Nitrocamptothecin in Treating Patients With Advanced Ovarian Cancer

NCT ID: NCT00006230

Last Updated: 2012-09-24

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

51 participants

Study Classification

INTERVENTIONAL

Study Start Date

2000-05-31

Brief Summary

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RATIONALE: Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die.

PURPOSE: Phase II trial to study the effectiveness of nitrocamptothecin in treating patients who have advanced ovarian cancer.

Detailed Description

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OBJECTIVES:

* Determine the objective response rate and duration of response in patients with advanced ovarian cancer treated with nitrocamptothecin.
* Determine the probability of objective response as expressed by the response rate in patients treated with this regimen.
* Determine the toxicity of this regimen in these patients.

OUTLINE: This is a multicenter study. Patients are stratified according to disease status (sensitive vs refractory).

Patients receive oral nitrocamptothecin daily for 5 consecutive days each week for 3 weeks. Treatment continues every 3 weeks for a minimum of 2 courses in the absence of disease progression or unacceptable toxicity. Patients who achieve stable disease (SD) receive up to 4 additional courses past SD. Patients who achieve partial response (PR) or complete response (CR) receive a minimum of 2 additional courses past PR or CR.

Patients are followed every 6 weeks until disease progression or the initiation of another antitumor therapy.

PROJECTED ACCRUAL: A total of 28-50 patients (14-25 per stratum) will be accrued for this study.

Conditions

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Ovarian Cancer

Keywords

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stage III ovarian epithelial cancer stage IV ovarian epithelial cancer recurrent ovarian epithelial cancer

Study Design

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Primary Study Purpose

TREATMENT

Interventions

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rubitecan

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

DISEASE CHARACTERISTICS:

* Histologically proven metastatic or unresectable locally advanced progressive ovarian cancer that has failed first line platinum and taxane based regimen

* Refractory disease defined by a relapse within 1 year after completion of first line therapy
* Sensitive disease defined by a relapse greater than 1 year after completion of first line therapy
* Minimum of 1 target lesion that can be accurately measured in at least 1 dimension

* At least 20 mm by conventional techniques OR
* At least 10 mm by spiral CT scan
* No symptomatic brain metastases

PATIENT CHARACTERISTICS:

Age:

* 18 and over

Performance status:

* ECOG 0-2

Life expectancy:

* At least 3 months

Hematopoietic:

* Neutrophil count at least 2,000/mm\^3
* Platelet count at least 100,000/mm\^3

Hepatic:

* Bilirubin less than 1.5 times upper limit of normal (ULN)
* Alkaline phosphatase, SGOT, and SGPT no greater than 2.5 times ULN (no greater than 5 times ULN if hepatic metastases present)

Renal:

* Creatinine no greater than 1.7 mg/dL

Cardiovascular:

* No ischemic heart disease within the past 6 months
* Normal 12 lead electrocardiogram

Other:

* Not pregnant or nursing
* Fertile patients must use effective contraception
* No unstable systemic disease or active uncontrolled infections
* No other prior or concurrent malignancy except adequately treated basal cell or squamous cell skin cancer or cone biopsied carcinoma of the cervix
* No psychological, familial, sociological, or geographical condition that would preclude compliance

PRIOR CONCURRENT THERAPY:

Biologic therapy:

* No concurrent filgrastim (G-CSF) with nitrocamptothecin

Chemotherapy:

* See Disease Characteristics
* Greater than 4 weeks since prior chemotherapy

Endocrine therapy:

* Not specified

Radiotherapy:

* Greater than 4 weeks since prior radiotherapy

Surgery:

* Greater than 2 weeks since prior major surgery

Other:

* No other concurrent anticancer agents
* No other concurrent investigational therapy
Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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European Organisation for Research and Treatment of Cancer - EORTC

NETWORK

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Pierre Fumoleau, MD, PhD

Role: STUDY_CHAIR

Centre Georges Francois Leclerc

Locations

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Institut Jules Bordet

Brussels, , Belgium

Site Status

Centre Jean Perrin

Clermont-Ferrand, , France

Site Status

Centre de Lutte Contre le Cancer, Georges-Francois Leclerc

Dijon, , France

Site Status

CHU de la Timone

Marseille, , France

Site Status

CRLCC Nantes - Atlantique

Nantes-Saint Herblain, , France

Site Status

Centre Eugene Marquis

Rennes, , France

Site Status

Rabin Medical Center - Beilinson Campus

Petah Tikva, , Israel

Site Status

Azienda Ospedaliera di Padova

Padova (Padua), , Italy

Site Status

Hospital Universitario 12 de Octubre

Madrid, , Spain

Site Status

Ospedale San Giovanni

Bellinzona, , Switzerland

Site Status

Clinique De Genolier

Genolier, , Switzerland

Site Status

Newcastle General Hospital

Newcastle upon Tyne, England, United Kingdom

Site Status

Western General Hospital

Edinburgh, Scotland, United Kingdom

Site Status

Countries

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Belgium France Israel Italy Spain Switzerland United Kingdom

Other Identifiers

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EORTC-16996O

Identifier Type: -

Identifier Source: secondary_id

EORTC-16996O

Identifier Type: -

Identifier Source: org_study_id