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

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

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01015118
Enrollment
1366
Registered
2009-11-18
Start date
2009-11-17
Completion date
2016-09-15
Last updated
2017-12-07

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

Conditions

Ovarian Neoplasms, Peritoneal Neoplasms

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.

Interventions

DRUGPlacebo

comparator to BIBF 1120

DRUGPaclitaxel

Paclitaxel (standard chemo-therapy)

DRUGBIBF 1120

comparison of BIBF 1120 in combination with chemotherapy and placebo in combination with chemotherapy (paclitaxel/carboplatin)

DRUGCarboplatin

Carboplatin (standard chemo-therapy)

Sponsors

Boehringer Ingelheim
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE

Eligibility

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

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

Design outcomes

Primary

MeasureTime frameDescription
PFS Based on Investigator Assessment According to Modified Response Evaluation Criteria in Solid Tumors, Version 1.1 (mRECIST), and Additional Clinical Criteria.First drug administration to date of disease progression or death whichever occurs first , upto 29 monthsProgression 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).First drug administration to date of disease progression or death whichever occurs first until final Data Base Lock (DBL) 26September16, upto 62 monthsFollow-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.

Secondary

MeasureTime frameDescription
Overall SurvivalFirst drug administration to date of death until final DBL 26September16, upto 62 monthsOverall 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 ProgressionFirst drug administration until final DBL 26September16, upto 62 monthsTime 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.
PFS Based on Investigator Assessment According to mRECIST Version 1.1 (Key Secondary Endpoint).First drug administration to date of disease progression or death whichever occurs first , upto 29 monthsProgression 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.
Change in Abdominal/Gastro-intestinal Symptoms Over TimeFirst drug administration until final DBL 26September16, upto 62 monthsChange 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.First drug administration until final DBL 26September16, upto 62 monthsChange 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).
Objective Response Based on Investigator AssessmentFirst drug administration until final DBL 26September16, upto 62 monthsObjective tumour response defined as either complete response \[CR\] or partial response \[PR\] in patients with at least 1 target lesion reported at baseline
PFS Based on Investigator Assessment According to mRECIST Version 1.1 (Key Secondary Endpoint - Follow up Analysis).First drug administration to date of disease progression or death whichever occurs first until final Data Base Lock (DBL) 26September16, upto 62 monthsFollow-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.

Countries

Australia, Austria, Belgium, Canada, Czechia, Denmark, Finland, France, Germany, Greece, Italy, Netherlands, Norway, Poland, Portugal, Russia, Slovakia, Spain, Sweden, Ukraine, United Kingdom, United States

Participant flow

Pre-assignment details

1366 patients were randomised for this study.

Participants by arm

ArmCount
Nintedanib
Patients to receive Nintedanib 200 milligram (mg) soft gelatine capsule, taken orally twice daily, except the day of chemotherapy (carboplatin and paclitaxel) infusion, every 21 days for six courses.
911
Placebo
Patients to receive matching placebo soft gelatine capsule identical to those containing Nintedanib, taken orally twice daily, except the day of chemotherapy (carboplatin and paclitaxel) infusion, every 21 days for six courses.
455
Total1,366

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyNot treated95
Overall StudyOther Adverse Event (AE)14133
Overall StudyOther than stated above4223
Overall StudyProgressive disease364229
Overall StudyProtocol Violation56
Overall StudyWithdrawal by Subject10327
Overall StudyWorsening or AE of underlying disease54

Baseline characteristics

CharacteristicNintedanibPlaceboTotal
Age, Continuous57.5 Years
STANDARD_DEVIATION 11
56.9 Years
STANDARD_DEVIATION 11.1
57.3 Years
STANDARD_DEVIATION 11.1
Sex: Female, Male
Female
911 Participants455 Participants1366 Participants
Sex: Female, Male
Male
0 Participants0 Participants0 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
— / —— / —
other
Total, other adverse events
442 / 450891 / 902
serious
Total, serious adverse events
157 / 450379 / 902

Outcome results

Primary

PFS Based on Investigator Assessment According to Modified Response Evaluation Criteria in Solid Tumors, Version 1.1 (mRECIST), and Additional Clinical Criteria.

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.

Time frame: First drug administration to date of disease progression or death whichever occurs first , upto 29 months

Population: Randomised Set (RS)

ArmMeasureValue (MEDIAN)
NintedanibPFS Based on Investigator Assessment According to Modified Response Evaluation Criteria in Solid Tumors, Version 1.1 (mRECIST), and Additional Clinical Criteria.17.2 Months
PlaceboPFS Based on Investigator Assessment According to Modified Response Evaluation Criteria in Solid Tumors, Version 1.1 (mRECIST), and Additional Clinical Criteria.16.6 Months
Comparison: Hazard ratio (HR), Confidence Interval (CI) and P-value obtained from a proportional-hazards model stratified by Macroscopic residual postoperative tumour (Yes vs. no), the International Federation of Gynecology and Obstetrics (FIGO) Stage (IIB-III vs. IV) and carboplatin level Area under curve 5 (AUC5) vs. Area under curve 6 (AUC6).p-value: 0.023995% CI: [0.72, 0.98]Log Rank
Primary

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).

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.

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

Population: Randomised Set (RS)

ArmMeasureValue (MEDIAN)
NintedanibPFS Based on Investigator Assessment According to Modified Response Evaluation Criteria in Solid Tumors, Version 1.1 (mRECIST), and Additional Clinical Criteria (Follow up Analysis).17.6 Months
PlaceboPFS Based on Investigator Assessment According to Modified Response Evaluation Criteria in Solid Tumors, Version 1.1 (mRECIST), and Additional Clinical Criteria (Follow up Analysis).16.6 Months
Comparison: Hazard ratio (HR), Confidence Interval (CI) and P-value obtained from a proportional-hazards model stratified by Macroscopic residual postoperative tumour (Yes vs. no), the International Federation of Gynecology and Obstetrics (FIGO) Stage (IIB-III vs. IV) and carboplatin level (AUC5 vs. AUC6).p-value: 0.028695% CI: [0.75, 0.98]Log Rank
Secondary

Change in Abdominal/Gastro-intestinal Symptoms Over Time

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).

Time frame: First drug administration until final DBL 26September16, upto 62 months

Population: Randomised Set (RS) for patients with abdominal/gastro-intestinal symptoms

ArmMeasureValue (MEAN)Dispersion
NintedanibChange in Abdominal/Gastro-intestinal Symptoms Over Time24.63 units on a scaleStandard Error 0.49
PlaceboChange in Abdominal/Gastro-intestinal Symptoms Over Time19.34 units on a scaleStandard Error 0.64
Comparison: Adjusted for the stratification factors macroscopic residual postoperative tumour at baseline (yes vs. no), the International Federation of Gynecology and Obstetrics (FIGO) stage (IIB-III vs IV), and carboplatin level (AUC5 vs. AUC6).p-value: <0.000195% CI: [3.88, 6.69]Mixed effect growth curve model
Secondary

Change in Global Health Status/ Quality of Life (QoL) Scale Over Time.

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).

Time frame: First drug administration until final DBL 26September16, upto 62 months

Population: Randomised Set (RS) for patients with global health status/QoL

ArmMeasureValue (MEAN)Dispersion
NintedanibChange in Global Health Status/ Quality of Life (QoL) Scale Over Time.68.79 units on a scaleStandard Error 0.48
PlaceboChange in Global Health Status/ Quality of Life (QoL) Scale Over Time.70.67 units on a scaleStandard Error 0.65
Comparison: Adjusted for the stratification factors macroscopic residual postoperative tumour at baseline (yes vs. no), the International Federation of Gynecology and Obstetrics (FIGO) stage (IIB-III vs IV), and carboplatin level (AUC5 vs. AUC6).p-value: 0.012495% CI: [-3.35, -0.41]Mixed effect growth curve model
Secondary

Objective Response Based on Investigator Assessment

Objective tumour response defined as either complete response \[CR\] or partial response \[PR\] in patients with at least 1 target lesion reported at baseline

Time frame: First drug administration until final DBL 26September16, upto 62 months

Population: Randomised Set (RS) for patients with at least 1 target lesion reported at baseline

ArmMeasureValue (NUMBER)
NintedanibObjective Response Based on Investigator Assessment74.3 percentage of participants
PlaceboObjective Response Based on Investigator Assessment70.2 percentage of participants
Comparison: Odds ratio and p-value are obtained from logistic regression model adjusting for, macroscopic residual postoperative tumour (yes vs. no), the International Federation of Gynecology and Obstetrics (FIGO) stage (IIB-III vs. IV) and carboplatin level (AUC5 vs. AUC6).p-value: 0.34995% CI: [0.81, 1.82]Regression, Logistic
Secondary

Overall Survival

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 frame: First drug administration to date of death until final DBL 26September16, upto 62 months

Population: Randomised Set (RS)

ArmMeasureValue (MEDIAN)
NintedanibOverall Survival62.0 Months
PlaceboOverall Survival62.8 Months
Comparison: HR, CI and P-value obtained from a proportional-hazards model stratified by Macroscopic residual postoperative tumour (Yes vs. no), the International Federation of Gynecology and Obstetrics (FIGO) Stage (IIB-III vs. IV) and carboplatin level (AUC5 vs. AUC6).p-value: 0.865395% CI: [0.83, 1.17]Log Rank
Secondary

PFS Based on Investigator Assessment According to mRECIST Version 1.1 (Key Secondary Endpoint).

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.

Time frame: First drug administration to date of disease progression or death whichever occurs first , upto 29 months

Population: Randomised Set (RS)

ArmMeasureValue (MEDIAN)
NintedanibPFS Based on Investigator Assessment According to mRECIST Version 1.1 (Key Secondary Endpoint).18.3 Months
PlaceboPFS Based on Investigator Assessment According to mRECIST Version 1.1 (Key Secondary Endpoint).16.6 Months
Comparison: HR, CI and P-value obtained from a proportional-hazards model stratified by Macroscopic residual postoperative tumour (Yes vs. no), the International Federation of Gynecology and Obstetrics (FIGO) Stage (IIB-III vs. IV) and carboplatin level (AUC5 vs. AUC6).p-value: 0.018695% CI: [0.72, 0.97]Log Rank
Secondary

PFS Based on Investigator Assessment According to mRECIST Version 1.1 (Key Secondary Endpoint - Follow up Analysis).

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.

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

Population: Randomised Set (RS)

ArmMeasureValue (MEDIAN)
NintedanibPFS Based on Investigator Assessment According to mRECIST Version 1.1 (Key Secondary Endpoint - Follow up Analysis).18.4 Months
PlaceboPFS Based on Investigator Assessment According to mRECIST Version 1.1 (Key Secondary Endpoint - Follow up Analysis).16.6 Months
Comparison: HR, CI and P-value obtained from a proportional-hazards model stratified by Macroscopic residual postoperative tumour (Yes vs. no), the International Federation of Gynecology and Obstetrics (FIGO) Stage (IIB-III vs. IV) and carboplatin level (AUC5 vs. AUC6).p-value: 0.025695% CI: [0.74, 0.98]Log Rank
Secondary

Time to CA-125 Tumour Marker Progression

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.

Time frame: First drug administration until final DBL 26September16, upto 62 months

Population: Randomised set (RS)

ArmMeasureValue (MEDIAN)
NintedanibTime to CA-125 Tumour Marker Progression16.6 Months
PlaceboTime to CA-125 Tumour Marker Progression14.1 Months
Comparison: HR, CI and P-value obtained from a proportional-hazards model stratified by Macroscopic residual postoperative tumour (Yes vs. no), the International Federation of Gynecology and Obstetrics (FIGO) Stage (IIB-III vs. IV) and carboplatin level (AUC5 vs. AUC6).p-value: 0.074995% CI: [0.77, 1.01]Log Rank

Source: ClinicalTrials.gov · Data processed: Mar 15, 2026