AMG 386 (Trebananib) in Ovarian Cancer (TRINOVA-2)

NCT ID: NCT01281254

Last Updated: 2017-12-02

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

PHASE3

Total Enrollment

223 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-04-18

Study Completion Date

2017-04-19

Brief Summary

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To determine if AMG 386 plus pegylated liposomal doxorubicin (PLD) is superior to placebo plus PLD as measured by progression-free survival (PFS)

The hypothesis for this study is that AMG 386 plus PLD will prolong PFS compared to placebo plus PLD in women with recurrent partially platinum sensitive or resistant epithelial ovarian, primary peritoneal or fallopian tube cancer.

Detailed Description

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Conditions

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Fallopian Tube Cancer Ovarian Cancer Primary Peritoneal Cancer

Keywords

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Fallopian tube cancer Primary peritoneal cancer AMG386 Pegylated Liposomal Doxorubicin Recurrent epithelial ovarian cancer

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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Placebo plus PLD

Arm B: PLD 50 mg/m2 IV every 4 weeks (Q4W) and blinded AMG 386 placebo IV weekly (QW)

Group Type PLACEBO_COMPARATOR

Placebo plus PLD

Intervention Type DRUG

Pegylated Liposomal Doxorubicin (Doxil/Caelyx) is a preparation of doxorubicin in a liposome that contains surface-grafted segments of the hydrophilic polymer methoxypolyethylene glycol associated with prolonged pharmacokinetics of the free drug.

PLD 50 mg/m2 IV every 4 weeks (Q4W) and blinded AMG 386 placebo IV weekly (QW)

AMG386 plus PLD

Arm A: PLD 50 mg/m2 IV every 4 weeks (Q4W) and blinded AMG 386 15 mg/kg IV weekly (QW)

Group Type EXPERIMENTAL

AMG386 plus PLD

Intervention Type DRUG

AMG 386 is a first in class investigational anti angiogenic drug that provides potent and selective inhibition of angiopoietins. AMG 386 is designed to inhibit angiogenesis by sequestering Ang1 and Ang2, thereby preventing their interaction with the Tie2 receptor. Pegylated Liposomal Doxorubicin (Doxil/Caelyx) is a preparation of doxorubicin in a liposome that contains surface-grafted segments of the hydrophilic polymer methoxypolyethylene glycol associated with prolonged pharmacokinetics of the free drug. PLD 50 mg/m2 IV every 4 weeks (Q4W) and blinded AMG 386 15 mg/kg IV weekly (QW)

Interventions

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AMG386 plus PLD

AMG 386 is a first in class investigational anti angiogenic drug that provides potent and selective inhibition of angiopoietins. AMG 386 is designed to inhibit angiogenesis by sequestering Ang1 and Ang2, thereby preventing their interaction with the Tie2 receptor. Pegylated Liposomal Doxorubicin (Doxil/Caelyx) is a preparation of doxorubicin in a liposome that contains surface-grafted segments of the hydrophilic polymer methoxypolyethylene glycol associated with prolonged pharmacokinetics of the free drug. PLD 50 mg/m2 IV every 4 weeks (Q4W) and blinded AMG 386 15 mg/kg IV weekly (QW)

Intervention Type DRUG

Placebo plus PLD

Pegylated Liposomal Doxorubicin (Doxil/Caelyx) is a preparation of doxorubicin in a liposome that contains surface-grafted segments of the hydrophilic polymer methoxypolyethylene glycol associated with prolonged pharmacokinetics of the free drug.

PLD 50 mg/m2 IV every 4 weeks (Q4W) and blinded AMG 386 placebo IV weekly (QW)

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Histologically or cytologically documented invasive epithelial ovarian, primary peritoneal, or fallopian tube cancer
* Radiographically documented disease progression either on or following the last dose of the prior regimen for epithelial ovarian, primary peritoneal, or fallopian tube cancer
* Subjects must have had one prior platinum-based chemotherapeutic regimen for management of primary disease containing carboplatin, cisplatin, or another organoplatinum compound.
* Female 18 years of age or older at the time the written informed consent is obtained
* Adequate organ and hematological function

Exclusion Criteria

* Subjects who have received more than 3 previous regimens of anti cancer therapy for epithelial ovarian, primary peritoneal or fallopian tube cancer
* Subjects treated with prior pegylated liposomal doxorubicin (PLD) or any anthracycline-based or mitoxantrone-based chemotherapy
* Subjects with primary platinum-refractory disease
* Subjects with platinum-free interval (PFI) \> 12 months from their last platinum based therapy
* History of central nervous system metastasis
* Major surgery within 28 days prior to randomization or still recovering from prior surgery
Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Amgen

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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MD

Role: STUDY_DIRECTOR

Amgen

Locations

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Los Angeles, California, United States

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San Francisco, California, United States

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Norwalk, Connecticut, United States

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Stamford, Connecticut, United States

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Orlando, Florida, United States

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Tampa, Florida, United States

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Evanston, Illinois, United States

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Saint Louis Park, Minnesota, United States

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New York, New York, United States

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Asheville, North Carolina, United States

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Durham, North Carolina, United States

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Winston-Salem, North Carolina, United States

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Bismarck, North Dakota, United States

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Abington, Pennsylvania, United States

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Sioux Falls, South Dakota, United States

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Fort Sam Houston, Texas, United States

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San Antonio, Texas, United States

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Annandale, Virginia, United States

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Green Bay, Wisconsin, United States

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Milwaukee, Wisconsin, United States

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West Allis, Wisconsin, United States

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New Lambton Heights, New South Wales, Australia

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Wahroonga, New South Wales, Australia

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Auchenflower, Queensland, Australia

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Greenslopes, Queensland, Australia

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East Bentleigh, Victoria, Australia

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Footscray, Victoria, Australia

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Malvern, Victoria, Australia

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Parkville, Victoria, Australia

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Graz, , Austria

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Graz, , Austria

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Innsbruck, , Austria

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Linz, , Austria

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Vienna, , Austria

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Vienna, , Austria

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Charleroi, , Belgium

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Edegem, , Belgium

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Ghent, , Belgium

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Ieper, , Belgium

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Leuven, , Belgium

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Libramont, , Belgium

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Liège, , Belgium

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Namur, , Belgium

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London, Ontario, Canada

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Toronto, Ontario, Canada

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Toronto, Ontario, Canada

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Copenhagen, , Denmark

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Herlev, , Denmark

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Amiens, , France

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Avignon, , France

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Lyon, , France

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Poitiers, , France

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Saint-Cloud, , France

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Berlin, , Germany

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Bonn, , Germany

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Düsseldorf, , Germany

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Erlangen, , Germany

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Essen, , Germany

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Frankfurt am Main, , Germany

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Freiburg im Breisgau, , Germany

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Hanover, , Germany

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Marburg, , Germany

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München, , Germany

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München, , Germany

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Rostock, , Germany

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Tübingen, , Germany

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Hong Kong, , Hong Kong

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New Territories, , Hong Kong

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Budapest, , Hungary

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Budapest, , Hungary

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Debrecen, , Hungary

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Miskolc, , Hungary

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Szeged, , Hungary

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Zalaegerszeg - Pozva, , Hungary

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Campobasso, , Italy

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Genova, , Italy

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Milan, , Italy

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Milan, , Italy

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Napoli, , Italy

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Roma, , Italy

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Roma, , Italy

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Roma, , Italy

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Grafton, Auckland, , New Zealand

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Tauranga, , New Zealand

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Bialystok, , Poland

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Gdansk, , Poland

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Singapore, , Singapore

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Singapore, , Singapore

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Bratislava, , Slovakia

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Bratislava, , Slovakia

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Košice, , Slovakia

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Prešov, , Slovakia

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Aarau, , Switzerland

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Chur, , Switzerland

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Geneva, , Switzerland

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Zurich, , Switzerland

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Tainan City, , Taiwan

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Taipei, , Taiwan

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Taipei, , Taiwan

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London, , United Kingdom

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London, , United Kingdom

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London, , United Kingdom

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Manchester, , United Kingdom

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Northwood, , United Kingdom

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Nottingham, , United Kingdom

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Poole, , United Kingdom

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Countries

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United States Australia Austria Belgium Canada Denmark France Germany Hong Kong Hungary Italy New Zealand Poland Singapore Slovakia Switzerland Taiwan United Kingdom

References

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Marth C, Vergote I, Scambia G, Oberaigner W, Clamp A, Berger R, Kurzeder C, Colombo N, Vuylsteke P, Lorusso D, Hall M, Renard V, Pignata S, Kristeleit R, Altintas S, Rustin G, Wenham RM, Mirza MR, Fong PC, Oza A, Monk BJ, Ma H, Vogl FD, Bach BA. ENGOT-ov-6/TRINOVA-2: Randomised, double-blind, phase 3 study of pegylated liposomal doxorubicin plus trebananib or placebo in women with recurrent partially platinum-sensitive or resistant ovarian cancer. Eur J Cancer. 2017 Jan;70:111-121. doi: 10.1016/j.ejca.2016.09.004. Epub 2016 Dec 1.

Reference Type BACKGROUND
PMID: 27914241 (View on PubMed)

Newhouse R, Nelissen E, El-Shakankery KH, Rogozinska E, Bain E, Veiga S, Morrison J. Pegylated liposomal doxorubicin for relapsed epithelial ovarian cancer. Cochrane Database Syst Rev. 2023 Jul 5;7(7):CD006910. doi: 10.1002/14651858.CD006910.pub3.

Reference Type DERIVED
PMID: 37407274 (View on PubMed)

Gaitskell K, Rogozinska E, Platt S, Chen Y, Abd El Aziz M, Tattersall A, Morrison J. Angiogenesis inhibitors for the treatment of epithelial ovarian cancer. Cochrane Database Syst Rev. 2023 Apr 18;4(4):CD007930. doi: 10.1002/14651858.CD007930.pub3.

Reference Type DERIVED
PMID: 37185961 (View on PubMed)

Related Links

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http://www.amgentrials.com

AmgenTrials clinical trials website

Other Identifiers

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2009-017946-30

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

ENGOT-ov-6

Identifier Type: -

Identifier Source: secondary_id

TRINOVA-2

Identifier Type: OTHER

Identifier Source: secondary_id

20060517

Identifier Type: OTHER

Identifier Source: secondary_id

20060517

Identifier Type: -

Identifier Source: org_study_id