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Efficacy and Safety of Farletuzumab (MORAb-003) in Combination With Carboplatin and Taxane in Participants With Platinum-sensitive Ovarian Cancer in First Relapse

A Randomized, Double-blind, Placebo-Controlled, Phase 3 Study to Assess the Efficacy and Safety of Weekly Farletuzumab (MORAb-003) in Combination With Carboplatin and Taxane in Subjects With Platinum-sensitive Ovarian Cancer in First Relapse

Status
Terminated
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00849667
Enrollment
1100
Registered
2009-02-24
Start date
2009-04-16
Completion date
2013-04-12
Last updated
2022-12-30

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Ovarian Cancer

Keywords

ovarian cancer, relapsed ovarian cancer, Platinum-sensitive Ovarian Cancer

Brief summary

This research is being done to find out if Carboplatin and Taxane works better alone or when given with an experimental drug called MORAb-003(farletuzumab) in subjects with first platinum sensitive relapsed ovarian cancer.

Interventions

Farletuzumab IV infusion.

DRUGCarboplatin

Carboplatin IV infusion.

DRUGTaxane

Taxane (Paclitaxel or Docetaxel) IV infusion.

DRUGFarletuzumab-matched placebo

Farletuzumab-matched placebo IV infusion.

Sponsors

Eisai Europe Ltd. (United Kingdom)
CollaboratorINDUSTRY
Morphotek
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
QUADRUPLE (Subject, Caregiver, Investigator, Outcomes Assessor)

Eligibility

Sex/Gender
FEMALE
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

* A histologically or cytologically confirmed diagnosis of non-mucinous epithelial ovarian cancer including primary peritoneal or fallopian tube malignancies * Must have measurable disease by CT or MRI scan * Must have relapsed radiologically with a randomization date within ≥6 and \< 24 months of completion of first-line platinum chemotherapy * Have been treated with debulking surgery and first-line platinum and taxane based chemotherapy. * Prior bevacizumbab maintenance is allowed. The last dose of bevacizumab must have been at least 30 days before study Day 1. No cytotoxic maintenance therapy (e.g. taxane) or cancer vaccine therapy is allowed. * Must be a candidate for carboplatin and taxane therapy * Neurologic function: neuropathy (sensory and motor) ≤CTCAE Grade 1

Exclusion criteria

* Subjects who never responded to first-line platinum-based therapy or whose first relapse occurs \<6 months or \>24 months from the last platinum therapy * Subjects who have received other therapy to treat their ovarian cancer since relapse * Known central nervous system (CNS) tumor involvement * Evidence of other active invasive malignancy requiring treatment in the past 5 years * Known allergic reaction to a prior monoclonal antibody therapy or have any documented HAHA * Previous treatment with MORAb-003 (farletuzumab) * Clinical contraindications to use of a taxane

Design outcomes

Primary

MeasureTime frameDescription
Progression-free Survival (PFS)From the date of randomization to the date of first documentation of disease progression, or date of death, whichever occurred first (up to 44 months)PFS was defined as the time (in months) from the date of randomization to the date of the first observation of progression based on the independent radiologic assessment (modified response evaluation criteria in solid tumors \[RECIST\]), or date of death, whatever the cause. As per RECIST, disease progression was defined as at least a 20 percent (%) increase in the sum of diameters of target lesions, taking as reference the baseline sum of diameters of target lesions. If progression or death was not observed for a participant, the PFS time was censored at the date of the last tumor assessment without evidence of progression before the date of initiation of further antitumor treatment, or the cutoff date (whichever was earlier).

Secondary

MeasureTime frameDescription
Cancer Antigen-125 (CA-125) Progression-Free SurvivalFrom the date of randomization to the date of first documentation of disease progression, or date of death, whichever occurred first (up to 44 months)CA-125 PFS was defined as the time (in months) from the date of randomization until the date of the first observation of progression based on the Rustin criteria, or date of death, whatever the cause. If progression or death was not observed for a participant, the CA-125 PFS time was censored at the date of the last CA-125 assessment without evidence of progression before the date of initiation of further antitumor treatment or the primary analysis cut off date, whichever was earlier. Based on Rustin criteria, progressive disease (PD) was a rise in CA125 since beginning of consolidation or previously normal CA125 that rises to greater than or equal to (\>=) 2 multiple (\*) ULN with either event documented on two occasions or CA-125 \>=2\*nadir value with either event documented on two occasions.
Progression-Free Survival Based on Gynecologic Cancer InterGroup (GCIG) CriteriaFrom the date of randomization to the date of first documentation of disease progression, or date of death, whichever occurred first (up to 44 months)PFS using GCIG criteria was defined as time (in months) from date of randomization until date of first observation of progression based on GCIG criteria, or date of death, whatever the cause. If progression or death was not observed for a participant, GCIG PFS time was censored at later date of last tumor assessment or CA-125 assessment without evidence of progression before date of initiation of further antitumor treatment or the primary analysis cut off date, whichever was earlier. Disease progression per GCIG: Participants with elevated CA-125 pretreatment and normalisation of CA-125 must show evidence of CA-125 \>=two times ULN on two occasions at least one week apart or participants with elevated CA-125 pretreatment, which never normalises must show evidence of CA-125 \>=two times nadir value on two occasions at least one week apart or participants with CA-125 in normal range pretreatment must show evidence of CA-125 \>=two times ULN on two occasions at least one week apart.
Percentage of Participants With Length of Second Remission Greater Than First RemissionFrom the date of last dose of platinum-based chemotherapy to date of relapse and date of last dose of platinum-based chemotherapy to first observation of progression (up to 48 months)Length of first remission was defined as a.) the period of time (in months) from the date of completion of previous platinum-based chemotherapy until date of first relapse (that is, first observation of progression). It was assumed that the date of first relapse was the earlier of progression by CA-125 or progression by radiologic assessment, as judged by the investigator using GCIG criteria. b.) the period of time (in months) from the date of completion of previous platinum-based chemotherapy (used prior to study entry) until date of randomization. The length of the second remission was defined as the period of time (in months) from the date of completion of platinum-based chemotherapy until the first observation of progression based on GCIG criteria. Based on GCIG criteria, disease progression was defined as at least a 20% increase in the sum of diameters of target lesions, taking as reference the baseline sum of diameters of target lesions.
Percentage of Participants With Objective ResponseFrom the date of randomization to the date of first documentation of disease progression, or date of death, whichever occurred first (up to 48 months)Objective response was defined as either a confirmed complete response (CR) or confirmed partial response (PR) as assessed by investigator based on response evaluation criteria in solid tumors version 1.1 (RECIST version 1.1). CR was defined as the disappearance of all target and non-target lesions (non-lymph nodes). All pathological lymph nodes (whether target or non-target) must have a reduction in their short axis less than (\<) 10 millimeters (mm). PR was defined as at least a 30% decrease in the sum of diameter of target lesions, taking as reference the baseline sum diameters.
Duration of Tumor ResponseFrom the first date of confirmed objective response (CR or PR) to first date of progression or death due to any cause (up to 48 months)Duration of response was defined as the time (in months) from first documentation of objective response (confirmed CR or PR) to the first documentation of objective tumor progression or death due to any cause. Duration of response was derived only for those participants with objective evidence of confirmed CR or PR.
Time to Tumor Response (TTR)From the date of randomization to first documentation of objective response (up to 48 months)Time to tumor response was defined as the time (in months) from the date of randomization to first documentation of objective tumor response. Time to tumor response was derived for those participants with objective evidence of CR or PR.
Percentage of Participants With Serologic Response (SR)Up to 48 monthsSR was defined as either normalization, 75% response, or 50% response using the Rustin criteria. Percentage of participants with 50% SR, 75% SR and SR leading to normalization were reported. A 50% response according to CA-125 was defined as a 50% decrease in serum CA-125 levels, as determined through a series of four CA-125 samples (one baseline sample with an elevated level, the sample that showed a 50% decrease, and a confirmatory sample at the decreased level). A 75% response was established if there had a serial decrease in serum CA-125 levels of 75% over three samples. In both the 50% and 75% response definitions, the final sample was analyzed at least 28 days after the previous sample.
Duration of 50% Serologic ResponseFrom the first date of documentation of response to first documentation of serologic progression or death due to any cause (up to 48 months)Duration of SR was defined as the time (in months) from first documentation of response to the first documentation of 50% serologic progression or death due to any cause. For responding participants who did not have serologic progression or did not die and who 1) were either still on study at the time of an analysis, 2) were given antitumor treatment other than study treatment, or 3) were withdrawn from study follow-up before documentation of serologic progression, the duration of SR was censored at the last date the participant was known to be without serologic progression. A 50% response according to CA-125 was defined as a 50% decrease in serum CA-125 levels, as determined through a series of three CA-125 samples (one baseline sample with an elevated level, the sample that showed a 50% decrease, and a confirmatory sample at the decreased level).
Overall Survival (OS)From the date of randomization until date of death from any cause, or study termination by sponsor, whichever came first (up to 48 months)OS was defined as the time (in months) from the date of randomization to the date of death, due to any cause. If death was not observed for a participant, the survival time was censored on the last date the participant was known to be alive or the cutoff date, whichever was earlier.
Percentage of Participants With Clinical BenefitUp to 48 monthsClinical benefit was defined as a confirmed CR or a confirmed PR, or stable disease (SD) using RECIST 1.0 criteria. CR was defined as the disappearance of all target and non-target lesions (non-lymph nodes). All pathological lymph nodes (whether target or non-target) must have a reduction in their short axis \<10 mm. PR was defined as at least a 30% decrease in the sum of diameter of target lesions, taking as reference the baseline sum diameters. SD was defined as neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for progressive disease taking as reference smallest sum of longest dimensions since treatment started associated to non-progressive disease response for non target lesions.
Cmax: Maximum Observed Plasma Concentration of Total Carboplatin and Total PaclitaxelCycle 2 Week 1 Day 1: 0-45 hours post-dose (cycle length=21 days)
Tmax: Time to Reach the Maximum Plasma Concentration (Cmax) of Total Carboplatin and Total PaclitaxelCycle 2 Week 1 Day 1: 0-45 hours post-dose (cycle length=21 days)
AUC (0-inf): Area Under the Concentration-time Curve From Zero (Pre-dose) Extrapolated to Infinite Time of Total Carboplatin and Total PaclitaxelCycle 2 Week 1 Day 1: 0-45 hours post-dose (cycle length=21 days)
T1/2: Terminal Half-life of Total Carboplatin and Total PaclitaxelCycle 2 Week 1 Day 1: 0-45 hours post-dose (cycle length=21 days)
CL: Clearance of Total Carboplatin and Total PaclitaxelCycle 2 Week 1 Day 1: 0-45 hours post-dose (cycle length=21 days)
Vd: Volume of Distribution of Total Carboplatin and Total PaclitaxelCycle 2 Week 1 Day 1: 0-45 hours post-dose (cycle length=21 days)
Mean Functional Assessment of Cancer Therapy-Ovarian Treatment Outcome Index (FACT-O TOI) ScoresCycle 3, Cycle 6, Cycle 12 (each cycle length=21 days)Participant-reported Quality of Life (QoL) was measured using the Functional Assessment of Cancer Therapy-Ovarian (FACT-O), version 4 and reported in the Treatment Outcome Index (TOI) format. TOI is a 26-item subset of the FACT-O questionnaire composed of the raw sum of the physical well-being subscale (7 items), the functional well-being subscale (7 items), and the ovarian cancer subscale (12 items). Each item was scored on a scale of 0 (not at all) to 4 (very much). Some items were reversed scored. Scores from each subsection were summed into one composite score, termed the FACT-O TOI score which ranged from 0 to 104 and a higher score reflected better QoL. As per planned analysis, farletuzumab treatment groups 1.25 mg/kg and 2.5 mg/kg were pooled for the QoL assessment.
Time to 50% Serologic Response (TSR)From the date of randomization to first documentation of 50% SR (up to 48 months)TSR was defined as the time (in months) from the date of randomization to first documentation of 50% SR. A 50% response according to CA-125 was defined as a 50% decrease in serum CA-125 levels, as determined through a series of three CA-125 samples (one baseline sample with an elevated level, the sample that showed a 50% decrease, and a confirmatory sample at the decreased level).

Countries

Argentina, Australia, Austria, Belgium, Brazil, Canada, Chile, France, Germany, Greece, Hong Kong, Hungary, India, Israel, Italy, Japan, Mexico, Netherlands, Philippines, Poland, Portugal, Russia, Singapore, South Korea, Spain, Switzerland, Taiwan, Ukraine, United Kingdom, United States

Participant flow

Recruitment details

Participants took part in the study at 274 investigative sites in North America, Europe, Asia Pacific, Latin America, and Japan from 16 April 2009 to 12 April 2013.

Pre-assignment details

A total of 1100 participants were randomized and enrolled, out of which 1091 participants received study treatment. Study was terminated early due to lack of efficacy based on the results for progression-free survival (PFS).

Participants by arm

ArmCount
1.25 mg/kg Farletuzumab Plus Taxane and Carboplatin
Participants received farletuzumab 1.25 mg/kg as an IV infusion, weekly followed by taxane (paclitaxel \[175 mg/m\^2\] or docetaxel \[75 mg/m\^2\]) as IV infusion and carboplatin dose to achieve AUC 5 or 6 mg/min/mL (carboplatin dose \[mg\] = Target AUC \[mg\*min/mL\]\*GFR \[mL/min\] + 25), administered as IV infusion on Day 1 of each 21-day cycle for 6 cycles in combination therapy. Following completion of combination therapy, maintenance treatment with farletuzumab 1.25 mg/kg as IV infusion, weekly until disease progression, unacceptable toxicity, intercurrent illness, participant or physician requested discontinuation, or investigator's judgement to discontinue treatment (up to maximum 46 cycles-each cycle 21 days).
370
2.5 mg/kg Farletuzumab Plus Taxane and Carboplatin
Participants received farletuzumab 2.5 mg/kg as an IV infusion, weekly followed by taxane (paclitaxel \[175 mg/m\^2\] or docetaxel \[75 mg/m\^2\]) as IV infusion and carboplatin dose to achieve AUC 5 or 6 mg/min/mL (carboplatin dose \[mg\] = Target AUC \[mg\*min/mL\]\*GFR \[mL/min\] + 25), administered as IV infusion on Day 1 of each 21-day cycle for 6 cycles in combination therapy. Following completion of combination therapy, maintenance treatment with farletuzumab 2.5 mg/kg as IV infusion, weekly until disease progression, unacceptable toxicity, intercurrent illness, participant or physician requested discontinuation, or investigator's judgement to discontinue treatment (up to maximum 46 cycles-each cycle 21 days).
366
Placebo Plus Taxane and Carboplatin
Participants received farletuzumab-matched placebo (0.9% saline) as an IV infusion, weekly followed by taxane (paclitaxel \[175 mg/m\^2\] or docetaxel \[75 mg/m\^2\]) as IV infusion and carboplatin dose to achieve AUC 5 or 6 mg/min/mL (carboplatin dose \[mg\] = Target AUC \[mg\*min/mL\]\*GFR \[mL/min\] + 25), administered as IV infusion on Day 1 of each 21-day cycle for 6 cycles in combination therapy. Following completion of combination therapy, maintenance treatment with farletuzumab-matched placebo as IV infusion, weekly until disease progression, unacceptable toxicity, intercurrent illness, participant or physician requested discontinuation, or investigator's judgement to discontinue treatment (up to maximum 46 cycles-each cycle 21 days).
364
Total1,100

Withdrawals & dropouts

PeriodReasonFG000FG001FG002
Overall StudyAdverse Event120
Overall StudyInvestigator discretion001
Overall StudyLost to Follow-up888
Overall StudyOther181918
Overall StudyProgressive disease119100112
Overall StudySponsor decision208204190
Overall StudyWithdrawal by Subject163335

Baseline characteristics

Characteristic1.25 mg/kg Farletuzumab Plus Taxane and Carboplatin2.5 mg/kg Farletuzumab Plus Taxane and CarboplatinPlacebo Plus Taxane and CarboplatinTotal
Age, Continuous58.3 Years
STANDARD_DEVIATION 10.35
58.3 Years
STANDARD_DEVIATION 10.26
59.0 Years
STANDARD_DEVIATION 10.22
58.6 Years
STANDARD_DEVIATION 10.27
Ethnicity (NIH/OMB)
Hispanic or Latino
34 Participants38 Participants25 Participants97 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
331 Participants321 Participants331 Participants983 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
5 Participants7 Participants8 Participants20 Participants
Race (NIH/OMB)
American Indian or Alaska Native
1 Participants1 Participants1 Participants3 Participants
Race (NIH/OMB)
Asian
85 Participants76 Participants86 Participants247 Participants
Race (NIH/OMB)
Black or African American
5 Participants10 Participants1 Participants16 Participants
Race (NIH/OMB)
More than one race
0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
2 Participants1 Participants1 Participants4 Participants
Race (NIH/OMB)
Unknown or Not Reported
5 Participants7 Participants7 Participants19 Participants
Race (NIH/OMB)
White
272 Participants271 Participants268 Participants811 Participants
Sex: Female, Male
Female
370 Participants366 Participants364 Participants1100 Participants
Sex: Female, Male
Male
0 Participants0 Participants0 Participants0 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
deaths
Total, all-cause mortality
143 / 376119 / 363121 / 352
other
Total, other adverse events
373 / 376358 / 363347 / 352
serious
Total, serious adverse events
140 / 376130 / 363112 / 352

Outcome results

Primary

Progression-free Survival (PFS)

PFS was defined as the time (in months) from the date of randomization to the date of the first observation of progression based on the independent radiologic assessment (modified response evaluation criteria in solid tumors \[RECIST\]), or date of death, whatever the cause. As per RECIST, disease progression was defined as at least a 20 percent (%) increase in the sum of diameters of target lesions, taking as reference the baseline sum of diameters of target lesions. If progression or death was not observed for a participant, the PFS time was censored at the date of the last tumor assessment without evidence of progression before the date of initiation of further antitumor treatment, or the cutoff date (whichever was earlier).

Time frame: From the date of randomization to the date of first documentation of disease progression, or date of death, whichever occurred first (up to 44 months)

Population: ITT population included all participants randomly assigned to treatment, according to the treatment assigned by the IWRS/IVRS.

ArmMeasureValue (MEDIAN)
1.25 mg/kg Farletuzumab Plus Taxane and CarboplatinProgression-free Survival (PFS)9.5 months
2.5 mg/kg Farletuzumab Plus Taxane and CarboplatinProgression-free Survival (PFS)9.7 months
Placebo Plus Taxane and CarboplatinProgression-free Survival (PFS)9.0 months
p-value: 0.451395% CI: [0.81, 1.21]Log Rank
p-value: 0.076195% CI: [0.7, 1.06]Log Rank
Secondary

AUC (0-inf): Area Under the Concentration-time Curve From Zero (Pre-dose) Extrapolated to Infinite Time of Total Carboplatin and Total Paclitaxel

Time frame: Cycle 2 Week 1 Day 1: 0-45 hours post-dose (cycle length=21 days)

Population: Pharmacokinetic Analysis Set included all participants who have sufficient pharmacokinetic data to derive at least one pharmacokinetic parameter. Pharmacokinetic data was collected and analyzed only for a maximum of 7 participants in this study. Here overall number of participants analyzed signifies participants who were analyzed for this outcome measure. Here number of participants analyzed signifies participants who were analyzed for this outcome measure for given categories.

ArmMeasureGroupValue (MEAN)Dispersion
1.25 mg/kg Farletuzumab Plus Taxane and CarboplatinAUC (0-inf): Area Under the Concentration-time Curve From Zero (Pre-dose) Extrapolated to Infinite Time of Total Carboplatin and Total PaclitaxelTotal Carboplatin58.70 microgram hour per liter (mcg*h/L)
2.5 mg/kg Farletuzumab Plus Taxane and CarboplatinAUC (0-inf): Area Under the Concentration-time Curve From Zero (Pre-dose) Extrapolated to Infinite Time of Total Carboplatin and Total PaclitaxelTotal Carboplatin77.05 microgram hour per liter (mcg*h/L)Standard Deviation 8.41
2.5 mg/kg Farletuzumab Plus Taxane and CarboplatinAUC (0-inf): Area Under the Concentration-time Curve From Zero (Pre-dose) Extrapolated to Infinite Time of Total Carboplatin and Total PaclitaxelTotal Paclitaxel12.30 microgram hour per liter (mcg*h/L)Standard Deviation 1.27
Placebo Plus Taxane and CarboplatinAUC (0-inf): Area Under the Concentration-time Curve From Zero (Pre-dose) Extrapolated to Infinite Time of Total Carboplatin and Total PaclitaxelTotal Carboplatin70.37 microgram hour per liter (mcg*h/L)Standard Deviation 10.4
Placebo Plus Taxane and CarboplatinAUC (0-inf): Area Under the Concentration-time Curve From Zero (Pre-dose) Extrapolated to Infinite Time of Total Carboplatin and Total PaclitaxelTotal Paclitaxel16.19 microgram hour per liter (mcg*h/L)Standard Deviation 6.41
Secondary

Cancer Antigen-125 (CA-125) Progression-Free Survival

CA-125 PFS was defined as the time (in months) from the date of randomization until the date of the first observation of progression based on the Rustin criteria, or date of death, whatever the cause. If progression or death was not observed for a participant, the CA-125 PFS time was censored at the date of the last CA-125 assessment without evidence of progression before the date of initiation of further antitumor treatment or the primary analysis cut off date, whichever was earlier. Based on Rustin criteria, progressive disease (PD) was a rise in CA125 since beginning of consolidation or previously normal CA125 that rises to greater than or equal to (\>=) 2 multiple (\*) ULN with either event documented on two occasions or CA-125 \>=2\*nadir value with either event documented on two occasions.

Time frame: From the date of randomization to the date of first documentation of disease progression, or date of death, whichever occurred first (up to 44 months)

Population: ITT population included all participants randomly assigned to treatment, according to the treatment assigned by the IWRS/IVRS.

ArmMeasureValue (MEDIAN)
1.25 mg/kg Farletuzumab Plus Taxane and CarboplatinCancer Antigen-125 (CA-125) Progression-Free Survival13.2 months
2.5 mg/kg Farletuzumab Plus Taxane and CarboplatinCancer Antigen-125 (CA-125) Progression-Free Survival18.1 months
Placebo Plus Taxane and CarboplatinCancer Antigen-125 (CA-125) Progression-Free Survival12.0 months
p-value: 0.293895% CI: [0.72, 1.21]Log Rank
p-value: 0.031895% CI: [0.58, 1.02]Log Rank
Secondary

CL: Clearance of Total Carboplatin and Total Paclitaxel

Time frame: Cycle 2 Week 1 Day 1: 0-45 hours post-dose (cycle length=21 days)

Population: Pharmacokinetic Analysis Set included all participants who have sufficient pharmacokinetic data to derive at least one pharmacokinetic parameter. Pharmacokinetic data was collected and analyzed only for a maximum of 7 participants in this study. Here overall number of participants analyzed signifies participants who were analyzed for this outcome measure. Here number of participants analyzed signifies participants who were analyzed for this outcome measure for given categories.

ArmMeasureGroupValue (MEAN)Dispersion
1.25 mg/kg Farletuzumab Plus Taxane and CarboplatinCL: Clearance of Total Carboplatin and Total PaclitaxelTotal Carboplatin6.65 liter per hour (L/h)
2.5 mg/kg Farletuzumab Plus Taxane and CarboplatinCL: Clearance of Total Carboplatin and Total PaclitaxelTotal Carboplatin8.77 liter per hour (L/h)Standard Deviation 2.02
2.5 mg/kg Farletuzumab Plus Taxane and CarboplatinCL: Clearance of Total Carboplatin and Total PaclitaxelTotal Paclitaxel24.80 liter per hour (L/h)Standard Deviation 1.27
Placebo Plus Taxane and CarboplatinCL: Clearance of Total Carboplatin and Total PaclitaxelTotal Carboplatin7.21 liter per hour (L/h)Standard Deviation 2.4
Placebo Plus Taxane and CarboplatinCL: Clearance of Total Carboplatin and Total PaclitaxelTotal Paclitaxel21.00 liter per hour (L/h)Standard Deviation 11.08
Secondary

Cmax: Maximum Observed Plasma Concentration of Total Carboplatin and Total Paclitaxel

Time frame: Cycle 2 Week 1 Day 1: 0-45 hours post-dose (cycle length=21 days)

Population: Pharmacokinetic Analysis Set included all participants who have sufficient pharmacokinetic data to derive at least one pharmacokinetic parameter. Here overall number of participants analyzed signifies participants who were analyzed for this outcome measure. Pharmacokinetic data was collected and analyzed only for a maximum of 7 participants in this study.

ArmMeasureGroupValue (MEAN)Dispersion
1.25 mg/kg Farletuzumab Plus Taxane and CarboplatinCmax: Maximum Observed Plasma Concentration of Total Carboplatin and Total PaclitaxelTotal Carboplatin19.30 microgram per milliliter (mcg/mL)
1.25 mg/kg Farletuzumab Plus Taxane and CarboplatinCmax: Maximum Observed Plasma Concentration of Total Carboplatin and Total PaclitaxelTotal Paclitaxel3.29 microgram per milliliter (mcg/mL)
2.5 mg/kg Farletuzumab Plus Taxane and CarboplatinCmax: Maximum Observed Plasma Concentration of Total Carboplatin and Total PaclitaxelTotal Carboplatin43.55 microgram per milliliter (mcg/mL)Standard Deviation 22.84
2.5 mg/kg Farletuzumab Plus Taxane and CarboplatinCmax: Maximum Observed Plasma Concentration of Total Carboplatin and Total PaclitaxelTotal Paclitaxel3.86 microgram per milliliter (mcg/mL)Standard Deviation 0.2
Placebo Plus Taxane and CarboplatinCmax: Maximum Observed Plasma Concentration of Total Carboplatin and Total PaclitaxelTotal Carboplatin21.72 microgram per milliliter (mcg/mL)Standard Deviation 12.08
Placebo Plus Taxane and CarboplatinCmax: Maximum Observed Plasma Concentration of Total Carboplatin and Total PaclitaxelTotal Paclitaxel4.95 microgram per milliliter (mcg/mL)Standard Deviation 2.73
Secondary

Duration of 50% Serologic Response

Duration of SR was defined as the time (in months) from first documentation of response to the first documentation of 50% serologic progression or death due to any cause. For responding participants who did not have serologic progression or did not die and who 1) were either still on study at the time of an analysis, 2) were given antitumor treatment other than study treatment, or 3) were withdrawn from study follow-up before documentation of serologic progression, the duration of SR was censored at the last date the participant was known to be without serologic progression. A 50% response according to CA-125 was defined as a 50% decrease in serum CA-125 levels, as determined through a series of three CA-125 samples (one baseline sample with an elevated level, the sample that showed a 50% decrease, and a confirmatory sample at the decreased level).

Time frame: From the first date of documentation of response to first documentation of serologic progression or death due to any cause (up to 48 months)

Population: Analysis was performed on a subset of participants who had serologic response.

ArmMeasureValue (MEDIAN)
1.25 mg/kg Farletuzumab Plus Taxane and CarboplatinDuration of 50% Serologic Response10.7 months
2.5 mg/kg Farletuzumab Plus Taxane and CarboplatinDuration of 50% Serologic Response12.0 months
Placebo Plus Taxane and CarboplatinDuration of 50% Serologic Response9.9 months
Secondary

Duration of Tumor Response

Duration of response was defined as the time (in months) from first documentation of objective response (confirmed CR or PR) to the first documentation of objective tumor progression or death due to any cause. Duration of response was derived only for those participants with objective evidence of confirmed CR or PR.

Time frame: From the first date of confirmed objective response (CR or PR) to first date of progression or death due to any cause (up to 48 months)

Population: Analysis performed on a subset of participants who had objective response.

ArmMeasureValue (MEDIAN)
1.25 mg/kg Farletuzumab Plus Taxane and CarboplatinDuration of Tumor Response8.0 months
2.5 mg/kg Farletuzumab Plus Taxane and CarboplatinDuration of Tumor Response8.9 months
Placebo Plus Taxane and CarboplatinDuration of Tumor Response7.6 months
Secondary

Mean Functional Assessment of Cancer Therapy-Ovarian Treatment Outcome Index (FACT-O TOI) Scores

Participant-reported Quality of Life (QoL) was measured using the Functional Assessment of Cancer Therapy-Ovarian (FACT-O), version 4 and reported in the Treatment Outcome Index (TOI) format. TOI is a 26-item subset of the FACT-O questionnaire composed of the raw sum of the physical well-being subscale (7 items), the functional well-being subscale (7 items), and the ovarian cancer subscale (12 items). Each item was scored on a scale of 0 (not at all) to 4 (very much). Some items were reversed scored. Scores from each subsection were summed into one composite score, termed the FACT-O TOI score which ranged from 0 to 104 and a higher score reflected better QoL. As per planned analysis, farletuzumab treatment groups 1.25 mg/kg and 2.5 mg/kg were pooled for the QoL assessment.

Time frame: Cycle 3, Cycle 6, Cycle 12 (each cycle length=21 days)

Population: The population comprised of all evaluable participants who received at least one dose of farletuzumab or placebo, with study treatment assignment designated according to the IWRS/IVRS, and who completed a baseline FACT-O assessment and at least one follow-up FACT-O assessment during the study. Here overall number of participants analyzed signifies participants who were analyzed for this outcome measure.

ArmMeasureGroupValue (MEAN)Dispersion
1.25 mg/kg Farletuzumab Plus Taxane and CarboplatinMean Functional Assessment of Cancer Therapy-Ovarian Treatment Outcome Index (FACT-O TOI) ScoresCycle 369.6 score on a scaleStandard Deviation 1
1.25 mg/kg Farletuzumab Plus Taxane and CarboplatinMean Functional Assessment of Cancer Therapy-Ovarian Treatment Outcome Index (FACT-O TOI) ScoresCycle 670.1 score on a scaleStandard Deviation 1
1.25 mg/kg Farletuzumab Plus Taxane and CarboplatinMean Functional Assessment of Cancer Therapy-Ovarian Treatment Outcome Index (FACT-O TOI) ScoresCycle 1276.2 score on a scaleStandard Deviation 1.7
2.5 mg/kg Farletuzumab Plus Taxane and CarboplatinMean Functional Assessment of Cancer Therapy-Ovarian Treatment Outcome Index (FACT-O TOI) ScoresCycle 370.7 score on a scaleStandard Deviation 1.1
2.5 mg/kg Farletuzumab Plus Taxane and CarboplatinMean Functional Assessment of Cancer Therapy-Ovarian Treatment Outcome Index (FACT-O TOI) ScoresCycle 670.7 score on a scaleStandard Deviation 1.1
2.5 mg/kg Farletuzumab Plus Taxane and CarboplatinMean Functional Assessment of Cancer Therapy-Ovarian Treatment Outcome Index (FACT-O TOI) ScoresCycle 1272.9 score on a scaleStandard Deviation 2.4
Secondary

Overall Survival (OS)

OS was defined as the time (in months) from the date of randomization to the date of death, due to any cause. If death was not observed for a participant, the survival time was censored on the last date the participant was known to be alive or the cutoff date, whichever was earlier.

Time frame: From the date of randomization until date of death from any cause, or study termination by sponsor, whichever came first (up to 48 months)

Population: ITT population included all participants randomly assigned to treatment, according to the treatment assigned by the IWRS/IVRS.

ArmMeasureValue (MEDIAN)
1.25 mg/kg Farletuzumab Plus Taxane and CarboplatinOverall Survival (OS)28.7 months
2.5 mg/kg Farletuzumab Plus Taxane and CarboplatinOverall Survival (OS)32.1 months
Placebo Plus Taxane and CarboplatinOverall Survival (OS)29.1 months
p-value: 0.482395% CI: [0.78, 1.27]Log Rank
p-value: 0.161695% CI: [0.68, 1.13]Log Rank
Secondary

Percentage of Participants With Clinical Benefit

Clinical benefit was defined as a confirmed CR or a confirmed PR, or stable disease (SD) using RECIST 1.0 criteria. CR was defined as the disappearance of all target and non-target lesions (non-lymph nodes). All pathological lymph nodes (whether target or non-target) must have a reduction in their short axis \<10 mm. PR was defined as at least a 30% decrease in the sum of diameter of target lesions, taking as reference the baseline sum diameters. SD was defined as neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for progressive disease taking as reference smallest sum of longest dimensions since treatment started associated to non-progressive disease response for non target lesions.

Time frame: Up to 48 months

Population: ITT population included all participants randomly assigned to treatment, according to the treatment assigned by the IWRS/IVRS.

ArmMeasureValue (NUMBER)
1.25 mg/kg Farletuzumab Plus Taxane and CarboplatinPercentage of Participants With Clinical Benefit68.9 percentage of participants
2.5 mg/kg Farletuzumab Plus Taxane and CarboplatinPercentage of Participants With Clinical Benefit66.4 percentage of participants
Placebo Plus Taxane and CarboplatinPercentage of Participants With Clinical Benefit64.6 percentage of participants
Secondary

Percentage of Participants With Length of Second Remission Greater Than First Remission

Length of first remission was defined as a.) the period of time (in months) from the date of completion of previous platinum-based chemotherapy until date of first relapse (that is, first observation of progression). It was assumed that the date of first relapse was the earlier of progression by CA-125 or progression by radiologic assessment, as judged by the investigator using GCIG criteria. b.) the period of time (in months) from the date of completion of previous platinum-based chemotherapy (used prior to study entry) until date of randomization. The length of the second remission was defined as the period of time (in months) from the date of completion of platinum-based chemotherapy until the first observation of progression based on GCIG criteria. Based on GCIG criteria, disease progression was defined as at least a 20% increase in the sum of diameters of target lesions, taking as reference the baseline sum of diameters of target lesions.

Time frame: From the date of last dose of platinum-based chemotherapy to date of relapse and date of last dose of platinum-based chemotherapy to first observation of progression (up to 48 months)

Population: ITT population included all participants randomly assigned to treatment, according to the treatment assigned by the IWRS/IVRS. Here N overall number of participants analyzed included all participants with potential for second remission greater than first remission.

ArmMeasureValue (NUMBER)
1.25 mg/kg Farletuzumab Plus Taxane and CarboplatinPercentage of Participants With Length of Second Remission Greater Than First Remission4.0 percentage of participants
2.5 mg/kg Farletuzumab Plus Taxane and CarboplatinPercentage of Participants With Length of Second Remission Greater Than First Remission6.5 percentage of participants
Placebo Plus Taxane and CarboplatinPercentage of Participants With Length of Second Remission Greater Than First Remission4.5 percentage of participants
Secondary

Percentage of Participants With Objective Response

Objective response was defined as either a confirmed complete response (CR) or confirmed partial response (PR) as assessed by investigator based on response evaluation criteria in solid tumors version 1.1 (RECIST version 1.1). CR was defined as the disappearance of all target and non-target lesions (non-lymph nodes). All pathological lymph nodes (whether target or non-target) must have a reduction in their short axis less than (\<) 10 millimeters (mm). PR was defined as at least a 30% decrease in the sum of diameter of target lesions, taking as reference the baseline sum diameters.

Time frame: From the date of randomization to the date of first documentation of disease progression, or date of death, whichever occurred first (up to 48 months)

Population: ITT population included all participants randomly assigned to treatment, according to the treatment assigned by the IWRS/IVRS.

ArmMeasureValue (NUMBER)
1.25 mg/kg Farletuzumab Plus Taxane and CarboplatinPercentage of Participants With Objective Response57.6 percentage of participants
2.5 mg/kg Farletuzumab Plus Taxane and CarboplatinPercentage of Participants With Objective Response58.2 percentage of participants
Placebo Plus Taxane and CarboplatinPercentage of Participants With Objective Response55.8 percentage of participants
p-value: 0.686495% CI: [-5.4, 9]Cochran-Mantel-Haenszel
p-value: 0.492395% CI: [-4.8, 9.6]Cochran-Mantel-Haenszel
Secondary

Percentage of Participants With Serologic Response (SR)

SR was defined as either normalization, 75% response, or 50% response using the Rustin criteria. Percentage of participants with 50% SR, 75% SR and SR leading to normalization were reported. A 50% response according to CA-125 was defined as a 50% decrease in serum CA-125 levels, as determined through a series of four CA-125 samples (one baseline sample with an elevated level, the sample that showed a 50% decrease, and a confirmatory sample at the decreased level). A 75% response was established if there had a serial decrease in serum CA-125 levels of 75% over three samples. In both the 50% and 75% response definitions, the final sample was analyzed at least 28 days after the previous sample.

Time frame: Up to 48 months

Population: SR Evaluable Populations included all randomized participants who received at least one dose of study drug and who had a baseline and at least one assessment during treatment, sufficient to assess the endpoint of interest.

ArmMeasureGroupValue (NUMBER)
1.25 mg/kg Farletuzumab Plus Taxane and CarboplatinPercentage of Participants With Serologic Response (SR)75% SR (Responder)86.1 percentage of participants
1.25 mg/kg Farletuzumab Plus Taxane and CarboplatinPercentage of Participants With Serologic Response (SR)50% SR (Responder)91.9 percentage of participants
1.25 mg/kg Farletuzumab Plus Taxane and CarboplatinPercentage of Participants With Serologic Response (SR)SR leading to normalization (Responder)65.2 percentage of participants
2.5 mg/kg Farletuzumab Plus Taxane and CarboplatinPercentage of Participants With Serologic Response (SR)75% SR (Responder)85.7 percentage of participants
2.5 mg/kg Farletuzumab Plus Taxane and CarboplatinPercentage of Participants With Serologic Response (SR)50% SR (Responder)97.4 percentage of participants
2.5 mg/kg Farletuzumab Plus Taxane and CarboplatinPercentage of Participants With Serologic Response (SR)SR leading to normalization (Responder)64.8 percentage of participants
Placebo Plus Taxane and CarboplatinPercentage of Participants With Serologic Response (SR)50% SR (Responder)92.3 percentage of participants
Placebo Plus Taxane and CarboplatinPercentage of Participants With Serologic Response (SR)SR leading to normalization (Responder)59.9 percentage of participants
Placebo Plus Taxane and CarboplatinPercentage of Participants With Serologic Response (SR)75% SR (Responder)82.0 percentage of participants
Comparison: 50% serological responsep-value: 0.810695% CI: [-4.9, 4.1]Cochran-Mantel-Haenszel
Comparison: 50% serological responsep-value: 0.006495% CI: [1.4, 8.8]Cochran-Mantel-Haenszel
Comparison: 75% serological responsep-value: 0.300595% CI: [-2, 10.2]Cochran-Mantel-Haenszel
Comparison: 75% serological responsep-value: 0.244595% CI: [-2.5, 9.9]Cochran-Mantel-Haenszel
Comparison: Serologic response leading to normalizationp-value: 0.279795% CI: [-2.8, 13.4]Cochran-Mantel-Haenszel
Comparison: Serologic response leading to normalizationp-value: 0.213695% CI: [-3.2, 13]Cochran-Mantel-Haenszel
Secondary

Progression-Free Survival Based on Gynecologic Cancer InterGroup (GCIG) Criteria

PFS using GCIG criteria was defined as time (in months) from date of randomization until date of first observation of progression based on GCIG criteria, or date of death, whatever the cause. If progression or death was not observed for a participant, GCIG PFS time was censored at later date of last tumor assessment or CA-125 assessment without evidence of progression before date of initiation of further antitumor treatment or the primary analysis cut off date, whichever was earlier. Disease progression per GCIG: Participants with elevated CA-125 pretreatment and normalisation of CA-125 must show evidence of CA-125 \>=two times ULN on two occasions at least one week apart or participants with elevated CA-125 pretreatment, which never normalises must show evidence of CA-125 \>=two times nadir value on two occasions at least one week apart or participants with CA-125 in normal range pretreatment must show evidence of CA-125 \>=two times ULN on two occasions at least one week apart.

Time frame: From the date of randomization to the date of first documentation of disease progression, or date of death, whichever occurred first (up to 44 months)

Population: ITT population included all participants randomly assigned to treatment, according to the treatment assigned by the IWRS/IVRS.

ArmMeasureValue (MEDIAN)
1.25 mg/kg Farletuzumab Plus Taxane and CarboplatinProgression-Free Survival Based on Gynecologic Cancer InterGroup (GCIG) Criteria8.8 months
2.5 mg/kg Farletuzumab Plus Taxane and CarboplatinProgression-Free Survival Based on Gynecologic Cancer InterGroup (GCIG) Criteria8.6 months
Placebo Plus Taxane and CarboplatinProgression-Free Survival Based on Gynecologic Cancer InterGroup (GCIG) Criteria8.4 months
p-value: 0.563695% CI: [0.85, 1.21]Log Rank
p-value: 0.15695% CI: [0.76, 1.09]Log Rank
Secondary

T1/2: Terminal Half-life of Total Carboplatin and Total Paclitaxel

Time frame: Cycle 2 Week 1 Day 1: 0-45 hours post-dose (cycle length=21 days)

Population: Pharmacokinetic Analysis Set included all participants who have sufficient pharmacokinetic data to derive at least one pharmacokinetic parameter. Pharmacokinetic data was collected and analyzed only for a maximum of 7 participants in this study. Here overall number of participants analyzed signifies participants who were analyzed for this outcome measure. Here number of participants analyzed signifies participants who were analyzed for this outcome measure for given categories.

ArmMeasureGroupValue (MEAN)Dispersion
1.25 mg/kg Farletuzumab Plus Taxane and CarboplatinT1/2: Terminal Half-life of Total Carboplatin and Total PaclitaxelTotal Carboplatin2.94 hours
1.25 mg/kg Farletuzumab Plus Taxane and CarboplatinT1/2: Terminal Half-life of Total Carboplatin and Total PaclitaxelTotal Paclitaxel1.55 hours
2.5 mg/kg Farletuzumab Plus Taxane and CarboplatinT1/2: Terminal Half-life of Total Carboplatin and Total PaclitaxelTotal Carboplatin1.64 hoursStandard Deviation 0.31
2.5 mg/kg Farletuzumab Plus Taxane and CarboplatinT1/2: Terminal Half-life of Total Carboplatin and Total PaclitaxelTotal Paclitaxel4.82 hoursStandard Deviation 2.88
Placebo Plus Taxane and CarboplatinT1/2: Terminal Half-life of Total Carboplatin and Total PaclitaxelTotal Carboplatin1.72 hoursStandard Deviation 0.65
Placebo Plus Taxane and CarboplatinT1/2: Terminal Half-life of Total Carboplatin and Total PaclitaxelTotal Paclitaxel4.78 hoursStandard Deviation 3.24
Secondary

Time to 50% Serologic Response (TSR)

TSR was defined as the time (in months) from the date of randomization to first documentation of 50% SR. A 50% response according to CA-125 was defined as a 50% decrease in serum CA-125 levels, as determined through a series of three CA-125 samples (one baseline sample with an elevated level, the sample that showed a 50% decrease, and a confirmatory sample at the decreased level).

Time frame: From the date of randomization to first documentation of 50% SR (up to 48 months)

Population: Analysis was performed on a subset of participants who had serologic response.

ArmMeasureValue (MEDIAN)
1.25 mg/kg Farletuzumab Plus Taxane and CarboplatinTime to 50% Serologic Response (TSR)1.0 months
2.5 mg/kg Farletuzumab Plus Taxane and CarboplatinTime to 50% Serologic Response (TSR)0.9 months
Placebo Plus Taxane and CarboplatinTime to 50% Serologic Response (TSR)1.2 months
Secondary

Time to Tumor Response (TTR)

Time to tumor response was defined as the time (in months) from the date of randomization to first documentation of objective tumor response. Time to tumor response was derived for those participants with objective evidence of CR or PR.

Time frame: From the date of randomization to first documentation of objective response (up to 48 months)

Population: Analysis performed on a subset of participants who had objective response.

ArmMeasureValue (MEDIAN)
1.25 mg/kg Farletuzumab Plus Taxane and CarboplatinTime to Tumor Response (TTR)1.5 months
2.5 mg/kg Farletuzumab Plus Taxane and CarboplatinTime to Tumor Response (TTR)1.5 months
Placebo Plus Taxane and CarboplatinTime to Tumor Response (TTR)1.5 months
Secondary

Tmax: Time to Reach the Maximum Plasma Concentration (Cmax) of Total Carboplatin and Total Paclitaxel

Time frame: Cycle 2 Week 1 Day 1: 0-45 hours post-dose (cycle length=21 days)

Population: Pharmacokinetic Analysis Set included all participants who have sufficient pharmacokinetic data to derive at least one pharmacokinetic parameter. Here overall number of participants analyzed signifies participants who were analyzed for this outcome measure. Pharmacokinetic data was collected and analyzed only for a maximum of 7 participants in this study.

ArmMeasureGroupValue (MEDIAN)
1.25 mg/kg Farletuzumab Plus Taxane and CarboplatinTmax: Time to Reach the Maximum Plasma Concentration (Cmax) of Total Carboplatin and Total PaclitaxelTotal Carboplatin0.75 hours
1.25 mg/kg Farletuzumab Plus Taxane and CarboplatinTmax: Time to Reach the Maximum Plasma Concentration (Cmax) of Total Carboplatin and Total PaclitaxelTotal Paclitaxel3.00 hours
2.5 mg/kg Farletuzumab Plus Taxane and CarboplatinTmax: Time to Reach the Maximum Plasma Concentration (Cmax) of Total Carboplatin and Total PaclitaxelTotal Carboplatin0.79 hours
2.5 mg/kg Farletuzumab Plus Taxane and CarboplatinTmax: Time to Reach the Maximum Plasma Concentration (Cmax) of Total Carboplatin and Total PaclitaxelTotal Paclitaxel3.21 hours
Placebo Plus Taxane and CarboplatinTmax: Time to Reach the Maximum Plasma Concentration (Cmax) of Total Carboplatin and Total PaclitaxelTotal Carboplatin1.96 hours
Placebo Plus Taxane and CarboplatinTmax: Time to Reach the Maximum Plasma Concentration (Cmax) of Total Carboplatin and Total PaclitaxelTotal Paclitaxel3.00 hours
Secondary

Vd: Volume of Distribution of Total Carboplatin and Total Paclitaxel

Time frame: Cycle 2 Week 1 Day 1: 0-45 hours post-dose (cycle length=21 days)

Population: Pharmacokinetic Analysis Set included all participants who have sufficient pharmacokinetic data to derive at least one pharmacokinetic parameter. Pharmacokinetic data was collected and analyzed only for a maximum of 7 participants in this study. Here overall number of participants analyzed signifies participants who were analyzed for this outcome measure. Here number of participants analyzed signifies participants who were analyzed for this outcome measure for given categories.

ArmMeasureGroupValue (MEAN)Dispersion
1.25 mg/kg Farletuzumab Plus Taxane and CarboplatinVd: Volume of Distribution of Total Carboplatin and Total PaclitaxelTotal Carboplatin28.20 liter
2.5 mg/kg Farletuzumab Plus Taxane and CarboplatinVd: Volume of Distribution of Total Carboplatin and Total PaclitaxelTotal Carboplatin20.30 literStandard Deviation 0.85
2.5 mg/kg Farletuzumab Plus Taxane and CarboplatinVd: Volume of Distribution of Total Carboplatin and Total PaclitaxelTotal Paclitaxel169.50 literStandard Deviation 94.05
Placebo Plus Taxane and CarboplatinVd: Volume of Distribution of Total Carboplatin and Total PaclitaxelTotal Carboplatin14.86 literStandard Deviation 5.51
Placebo Plus Taxane and CarboplatinVd: Volume of Distribution of Total Carboplatin and Total PaclitaxelTotal Paclitaxel110.23 literStandard Deviation 52.34

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026