NCT00327444

Brief Summary

This study was designed to characterize the effect of aflibercept in participants with advanced chemoresistant ovarian cancer. Primary objective: Compare the effect of aflibercept (ziv-aflibercept, AVE0005, VEGF trap, ZALTRAP®) to placebo treatment on repeat paracentesis in symptomatic malignant ascites in participants with advanced ovarian cancer Secondary objectives: Safety, tolerability, paracentesis-related parameters, participant-reported outcome.

Trial Health

93
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
58

participants targeted

Target at P25-P50 for phase_2

Timeline
Completed

Started Jul 2006

Typical duration for phase_2

Geographic Reach
9 countries

9 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

May 16, 2006

Completed
2 days until next milestone

First Posted

Study publicly available on registry

May 18, 2006

Completed
1 month until next milestone

Study Start

First participant enrolled

July 1, 2006

Completed
3.3 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

October 1, 2009

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

October 1, 2009

Completed
3.3 years until next milestone

Results Posted

Study results publicly available

January 1, 2013

Completed
Last Updated

January 1, 2013

Status Verified

July 1, 2011

Enrollment Period

3.3 years

First QC Date

May 16, 2006

Results QC Date

August 17, 2012

Last Update Submit

November 30, 2012

Conditions

Keywords

Ovarian neoplasmAscitesAngiogenesis inhibitorVascular Endothelial Growth Factor ARecombinant fusion protein

Outcome Measures

Primary Outcomes (1)

  • Time to Repeat Paracentesis (TRP)

    TRP was defined as the number of days between the date of randomization and the date of the first post-randomization paracentesis. For participants who did not undergo a postrandomization paracentesis on study, TRP was calculated from randomization to the end of the double-blind treatment period.

    From Day 1 up to 6 months from randomization

Secondary Outcomes (3)

  • Area Under the Curve (AUC) for Participant Assessed Ascites Impact Measure (AIM)

    From Day 1 up to 60 days from randomization to the first postrandomization paracentesis

  • 60-Day Frequency of Paracentesis (FOP)

    From Day 1 up to 60 days from randomization

  • Plasma Levels of Free and VEGF-bound Aflibercept

    Following every biweekly treatment administration up to 60 days after treatment discontinuation

Study Arms (2)

Placebo

PLACEBO COMPARATOR

Participants with advanced ovarian cancer administered placebo in the double-blind (DB) period. In the open-label (OL) period, participants had the option to receive aflibercept or be withdrawn from the study.

Drug: PlaceboDrug: aflibercept (ziv-aflibercept, AVE0005, VEGF trap, ZALTRAP®)

Aflibercept

EXPERIMENTAL

Participants with advanced ovarian cancer administered aflibercept in the double-blind (DB) period. In the open-label (OL) period, participants had the option to continue to receive aflibercept or be withdrawn from the study.

Drug: aflibercept (ziv-aflibercept, AVE0005, VEGF trap, ZALTRAP®)

Interventions

4.0 mg/kg aflibercept was administered intravenously (IV) over 1 hour once every 2 weeks in the DB period.

Aflibercept

Placebo was administered intravenously (IV) over 1 hour once every 2 weeks in the DB period.

Placebo

Eligibility Criteria

Age18 Years+
Sexfemale
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Advanced ovarian epithelial cancer, treated with paracentesis
  • Platinum-resistant, and topotecan-resistant and/or liposomal doxorubicin-resistant disease;
  • Eastern Cooperative Oncology Group (ECOG) performance status =\< 2.

You may not qualify if:

  • Pseudomyxoma peritonei or peritoneal mesothelioma;
  • Transudative ascites;
  • Peritoneovenous or other shunt placed for malignant ascites management;
  • Recent (\<6 months) cardiovascular event (pulmonary embolus, myocardial infarction, stroke) or gastrointestinal disease (ulcer, hepatic cirrhosis);
  • Known brain metastases;
  • Uncontrolled hypertension;
  • Recent treatment with chemotherapy, surgery or radiotherapy;
  • Prior treatment with VEGF or VEGFR inhibitor.
  • The above information is not intended to contain all considerations relevant to participation in a clinical trial.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (9)

Sanofi-Aventis Administrative Office

Bridgewater, New Jersey, 08807, United States

Location

Sanofi-Aventis Administrative Office

Vienna, Austria

Location

Sanofi-Aventis Administrative Office

Diegem, Belgium

Location

Sanofi-Aventis Administrative Office

Laval, Canada

Location

Sanofi-Aventis Administrative Office

Budapest, Hungary

Location

Sanofi-Aventis Administrative Office

Mumbai, India

Location

Sanofi-Aventis Administrative Office

Netanya, Israel

Location

Sanofi-Aventis Administrative Office

Barcelona, Spain

Location

Sanofi-Aventis Administrative Office

Guildford Surrey, United Kingdom

Location

Related Publications (2)

  • 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.

  • Gotlieb WH, Amant F, Advani S, Goswami C, Hirte H, Provencher D, Somani N, Yamada SD, Tamby JF, Vergote I. Intravenous aflibercept for treatment of recurrent symptomatic malignant ascites in patients with advanced ovarian cancer: a phase 2, randomised, double-blind, placebo-controlled study. Lancet Oncol. 2012 Feb;13(2):154-62. doi: 10.1016/S1470-2045(11)70338-2. Epub 2011 Dec 20.

MeSH Terms

Conditions

Ovarian NeoplasmsAscites

Interventions

aflibercept

Condition Hierarchy (Ancestors)

Endocrine Gland NeoplasmsNeoplasms by SiteNeoplasmsOvarian DiseasesAdnexal DiseasesGenital Diseases, FemaleFemale Urogenital DiseasesFemale Urogenital Diseases and Pregnancy ComplicationsUrogenital DiseasesGenital Neoplasms, FemaleUrogenital NeoplasmsGenital DiseasesEndocrine System DiseasesGonadal DisordersPathologic ProcessesPathological Conditions, Signs and Symptoms

Results Point of Contact

Title
Trial Transparency Team
Organization
Sanofi

Study Officials

  • Walter GOTLIEB

    Director of Gynecologic Oncology and Colposcopy Associate Professor of Oncology, McGill University - Montreal - Quebec Canada

    PRINCIPAL INVESTIGATOR

Publication Agreements

PI is Sponsor Employee
No
Restriction Type
OTHER
Restrictive Agreement
Yes

Study Design

Study Type
interventional
Phase
phase 2
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
PARTICIPANT, INVESTIGATOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

May 16, 2006

First Posted

May 18, 2006

Study Start

July 1, 2006

Primary Completion

October 1, 2009

Study Completion

October 1, 2009

Last Updated

January 1, 2013

Results First Posted

January 1, 2013

Record last verified: 2011-07

Locations