Phase 2
N=59
Chemoimmunotherapy Study for Patients With Epithelial Ovarian Cancer
Ovarian Cancer · Fallopian Tube Cancer · Peritoneal Cancer
Bottom Line
View on ClinicalTrials.gov: NCT00501644 ↗Enrolled (actual)
59
Serious AEs
37.0%
Results posted
Jan 2011
Primary outcome: Primary: Number of Patients With Response — 9; 21; 24 Participants
Study Design & Population
- Study type
- Interventional
- Phase
- Phase 2
- Interventions
- Carboplatin (Drug); GM-CSF (Sargramostim) (Drug); Interferon Gamma (Drug)
- Age
- Pediatric, Adult, Older Adult
- Sex
- Female
- Sponsor
- M.D. Anderson Cancer Center
- Primary completion
- Jan 2009
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Number of Patients With Response |
9; 21; 24 | — |
Summary
Primary Objectives:
1. Determine response rate, time to progression, and toxicity of a schedule of carboplatin by IV (intravenous) infusion, GM-CSF and rIFN-g by SC (subcutaneous injection) in patients with potentially platinum-sensitive recurrent Müllerian carcinomas.
2. Determine whether this treatment schedule is associated with:
1. increased levels of monocytes (>2-fold and absolute numbers 1000 cells/ml,) and of LN-DR+ DC (CD11c+ and CD123+ subsets)
2. induction of priming and activation of MO/MA (monocytes/ macrophages), and maturation of DC (dendritic cells).
3. Determine the toxicity profile of consolidation treatment with IP (intraperitoneal) injections of rIFN-g added to carboplatin (IV) and GM-CSF (SC) for 4 doses/course.
4. Determine the effects of carboplatin plus GM-CSF and rIFN-g on quality of life in patients with platinum-sensitive Müllerian carcinomas.
5. To begin an exploration of cell surface proteins on purified activated peripheral blood and ascites monocyte/macrophages both before and after treatment with GM-CSFand rIFN-g.
Eligibility Criteria
Inclusion Criteria
- Patients with Müllerian carcinomas (primary epithelial ovarian, primary peritoneal, or fallopian tube) who have had a response to platinum-based chemotherapy and have a chemotherapy treatment-free interval of at least 6 months. These patients are designated potentially platinum-sensitive.
- Measurable disease by radiological or clinical examination parameters.
- No prior immunotherapy.
- No concurrent steroids or radiation therapy.
- Adequate hematological parameters (ANC >/= 1500 cells/UL, platelets >/= 100,000 cells/UL
- Adequate renal function (serum creatinine 10% over 4 months
- Radiation therapy to whole abdomen
- History of clinical or EKG findings suggestive of active (within the last 6 months) heart disease
- Patients with active autoimmune or inflammatory bowel disease
- Patients with an active serious infection or other serious underlying medical condition that would otherwise impair their ability to receive protocol treatment.
- Dementia or significantly altered mental status that would prohibit the understanding and/or giving of informed consent.
- Patients with prior hypersensitivity to platinum agents
- Patients with history of other malignancy, with the exception of non-melanomatous skin cancer; unless in complete remission and off therapy for a minimum of 5 years.
Data sourced from ClinicalTrials.gov (NCT00501644). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.