CClinicalTrials.gg
CompletedNCT00096993Updated Jun 10, 2015Results posted

A Study to Evaluate rhuMab 2C4 and Gemcitabine in Subjects With Ovarian, Primary Peritoneal, or Fallopian Tube Cancer

A Phase 2 interventional study of Placebo and Gemcitabine in Ovarian Cancer, Peritoneal Cancer and Fallopian Tube Cancer, sponsored by Genentech, Inc.. Completed at 41 sites in United States. Open to female participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2015-06-10.

Sponsored by Genentech, Inc. · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
131
Allocation
Randomized
Ages
18 Years and older
Sex
Female
01

Study summary

This is a Phase II, randomized, placebo-controlled, double-blind, multicenter clinical trial of pertuzumab in combination with gemcitabine relative to placebo in combination with gemcitabine in subjects with advanced ovarian, primary peritoneal, or fallopian tube cancer that is resistant to platinum-based chemotherapy.

02

Conditions studied

  • Ovarian Cancer
  • Peritoneal Cancer
  • Fallopian Tube Cancer

Keywords

  • Omnitarg
  • Cancer
  • Platinum-Resistant
03

In context

Fallopian Tube Neoplasms

720 studies on the registry are indexed under Fallopian Tube Neoplasms; 127 are open to participants now.

This study's enrollment of 131 is above the median of 52 across 589 interventional studies indexed under Fallopian Tube Neoplasms.

Browse Fallopian Tube Neoplasms studies →

Lead sponsor

Genentech, Inc. is the lead sponsor of 507 studies on the registry; 23 are open to participants now.

Of its 90 completed or terminated interventional studies of FDA-regulated products, 50 (56%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
Female
Accepts healthy volunteers
No

Inclusion criteria

  • Signed informed consent
  • Age >= 18 years
  • Advanced, histologically documented ovarian, primary peritoneal, or fallopian tube carcinoma
  • Representative tumor specimens in paraffin blocks or at least 12 unstained slides with an associated pathology report, obtained at any time prior to entry of study for evaluation of HER2 activation
  • Measurable disease with at least one lesion that can be accurately measured in at least one dimension (longest dimension recorded), Or:
  • Clinically or radiologically detectable disease (e.g., ascites, peritoneal deposits, mesenteric thickening or lesions that do not fulfill RECIST for measurable disease)
  • Platinum-resistant or refractory carcinoma
  • Life expectancy >= 12 weeks
  • ECOG performance status 0 or 1
  • LVEF >= 50%, as determined by ECHO
  • Use of an effective means of contraception (for women of childbearing potential)
  • Clinical laboratory test results: Granulocyte count >= 1500/uL; Platelet count >= 75,000/uL; Hemoglobin >= 9 g/dL (hemoglobin may be supported by transfusion or erythropoietin or other approved hematopoietic growth factors; darbopoeitin [Aranesp(R)] is permitted); Serum bilirubin \<= 1.5 the ULN; Alkaline phosphatase, AST, and ALT \<= 2.5 ULN (AST, ALT \<= 5 ULN for subjects with liver metastasis); Serum creatinine \<= 1.5 ULN; International normalized ratio (INR) \<= 1.5 and activated partial thromboplastin time (aPTT) \<= 1.5 ULN (except for subjects receiving anti-coagulation therapy)

Exclusion criteria

Exclusion Criteria:

  • Prior treatment with gemcitabine
  • Two or more prior regimens for the treatment of platinum-resistant disease
  • Two or more non-platinum-containing regimens for the treatment of platinum-sensitive disease
  • Prior treatment with experimental anti-cancer agents within 4 weeks prior to Day 1 (the day the first study treatment infusions are administered)
  • Prior treatment with HER2 pathway inhibitors (e.g., Herceptin(R) [trastuzumab], Iressa(R) [gefitinib], Tarceva\<TM> [erlotinib hydrochloride], cetuximab, GW572016)
  • History or clinical evidence of central nervous system or brain metastases
  • Uncontrolled hypercalcemia ( > 11.5 mg/dL)
  • Prior exposure of > 360 mg/m\^2 doxorubicin or liposomal doxorubicin, > 120 mg/m\^2 mitoxantrone, or > 90 mg/m\^2 idarubicin
  • History of other malignancies within 5 years of Day 1, except for adequately treated carcinoma in situ of the cervix, ductal carcinoma in situ (DCIS) of breast, basal or squamous cell skin cancer
  • History of serious systemic disease, unstable angina, myocardial infarction within 6 months prior to Day 1 of treatment, symptoms of CHF, or unstable symptomatic arrhythmia requiring medication (subjects with chronic atrial arrhythmia [i.e., atrial fibrillation, paroxysmal supraventricular tachycardia] are eligible)
  • Known HIV infection
  • Pregnancy or lactation
  • Major surgery or significant traumatic injury within 3 weeks prior to Day 1 of treatment
  • Inability to comply with study and follow-up procedures
  • Any other diseases, metabolic dysfunction, physical examination finding, or clinical laboratory finding giving reasonable suspicion of a disease or condition that contraindicates the use of an investigational drug or that may affect the interpretation of the results or render the subject at high risk from treatment complications
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
131 participants (actual)

Study arms

  • Placebo comparator
    Placebo + gemcitabine

    Participants received placebo intravenously on Day 1 of every 3 week cycle for up to 1 year (up to 17 treatment cycles). In addition, participants received gemcitabine 800 mg/m\^2 intravenously on Days 1 and 8 of every 3 week cycle for up to 1 year (up to 17 treatment cycles).

    Drug: Placebo · Drug: Gemcitabine

  • Active comparator
    Pertuzumab + gemcitabine

    Participants received pertuzumab intravenously on Day 1 of every 3 week cycle for up to 1 year (up to 17 treatment cycles). Participants received pertuzumab at a loading dose of 840 mg in Cycle 1 followed by a dose of 420 mg in Cycles 2 and beyond. In addition, participants received gemcitabine 800 mg/m\^2 intravenously on Days 1 and 8 of every 3 week cycle for up to 1 year (up to 17 treatment cycles

    Drug: Gemcitabine · Drug: Pertuzumab

Interventions

  • DrugPlacebo

    Placebo was provided as a single-use formulation for infusion.

  • DrugGemcitabine

    Gemcitabine was provided as a solution for infusion.

    Also known as: Gemzar

  • DrugPertuzumab

    Pertuzumab was provided as a single-use formulation for infusion.

    Also known as: rhuMAb 2C4

06

What researchers measure

Primary outcomes

  1. Progression-free Survival

    Progression-free survival was defined as the time from the first day of treatment (Cycle 1, Day 1) to the time of documented disease progression or death, whichever occurred first. Disease progression was assessed by the investigator according to Response Evaluation Criteria in Solid Tumors (RECIST). Complete Response (CR) was defined as disappearance of all target lesions; Partial Response (PR) was defined as \>=30% decrease in the sum of the longest diameter of target lesions and Overall Response (OR) = CR + PR.

    Time frame: Baseline to the end of the study (up to 1 year)

Secondary outcomes

  1. Percentage of Participants With an Objective Response

    An objective response was defined as a complete or partial response determined on two consecutive occasions ≥ 4 weeks apart. Responses were determined by Response Evaluation Criteria in Solid Tumors (RECIST). A complete response was defined as the disappearance of all target lesions or the disappearance of all non-target lesions and normalization of tumor marker level. A partial response was defined as at least a 30% decrease in the sum of the longest diameter of target lesions, taking as reference the baseline sum of the longest diameter of target lesions.

    Time frame: Baseline to the end of the study (up to 1 year)

  2. Duration of the Objective Response

    Duration of the objective response was defined as the time from the initial response to disease progression or death from any cause.

    Time frame: Baseline to the end of the study (up to 1 year)

  3. Percentage of Participants Free From Disease Progression at 4 Months

    Disease progression was defined as at least a 20% increase in the sum of the longest diameter of target lesions, taking as reference the smallest sum of the longest diameter recorded since treatment started or the appearance of 1 or more new lesions and/or unequivocal progression of existing non-target lesions.

    Time frame: Baseline to Month 4

  4. Duration of Survival

    Duration of survival was defined as the time from randomization until death from any cause.

    Time frame: Baseline to the end of the study (up to 1 year)

07

Results

Posted Jun 10, 2015

Participant flow

Participant flow — Overall Study
MilestonePlacebo + GemcitabinePertuzumab + Gemcitabine
Started6665
Completed10
Not completed6565
Withdrew: Death10
Withdrew: Disease progression5653
Withdrew: Adverse event28
Withdrew: Subject's decision31
Withdrew: Physician decision21
Withdrew: Non-compliance01
Withdrew: Other unspecified11

Outcome measures

PrimaryProgression-free Survival

Progression-free survival was defined as the time from the first day of treatment (Cycle 1, Day 1) to the time of documented disease progression or death, whichever occurred first. Disease progression was assessed by the investigator according to Response Evaluation Criteria in Solid Tumors (RECIST). Complete Response (CR) was defined as disappearance of all target lesions; Partial Response (PR) was defined as \>=30% decrease in the sum of the longest diameter of target lesions and Overall Response (OR) = CR + PR.

Time frame:
Baseline to the end of the study (up to 1 year)
Reported as:
Median · months
Progression-free Survival
monthsPlacebo + GemcitabinePertuzumab + Gemcitabine
Progression-free Survival2.6 (1.4 to 3.9)2.9 (2.6 to 4.4)
SecondaryPercentage of Participants With an Objective Response

An objective response was defined as a complete or partial response determined on two consecutive occasions ≥ 4 weeks apart. Responses were determined by Response Evaluation Criteria in Solid Tumors (RECIST). A complete response was defined as the disappearance of all target lesions or the disappearance of all non-target lesions and normalization of tumor marker level. A partial response was defined as at least a 30% decrease in the sum of the longest diameter of target lesions, taking as reference the baseline sum of the longest diameter of target lesions.

Time frame:
Baseline to the end of the study (up to 1 year)
Reported as:
Number · percentage of participants
Percentage of Participants With an Objective Response
percentage of participantsPlacebo + GemcitabinePertuzumab + Gemcitabine
Percentage of Participants With an Objective Response4.613.8
SecondaryDuration of the Objective Response

Duration of the objective response was defined as the time from the initial response to disease progression or death from any cause.

Time frame:
Baseline to the end of the study (up to 1 year)
Reported as:
Median · months
Duration of the Objective Response
monthsPlacebo + GemcitabinePertuzumab + Gemcitabine
Duration of the Objective ResponseNA (4.1 to NA)6.9 (4.1 to 7.4)
SecondaryPercentage of Participants Free From Disease Progression at 4 Months

Disease progression was defined as at least a 20% increase in the sum of the longest diameter of target lesions, taking as reference the smallest sum of the longest diameter recorded since treatment started or the appearance of 1 or more new lesions and/or unequivocal progression of existing non-target lesions.

Time frame:
Baseline to Month 4
Reported as:
Number · percentage of participants
Percentage of Participants Free From Disease Progression at 4 Months
percentage of participantsPlacebo + GemcitabinePertuzumab + Gemcitabine
Percentage of Participants Free From Disease Progression at 4 Months37.347.6
SecondaryDuration of Survival

Duration of survival was defined as the time from randomization until death from any cause.

Time frame:
Baseline to the end of the study (up to 1 year)
Reported as:
Median · months
Duration of Survival
monthsPlacebo + GemcitabinePertuzumab + Gemcitabine
Duration of Survival13.1 (10.5 to 15.5)13.0 (9.6 to 18.5)

Adverse events

Collected over All adverse events were collected from the beginning of study treatment until 30 days after discontinuation of study treatment.. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Placebo + Gemcitabine—40/65 (61.5%)65/65 (100%)
Pertuzumab + Gemcitabine—23/65 (35.4%)65/65 (100%)
Most frequent serious events
Showing 10 of 56
Most frequent serious events
EventPlacebo + GemcitabinePertuzumab + Gemcitabine
SMALL INTESTINAL OBSTRUCTIONGastrointestinal disorders8/652/65
PLEURAL EFFUSIONRespiratory, thoracic and mediastinal disorders1/654/65
VOMITINGGastrointestinal disorders3/651/65
INTESTINAL OBSTRUCTIONGastrointestinal disorders3/650/65
RENAL FAILURE ACUTERenal and urinary disorders3/651/65
DEHYDRATIONMetabolism and nutrition disorders3/651/65
ILEUSGastrointestinal disorders2/651/65
ABDOMINAL PAINGastrointestinal disorders0/652/65
NAUSEAGastrointestinal disorders2/650/65
DYSPNOEARespiratory, thoracic and mediastinal disorders2/652/65
Most frequent other events
Showing 10 of 107
Most frequent other events
EventPlacebo + GemcitabinePertuzumab + Gemcitabine
FATIGUEGeneral disorders50/6551/65
NAUSEAGastrointestinal disorders47/6549/65
DIARRHOEAGastrointestinal disorders39/6544/65
CONSTIPATIONGastrointestinal disorders40/6513/65
ANAEMIABlood and lymphatic system disorders39/6531/65
VOMITINGGastrointestinal disorders33/6532/65
NEUTROPENIABlood and lymphatic system disorders29/6532/65
OEDEMA PERIPHERALGeneral disorders28/6520/65
BACK PAINMusculoskeletal and connective tissue disorders18/6527/65
ABDOMINAL PAINGastrointestinal disorders26/6522/65

Baseline characteristics

Safety population: All participants who received any amount of study treatment.

Age, Continuous
Age, Continuous(years)Placebo + GemcitabinePertuzumab + GemcitabineTotal
Mean59.7 ± 11.9457.8 ± 10.7958.7 ± 11.38
Sex: Female, Male
Sex: Female, Male(Participants)Placebo + GemcitabinePertuzumab + GemcitabineTotal
Female6565130
Male000
08

Study locations

41 sites
  • Univ. of Alabama at Birmingham
    Birmingham, Alabama 35233, United States
  • Comprehensive Cancer Institute
    Huntsville, Alabama 35801, United States
  • Northwest Alabama Cancer Center
    Muscle Shoals, Alabama 35661, United States
  • Arizona Cancer Center
    Tucson, Arizona 85724, United States
  • Alta Bates Comp. Cancer Ctr
    Berkeley, California 94704, United States
  • California Cancer Crae, Inc
    Greenbrae, California 94904, United States
  • Cedars-Sinai Medical Center
    Los Angeles, California 90048, United States
  • University of California, Los Angeles
    Los Angeles, California 90095, United States
  • Ventura County Hematology Oncology Specialists
    Oxnard, California 93030, United States
  • Sutter Cancer Center
    Sacramento, California 95816, United States
  • Southern California Permanente Medical Group (Kaiser)
    San Diego, California 92120, United States
  • Sharp Healthcare
    San Diego, California 92123, United States
  • Norwalk Medical Group
    Norwalk, Connecticut 06856, United States
  • Hematology Oncology, P.C.
    Stamford, Connecticut 06902, United States
  • Integrated Community Oncology Network
    Jacksonville, Florida 32256, United States
  • Florida Hospital
    Orlando, Florida 32804, United States
  • Memorial Health Univ. Med. Ctr.
    Savannah, Georgia 31404, United States
  • St. Luke's Mountain States Tumor Institute
    Boise, Idaho 83712, United States
  • North Idaho Cancer Center
    Coeur d'Alene, Idaho 83814, United States
  • University Of Chicago
    Chicago, Illinois 60637, United States
  • Carle Clinic Association
    Urbana, Illinois 61801, United States
  • Indiana University
    Indianapolis, Indiana 46202, United States
  • St. Vincent Hospital
    Indianapolis, Indiana 46260, United States
  • Cancer Center of Kansas
    Wichita, Kansas 67214, United States
  • University of Kentucky
    Lexington, Kentucky 40536, United States
  • Greater Baltimore Medical Center
    Baltimore, Maryland 21204, United States
  • Franklin Square Hospital Center
    Baltimore, Maryland 21237, United States
  • Massachusetts General Hospital
    Boston, Massachusetts 02114, United States
  • Dana-Farber Cancer Institute
    Boston, Massachusetts 02115, United States
  • Wayne State Univ. Barbara Ann Karmanos Cancer Inst.
    Detroit, Michigan 48201, United States
  • Center for Cancer and Hematologic Disease
    Cherry Hill, New Jersey 08003, United States
  • Cooper Health System
    Voorhees, New Jersey 08043, United States
  • Carolinas Medical Center
    Charlotte, North Carolina 28203, United States
  • Ohio State University College of Medicaine
    Columbus, Ohio 43210, United States
  • Pelvic Surgery Assoc.
    Columbus, Ohio 43222, United States
  • Oklahoma Univ. Medical Center
    Oklahoma City, Oklahoma 73104, United States
  • Corvallis Clinic
    Corvallis, Oregon 97330, United States
  • Kaiser Permanente Northwest Division
    Portland, Oregon 97227, United States
  • Womens and Infants Hospital
    Providence, Rhode Island 02905, United States
  • Northern Virginia Pelvic Surgery Assoc.
    Annandale, Virginia 22003, United States
  • Carilion Gyn/Onc
    Roanoke, Virginia 24014, United States
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 10, 2015, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT00096993
Lead sponsor
Genentech, Inc.
Responsible party
Sponsor
First posted
Nov 18, 2004
Start date
Jan 2005
Primary completion
Sep 2007
Completion
Sep 2007
Results posted
Jun 10, 2015
Last update
Jun 10, 2015

Study contacts

Virginia Patton, M.D.
study director · Genentech, Inc.

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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