This is a Phase 1b/2 study of AVB-S6-500 in combination with pegylated liposomal doxorubicin (PLD) or paclitaxel (Pac) in patients with platinum resistant recurrent ovarian cancer. The phase 1b portion of the study is open label and patients will receive either AVB-S6-500+PLD or AVB-S6-500+ Pac. The Phase 2 portion of the study is randomized, double-blind, placebo-controlled study to compare efficacy and tolerability of AVB-S6-500 in combination with PLD or Pac versus placebo plus PLD or Pac.
While this study was planned as two-part study consisting of a Phase 1b and a Phase 2 portion, the sponsor decided not to proceed with the Phase 2 portion. The Phase 1b portion of the study was a multicenter, 2-group, open-label design to evaluate the safety and tolerability of AVB-S6-500 combined with PLD or Pac in subjects with platinum-resistant recurrent ovarian cancer. The decision to enroll in the Phase 2 portion of the study was to be driven by the recommendation of a safe and tolerable dose of AVB-S6-500 in combination with each chemotherapy backbone; however, enrollment into the Phase 2 portion was not initiated per Sponsor decision. Given that sufficient data were obtained in the Phase 1b portion AVB-S6-500 + Pac group, the decision was made to pursue a randomized Phase 3 to further study the benefit of this combination versus paclitaxel alone in patients with platinum resistant ovarian cancer.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
53
AVB-S6-500 is experimental drug
Paclitaxel is active comparator
PLD is active comparator
Arizona Oncology
Phoenix, Arizona, United States
Arizona Oncology Associates
Tucson, Arizona, United States
Incidence of Adverse Events (AEs)
Measured by the number of patients with AEs in Phase 1 portion of the study.
Time frame: 6 months
Anti-tumor activity of AVB-S6-500 in combination with PLD
Measured by progression free survival (PFS) in patients receiving AVB-S6-500+PLD versus patients receiving Placebo+PLD in Phase 2 portion of the study.
Time frame: 18 months
Anti-tumor activity of AVB-S6-500 in combination with Pac
Measured by progression free survival (PFS) in patients receiving AVB-S6-500+ Pac versus patients receiving Placebo+Pac in Phase 2 portion of the study.
Time frame: 18 months
Pharmacokinetics: AUC
Area under the AVB-S6-500 concentration-time curve.
Time frame: 18 months
Pharmacokinetics: Cmax
Maximum observed AVB-S6-500 concentration.
Time frame: 18 months
Pharmacokinetics: Tmax
Time of maximum observed AVB-S6-500 concentration.
Time frame: 18 months
Pharmacokinetics: t1/2
Apparent terminal half-life of AVB-S6-500.
Time frame: 18 months
Pharmacodynamic marker assessment
Change from the baseline in GAS6 serum levels.
Time frame: 18 months
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Placebo comparator
Kaiser Permanente Oakland
Oakland, California, United States
Kaiser Permanente Roseville
Roseville, California, United States
Kaiser Permanente San Francisco
San Francisco, California, United States
Kaiser Permanente Santa Clara
Santa Clara, California, United States
Kaiser Permanente Vallejo
Vallejo, California, United States
Kaiser Permanente Walnut Creek
Walnut Creek, California, United States
Massachusetts General Hospital
Boston, Massachusetts, United States
Dana Farber Cancer Institute
Boston, Massachusetts, United States
...and 6 more locations
Anti-drug antibody (ADA) titers
Change from baseline in ADA titer.
Time frame: 18 months
Objective response rate
Proportion of subjects who have a partial or complete response to therapy relative to baseline as assessed per Response Evaluation Criteria in Solid Tumors (RECIST) 1.1 as well as Gynecologic Cancer Intergroup (GCIG) cancer antigen (CA)-125 criteria.
Time frame: 18 months
Disease control rate
Proportion of subjects who have a complete or partial response to therapy or maintain stable disease.
Time frame: 18 months
Duration of response (DOR)
Measured from the date of partial or complete response to therapy until the cancer progresses.
Time frame: 18 months
Overall survival
Time following the treatment until death.
Time frame: 30 months
CA-125 response rate
Proportion of subjects with a minimum 50% reduction in CA-125 serum levels lasting for 28 days relative to baseline CA-125 serum levels.
Time frame: 18 months
Quality of Life(QOL)
Subject QOL will be assessed every 8 weeks during treatment using the Functional Assessment Of Cancer Therapy - Ovarian Cancer (FACT-O) questionnaire, which consists of 4 subscales: physical well-being (7 questions), social/family well-being (7 questions), emotional well-being (6 questions), and functional well-being (7 questions), and 12 additional concerns specific to ovarian cancer. All items are rated on a 5 point scale with 0 "not at all" and 4 "very much". The scoring algorithm allows for eight summary scales: the four core well-being subscales, a subtotal of the 27 core items, a subtotal of the 12 ovarian-specific additional concerns, a grand total of the 39 items, and a trial outcome index (sum of the 17 physical and functional wellbeing items plus the 12 ovarian-specific items).
Time frame: 18 months