". Oncologia Medica
Girona, 17007
Hospital Virgen de las Nieves
Granada, 18014
Hospital Juan Ramón Jiménez de Huelva
Huelva, 21005
Complejo Hospitalario de Jaén
Jaén, 23007
Hospital Universitario Arnau de Vilanova, Servicio de Oncologia
Lleida, 25198
MD Anderson Internacional Espana
Madrid, 28033
Hospital Clinico San Carlos, Servicio de Oncología Medica
Madrid, 28040
Hospital Clinico de Malaga. Servicio de Oncologia
Málaga, 29010
Hospital de Mataró
Mataró, 08304
Hospital Central de Asturias
Oviedo, 33006
Hospital Son Llatzer
Palma de Mallorca, 07198
Hospital Son Dureta, Servicio de Oncología
Palma de Mallorca, 7014
Hospital Clínico Universitario de Santiago de Compostela
Santiago de Compostela, 15706
Hospital Universitario Virgen del Rocio
Seville, 41013
Hospital General Universitario de Valencia
Valencia, 46014
Italy18 sites
Unità Operativa Ginecologia e Ostetricia 2^, Università degli studi di Bari, Policlinico
Bari, 70124
Ospedale S. Orsola Malpighi, Oncologia Medica
Bologna, 40138
Universtita' Cattolica del Sacro Cuore Dipartimento di Oncologia
Campobasso, 86100
DH Oncologico U.O. Medicina Oncologica Ospedale Ramazzini
Carpi (MO), 41012
Oncologia Medica Ospedale di Faenza - AUSL di Ravenna
Faenza, 48018
Azienda Ospedaliera - Universitaria Careggi
Florence, 50100
Azienda Ospedaliera San Martino - Padiglione Malattie Complesse, Dipartimento di Oncologia Medica
Genova, 16132
Istituto Nazionale dei Tumori di Milano
Milan, 20133
Istituto Europeo di Oncologia - Divisione di Ginecologia
Milan, 20141
Policlinico di Modena, Dipartimento di Oncologia ed Ematologia
Modena, 41100
Istituto Nazionale per lo studio e la cura dei tumori "Fondazione Pascale" Oncologia Medica
Naples, 80131
Azienda Ospedaliera San Carlo - Oncologia Medica
Potenza, 85100
Ospedali Riuniti Bianchi-Melacrino-Morelli - Oncologia Medica
Reggio Calabria, 89125
Arcispedale Santa Maria Nuova, Oncologia Medica
Reggio Emilia, 42100
Policlinico Umberto I D.H. Oncologico Oncologia Medica
Roma, 00161
Dipartimento di Ginecologia ed Ostetricia Policlinico Universitario Gemelli
Roma, 00168
Ospedale Casa Sollievo della Sofferenza - Unita' Operativa di Ostetricia e Ginecologia
San Giovanni Rotondo (FG), 71013
Dipartimento di Discipline Ginecologiche e Ostetriche - Universita degli Studi di Torino - Azienda ospedaliera O.I.R.M.-S'Anna
Torino, 10126
Czechia13 sites
Fakultni nemocnice Brno
Brno, 65677
MOU Zluty Kopec
Brno, 65691
Nemocnice Ceske Budejovice, a.s.
České Budějovice, 37087
Fakultni nemocnice Hradec Kralove
Hradec Králové, 50005
Krajska nemocnice Liberec, oddeleni gynekologicko porodnicke
Liberec, 46063
Fakultni nemocnice Olomouc
Olomouc, 77520
Fakultni Nemocnice Ostrava
Ostrava, 708 52
Krajska nemocnice
Pardubice, 53203
Gynekologicko-porodnicka klinika FN Plzen
Pilsen, 32600
Fakultni nemocnice Královské Vinohrady
Prague, 100 34
Vseobecna Fakultni Nemocnice
Prague, 12851
Fakultni nemocnice Bulovka
Prague, 18000
Krajska nemocnice T. Bati
Zlín, 762 75
Poland13 sites
Wojewódzki Szpital Specjalistyczny Nr 4
Bytom, 41-902
Oddzial Onkologii Wojewódzki Szpital Specjalistyczny
Częstochowa, 42-200
Wojewodzkie Centrum Onkologii, Samodzielny Publiczny Zaklad Opieki Zdrowotnej
Gdansk, 80-210
Vesalius Kraków
Krakow, 31-108
"Centrum Onkologii, Instytut im. M. Skłodowskiej-Curie, Oddział w Krakowie,
Krakow, 31-115
Klinika Chemioterapii Nowotworów Akademii Medycznej w Łodzi, Regionalny Osrodek Onkologiczny
Lodz, 93-509
Oddzial Chemioterapii ZOZ MSWiA z Warminsko-Mazurskim Centrum Onkologii w Olsztynie
Olsztyn, 10-228
Klinika Onkologii, Oddzial Chemioterapii Akademii Medycznej w Poznaniu
Poznan, 61-878
SPZOZ Wojewodzki Szpital Specjalistyczny Nr 3, Oddzial Onkologii
Rybnik, 44-200
Wojewodzki Szpital Zespolony, Oddzial Onkologii Klinicznej
Torun, 87-100
Wojskowy Instytut Medyczny; Klinika Onkologii Centralnego Szpitala Klinicznego MON
Warsaw, 00-909
Centralny Szpital Kliniczny MSWiA, Klinika Onkologii, Hematologii i Chorob Wewnetrznych
Warsaw, 02-507
Centrum Onkologii Instytut im. Marii Sklodowskiej-Curie, Klinika Nowotworów Narządów Płciowych Kobiecych
Warsaw, 02-781
Hungary8 sites
Fővárosi Önkormányzat Szent Margit Kórháza, Onkológia
Budapest, 1032
Semmelweis Egyetem II. sz. Szülészeti és Nőgyógyászati Klinika
Budapest, 1085
Semmelweis Egyetem, I sz. Szülészeti és Nőgyógyászati Klinika
Budapest, 1088
Debreceni Egyetem Orvos és Egészségtudományi Centrum, Szülészetl es Nőgyógyászatl Klinika
Debrecen, 4012
Petz Aladar Megyei Oktató Kórház, Onkoradiológia
Győr, 9024
Szabolcs-Szatmár-Bereg Megyei Önkormányzat Jósa András Kórháza, Szülészet-Nőgyógyászati Osztály
Nyíregyháza, 4400
Pécsi Tudományegyetem, ÁOK Szülészeti és Nőgyógyászati Klinika
Pécs, 7624
Komárom-Esztergom Megyei Onkormanyzat Szent Borbála Kórház, Szülészet-Nőgyógyászati Osztály
Tatabánya, 2800
Belgium6 sites
Algemeen Stedelijk Ziekenhuis Aalst
Aalst, 9300
Cliniques Universitaires Saint-Luc
Brussels, 1200
Universitair Ziekenhuis Gent Medische Oncologie 4B-Z
Ghent, 9000
CHU de Liége (Sart Tilman)
Liège, 4000
Clinique Sainte Elizabeth
Namur, 5000
AZ Sint Augustinus, Oncologisch Centrum GVA
Wilrijk, 2610
France4 sites
Institut Bergonié
Bordeaux, 33076
Centre Jean Bernard
Le Mans, 72015
Centre Catherine de Sienne
Nantes, 44202
Hôpital Hotel Dieu
Paris, 75181
About this study
Official title: A Randomised,Double Blind, Placebo Controlled, Multicentre Trial of Abagovomab Maintenance Therapy in Patients With Epithelial Ovarian Cancer After Complete Response to First Line Chemotherapy
The purpose of this study is to evaluate the benefit of vaccination with Abagovomab, an experimental immunotherapy in ovarian cancer patients. The benefit will be evaluated in terms of time the remission status is kept as well as prolongation of life expectancy.
Read the detailed description
Standard initial treatment of ovarian cancer patients includes both surgery and chemotherapy which in the vast majority of cases achieves the disappearance of ovarian cancer lesions. This status, called "clinical remission" which means having no evidence of cancer on CT scan or physical examination needs to be carefully follow up in order to confirm the maintenance of the remission status or to early detect if the cancer grows again and then start a new chemotherapy. At present, no approved therapies exist for the maintenance treatment of patients who achieved the clinical remission.
This trial aims to evaluate if the repeated vaccination with Abagovomab creates an immunoresponse which is able to fight the cancer cells thus keeping the remission status as long as possible and help patients live disease-free and longer.
Patients who achieve the remission status after chemotherapy will be screened for study participation and if they meet the criteria for inclusion they will start to receive a single subcutaneous injection every 2 weeks (for the first 4 doses - induction phase) and then every 4 weeks (maintenance phase). The duration of treatment is up to approximately 4 years or it will be stopped in case relapse occurs.
In order to evaluate the real benefit of vaccination, the experimental treatment includes Abagovomab (the active drug) or placebo (the vehicle only, without drug), with a double chance to receive Abagovomab. Assignment of Abagovomab or placebo will be done by a computerised system and nobody in the study will know which treatment has been allocated until study end.
Patients will be visited every 4 weeks and will undergo CT scan of pelvis and abdomen every 12 weeks in order to confirm the remission status or to early detect if relapse eventually occurs. This will be done in blind condition (i.e. without being aware which treatment the patient is going to receive) for the first part of the study which is expected to last four years. After then the overall status of patient will continue to be monitored by phone contact for additional five years.
- Conditions
- Ovarian Cancer
- Being tested
- Abagovomab, Placebo
- Keywords
- Ovarian cancer, Abagovomab
- Medical subject headings
- Ovarian Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
AbagovomabBiological
2 mg/ml SC (subcutaneously)
PlaceboBiological
2 mg/ml SC (subcutaneously)
| Study group | Role | What they receive |
|---|---|---|
| Abagovomab | Experimental | Not described Receives: Biological: Abagovomab |
| Placebo | Placebo comparator | Not described Receives: Biological: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Recurrence Free Survival Evaluated by Clinical Event Adjudication Committee (CEAC)
The Recurrence free survival correspond to the time from date of randomization to documented disease recurrence or death. Disease recurrence is defined as the appearance of any lesion or development of tumor-related symptoms evaluated by medical examination and must be confirmed by a documented CT scan.
Measured: Every 12 weeks up to recurrence or up to 3 months after last administered dose
Secondary outcomes (3)
Overall Survival
2 years survival rate
Measured: 2 years
Safety
Safety was analyzed in all patients who received at least 1 dose administration.
Adverse event (AE) are defined as events which started on or after the first dose of study medication and on or before the date of the final study visit, or within 12 weeks of the last dose if the final study visit was not performed.
Measured: Along treatment administration and up to double blind observation period. i.e. for each patient after the first dose administration till the f inal study visit, or within 12 weeks of the last dose
Time Course of Immunoresponse
Time course of immunologic parameters (anti-anti-idiotypic antibody - Ab3) will be assessed in all patients, by comparing levels at baseline (week 0), at week 10 after first dose administration and at end of treatment (at week 4 or week 12 after the last administered dose, as appropriate).
Measured: at baseline, at week 10 after first dose administration and at final study visit (at week 4 or week 12 after the last administered dose, as appropriate)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted5 Jan 2007 (estimated)
- Study startDec 2006
- Primary completionDec 2010
- Study completionJun 2011
Why it stopped: No benefit on primary end point (RFS); no rationale to collect survival data
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 (6)Papers the sponsor has linked to this study.
- Other trials for Ovarian 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 2/3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind
- Who is masked
- Participant, Care provider, Investigator
- Enrolment
- 888 participants (actual)
Sponsor and investigators
- Lead sponsor
- Menarini Group
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Jacobus Pfisterer, MD, Study chair, AGO-OVAR, Ovarian Cancer Study Group, Germany; Ubbo-Emmius-Klinik gGmbH Aurich, GermanyPaul Sabbatini, MD, Principal investigator, Memorial Sloan-Kettering Cancer Centre- NYJonathan Berek, MD, Principal investigator, COGI (Cooperative Ovarian Cancer Group for Immunotherapy); Dept Obstetrics and Gynecology, Stanford CAGiovanni Scambia, MD, Principal investigator, Universtita' Cattolica del Sacro Cuore, Dipartimento di Oncologia - Roma, ItalyAntonio Casado, MD, Principal investigator, Hospital Clinico San Carlos, Servicio de Oncología Medica - Madrid, SpainAnna Pluzanska, MD, Principal investigator, Klinika Chemioterapii Nowotworów Akademii Medycznej w Łodzi, Regionalny Osrodek Onkologiczny - Lodz, PolandKarel Cwiertka, MD, Principal investigator, Onkologická klinika Fakultni Nemocnice Olomouc, Czech RepublicTamás Pintér, MD, Principal investigator, Petz Aladar Megyei Oktató Kórház, Onkoradiológia - Győr, Hungary
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00418574
- Sponsor's protocol ID
- ABA-01
- Other IDs
- AGO-OVAR 10, 2006-002801-30
- Acronym
- MIMOSA
- Status last verified
- Nov 2011
- First submitted
- 4 Jan 2007
- Last updated
- 24 Nov 2011
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
Publications
Reinartz S, Kohler S, Schlebusch H, Krista K, Giffels P, Renke K, Huober J, Mobus V, Kreienberg R, DuBois A, Sabbatini P, Wagner U. Vaccination of patients with advanced ovarian carcinoma with the anti-idiotype ACA125: immunological response and survival (phase Ib/II). Clin Cancer Res. 2004 Mar 1;10(5):1580-7. doi: 10.1158/1078-0432.ccr-03-0056.
PubMed 15014007Wagner U, Kohler S, Reinartz S, Giffels P, Huober J, Renke K, Schlebusch H, Biersack HJ, Mobus V, Kreienberg R, Bauknecht T, Krebs D, Wallwiener D. Immunological consolidation of ovarian carcinoma recurrences with monoclonal anti-idiotype antibody ACA125: immune responses and survival in palliative treatment. See The biology behind: K. A. Foon and M. Bhattacharya-Chatterjee, Are solid tumor anti-idiotype vaccines ready for prime time? Clin. Cancer Res., 7:1112-1115, 2001. Clin Cancer Res. 2001 May;7(5):1154-62.
PubMed 11350879Pfisterer J, du Bois A, Sehouli J, Loibl S, Reinartz S, Reuss A, Canzler U, Belau A, Jackisch C, Kimmig R, Wollschlaeger K, Heilmann V, Hilpert F. The anti-idiotypic antibody abagovomab in patients with recurrent ovarian cancer. A phase I trial of the AGO-OVAR. Ann Oncol. 2006 Oct;17(10):1568-77. doi: 10.1093/annonc/mdl357.
PubMed 17005631Sabbatini P, Dupont J, Aghajanian C, Derosa F, Poynor E, Anderson S, Hensley M, Livingston P, Iasonos A, Spriggs D, McGuire W, Reinartz S, Schneider S, Grande C, Lele S, Rodabaugh K, Kepner J, Ferrone S, Odunsi K. Phase I study of abagovomab in patients with epithelial ovarian, fallopian tube, or primary peritoneal cancer. Clin Cancer Res. 2006 Sep 15;12(18):5503-10. doi: 10.1158/1078-0432.CCR-05-2670.
PubMed 17000686Buzzonetti A, Fossati M, Catzola V, Scambia G, Fattorossi A, Battaglia A. Immunological response induced by abagovomab as a maintenance therapy in patients with epithelial ovarian cancer: relationship with survival-a substudy of the MIMOSA trial. Cancer Immunol Immunother. 2014 Oct;63(10):1037-45. doi: 10.1007/s00262-014-1569-0. Epub 2014 Jun 21.
PubMed 24952307Sabbatini P, Harter P, Scambia G, Sehouli J, Meier W, Wimberger P, Baumann KH, Kurzeder C, Schmalfeldt B, Cibula D, Bidzinski M, Casado A, Martoni A, Colombo N, Holloway RW, Selvaggi L, Li A, del Campo J, Cwiertka K, Pinter T, Vermorken JB, Pujade-Lauraine E, Scartoni S, Bertolotti M, Simonelli C, Capriati A, Maggi CA, Berek JS, Pfisterer J. Abagovomab as maintenance therapy in patients with epithelial ovarian cancer: a phase III trial of the AGO OVAR, COGI, GINECO, and GEICO--the MIMOSA study. J Clin Oncol. 2013 Apr 20;31(12):1554-61. doi: 10.1200/JCO.2012.46.4057. Epub 2013 Mar 11.
PubMed 23478059
Study at a glance
From the registry record, last updated by the sponsor on 24 Nov 2011. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Randomised,Double Blind, Placebo Controlled, Multicentre Trial of Abagovomab Maintenance Therapy in Patients With Epithelial Ovarian Cancer After Complete Response to First Line Chemotherapy
- ClinicalTrials.gov ID
- NCT00418574
- Acronym / sponsor ID
- MIMOSA / ABA-01
- Conditions
- Ovarian Cancer
- Keywords
- Ovarian cancer, Abagovomab
- Phase
- Phase 2/3
- Study type
- Interventional
- Recruitment status
- TerminatedReason stopped: No benefit on primary end point (RFS); no rationale to collect survival data
- Enrolment
- 888 participants (actual)
- Lead sponsor
- Menarini GroupIndustry (pharma, biotech, devices)
- Study start
- Dec 2006
- Primary completion
- Dec 2010 (actual)
- Study completion
- Jun 2011 (actual)
- First posted
- 5 Jan 2007 (estimated)
- Results
- Posted 18 Nov 2011
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 evaluate the benefit of vaccination with Abagovomab, an experimental immunotherapy in ovarian cancer patients. The benefit will be evaluated in terms of time the remission status is kept as well as prolongation of life expectancy.
Detailed description
Standard initial treatment of ovarian cancer patients includes both surgery and chemotherapy which in the vast majority of cases achieves the disappearance of ovarian cancer lesions. This status, called "clinical remission" which means having no evidence of cancer on CT scan or physical examination needs to be carefully follow up in order to confirm the maintenance of the remission status or to early detect if the cancer grows again and then start a new chemotherapy. At present, no approved therapies exist for the maintenance treatment of patients who achieved the clinical remission.
This trial aims to evaluate if the repeated vaccination with Abagovomab creates an immunoresponse which is able to fight the cancer cells thus keeping the remission status as long as possible and help patients live disease-free and longer.
Patients who achieve the remission status after chemotherapy will be screened for study participation and if they meet the criteria for inclusion they will start to receive a single subcutaneous injection every 2 weeks (for the first 4 doses - induction phase) and then every 4 weeks (maintenance phase). The duration of treatment is up to approximately 4 years or it will be stopped in case relapse occurs.
In order to evaluate the real benefit of vaccination, the experimental treatment includes Abagovomab (the active drug) or placebo (the vehicle only, without drug), with a double chance to receive Abagovomab. Assignment of Abagovomab or placebo will be done by a computerised system and nobody in the study will know which treatment has been allocated until study end.
Patients will be visited every 4 weeks and will undergo CT scan of pelvis and abdomen every 12 weeks in order to confirm the remission status or to early detect if relapse eventually occurs. This will be done in blind condition (i.e. without being aware which treatment the patient is going to receive) for the first part of the study which is expected to last four years. After then the overall status of patient will continue to be monitored by phone contact for additional five years.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind (participant, care provider, investigator)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Abagovomab | Experimental | Biological: Abagovomab |
| Placebo | Placebo comparator | Biological: Placebo |
Who may qualify
- Ages
- 18 years and older
- Sex
- Female only
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (18 listed)
- At a maximum of 12 weeks after the last cycle of first line standard platinum/taxane intravenous (IV) or intraperitoneal (IP) chemotherapy, patients must fulfill all the following inclusion criteria:
- Age >/= 18 years;
- Properly executed written informed consent;
- History of histological and CA125 (> 35 U/ml) confirmed diagnosis of stage III-IV epithelial ovarian, fallopian tube, or primary peritoneal cancer;
- History of debulking surgery and 6-8 cycles of standard platinum/taxane based non-investigational IV-IP chemotherapy;
Key exclusion criteria (19 listed)
- Patients are ineligible to participate in the study, if any of the following criteria are present:
- any other invasive malignancies, with the exception of non-melanoma skin cancer or cervical carcinoma in situ, within the last 5 years or whose previous cancer treatment contraindicates this protocol therapy;
- known active autoimmune disease requiring chronic treatment with immunosuppressive agents (e.g., rheumatoid arthritis, ulcerative colitis, etc.);
- known immune deficiency (e.g. HIV, hypogammaglobulinemia, etc.);
- known infection with hepatitis B, or hepatitis C;
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 |
|---|---|---|
| Abagovomab2 mg/ml SC (subcutaneously) | Biological | Abagovomab |
| Placebo2 mg/ml SC (subcutaneously) | Biological | Placebo |
Primary outcome
Recurrence Free Survival Evaluated by Clinical Event Adjudication Committee (CEAC)
Time frame: Every 12 weeks up to recurrence or up to 3 months after last administered dose
The Recurrence free survival correspond to the time from date of randomization to documented disease recurrence or death. Disease recurrence is defined as the appearance of any lesion or development of tumor-related symptoms evaluated by medical examination and must be confirmed by a documented CT scan.
3 secondary outcomes
Overall Survival
Time frame: 2 years
Safety
Time frame: Along treatment administration and up to double blind observation period. i.e. for each patient after the first dose administration till the f inal study visit, or within 12 weeks of the last dose
Time Course of Immunoresponse
Time frame: at baseline, at week 10 after first dose administration and at final study visit (at week 4 or week 12 after the last administered dose, as appropriate)
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 24 Nov 2011.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Background: PubMed 15014007Reinartz S, Kohler S, Schlebusch H, Krista K, Giffels P, Renke K, Huober J, Mobus V, Kreienberg R, DuBois A, Sabbatini P, Wagner U. Vaccination of patients with advanced ovarian carcinoma with the anti-idiotype ACA125: immunological response and survival (phase Ib/II). Clin Cancer Res. 2004 Mar 1;10(5):1580-7. doi: 10.1158/1078-0432.ccr-03-0056.
- Background: PubMed 11350879Wagner U, Kohler S, Reinartz S, Giffels P, Huober J, Renke K, Schlebusch H, Biersack HJ, Mobus V, Kreienberg R, Bauknecht T, Krebs D, Wallwiener D. Immunological consolidation of ovarian carcinoma recurrences with monoclonal anti-idiotype antibody ACA125: immune responses and survival in palliative treatment. See The biology behind: K. A. Foon and M. Bhattacharya-Chatterjee, Are solid tumor anti-idiotype vaccines ready for prime time? Clin. Cancer Res., 7:1112-1115, 2001. Clin Cancer Res. 2001 May;7(5):1154-62.
- Background: PubMed 17005631Pfisterer J, du Bois A, Sehouli J, Loibl S, Reinartz S, Reuss A, Canzler U, Belau A, Jackisch C, Kimmig R, Wollschlaeger K, Heilmann V, Hilpert F. The anti-idiotypic antibody abagovomab in patients with recurrent ovarian cancer. A phase I trial of the AGO-OVAR. Ann Oncol. 2006 Oct;17(10):1568-77. doi: 10.1093/annonc/mdl357.
- Background: PubMed 17000686Sabbatini P, Dupont J, Aghajanian C, Derosa F, Poynor E, Anderson S, Hensley M, Livingston P, Iasonos A, Spriggs D, McGuire W, Reinartz S, Schneider S, Grande C, Lele S, Rodabaugh K, Kepner J, Ferrone S, Odunsi K. Phase I study of abagovomab in patients with epithelial ovarian, fallopian tube, or primary peritoneal cancer. Clin Cancer Res. 2006 Sep 15;12(18):5503-10. doi: 10.1158/1078-0432.CCR-05-2670.
- Derived from this study: PubMed 24952307Buzzonetti A, Fossati M, Catzola V, Scambia G, Fattorossi A, Battaglia A. Immunological response induced by abagovomab as a maintenance therapy in patients with epithelial ovarian cancer: relationship with survival-a substudy of the MIMOSA trial. Cancer Immunol Immunother. 2014 Oct;63(10):1037-45. doi: 10.1007/s00262-014-1569-0. Epub 2014 Jun 21.
- Derived from this study: PubMed 23478059Sabbatini P, Harter P, Scambia G, Sehouli J, Meier W, Wimberger P, Baumann KH, Kurzeder C, Schmalfeldt B, Cibula D, Bidzinski M, Casado A, Martoni A, Colombo N, Holloway RW, Selvaggi L, Li A, del Campo J, Cwiertka K, Pinter T, Vermorken JB, Pujade-Lauraine E, Scartoni S, Bertolotti M, Simonelli C, Capriati A, Maggi CA, Berek JS, Pfisterer J. Abagovomab as maintenance therapy in patients with epithelial ovarian cancer: a phase III trial of the AGO OVAR, COGI, GINECO, and GEICO--the MIMOSA study. J Clin Oncol. 2013 Apr 20;31(12):1554-61. doi: 10.1200/JCO.2012.46.4057. Epub 2013 Mar 11.
Related trials for 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
Active, not recruitingPhase 1/2
Phase I/II Study of the Anti-Programmed Death Ligand-1 Durvalumab Antibody (MEDI4736) in Combination With Olaparib and/or Cediranib for Advanced Solid Tumors and Advanced or Recurrent Ovarian, Triple Negative Breast, Lung, Prostate and Colorectal Can...
Colorectal Neoplasms, Breast Neoplasms
Recruiting
The Vanguard Study: Testing a New Way to Screen for Cancer
Bladder Carcinoma, Breast Carcinoma
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.
Jacobus Pfisterer, MD study chair
AGO-OVAR, Ovarian Cancer Study Group, Germany; Ubbo-Emmius-Klinik gGmbH Aurich, Germany
Paul Sabbatini, MD principal investigator
Memorial Sloan-Kettering Cancer Centre- NY
Jonathan Berek, MD principal investigator
COGI (Cooperative Ovarian Cancer Group for Immunotherapy); Dept Obstetrics and Gynecology, Stanford CA
150 sites in 9 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2/3 study testing Abagovomab in people with Ovarian Cancer, run by Menarini Group at 150 sites in 9 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 18 inclusion and 19 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: stopped early, as of the sponsor's last update on 24 Nov 2011. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 150 sites in Germany, United States, Spain, Italy, Czechia and 4 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. 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 combined 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.
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?
Yes. Results are posted in the registry (first posted 18 Nov 2011). 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?
Recurrence Free Survival Evaluated by Clinical Event Adjudication Committee (CEAC) (time frame: Every 12 weeks up to recurrence or up to 3 months after last administered dose). 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 NCT00418574, which also lists 6 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 24 Nov 2011; AzTrials last refreshed its copy on 8 Nov 2026.