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CompletedNCT04461457Updated Jul 8, 2020

Targeted Radiation Therapy for Ovarian Cancer: Intraperitoneal Treatment With 211-astatine-MX35 F(ab')2

An Early Phase 1 interventional study of 211-astatine MX35 F(ab')2 in Ovarian Cancer, sponsored by Vastra Gotaland Region. Completed at 1 site in Sweden. Open to female participants aged 18 Years to 85 Years. Per ClinicalTrials.gov, last updated 2020-07-08.

Sponsored by Vastra Gotaland Region · Early Phase 1, Interventional, and Treatment

From the registry’s dates

  • Registered 15 years 4 months after the study started (first participant enrolled Feb 2005, registered Jun 2020).
Phase
Early Phase 1
Study type
Interventional
Enrollment
12
Ages
18 Years to 85 Years
Sex
Female
01

Study summary

In this alpha-radioimmunotherapy study groups of 3 patients with recurring epithelial ovarian cancer treated by salvage chemo-therapy and being in complete or good partial remission will receive one intra peritoneal infusion of 211 astatine (211At)-MX35 F(ab')2 . Patients will receive a single dose of MX35 F(ab')2 radiolabeled with increasing activity concentration of 211At in 1.0 - 2 L Extraneal® solution starting at an activity concentration of 50 megabecquerel per litre (MBq/L).

Read the detailed description
  • Five days prior to therapy the patient is provided with a central intra venous line and an abdominal catheter will be introduced during laparoscopy. To investigate the access to the whole abdominal cavity and possible catheter leakage, a 99mTc-colloid, will be infused intra peritoneally (IP) within 1.0 L of a gluco-polymer (Extraneal®).
  • At the day of treatment vital signs will be measured prior to and after the 30 min infusion and at least every second hour during the first 6 hours after infusion, daily for the remainder of the in-hospital stay and at a minimum at 2, 3, 4 and 8 weeks after the IP infusion. Blood samples will be obtained for pharmacokinetic analyses every hour after completion of the IP infusion for 8 hours, then every 6 hours, together with sampling from the i.p. catheter.
  • SPECT imaging of the whole abdominal cavity and thorax including the thyroid may be performed following completion of the IP infusion and at approx 8 or 20hrs post infusion.
  • Physical examination and electrocardiogram will be done prior to and 4 weeks after the IP infusion. Clinical biochemical and hematological parameters will be monitored weekly after treatment. Blood samples to evaluate immunogenicity as well as cancer antigen-125 (CA-125) will also be taken at 2 and 8 weeks after treatment.
  • The first patient will be observed for at least 4 weeks with any observed toxicity is Grade 2 or less, before the additional patient is accrued at the dose level.
  • Dosimetry safety criteria: Based upon published data on maximal tolerated absorbed dose (Gy) recalculated to equivalent dose (Sv) with the assumption that the relative biological effectiveness (RBE) = 5, a limit for organ doses is defined. If any organ would reach the defined limit the study will be stopped.
02

Conditions studied

03

In context

Ovarian Neoplasms

2,695 studies on the registry are indexed under Ovarian Neoplasms; 727 are open to participants now.

This study's enrollment of 12 is below the median of 60 across 2,030 interventional studies indexed under Ovarian Neoplasms.

Browse Ovarian Neoplasms studies →

Lead sponsor

Vastra Gotaland Region is the lead sponsor of 267 studies on the registry; 107 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 85 Years
Sexes eligible
Female
Accepts healthy volunteers
No

Inclusion criteria

  1. Patients must have histologically confirmed ovarian or tubal or primary peritoneal adenocarcinoma.
  2. Patients must have a recurrent intraperitoneal cancer and treated by a salvage chemotherapy to complete or good partial remission
  3. The following laboratory and clinical results within 2 weeks prior to first study day:

    Absolute neutrophil count (ANC) > 1.5 x 109/L Platelet count > 100 x 109/L Serum bilirubin \< upper limit of normal(ULN) Aspartate aminotransaminase (ASAT) \< 1.5 x ULN Serum aminotransferase (ALAT) \< 1.5 x ULN Serum creatinine \< 1.5 x upper limit of normal Thyreoglobulin baseline information Thyroid-stimulating hormone (TSH) baseline information T4 baseline information

  4. Karnofsky performance status > 70.
  5. Must understand written and spoken Swedish
  6. Before any trial-specific procedures or treatment can be performed, the patient must give written informed consent for participation in the trial.

Exclusion criteria

Exclusion Criteria:

  1. Active parenchymal disease (distant metastasis) (i.e. stage IV International Federation of Gynecology and Obstetrics (FIGO) classification.
  2. Presence of diagnosed extra abdominal metastasis
  3. Clinically significant heart disease.
  4. Electrocardiographic demonstrating clinically significant arrhythmias.
  5. Other serious illnesses, e.g. serious infections requiring antibiotics, coagulation disorders.
  6. Chronic inflammatory bowel disease.
  7. Chemotherapy, biologic therapy, or immunotherapy within 4 weeks prior
  8. Advanced abdominal adherences.
05

Study design

Phase
Early Phase 1
Primary purpose
Treatment
Intervention model
Sequential assignment
Masking
None (open label)
Enrollment
12 participants (actual)

Study arms

  • Experimental
    Intraperitoneal Radioimmunotherapy boost

    Four groups of 3 patients with recurring ovarian cancer treated by salvage chemo-therapy and being in complete or good partial remission will receive one IP dose of 211astatine-MX35 F(ab'2). Starting at 50 MBq/L. Dose escalation 100 Mbq/L, 200 MBq/L and finally 300 MBq/L.

    Combination Product: 211-astatine MX35 F(ab')2

Interventions

  • Combination product211-astatine MX35 F(ab')2

    Alpha emitting radionuclide 211At conjugated to monoclonal antibody MX35 F(ab')2. Targeting the sodium phosphate transporter (NaPi2b).

06

What researchers measure

Primary outcomes

  1. Maximum observed concentration (Cmax) of Astatine 211

    Decay corrected activity concentration in serum, intraperitoneal fluid and urine.

    Time frame: Sampled from +1 hour to +48 hrs post infusion.

  2. Area under the curve (AUC) of astatine 211 from time of dosing to 48 hrs after dosing

    Decay corrected activity concentration in serum, intraperitoneal fluid and urine, including actual imaging quantification on gamma-Camera scintigraphy.

    Time frame: Sampled from +1 hour to +48 hrs post infusion.

  3. Toxicity: hematology, liver, kidney, thyroid function

    As defined by NCI Common Toxicity Criteria v2.0

    Time frame: From procedure start (implantation of catheter) to 8 weeks after infusion

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Study locations

1 site
  • Sahlgrenska University Hospital, Dept of Oncology
    Gothenburg, 41345, Sweden
08

References and documents

Publications

  • Andersson H, Cederkrantz E, Back T, Divgi C, Elgqvist J, Himmelman J, Horvath G, Jacobsson L, Jensen H, Lindegren S, Palm S, Hultborn R. Intraperitoneal alpha-particle radioimmunotherapy of ovarian cancer patients: pharmacokinetics and dosimetry of (211)At-MX35 F(ab')2--a phase I study. J Nucl Med. 2009 Jul;50(7):1153-60. doi: 10.2967/jnumed.109.062604. Epub 2009 Jun 12. PubMed 19525452 ↗
  • Cederkrantz E, Andersson H, Bernhardt P, Back T, Hultborn R, Jacobsson L, Jensen H, Lindegren S, Ljungberg M, Magnander T, Palm S, Albertsson P. Absorbed Doses and Risk Estimates of (211)At-MX35 F(ab')2 in Intraperitoneal Therapy of Ovarian Cancer Patients. Int J Radiat Oncol Biol Phys. 2015 Nov 1;93(3):569-76. doi: 10.1016/j.ijrobp.2015.07.005. Epub 2015 Jul 11. PubMed 26460999 ↗
  • Hallqvist A, Bergmark K, Back T, Andersson H, Dahm-Kahler P, Johansson M, Lindegren S, Jensen H, Jacobsson L, Hultborn R, Palm S, Albertsson P. Intraperitoneal alpha-Emitting Radioimmunotherapy with 211At in Relapsed Ovarian Cancer: Long-Term Follow-up with Individual Absorbed Dose Estimations. J Nucl Med. 2019 Aug;60(8):1073-1079. doi: 10.2967/jnumed.118.220384. Epub 2019 Jan 25. PubMed 30683761 ↗

Individual participant data

Plan to share: No — Upun specific request, data could be considered to be shared.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 8, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04461457
Lead sponsor
Vastra Gotaland Region
Collaborators
Swedish Cancer Society, The Swedish Research Council, Sahlgrenska University Hospital
Responsible party
Sponsor
First posted
Jul 8, 2020
Start date
Feb 5, 2005
Primary completion
Mar 19, 2011
Completion
Jan 19, 2012
Last update
Jul 8, 2020

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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