Monoclonal Antibody Vaccine Therapy in Treating Patients With Ovarian Epithelial, Fallopian Tube, or Peritoneal Cancer

June 4, 2013 updated by: Memorial Sloan Kettering Cancer Center

Phase I Trial of the Monoclonal Anti-Idiotype Antibody ACA125 in Patients With Epithelial Ovarian, Fallopian Tube, or Peritoneal Cancer

RATIONALE: Vaccines made from monoclonal antibodies combined with tumor cells may make the body build an immune response to kill tumor cells.

PURPOSE: Randomized phase I trial to study the effectiveness of vaccine therapy in treating patients who have ovarian epithelial, fallopian tube, or peritoneal cancer.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Detailed Description

OBJECTIVES:

  • Determine the safety of varying routes and doses of monoclonal antibody ACA125 anti-idiotype vaccine in patients with ovarian epithelial, fallopian tube, or peritoneal cancer.
  • Determine an optimal dose and route of this vaccine for a phase II study.
  • Determine the immune response induced by this vaccination in these patients.
  • Determine the time to development of objective tumor response in patients treated with this regimen.

OUTLINE: This is a multicenter study. Patients are randomized to 1 of 4 treatment arms.

  • Arm I: Patients receive lower-dose monoclonal antibody ACA125 anti-idiotype vaccine (MOAB ACA125) intramuscularly (IM) on weeks 0, 2, 4, 6, 10, and 14 in the absence of disease progression or unacceptable toxicity.
  • Arm II: Patients receive higher-dose MOAB ACA125 IM as in arm I.
  • Arm III: Patients receive lower-dose MOAB ACA125 subcutaneously (SC) on weeks 0, 2, 4, 6, 10, and 14 in the absence of disease progression or unacceptable toxicity.
  • Arm IV: Patients receive higher-dose MOAB ACA125 SC as in arm III. Patients are followed every 6-12 weeks for 2 years.

PROJECTED ACCRUAL: A total of 40 patients (10 patients per cohort) will be accrued for this study.

Study Type

Interventional

Phase

  • Phase 1

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

  • United States
    • New York
      • New York, New York, United States, 10021
        • Memorial Sloan-Kettering Cancer Center

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

18 years and older (Adult, Older Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

Female

Description

DISEASE CHARACTERISTICS:

  • Histologically confirmed ovarian epithelial, fallopian tube, or peritoneal cancer

    • Stage II-IV
  • Initially treated with surgery and at least 1 platinum-based chemotherapy regimen
  • Must have relapsed after initial treatment and completed chemotherapy for recurrent disease
  • Asymptomatic residual measurable disease on CT scan and/or an elevated CA 125 allowed

  • Complete clinical remission allowed, defined by the following criteria:

    • CA 125 no greater than 35 IU/mL
    • No objective evidence of disease by CT scan
    • Normal physical examination

PATIENT CHARACTERISTICS:

Age

  • 18 and over

Performance status

  • Karnofsky 70-100%

Life expectancy

  • At least 3 months

Hematopoietic

  • WBC at least 1,500/mm^3
  • Platelet count at least 100,000/mm^3
  • Hemoglobin at least 10 g/dL

Hepatic

  • Bilirubin no greater than 2 times normal
  • ALT no greater than 2 times normal
  • Alkaline phosphatase no greater than 2 times normal

Renal

  • Creatinine no greater than 1.5 times normal

Other

  • Not pregnant or nursing
  • No potential for child bearing
  • Human antimurine antibody negative
  • HIV negative
  • No other malignancy within the past 5 years except nonmelanoma skin cancer or carcinoma in situ of the cervix
  • No active infection
  • No known autoimmune disease (e.g., rheumatoid arthritis or ulcerative colitis)
  • No known immune deficiency (e.g., hypogammaglobulinemia)
  • No known allergy to murine proteins

PRIOR CONCURRENT THERAPY:

Biologic therapy

  • At least 6 weeks since prior interferon
  • At least 6 weeks since prior immunotherapy or biological response modifiers
  • No prior anticancer vaccine

Chemotherapy

  • See Disease Characteristics
  • At least 3 weeks since prior cytotoxic or investigational chemotherapy

Endocrine therapy

  • No concurrent steroids

Radiotherapy

  • At least 4 weeks since prior radiotherapy

Surgery

  • See Disease Characteristics

Other

  • At least 1 week since prior antibiotics
  • No concurrent cyclosporine
  • No other concurrent immunosuppressive therapy

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Treatment
  • Allocation: Randomized
  • Masking: None (Open Label)

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Memorial Sloan Kettering Cancer Center

Collaborators

National Cancer Institute (NCI)

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start

December 1, 2002

Primary Completion (Actual)

March 1, 2004

Study Completion (Actual)

March 1, 2004

Study Registration Dates

First Submitted

April 7, 2003

First Submitted That Met QC Criteria

April 8, 2003

First Posted (Estimate)

April 9, 2003

Study Record Updates

Last Update Posted (Estimate)

June 5, 2013

Last Update Submitted That Met QC Criteria

June 4, 2013

Last Verified

June 1, 2013

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • 02-122
  • CDR0000288831 (Registry Identifier: PDQ (Physician Data Query))
  • CELLCONTROL-MSKCC-02122

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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