Dose-finding Study Comparing Efficacy and Safety of a PARP Inhibitor Against Doxil in BRCA+ve Advanced Ovarian Cancer
ICEBERG 3
A Phase II, Open-Label, Randomised, Comparative, International Multicentre Study to Assess the Safety and Efficacy of Different Doses of AZD2281 Given Orally Twice Daily Versus Intravenous Liposomal Doxorubicin Given Monthly in Patients With Advanced BRCA1- or BRCA2-Associated Ovarian Cancer Who Have Failed Previous Platinum-based Chemotherapy
1 other identifier
interventional
97
9 countries
24
Brief Summary
The purpose of the study is to compare the efficacy and safety of 2 doses of drug AZD2281 against liposomal doxorubicin to see which is effective and well tolerated in treating patients with measurable BRCA1- or BRCA2-positive advanced ovarian cancer and who have failed previous platinum therapy.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for phase_2
Started Jul 2008
Longer than P75 for phase_2
24 active sites
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
February 26, 2008
CompletedFirst Posted
Study publicly available on registry
March 5, 2008
CompletedStudy Start
First participant enrolled
July 30, 2008
CompletedPrimary Completion
Last participant's last visit for primary outcome
September 15, 2009
CompletedResults Posted
Study results publicly available
June 3, 2016
CompletedStudy Completion
Last participant's last visit for all outcomes
September 19, 2018
CompletedDecember 5, 2019
November 1, 2019
1.1 years
February 26, 2008
January 14, 2015
November 12, 2019
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Progression Free Survival (PFS)
PFS was defined as the time to progression from the date of randomisation until the date of radiological assessment of progression per RECIST criteria or death (by any cause in the absence of progression)
Tumour assessment was to be assessed at screening, every 8 weeks during the study and at the withdrawal visit, up to 56 weeks. (Data cut-off for primary analysis of PFS: 15 September 2009)
Secondary Outcomes (10)
Objective Response Rate (ORR)
At the time that 57 PFS events had occurred (Data cut-off for primary analysis of PFS: 15 September 2009)
Disease Control Rate
At the time that 57 PFS events had occurred (Data cut-off for primary analysis of PFS: 15 September 2009)
Overall Duration of Response
At the time that 57 PFS events had occurred (Data cut-off for primary analysis of PFS: 15 September 2009)
Best Percentage Change in Tumour Size
At the time that 57 PFS events had occurred (Data cut-off for primary analysis of PFS: 15 September 2009)
Best Percentage Change From Baseline in CA-125 Levels
At the time that 57 PFS events had occurred (Data cut-off for primary analysis of PFS: 15 September 2009)
- +5 more secondary outcomes
Study Arms (3)
1
EXPERIMENTALAZD2281 Oral 200 mg BID
2
ACTIVE COMPARATORLiposomal Doxorubicin
3
EXPERIMENTALAZD2281 Oral 400 mg BID
Interventions
Eligibility Criteria
You may qualify if:
- Advanced ovarian cancer with positive BRCA1 or BRCA2 status
- Progressive or recurrent disease after platinum-based chemotherapy
- Measurable disease by RECIST
You may not qualify if:
- Previous anthracycline treatment
- Brain metastases
- Less than 28 days since last treatment used to treat the disease
- Considered a poor medical risk due to a serious uncontrolled disorder
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- AstraZenecalead
Study Sites (24)
Research Site
Los Angeles, California, 90048, United States
Research Site
San Francisco, California, 94115, United States
Research Site
Boca Raton, Florida, 33428, United States
Research Site
Boston, Massachusetts, 02115, United States
Research Site
New York, New York, 10065, United States
Research Site
Houston, Texas, 77030, United States
Research Site
East Melbourne, 3002, Australia
Research Site
Melbourne, Parkville, VIC 3050, Australia
Research Site
Randwick, 2031, Australia
Research Site
Leuven, 3000, Belgium
Research Site
Cologne, 50937, Germany
Research Site
München, 81377, Germany
Research Site
Haifa, 31096, Israel
Research Site
Ramat Gan, 52621, Israel
Research Site
Tel Aviv, 6423906, Israel
Research Site
Szczecin, 70-111, Poland
Research Site
Barcelona, 08035, Spain
Research Site
Hospitalet deLlobregat, 08907, Spain
Research Site
Lund, 22185, Sweden
Research Site
Cambridge, CB2 0QQ, United Kingdom
Research Site
Edinburgh, EH4 2XR, United Kingdom
Research Site
London, SE1 9RT, United Kingdom
Research Site
Manchester, M20 4BX, United Kingdom
Research Site
Sutton, SM2 5PT, United Kingdom
Related Publications (6)
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.
PMID: 37407274DERIVEDTattersall A, Ryan N, Wiggans AJ, Rogozinska E, Morrison J. Poly(ADP-ribose) polymerase (PARP) inhibitors for the treatment of ovarian cancer. Cochrane Database Syst Rev. 2022 Feb 16;2(2):CD007929. doi: 10.1002/14651858.CD007929.pub4.
PMID: 35170751DERIVEDPenson RT, Valencia RV, Cibula D, Colombo N, Leath CA 3rd, Bidzinski M, Kim JW, Nam JH, Madry R, Hernandez C, Mora PAR, Ryu SY, Milenkova T, Lowe ES, Barker L, Scambia G. Olaparib Versus Nonplatinum Chemotherapy in Patients With Platinum-Sensitive Relapsed Ovarian Cancer and a Germline BRCA1/2 Mutation (SOLO3): A Randomized Phase III Trial. J Clin Oncol. 2020 Apr 10;38(11):1164-1174. doi: 10.1200/JCO.19.02745. Epub 2020 Feb 19.
PMID: 32073956DERIVEDMatulonis UA, Penson RT, Domchek SM, Kaufman B, Shapira-Frommer R, Audeh MW, Kaye S, Molife LR, Gelmon KA, Robertson JD, Mann H, Ho TW, Coleman RL. Olaparib monotherapy in patients with advanced relapsed ovarian cancer and a germline BRCA1/2 mutation: a multistudy analysis of response rates and safety. Ann Oncol. 2016 Jun;27(6):1013-1019. doi: 10.1093/annonc/mdw133. Epub 2016 Mar 8.
PMID: 26961146DERIVEDAng JE, Gourley C, Powell CB, High H, Shapira-Frommer R, Castonguay V, De Greve J, Atkinson T, Yap TA, Sandhu S, Banerjee S, Chen LM, Friedlander ML, Kaufman B, Oza AM, Matulonis U, Barber LJ, Kozarewa I, Fenwick K, Assiotis I, Campbell J, Chen L, de Bono JS, Gore ME, Lord CJ, Ashworth A, Kaye SB. Efficacy of chemotherapy in BRCA1/2 mutation carrier ovarian cancer in the setting of PARP inhibitor resistance: a multi-institutional study. Clin Cancer Res. 2013 Oct 1;19(19):5485-93. doi: 10.1158/1078-0432.CCR-13-1262. Epub 2013 Aug 6.
PMID: 23922302DERIVEDYap TA, Carden CP, Kaye SB. Beyond chemotherapy: targeted therapies in ovarian cancer. Nat Rev Cancer. 2009 Mar;9(3):167-81. doi: 10.1038/nrc2583.
PMID: 19238149DERIVED
Related Links
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Limitations and Caveats
The AEs reported include all events up to the OS data cut-off. After the PFS data cut-off, AEs were only collected for the olaparib and cross-over groups. The safety profile of these 2 groups at OS was consistent with that at the time of PFS.
Results Point of Contact
- Title
- Paula del Rosario
- Organization
- AstraZeneca
Study Officials
- STUDY DIRECTOR
Jane Robertson, BSc, MBCHB, MD
AstraZeneca
- PRINCIPAL INVESTIGATOR
Stan Kaye, BSc, MB, FRCP, FRCR, SMedSCi
Royal Marsden NHS Foundation Trust
Publication Agreements
- PI is Sponsor Employee
- No
- Restriction Type
- OTHER
- Restrictive Agreement
- Yes
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
- Expanded Access
- Yes
Study Record Dates
First Submitted
February 26, 2008
First Posted
March 5, 2008
Study Start
July 30, 2008
Primary Completion
September 15, 2009
Study Completion
September 19, 2018
Last Updated
December 5, 2019
Results First Posted
June 3, 2016
Record last verified: 2019-11