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A Study of the Safety and Pharmacokinetics of AGS-8M4 Given in Combination With Chemotherapy in Women With Ovarian Cancer

Phase 1
Terminated
Conditions
Carcinoma
Ovarian Cancer
Ovarian Diseases
Ovarian Neoplasms
Interventions
Biological: AGS-8M4
Drug: Pegylated liposomal doxorubicin (PLD)
Drug: gemcitabine
Drug: carboplatin
Registration Number
NCT01016054
Lead Sponsor
Astellas Pharma Inc
Brief Summary

This is a parallel arm study to evaluate AGS-8M4 administered in combination with chemotherapy in subjects with ovarian cancer. AGS-8M4 will be administered as an IV infusion until disease worsens.

Detailed Description

All Subjects will receive AGS-8M4 treatment. Subjects will be enrolled into 1 of 2 treatment arms according to their disease status. A disease assessment will be performed every 8 or 9 weeks (± 3 days) depending on the treatment arm assignment. The assessment will be based both on changes in clinical symptoms, and radiographic images. Subjects without evidence of disease progression may continue to receive treatment based on their original treatment assignment until disease progression or intolerability. A safety follow-up visit will occur 4 weeks after the last dose infusion of AGS-8M4.

Recruitment & Eligibility

Status
TERMINATED
Sex
Female
Target Recruitment
4
Inclusion Criteria
  • Subjects with recurrent disease Stage III/IV diagnosis of epithelial ovarian cancer, fallopian tube cancer, or primary peritoneal carcinoma
  • Subjects with either platinum resistant or platinum sensitive ovarian cancer
  • At least 14 days of previous cytotoxic chemotherapy and have recovered from all toxicities
  • Left ventricular ejection fraction (LVEF) equal to or greater than the institutional lower limit of normal as measured by echocardiogram or MUGA (ONLY required for platinum resistant patients)
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Exclusion Criteria
  • Active infection requiring treatment with systemic (intravenous or oral) anti-infectives (antibiotic, antifungal, or antiviral agent) within 72 hours of screening
  • Use of any investigational drug within 30 days prior to screening
  • Prior monoclonal antibody therapy other than Avastin
  • Avastin administration within 90 days of screening
  • History of thromboembolic events and bleeding disorders ≤ 3 months (e.g.,DVT or PE)
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Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
A. PLD plus AGS-8M4Pegylated liposomal doxorubicin (PLD)Women with platinum resistent ovarian cancer
B. Carboplatin and gemcitabine plus AGS-8M4AGS-8M4Women with platinum sensitive ovarian cancer
A. PLD plus AGS-8M4AGS-8M4Women with platinum resistent ovarian cancer
B. Carboplatin and gemcitabine plus AGS-8M4gemcitabineWomen with platinum sensitive ovarian cancer
B. Carboplatin and gemcitabine plus AGS-8M4carboplatinWomen with platinum sensitive ovarian cancer
Primary Outcome Measures
NameTimeMethod
Incidence of adverse eventsThroughout the treatment
Secondary Outcome Measures
NameTimeMethod
Assessment of PK variablesTreatment Arm A: Weeks 1 and 3 of each cycle. Treatment Arm B: Week 1 of each cycle. In addition, samples will be drawn at the Safety F/U, 2 Month F/U and 3 Month F/U visits.
Incidence of anti-AGS-8M4 antibody formationTreatment Arm A: Day 1 of every other cycle and at Day 15 for the first cycle only. Treatment Arm B: Day 1 of every other cycle. In addition, samples will be drawn at the Safety F/U, 2 Month F/U and 3 Month F/U visits.
Changes in tumor status per RECISTTreatment Arm A: Every 8 weeks. Treatment Arm B: Every 9 weeks.
Change in CA-125 levelsTreatment Arm A: Day 1 and Day 15 of each cycle. Treatment Arm B: Day 1 of each cycle. In addition, samples will be drawn at the Safety F/U.
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