MITO-2: A Study Comparing 2 Chemotherapy Regimens (Carboplatin/Liposomal Doxorubicin vs Carboplatin/Paclitaxel) in Patients With Ovarian Cancer

NCT ID: NCT00326456

Last Updated: 2023-03-27

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

UNKNOWN

Clinical Phase

PHASE3

Total Enrollment

820 participants

Study Classification

INTERVENTIONAL

Study Start Date

2003-01-01

Study Completion Date

2023-12-31

Brief Summary

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The purpose of this study is to compare the effectiveness (progression free survival) of the experimental combination of carboplatin + liposomal doxorubicin with the standard combination of carboplatin + paclitaxel in first line treatment of patients with ovarian cancer.

Secondary objectives are to evaluate overall survival, quality of life, objective response rate, and toxicity.

Detailed Description

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Ovarian cancer is the second most frequent and the most deadly gynaecologic cancer. The high mortality rate is due to the late diagnosis of this malignancy that often develops without symptoms, as well as to limited results in treatment of the disease. Patients may respond well initially to chemotherapy, but the vast majority of patients will experience a progression of the disease. The poor long term results in the standard treatment available today for first-line chemotherapy of ovarian cancer make research into new, more beneficial treatment strategies necessary. The proven efficacy of liposomal doxorubicin in second line treatment, where it is the first drug to have shown some significant benefit in terms of survival, and the possibility of easily combining it with full doses and normal use of carboplatin, encourages the testing of the effectiveness of the combination of carboplatin and liposomal doxorubicin in first line treatment.

Patients enrolled into this study will be randomly assigned to one of two treatment groups:

· Standard therapy consisting of 6 cycles of chemotherapy:

* carboplatin AUC 5 given intravenously on day 1 every 3 weeks AND
* paclitaxel 175 mg/m2 given intravenously on day 1 every 3 weeks

OR

· Experimental therapy consisting of 6 cycles of chemotherapy:

* carboplatin AUC 5 given intravenously on day 1 every 3 weeks AND
* liposomal doxorubicin 30 mg/m2 given intravenously on day 1 every 3 weeks

Conditions

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Ovarian Cancer

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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carboplatin and liposomal doxorubicin

Group Type EXPERIMENTAL

liposomal doxorubicin

Intervention Type DRUG

30 mg/m2 gieven intravenously on day 1 every 3 weeks

carboplatin

Intervention Type DRUG

AUC 5 intravenously on day 1 every 3 weeks

carboplatin and paclitaxel

Group Type ACTIVE_COMPARATOR

carboplatin

Intervention Type DRUG

AUC 5 intravenously on day 1 every 3 weeks

paclitaxel

Intervention Type DRUG

175 mg/m2 intravenously on day 1 every 3 weeks

Interventions

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liposomal doxorubicin

30 mg/m2 gieven intravenously on day 1 every 3 weeks

Intervention Type DRUG

carboplatin

AUC 5 intravenously on day 1 every 3 weeks

Intervention Type DRUG

paclitaxel

175 mg/m2 intravenously on day 1 every 3 weeks

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Cytologic / histologic diagnosis of stage Ic-IV ovarian cancer
* Indication for chemotherapy treatment
* Age 75 years or less
* Life expectancy of at least 3 months

Exclusion Criteria

* Previous or concomitant malignant neoplasia (not including basocellular or spinocellular skin carcinoma or in-situ carcinoma of the uterine cervix, provided they are being adequately treated)
* Performance status (ECOG) \> 2
* Previous chemotherapy treatment
* Heart disease (heart failure, myocardial heart attack within 6 months prior to randomization, atrioventricular block of any degree, serious arrhythmia)
* Leukocytes \< 4000/mm3, neutrophils \< 2000/mm3, platelets \< 100000/mm3
* Impaired renal function (creatinine \> 1.25 times the upper normal limit) or liver function (SGOT or SGPT \> 1.25 times the upper normal limit)
* Present or suspected hemorrhagic syndromes
* Uncooperative and/or unreliable patients
* Patient's inability to access the center
* Refusal of informed consent
Maximum Eligible Age

75 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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National Cancer Institute, Naples

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Sandro Pignata, M.D., Ph.D

Role: PRINCIPAL_INVESTIGATOR

National Cancer Institute, Naples

Francesco Perrone, M.D., Ph.D

Role: PRINCIPAL_INVESTIGATOR

National Cancer Institute, Naples

Locations

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Clinica Malzoni, Reparto di Ginecologia Oncologica

Avellino, AV, Italy

Site Status

Azienda Ospedaliera S. Giuseppe Moscati, U.O. di Oncologia Medica

Monteforte Irpino, AV, Italy

Site Status

Ospedale Regionale Miulli, Divisione Medicina Interna Sezione Oncologica

Acquaviva delle Fonti, BA, Italy

Site Status

IRCCS Oncologico Bari, Oncologia Medica

Bari, BA, Italy

Site Status

Istituto Oncologico di Bari, U.O. di Oncologia Medica e Sperimentale

Bari, BA, Italy

Site Status

Ospedale Riuniti di Bergamo, U.O. di Ostetricia e Ginecologia

Bergamo, BG, Italy

Site Status

Ospedale Fatebenefratelli, U.O. di Oncologia

Benevento, BN, Italy

Site Status

Ospedale di Bentivoglio

Bentivoglio, BO, Italy

Site Status

Ospedale Bellari, U.O. di Oncologia

Bologna, BO, Italy

Site Status

Ospedale di Budrio

Budrio, BO, Italy

Site Status

Policlinico Universitario, Oncologia Medica II

Cagliari, CA, Italy

Site Status

Università Cattolica del Sacro Cuore, Dipartimento di Oncologia

Campobasso, CB, Italy

Site Status

Ospedale Mariano Santo, U.O. di Oncologia Medica

Cosenza, CS, Italy

Site Status

Ospedale Cannizzaro, Divisione di Ostetricia e Ginecologia

Catania, CT, Italy

Site Status

Azienda Ospedaliera Universitaria Acrispedale Sant'Anna

Ferrara, FE, Italy

Site Status

Ospedale Pierantoni, Divisione di Oncologia Medica

Forlì, FO, Italy

Site Status

Azienda Ospedaliera Carlo Poma, Divisione di Oncologia ed Ematologia

Mantova, MN, Italy

Site Status

Ospedale Ramazzini, Day Hospital Oncologico

Carpi, MO, Italy

Site Status

Policlinico Universitario P. Giaccone

Palermo, PA, Italy

Site Status

Ospedale M. Ascoli

Palermo, PA, Italy

Site Status

Casa di Cura La Maddalena S.p.A., Dipartimento Oncologico

Palermo, PA, Italy

Site Status

Ospedale S. Massimo, Day Hospital Oncologico

Penne, PE, Italy

Site Status

Centro di Riferimento Oncologico, Divisione di Oncolgia Medica C

Aviano, PN, Italy

Site Status

Azienda Ospedaliera S. Maria degli Angeli, Servizio di Oncologia

Pordenone, PN, Italy

Site Status

Ospedale Civile di Faenza, Divisione di Oncologia Medica

Faenza, RA, Italy

Site Status

Azienda Ospedaliera Bianchi Melacrino Morelli Ospedale Riuniti, Divisione di Oncologia Medica

Reggio Calabria, RE, Italy

Site Status

Ospedale degli Infermi, U.O. Oncologia Medica

Rimini, RI, Italy

Site Status

Ospedale Civile Umberto I, Day Hospital Oncoematologico

Nocera Inferiore, SA, Italy

Site Status

Ospedale S. Chiara, U.O. di Oncologia Medica

Trento, TN, Italy

Site Status

Ospedale S. Anna, Day Hospital Oncologico Divisione A

Torino, TO, Italy

Site Status

Ospedale S. Bortolo ULSS 6, U.O. di Oncologia Medica

Vicenza, VI, Italy

Site Status

Azienda Ospedaliera D. Cotugno

Napoli, , Italy

Site Status

Istituto Nazionale dei Tumori , Divisione di Oncologia Medica B

Napoli, , Italy

Site Status

Istituto Nazionale dei Tumori, Divisione di Oncologia Medica C

Napoli, , Italy

Site Status

Istituto Regina Elena, Divisione di Oncologia Medica

Roma, , Italy

Site Status

Ospedale S. Giovanni Calibita Gatebenefratelli

Roma, , Italy

Site Status

CHC Maternidade Bissaya-Barreto, Gynecology Unit

Coimbra, , Portugal

Site Status

Istanbul University Medical Oncology

Istanbul, , Turkey (Türkiye)

Site Status

Countries

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Italy Portugal Turkey (Türkiye)

References

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Pignata S, Scambia G, Savarese A, Breda E, Scollo P, De Vivo R, Rossi E, Gebbia V, Natale D, Del Gaizo F, Naglieri E, Ferro A, Musso P, D'Arco AM, Sorio R, Pisano C, Di Maio M, Signoriello G, Annunziata A, Perrone F; MITO Investigators. Safety of a 3-weekly schedule of carboplatin plus pegylated liposomal doxorubicin as first line chemotherapy in patients with ovarian cancer: preliminary results of the MITO-2 randomized trial. BMC Cancer. 2006 Aug 1;6:202. doi: 10.1186/1471-2407-6-202.

Reference Type BACKGROUND
PMID: 16882344 (View on PubMed)

Pignata S, Scambia G, Savarese A, Breda E, Sorio R, Pisano C, Lorusso D, Cognetti F, Vernaglia Lombardi A, Gebbia V, Scollo P, Morabito A, Signoriello G, Perrone F. Carboplatin and pegylated liposomal doxorubicin for advanced ovarian cancer: preliminary activity results of the MITO-2 phase III trial. Oncology. 2009;76(1):49-54. doi: 10.1159/000178760. Epub 2008 Nov 27.

Reference Type BACKGROUND
PMID: 19039248 (View on PubMed)

Pignata S, Scambia G, Ferrandina G, Savarese A, Sorio R, Breda E, Gebbia V, Musso P, Frigerio L, Del Medico P, Lombardi AV, Febbraro A, Scollo P, Ferro A, Tamberi S, Brandes A, Ravaioli A, Valerio MR, Aitini E, Natale D, Scaltriti L, Greggi S, Pisano C, Lorusso D, Salutari V, Legge F, Di Maio M, Morabito A, Gallo C, Perrone F. Carboplatin plus paclitaxel versus carboplatin plus pegylated liposomal doxorubicin as first-line treatment for patients with ovarian cancer: the MITO-2 randomized phase III trial. J Clin Oncol. 2011 Sep 20;29(27):3628-35. doi: 10.1200/JCO.2010.33.8566. Epub 2011 Aug 15.

Reference Type RESULT
PMID: 21844495 (View on PubMed)

Other Identifiers

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2005-004453-98

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

MITO-2

Identifier Type: -

Identifier Source: org_study_id

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