ClinicalTrials.gg
TerminatedNCT04729608AXLerate-OCUpdated Oct 30, 2023

Batiraxcept (AVB-S6-500)/Placebo in Combination With Paclitaxel in Patients With Platinum-Resistant Recurrent Ovarian Cancer

A Phase 3 interventional study of Batiraxcept and Paclitaxel in Platinum-resistant Ovarian Cancer, sponsored by Aravive, Inc.. Terminated at 150 sites in 11 countries. Open to female participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2023-10-30.

Sponsored by Aravive, Inc. · Phase 3, Interventional, and Treatment

Why this study was terminated
There were no significant differences in median PFS between batiraxcept + paclitaxel or paclitaxel alone arms. There was no detriment to overall survival. No new safety signals were identified.

From the registry’s dates

  • Primary completion was Aug 2023, 3 years 3 months ago, and no results have been posted to the registry.
Phase
Phase 3
Study type
Interventional
Enrollment
366
Allocation
Randomized
Ages
18 Years and older
Sex
Female
01

Study summary

This is a randomized, double-blind Phase 3 study to compare the efficacy and safety of batiraxcept (AVB-S6-500) in combination with paclitaxel (PAC) versus placebo in combination with PAC in patients with platinum resistant recurrent ovarian cancer.

02

Conditions studied

  • Platinum-resistant Ovarian Cancer

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Keywords

  • Ovarian cancer
  • Platinum resistant
  • Recurrent ovarian cancer
  • High-grade serous adenocarcinoma
03

In context

Ovarian Neoplasms

3,381 studies on the registry are indexed under Ovarian Neoplasms; 790 are open to participants now.

This study's enrollment of 366 is above the median of 54 across 2,548 interventional studies indexed under Ovarian Neoplasms.

Browse Ovarian Neoplasms studies →

Lead sponsor

Aravive, Inc. is the lead sponsor of 6 studies on the registry; none are open to participants now.

Of its 6 completed or terminated interventional studies of FDA-regulated products, 1 (17%) 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

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • confirmed and documented recurrent ovarian, fallopian tube, or peritoneal cancer. Only patients with high-grade serous adenocarcinoma histology are eligible.
  • Aged 18 years or older
  • performance status (ECOG-PS) of 0 to 1
  • Platinum-resistant disease (defined as progression within ≤6 months from completion of most recent platinum-containing regimen and calculated from the date of the last administered dose of platinum therapy).Subject may have been treated with additional regimen(s) subsequent to determination of platinum resistance.
  • Available archived tumor tissue or if archived tissue is not available, a fresh tumor .
  • Received at least 1 but not more than 4 prior therapy regimens.

Note: Maintenance therapy OR hormonal therapies should not be counted as a separate therapy.

Note: Patients who have not received prior bevacizumab must be deemed medically inappropriate OR ineligible to receive bevacizumab, refused to receive bevacizumab, or been unable to receive bevacizumab due to lack of access.

  • according to v1.1 criteria
  • Normal gastrointestinal function.
  • At least 28 days between termination of prior anticancer or hormonal therapy and first administration of batiraxcept.
  • Full recovery from all treatment-related toxicities to Grade 1 or less, except alopecia.

Exclusion criteria

Exclusion Criteria:

  • Tumors in the breast or bone
  • Untreated central nervous system (CNS) . Subjects requiring therapy for the management of their treated may not be on >10 mg/day prednisone or equivalent or have demonstrated signs or symptoms of neurologic instability for 28 days or less prior to randomization.
  • Primary platinum- disease (defined as progression during or within 4 weeks after completion of the first platinum regimen)
  • Is being treated with concurrent anticancer therapy or other interventional treatments administered for their underlying ovarian cancer.
  • Received prior therapy with PAC in the platinum-resistant recurrent setting
  • Evidence of third spacing (e.g., pleural effusions, ascites, anasarca, etc.) that requires therapeutic intervention within 28 days prior to first dose of batiraxcept/placebo
Terms in these criteria, in plain language(10)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Histologically or cytologically confirmed

The diagnosis was confirmed by looking at a sample under a microscope: tissue from a biopsy or surgery (histology), or cells from a fluid or needle sample (cytology).

Your pathology report is the document that shows this.

ECOG performance status

A scale of how much an illness limits everyday activity. For people being assessed to join a study, scores run from 0 (fully active) to 4; lower is more active.

0
Fully active, no restrictions.
1
Limited in strenuous activity, but walking and able to do light work, such as housework or office work.
2
Walking and able to look after yourself, but unable to work; up and about more than half of waking hours.
3
Able to look after yourself only in part; in bed or a chair more than half of waking hours.
4
Unable to look after yourself at all; in bed or a chair all day.

Studies most often ask for 0–1 or 0–2. Your doctor gives the score; the WHO scale uses the same steps. The full scale also has 5, which records death.

Biopsy and archival tissue

A biopsy takes a small piece of tissue to examine. “Archival tissue” is a sample already taken, for example at diagnosis, and kept by the hospital.

Whether a stored sample will do depends on when it was taken, how much there is and what the study needs. Ask whether the study accepts your stored sample or needs a new biopsy.

Measurable disease

The amount of disease can be tracked with a defined measurement, so the study can see whether it shrinks or grows. It might be a tumour measured on a scan or, in some blood cancers such as myeloma, a marker measured in blood or urine.

The criteria or the study team say which measurement counts — having no tumour visible on a scan does not by itself rule you out.

RECIST

The standard rules for measuring tumours on CT or MRI scans, to tell whether a cancer is shrinking, stable or growing during treatment.

“Measurable disease per RECIST 1.1” usually means at least one tumour 10 mm or more at its longest on a CT scan, or a lymph node 15 mm or more across its short axis.

Metastases

Cancer that has spread from where it began to other parts of the body. “Metastatic” cancer is cancer that has spread this way.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

Brain metastases

Cancer deposits in the brain from a cancer that started elsewhere in the body (CNS metastases include the spinal cord).

Studies differ: some leave out any brain metastases, some accept ones treated and stable for some weeks. Check what this study allows.

Relapsed and refractory

Relapsed: the illness came back after treatment had worked. Refractory: it did not respond to treatment, or stopped responding while still on it.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Care provider, Investigator)
Enrollment
366 participants (actual)

Study arms

  • Experimental
    Batiraxcept+PAC

    Combination of batiraxcept and PAC

    Drug: Batiraxcept · Drug: Paclitaxel

  • Placebo comparator
    Placebo+PAC

    Placebo-controlled arm with PAC

    Drug: Paclitaxel · Other: Placebo

Interventions

  • Batiraxcept is an experimental drug

    Also known as: AVB-S6-500

  • Paclitaxel is the standard of care, background therapy

    Also known as: Taxol

  • OtherPlacebo

    Matching placebo

06

What researchers measure

Primary outcomes

  1. Anti-tumor activity of batiraxcept in combination with PAC measured by progression free survival (PFS) in patients receiving batiraxcept + PAC versus patients receiving Placebo+PAC

    PFS is the time interval between randomization and radiologically documented disease progression or death, whichever comes first.

    Time frame: 4 months

Secondary outcomes

  1. Overall survival

    Time following the treatment until death

    Time frame: 20 months

Other outcomes

  1. Duration of response (DOR)

    Measured from the date of partial or complete response to therapy until the cancer progresses based on RECIST v1.1 criteria.

    Time frame: 9 months

  2. Objective response rate (ORR)

    Proportion of subjects who have a confirmed partial or complete response to therapy relative to baseline as assessed per Response Evaluation Criteria in Solid Tumors (RECIST) v1.1 criteria

    Time frame: 3 months

  3. Incidence of Treatment Emergent Adverse Events (TEAEs)

    Time frame: 10 months

  4. Quality of Life (QOL)

    Subject QOL will be assessed using the Functional Assessment Of Cancer Therapy - Ovarian Cancer (FACT-O) questionnaire, which consists of 4 subscales: physical well-being (7 questions), social/family well-being (7 questions), emotional well-being (6 questions), and functional well-being (7 questions), and 12 additional concerns specific to ovarian cancer. All items are rated on a 5 point scale with 0 "not at all" and 4 "very much". The scoring algorithm allows for eight summary scales: the four core well-being subscales, a subtotal of the 27 core items, a subtotal of the 12 ovarian-specific additional concerns, a grand total of the 39 items, and a trial outcome index (sum of the 17 physical and functional wellbeing items plus the 12 ovarian-specific items).

    Time frame: 10 months

  5. Clinical benefit rate (CBR)

    Time frame: 4 months

  6. Area under the batiraxcept concentration-time curve.

    Time frame: 10 months

  7. Maximum observed batiraxcept concentration.

    Time frame: 10 months

  8. Minimum observed batiraxcept concentration.

    Time frame: 10 months

  9. Pharmacodynamic marker assessment

    Change from the baseline in GAS6 serum levels.

    Time frame: 10 months

  10. Anti-drug antibody (ADA) titers

    Time frame: 10 months

  11. Cancer antigen 125 (CA-125) levels

    Time frame: 10 months

07

Study locations

150 sites
  • University of South Alabama Mitchell Cancer Institute
    Mobile, Alabama 36604, United States
  • Disney Family Cancer Center
    Burbank, California 91505, United States
  • Cedars-Sinai Medical Center, Samuel Oschin Comprehensive Cancer Institute
    Los Angeles, California 90048, United States
  • UCLA Women's Health Clinical Research Unit
    Los Angeles, California 90095, United States
  • UC Irvine Health-Chao Family Comprehensive Cancer Center
    Orange, California 92868, United States
  • Stanford Women's Cancer Center
    Palo Alto, California 94304, United States
  • University of California, San Francisco - Helen Diller Family Comprehensive Cancer Center
    San Francisco, California 94158, United States
  • Olive View UCLA Medical Center
    Sylmar, California 91342, United States
  • Banner MD Anderson Cancer Center/North Colorado Medical Center
    Greeley, Colorado 80631, United States
  • Hartford Hospital
    Hartford, Connecticut 06106, United States
  • Yale University School of Medicine
    New Haven, Connecticut 06520, United States
  • Baptist MD Anderson Cancer Center
    Jacksonville, Florida 32207, United States
  • Mount Sinai Comprehensive Cancer Center
    Miami Beach, Florida 33140, United States
  • AdventHealth Gynecologic Oncology
    Orlando, Florida 32804, United States
  • Florida Cancer Specialists
    West Palm Beach, Florida 33401, United States
  • Georgia Cancer Center at Augusta University
    Augusta, Georgia 30912, United States
  • Northeast Georgia Medical Center
    Gainesville, Georgia 30501, United States
  • Southeastern Regional Medical Center, LLC
    Newnan, Georgia 30265, United States
  • Lewis Cancer & Research Pavilion at St. Joseph's/Candler Health System, Inc.
    Savannah, Georgia 31405, United States
  • The University of Chicago Medical Center
    Chicago, Illinois 60637, United States
  • North Shore University Health System
    Evanston, Illinois 60201, United States
  • Dr. Sudarshan K. Sharma, Ltd.
    Hinsdale, Illinois 60521, United States
  • Midwestern Regional Medical Center, LLC
    Zion, Illinois 60099, United States
  • Community Health Network
    Indianapolis, Indiana 46250, United States
  • St Vincent Hospital and Healthcare Center
    Indianapolis, Indiana 46260, United States
  • St. Elizabeth Healthcare
    Edgewood, Kentucky 41017, United States
  • Baptist Health Lexington
    Lexington, Kentucky 40503, United States
  • Women's Cancer Care
    Covington, Louisiana 70433, United States
  • Willis-Knighton Physician Network
    Shreveport, Louisiana 71103, United States
  • Maine Medical Partners - Women's Health - Division of Gynecologic Oncology
    Scarborough, Maine 04074, United States
  • Greater Baltimore Medical Center
    Baltimore, Maryland 21204, United States
  • Holy Cross Hospital
    Silver Spring, Maryland 20910, United States
  • Beth Israel Hospital
    Boston, Massachusetts 02215, United States
  • Dana Farber Cancer Institute (DFCI)
    Boston, Massachusetts 02215, United States
  • Dana-Farber/Brigham and Women's Cancer Center in Clinical Affiliation with South Shore Hospital
    South Weymouth, Massachusetts 02190, United States
  • Baystate Medical Center
    Springfield, Massachusetts 01199, United States
  • University of Michigan
    Ann Arbor, Michigan 48109, United States
  • Mayo Clinic
    Rochester, Minnesota 55905, United States
  • Metro Minnesota Community Oncology Research Consortium
    Saint Louis Park, Minnesota 55416, United States
  • Washington University School of Medicine - Division of Gynecologic Oncology
    Saint Louis, Missouri 63110, United States
  • Mercy Hospital, David C Pratt Cancer Center
    Saint Louis, Missouri 63141, United States
  • Cox Health
    Springfield, Missouri 65807, United States
  • Billings Clinic
    Billings, Montana 07450, United States
  • Women's Cancer Center of Nevada
    Las Vegas, Nevada 89169, United States
  • Center of Hope
    Reno, Nevada 89511, United States
  • Rutgers Cancer Institute of New Jersey
    New Brunswick, New Jersey 08903, United States
  • The Valley Hospital - Luckow Pavilion
    Paramus, New Jersey 07652, United States
  • Holy Name Medical Center
    Teaneck, New Jersey 07666, United States
  • Optimum Clinical Research Group, LLC
    Albuquerque, New Mexico 87109, United States
  • The Blavatnik Family-Chelsea Medical Center at Mount Sinai
    New York, New York 10011, United States
  • North Shore Hematology Oncology Assoc. DBA NY Cancer and Blood Specialists
    Port Jefferson Station, New York 11776, United States
  • University of Rochester Medical Center
    Rochester, New York 14620, United States
  • Stony Brook University Hospital
    Stony Brook, New York 11793-7263, United States
  • Duke Cancer Center
    Durham, North Carolina 27710, United States
  • First Health of the Carolinas
    Pinehurst, North Carolina 28374, United States
  • Gabrail Cancer Center Research
    Canton, Ohio 44718, United States
  • Miami Valley Hospital South
    Centerville, Ohio 45459, United States
  • University of Cincinnati
    Cincinnati, Ohio 45267, United States
  • Ohio State University (OSU) Wexner Medical Center OSU Gynecologic Oncology at Mill Run
    Columbus, Ohio 43210, United States
  • Columbus NCORP
    Columbus, Ohio 43215, United States
  • Kettering Cancer Center
    Kettering, Ohio 45429, United States
  • Stephenson Cancer Center - University of Oklahoma
    Oklahoma City, Oklahoma 73104, United States
  • Oklahoma Cancer Specialists and Research Institute, LLC
    Tulsa, Oklahoma 74146, United States
  • Providence Cancer Institute Franz Clinic
    Portland, Oregon 97213, United States
  • University of Pennsylvania Health System
    Philadelphia, Pennsylvania 19104, United States
  • Magee Women's Hospital of UPMC
    Pittsburgh, Pennsylvania 15213, United States
  • West Penn Hospital
    Pittsburgh, Pennsylvania 15224, United States
  • Abington Memorial Hospital, Hanjani Institute for Gyn Onc
    Willow Grove, Pennsylvania 19090, United States
  • Lankenau Medical Center
    Wynnewood, Pennsylvania 19096, United States
  • Women & Infants Hospital of Rhode Island
    Providence, Rhode Island 02905, United States
  • Medical University of South Carolina
    Charleston, South Carolina 29425, United States
  • Sanford Gynecology Oncology Clinic
    Sioux Falls, South Dakota 57104, United States
  • Chattanooga's Program in Women's Oncology
    Chattanooga, Tennessee 37403, United States
  • University of Tennessee
    Knoxville, Tennessee 37920, United States
  • Tennessee Oncology PLLC
    Nashville, Tennessee 37203, United States
  • Texas Oncology - Baylor Charles A. Sammons Cancer Center
    Dallas, Texas 75246, United States
  • Virginia Commonwealth University
    Richmond, Virginia 23298, United States
  • Carilion Clinic Gynecology Oncology
    Roanoke, Virginia 24016, United States
  • Swedish Cancer Institute
    Seattle, Washington 98104, United States
  • Seattle Cancer Care Alliance
    Seattle, Washington 98195, United States
  • West Virginia University
    Morgantown, West Virginia 26506, United States
  • University of Wisconsin Clinical Science Center
    Madison, Wisconsin 53792, United States
  • Medical College of Wisconsin
    Milwaukee, Wisconsin 53226, United States
  • Pro Healthcare Waukesha Memorial Hospital
    Waukesha, Wisconsin 53188, United States
  • ZNA Middelheim
    Antwerpen, 2020, Belgium
  • AZ St Jan Brugge
    Brugge, 8000, Belgium
  • UCL St Luc
    Bruxelles, 1200, Belgium
  • AZ Maria Middelares
    Gent, 9000, Belgium
  • UZ Leuven
    Leuven, 3000, Belgium
  • CHA Libramont
    Libramont, 6800, Belgium
  • CHC Liege
    Liege, 4000, Belgium
  • CHU UCL Namur St. Elisabeth
    Namur, 5000, Belgium
  • Sunnybrook Research Institute
    Toronto, Ontario M4N 3M5, Canada
  • Princess Margaret Cancer Center
    Toronto, Ontario M5G 2M9, Canada
  • Clinical Research Unit, Jewish General Hospital
    Montréal, Quebec H3T 1E2, Canada
  • Peking University Cancer Hospital
    Beijing, Haidian District 100142, China
  • The Second Affiliated Hospital of Zhejiang University School of Medicine
    Zhejiang, Hangzhou Province 310009, China
  • Tianjin Cancer Hospital
    Tianjin, Hexi District 300060, China
  • Union Hospital affiliated to Tongji Medical College of Huazhong University of Science and Technology
    Wuhan, Hubei 430022, China
  • First Affiliated Hospital of Soochow University
    Suzhou, Jiangsu 215006, China

Showing the first 100 of 150 sites across 11 countries. Choose a country and city above to see the rest.

08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Apr 2021 to primary completion in Aug 2023, 27 months.

How these figures are worked out, and which studies are left out of them.

Registered
Jan 25, 2021
First posted
Jan 28, 2021
StartActual
Apr 22, 2021
Primary completionActual
Aug 4, 2023
CompletionActual
Aug 4, 2023
Last update
Oct 30, 2023
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Oct 30, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04729608
Lead sponsor
Aravive, Inc.
Collaborators
GOG Foundation, European Network of Gynaecological Oncological Trial Groups (ENGOT)
Responsible party
Sponsor
First posted
Jan 28, 2021
Start date
Apr 22, 2021
Primary completion
Aug 4, 2023
Completion
Aug 4, 2023
Last update
Oct 30, 2023

Oversight

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

Not currently enrolling

This study is terminated, as verified in Oct 2023. You cannot join it, but the record below documents what was studied.

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Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

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Studies of the drug tested here: Batiraxcept

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