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CompletedNCT02219893ImmunoPeCaUpdated May 30, 2017

Immunotoxin in Peritoneal Carcinomatosis- ImmunoPeCa Trial

A Phase 1/2 interventional study of MOC31PE Immunotoxin in Colorectal Neoplasms, sponsored by Oslo University Hospital. Completed at 1 site in Norway. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2017-05-30.

Sponsored by Oslo University Hospital · Phase 1/2, Interventional, and Treatment

Phase
Phase 1/2
Study type
Interventional
Enrollment
15
Allocation
Not applicable
Ages
18 Years and older
Sex
All
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Study summary

The purpose of this study is through a phase I/II clinical trial to assess the safety and toxicity of intraperitoneally administered MOC31PE immunotoxin, given on the 1.postoperative day after cytoreductive surgery (CRS) and Hyperthermic Intraperitoneal Chemotherapy (HIPEC) for peritoneal metastases from colorectal cancer (CRC).

Read the detailed description

MOC31PE is an immunotoxin that has previously been evaluated in a phase I clinical study involving patients with advanced EpCAM positive carcinoma to assess the safety and tolerability profile and the pharmacokinetic behavior of the compound. In this study, the compound was administered intravenously and was well tolerated. MOC31PE will now be evaluated on the same parameters in a new phase I/II clinical trial, where the drug will be administered intraperitoneally to patients with peritoneal metastases from EpCAM positive colorectal carcinomas.

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Conditions studied

  • Colorectal Neoplasms

Keywords

  • Peritoneal Carcinomatosis
  • Peritoneal Metastasis
  • Colorectal Cancer
  • Cytoreductive surgery
  • HIPEC
  • Intraperitoneal treatment
  • Immunotoxin
  • MOC31PE
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In context

Colorectal Neoplasms

5,600 studies on the registry are indexed under Colorectal Neoplasms; 1,459 are open to participants now.

This study's enrollment of 15 is below the median of 77 across 4,123 interventional studies indexed under Colorectal Neoplasms.

Browse Colorectal Neoplasms studies →

Lead sponsor

Oslo University Hospital is the lead sponsor of 810 studies on the registry; 148 are open to participants now.

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

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Who can participate

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

Inclusion criteria

  • Histologically verified EpCAM positive colorectal cancer
  • Ambulatory with Eastern Cooperative Oncology Group (ECOG) performance status 0-1 at the time of surgery
  • At least 18 years of age
  • Suspected isolated peritoneal carcinomatosis upon radiologic work-up
  • Complete cytoreduction at surgery and mitomycin C given as standard HIPEC procedure
  • Peritoneal Cancer Index (PCI) ≤ 20
  • Laboratory values at inclusion:

    • Absolute neutrophil count (ANC) > 1.5 x 10\^9/L
    • Platelets > 100 x 10\^9/L
    • Hb > 9g/dL
    • Creatinine ≤ 2x upper limit of normal
    • Bilirubin \< 2.0x the upper limit of normal
    • Aspartate aminotransferase (AST) and Alanine aminotransferase (ALT) ≤ 2. 5x the upper limit of normal
    • Albumin levels > 30 g/L
    • International normalised ratio (INR) \<1.3
  • Signed informed consent and expected cooperation with respect to treatment and follow-up must be obtained and documented according to International Conference of Harmonisation- Good clinical Practice (ICH GCP), and national/local regulations.

Exclusion criteria

Exclusion criteria:

  • Other synchronous metastatic lesions. Patients may be included if they have had curative resection of metastatic CRC disease more than 2 years prior to inclusion and have no relapse at this location is detected.
  • History of prior other malignant disease the last 3 years, except for adequately treated carcinoma of the cervix or basal or squamous cell skin cancer.
  • History of central nervous system (CNS)- or bone metastases
  • Significant cardiac or other medical illness that would limit activity or survival, such as severe congestive heart failure, unstable angina, or serious cardiac arrhythmia
  • History of any liver disease including Hepatitis B or C infection
  • Chemotherapy/radiation therapy or major surgery within the last 4 weeks before start of treatment
  • BMI > 35
  • Pregnant or breast-feeding patients
  • Alcohol or drug abuse
  • Use of drugs that can influence hepatic function (e.g. phenytoin or phenobarbital)
  • Use of anticoagulants
  • Any reason why, in the opinion of the investigator, the patient should not participate in the study protocol
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Study design

Phase
Phase 1 / Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
15 participants (actual)

Study arms

  • Experimental
    MOC31PE Immunotoxin

    Drug to be instilled on day 1 after cytoreductive surgery and HIPEC.

    Drug: MOC31PE Immunotoxin

Interventions

  • DrugMOC31PE Immunotoxin

    Patients who meet inclusion criteria will be treated with a single intraperitoneal MOC31PE immunotoxin instillation for 6 hours on the first day after CRS and HIPEC

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What researchers measure

Primary outcomes

  1. Number of Participants with Adverse Events as a Measure of Safety and Tolerability

    Follow-up: 5 years from administration of study drug, or until disease progression

    Time frame: 5 years or until disease progression

Secondary outcomes

  1. Cmax, Tmax

    Measurements will be done at 0, 3, 6, 12, 24, 48 and 72 hours after administration of study drug

    Time frame: 8 weeks

  2. Neutralizing anti-immunotoxin antibody response

    Measurements of neutralizing anti-immunotoxin antibody response will be done at 4 and 8 weeks after administration of study drug

    Time frame: 8 weeks

  3. Biomarkers of disease recurrence

    Serum samples for identification of biomarkers of disease recurrence will be taken at every follow-up for 5 years or until disease progression

    Time frame: 5 years or until disease progression

  4. Overall survival

    Overall survival of all patients will be assessed after 5 years

    Time frame: 5 years

  5. Disease free survival

    Follow up period of 5 years, or until disease progression

    Time frame: 5 years

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Study locations

1 site
  • Oslo University Hospital- The Norwegian Radium Hospital
    Oslo, 0424, Norway
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 30, 2017, 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
NCT02219893
Lead sponsor
Oslo University Hospital
Responsible party
Svein Dueland (Senior consultant medical oncology, Oslo University Hospital) — Principal investigator
First posted
Aug 19, 2014
Start date
Aug 2014
Primary completion
Dec 10, 2016
Completion
Dec 10, 2016
Last update
May 30, 2017

Study contacts

Kjersti Flatmark, MD PhD
principal investigator · Oslo University Hospital
Svein Dueland, MD PhD
principal investigator · Oslo University Hospital

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in May 2017. You cannot join it, but the record below documents what was studied.

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