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NCT02540356

Phase 1/2a Two-Arm Dose-Escalation Study of BAX69 in Subjects With Malignant Ascites of Ovarian Cancer

Terminated Phase 1, PHASE2 Results posted Last updated 12 January 2021
What this trial tests

Phase 1, PHASE2 trial testing BAX69 Single-Route Arm in Refractory Ovarian Cancer With Recurrent Symptomatic Malignant Ascites in 2 participants. Terminated before completion.

Timeline
2 November 2015
Primary endpoint
26 May 2016
26 May 2016

Quick facts

Lead sponsorBaxalta now part of Shire
PhasePhase 1, PHASE2
StatusTerminated
Study typeINTERVENTIONAL
Allocationnon randomized
Designparallel
Maskingnone
Primary purposetreatment
Enrollment2
Start date2 November 2015
Primary completion26 May 2016
Estimated completion26 May 2016
Sites6 locations across United States

Drugs / interventions tested

Conditions studied

Sponsor

Baxalta now part of Shire — full company profile →

Who can join

18 and older, female only, with Refractory Ovarian Cancer With Recurrent Symptomatic Malignant Ascites. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

The Occurrence of Dose-limiting Toxicity (DLT) Primary · 4 weeks

DLT is defined as any drug related treatment-emergent adverse event that occurs during the 28-day period after the first dose of Imalumab and that meets any of these criteria: - Any ≥ grade 3 non-hematologic toxicity assessed by the investigator as related to study drug (except: single lab value out of normal range not necessarily translating or considered a feature of clinical diagnosis requiring an intervention per investigator's interpretation and resolves to ≤ Grade 2 with adequate measure in 7 days; Transient grade 3 elevations of hepatic transaminases in the absence of simultaneous incre

GroupValue95% CI
Single-Route Arm0
Double-Route Arm0
Occurrence of Serious Adverse Events (SAEs) and/or Treatment-emergent Adverse Events (TEAEs), Regardless of Causality or Relationship to Study Drug Secondary · Throughout the study period of approximately 22 months
SAEs
GroupValue95% CI
Single-Route Arm0
Double-Route Arm0
TEAEs related to study drug
GroupValue95% CI
Single-Route Arm0
Double-Route Arm0
TEAEs not related to study drug
GroupValue95% CI
Single-Route Arm1
Double-Route Arm0

Adverse events — posted to ClinicalTrials.gov

Time frame: From the first dose of Imalumab (BAX69) until study completion/discontinuation or 56 (±2 days) following the last dose of Imalumab.. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Overall Trial
Serious: 0/1 (0%)
Deaths: 0/1
Other adverse events (4 terms — click to expand)

ReactionSystemOverall Trial
Abdominal distention (Grade 2)Gastrointestinal disorders
Hypokalemia (Grade 1)Metabolism and nutrition disorders
Hypomagnesemia (Grade 1)Metabolism and nutrition disorders
Right knee pain (Grade 1)Musculoskeletal and connective tissue disorders

Data from ClinicalTrials.gov NCT02540356 adverse events section.

Sponsor's own description

The purpose of this study is to evaluate the safety and tolerability of BAX69 monotherapy given either as intraperitoneal (IP) infusion (Single-Route Arm); or as IP infusion after intravenous (IV) infusion (IV+IP) (Double-Route Arm), and to determine the maximum tolerated dose (MTD) and recommended Phase 2 dose (RP2D) for each Arm separately, in subjects with refractory ovarian cancer and recurrent malignant ascites. In both Arms, the plasma pharmacokinetics (PK) of BAX69 will be characterized, and pharmacodynamics (PD) markers will be explored in plasma and ascites. Two expansion cohorts will further assess the tolerability of the RP2D and explore clinical signs of efficacy.

Publications & conference data

8 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Overexpression of Macrophage Migration Inhibitory Factor and Its Homologue D-Dopachrome Tautomerase as Negative Prognostic Factor in Neuroblastoma.
    Cavalli E, Mazzon E, Mammana S, Basile MS, et al · · 2019 · cited 35× · PMID 31635049 · DOI 10.3390/brainsci9100284
  2. Emerging Role of the Macrophage Migration Inhibitory Factor Family of Cytokines in Neuroblastoma. Pathogenic Effectors and Novel Therapeutic Targets?
    Cavalli E, Ciurleo R, Petralia MC, Fagone P, et al · · 2020 · cited 34× · PMID 32155795 · DOI 10.3390/molecules25051194
  3. Transcriptomic Analysis Reveals Involvement of the Macrophage Migration Inhibitory Factor Gene Network in Duchenne Muscular Dystrophy.
    Lombardo SD, Mazzon E, Mangano K, Basile MS, et al · · 2019 · cited 17× · PMID 31752120 · DOI 10.3390/genes10110939
  4. Therapeutic targets and new directions for antibodies developed for ovarian cancer.
    Bax HJ, Josephs DH, Pellizzari G, Spicer JF, et al · · 2016 · cited 14× · PMID 27494775 · DOI 10.1080/19420862.2016.1219005
  5. Preclinical Evaluation of ON203, A Novel Bioengineered mAb Targeting Oxidized Macrophage Migration Inhibitory Factor as an Anticancer Therapeutic.
    Rossmueller G, Mirkina I, Maurer B, Hoeld V, et al · · 2023 · cited 13× · PMID 37067909 · DOI 10.1158/1535-7163.mct-22-0676
  6. Host derived macrophage migration inhibitory factor expression attenuates anti-tumoral immune cell accumulation and promotes immunosuppression in the tumor microenvironment of head and neck squamous cell carcinoma.
    Ryan N, Lamenza F, Shrestha S, Upadhaya P, et al · · 2024 · cited 7× · PMID 38992847 · DOI 10.1016/j.bbadis.2024.167345
  7. Emerging Innate Immune Cells in Cancer Immunotherapy: Promises and Challenges.
    Wu J. · · 2024 · cited 4× · PMID 38700835 · DOI 10.1007/s40259-024-00657-2
  8. The multifaced role of the macrophage migration inhibitory factor family in organ fibrosis.
    Herkens L, Droste P, Boor P. · · 2025 · cited 1× · PMID 40445596 · DOI 10.1152/ajpcell.00198.2025

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