Clinical Trials /

Study of Tremelimumab Alone or Combined With Olaparib for Patients With Persistent EOC (Epithelial Ovarian, Fallopian Tube or Primary Peritoneal Carcinoma)

NCT02485990

Description:

This study will be looking at what dose of tremelimumab and olaparib is safe and effective in patients with persistent EOC (Epithelial Ovarian, Fallopian Tube or Primary Peritoneal Carcinoma).

Related Conditions:
  • Fallopian Tube Carcinoma
  • Ovarian Carcinoma
  • Primary Peritoneal Carcinoma
Recruiting Status:

Terminated

Phase:

Phase 1

Trial Eligibility

Document

Title

  • Brief Title: Study of Tremelimumab Alone or Combined With Olaparib for Patients With Persistent EOC (Epithelial Ovarian, Fallopian Tube or Primary Peritoneal Carcinoma)
  • Official Title: An Open Label Dose Escalation/Expansion Study of Tremelimumab Alone or Combined With Olaparib for Recurrent or Persistent EOC (Epithelial Ovarian, Fallopian Tube or Primary Peritoneal Carcinoma)

Clinical Trial IDs

  • ORG STUDY ID: J15113
  • SECONDARY ID: IRB00064379
  • NCT ID: NCT02485990

Conditions

  • Primary Peritoneal Carcinoma

Interventions

DrugSynonymsArms
TremelimumabArm A: Tremelimumab Alone
OlaparibLYNPARZAArm B1: DESE Tremelimumab and Olaparib

Purpose

This study will be looking at what dose of tremelimumab and olaparib is safe and effective in patients with persistent EOC (Epithelial Ovarian, Fallopian Tube or Primary Peritoneal Carcinoma).

Detailed Description

      This clinical trial was initially intended to be a Phase 1/2 trial, but the trial never moved
      forward to Phase 2 prior to termination.
    

Trial Arms

NameTypeDescriptionInterventions
Arm A: Tremelimumab AloneExperimental25 patients will receive tremelimumab alone at 10 mg/kg IV every 4 weeks for 7 doses then every 12 weeks until disease progression.
  • Tremelimumab
Arm B1: DESE Tremelimumab and OlaparibExperimental18 patients will receive tremelimumab (3 or 10 mg/kg IV) every 4 weeks for 7 doses then every 12 weeks and olaparib (150 or 300 mg orally twice a day) until disease progression.
  • Tremelimumab
  • Olaparib
Arm B2: Tremelimumab and OlaparibExperimental25 patients will receive tremelimumab (every 4 weeks for 7 doses then every 12 weeks) and olaparib (daily) until disease progression. Dose of tremelimumab and olaparib will be determined during the DESE (Arm B1).
  • Tremelimumab
  • Olaparib

Eligibility Criteria

        Inclusion Criteria:

          1. Signed informed consent form

          2. Age ≥ 18 years

          3. Recurrent or persistent EOC (epithelial ovarian, fallopian tube or primary peritoneal
             carcinoma)

          4. Have archival tissue or willingness to undergo a tumor biopsy

          5. Have measurable disease

          6. Have had one prior taxane-platinum-based chemotherapeutic regimen

          7. Have had a treatment-free interval following platinum-based therapy of less than 12
             months, have progressed during platinum-based therapy, or had persistent disease after
             a platinum-based regimen

          8. Have received hormonal therapy

          9. ECOG Performance Status of 0 to 1

         10. Ability to take oral medications

         11. HIV, HTLV-1, HBV, and HCV negative

         12. Adequate organ and bone marrow function as defined by study-specified laboratory tests

         13. Normal blood coagulation parameters

         14. Life expectancy greater than 16 weeks

         15. Must use acceptable form of birth control through the study and for 28 days after
             final dose of study drug

         16. Willing and able to comply with study procedures

        Exclusion Criteria:

          1. Prior therapy with an anti-CTLA-4 antibody or PARP inhibitor

          2. Active infection requiring antibiotics

          3. Active autoimmune disease

          4. Active and uncontrolled intercurrent illness

          5. History of other cancers within the past 5 years

          6. Systemically active steroid use

          7. Receiving systemic chemotherapy or radiotherapy within 4 weeks prior to the first dose
             of study drug

          8. Use of ketoconazole, itraconazole, ritonavir, indinavir, saquinavir, telithromycin,
             clarithromycin and nelfinavir

          9. Requirement for chronic parenteral hydration/nutrition

         10. Vaccination with live attenuated vaccine within 1 month prior to first dose of study
             drug

         11. Patients with untreated brain metastases, treated brain metastases that are not
             stable, leptomeningeal disease, or seizures uncontrolled with standard medical therapy

         12. Patients with myelodysplastic syndrome/acute myeloid leukaemia

         13. History of diverticulitis

         14. History of bleeding disorder or diathesis.

         15. Serious or nonhealing wound, ulcer, bone fracture, or osteonecrosis of the jaw

         16. Major surgical procedure within 28 days of study enrollment, or anticipated while on
             study.

         17. Pregnant or breast feeding woman
      
Maximum Eligible Age:N/A
Minimum Eligible Age:18 Years
Eligible Gender:All
Healthy Volunteers:No

Primary Outcome Measures

Measure:Adverse events as a measure of the safety and tolerability profile of tremelimumab in combination with olaparib
Time Frame:4 years
Safety Issue:
Description:Number of participants experiencing study drug-related dose limiting toxicities (DLTs). Dose escalation (phase I) portion of the trial only.

Secondary Outcome Measures

Measure:Progression Free Survival (PFS) Rate at 6 months by RECIST
Time Frame:6 months
Safety Issue:
Description:PFS rate is defined as the percentage of patients with disease progression (PD or relapse from CR as assessed using RECIST 1.1 criteria) or death due to any cause at 6 months. Per RECIST 1.1 criteria, Complete Response (CR) = disappearance of all target lesions, Partial Response (PR) is =>30% decrease in sum of diameters of target lesions, Progressive Disease (PD) is >20% increase in sum of diameters of target lesions, Stable Disease (SD) is <30% decrease or <20% increase in sum of diameters of target lesions. Estimation based on the Kaplan-Meier curve.
Measure:Progression Free Survival (PFS) Rate at 6 months by irRECIST
Time Frame:6 months
Safety Issue:
Description:PFS rate is defined as the percentage of patients with disease progression (irPD or relapse from irCR as assessed using irRECIST criteria) or death due to any cause at 6 months. Per irRECIST criteria, irCR = disappearance of all lesions, irPR is =>30% decrease in tumor burden, irPD is >20% increase in tumor burden compared with nadir, irSD is <30% decrease in tumor burden compared with baseline cannot be established nor <20% increase compared with nadir. Estimation based on the Kaplan-Meier curve.
Measure:Objective Response Rate (ORR) by RECIST
Time Frame:4 years
Safety Issue:
Description:Objective Response Rate (ORR) is defined as the percentage of patients achieving a complete response (CR) or partial response (PR) based on RECIST 1.1 criteria. Per RECIST 1.1 criteria, CR = disappearance of all target lesions and PR is =>30% decrease in sum of diameters of target lesions.
Measure:Objective Response Rate (ORR) by irRECIST
Time Frame:4 years
Safety Issue:
Description:Objective Response Rate (irORR) is defined as the percentage of patients achieving a complete response (irCR) or partial response (irPR) based on irRECIST criteria. Per irRECIST criteria, irCR = disappearance of all lesions and irPR is =>30% decrease in tumor burden.
Measure:Duration of Response by RECIST
Time Frame:4 years
Safety Issue:
Description:Number of months from the start date of PR or CR (whichever response is recorded first) and subsequently confirmed to the first date that recurrent or progressive disease or death is documented. Per RECIST 1.1 criteria, CR = disappearance of all target lesions, PR is =>30% decrease in sum of diameters of target lesions, and PD is >20% increase in sum of diameters of target lesions.
Measure:Duration of Response by irRECIST
Time Frame:4 years
Safety Issue:
Description:Number of months from the start date of irPR or irCR (whichever response is recorded first) and subsequently confirmed to the first date that recurrent or progressive disease or death is documented. Per irRECIST criteria, irCR = disappearance of all lesions, irPR is =>30% decrease in tumor burden, and irPD is is >20% increase in tumor burden compared with nadir.
Measure:Disease Control Rate (DCR)
Time Frame:4 years
Safety Issue:
Description:DCR is defined as the number of patients achieving a complete response (CR) or partial response (PR) or stable disease (SD) based on RECIST 1.1 criteria at any time during the study. CR = disappearance of all target lesions, PR is =>30% decrease in sum of diameters of target lesions, PD is >20% increase in sum of diameters of target lesions, SD is <30% decrease or <20% increase in sum of diameters of target lesions. Estimation based on the Kaplan-Meier curve.
Measure:Progression-Free Survival (PFS)
Time Frame:4 years
Safety Issue:
Description:PFS is defined as the number of patients with disease progression (progressive disease [PD] or relapse from complete response [CR] as assessed using RECIST 1.1 criteria) or death due to any cause. Per RECIST 1.1 criteria, CR = disappearance of all target lesions, Partial Response (PR) is =>30% decrease in sum of diameters of target lesions, Progressive Disease (PD) is >20% increase in sum of diameters of target lesions, Stable Disease (SD) is <30% decrease or <20% increase in sum of diameters of target lesions. Estimation based on the Kaplan-Meier curve.
Measure:Overall Survival (OS)
Time Frame:4 years
Safety Issue:
Description:OS will be measured from date of first dose until death or end of followup (OS will be censored on the date the subject was last known to be alive for subjects without documentation of death at the time of analysis). Estimation based on the Kaplan-Meier curve.

Details

Phase:Phase 1
Primary Purpose:Interventional
Overall Status:Terminated
Lead Sponsor:Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins

Trial Keywords

  • Fallopian Tube
  • Epithelial Ovarian
  • EOC

Last Updated

April 12, 2021