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Trial details imported from ClinicalTrials.gov

For full trial details, please see the original record at https://clinicaltrials.gov/ct2/show/NCT01204749




Registration number
NCT01204749
Ethics application status
Date submitted
26/08/2010
Date registered
17/09/2010
Date last updated
15/12/2016

Titles & IDs
Public title
TRINOVA-1: A Study of AMG 386 or Placebo, in Combination With Weekly Paclitaxel Chemotherapy, as Treatment for Ovarian Cancer, Primary Peritoneal Cancer and Fallopian Tube Cancer
Scientific title
A Phase 3, Randomized, Double-Blind Trial of Weekly Paclitaxel Plus AMG 386 or Placebo in Women With Recurrent Partially Platinum Sensitive or Resistant Epithelial Ovarian, Primary Peritoneal or Fallopian Tube Cancers
Secondary ID [1] 0 0
20090508
Universal Trial Number (UTN)
Trial acronym
Linked study record

Health condition
Health condition(s) or problem(s) studied:
Fallopian Tube Cancer 0 0
Ovarian Cancer 0 0
Primary Peritoneal Cancer 0 0
Condition category
Condition code
Cancer 0 0 0 0
Ovarian and primary peritoneal
Cancer 0 0 0 0
Womb (Uterine or endometrial cancer)
Cancer 0 0 0 0
Stomach

Intervention/exposure
Study type
Interventional
Description of intervention(s) / exposure
Treatment: Drugs - AMG 386
Treatment: Drugs - AMG 386 Placebo
Treatment: Drugs - Paclitaxel
Treatment: Drugs - Paclitaxel

Experimental: AMG 386 - Arm A: Paclitaxel 80mg/m2 IV QW and Blinded AMG 386 15mg/kg IV QW

Placebo Comparator: AMG 386 Placebo - Arm B: Paclitaxel 80mg/m2 IV QW and Blinded AMG 386 Placebo IV QW


Treatment: Drugs: AMG 386
Weekly Intravenous (IV) AMG 386 15 mg/kg

Treatment: Drugs: AMG 386 Placebo
Weekly Intravenous (IV) placebo 15 mg/kg

Treatment: Drugs: Paclitaxel
Paclitaxel 80 mg/m2 intravenous (IV) weekly (3 on/1 off)

Treatment: Drugs: Paclitaxel
Paclitaxel 80 mg/m2 intravenous (IV) weekly (3 on/1 off)
Intervention code [1] 0 0
Treatment: Drugs
Comparator / control treatment
Control group

Outcomes
Primary outcome [1] 0 0
Progression-Free Survival
Timepoint [1] 0 0
8 Months on average
Secondary outcome [1] 0 0
Overall survival
Timepoint [1] 0 0
20 months on average
Secondary outcome [2] 0 0
Objective Response Rate
Timepoint [2] 0 0
From Baseline (if subject has Measurable Disease) until objective response (radiologic)
Secondary outcome [3] 0 0
Duration of response
Timepoint [3] 0 0
From Baseline until progression
Secondary outcome [4] 0 0
CA-125 response rate per Gynecologic Cancer Intergroup (GCIG) and change in CA-125
Timepoint [4] 0 0
From Baseline until CA-125 response
Secondary outcome [5] 0 0
Incidence of adverse events and significant laboratory abnormalities
Timepoint [5] 0 0
8 Months on average
Secondary outcome [6] 0 0
Pharmacokinetics of AMG 386 (Cmax and Cmin)
Timepoint [6] 0 0
Week 1 until week 9 of treatment
Secondary outcome [7] 0 0
Incidence of the occurrence of anti-AMG 386 antibody formation
Timepoint [7] 0 0
Week 1 until maximum of 1-year following last dose of study drug
Secondary outcome [8] 0 0
Patient reported Health Related Quality of Life (HRQOL) and ovarian cancer related symptoms using Functional Assessment of Cancer Therapy - Ovary questionnaire (FACT-O)
Timepoint [8] 0 0
From week 1 until 30-days following last study drug administration
Secondary outcome [9] 0 0
Overall health status using EuroQOL(EQ-5D)
Timepoint [9] 0 0
From week 1 until 30-days following last study drug administration

Eligibility
Key inclusion criteria
- Female 18 years of age or older at the time the written informed consent is obtained

- Gynecologic Oncology Group (GOG) Performance Status of 0 or 1

- Life expectancy >= 3 months (per investigator opinion)

- Histologically or cytologically documented invasive epithelial ovarian cancer, primary
peritoneal cancer, or fallopian tube cancer (Subjects with pseudomyxoma ,
mesothelioma, unknown primary tumor, sarcoma, or neuroendocrine histology, with
borderline ovarian cancer, ie, subjects with low malignant potential tumors, and with
clear cell or mucinous histology are excluded)

- Subjects must have undergone surgery for ovarian cancer, primary peritoneal cancer, or
fallopian tube cancer including at least a unilateral oophorectomy

- Radiologically evaluable disease per Response Evaluation Criteria in Solid Tumors
(RECIST) 1.1 with modifications

- Subjects must have had one prior platinum-based chemotherapeutic regimen for
management of primary disease containing carboplatin, cisplatin, or another
organoplatinum compound. This initial treatment may have included intraperitoneal
therapy, high-dose therapy, consolidation therapy, bevacizumab or extended therapy
administered after surgical or non-surgical assessment.

- Adequate organ and hematological function

- Generally well controlled blood pressure with systolic blood pressure <= 140 mmHg and
diastolic blood pressure <= 90 mmHg prior to randomization. The use of
anti-hypertensive medications to control hypertension is permitted

- Radiographically documented disease progression either on or following the last dose
of prior chemotherapy regimen for epithelial ovarian cancer, primary peritoneal
cancer, or fallopian tube cancer
Minimum age
18 Years
Maximum age
No limit
Sex
Females
Can healthy volunteers participate?
No
Key exclusion criteria
- Subjects who have received more than 3 previous regimens of anti-cancer therapy for
epithelial ovarian, primary peritoneal or fallopian tube cancers

- Subjects who have received paclitaxel as consolidation therapy, maintenance, or
monotherapy are excluded

- Subjects with primary platinum-refractory disease

- Subjects with platinum-free interval (PFI) > 12 months from their last platinum based
therapy

- Radiotherapy <= 14 days prior to randomization. Subjects must have recovered from all
radiotherapy-related toxicities

- Previous abdominal or pelvic radiotherapy

- History of arterial or venous thromboembolism within 12 months prior to randomization

- History of clinically significant bleeding within 6 months prior to randomization

- History of central nervous system metastasis

- Has not yet completed a 21 day washout period prior to randomization for any previous
anti cancer systemic therapies (30 days for prior bevacizumab)

- Enrolled in or has not yet completed at least 30 days (prior to randomization) since
ending other investigational device or drug, or currently receiving other
investigational treatments

- Unresolved toxicities from prior systemic therapy that are Common Terminology Criteria
for Adverse Events (CTCAE) Version 3.0 >= Grade 2 in severity except alopecia

- Known active or ongoing infection (except uncomplicated urinary tract infection [UTI])
within 14 days prior to randomization

- Currently or previously treated with AMG 386, or other molecules that inhibit the
angiopoietins or Tie2 receptor

- Treatment within 30 days prior to randomization with strong immune modulators
including but not limited to systemic cyclosporine, tacrolimus, sirolimus,
mycophenolate mofetil, methotrexate, azathioprine, rapamycin, thalidomide, and
lenalidomide

- Clinically significant cardiovascular disease within 12 months prior to randomization

- Major surgery within 28 days prior to randomization or still recovering from prior
surgery

- Minor surgical procedures, except placement of tunneled central venous access device
within 3 days prior to randomization. Diagnostic laparoscopy is regarded as a minor
surgical procedure.

Study design
Purpose of the study
Treatment
Allocation to intervention
Randomised controlled trial
Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Masking / blinding
Blinded (masking used)
Who is / are masked / blinded?
The people receiving the treatment/s
The people administering the treatment/s
The people assessing the outcomes
The people analysing the results/data
Intervention assignment
Parallel
Other design features
Phase
Phase 3
Type of endpoint/s
Statistical methods / analysis

Recruitment
Recruitment status
Completed
Data analysis
Reason for early stopping/withdrawal
Other reasons
Date of first participant enrolment
Anticipated
Actual
1/11/2010
Date of last participant enrolment
Anticipated
Actual
Date of last data collection
Anticipated
Actual
1/12/2016
Sample size
Target
Accrual to date
Final
919
Recruitment in Australia
Recruitment state(s)
NSW,QLD,VIC
Recruitment hospital [1] 0 0
Research Site - New Lambton Heights
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Research Site - Greenslopes
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Research Site - Malvern
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Research Site - Parkville
Recruitment postcode(s) [1] 0 0
2305 - New Lambton Heights
Recruitment postcode(s) [2] 0 0
4120 - Greenslopes
Recruitment postcode(s) [3] 0 0
3550 - Bendigo
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3165 - Bentleigh East
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3011 - Footscray
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3144 - Malvern
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3052 - Parkville
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Funding & Sponsors
Primary sponsor type
Commercial sector/Industry
Name
Amgen
Address
Country

Ethics approval
Ethics application status

Summary
Brief summary
The purpose of this study is to determine if treatment with paclitaxel plus AMG 386 is
superior to paclitaxel plus placebo in women with recurrent partially platinum sensitive or
resistant epithelial ovarian cancer, primary peritoneal cancer or fallopian tube cancer.

AMG 386 is a man-made medication that is designed to stop the development of blood vessels in
cancer tissues. Cancer tissues rely on the development of new blood vessels, a process called
angiogenesis, to obtain a supply of oxygen and nutrients to grow.
Trial website
https://clinicaltrials.gov/ct2/show/NCT01204749
Trial related presentations / publications
Monk BJ, Poveda A, Vergote I, Raspagliesi F, Fujiwara K, Bae DS, Oaknin A, Ray-Coquard I, Provencher DM, Karlan BY, Lhomme C, Richardson G, Rincon DG, Coleman RL, Herzog TJ, Marth C, Brize A, Fabbro M, Redondo A, Bamias A, Tassoudji M, Navale L, Warner DJ, Oza AM. Anti-angiopoietin therapy with trebananib for recurrent ovarian cancer (TRINOVA-1): a randomised, multicentre, double-blind, placebo-controlled phase 3 trial. Lancet Oncol. 2014 Jul;15(8):799-808. doi: 10.1016/S1470-2045(14)70244-X. Epub 2014 Jun 17.
Monk BJ, Poveda A, Vergote I, Raspagliesi F, Fujiwara K, Bae DS, Oaknin A, Ray-Coquard I, Provencher DM, Karlan BY, Lhomme C, Richardson G, Rincon DG, Coleman RL, Marth C, Brize A, Fabbro M, Redondo A, Bamias A, Ma H, Vogl FD, Bach BA, Oza AM. Final results of a phase 3 study of trebananib plus weekly paclitaxel in recurrent ovarian cancer (TRINOVA-1): Long-term survival, impact of ascites, and progression-free survival-2. Gynecol Oncol. 2016 Oct;143(1):27-34. doi: 10.1016/j.ygyno.2016.07.112. Epub 2016 Aug 18.
Public notes

Contacts
Principal investigator
Name 0 0
MD
Address 0 0
Amgen
Country 0 0
Phone 0 0
Fax 0 0
Email 0 0
Contact person for public queries
Name 0 0
Address 0 0
Country 0 0
Phone 0 0
Fax 0 0
Email 0 0
Contact person for scientific queries



Summary Results

For IPD and results data, please see https://clinicaltrials.gov/ct2/show/NCT01204749