Malignant Ascites Due to Epithelial Carcinoma
Conditions
Keywords
malignant ascites, second cycle, trifunctional
Brief summary
This phase II single arm, open-label study investigate the safety of a second cycle of catumaxomab in patients with malignant ascites due to carcinoma, requiring their first therapeutic puncture after treatment in the CASIMAS study.
Detailed description
Up to 30 evaluable patients from the CASIMAS study will be enrolled. Catumaxomab will be infused intraperitoneally with 3hour constant-rate infusions 4 times within 11 days with ascending dosages (10 - 20 - 50 - 150 µg).
Interventions
4 intraperitoneal infusions within 11 days administered over 3 hours via an indwelling catheter at the following doses: 10 - 20 - 50 - 150 µg catumaxomab
Sponsors
Study design
Eligibility
Inclusion criteria
* patients who have completed 4 infusions of catumaxomab in the CASIMAS study * age \>= 18 years * Karnofsky index \>= 60 % * patients with malignant ascites requiring their first therapeutic ascites paracentesis after at least 60days following last catumaxomab infusion in the CASIMAS study * Patients where standard therapy is either not available or no longer feasible
Exclusion criteria
* acute or chronic infection * concomitant treatment with investigational products other than catumaxomab, cancer, chemo- or radiotherapy * previous treatment with entirely murine monoclonal antibodies other than catumaxomab * liver metastases with volume \>70 % of liver metastasized tissue
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| proportion of patients who are able to receive a second cycle of catumaxomab | 1 month |
Secondary
| Measure | Time frame |
|---|---|
| puncture free survival | 1-3 months |
| incidence and severity of adverse events | 1 month |
| Quality of Life | 1 month |
| Development of human-anti-mouse antibodies | 1 month |
Countries
Germany