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Ovarian NeoplasmsPhase 2ICEBERG 3NCT00628251

Dose-finding Study Comparing Efficacy and Safety of a PARP Inhibitor Against Doxil in BRCA+ve Advanced Ovarian Cancer

A Phase 2 study testing AZD2281 and Liposomal Doxorubicin in people with Ovarian Neoplasms, run by AstraZeneca at 24 sites in 9 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The purpose of the study is to compare the efficacy and safety of 2 doses of drug AZD2281 against liposomal doxorubicin to see which is effective and well tolerated in treating patients with measurable BRCA1- or BRCA2-positive advanced ovarian cancer and who have failed previous platinum therapy. Read more about this study

Who is it for?
Ages 18 to 130 years, women only
Conditions the study is for
Ovarian Neoplasms
What is being tested?
AZD2281 and Liposomal Doxorubicin
Could I receive a placebo?
No, everyone receives an active treatment
How many people
97 participants
Where
24 sitesin 9 countries
Study dates
30 Jul 2008to 19 Sep 2018
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 to 130 years
  • Women only
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Advanced ovarian cancer with positive BRCA1 or BRCA2 status
  • Progressive or recurrent disease after platinum-based chemotherapy
  • Measurable disease by RECIST

Who cannot join

  • Previous anthracycline treatment
  • Brain metastases
  • Less than 28 days since last treatment used to treat the disease
  • Considered a poor medical risk due to a serious uncontrolled disorder

Trial locations and contacts

24 sites in 9 countries.

24 sites in 9 countries

United States6 sites
  • Research Site

    Boca Raton, Florida, 33428

  • Research Site

    Boston, Massachusetts, 02115

  • Research Site

    Houston, Texas, 77030

  • Research Site

    Los Angeles, California, 90048

  • Research Site

    New York, New York, 10065

  • Research Site

    San Francisco, California, 94115

Other trials in United States

United Kingdom5 sites
  • Research Site

    Cambridge, CB2 0QQ

  • Research Site

    Edinburgh, EH4 2XR

  • Research Site

    London, SE1 9RT

  • Research Site

    Manchester, M20 4BX

  • Research Site

    Sutton, SM2 5PT

Other trials in United Kingdom

Australia3 sites
  • Research Site

    East Melbourne, 3002

  • Research Site

    Melbourne, Parkville, VIC 3050

  • Research Site

    Randwick, 2031

Other trials in Australia

Israel3 sites
  • Research Site

    Haifa, 31096

  • Research Site

    Ramat Gan, 52621

  • Research Site

    Tel Aviv, 6423906

Other trials in Israel

Germany2 sites
  • Research Site

    Cologne, 50937

  • Research Site

    München, 81377

Other trials in Germany

Spain2 sites
  • Research Site

    Barcelona, 08035

  • Research Site

    Hospitalet deLlobregat, 08907

Other trials in Spain

Belgium1 site
  • Research Site

    Leuven, 3000

Other trials in Belgium

Poland1 site
  • Research Site

    Szczecin, 70-111

Other trials in Poland

Sweden1 site
  • Research Site

    Lund, 22185

Other trials in Sweden

About this study

Official title: A Phase II, Open-Label, Randomised, Comparative, International Multicentre Study to Assess the Safety and Efficacy of Different Doses of AZD2281 Given Orally Twice Daily Versus Intravenous Liposomal Doxorubicin Given Monthly in Patients With Advanced BRCA1- or BRCA2-Associated Ovarian Cancer Who Have Failed Previous Platinum-based Chemotherapy

The purpose of the study is to compare the efficacy and safety of 2 doses of drug AZD2281 against liposomal doxorubicin to see which is effective and well tolerated in treating patients with measurable BRCA1- or BRCA2-positive advanced ovarian cancer and who have failed previous platinum therapy.

Being tested
AZD2281, Liposomal Doxorubicin
Keywords
Advanced ovarian cancer, BRCA1 protein, BRCA2 protein, Poly(ADP ribose) polymerases
Medical subject headings
Ovarian Neoplasms, Fanconi Anemia, Complementation Group D1

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • AZD2281Drug

    Also called Olaparib

    400mg Oral twice daily

  • Liposomal DoxorubicinDrug

    Also called Doxil®

    50mg/m2 Monthly Intravenous

  • AZD2281Drug

    200mg oral twice daily

Study groups in NCT00628251
Study groupRoleWhat they receive
1ExperimentalAZD2281 Oral 200 mg BID
Receives: Drug: AZD2281
2Active comparatorLiposomal Doxorubicin
Receives: Drug: Liposomal Doxorubicin
3ExperimentalAZD2281 Oral 400 mg BID
Receives: Drug: AZD2281

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Progression Free Survival (PFS)

    PFS was defined as the time to progression from the date of randomisation until the date of radiological assessment of progression per RECIST criteria or death (by any cause in the absence of progression)

    Measured: Tumour assessment was to be assessed at screening, every 8 weeks during the study and at the withdrawal visit, up to 56 weeks. (Data cut-off for primary analysis of PFS: 15 September 2009)

Secondary outcomes (10)
  1. Objective Response Rate (ORR)

    ORR was defined according to RECIST. Complete response (CR) or partial response - (PR)- 30% decrease Patients with a best RECIST response of CR or PR had to have a confirmed response at least 28 days later.

    Measured: At the time that 57 PFS events had occurred (Data cut-off for primary analysis of PFS: 15 September 2009)

  2. Disease Control Rate

    The number of patients with confirmed CR (disappearance of all target lesions) or PR (30% decrease in the sum of the longest diameter of target lesions ) or SD ( small changes ) >4 months, divided by the number of randomised patients

    Measured: At the time that 57 PFS events had occurred (Data cut-off for primary analysis of PFS: 15 September 2009)

  3. Overall Duration of Response

    The duration of response was defined as time (months) from initial assessment of PR/CR until earliest date of objective progression or death. (Values may be underestimated as some patients had not progressed at final analysis so true duration is likely to be greater than that in database.)

    Measured: At the time that 57 PFS events had occurred (Data cut-off for primary analysis of PFS: 15 September 2009)

  4. Best Percentage Change in Tumour Size

    The percentage change (reduction) from baseline in the sum of the lengths of the longest diameter (LD) of the RECIST target lesions were objectively documented, regardless of whether the patient was still taking study medication

    Measured: At the time that 57 PFS events had occurred (Data cut-off for primary analysis of PFS: 15 September 2009)

  5. Best Percentage Change From Baseline in CA-125 Levels

    Best percentage change in cancer antigen 125 (CA-125) levels

    Measured: At the time that 57 PFS events had occurred (Data cut-off for primary analysis of PFS: 15 September 2009)

  6. Confirmed RECIST Response and/or CA-125 Response

    The percentage of patients reporting a RECIST confirmed response and/or a CA-125 response (in the absence of progression). A CA-125 response was defined as a confirmed greater or equal to 50% reduction in CA-125.

    Measured: At the time that 57 PFS events had occurred (Data cut-off for primary analysis of PFS: 15 September 2009)

  7. Overall Survival (OS)

    OS was defined as time from randomisation to date of death from any cause. Patients who had not died at time of analysis were censored at last date they were known to be alive. Median OS was not calculable for olaparib groups due to an insufficient number of deaths so the percentage of participants who died are shown along with 95% confidence intervals

    Measured: At the time of the cut-off for the final analysis of overall survival (30 April 2010)

  8. Best Quality of Life (QoL) Response for Trial Outcome Index (TOI)

    Best HRQoL response using the TOI endpoint. Improvement was defined as a change from baseline of greater than or equal to +7. The TOI score ranges from 0-100.

    Measured: At the time that 57 PFS events had occurred (Data cut-off for primary analysis of PFS: 15 September 2009)

  9. Best QoL Response for Total Functional Analysis of Cancer Therapy - Ovarian (FACT-O)

    Best HRQoL response using the total FACT-O endpoint. Improvement was defined as a change from baseline of greater than or equal to +9.

    Measured: At the time that 57 PFS events had occurred (Data cut-off for primary analysis of PFS: 15 September 2009)

  10. Best QoL Response for FACT-O Symptom Index (FOSI)

    Best HRQoL response using the FOSI endpoint. Improvement was defined as a change from baseline of greater than or equal to +3.

    Measured: At the time that 57 PFS events had occurred (Data cut-off for primary analysis of PFS: 15 September 2009)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted5 Mar 2008 (estimated)
  2. Study start30 Jul 2008
  3. Primary completion15 Sep 2009
  4. Study completion19 Sep 2018

Resources

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
None (open label)
Enrolment
97 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00628251
Sponsor's protocol ID
D0810C00012
Acronym
ICEBERG 3
Status last verified
Nov 2019
First submitted
26 Feb 2008
Last updated
5 Dec 2019
Data monitoring committee
Yes
Expanded access
Available

Publications

  • Newhouse R, Nelissen E, El-Shakankery KH, Rogozinska E, Bain E, Veiga S, Morrison J. Pegylated liposomal doxorubicin for relapsed epithelial ovarian cancer. Cochrane Database Syst Rev. 2023 Jul 5;7(7):CD006910. doi: 10.1002/14651858.CD006910.pub3.

    PubMed 37407274
  • Tattersall A, Ryan N, Wiggans AJ, Rogozinska E, Morrison J. Poly(ADP-ribose) polymerase (PARP) inhibitors for the treatment of ovarian cancer. Cochrane Database Syst Rev. 2022 Feb 16;2(2):CD007929. doi: 10.1002/14651858.CD007929.pub4.

    PubMed 35170751
  • Penson RT, Valencia RV, Cibula D, Colombo N, Leath CA 3rd, Bidzinski M, Kim JW, Nam JH, Madry R, Hernandez C, Mora PAR, Ryu SY, Milenkova T, Lowe ES, Barker L, Scambia G. Olaparib Versus Nonplatinum Chemotherapy in Patients With Platinum-Sensitive Relapsed Ovarian Cancer and a Germline BRCA1/2 Mutation (SOLO3): A Randomized Phase III Trial. J Clin Oncol. 2020 Apr 10;38(11):1164-1174. doi: 10.1200/JCO.19.02745. Epub 2020 Feb 19.

    PubMed 32073956
  • Matulonis UA, Penson RT, Domchek SM, Kaufman B, Shapira-Frommer R, Audeh MW, Kaye S, Molife LR, Gelmon KA, Robertson JD, Mann H, Ho TW, Coleman RL. Olaparib monotherapy in patients with advanced relapsed ovarian cancer and a germline BRCA1/2 mutation: a multistudy analysis of response rates and safety. Ann Oncol. 2016 Jun;27(6):1013-1019. doi: 10.1093/annonc/mdw133. Epub 2016 Mar 8.

    PubMed 26961146
  • Ang JE, Gourley C, Powell CB, High H, Shapira-Frommer R, Castonguay V, De Greve J, Atkinson T, Yap TA, Sandhu S, Banerjee S, Chen LM, Friedlander ML, Kaufman B, Oza AM, Matulonis U, Barber LJ, Kozarewa I, Fenwick K, Assiotis I, Campbell J, Chen L, de Bono JS, Gore ME, Lord CJ, Ashworth A, Kaye SB. Efficacy of chemotherapy in BRCA1/2 mutation carrier ovarian cancer in the setting of PARP inhibitor resistance: a multi-institutional study. Clin Cancer Res. 2013 Oct 1;19(19):5485-93. doi: 10.1158/1078-0432.CCR-13-1262. Epub 2013 Aug 6.

    PubMed 23922302
  • Yap TA, Carden CP, Kaye SB. Beyond chemotherapy: targeted therapies in ovarian cancer. Nat Rev Cancer. 2009 Mar;9(3):167-81. doi: 10.1038/nrc2583.

    PubMed 19238149

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing AZD2281 and Liposomal Doxorubicin in people with Ovarian Neoplasms, run by AstraZeneca at 24 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 3 inclusion and 4 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 5 Dec 2019. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 24 sites in United States, United Kingdom, Australia, Israel, Germany 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. 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 3 Jun 2016). 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 (PFS) (time frame: Tumour assessment was to be assessed at screening, every 8 weeks during the study and at the withdrawal visit, up to 56 weeks. (Data cut-off for primary analysis of PFS: 15 September 2009)). 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 NCT00628251, 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 5 Dec 2019.

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