Efficacy and safety of XM01 compared to placebo and Epoetin beta in patients with solid tumours receiving platinum-containing chemotherapy

ISRCTN	ISRCTN09530309
DOI	https://doi.org/10.1186/ISRCTN09530309
Secondary identifying numbers	XM01-21

Submission date: 26/01/2010
Registration date: 19/02/2010
Last edited: 19/02/2010

Recruitment status: No longer recruiting
Overall study status: Completed
Condition category: Cancer

Prospectively registered

Protocol

Statistical analysis plan

Results

Individual participant data

Record updated in last year

Plain English Summary

Not provided at time of registration

Contact information

Prof Hristo Ganchev
Scientific

MHAT "Sv. Marina"
1st Pulmonology Clinic with Oncology Sector
1 Hristo Smirnenski Str.
Varna
9010
Bulgaria

Study information

Study design	12 week multinational multicentre randomised placebo- and active- controlled double blind parallel group phase III study.
Primary study design	Interventional
Secondary study design	Randomised controlled trial
Study setting(s)	Hospital
Study type	Treatment
Participant information sheet	Not available in web format, please use the contact details below to request a patient information sheet
Scientific title	Efficacy and safety of XM01 compared to placebo and Epoetin beta in patients with solid tumours receiving platinum-containing chemotherapy: A phase III, double blind, randomised, active- and placebo-controlled trial.
Study hypothesis	To show efficacy and safety of XM01 over 12 weeks of treatment compared to placebo and Epoetin beta in patients with solid tumours who are anaemic (Hb ≤ 11 g/dL) due to platinum-containing chemotherapy
Ethics approval(s)	At each study centre, the protocol (dated 01 April 2005) and informed consent form for this study were reviewed and approved by Independent Ethic Committees before inclusion of patients. Amendments to the protocol were reviewed and approved in the same manner before being implemented.
Condition	Solid tumours; chemotherapy-associated anaemia
Intervention	Participants will be randomly allocated to the following two arms: 1. Epoetin beta (NeoRecormon®): Starting dose subcutanously 150 IU/kgBW thrice weekly, adjustment up to 300 IU/ kgBW thrice weekly 2. XM01-21: Starting dose subcutanously 20000 IU once weekly and twice weekly placebo injections, adjustment up to 40000 and to a maximum of 60000 IU once weekly and twice weekly placebo injections 3. Placebo: subcutanously thrice weekly A follow up phase of 5 years has been foreseen for each treatment arm; the follow up is still ongoing
Intervention type	Drug
Pharmaceutical study type(s)
Phase	Phase III
Drug / device / biological / vaccine name(s)	XM01; Epoetin beta (NeoRecormon®)
Primary outcome measure	Number of patients with a complete haemoglobin response defined as the increase in haemoglobin of ≥ 2 g/dL from baseline without the benefit of a transfusion within the previous four weeks. Haemaematology parameters were measured weekly throughout the 12 week treatment phase; transfusions were documented weekly
Secondary outcome measures	1. Number of patients having a partial haemoglobin response (defined as increase of ≥ 1g/dL from baseline and no need for transfusion within the last four weeks) 2. Number of patients having a complete haemoglobin response with the initial dose (weekly starting dose for XM01: 20000 IU; for Epoetin beta: 450 IU/kgBW) and no need for transfusion within the last four weeks 3. Number of patients having partial haemoglobin response with the initial dose and no need for transfusion within the last four weeks 4. Number of patients receiving transfusions 5. Number of blood units transfused 6. Time course of haemoglobin, haematocrit and reticulocytes Haemaematology parameters were measured weekly throughout the 12 week treatment phase; transfusions were documented weekly 7. Quality of Life assessed by Functional Assessment of Cancer Therapy - Anaemia (FACT-An) (includes FACT-G [General] and FACT-F [Fatigue]). Measurement at baseline, after 6 weeks and at the end of study (12 weeks) 8. Dose of XM01 or Epoetin beta at the time of complete/ partial haemoglobin response. The weekly dose was documented at the time when the patient achieved a partial or complete response
Overall study start date	10/10/2005
Overall study end date	23/07/2007

Eligibility

Participant type(s)	Patient
Age group	Adult
Lower age limit	18 Years
Sex	Both
Target number of participants	216 planned (72 per treatment group); 223 enrolled
Participant inclusion criteria	1. Signed and dated written informed consent 2. Adult (age≥18 years) patients of any ethnic origin 3. Male or female; if female, the patient must meet one of the following criteria: 3.1. postmenopausal for at least one year 3.2. surgical sterilisation or hysterectomy at least 3 months before the start of the study 3.3. absolute sexual abstinence throughout the participation in the study 3.4. women with childbearing potential must use double contraception consisting of hormonal treatment (birth control pill, injection or implant, IUD) plus condom or diaphragm. In women with childbearing potential a pregnancy test (HCG in urine) should be performed in the trial centre at inclusion and every 4 weeks during the treatment period and 4 weeks after the last administration of study medication. 4. Anaemia caused by platinum-based chemotherapeutic treatment defined by a documented haemoglobin concentration of ≤11g/dL after the last chemotherapy prior to inclusion 5. Histologically or cytologically proven diagnosis of a solid tumour 6. At least one previous platinum-based chemotherapy cycle as treatment of the current malignancy during the last 4 weeks 7. At least two additional platinum-based chemotherapy cycles or two months of platinum-based chemotherapy planned 8. Eastern Co-operative Oncology Group (ECOG) performance status 0, 1, 2 or 3 9. The patient must be able to understand and follow instructions and must be able to participate in the study for the entire period
Participant exclusion criteria	1. Pregnancy or breast feeding 2. Any other primary haematologic disorder that would cause anaemia (e.g. sickle cell anaemia) 3. Anaemia of unknown origin 4. Acute or chronic bleeding 5. Any erythropoietin given during the last 4 weeks or ongoing treatment with other erythropoietins 6. Patients who have been treated with Epoetins with a longer half life time (e.g. novel erythropoiesis stimulating protein [NESP], continuous erythropoietin receptor activator [CERA]) within the last 6 months 7. Known presence of antibodies to Epoetin 8. More than two red blood cell transfusions within 4 weeks before inclusion or any red blood cell transfusions within the last 2 weeks 9. Malignancy of the head or neck 10. Life expectancy less than 3 months 11. Candidate for bone marrow or stem cell transplantation 12. Chemotherapy during the last 7 days before study start 13. Radiotherapy or surgery during the last 14 days before inclusion or planned during the conduct of the study 14. Clinically significant concomitant diseases or condition unrelated to the underlying malignancy or chemotherapy 15. Systemic infection or inflammatory disease 16. Known hypersensitivity (drug intolerance or allergy) to erythropoietin, mammalian cell products or excipients of the formulation 17. History of myocardial infarction, cerebrovascular incident, percutaneous transluminal coronary angioplasty or coronary artery bypass graft within the six months prior to enrolment 18. Uncontrolled severe hypertension or hypertension defined as systolic blood pressure >180 mmHg and/or diastolic blood pressure >110 mmHg 19. Congestive heart failure according to New York Heart Association (NYHA) class III or IV 20. Thrombocytosis or thrombocytopenia (platelet count <50 x 109/L or >550 x 109/L) 21. Iron deficiency (Serum ferritin ≤100 μg/L or TSAT ≤ 20%), defined as follows: No serum ferritin > 100μg/L and TSAT > 20% within the last five weeks before randomisation (For clarification: A patient showing for serum ferritin and for Transferrin Saturation [TSAT] at least one value above these limits during the last five weeks before randomisation can be randomised) 22. Known untreated vitamin B12 or folic acid deficiency, defined by the respective laboratory value at baseline plus clinical symptoms of the deficiency 23. Known positive test for human immunodeficiency virus (HIV), Hepatitis B or Hepatitis C 24. Epilepsia, severe endogenous depression or schizophrenia 25. Known impairment of hepatic function 26. Known impairment of renal function 27. History or suspicion of unreliability, poor co-operation or non-compliance with medical treatment 28. History of, or known current problems with drug or alcohol abuse 29. Any other condition that, in the investigators judgement, might increase the risk to the patient or decrease the chance of obtaining satisfactory data needed to achieve the objective(s) of the study 30. Abnormal baseline findings considered by the investigator to indicate conditions that might affect study endpoints 31. Participation in a study with investigational drugs within 30 days prior to enrolment or during this study 32. Prior inclusion in the same study
Recruitment start date	10/10/2005
Recruitment end date	23/07/2007

Locations

Countries of recruitment

Argentina
Belarus
Brazil
Bulgaria
Croatia
India
Moldova
Romania
Russian Federation
Ukraine

Study participating centre

MHAT "Sv. Marina",

Varna
9010
Bulgaria

Sponsor information

BioGeneriX AG (Germany)
Industry

High-Tech-Park Neckarau
Janderstraße 3
Mannheim
68199
Germany

Website	http://www.biogenerix.com
"ROR"	https://ror.org/03xa4xh46

Funders

Funder type

Industry

BioGeneriX AG (Germany)

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to share	No
IPD sharing plan summary	Not provided at time of registration
Publication and dissemination plan	Not provided at time of registration
IPD sharing plan