Ovarian Cancer Clinical Trial
Efficacy Multicentre Trial of ImmunoTherapy Vaccination With Abagovomab to Treat Ovarian Cancer Patients
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.
Full 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.
Eligibility Criteria
Inclusion Criteria:
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:
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.
Exclusion Criteria:
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);
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.
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There are 150 Locations for this study
Los Angeles California, 90048, United States
Los Angeles California, 90095, United States
Stanford California, 94305, United States
Denver Colorado, 80262, United States
Farmington Connecticut, 06030, United States
Miami Florida, 33136, United States
Orlando Florida, 32804, United States
Savannah Georgia, 31404, United States
Indianapolis Indiana, 46202, United States
Baltimore Maryland, 21237, United States
Boston Massachusetts, 02215, United States
Detroit Michigan, 48202, United States
Saint Louis Missouri, 63130, United States
Saint Louis Missouri, 63141, United States
Las Vegas Nevada, 89109, United States
Hackensack New Jersey, 07601, United States
Buffalo New York, 14263, United States
New York New York, 10021, United States
Durham North Carolina, 27710, United States
Pittsburgh Pennsylvania, 15213, United States
Providence Rhode Island, 02903, United States
Memphis Tennessee, 38120, United States
Aalst , 9300, Belgium
Bruxelles , 1200, Belgium
Gent , 9000, Belgium
Liège , 4000, Belgium
Namur , 5000, Belgium
Wilrijk , 2610, Belgium
Brno , 65677, Czech Republic
Brno , 65691, Czech Republic
Ceske Budejovice , 37087, Czech Republic
Hradec Králové , 50005, Czech Republic
Liberec , 46063, Czech Republic
Olomouc , 77520, Czech Republic
Ostrava , 708 5, Czech Republic
Pardubice , 53203, Czech Republic
Plzen , 32600, Czech Republic
Praha 2 , 12851, Czech Republic
Praha 8 , 18000, Czech Republic
Praha , 100 3, Czech Republic
Zlin , 762 7, Czech Republic
Bordeaux Cedex , 33076, France
Le Mans Cedex , 72015, France
Nantes Cedex , 44202, France
Paris , 75181, France
Berlin , 13125, Germany
Berlin , 13353, Germany
Bonn , 53125, Germany
Bremen , 28177, Germany
Chemnitz , 09009, Germany
Cloppenburg , 49661, Germany
Dresden , 01307, Germany
Düsseldorf , 40217, Germany
Ebersberg , 85560, Germany
Erlangen , 91054, Germany
Essen , 45122, Germany
Frankfurt , 60591, Germany
Freiburg , 79106, Germany
Greifswald , 17487, Germany
Göttingen , 37075, Germany
Halle/Saale , 6120, Germany
Hamburg , 20251, Germany
Hannover , 30625, Germany
Jena , 07743, Germany
Karlsruhe , 76137, Germany
Kassel , 32125, Germany
Kiel , 24105, Germany
Köln , 50924, Germany
Leonberg , 71229, Germany
Lich , 35423, Germany
Limburg , 65549, Germany
Magdeburg , 39101, Germany
Magdeburg , 39104, Germany
Magdeburg , 39108, Germany
Mainz , 55131, Germany
Marburg , 35043, Germany
München , 80337, Germany
München , 81377, Germany
München , 81657, Germany
Offenbach , 63069, Germany
Paderborn , 33098, Germany
Radebeul , 01445, Germany
Regensburg , 93053, Germany
Rostock , 18059, Germany
Tübingen , 72576, Germany
Ulm , 89075, Germany
Villingen-Schwenningen , 78050, Germany
Wiesbaden , 65189, Germany
Wiesbaden , 65199, Germany
Wolfsburg , 38440, Germany
Budapest , 1032, Hungary
Budapest , 1085, Hungary
Budapest , 1088, Hungary
Debrecen , 4012, Hungary
Győr , 9024, Hungary
NyÃregyháza , 4400, Hungary
Pécs , 7624, Hungary
Tatabanya , 2800, Hungary
Bari , 70124, Italy
Bologna , 40138, Italy
Campobasso , 86100, Italy
Carpi (MO) , 41012, Italy
Faenza , 48018, Italy
Firenze , 50100, Italy
Genova , 16132, Italy
Milano , 20133, Italy
Milano , 20141, Italy
Modena , 41100, Italy
Napoli , 80131, Italy
Potenza , 85100, Italy
Reggio di Calabria , 89125, Italy
Reggio Emilia , 42100, Italy
Roma , 00161, Italy
Roma , 00168, Italy
San Giovanni Rotondo (FG) , 71013, Italy
Torino , 10126, Italy
Bytom , 41-90, Poland
Czestochowa , 42-20, Poland
Gdansk , 80-21, Poland
Krakow , 31-10, Poland
Krakow , 31-11, Poland
Lodz , 93-50, Poland
Olsztyn , 10-22, Poland
Poznan , 61-87, Poland
Rybnik , 44-20, Poland
Torun , 87-10, Poland
Warszawa , 00-90, Poland
Warszawa , 02-50, Poland
Warszawa , 02-78, Poland
Badalona , 08916, Spain
Barcelona , 8035, Spain
Barcelona , 8036, Spain
Córdoba , 14004, Spain
Elche , 3203, Spain
Girona , 17007, Spain
Granada , 18014, Spain
Huelva , 21005, Spain
Jaen , 23007, Spain
La Coruna , 15009, Spain
Lerida , 25198, Spain
Madrid , 28033, Spain
Madrid , 28040, Spain
Mataró , 08304, Spain
Málaga , 29010, Spain
Oviedo , 33006, Spain
Palma de Mallorca , 07198, Spain
Palma de Mallorca , 7014, Spain
Santiago de Compostela , 15706, Spain
Sevilla , 41013, Spain
Valencia , 46014, Spain
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