Ovarian CancerPhase 3NCT02580058
A Study Of Avelumab Alone Or In Combination With Pegylated Liposomal Doxorubicin Versus Pegylated Liposomal Doxorubicin Alone In Patients With Platinum Resistant/Refractory Ovarian Cancer (JAVELIN Ovarian 200)
A Phase 3 study testing avelumab and PLD in people with Ovarian Cancer, run by Pfizer at 295 sites in 25 countries.
Trial summary
A Phase 3 global study comparing avelumab alone to avelumab plus PLD and to PLD alone to demonstrate that avelumab given alone or in combination with PLD is superior to PLD alone in prolonging Overall Survival in patients with platinum resistant/platinum refractory ovarian cancer. 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?
- avelumab and PLD
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 566 participants
- Where
- 295 sitesin 25 countries
- Study dates
- 21 Dec 2015to 12 Jul 2022
- Phase
- Phase 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
- Histologically confirmed epithelial ovarian, fallopian tube, or peritoneal cancer, including malignant mixed Müllerian tumors with high grade serous component.
- Platinum resistant/refractory disease, defined as disease progression within 180 days following the last administered dose of platinum therapy (resistant), or lack of response or disease progression while receiving the most recent platinum based therapy (refractory), respectively.
- Received up to 3 lines of systemic anticancer therapy for platinum sensitive disease, most recently platinum containing, and no prior systemic therapy for platinum resistant disease
- Measurable disease by investigator assessment with at least 1 unidimensional measurable lesion by RECIST v.1.1 that has not previously been irradiated
- Active autoimmune disease that might deteriorate when receiving an immunostimulatory agents. Patients with diabetes type I, vitiligo, psoriasis, hypo or hyperthyroid disease not requiring immunosuppressive treatment are eligible.
- Mandatory tumor biopsy must be performed prior to enrollment for all patients (unless there is a documented clinical contraindication). In addition, availability of archived FFPE tumor tissue should be confirmed. If a patient underwent tumor tissue collection within 3 months prior to enrollment with no intervening treatment, and the sample is provided, then a new de novo tumor biopsy is not required.
Who cannot join
- Non epithelial tumor or ovarian tumors with low malignant potential (ie, borderline tumors).
- Prior therapy with an anti PD 1, anti PD L1, anti PD L2, anti CD137, or anti cytotoxic T lymphocyte associated antigen 4 (CTLA 4) antibody (including ipilimumab, tremelimumab or any other antibody or drug specifically targeting T cell co stimulation or immune checkpoint pathways).
- Known symptomatic brain metastases requiring steroids. Patients with previously diagnosed brain metastases are eligible if they have completed their treatment and have recovered from the acute effects of radiation therapy or surgery prior to study entry, have discontinued corticosteroid treatment for these metastases for at least 4 weeks prior to study entry and are neurologically stable.
- Diagnosis of any other malignancy within 5 years prior to registration, except for adequately treated basal cell or squamous cell skin cancer, or carcinoma in situ of the breast or of the cervix.
- Severe gastrointestinal conditions such as clinical or radiological evidence of bowel obstruction within 4 weeks prior to study entry, uncontrolled diarrhea in the last 4 weeks prior to enrollment, or history of inflammatory bowel disease.
Trial locations and contacts
295 sites in 25 countries.
295 sites in 25 countries
United States87 sites
Southwest GYN Oncology Associates, Inc.
Albuquerque, New Mexico, 87106
University of New Mexico Comprehensive Cancer Center
Albuquerque, New Mexico, 87106
Hope Women's Cancer Centers
Asheville, North Carolina, 28806
Mission Hospital, Inc.
Asheville, North Carolina, 28806
Atlanta Gynecologic Oncology
Atlanta, Georgia, 30342
Northside Hospital - Pharmacy
Atlanta, Georgia, 30342
University Gynecologic Oncology
Atlanta, Georgia, 30342
Rocky Mountain Cancer Centers
Aurora, Colorado, 80012
Northwest Georgia Oncology Centers, P.C.
Austell, Georgia, 30106
Texas Oncology-Austin Central
Austin, Texas, 78731
Texas Oncology-South Austin
Austin, Texas, 78745
Texas Oncology - Bedford
Bedford, Texas, 76022
Maryland Oncology Hematology, P.A.
Bethesda, Maryland, 20817
Massachusetts General Hospital
Boston, Massachusetts, 02114
Brigham Women's Hospital
Boston, Massachusetts, 02115
Dana Farber Cancer Institute
Boston, Massachusetts, 02215
Rocky Mountain Cancer Centers
Boulder, Colorado, 80303
Northwest Georgia Oncology Centers, P.C.
Carrollton, Georgia, 30117
Northwest Georgia Oncology Centers, P.C.
Cartersville, Georgia, 30121
Arizona Oncology Associates, PC - HAL
Chandler, Arizona, 85224
Cleveland Clinic Taussig Cancer Center
Cleveland, Ohio, 44106
Fairview Hospital Moll Pavilion Cancer Center
Cleveland, Ohio, 44111
Fairview Hospital Moll Pavilion Pharmacy
Cleveland, Ohio, 44111
Cleveland Clinic Taussig Cancer Center
Cleveland, Ohio, 44195
Cleveland Clinic
Cleveland, Ohio, 44195
Maryland Oncology Hematology, P.A.
Columbia, Maryland, 21044
Florida Cancer Specialists
Daytona Beach, Florida, 32117
Tennessee Oncology, PLLC
Dickson, Tennessee, 37055
Northwest Georgia Oncology Centers, P.C.
Douglasville, Georgia, 30134
Willamette Valley Cancer Institute and Research Center
Eugene, Oregon, 97401
The University of Kansas Clinical Research Center
Fairway, Kansas, 66205
Highlands Oncology Group
Fayetteville, Arkansas, 72703
Texas Oncology -Fort Worth Cancer Center
Fort Worth, Texas, 76104
Tennessee Oncology, PLLC
Franklin, Tennessee, 37067
Tennessee Oncology, PLLC
Gallatin, Tennessee, 37066
Tennessee Oncology, PLLC
Hermitage, Tennessee, 37076
US Oncology Investigational Products Center (IPC)
Irving, Texas, 75063
US Oncology Investigational Products Center
Irving, Texas, 75063
The University of Kansas Cancer Center, CCP - North
Kansas City, Missouri, 64154
Novant Health Oncology Specialists
Kernersville, North Carolina, 27284
Rocky Mountain Cancer Centers
Lakewood, Colorado, 80228
Tennessee Oncology, PLLC
Lebanon, Tennessee, 37090
Norton Cancer Institute, Norton Healthcare Pavilion
Louisville, Kentucky, 40202
Norton Healthcare Pharmacy, Attn: Marlon Baranda, Pharm D
Louisville, Kentucky, 40202
Norton Hospital
Louisville, Kentucky, 40202
Norton Cancer Institute, St. Matthews Campus
Louisville, Kentucky, 40207
Norton Women's and Children's Hospital
Louisville, Kentucky, 40207
Norton Brownsboro Hospital
Louisville, Kentucky, 40241
Norton Cancer Institute, Brownsboro Hospital Campus
Louisville, Kentucky, 40241
Northwest Georgia Oncology Centers, P.C.
Marietta, Georgia, 30060
Hillcrest Hospital Hirsch Cancer Center Pharmacy
Mayfield Heights, Ohio, 44124
Hillcrest Hospital
Mayfield Heights, Ohio, 44124
Froedtert and The Medical College of Wisconsin
Milwaukee, Wisconsin, 53226
Froedtert Hospital
Milwaukee, Wisconsin, 53226
Tennessee Oncology, PLLC
Murfreesboro, Tennessee, 37129
Tennessee Oncology, PLLC
Nashville, Tennessee, 37203
The Sarah Cannon Research Institute
Nashville, Tennessee, 37203
Tennessee Oncology, PLLC
Nashville, Tennessee, 37205
Tennessee Oncology, PLLC
Nashville, Tennessee, 37207
Tennessee Oncology, PLLC
Nashville, Tennessee, 37211
University of California, Irvine/UC Irvine Health
Orange, California, 92868
Investigational Drug Services, University of Pennsylvania
Philadelphia, Pennsylvania, 19104
The University of Pennsylvania Health System
Philadelphia, Pennsylvania, 19104
Fox Chase Cancer Center
Philadelphia, Pennsylvania, 19111
Arizona Oncology Associates, PC - HAL
Phoenix, Arizona, 85016
Arizona Oncology Associates, PC - HAL
Phoenix, Arizona, 85027
Center of Hope at Renown Regional Medical Center
Reno, Nevada, 89502
Carilion Clinic Gynecologic Oncology
Roanoke, Virginia, 24016
Carilion Clinic
Roanoke, Virginia, 24016
Highlands Oncology Group
Rogers, Arkansas, 72758
Utah Cancer Specialists
Salt Lake City, Utah, 84106
Texas Oncology - San Antonio Medical Center
San Antonio, Texas, 78240
Sansum Clinic
Santa Barbara, California, 93105
Arizona Oncology Associates, PC - HAL
Scottsdale, Arizona, 85258
Tennessee Oncology, PLLC
Shelbyville, Tennessee, 37160
Maryland Oncology Hematology P.A.
Silver Spring, Maryland, 20902
Maryland Oncology Hematology P.A.
Silver Spring, Maryland, 20904
Tennessee Oncology, PLLC
Smyrna, Tennessee, 37167
Sansum Clinic
Solvang, California, 93463
Arizona Oncology Associates, PC-HAL
Tempe, Arizona, 85284
Texas Oncology - The Woodlands, Gynecologic Oncology
The Woodlands, Texas, 77380
Arizona Oncology Associates, PC - HOPE
Tucson, Arizona, 85704
Arizona Oncology Associates, PC - HOPE
Tucson, Arizona, 85711
Florida Cancer Specialists
Wellington, Florida, 33414
Florida Cancer Specialists
West Palm Beach, Florida, 33401
The University of Kansas Cancer Center and Medical Pavilion
Westwood, Kansas, 66205
Novant Health Oncology Specialists
Winston-Salem, North Carolina, 27103
Italy20 sites
Habilita, San Marco Bergamo
Bergamo, 24122
Humanitas Cliniche Gavazzeni
Bergamo, 24125
Humanitas, Unita Operativa di Cardiologia 2
Bergamo, 24125
Fondazione Poliambulanza Istituto Ospedelario
Brescia, 25124
Fondazione del Piemonte per l'Oncologia
Candiolo, Torino, 10060
Congregazione delle Suore Infermiere dell'Addolorata
Como, 22100
Congregazione delle Suore Infermiere dell'Addolorata
Costa Masnaga, Lecco, 23845
Fondazione Teresa Camplani
Cremona, 26100
Regione Lombardia, A O Istituti Ospitalieri di Cremona
Cremona, 26100
Regione Lombardia, ASST Cremona
Cremona, 26100
Servizio Sanitario Regionale Emilia-Romagna
Lugo, Ravenna, 48022
Poliambulatorio Specialistico Villa Salute
Manerbio, Brescia, 25025
ASST Fatebenefratelli Sacco
Miano, Milano, 20121
Istituto Europeo di Oncologia
Milan, 20141
Ambulatorio dott. Francesco Cavanna, Medico Chirurgo
Piacenza, 29121
Azienda Unita Sanitaria Locale di Piacenza
Piacenza, 29121
Azienda USL 4 Prato
Prato, 59100
Azienda USL 4 Toscana Centro
Prato, 59100
Servizio Sanitario Regionale Emilia-Romagna
Rimini, 47921
C D C, Sede di Torino Centro
Torino, 10122
Australia19 sites
Icon Cancer Care Wesley
Auchenflower, Queensland, 4066
Rivercity Pharmacy
Auchenflower, Queensland, 4066
Cabrini Health Limited
Brighton, Victoria, 3186
Mater Pharmacy Services
Brisbane, Queensland, 4101
Icon Cancer Care Chermside
Chermside, Queensland, 4032
Clinical Research Unit
Herston, Queensland, 4029
Metro North Hospital and Health Service
Herston, Queensland, 4029
Oncology Pharmacy
Herston, Queensland, 4029
Cabrini Health Limited
Malvern, Victoria, 3144
Peter MacCallum Cancer Centre
Melbourne, Victoria, 3000
Epic Pharmacy,Newcastle Private Hospital
New Lambton Heights, New South Wales, 2305
Newcastle Private Hospital Pty Limited
Newcastle, New South Wales, 2305
Royal Melbourne Hospital
Parkville, Victoria, 3050
Pharmacy Department
Parkville, Victoria, 3052
The Royal Women's Hospital
Parkville, Victoria, 3052
Icon Cancer Care
South Brisbane, Queensland, 4101
Icon Cancer Foundation
South Brisbane, Queensland, 4101
Mater Cancer Care Centre
South Brisbane, Queensland, 4101
Icon Cancer Care Southport
Southport, Queensland, 4215
Japan19 sites
Hyogo Cancer Center
Akashi, Hyōgo, 673-8558
The University of Tokyo Hospital
Bunkyo-ku, Tokyo, 113-8655
National Cancer Center Hospital
Chuo-ku, Tokyo, 104-0045
Seirei Hamamatsu General Hospital
Hamamatsu, Shizuoka, 430-8558
Saitama Medical University International Medical Center
Hidaka, Saitama, 350-1298
Tokai University Hospital
Isehara, Kanagawa, 259-1193
Kagoshima University Hospital
Kagoshima, 890-8520
Kagoshima City Hospital
Kagoshima, 890-8760
Nippon Medical School Musashikosugi Hospital
Kawasaki, Kanagawa, 211-8533
Saitama Cancer Center
Kita-adachi-gun, Saitama, 362-0806
Shikoku Cancer Center
Matsuyama, Ehime, 791-0280
Niigata Cancer Center Hospital
Niigata, 951-8566
Hokkaido University Hospital
Sapporo, Hokkaido, 060-8648
Tohoku University Hospital
Sendai, Miyagi, 980-8574
Jichi Medical University Hospital
Shimotsuke, Tochigi, 329-0498
National Defense Medical College Hospital
Tokorozawa, Saitama, 359-8513
Ehime University Hospital
Tōon, Ehime, 791-0295
University of Tsukuba Hospital
Tsukuba, Ibaraki, 305-8576
Yokohama City University Hospital
Yokohama, Kanagawa, 236-0004
United Kingdom19 sites
The Clatterbridge Cancer Centre NHS Foundation Trust
Bebington, Wirral, Merseyside, CH63 4JY
The Clatterbridge Cancer Centre
Bebington, Wirral, Merseyside, CH63 4JY
Cambridge University Hospitals NHS Foundation Trust
Cambridge, Cambridgeshire, CB2 0QQ
Ross Hall Hospital
Glasgow, CITY of Glasgow, G52 3NQ
NHS Greater Glasgow and Clyde
Glasgow, G12 0YN
Oxford University Hospitals NHS Foundation Trust
Headington, Oxford, OX3 7LE
University College London Hospital NHS Foundation Trust
London, NW1 2PG
Guy's & St Thomas' NHS Foundation Trust
London, SE1 9RT
Guy's & St. Thomas' NHS Foundation Trust
London, SE1 9RT
The Royal Marsden NHS Foundation Trust
London, SW3 6JJ
Imperial College Healthcare NHS Trust
London, W12 0HS
University College London Hospital NHS Foundation Trust
London, WC1E 6AG
The Christie Hospital NHS Foundation Trust
Manchester, M20 4BX
Northampton General Hospital NHS Trust
Northampton, Northamptonshire, NN1 5BD
East and North Hertfordshire NHS Trust
Northwood, Middlesex, HA6 2RN
Nottingham University Hospital NHS Trust
Nottingham, NG5 1PB
Nottingham University Hospitals NHS Trust
Nottingham, NG5 1PB
The Royal Marsden NHS Foundation Trust
Sutton, Surrey, SM2 5PT
Spire Healthcare Limited (St. Anthony's Hospital)
Sutton, Surrey, SM3 9DW
Canada15 sites
Tom Baker Cancer Centre
Calgary, Alberta, T2N 4N2
Cross Cancer Institute
Edmonton, Alberta, T6G 1Z2
Nova Scotia Health Authority, QEII Health Sciences Centre, Nova Scotia Cancer Centre
Halifax, Nova Scotia, B3H 1V7
Nova Scotia Health Authority, QEII Health Sciences Centre
Halifax, Nova Scotia, B3H 2Y9
British Columbia Cancer Agency - Sindi Ahluwalia Hawkins Centre for the Southern Interior
Kelowna, British Columbia, V1Y5L3
Jewish General Hospital
Montreal, Quebec, H3T 1E2
McGill University Health Centre - Glen Site
Montreal, Quebec, H4A 3J1
Oncology Pharmacy McGill University Health Centre
Montreal, Quebec, H4A 3J1
The Ottawa Hospital
Ottawa, Ontario, K1H 8L6
Sunnybrook Research Institute
Toronto, Ontario, M4N 3M5
Princess Margaret Cancer Centre
Toronto, Ontario, M5G 2M9
British Columbia Cancer Agency-Vancouver Centre
Vancouver, British Columbia, V5Z 4E6
St. Boniface General Hospital
Winnipeg, Manitoba, R2H 2A6
Health Sciences Centre
Winnipeg, Manitoba, R3A 1R9
CancerCare Manitoba
Winnipeg, Manitoba, R3E 0V9
South Korea13 sites
Clinical Trial Pharmacy, Keimyung University Dongsan Medical Center
Daegu, 41931
Keimyung University Dongsan Medical Center
Daegu, 41931
National Cancer Center
Goyang-si, Gyeonggi-do, 10408
Korea University Anam Hospital
Seoul, 02841
Seoul National University Hospital
Seoul, 03080
Severance Hospital, Yonsei University Health System, Clinical Trial Pharmacy
Seoul, 03722
Severance Hospital, Yonsei University Health System
Seoul, 03722
Asan Medical Center
Seoul, 05505
Samsung Medical Center Clinical Trial Pharmacy
Seoul, 06351
Samsung Medical Center
Seoul, 06351
Department of Pharamacy, The Catholic University of Korea, Seoul St. Mary's Hospital
Seoul, 06591
The Catholic University of Korea, Seoul St. Mary's Hospital
Seoul, 06591
The Catholic University of Korea
Seoul, 06591
Taiwan11 sites
Clinical Trial Pharmacy, National Cheng Kung University Hospital
Tainan, 701
National Cheng Kung University Hospital
Tainan, 704
National Taiwan University Hospital
Taipei, 100
Clinical Trial Pharmacy, Mackay Memorial Hospital
Taipei, 10449
Mackay Memorial Hospital
Taipei, 104
Clinical Trial Pharmacy, Koo Foundation Sun Yat-Sen Cancer Center
Taipei, 11259
Clinical Trial Pharmacy, Taipei Veterans General Hospital
Taipei, 112
Koo Foundation Sun Yat-Sen Cancer Center
Taipei, 112
Taipei Veterans General Hospital
Taipei, 112
Chang Gung Memorial Hospital - Linkou Branch
Taoyuan City, 333
Chemotherapy Pharmacy, Chang Gung Memorial Hospital - Linkou Branch
Taoyuan City, 333
Russia10 sites
Evimed Llc
Chelyabinsk, 454048
State Budgetary Healthcare Institution
Chelyabinsk, 454087
State Budgetary Healthcare Institution "Clinical oncology dispensary #1"
Krasnodar, 350040
Federal State Budgetary Institution "Russian Cancer Research Center n.a. N.N. Blokhin"
Moscow, 115478
State Budgetary Healthcare Institution of Nizhegorogsky region
Nizhny Novgorod, 603081
State Budgetary Healthcare Institution "Orenburg Regional Clinical Oncological Dispensary"
Orenburg, 460021
State Budgetary Healthcare Institution Pyatigorsk Oncology Dispensary
Pyatigorsk, Stavropol Kray, 357502
State Budget Institution of Healthcare Saint Petersburg Clinical Scientific - Practice Center
Saint Petersburg, 197758
State Budgetary Healthcare Institution "Oncology Center #2" of the Ministry of Healthcare
Sochi, Krasnodarskiy Kray, 354057
State Regional Budgetary Healthcare Institution "Regional clinical oncology dispensary"
Velikiy Novgorod, 173016
France9 sites
Centre Francois Baclesse
Caen, 14076
Centre Leon Berard
Lyon, 69373
Service de Radiologie
Lyon, 69373
Centre Antoine Lacassagne
Nice, 06189
Hôpital Européen Georges Pompidou
Paris, 75015
Hôpital Européen Georges Pompidou
Paris, 75908
Centre Hospitalier Lyon Sud
Pierre-Bénite, 69310
Institut de Cancérologie de Lorraine
Vandœuvre-lès-Nancy, 54519
Gustave Roussy Cancer Campus
Villejuif, 94805
Switzerland9 sites
Universitatsspital Basel, Frauenklinik
Basel, Canton of Basel-City, 4031
Universitatsspital Basel
Basel, Canton of Basel-City, 4031
Oncology Institute of Southern Switzerland (IOSI)
Bellinzona, Canton Ticino, 6500
Luzerner Kantonsspital, Medizinische Onkologie, Studienzentrale Onkologie
Lucerne, Canton of Lucerne, 6000
Kantonsapotheke Zurich
Zurich, 8006
Universitaetsspital Zurich, Klinik fuer Gynakologie
Zurich, 8091
Universitatsspital Zurich, Clinical Trials Center
Zurich, 8091
Universitatsspital Zurich, Institut fur diagnostische und interventionelle Radiologie
Zurich, 8091
Universitatsspital Zurich, Universitares Herzzentrum Zurich
Zurich, 8091
Czechia8 sites
Fakultni nemocnice Olomouc
Olomouc, 779 00
Fakultni nemocnice Ostrava
Ostrava-Poruba, 708 52
Vseobecna fakultni nemocnice v Praze, Fakultni poliklinika
Prague, Czech Republic, 120 00
Vseobecna fakultni nemocnice v Praze, Nemocnicni lekarna,
Prague, 120 00
Vseobecna fakultni nemocnice v Praze, Neurologicka klinika
Prague, 120 00
Vseobecna fakultni nemocnice v Praze
Prague, 12851
Fakultni nemocnice v Motole
Prague, 150 06
Krajska zdravotni a.s., Masarykova nemocnice v Usti nad Labem, o.z
Ústí nad Labem, 401 13
Ireland8 sites
Mater Misericordiae University Hospital
Dublin, Dublin, 7
Mater Private Hospital
Dublin, Dublin, Dublin 7
St James's Hospital
Dublin, 8
Mater Misericoridae University Hospital
Dublin, D7
Mater Private Hospital
Dublin, D7
Pharmacy Department
Dublin
St Vincent's University Hospital
Dublin
University Hospital Waterford
Waterford
Poland8 sites
Centrum Onkologii, Instytut im. M. Sklodowskiej-Curie, Oddzial w Krakowie, Apteka Szpitalna
Krakow, 31-115
Centrum Onkologii, Instytut im. M. Sklodowskiej-Curie, Oddzial w Krakowie
Krakow, 31-115
Wojewodzki Szpital Specjalistyczny w Olsztynie, Apteka Szpitalna
Olsztyn, 10-561
Wojewodzki Szpital Specjalistyczny w Olsztynie
Olsztyn, 10-561
Szpital Kliniczny Przemienienia Panskiego Uniwersytetu Medycznego im. Karola Marcinkowskiego w
Poznan, 60-569
Szpital Kliniczny Przemienienia Panskiego Uniwersytetu Medycznego
Poznan, 60-569
SPZOZ Wojewodzki Szpital Specjalistyczny nr 3 w Rybniku, Apteka Szpitalna
Rybnik, 44-200
SPZOZ Wojewodzki Szpital Specjalistyczny nr 3 w Rybniku
Rybnik, 44-200
Spain7 sites
Hospital Universitario Reina Sofia
Córdoba, 14004
lnstitut Catala d Oncologia de Girona. Hospital Universitario Dr. Josep Trueta
Girona, 17007
Institut Catala d'Oncologia - Hospital Duran y Reynalds
L'Hospitalet de Llobregat, Barcelona, 08908
Hospital MD Anderson
Madrid, 28033
Hospital Universitario La Paz
Madrid, 28046
Centro Integral Oncologico Clara Campal
Madrid, 28050
Hospital Universitario Virgen de Valme
Seville, 41014
Belgium6 sites
Institut Jules Bordet
Brussels, 1000
University Hospital Gent
Ghent, EAST Flanders, 9000
AZ Groeninge Hospital
Kortrijk, 8500
Universitaire Ziekenhuizen Leuven
Leuven, 3000
CHU de Liege - Sart Tilman
Liège, 4000
Clinique et Maternite Sainte Elisabeth
Namur, 5000
Hungary5 sites
Orszagos Onkologiai Intezet, Gyogyszertar
Budapest, 1122
Orszagos Onkologiai Intezet, Nogyogyaszati Osztaly
Budapest, 1122
Debreceni Egyetem Klinikai Gyogyszertar
Debrecen, 4032
Debreceni Egyetem Klinikai Kozpont
Debrecen, 4032
Jasz-Nagykun-Szolnok Megyei Hetenyi Geza Korhaz-Rendelointezet, Onkologiai Kozpont
Szolnok, 5000
Singapore5 sites
National University Hospital
Singapore, 119074
National University Hospital
Singapore, 119082
National Cancer Centre Singapore Pharmacy
Singapore, 169610
National Cancer Centre Singapore
Singapore, 169610
Raffles Hospital
Singapore, 188770
Netherlands4 sites
Universitair Medisch Centrum Groningen
Groningen, 9713 AP
Universitair Medisch Centrum Groningen
Groningen, 9713 GZ
LUMC
Leiden, 2333 ZA
Maastricht Universitair Medisch Centrum
Maastricht, 6229 HX
Norway4 sites
Department of Obstetrics and Gynecology, Haukeland University Hospital
Bergen, 5021
Sykehusapoteket i Bergen
Bergen, 5053
Oslo Universitetssykehus
Oslo, 0379
Sykehusapoteket Oslo
Oslo, 0379
Austria2 sites
Medizinische Universitat Graz, LKH-Univ. Klinikum Graz
Graz, 8036
Medizinische Universitat Innsbruck
Innsbruck, 6020
Denmark2 sites
Aalborg University Hospital
Aalborg, 9000
Rigshospitalet
Copenhagen, 2100
Greece2 sites
General Hospital of Athens Alexandra
Athens, 11528
General Oncology Hospital of Kifissia "Agioi Anargiroi", 2nd Department of Medical Oncology
Athens/New Kifissia, 14564
Hong Kong2 sites
Princess Margaret Hospital
Hong Kong
University of Hong Kong
Hong Kong
About this study
Official title: A PHASE 3, MULTICENTER, RANDOMIZED, OPEN-LABEL STUDY OF AVELUMAB (MSB0010718C) ALONE OR IN COMBINATION WITH PEGYLATED LIPOSOMAL DOXORUBICIN VERSUS PEGYLATED LIPOSOMAL DOXORUBICIN ALONE IN PATIENTS WITH PLATINUM-RESISTANT/REFRACTORY OVARIAN CANCER
A Phase 3 global study comparing avelumab alone to avelumab plus PLD and to PLD alone to demonstrate that avelumab given alone or in combination with PLD is superior to PLD alone in prolonging Overall Survival in patients with platinum resistant/platinum refractory ovarian cancer.
- Conditions
- Ovarian Cancer
- Being tested
- avelumab, PLD
- Keywords
- platinum resistant, platinum refractory
- Medical subject headings
- Ovarian Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
avelumabBiological
10 mg/kg will be given as a 1 hour intravenous infusion (IV) every 2 weeks (Q2W) in 4 week cycles
PLDDrug
Also called doxorubicin, caelyx
PLD (Arm B, Arm C) 40 mg/m2 will be given as a 1 hour IV infusion every 4 weeks (Q4W) in 4 week cycles
| Study group | Role | What they receive |
|---|---|---|
| avelumab | Experimental | Arm A: avelumab alone Receives: Biological: avelumab |
| avelumab plus pegylated liposomal doxorubicin (PLD) | Experimental | Arm B: avelumab plus PLD Receives: Biological: avelumab; Drug: PLD |
| PLD | Active comparator | Arm C: PLD alone Receives: Drug: PLD |
What is being measured
The primary outcome is the main question the study is designed to answer.
Overall Survival (OS)
OS is defined as the time from the date of randomization to the date of death due to any cause. OS time was summarized by treatment arm using the Kaplan-Meier method.
Measured: From randomization until the date of first documented progression or date of deaths from any cause, whichever came first, assessed up to 30 months (based on cutoff date: 19 September 2018).
Progression Free Survival (PFS) Based on Blinded Independent Central Review (BICR) According to Response Evaluation Criteria in Solid Tumors (RECIST) Version 1.1
PFS is defined as the time from date of randomization to the date of the first documentation of progression of disease (PD) or death due to any cause, whichever occurs first. PFS time was summarized by treatment arm using the Kaplan-Meier method. PFS based on BICR assessment was evaluated for this endpoint.
Measured: From randomization to date of first documentation of PD or death due to any cause whichever was first (up to 30 months); based on cutoff date: 19 September 2018.
Secondary outcomes (27)
Objective Response Rate (ORR) Based on BICR Assessment
Percentage of participants achieved objective response (OR) based on BICR assessment is presented for this endpoint. OR is defined as a complete response (CR, disappearance of all target lesions) or partial response (PR, >=30% decrease under the baseline of the sum of diameters of all target measurable lesions) according to the RECIST (version 1.1) recorded from randomization until disease progression or death due to any cause. Both CR and PR must be confirmed by repeat assessments performed no less than 4 weeks after the criteria for response are first met and before the first documentation of disease progression. Only tumor assessments performed on or before the start date of any further anti-cancer therapies are considered in the assessment of best overall response.
Measured: Tumor assessments as assessed by BICR were conducted at every 8 weeks from screening until documented disease progression (approximately up to 30 months); based on cutoff date: 19 September 2018.
ORR Based on Investigator Assessment
Percentage of participants achieved OR based on investigator assessment is presented for this endpoint. OR is defined as a CR (disappearance of all target lesions) or PR (>=30% decrease under the baseline of the sum of diameters of all target measurable lesions) according to the RECIST (version 1.1) recorded from randomization until disease progression or death due to any cause. The ORR on each randomized treatment arm were estimated by dividing the number of participants with OR (CR or PR) by number of participants randomized to the respective treatment arm.
Measured: Tumor assessments as assessed by investigator were conducted at every 8 weeks from screening until documented disease progression, up to 30 months; based on cutoff date: 19 September 2018.
PFS Based on Investigator Assessment According to RECIST Version 1.1
PFS is defined as the time from date of randomization to the date of the first documentation of PD or death due to any cause, whichever occurs first. PFS time was summarized by treatment arm using the Kaplan-Meier method.
Measured: From randomization to date of first documentation of PD or death due to any cause whichever was first (up to 30 months); based on cutoff date: 19 September 2018.
Duration of Response (DR) Based on BICR Assessment
DR is defined, for participants with an OR per RECIST version 1.1, as the time from the first documentation of objective tumor response (CR [disappearance of all target lesions] or PR [>=30% decrease under the baseline of the sum of diameters of all target measurable lesions]) to the first documentation of objective tumor progression or death due to any cause, whichever occurs first.
Measured: Tumor assessments as assessed by investigator were conducted at every 8 weeks from screening until documented disease progression, up to 30 months; based on cutoff date: 19 September 2018.
DR Based on Investigator Assessment
DR is defined, for participants with an OR per RECIST version 1.1, as the time from the first documentation of objective tumor response (CR [disappearance of all target lesions] or PR [>=30% decrease under the baseline of the sum of diameters of all target measurable lesions]) to the first documentation of objective tumor progression or death due to any cause, whichever occurs first.
Measured: Tumor assessments as assessed by investigator were conducted at every 8 weeks from screening until documented disease progression, up to 30 months; based on cutoff date: 19 September 2018.
Disease Control (DC) Rate Based on BICR Assessment
Percentage of participants achieving DC based on BICR assessment is presented in this endpoint. DC is a best overall response of CR (disappearance of all target lesions), PR (>=30% decrease under the baseline of the sum of diameters of all target measurable lesions), non-complete response/non-progressive disease or stable disease (SD) according to the RECIST version 1.1.
Measured: Tumor assessments as assessed by investigator were conducted at every 8 weeks from screening until documented disease progression, up to 30 months; based on cutoff date: 19 September 2018.
DC Rate Based on Investigator Assessment
Percentage of participants achieving DC based on investigator assessment is presented in this endpoint. DC is a best overall response of CR (disappearance of all target lesions), PR (>=30% decrease under the baseline of the sum of diameters of all target measurable lesions), non-complete response/non-progressive disease or SD according to the RECIST version 1.1.
Measured: Tumor assessments as assessed by investigator were conducted at every 8 weeks from screening until documented disease progression, up to 30 months; based on cutoff date: 19 September 2018.
Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)
An adverse event (AE) is any untoward medical occurrence in a clinical investigation patient administered a product or medical device; the event need not necessarily have a causal relationship with the treatment or usage. An SAE is an AE resulting in any of the following outcomes or deemed significant for any other reason: death; life-threatening; initial or prolonged inpatient hospitalization; persistent or significant disability/incapacity; congenital anomaly/birth defect; progression of the malignancy under study. Treatment emergent AEs are those events with onset dates occurring during the on-treatment period for the first time, or if the worsening of an event is during the on-treatment period.
Measured: From the time of the first dose of study treatment through a minimum of 30 days + last dose of study treatment, start day of new anti-cancer therapy -1 day (up to 70 months); based on cutoff date: 13 July 2022.
Number of Participants With Laboratory Abnormalities
The number of participants with following laboratory abnormalities meeting any of the Grades 1 to 4 classified according to National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) toxicity grading version 4.03 were summarized: hematology (anemia, lymphocyte count decreased, neutrophil count decreased; and platelet count decreased) and chemistry laboratory tests (creatinine increased; serum amylase increased and lipase increased).
Measured: From screening to the end of treatment/withdrawal visit, up to 2.7 years, based on cutoff date: 19 September 2018.
Change From Baseline in Vital Signs - Blood Pressure
Vital signs included blood pressure and pulse rate. Changes from baseline in sitting diastolic blood pressure (DBP) and systolic blood pressure (SBP) were summarized.
Measured: From screening to the end of treatment/withdrawal visit, up to 2.7 years, based on cutoff date: 19 September 2018.
Change From Baseline in Vital Signs - Pulse Rate
Vital signs included blood pressure and pulse rate. Changes from baseline in sitting pulse rate were summarized.
Measured: From screening to the end of treatment/withdrawal visit, up to 2.7 years, based on cutoff date: 19 September 2018.
Number of Participants With Electrocardiogram (ECG) Abnormalities
Categorical summarization ECG criteria were as follows: 1) QT interval, QTcB, QTcF and QTcP: increase from baseline >30 ms or 60 ms; absolute value > 450 ms, >480 ms and > 500 ms; 2) heart rate (HR): change from baseline >=20 bpm and absolute value <=50 bpm or >=120 bpm; 3) PR interval: absolute value >=220 ms and increase from baseline >=20 ms; 4) QRS: >= 120 ms.
Measured: From screening to the end of treatment/withdrawal visit, up to 2.7 years, based on cutoff date: 19 September 2018.
Number of Participants With % Left Ventricular Ejection Fraction (LVEF) Decrease From Baseline
LVEF decrease was summarized by multiple-gated acquisition (MUGA)/ echocardiogram (ECHO) parameter. Participants with a LVEF% >=10 points and >= 15 points decrease from baseline during the on-treatment period were summarized.
Measured: Screening, Cycle 3 Day 1 (repeated every 2 cycles) to the end of treatment/withdrawal visit, based on cutoff date: 19 September 2018.
Number of Participants With PD-L1 Expression for PFS (Based on BICR Assessment) and for OS
PD-L1 expression was assessed by immunohistochemistry. Participants were considered positive for PD-L1 if their baseline tissue sample demonstrated PD-L1 expression on >=1% of tumor cells or >=5% of immune cells.
Measured: Biomarkers are measured only at screening.
Number of Participants With CD8 Expression for PFS (Based on BICR Assessment) and for OS
Tumor infiltrating CD8 positive (CD8+) T lymphocytes was assessed by immunohistochemistry. Participants were considered positive for CD8 T cells if their baseline tissue sample demonstrated presence of >=1% CD8+ cells across the area of the tumor.
Measured: Biomarkers are measured only at screening.
Number of Participants With Improved, Stable and Deterioration Based on 10-Point Change for EORTC QLQ-C30 Global QoL
The European Organization for Research and Treatment of Cancer Quality of Life Questionnaire - Core 30 (EORTC QLQ-C30) is a 30 question survey and includes 5 functional domain subscales, global health status/quality of life, disease/treatment related symptoms, and the perceived financial impact of disease. Higher scores are reflective of a greater presence of symptoms.
Measured: Day 1 of Cycle 1, Day 1 of each subsequent cycle, end of treatment/withdrawal visit and the 30, 60 and 90 days safety follow up visits, based on cutoff date: 19 September 2018.
Time to Deterioration in Abdominal/GI Symptom Subscale of EORTC QLQ-OV28
The European Organization for Research and Treatment of Cancer Quality of Life Questionnaire Ovarian Cancer 28 (EORTC QLQ-OV28) is a 28 item instrument with 7 functional domain subscales. Time to deterioration was defined as the time from randomization to the first time the participant's score showed a 15-point or higher increase in the score of the abdominal/GI symptom subscale of the EORTC QLQ-OV28.
Measured: From Day 1 of Cycle 1 to prior to end of treatment/withdrawal visit, based on cutoff date: 19 September 2018.
Change From Baseline in EQ-VAS Score at End of Treatment
The EuroQol- 5 Dimensions- 5 Levels (EQ-5D-5L) questionnaire consists of the EQ-5D-5L descriptive system and a visual analogue scale (the EuroQol-visual analogue scale [EQ-VAS]). The respondent's self-rated health is assessed on a scale from 0 (worst imaginable health state) to 100 (best imaginable health state) by the EQ-VAS.
Measured: Baseline and end of treatment/withdrawal visit
Serum Trough Concentration (Ctrough) For Avelumab Following Cycle 2 Day 1 Pegylated Liposomal Doxorubicin (PLD) Dose
Ctrough was defined as predose concentration during multiple dosing, and can be observed directly from data.
Measured: At predose (0 H) on Cycle 2 Day 1
Serum Maximum Concentration (Cmax) For Avelumab Following Cycle 2 Day 1 PLD Dose
Cmax was defined as maximum observed serum concentration, and can be observed directly from data.
Measured: At postdose (end of infusion, 1H) on Cycle 2 Day 1
Cmax For Doxorubicin Following Cycle 2 Day 1 PLD Dose
Cmax was defined as maximum observed serum concentration, and can be observed directly from data.
Measured: From predose (0 H) of Cycle 2 Day 1 through 336 hours postdose
Area Under The Concentration Time Profile From Time Zero to 24 Hours (AUC24) For Doxorubicin Following Cycle 2 Day 1 PLD Dose
AUC24 was defined as area under the concentration time profile from time zero to 24 hours.
Measured: From 0 through 24 hours postdose
Area Under The Concentration Time Profile From Time Zero to 336 Hours (AUC336) For Doxorubicin Following Cycle 2 Day 1 PLD Dose
AUC336 was defined as area under the concentration time profile from time zero to 336 hours.
Measured: From predose (0 H) of Cycle 2 Day 1 through 336 hours postdose
Area Under The Concentration Time Profile From Time Zero to The Last Quantifiable Concentration (AUClast) For Doxorubicin Following Cycle 2 Day 1 PLD Dose
AUClast was defined as area under the concentration time profile from time zero to the time of the last quantifiable concentration (Clast).
Measured: From predose (0 H) of Cycle 2 Day 1 through 336 hours postdose
Number of Participants With Treatment-Boosted Anti-Drug Antibody (ADA)
Treatment-boosted ADA was defined as a positive ADA result at baseline and the titer ≥ 8×baseline titer at least once after treatment with avelumab.
Measured: At predose (0 H) of select cycles starting from Cycle 1 through Cycle 24, at end of treatment and 30 days after the last dose of avelumab
Number of Participants With Treatment-Induced ADA
Treatment-induced ADA was defined as participant who was ADA-negative at baseline and has at least one positive post-baseline ADA result; or if participant did not have a baseline sample, the participant had at least one positive past-baseline ADA result.
Measured: At predose (0 H) of select cycles starting from Cycle 1 through Cycle 24, at end of treatment and 30 days after the last dose of avelumab
Number of Participants With Treatment-Induced Neutralizing Antibody (nAb)
Treatment-induced nAb was defined as participant who was not nAb positive at baseline and had at least one positive post-baseline nAb result; or if participant did not have a baseline sample, the participant had at least one positive past-baseline ADA result.
Measured: At predose (0 H) of select cycles starting from Cycle 1 through Cycle 24, at end of treatment and 30 days after the last dose of avelumab
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted20 Oct 2015 (estimated)
- Study start21 Dec 2015
- Primary completion19 Sep 2018
- Study completion12 Jul 2022
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 (3)Papers the sponsor has linked to this study.
- Other trials for Ovarian CancerStudies of the same condition, open and under way.
- More trials run by PfizerThe 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 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 566 participants (actual)
Sponsor and investigators
- Lead sponsor
- Pfizer
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Pfizer CT.gov Call Center, Study director, Pfizer
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02580058
- Sponsor's protocol ID
- B9991009
- Other IDs
- 2015-003091-77, JAVELIN OVARIAN 200, 2015
- Status last verified
- Jun 2023
- First submitted
- 16 Oct 2015
- Last updated
- 10 Jul 2023
- Results posted
- Yes, on ClinicalTrials.gov
- Individual data sharing
- Yes: Pfizer will provide access to individual de-identified participant data and related study documents (e.g. protocol, Statistical Analysis Plan (SAP), Clinical Study Report (CSR)) upon request from qualified researchers, and subject to certain criteria, conditions, and exceptions. Further details on Pfizer's data sharing criteria and process for requesting access can be found at: https://www.pfizer.com/science/clinical\_trials/trial\_data\_and\_results/data\_requests.
Publications
Bonaca MP, Moslehi JJ, Ledermann JA, Michelon E, Wei C, Moran M, Monk BJ, Pujade-Lauraine E. Left Ventricular Ejection Fraction in Patients With Ovarian Cancer Treated With Avelumab, Pegylated Liposomal Doxorubicin, or Both. Oncologist. 2023 Oct 3;28(10):e977-e980. doi: 10.1093/oncolo/oyad213.
PubMed 37665777Newhouse 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 37407274Pujade-Lauraine E, Fujiwara K, Ledermann JA, Oza AM, Kristeleit R, Ray-Coquard IL, Richardson GE, Sessa C, Yonemori K, Banerjee S, Leary A, Tinker AV, Jung KH, Madry R, Park SY, Anderson CK, Zohren F, Stewart RA, Wei C, Dychter SS, Monk BJ. Avelumab alone or in combination with chemotherapy versus chemotherapy alone in platinum-resistant or platinum-refractory ovarian cancer (JAVELIN Ovarian 200): an open-label, three-arm, randomised, phase 3 study. Lancet Oncol. 2021 Jul;22(7):1034-1046. doi: 10.1016/S1470-2045(21)00216-3. Epub 2021 Jun 15.
PubMed 34143970
Study at a glance
From the registry record, last updated by the sponsor on 10 Jul 2023. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A PHASE 3, MULTICENTER, RANDOMIZED, OPEN-LABEL STUDY OF AVELUMAB (MSB0010718C) ALONE OR IN COMBINATION WITH PEGYLATED LIPOSOMAL DOXORUBICIN VERSUS PEGYLATED LIPOSOMAL DOXORUBICIN ALONE IN PATIENTS WITH PLATINUM-RESISTANT/REFRACTORY OVARIAN CANCER
- ClinicalTrials.gov ID
- NCT02580058
- Acronym / sponsor ID
- B9991009
- Conditions
- Ovarian Cancer
- Keywords
- platinum resistant, platinum refractory
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 566 participants (actual)
- Lead sponsor
- PfizerIndustry (pharma, biotech, devices)
- Study start
- 21 Dec 2015 (actual)
- Primary completion
- 19 Sep 2018 (actual)
- Study completion
- 12 Jul 2022 (actual)
- First posted
- 20 Oct 2015 (estimated)
- Results
- Posted 19 Nov 2019
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
A Phase 3 global study comparing avelumab alone to avelumab plus PLD and to PLD alone to demonstrate that avelumab given alone or in combination with PLD is superior to PLD alone in prolonging Overall Survival in patients with platinum resistant/platinum refractory ovarian cancer.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| avelumab | Experimental | Biological: avelumabArm A: avelumab alone |
| avelumab plus pegylated liposomal doxorubicin (PLD) | Experimental | Biological: avelumab, Drug: PLDArm B: avelumab plus PLD |
| PLD | Active comparator | Drug: PLDArm C: PLD alone |
Who may qualify
- Ages
- 18 years and older
- Sex
- Female only
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (6 listed)
- Histologically confirmed epithelial ovarian, fallopian tube, or peritoneal cancer, including malignant mixed Müllerian tumors with high grade serous component.
- Platinum resistant/refractory disease, defined as disease progression within 180 days following the last administered dose of platinum therapy (resistant), or lack of response or disease progression while receiving the most recent platinum based therapy (refractory), respectively.
- Received up to 3 lines of systemic anticancer therapy for platinum sensitive disease, most recently platinum containing, and no prior systemic therapy for platinum resistant disease
- Measurable disease by investigator assessment with at least 1 unidimensional measurable lesion by RECIST v.1.1 that has not previously been irradiated
- Active autoimmune disease that might deteriorate when receiving an immunostimulatory agents. Patients with diabetes type I, vitiligo, psoriasis, hypo or hyperthyroid disease not requiring immunosuppressive treatment are eligible.
Key exclusion criteria (5 listed)
- Non epithelial tumor or ovarian tumors with low malignant potential (ie, borderline tumors).
- Prior therapy with an anti PD 1, anti PD L1, anti PD L2, anti CD137, or anti cytotoxic T lymphocyte associated antigen 4 (CTLA 4) antibody (including ipilimumab, tremelimumab or any other antibody or drug specifically targeting T cell co stimulation or immune checkpoint pathways).
- Known symptomatic brain metastases requiring steroids. Patients with previously diagnosed brain metastases are eligible if they have completed their treatment and have recovered from the acute effects of radiation therapy or surgery prior to study entry, have discontinued corticosteroid treatment for these metastases for at least 4 weeks prior to study entry and are neurologically stable.
- Diagnosis of any other malignancy within 5 years prior to registration, except for adequately treated basal cell or squamous cell skin cancer, or carcinoma in situ of the breast or of the cervix.
- Severe gastrointestinal conditions such as clinical or radiological evidence of bowel obstruction within 4 weeks prior to study entry, uncontrolled diarrhea in the last 4 weeks prior to enrollment, or history of inflammatory bowel disease.
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 |
|---|---|---|
| avelumab10 mg/kg will be given as a 1 hour intravenous infusion (IV) every 2 weeks (Q2W) in 4 week cycles | Biological | avelumab, avelumab plus pegylated liposomal doxorubicin (PLD) |
| PLDAlso: doxorubicin, caelyxPLD (Arm B, Arm C) 40 mg/m2 will be given as a 1 hour IV infusion every 4 weeks (Q4W) in 4 week cycles | Drug | PLD, avelumab plus pegylated liposomal doxorubicin (PLD) |
Primary outcome
Overall Survival (OS)
Time frame: From randomization until the date of first documented progression or date of deaths from any cause, whichever came first, assessed up to 30 months (based on cutoff date: 19 September 2018).
OS is defined as the time from the date of randomization to the date of death due to any cause. OS time was summarized by treatment arm using the Kaplan-Meier method.
Progression Free Survival (PFS) Based on Blinded Independent Central Review (BICR) According to Response Evaluation Criteria in Solid Tumors (RECIST) Version 1.1
Time frame: From randomization to date of first documentation of PD or death due to any cause whichever was first (up to 30 months); based on cutoff date: 19 September 2018.
PFS is defined as the time from date of randomization to the date of the first documentation of progression of disease (PD) or death due to any cause, whichever occurs first. PFS time was summarized by treatment arm using the Kaplan-Meier method. PFS based on BICR assessment was evaluated for this endpoint.
27 secondary outcomes
Objective Response Rate (ORR) Based on BICR Assessment
Time frame: Tumor assessments as assessed by BICR were conducted at every 8 weeks from screening until documented disease progression (approximately up to 30 months); based on cutoff date: 19 September 2018.
ORR Based on Investigator Assessment
Time frame: Tumor assessments as assessed by investigator were conducted at every 8 weeks from screening until documented disease progression, up to 30 months; based on cutoff date: 19 September 2018.
PFS Based on Investigator Assessment According to RECIST Version 1.1
Time frame: From randomization to date of first documentation of PD or death due to any cause whichever was first (up to 30 months); based on cutoff date: 19 September 2018.
Duration of Response (DR) Based on BICR Assessment
Time frame: Tumor assessments as assessed by investigator were conducted at every 8 weeks from screening until documented disease progression, up to 30 months; based on cutoff date: 19 September 2018.
DR Based on Investigator Assessment
Time frame: Tumor assessments as assessed by investigator were conducted at every 8 weeks from screening until documented disease progression, up to 30 months; based on cutoff date: 19 September 2018.
Disease Control (DC) Rate Based on BICR Assessment
Time frame: Tumor assessments as assessed by investigator were conducted at every 8 weeks from screening until documented disease progression, up to 30 months; based on cutoff date: 19 September 2018.
DC Rate Based on Investigator Assessment
Time frame: Tumor assessments as assessed by investigator were conducted at every 8 weeks from screening until documented disease progression, up to 30 months; based on cutoff date: 19 September 2018.
Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)
Time frame: From the time of the first dose of study treatment through a minimum of 30 days + last dose of study treatment, start day of new anti-cancer therapy -1 day (up to 70 months); based on cutoff date: 13 July 2022.
Number of Participants With Laboratory Abnormalities
Time frame: From screening to the end of treatment/withdrawal visit, up to 2.7 years, based on cutoff date: 19 September 2018.
Change From Baseline in Vital Signs - Blood Pressure
Time frame: From screening to the end of treatment/withdrawal visit, up to 2.7 years, based on cutoff date: 19 September 2018.
Change From Baseline in Vital Signs - Pulse Rate
Time frame: From screening to the end of treatment/withdrawal visit, up to 2.7 years, based on cutoff date: 19 September 2018.
Number of Participants With Electrocardiogram (ECG) Abnormalities
Time frame: From screening to the end of treatment/withdrawal visit, up to 2.7 years, based on cutoff date: 19 September 2018.
Number of Participants With % Left Ventricular Ejection Fraction (LVEF) Decrease From Baseline
Time frame: Screening, Cycle 3 Day 1 (repeated every 2 cycles) to the end of treatment/withdrawal visit, based on cutoff date: 19 September 2018.
Number of Participants With PD-L1 Expression for PFS (Based on BICR Assessment) and for OS
Time frame: Biomarkers are measured only at screening.
Number of Participants With CD8 Expression for PFS (Based on BICR Assessment) and for OS
Time frame: Biomarkers are measured only at screening.
Number of Participants With Improved, Stable and Deterioration Based on 10-Point Change for EORTC QLQ-C30 Global QoL
Time frame: Day 1 of Cycle 1, Day 1 of each subsequent cycle, end of treatment/withdrawal visit and the 30, 60 and 90 days safety follow up visits, based on cutoff date: 19 September 2018.
Time to Deterioration in Abdominal/GI Symptom Subscale of EORTC QLQ-OV28
Time frame: From Day 1 of Cycle 1 to prior to end of treatment/withdrawal visit, based on cutoff date: 19 September 2018.
Change From Baseline in EQ-VAS Score at End of Treatment
Time frame: Baseline and end of treatment/withdrawal visit
Serum Trough Concentration (Ctrough) For Avelumab Following Cycle 2 Day 1 Pegylated Liposomal Doxorubicin (PLD) Dose
Time frame: At predose (0 H) on Cycle 2 Day 1
Serum Maximum Concentration (Cmax) For Avelumab Following Cycle 2 Day 1 PLD Dose
Time frame: At postdose (end of infusion, 1H) on Cycle 2 Day 1
Cmax For Doxorubicin Following Cycle 2 Day 1 PLD Dose
Time frame: From predose (0 H) of Cycle 2 Day 1 through 336 hours postdose
Area Under The Concentration Time Profile From Time Zero to 24 Hours (AUC24) For Doxorubicin Following Cycle 2 Day 1 PLD Dose
Time frame: From 0 through 24 hours postdose
Area Under The Concentration Time Profile From Time Zero to 336 Hours (AUC336) For Doxorubicin Following Cycle 2 Day 1 PLD Dose
Time frame: From predose (0 H) of Cycle 2 Day 1 through 336 hours postdose
Area Under The Concentration Time Profile From Time Zero to The Last Quantifiable Concentration (AUClast) For Doxorubicin Following Cycle 2 Day 1 PLD Dose
Time frame: From predose (0 H) of Cycle 2 Day 1 through 336 hours postdose
Number of Participants With Treatment-Boosted Anti-Drug Antibody (ADA)
Time frame: At predose (0 H) of select cycles starting from Cycle 1 through Cycle 24, at end of treatment and 30 days after the last dose of avelumab
Number of Participants With Treatment-Induced ADA
Time frame: At predose (0 H) of select cycles starting from Cycle 1 through Cycle 24, at end of treatment and 30 days after the last dose of avelumab
Number of Participants With Treatment-Induced Neutralizing Antibody (nAb)
Time frame: At predose (0 H) of select cycles starting from Cycle 1 through Cycle 24, at end of treatment and 30 days after the last dose of avelumab
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 10 Jul 2023.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 37665777Bonaca MP, Moslehi JJ, Ledermann JA, Michelon E, Wei C, Moran M, Monk BJ, Pujade-Lauraine E. Left Ventricular Ejection Fraction in Patients With Ovarian Cancer Treated With Avelumab, Pegylated Liposomal Doxorubicin, or Both. Oncologist. 2023 Oct 3;28(10):e977-e980. doi: 10.1093/oncolo/oyad213.
- Derived from this study: PubMed 37407274Newhouse 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.
- Derived from this study: PubMed 34143970Pujade-Lauraine E, Fujiwara K, Ledermann JA, Oza AM, Kristeleit R, Ray-Coquard IL, Richardson GE, Sessa C, Yonemori K, Banerjee S, Leary A, Tinker AV, Jung KH, Madry R, Park SY, Anderson CK, Zohren F, Stewart RA, Wei C, Dychter SS, Monk BJ. Avelumab alone or in combination with chemotherapy versus chemotherapy alone in platinum-resistant or platinum-refractory ovarian cancer (JAVELIN Ovarian 200): an open-label, three-arm, randomised, phase 3 study. Lancet Oncol. 2021 Jul;22(7):1034-1046. doi: 10.1016/S1470-2045(21)00216-3. Epub 2021 Jun 15.
- To obtain contact information for a study center near you, click here.Link provided by the sponsor.
- To obtain contact information for a study center near you, click here.Link provided by the sponsor.
- Individual participant dataSharing planned: Yes. Pfizer will provide access to individual de-identified participant data and related study documents (e.g. protocol, Statistical Analysis Plan (SAP), Clinical Study Report (CSR)) upon request from qualified researchers, and subject to certain criteria, conditions, and exceptions. Further details on Pfizer's data sharing criteria and process for requesting access can be found at: https://www.pfizer.com/science/clinical_trials/trial_data_and_results/data_requests.
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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.
Pfizer CT.gov Call Center study director
Pfizer
295 sites in 25 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing avelumab and PLD in people with Ovarian Cancer, run by Pfizer at 295 sites in 25 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 6 inclusion and 5 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 Jul 2023. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 295 sites in United States, Italy, Australia, Japan, United Kingdom and 20 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 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 19 Nov 2019). 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?
Overall Survival (OS) (time frame: From randomization until the date of first documented progression or date of deaths from any cause, whichever came first, assessed up to 30 months (based on cutoff date: 19 September 2018).). The study lists 2 primary outcomes in all. 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 NCT02580058, which also lists 3 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 10 Jul 2023.