LUME-Ovar 1: Nintedanib (BIBF 1120) or Placebo in Combination With Paclitaxel and Carboplatin in First Line Treatment of Ovarian Cancer

• ClinicalTrials.gov Identifier: NCT01015118
• Recruitment Status: Completed
• First Posted: November 18, 2009
• Results First Posted: January 15, 2015
• Last Update Posted: December 7, 2017
• Sponsor: Boehringer Ingelheim
• Information provided by (Responsible Party): Boehringer Ingelheim

Tracking Information

• First Submitted Date: November 9, 2009
• First Posted Date: November 18, 2009
• Results First Submitted Date: November 14, 2014
• Results First Posted Date: January 15, 2015
• Last Update Posted Date: December 7, 2017
• Actual Study Start Date: November 17, 2009
• Actual Primary Completion Date: April 1, 2013 (Final data collection date for primary outcome measure)

Current Primary Outcome Measures (submitted: September 11, 2017)

• PFS Based on Investigator Assessment According to Modified Response Evaluation Criteria in Solid Tumors, Version 1.1 (mRECIST), and Additional Clinical Criteria. [ Time Frame: First drug administration to date of disease progression or death whichever occurs first , upto 29 months ]
  Progression free survival (PFS) is calculated as the time from randomisation to the date of disease progression, or to the date of death, whichever occurs first according to the Investigator assessment. The primary PFS analysis of this trial was performed when approximately 753 patients had experienced a PFS event Median, 25th and 75th percentiles are calculated from an unadjusted Kaplan-Meier curve for each treatment arm.
• PFS Based on Investigator Assessment According to Modified Response Evaluation Criteria in Solid Tumors, Version 1.1 (mRECIST), and Additional Clinical Criteria (Follow up Analysis). [ Time Frame: First drug administration to date of disease progression or death whichever occurs first until final Data Base Lock (DBL) 26September16, upto 62 months ]
  Follow-up analysis was conducted at the time of overall survival analysis. Progression free survival (PFS) is calculated as the time from randomisation to the date of disease progression, or to the date of death, whichever occurs first according to the Investigator assessment. Median, 25th and 75th percentiles are calculated from an unadjusted Kaplan-Meier curve for each treatment arm.

• Original Primary Outcome Measures (submitted: November 17, 2009): progression free survival [ Time Frame: 41 months ]

Current Secondary Outcome Measures (submitted: September 11, 2017)

• PFS Based on Investigator Assessment According to mRECIST Version 1.1 (Key Secondary Endpoint). [ Time Frame: First drug administration to date of disease progression or death whichever occurs first , upto 29 months ]
  Progression free survival is calculated as the time from randomisation to the date of disease progression, or to the date of death, whichever occurs first based on the Investigator assessment according to Modified Response Evaluation Criteria (mRECIST), version 1.1. The primary PFS analysis of this trial was performed when approximately 753 patients had experienced a PFS event. Median, 25th and 75th percentiles are calculated from an unadjusted Kaplan-Meier curve for each treatment arm.
• PFS Based on Investigator Assessment According to mRECIST Version 1.1 (Key Secondary Endpoint - Follow up Analysis). [ Time Frame: First drug administration to date of disease progression or death whichever occurs first until final Data Base Lock (DBL) 26September16, upto 62 months ]
  Follow-up analysis was conducted at the time of overall survival analysis. Progression free survival is calculated as the time from randomisation to the date of disease progression, or to the date of death, whichever occurs first based on the Investigator assessment according to Modified Response Evaluation Criteria (mRECIST), version 1.1. Median, 25th and 75th percentiles are calculated from an unadjusted Kaplan-Meier curve for each treatment arm.
• Overall Survival [ Time Frame: First drug administration to date of death until final DBL 26September16, upto 62 months ]
  Overall survival is defined as time from randomization to date of death (irrespective of reason). Median, 25th and 75th percentiles are calculated from an unadjusted Kaplan-Meier curve for each treatment arm.
• Time to CA-125 Tumour Marker Progression [ Time Frame: First drug administration until final DBL 26September16, upto 62 months ]
  Time to tumour-marker progression was defined as the time from randomisation until the date when Carbohydrate (cancer) antigen (CA-125) values increased to higher than twice the nadir value. CA-125 >=2 x nadir in case nadir value > Upper limit of normal (ULN) or CA-125 >=2 x ULN in case nadir value <= ULN.
• Objective Response Based on Investigator Assessment [ Time Frame: First drug administration until final DBL 26September16, upto 62 months ]
  Objective tumour response defined as either complete response [CR] or partial response [PR] in patients with at least 1 target lesion reported at baseline
• Change in Abdominal/Gastro-intestinal Symptoms Over Time [ Time Frame: First drug administration until final DBL 26September16, upto 62 months ]
  Change in abdominal/gastro-intestinal over time was calculated on symptoms (scale composite of items 31 to 37 of the European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire Module for Ovarian Cancer 28 (EORTC QLQ OV-28). As specified in the EORTC scoring manual, for each scale or item, a linear transformation was applied to standardize the raw score to a range from 0 to 100 (high scores represent a high/severe level of symptomatology). Mean presented is Adjusted mean. Adjusted for the stratification factors macroscopic residual postoperative tumour at baseline (yes vs. no), FIGO stage (IIB-III vs IV), and Carboplatin level (AUC5 vs. AUC6).
• Change in Global Health Status/ Quality of Life (QoL) Scale Over Time. [ Time Frame: First drug administration until final DBL 26September16, upto 62 months ]
  Change in Global Health Status/ Quality of life (QoL) over time was calculated on Global Health Status/QoL scale (composite of items 29 and 30 of the European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire-30 (EORTC QLQ-C30) as a general measure. As specified in the EORTC scoring manual, for each scale or item, a linear transformation was applied to standardize the raw score to a range from 0 to 100 (high scores represent a high/healthy level of functioning). Mean presented is Adjusted mean. Adjusted for the stratification factors macroscopic residual postoperative tumour at baseline (yes vs. no), FIGO stage (IIB-III vs IV), and Carboplatin level (AUC5 vs. AUC6).

Original Secondary Outcome Measures (submitted: November 17, 2009)

• progression free survival according to Response Evaluation Criteria In Solid Tumors 1.1 criteria [ Time Frame: 41 months, 78 months ]
• overall survival [ Time Frame: 41 months, 78 months ]
• time to tumour marker progression [ Time Frame: 41 months, 78 months ]
• objective response [ Time Frame: 41 months, 78 months ]
• incidence and intensity of adverse events [ Time Frame: 41 months, 78 months ]
• changes in safety laboratory parameters [ Time Frame: 41 months, 78 months ]

• Current Other Pre-specified Outcome Measures: Not Provided
• Original Other Pre-specified Outcome Measures: Not Provided

Descriptive Information

• Brief Title: LUME-Ovar 1: Nintedanib (BIBF 1120) or Placebo in Combination With Paclitaxel and Carboplatin in First Line Treatment of Ovarian Cancer
• Official Title: Multicenter, Randomised, Double-blind Phase III Trial to Investigate the Efficacy and Safety of BIBF 1120 in Combination With Carboplatin and Paclitaxel Compared to Placebo Plus Carboplatin and Paclitaxel in Patients With Advanced Ovarian Cancer
• Brief Summary: The trial will be performed to evaluate if BIBF 1120 in combination with paclitaxel and carboplatin is more effective than placebo in combination with paclitaxel and carboplatin in first-line treatment of patients with advanced ovarian cancer. Safety information about BIBF1120/paclitaxel/carboplatin will be obtained.
• Detailed Description: Not Provided
• Study Type: Interventional
• Study Phase: Phase 3
• Study Design: Allocation: Randomized; Intervention Model: Parallel Assignment; Masking: Double; Primary Purpose: Treatment

Condition

• Ovarian Neoplasms
• Peritoneal Neoplasms

Intervention

• Drug: Placebo
  comparator to BIBF 1120
• Drug: Paclitaxel
  Paclitaxel (standard chemo-therapy)
• Drug: BIBF 1120
  comparison of BIBF 1120 in combination with chemotherapy and placebo in combination with chemotherapy (paclitaxel/carboplatin)
• Drug: Carboplatin
  Carboplatin (standard chemo-therapy)

Study Arms

• Experimental: BIBF 1120
  patients to receive BIBF 1120 standard dose twice daily PO in combination with combination with carboplatin and paclitaxel
  Interventions:

  • Drug: BIBF 1120
  • Drug: Paclitaxel
  • Drug: Carboplatin
• Placebo Comparator: Placebo
  patients to receive capsules identical to those containing BIBF 1120 in combination with combination with carboplatin and paclitaxel
  Interventions:

  • Drug: Placebo
  • Drug: Paclitaxel
  • Drug: Carboplatin

• Publications *: du Bois A, Kristensen G, Ray-Coquard I, Reuss A, Pignata S, Colombo N, Denison U, Vergote I, Del Campo JM, Ottevanger P, Heubner M, Minarik T, Sevin E, de Gregorio N, Bidzinski M, Pfisterer J, Malander S, Hilpert F, Mirza MR, Scambia G, Meier W, Nicoletto MO, Bjorge L, Lortholary A, Sailer MO, Merger M, Harter P; AGO Study Group led Gynecologic Cancer Intergroup/European Network of Gynaecologic Oncology Trials Groups Intergroup Consortium. Standard first-line chemotherapy with or without nintedanib for advanced ovarian cancer (AGO-OVAR 12): a randomised, double-blind, placebo-controlled phase 3 trial. Lancet Oncol. 2016 Jan;17(1):78-89. doi: 10.1016/S1470-2045(15)00366-6. Epub 2015 Nov 16.

Recruitment Information

• Recruitment Status: Completed
• Actual Enrollment (submitted: August 18, 2015): 1366
• Original Estimated Enrollment (submitted: November 17, 2009): 1300
• Actual Study Completion Date: September 15, 2016
• Actual Primary Completion Date: April 1, 2013 (Final data collection date for primary outcome measure)

Eligibility Criteria

Inclusion criteria:

• first diagnosis of histologically confirmed epithelial ovarian cancer, fallopian tube or primary peritoneal cancer
• International Federation of Gynecology and Obstetrics (FIGO) Stages IIB - IV
• females, age 18 years or older
• life expectancy of at least 6 months
• Eastern Cooperative Oncology Group (ECOG) performance status 0, 1 or 2
• prior surgery, defined as either (a) debulking surgery with maximum surgical effort at cytoreduction with the goal of no residual disease or (b) biopsy or limited surgery in patients with stage IV disease for whom surgical debulking was not considered appropriate, if diagnosis is confirmed by histology and no surgery is planned prior to disease progression (including interval debulking surgery)
• patient has given written informed consent which must be consistent with the International Conference on Harmonization - Good Clinical Practice (ICH-GCP) and local legislation
• planned application of first dose of chemotherapy after wound healing, but no later than 10 weeks after surgery

Exclusion criteria:

• histologic diagnosis of a benign or borderline tumour or of a malignant tumour of non-epithelial origin of the ovary, the fallopian tube or the peritoneum
• planned surgery within 124 weeks after randomisation in this trial, including interval debulking surgery
• clinically relevant non-healing wound, ulcer or bone fracture
• clinical symptoms or signs of gastrointestinal obstruction that require parenteral nutrition or hydration
• brain metastases
• pre-existing sensory or motor neuropathy Common Terminology Criteria for Adverse Events (CTCAE) grade 2 or higher, except due to trauma
• history of major thromboembolic event
• known inherited or acquired bleeding disorder
• significant cardiovascular diseases
• clinically relevant pericardial effusion
• history of a cerebral vascular accident, transient ischemic attack or subarachnoid haemorrhage within the past 6 months
• inadequate safety laboratory values
• serious infections in particular if requiring systemic antibiotic (antimicrobial, antifungal) or antiviral therapy, including Hepatitis B, Hepatitis C, Human Immunodeficiency Virus (HIV)
• poorly controlled diabetes mellitus or other contraindication to high dose corticosteroid therapy
• gastrointestinal disorders or abnormalities that would interfere with absorption of the study drug
• other malignancy diagnosed within the past 5 years. In exception to this rule, the following malignancies may be included if adequately treated: non-melanomatous skin cancer, cervical carcinoma in situ, carcinoma in situ of the breast, low risk endometrial cancer
• prior systemic therapy for ovarian cancer (e.g. chemotherapy, monoclonal antibody therapy, oral targeted therapy, hormonal therapy)
• prior systemic cytotoxic chemotherapy
• prior treatment with BIBF 1120 or any other angiogenesis inhibitor
• prior radiotherapy
• serious illness or concomitant non-oncological disease such as neurologic, psychiatric or infectious disease or a laboratory abnormality that may increase the risk associated with study participation or study drug administration
• Women of childbearing potential who are sexually active and not using a highly effective method of birth control during the trial and for at least twelve months after the end of active therapy.
• pregnancy or breast feeding
• psychological, familial, sociological or geographical factors potentially hampering compliance with the study protocol and follow-up schedule
• active alcohol or drug abuse
• patients unable to comply with the protocol
• any contraindications for therapy with paclitaxel or carboplatin
• treatment with other investigational drugs or participation in another clinical trial testing a drug within the past four weeks before start of therapy or concomitantly with this trial

Sex/Gender

• Sexes Eligible for Study: Female

• Ages: 18 Years and older (Adult, Older Adult)
• Accepts Healthy Volunteers: No
• Contacts: Contact information is only displayed when the study is recruiting subjects
• Listed Location Countries: Australia, Austria, Belgium, Canada, Czechia, Denmark, Finland, France, Germany, Greece, Italy, Netherlands, Norway, Poland, Portugal, Russian Federation, Slovakia, Spain, Sweden, Ukraine, United Kingdom, United States
• Removed Location Countries: Czech Republic, New Zealand

Administrative Information

• NCT Number: NCT01015118
• Other Study ID Numbers: 1199.15; AGO-OVAR12 ( Other Identifier: OTHER ); 2008-006831-10 ( EudraCT Number: EudraCT )
• Has Data Monitoring Committee: Not Provided
• U.S. FDA-regulated Product: Not Provided
• IPD Sharing Statement: Not Provided
• Current Responsible Party: Boehringer Ingelheim
• Original Responsible Party: Boehringer Ingelheim, Study Chair, Boehringer Ingelheim
• Current Study Sponsor: Boehringer Ingelheim
• Original Study Sponsor: Same as current
• Collaborators: Not Provided

Investigators

• Study Chair: Boehringer Ingelheim; Boehringer Ingelheim

• PRS Account: Boehringer Ingelheim
• Verification Date: November 2017