GM-CSF, Sargramostim in Women With Recurrent Ovarian Cancer

NCT ID: NCT00157573

Last Updated: 2017-05-08

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: PHASE2
• Total Enrollment: 72 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2004-12-31
• Study Completion Date: 2010-04-30

Brief Summary

Granulocyte macrophage colony-stimulating factor (GM-CSF) is an immunostimulant and preliminary data suggests it may change the natural history of prostate cancer and melanoma. This study looks at ability of GM-CSF to alter disease progression in women who have recurrent but asymptomatic recurrence of their ovarian cancer.

Detailed Description

This is an open labeled, single arm phase II study of GM-CSF, sargramostim delivered daily without a break in a population of healthy and fit women with evidence of recurrent but asymptomatic mullerian malignancy (such as ovarian cancer, fallopian tube cancer, or primary peritoneal cancer). The main goal is to determine the time to treatment termination due to disease progression or toxicity.

Conditions

Ovarian Cancer; Fallopian Tube Cancer

Study Design

• Allocation Method: NON_RANDOMIZED
• Intervention Model: SEQUENTIAL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: NONE

Study Groups

GM-CSF, Sargramostim Cohort 1

GM-CSF, Sargramostim 250 μg/m\^2 subcutaneous injection daily on days 1 to 14 in a 28-day cycle until disease progression or unacceptable toxicity for a median of 3 cycles.

Group Type: EXPERIMENTAL

GM-CSF, sargramostim

Intervention Type: DRUG

GM-CSF subcutaneous injection

GM-CSF, Sargramostim Cohort 2

GM-CSF, sargramostim 150 μg/m\^2 subcutaneous injection daily for 28 days in a 28-day cycle until disease progression or unacceptable toxicity fora median of 3 cycles. GM-CSF, sargramostim dose escalation was permitted up to 250 μg/m\^2 per day if applicable based on toxicity and white blood cell count.

Group Type: EXPERIMENTAL

GM-CSF, sargramostim

Intervention Type: DRUG

GM-CSF subcutaneous injection

Interventions

GM-CSF, sargramostim

GM-CSF subcutaneous injection

Intervention Type: DRUG

Other Intervention Names

Leukine®

Eligibility Criteria

Inclusion Criteria

• Patients must have a history of histologic or cytologic diagnosis of primary ovarian, primary peritoneal or tubal carcinoma.
• Patients must be asymptomatic from their cancer.
• Patients must have evidence of recurrent carcinoma, as determined by:

• A rising cancer antigen 125 (CA-125) serum level greater than 35 U/mL or two successive rising values with the most recent value at least 3 times the nadir value.
• Or evidence of evaluable or measurable disease by x-ray or computed tomography (CT) scan.
• Patients may not receive concurrent antineoplastic therapy. All hormonal therapy used as a treatment modality (i.e. tamoxifen, arimidex, etc) must be stopped prior to treatment on protocol.
• Age > 18 years.
• Eastern Cooperative Oncology Group (ECOG) performance status < 2.

Exclusion Criteria

• Known severe hypersensitivity to GM-CSF.
• Other coexisting malignancies or malignancies diagnosed within the last 5 years, with the exception of basal cell carcinoma or cervical cancer in situ or concurrent superficial or stage IB endometrial carcinoma.
• Concomitant use of anti-neoplastic therapy.
• Treatment with a non-FDA approved or investigational drug within 30 days before Day 1 of trial treatment.
• Any unresolved chronic toxicity greater then Common Toxicity Criteria (CTC) grade 2 from previous anticancer therapy (except alopecia).
• Serum creatinine level greater than CTC grade 2 [1.5 x upper limit normal (ULN)].
• Pregnancy or breast feeding (women of childbearing potential).
• Severe or uncontrolled systemic disease (e.g., unstable or uncompensated respiratory, cardiac, hepatic, or renal disease) as judged by the investigator.
• Significant clinical disorder or laboratory finding that makes it potentially unsafe for the subject to participate in the trial as judged by the investigator.
• Patients currently receiving other investigational antineoplastic agents, on systemic chemotherapy or under radiation therapy treatment.
• Patients with clinical and/or radiographic evidence of current or impending bowel obstruction.
• Performance status < 1.
• Ability to understand and the willingness to sign a written informed consent document.

• Minimum Eligible Age: 18 Years
• Eligible Sex: FEMALE
• Accepts Healthy Volunteers: No

Sponsors

Dana-Farber Cancer Institute

OTHER

Sponsor Role: collaborator

Bayer

INDUSTRY

Sponsor Role: collaborator

Massachusetts General Hospital

OTHER

Sponsor Role: lead

Responsible Party

Richard Thomas Penson

MD

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Richard T Penson, M.D.

Role: PRINCIPAL_INVESTIGATOR

Massachusetts General Hospital

References

Roche MR, Rudd PJ, Krasner CN, Matulonis UA, Berlin ST, Lee H, Silver M, Tran CD, Seiden MV, Penson RT. Phase II trial of GM-CSF in women with asymptomatic recurrent mullerian tumors. Gynecol Oncol. 2010 Feb;116(2):168-72. doi: 10.1016/j.ygyno.2009.10.075. Epub 2009 Nov 18.

Reference Type: RESULT

PMID: 19922985 (View on PubMed)

Related Links

http://www.dfhcc.org

Sponsor information

Other Identifiers

04-305

Identifier Type: -

Identifier Source: org_study_id