Phase II Anetumab Ravtansine as 2nd Line Treatment for Malignant Pleural Mesothelioma (MPM)

NCT ID: NCT02610140

Last Updated: 2020-11-04

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

248 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-12-03

Study Completion Date

2019-09-06

Brief Summary

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The main purpose of the 15743 study is to assess efficacy and safety of anetumab ravtansine versus vinorelbine in progression free survival in patients with stage IV mesothelin overexpressing malignant pleural mesothelioma (MPM).

210 eligible patients will be randomized to receive either anetumab ravtansine every three weeks or weekly vinorelbine.

Treatment will continue until centrally confirmed disease progression or until another criterion is met for withdrawal from the study. Patients will enter follow up phase to capture safety and endpoint data as required.

Efficacy will be measured by evaluating progression free survival from randomization. Radiological tumor assessments will be performed at defined time points until the patient's disease progresses.

Blood samples will be collected for safety, pharmacokinetic and biomarker analysis. Archival or fresh biopsy tissue may also be collected for central pathology review and biomarkers.

Detailed Description

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Conditions

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Mesothelioma

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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BAY94-9343

Drug Anetumab ravtansine given Intravenously (IV)

Group Type EXPERIMENTAL

Anetumab ravtansine (BAY94-9343)

Intervention Type DRUG

Starting dose: 6.5 mg/kg administered as IV infusion over 1 h every 3 weeks until disease progression or treatment withdrawal for any reason. Dose reductions are permitted.

Vinorelbine

Drug Vinorelbine given Intravenously

Group Type ACTIVE_COMPARATOR

Vinorelbine

Intervention Type DRUG

Starting dose: 30mg/m\^2 administered as an IV infusion over 6 to 10 min every week until disease progression or treatment withdrawal for any reason. Dose reductions are permitted per standard practise.

Interventions

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Anetumab ravtansine (BAY94-9343)

Starting dose: 6.5 mg/kg administered as IV infusion over 1 h every 3 weeks until disease progression or treatment withdrawal for any reason. Dose reductions are permitted.

Intervention Type DRUG

Vinorelbine

Starting dose: 30mg/m\^2 administered as an IV infusion over 6 to 10 min every week until disease progression or treatment withdrawal for any reason. Dose reductions are permitted per standard practise.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Histological documentation of malignant pleural mesothelioma (MPM) overexpressing mesothelin
* Unresectable locally advanced or metastatic MPM after locally confirmed progression on 1st line treatment with platinum in combination with pemetrexed.
* Patients must have measurable disease
* Eastern Cooperative Oncology Group Performance Status (ECOG PS) of 0 or 1
* Life expectancy of at least 3 months.
* Adequate bone marrow, liver and renal function
* Left ventricular ejection fraction (LVEF) ≥ 50% or the lower limit of normal (LLN) according to local institution ranges of normality.

Exclusion Criteria

* More than 1 previous systemic anti-cancer therapy line
* Patients with corneal epitheliopathy or any eye disorder that may predispose the patients to this condition at the discretion of the investigator in consultation with the ophthalmologist.
* Brain metastases, meningeal tumours or other metastases in the central nervous system
* Evidence of history of bleeding diathesis.
* Ongoing or active infection (bacterial, fungal, or viral) of National Cancer Institute's Common Terminology Criteria for Adverse Events (NCI-CTCAE) version 4.03 Grade \> 2.
* Pre-existing cardiac conditions
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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ImmunoGen and MorphoSys

UNKNOWN

Sponsor Role collaborator

Bayer

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Bayer Study Director

Role: STUDY_DIRECTOR

Bayer

Locations

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La Jolla, California, United States

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Aurora, Colorado, United States

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Norwich, Connecticut, United States

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Tampa, Florida, United States

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Chicago, Illinois, United States

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Chicago, Illinois, United States

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New Orleans, Louisiana, United States

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Bethesda, Maryland, United States

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Rochester, Minnesota, United States

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Buffalo, New York, United States

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New York, New York, United States

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Durham, North Carolina, United States

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Cleveland, Ohio, United States

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Dallas, Texas, United States

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Houston, Texas, United States

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St Leonards, New South Wales, Australia

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Woolloogabba, Queensland, Australia

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Adelaide, South Australia, Australia

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Richmond, Victoria, Australia

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Nedlands, Western Australia, Australia

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Bruxelles - Brussel, , Belgium

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Edegem, , Belgium

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Ghent, , Belgium

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Leuven, , Belgium

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Liège, , Belgium

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Sint-Niklaas, , Belgium

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Calgary, Alberta, Canada

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Hamilton, Ontario, Canada

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London, Ontario, Canada

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Toronto, Ontario, Canada

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Helsinki, , Finland

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Turku, , Finland

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Vaasa, , Finland

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Bordeaux, , France

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Caen, , France

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Lille, , France

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Marseille, , France

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Paris, , France

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Paris, , France

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Pierre-Bénite, , France

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Pordenone, Friuli Venezia Giulia, Italy

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Bergamo, Lombardy, Italy

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Milan, Lombardy, Italy

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Milan, Lombardy, Italy

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Monza Brianza, Lombardy, Italy

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Turin, Piedmont, Italy

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Siena, Tuscany, Italy

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Amsterdam, , Netherlands

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Rotterdam, , Netherlands

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Gdansk, , Poland

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Krakow, , Poland

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Krakow, , Poland

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Szczecin, , Poland

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Omsk, , Russia

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Yekaterinburg, , Russia

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Seoul, , South Korea

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Seoul, , South Korea

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A Coruña, , Spain

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Alicante, , Spain

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Barcelona, , Spain

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Madrid, , Spain

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Málaga, , Spain

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Adana, , Turkey (Türkiye)

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Ankara, , Turkey (Türkiye)

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Eskişehir, , Turkey (Türkiye)

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Istanbul, , Turkey (Türkiye)

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Malatya, , Turkey (Türkiye)

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Yenimahalle, , Turkey (Türkiye)

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Plymouth, Devon, United Kingdom

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Maidstone, Kent, United Kingdom

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Leicester, Leicestershire, United Kingdom

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Glasgow, , United Kingdom

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London, , United Kingdom

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Manchester, , United Kingdom

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Newcastle upon Tyne, , United Kingdom

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Countries

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United States Australia Belgium Canada Finland France Italy Netherlands Poland Russia South Korea Spain Turkey (Türkiye) United Kingdom

References

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Kindler HL, Novello S, Bearz A, Ceresoli GL, Aerts JGJV, Spicer J, Taylor P, Nackaerts K, Greystoke A, Jennens R, Calabro L, Burgers JA, Santoro A, Cedres S, Serwatowski P, Ponce S, Van Meerbeeck JP, Nowak AK, Blumenschein G Jr, Siegel JM, Kasten L, Kochert K, Walter AO, Childs BH, Elbi C, Hassan R, Fennell DA. Anetumab ravtansine versus vinorelbine in patients with relapsed, mesothelin-positive malignant pleural mesothelioma (ARCS-M): a randomised, open-label phase 2 trial. Lancet Oncol. 2022 Apr;23(4):540-552. doi: 10.1016/S1470-2045(22)00061-4.

Reference Type DERIVED
PMID: 35358455 (View on PubMed)

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Related Links

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https://clinicaltrials.bayer.com/

Click here to find results for studies related to Bayer Healthcare products.

Other Identifiers

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2012-003650-88

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

15743

Identifier Type: -

Identifier Source: org_study_id