Phase 2
Completed N=171
OPT-821 With or Without Vaccine Therapy in Treating Patients With Ovarian Epithelial Cancer, Fallopian Tube Cancer, or Peritoneal Cancer in Second or Third Complete Remission
Stage IA Fallopian Tube Cancer · Ovarian Cancer · Stage IB Fallopian Tube Cancer · Stage IC Fallopian Tube Cancer
Source: ClinicalTrials.gov NCT00857545 ↗
Enrolled (actual)
171
Serious AEs
11.2%
Results posted
Sep 2017
Primary outcomePrimary: Progression-free Survival (PFS) — 5.9; 6.5 Months
Summary
This randomized phase II trial studies OPT-821 and vaccine therapy to see how well they work compared with OPT-821 alone in treating patients with ovarian epithelial cancer, fallopian tube cancer, or peritoneal cancer that has decreased or disappeared, but the cancer may still be in the body. Biological therapies, such as OPT-821, may stimulate the immune system in different ways and stop tumor cells from growing. Vaccines may help the body build an effective immune response to kill tumor cells. It is not yet known whether OPT-821 is more effective with or without vaccine therapy in treating patients with ovarian epithelial cancer, fallopian tube cancer, or peritoneal cancer.
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Progression-free Survival (PFS) |
5.9; 6.5 | — |
| SECONDARY Incidence of Adverse Effects (Grade 3 or Higher) During Treatment Period |
0; 0; 0; 0; 1; 1 | — |
| SECONDARY Overall Survival |
46.5; 46.2 | — |
Eligibility Criteria
Inclusion Criteria
- Patients with histologically documented epithelial carcinoma arising in the ovary, fallopian tube, or peritoneum, of any stage or grade at diagnosis; all patients must have had cytoreductive surgery and chemotherapy with at least one platinum-based chemotherapy regimen as part of primary treatment
- Patients who recurred on or after initial therapy, and are now in a second or third complete clinical remission and who are within four months of their last treatment are eligible; complete clinical remission is defined as serum cancer antigen (CA)-125 within institutional normal limits, negative physical examination, and no definite evidence of disease by computed tomography (CT) of the abdomen and pelvis; lymph nodes and/or soft tissue abnormalities =< 1.0 cm are often present in the pelvis and will not be considered definite evidence of disease; eligibility is determined by anatomical imaging only (ie. magnetic resonance imaging [MRI] or CT); a positive positron emission tomography (PET) image (if performed) will not exclude a patient if other criteria are met and anatomical imaging is negative
- Absolute neutrophil count (ANC) greater than or equal to 1,000/mm^3, equivalent to Common Toxicity Criteria for Adverse Events (CTCAE version [v]4.0) grade 1
- Platelets greater than or equal to 100,000/mm^3
- Serum creatinine less than or equal to 1.5 x institutional upper limit normal (ULN), CTCAE v4.0 grade 1
- Bilirubin less than or equal to 2.5 x ULN
- Serum glutamic oxaloacetic transaminase (SGOT), serum glutamate pyruvate transaminse (SGPT) less than or equal to 2.5 x ULN
- Alkaline phosphatase less than or equal to 2.5 x ULN
- Patients must have a Gynecological Oncology Group (GOG) performance status of 0, 1, or 2
- Patients who have signed the informed consent document and signed the authorization permitting release of personal health information
- Patients of childbearing potential must have a negative serum pregnancy test prior to study entry and must be practicing an effective form of birth control; nursing mothers are excluded
Exclusion Criteria
- With the exception of non-melanoma skin cancer, patients with other invasive malignancies who had (or have) any evidence of the other cancer present within the last 5 years or whose previous cancer treatment contraindicates this protocol therapy are excluded
- Patients whose circumstances at the time of entry onto the protocol would not permit completion of study or required follow up
- Patients who have an allergy to shellfish
Data sourced from ClinicalTrials.gov (NCT00857545). 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. Informational only — not medical advice.