Comparison of Paclitaxel/Carboplatin and Lonafarnib to Paclitaxel/Carboplatin for First-line Treatment of Ovarian Cancer

NCT ID: NCT00281515

Last Updated: 2012-06-29

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

105 participants

Study Classification

INTERVENTIONAL

Study Start Date

2006-01-31

Study Completion Date

2011-12-31

Brief Summary

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The purpose of this study is to compare the effects of Paclitaxel/Carboplatin and Lonafarnib to those of Paclitaxel/Carboplatin in primary treatment of patients with epithelial ovarian cancer.

Detailed Description

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Today the standard therapy for patients with advanced ovarian carcinoma is paclitaxel and carboplatin. Lonafarnib is a farnesyl transferase inhibitor (FTI) that is active against a broad spectrum of tumor cell lines in vitro and tumor xenografts in nude mice. Lonafarnib has single-agent antitumor activity as well as enhanced activity in combination with taxanes in a number of tumor cell lines and in vivo models.

Conditions

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Epithelial Ovarian Cancer

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

FACTORIAL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Lonafarnib / Paclitaxel /Carboplatin

Group Type EXPERIMENTAL

Lonafarnib

Intervention Type DRUG

100mg/twice a day during chemotherapie,in maintenance phase 200 mg twice a day

Paclitaxel/Carboplatin

Standard Chemotherapy

Group Type OTHER

Lonafarnib

Intervention Type DRUG

100mg/twice a day during chemotherapie,in maintenance phase 200 mg twice a day

Interventions

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Lonafarnib

100mg/twice a day during chemotherapie,in maintenance phase 200 mg twice a day

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Previously untreated patients with a histologically confirmed diagnosis of cancer of the ovary, the fallopian tube or extra-ovarian papillary serous tumors FIGO stage IIB-IV, regardless of measurable or non-measurable disease
* Age \>= 18 years
* ECOG performance status \<= 2
* Life-expectancy of at least 6 months
* Adequate bone marrow, renal and hepatic function:

WBC \>= 3.0 x 10\^9/l; Neutrophils (ANC) \>= 1.5 x 10\^9/l; Platelets \>= 100 x 10\^9/l; Hemoglobin \> 6 mmol/l (\> 10.0 g/dl); Bilirubin \<= 1 x upper limit of normal range; Alkaline phosphatase \<= 2.5 x upper limit of normal range; estimated GFR \>= 50 ml/min according to Jelliffe or Cockroft-Gault formula

* Patients who have given their signed and written informed consent to participate in the trial after fully understanding the implication and constraints of the protocol
* Patients must be geographically accessible for treatment and follow-up
* Time between definitive surgery and randomization into the study \<= 6 weeks

Exclusion Criteria

* Ovarian tumors of low malignant potential (borderline tumors)
* Non-epithelial ovarian or mixed epithelial/nonepithelial tumors (e.g. Mixed Mullerian tumors)
* Patients who have received previous chemotherapy or radiotherapy
* Prior treatment with FT inhibitors
* Patients with a prior diagnosis of any malignancy not cured by surgery alone less than 5 years before study entry (except in situ carcinoma of the cervix or adequately treated basal cell carcinoma of the skin)
* Complete bowel obstruction or the presence of symptomatic brain metastases
* Concurrent severe medical problems unrelated to malignancy which would significantly limit full compliance with the study or expose the patient to extreme risk or decreased life expectancy
* Patients with a history of seizure disorder or central nervous system disorders; pre-existing motor or sensory neurologic pathology or symptoms \> NCI grade 1
* History of congestive heart failure (NYHA Classification \> 2, even if medically controlled.
* History of clinical and electrocardiographically documented myocardial infarction within the last 6 months.
* History of atrial or ventricular arrhythmias (\>= LOWN II)
* Patients with significant Fridericia QTc (QTcF) prolongation at Baseline (ie. QTcF \>= 470 msec)
* Patients with severe active infection
* Patients with a history of severe hypersensitivity reactions to products containing Cremophor EL (cyclosporin or vitamin K) and/or patients with known hypersensitivity to compounds chemically related to Carboplatin and Paclitaxel
* Women with childbearing potential and who are sexually active and unwilling to use a medically acceptable method of contraception (oral contraceptive, diaphragm with spermicide, intrauterine device, condom with spermicide)
* Women who are pregnant or breast feeding
* Administration of other anticancer therapy or simultaneous chemotherapeutic and/or hormonal drugs, or radiotherapy during the study treatment period (except: hormonal replacement therapy and/or steroid antiemetics)
* Patients who are participating in any other clinical study
* Dementia or significantly altered mental status that would prohibit the understanding and giving of informed consent
Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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AGO Study Group

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Werner Meier, Prof. Dr.

Role: PRINCIPAL_INVESTIGATOR

Ev. Krankenhaus, Düsseldorf, Germany

Locations

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Charité - Universitätsmedizin Berlin, Campus Virchow-Klinikum, Klinik für Frauenheilkunde

Berlin, , Germany

Site Status

Klinikum Bremen Mitte, Frauenklinik

Bremen, , Germany

Site Status

Carl-Gustav-Carus der TU Dresden, Universitäts-Frauenklinik

Dresden, , Germany

Site Status

Ev. Krankenhaus, Frauenklinik

Düsseldorf, , Germany

Site Status

Klinik für Frauenheilkunde der Univ. Erlangen

Erlangen, , Germany

Site Status

Universitätsfrauenklinik

Essen, , Germany

Site Status

Klinikum der Johann Wolfgang Goethe Universität, Klinik für Frauenheilkunde u. Geburtshilfe

Frankfurt, , Germany

Site Status

Universitätsklinikum Freiburg, Frauenklinik

Freiburg im Breisgau, , Germany

Site Status

Kreiskrankenhaus, Frauenklinik

Gifhorn, , Germany

Site Status

Klinik u. Poliklinik für Gynäkologie und Geburtshilfe

Greifswald, , Germany

Site Status

Medizinische Hochschule

Hanover, , Germany

Site Status

St. Vincentius-Krankenhäuser

Karlsruhe, , Germany

Site Status

Universitätsklinikum Schleswig-Holstein, Campus Kiel, Klinik für Gynäkologie und Geburtshilfe

Kiel, , Germany

Site Status

Klinik der Otto-von-Guericke Universität, Frauenklinik

Magdeburg, , Germany

Site Status

Johannes-Gutenberg-Universität, Universitäts-Frauenklinik

Mainz, , Germany

Site Status

Klinikum der Philipps-Universität Marburg, Klinik für Gynäkologie, Gynäkologische Endokrinologie

Marburg, , Germany

Site Status

Klinikum Großhadern, Frauenklinik

München, , Germany

Site Status

Klinikum rechts der Isar der TU München

München, , Germany

Site Status

Elblandkliniken, Frauenklinik

Radebeul, , Germany

Site Status

Klinikum Südstadt

Rostock, , Germany

Site Status

Universitäts-Frauenklinik

Tübingen, , Germany

Site Status

Universitätsfrauenklinik

Ulm, , Germany

Site Status

Dr. Horst Schmidt Klinik, Gynäkologie u. Gynäkologische Onkologie

Wiesbaden, , Germany

Site Status

Countries

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Germany

References

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Meier W, du Bois A, Rau J, Gropp-Meier M, Baumann K, Huober J, Wollschlaeger K, Kreienberg R, Canzler U, Schmalfeldt B, Wimberger P, Richter B, Schroder W, Belau A, Stahle A, Burges A, Sehouli J. Randomized phase II trial of carboplatin and paclitaxel with or without lonafarnib in first-line treatment of epithelial ovarian cancer stage IIB-IV. Gynecol Oncol. 2012 Aug;126(2):236-40. doi: 10.1016/j.ygyno.2012.04.050. Epub 2012 May 4.

Reference Type RESULT
PMID: 22564713 (View on PubMed)

Other Identifiers

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AGO-OVAR 15

Identifier Type: -

Identifier Source: org_study_id