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Trial details imported from ClinicalTrials.gov

For full trial details, please see the original record at https://clinicaltrials.gov/show/NCT03710876




Registration number
NCT03710876
Ethics application status
Date submitted
22/06/2018
Date registered
18/10/2018
Date last updated
28/04/2020

Titles & IDs
Public title
Efficacy & Safety of rAd-IFN Administered With Celecoxib & Gemcitabine in Patients With Malignant Pleural Mesothelioma
Scientific title
A Phase 3, Open-Label, Randomized, Parallel Group Study to Evaluate the Efficacy and Safety of Intrapleural Administration of Adenovirus-Delivered Interferon Alpha-2b (rAd-IFN) in Combination With Celecoxib and Gemcitabine in Patients With Malignant Pleural Mesothelioma
Secondary ID [1] 0 0
2017-003169-82
Secondary ID [2] 0 0
rAd-IFN-MM-301
Universal Trial Number (UTN)
Trial acronym
INFINITE
Linked study record

Health condition
Health condition(s) or problem(s) studied:
Malignant Pleural Mesothelioma 0 0
Condition category
Condition code
Cancer 0 0 0 0
Lung - Mesothelioma

Intervention/exposure
Study type
Interventional
Description of intervention(s) / exposure
Other interventions - rAd-IFN
Treatment: Drugs - Celecoxib Oral Product
Treatment: Drugs - Gemcitabine

Active Comparator: Treatment Group - rAd-IFN (Study Day 1) + celecoxib oral product (Study Days 1 to 14) + gemcitabine (Study Days 14 and 21 [i.e., Days 1 and 8 of the first gemcitabine treatment cycle], gemcitabine will be repeated every 3 weeks until disease progression/early termination [ET]

Placebo Comparator: Control Group - Celecoxib oral product (Study Days 1 to 14) + gemcitabine (Study Days 14 and 21 [i.e., Days 1 and 8 of the first gemcitabine treatment cycle], gemcitabine will be repeated every 3 weeks until disease progression/ET.


Other interventions: rAd-IFN
Adenovirus-Delivered Interferon Alpha-2b

Treatment: Drugs: Celecoxib Oral Product
400 mg twice daily

Treatment: Drugs: Gemcitabine
1250 mg/m2 administered intravenously on Days 1 and 8 of a 21-day cycle and continued every 3 weeks until disease progression/ early termination

Intervention code [1] 0 0
Other interventions
Intervention code [2] 0 0
Treatment: Drugs
Comparator / control treatment
Control group

Outcomes
Primary outcome [1] 0 0
Overall Survival - Time to death (from any cause) from randomization
Timepoint [1] 0 0
60 months
Secondary outcome [1] 0 0
Survival rate - Number of deaths (from any cause) from randomization
Timepoint [1] 0 0
60 months
Secondary outcome [2] 0 0
Progression Free Survival - Time from randomization to the time when the modified Response Evaluation Criteria in Solid Tumor criteria for disease progression are first met, or when death from any cause occurs
Timepoint [2] 0 0
60 months
Secondary outcome [3] 0 0
Best response - Best response after randomization (complete response, partial response, or stable disease)
Timepoint [3] 0 0
60 months

Eligibility
Key inclusion criteria
1. Aged 18 years or older at the time of consent;

2. Able to give informed consent;

3. Has a confirmed histological diagnosis of MPM with histological type epithelioid or
biphasic (predominantly [>50%] epithelioid). Histological diagnosis of MPM will be
confirmed centrally using specimens or slides from tumor specimens obtained at the
time of initial presentation or a subsequent procedure. Central confirmation of
diagnosis with immunohistochemistry will be performed, and independent central
confirmation will be required for study entry;

4. Measurable disease, per modified Response Evaluation Criteria in Solid Tumor [RECIST]
for pleural mesothelioma;

5. Has failed a minimum of 1 treatment regimen and a maximum of 2 treatment regimens,
which may have been chemotherapeutic and/or immunotherapeutic treatment regimens for
MPM which included at least 1 anti-folate and platinum combination regimen. Patients
who have undergone primary surgical resection and/or radiation therapy to the
pulmonary site are eligible to participate. For clarity, surgical resection and/or
radiation therapy to the pulmonary site are not exclusionary and are not considered a
line of therapy;

6. Has a pleural space accessible for pleural catheter insertion. Patients with a
previously inserted pleural catheter may be enrolled, and the pre-existing catheter
can be used for vector administration as long as it is functional and has no evidence
of local infection;

7. Life expectancy >12 weeks in the judgement of the Investigator;

8. Eastern Cooperative Oncology Group (ECOG) status of 1 or 0;

9. Female and male patients:

- Female patients must be either postmenopausal (no menstrual period for a minimum
of 12 months) or surgically sterile upon entry into the study. Female patients of
childbearing potential must have a negative pregnancy test upon entry into this
study and agree to use a highly effective method of contraception from Screening
until 1 month following administration of gemcitabine;

- Highly effective methods of contraception that result in a low failure rate
(i.e., <1% per year) when used consistently and correctly include combined
(estrogen and progestogen containing) hormonal contraception associated with
inhibition of ovulation (oral, intravaginal, or transdermal),
progestogen-only hormonal contraception associated with inhibition of
ovulation (oral, injectable, or implantable), intrauterine device,
intrauterine hormone-releasing system, bilateral tubal occlusion,
vasectomized partner, or sexual abstinence;

- True abstinence, when in line with the preferred and usual lifestyle of the
patient, is considered a highly effective method only if defined as
refraining from heterosexual intercourse during the entire period of study
participation and for 1 month post-gemcitabine administration. The
reliability of sexual abstinence needs to be evaluated in relation to the
duration of the clinical study and the preferred and usual lifestyle of the
patient. Periodic abstinence (e.g., calendar, ovulation, symptothermal, and
post-ovulation method) and withdrawal are not acceptable methods of
contraception; and

- Male patients must be either surgically sterile or agree to use a double-barrier
contraception method from Screening until 1 month post-gemcitabine
administration; and

10. Adequate laboratory values at Screening:

- Hemoglobin 9 g/dL;

- White blood cell count 3500/µL;

- Absolute neutrophil count 1500/µL;

- Platelet count 100,000/µL;

- International normalized ratio (INR) and activated partial thromboplastin time
(aPTT) below the upper limit of normal (ULN). It is expected that patients
receiving anticoagulation therapy will not have INR and aPTT results that fall
within normal limits. It is not intended to exclude these patients and,
therefore, medical discretion is permitted for patients who have clinically
acceptable results in regards to their current concomitant anticoagulant therapy;

- Aspartate aminotransferase (AST) 3 × ULN;

- Alanine aminotransferase (ALT) 3 × ULN;

- Total bilirubin 2 × ULN;

- Estimated glomerular filtration rate 50 mL/min/1.73 m2; and

- Serum albumin 2.5 g/dL.
Minimum age
18 Years
Maximum age
No limit
Gender
Both males and females
Can healthy volunteers participate?
No
Key exclusion criteria
1. Is "treatment-naïve" (i.e., has not received at least 1 anti-folate and platinum
combination regimen);

2. Has previously received 3 or more lines of systemic chemotherapeutic or
immunotherapeutic treatment;

3. Has previously received treatment with gemcitabine;

4. Has stage IV extrathoracic metastatic disease;

5. Inadequate pulmonary function of clinical significance as per Investigator review;

6. Clinically significant pericardial effusion (i.e., as judged by the Investigator
and/or requiring drainage) detected by computed tomography (CT) scan at Screening;

7. Prior therapy(ies), if applicable, must be completed according to the criteria below
prior to vector administration:

- Cytotoxic chemotherapy, at least 21 days from last dose;

- Non-cytotoxic chemotherapy (e.g., small molecule inhibitor), at least 14 days
from last dose;

- Monoclonal antibody, at least 3 half-lives from last dose;

- Non-antibody immunotherapy (e.g., tumor vaccine), at least 42 days from last
dose;

- Radiotherapy, at least 14 days from last local site radiotherapy;

- Hematopoietic growth factor, at least 14 days from last dose; or

- Study drug, 30 days or 5 half-lives, whichever is longer, from last dose;

8. Patient previously treated with IFNs (e.g., for chronic active hepatitis);

9. Suspected/known hypersensitivity to IFN-a2b;

10. Known hypersensitivity to celecoxib or sulfonamides;

11. Impaired cardiac function or clinically significant cardiac disease including the
following:

- New York Heart Association class III or IV congestive heart failure;

- Myocardial infarction within the last 12 months; and

- Patients known to have impaired left ventricular ejection fraction per
institutional standards and of clinical significance as per Investigator review;

12. Women who are pregnant or breastfeeding;

13. Uncontrolled intercurrent illness including, but not limited to, ongoing or active
infection, symptomatic congestive heart failure, unstable angina pectoris, cardiac
arrhythmia, depression, or psychiatric illness/social situations within the last 12
months;

14. Patients with active, known, or suspected auto-immune disease or a syndrome that
requires systemic or immunosuppressive agents (oral prednisolone or equivalent at a
dose of <10 mg per day is permitted); NOTE: patients with vitiligo, residual
hypothyroidism due to auto immune disease only requiring hormone replacement,
psoriasis not requiring systemic treatment, or conditions not expected to recur in the
absence of an external trigger are permitted to enroll;

15. History of asthma, urticaria, or other allergic-type reactions after taking aspirin or
other NSAIDs;

16. History of ulcer disease or gastrointestinal bleeding;

17. Uncontrolled or poorly controlled hypertension requiring 3 or more anti-hypertensive
drugs;

18. Patients receiving lithium;

19. Any significant disease which, in the opinion of the Investigator, would place the
patient at increased risk of harm if he/she participated in the study;

20. History of malignancy of other organ system within the past 5 years, except treated
basal cell or squamous cell carcinoma of the skin, or early stage prostate cancer
(stage T2a or smaller, prostate specific antigen <10 ng/mL, Gleason score <6); or

21. Has a congenital or acquired immunodeficiency, including patients with known history
of infection with human immunodeficiency virus.

Study design
Purpose of the study
Treatment
Allocation to intervention
Randomised controlled trial
Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Masking / blinding
Open (masking not used)
Who is / are masked / blinded?



Intervention assignment
Parallel
Other design features
Phase
Phase 3
Type of endpoint(s)
Statistical methods / analysis

Recruitment
Recruitment status
Recruiting
Data analysis
Reason for early stopping/withdrawal
Other reasons
Date of first participant enrolment
Anticipated
Actual
Date of last participant enrolment
Anticipated
Actual
Date of last data collection
Anticipated
Actual
Sample size
Target
Accrual to date
Final
Recruitment in Australia
Recruitment state(s)
VIC
Recruitment hospital [1] 0 0
Monash Medical Centre - Clayton
Recruitment postcode(s) [1] 0 0
3168 - Clayton
Recruitment outside Australia
Country [1] 0 0
United States of America
State/province [1] 0 0
California
Country [2] 0 0
United States of America
State/province [2] 0 0
Florida
Country [3] 0 0
United States of America
State/province [3] 0 0
Kansas
Country [4] 0 0
United States of America
State/province [4] 0 0
Maryland
Country [5] 0 0
United States of America
State/province [5] 0 0
Minnesota
Country [6] 0 0
United States of America
State/province [6] 0 0
New York
Country [7] 0 0
United States of America
State/province [7] 0 0
Pennsylvania
Country [8] 0 0
United States of America
State/province [8] 0 0
Texas
Country [9] 0 0
Canada
State/province [9] 0 0
Sainte-Foy
Country [10] 0 0
France
State/province [10] 0 0
Bordeaux
Country [11] 0 0
France
State/province [11] 0 0
Brest
Country [12] 0 0
France
State/province [12] 0 0
Caen
Country [13] 0 0
France
State/province [13] 0 0
Lille
Country [14] 0 0
France
State/province [14] 0 0
Paris
Country [15] 0 0
France
State/province [15] 0 0
Pierre-Bénite
Country [16] 0 0
France
State/province [16] 0 0
Saint-Quentin
Country [17] 0 0
Germany
State/province [17] 0 0
Hamm
Country [18] 0 0
Germany
State/province [18] 0 0
Regensburg
Country [19] 0 0
Poland
State/province [19] 0 0
Poznan
Country [20] 0 0
Poland
State/province [20] 0 0
Warszawa
Country [21] 0 0
Russian Federation
State/province [21] 0 0
The Republic Of Mordovia ;
Country [22] 0 0
Russian Federation
State/province [22] 0 0
Kursk
Country [23] 0 0
Russian Federation
State/province [23] 0 0
Moscow
Country [24] 0 0
Russian Federation
State/province [24] 0 0
Omsk
Country [25] 0 0
Russian Federation
State/province [25] 0 0
Saint Petersburg
Country [26] 0 0
Russian Federation
State/province [26] 0 0
Volgograd
Country [27] 0 0
United Kingdom
State/province [27] 0 0
Scotland
Country [28] 0 0
United Kingdom
State/province [28] 0 0
Surrey
Country [29] 0 0
United Kingdom
State/province [29] 0 0
London
Country [30] 0 0
United Kingdom
State/province [30] 0 0
Manchester
Country [31] 0 0
United Kingdom
State/province [31] 0 0
Oxford

Funding & Sponsors
Primary sponsor type
Commercial sector/Industry
Name
Trizell Ltd
Address
Country
Other collaborator category [1] 0 0
Other
Name [1] 0 0
University of Pennsylvania
Address [1] 0 0
Country [1] 0 0

Ethics approval
Ethics application status

Summary
Brief summary
This study will evaluate intrapleural administration of Adenovirus-Delivered Interferon
Alpha-2b (rAd-IFN) in combination with Celecoxib and Gemcitabine in patients with
histologically confirmed Malignant Pleural Mesothelioma (MPM) who have failed a minimum of 1
treatment regimen and a maximum of 2 treatment regimens, 1 of which must have been an
anti-folate and platinum combination regimen.

Eligible patients will be randomized 1:1 to either:

1. Treatment group: rAd-IFN + Celecoxib followed by Gemcitabine

2. Control group: Celecoxib followed by Gemcitabine

Patients randomized to the treatment group will receive rAd-IFN administered into the pleural
space via an Intrapleural catheter (IPC) or similar intrapleural device on study Day 1.

The primary objective of this study is to compare the overall survival (OS) associated with
rAd IFN, when administered with celecoxib and gemcitabine, versus that associated with
celecoxib and gemcitabine alone for the treatment of patients with MPM
Trial website
https://clinicaltrials.gov/show/NCT03710876
Trial related presentations / publications
Public notes

Contacts
Principal investigator
Name 0 0
Daniel Sterman, MD
Address 0 0
NYU Langone Laura and Isaac Perlmutter Cancer Center
Country 0 0
Phone 0 0
Fax 0 0
Email 0 0
Contact person for public queries
Name 0 0
Aidan Doherty, M.Sc
Address 0 0
Country 0 0
Phone 0 0
+44 (0) 1844 355 625
Fax 0 0
Email 0 0
aidan.doherty@trizell.com
Contact person for scientific queries

Summary results
For IPD and results data, please see https://clinicaltrials.gov/show/NCT03710876