Clinical trial · Interventional
Efficacy Multicentre Trial of ImmunoTherapy Vaccination With Abagovomab to Treat Ovarian Cancer Patients
A Randomised,Double Blind, Placebo Controlled, Multicentre Trial of Abagovomab Maintenance Therapy in Patients With Epithelial Ovarian Cancer After Complete Response to First Line Chemotherapy
- Source
- ClinicalTrials.gov
- Retrieved
- Sep 8, 2026
- Layer
- normalized (units and labels harmonized; values unchanged)
- Run
- ING-CLINICALTRIALS-20260908-000001
Why stopped (as posted): No benefit on primary end point (RFS); no rationale to collect survival data
Summary
Brief summary (as posted)
The purpose of this study is to evaluate the benefit of vaccination with Abagovomab, an experimental immunotherapy in ovarian cancer patients. The benefit will be evaluated in terms of time the remission status is kept as well as prolongation of life expectancy.
Conditions
Conditions (1)
Free-text conditions as registered, with the CancerIndex entity they were reconciled to and the match type.
| Condition (as posted) | Mapped entity | Match | Confidence |
|---|---|---|---|
| Ovarian Cancer | Malignant Ovarian Neoplasm | CURATED_EXACT | 0.92 |
Interventions
Interventions (2)
| Intervention | Type | Mapped drug | Match |
|---|---|---|---|
| Abagovomab | Biological | — | UNRESOLVED |
| Placebo | Biological | — | UNRESOLVED |
Design
Arms and outcomes
Arms (2)
- type
- EXPERIMENTAL
- label
- Abagovomab
- interventionNames
- Biological: Abagovomab
- type
- PLACEBO_COMPARATOR
- label
- Placebo
- interventionNames
- Biological: Placebo
Primary outcomes (1)
- measure
- Recurrence Free Survival Evaluated by Clinical Event Adjudication Committee (CEAC)
- timeFrame
- Every 12 weeks up to recurrence or up to 3 months after last administered dose
- description
- The Recurrence free survival correspond to the time from date of randomization to documented disease recurrence or death. Disease recurrence is defined as the appearance of any lesion or development of tumor-related symptoms evaluated by medical examination and must be confirmed by a documented CT scan.
Eligibility
Eligibility (as posted)
- Sex
- Female
- Minimum age
- 18 Years
Show eligibility criteria text
Inclusion Criteria: At a maximum of 12 weeks after the last cycle of first line standard platinum/taxane intravenous (IV) or intraperitoneal (IP) chemotherapy, patients must fulfill all the following inclusion criteria: * Age \>/= 18 years; * Properly executed written informed consent; * History of histological and CA125 (\> 35 U/ml) confirmed diagnosis of stage III-IV epithelial ovarian, fallopian tube, or primary peritoneal cancer; * History of debulking surgery and 6-8 cycles of standard platinum/taxane based non-investigational IV-IP chemotherapy; * Complete clinical response defined as: * Normal physical examination; * No symptoms suggestive of persistent cancer; * No definite evidence of disease by computed tomography (CT) of the abdomen and pelvis within the previous 4 weeks; * Negative chest x-ray (or chest CT scan) within the previous 4 weeks; * Serum CA125 within the normal laboratory range. * Adequate hematologic, renal and hepatic function: * Absolute Neutrophil Count (ANC) \>/=1.5 \* 109/l; * Platelets \>/= 75 \* 109/l; * Haemoglobin \>/= 6.2 mmol/l (\>9.9 g/dl); * Serum creatinine \</= 1.5 \* ULN (Upper Limit of Normal); * Bilirubin \</= 1.5 \* ULN; AST, ALT, AP \</= 2.5 \* ULN. * Eastern Cooperative Oncology Group (ECOG) Performance Status (PS) \</= 2. Exclusion Criteria: Patients are ineligible to participate in the study, if any of the following criteria are present: * any other invasive malignancies, with the exception of non-melanoma skin cancer or cervical carcinoma in situ, within the last 5 years or whose previous cancer treatment contraindicates this protocol therapy; * known active autoimmune disease requiring chronic treatment with immunosuppressive agents (e.g., rheumatoid arthritis, ulcerative colitis, etc.); * known immune deficiency (e.g. HIV, hypogammaglobulinemia, etc.); * known infection with hepatitis B, or hepatitis C; * history of recent myocardial infarction (\</= 6 months) or decompensated heart failure (New York Heart Association - NYHA class \>/= III); * previous or concomitant use of any anti-cancer therapy other than the platinum-taxane based 1st line chemotherapy for ovarian cancer; any maintenance or consolidation therapy is not permitted after completion of standard front line chemotherapy. * concomitant use of any other investigational agent; * any prior investigational anti-cancer vaccine or monoclonal antibody; * known allergy to murine proteins; * any significant medical or psychiatric condition, drug or alcohol abuse that might prevent the patient from complying with all study procedures; * clinically significant active infection; * concomitant use of any immunosuppressive agent (e.g., steroids, cyclosporin, etc.); * major surgery within the previous 2 weeks; * radiotherapy within the previous 4 weeks; * any significant toxicity from prior chemotherapy; * unreliability or inability to follow protocol requirements; * potentially childbearing and not willing to use adequate contraceptive methods throughout the entire study period; * pregnancy.
References
Publications (6)
- BACKGROUNDReinartz S, Kohler S, Schlebusch H, Krista K, Giffels P, Renke K, Huober J, Mobus V, Kreienberg R, DuBois A, Sabbatini P, Wagner U. Vaccination of patients with advanced ovarian carcinoma with the anti-idiotype ACA125: immunological response and survival (phase Ib/II). Clin Cancer Res. 2004 Mar 1;10(5):1580-7. doi: 10.1158/1078-0432.ccr-03-0056. PMID 15014007
- BACKGROUNDWagner U, Kohler S, Reinartz S, Giffels P, Huober J, Renke K, Schlebusch H, Biersack HJ, Mobus V, Kreienberg R, Bauknecht T, Krebs D, Wallwiener D. Immunological consolidation of ovarian carcinoma recurrences with monoclonal anti-idiotype antibody ACA125: immune responses and survival in palliative treatment. See The biology behind: K. A. Foon and M. Bhattacharya-Chatterjee, Are solid tumor anti-idiotype vaccines ready for prime time? Clin. Cancer Res., 7:1112-1115, 2001. Clin Cancer Res. 2001 May;7(5):1154-62. PMID 11350879
- BACKGROUNDPfisterer J, du Bois A, Sehouli J, Loibl S, Reinartz S, Reuss A, Canzler U, Belau A, Jackisch C, Kimmig R, Wollschlaeger K, Heilmann V, Hilpert F. The anti-idiotypic antibody abagovomab in patients with recurrent ovarian cancer. A phase I trial of the AGO-OVAR. Ann Oncol. 2006 Oct;17(10):1568-77. doi: 10.1093/annonc/mdl357. PMID 17005631
- BACKGROUNDSabbatini P, Dupont J, Aghajanian C, Derosa F, Poynor E, Anderson S, Hensley M, Livingston P, Iasonos A, Spriggs D, McGuire W, Reinartz S, Schneider S, Grande C, Lele S, Rodabaugh K, Kepner J, Ferrone S, Odunsi K. Phase I study of abagovomab in patients with epithelial ovarian, fallopian tube, or primary peritoneal cancer. Clin Cancer Res. 2006 Sep 15;12(18):5503-10. doi: 10.1158/1078-0432.CCR-05-2670. PMID 17000686
- DERIVEDBuzzonetti A, Fossati M, Catzola V, Scambia G, Fattorossi A, Battaglia A. Immunological response induced by abagovomab as a maintenance therapy in patients with epithelial ovarian cancer: relationship with survival-a substudy of the MIMOSA trial. Cancer Immunol Immunother. 2014 Oct;63(10):1037-45. doi: 10.1007/s00262-014-1569-0. Epub 2014 Jun 21. PMID 24952307