Trial Outcomes & Findings for Levonorgestrel in Preventing Ovarian Cancer in Patients at High Risk for Ovarian Cancer (NCT NCT00445887)

NCT ID: NCT00445887

Last Updated: 2019-11-19

Results Overview

The median proportion of cells that are considered to be apoptotic are counted in the ovarian tissue sample, among the total number of cells available in the sample slide.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

60 participants

Primary outcome timeframe

Surgical specimen (4 - 6 weeks after entry)

Results posted on

2019-11-19

Participant Flow

The protocol opened to accrual 03/10/2008 and closed 11/26/2012Women who were are at increased risk for ovarian cancer and were intending to undergo prophylactic salpingo-oopherectomy were randomized to Levenorgestrel (0.15 mg/day) or Placebo for 4 to 6 weeks.

Participant milestones

Participant milestones
Measure
Arm I (Levenorgestrel)
Levenorgestrel (0.15 mg/day) for 4 to 6 weeks for 4 to 6 weeks
Arm II (Placebo)
Placebo for 4 to 6 weeks
Overall Study
STARTED
33
31
Overall Study
COMPLETED
33
31
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Levonorgestrel in Preventing Ovarian Cancer in Patients at High Risk for Ovarian Cancer

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Arm I (Levenorgestrel)
n=33 Participants
Levenorgestrel (0.15 mg/day) for 4 to 6 weeks for 4 to 6 weeks
Arm II (Placebo)
n=31 Participants
Placebo for 4 to 6 weeks
Total
n=64 Participants
Total of all reporting groups
Age, Customized
20-29 years
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Age, Customized
30-39 years
4 Participants
n=93 Participants
6 Participants
n=4 Participants
10 Participants
n=27 Participants
Age, Customized
40-49 years
14 Participants
n=93 Participants
13 Participants
n=4 Participants
27 Participants
n=27 Participants
Age, Customized
50-59 years
14 Participants
n=93 Participants
9 Participants
n=4 Participants
23 Participants
n=27 Participants
Age, Customized
60-69 years
1 Participants
n=93 Participants
3 Participants
n=4 Participants
4 Participants
n=27 Participants
Sex: Female, Male
Female
33 Participants
n=93 Participants
31 Participants
n=4 Participants
64 Participants
n=27 Participants
Sex: Female, Male
Male
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants

PRIMARY outcome

Timeframe: Surgical specimen (4 - 6 weeks after entry)

Population: Patients with evaluable slides. 14 of the cases did not have ovarian tissue available for evaluation. 50 cases were available for the primary analysis.

The median proportion of cells that are considered to be apoptotic are counted in the ovarian tissue sample, among the total number of cells available in the sample slide.

Outcome measures

Outcome measures
Measure
Arm I (Levenorgestrel)
n=26 Participants
Levenorgestrel (0.15 mg/day) for 4 to 6 weeks for 4 to 6 weeks
Arm II (Placebo)
n=24 Participants
Placebo for 4 to 6 weeks
Grade 3 CTCAE v 3.0 Arm 1 (Levonorgestrel)
Number of patients on arm 1 who experienced a grade 3 event using CTCAE v 3.0
Grade 4 CTCAE v3.0 Arm 1 Levonorgestrel)
Number of patients on arm ! who experienced a grade 4 event using CTCAE v. 3.0
Grade 5 CTCAE v3.0 Arm I (Levonorgestrel)
Number of patients on arm I who experienced a grade 5 event using CTCAE v. 3.0
Grade 1 CTCAE 3.0 Arm II (Placebo)
Number of patients on arm II who experienced a grade 1 event using CTCAE v.30
Grade 2 CTCAE 3.0 Arm II (Placebo)
Number of patients on arm II who experienced a grade 2 event using CTCAE 3.0
Grade 3 CTCAE 3.0 Arm II (Placebo)
Number of patients on arm II who experienced a grade 3 event using CTCAE 3.0
Grade 4 CTCAE 3.0 Arm II (Placebo)
Number of patients on arm II who experienced a grade 4 event using CTCAE 3.0
Grade 5 CTCAE 3.0 Arm II (Placebo)
Number of patients on arm II who experienced a grade 5 event using CTCAE 3.0
Median Proportion Cells That Are Apoptotic in Epithelial Ovarian Tissue
.093 proportion of total cells
Interval 0.024 to 0.25
.115 proportion of total cells
Interval 0.033 to 0.329

PRIMARY outcome

Timeframe: Up to 20 weeks

Population: All eligible and treated patients who had toxicity on study.

Participants were graded using CTCAE v.30 criteria. Grade 1 is the least severe grade. Each adverse event lists criteria for grading, grade 1 being mild, up to grade 5. Grade 4 is generally life threatening. Grade 5 is death.

Outcome measures

Outcome measures
Measure
Arm I (Levenorgestrel)
n=33 Participants
Levenorgestrel (0.15 mg/day) for 4 to 6 weeks for 4 to 6 weeks
Arm II (Placebo)
n=33 Participants
Placebo for 4 to 6 weeks
Grade 3 CTCAE v 3.0 Arm 1 (Levonorgestrel)
n=33 Participants
Number of patients on arm 1 who experienced a grade 3 event using CTCAE v 3.0
Grade 4 CTCAE v3.0 Arm 1 Levonorgestrel)
n=33 Participants
Number of patients on arm ! who experienced a grade 4 event using CTCAE v. 3.0
Grade 5 CTCAE v3.0 Arm I (Levonorgestrel)
n=33 Participants
Number of patients on arm I who experienced a grade 5 event using CTCAE v. 3.0
Grade 1 CTCAE 3.0 Arm II (Placebo)
n=31 Participants
Number of patients on arm II who experienced a grade 1 event using CTCAE v.30
Grade 2 CTCAE 3.0 Arm II (Placebo)
n=31 Participants
Number of patients on arm II who experienced a grade 2 event using CTCAE 3.0
Grade 3 CTCAE 3.0 Arm II (Placebo)
n=31 Participants
Number of patients on arm II who experienced a grade 3 event using CTCAE 3.0
Grade 4 CTCAE 3.0 Arm II (Placebo)
n=31 Participants
Number of patients on arm II who experienced a grade 4 event using CTCAE 3.0
Grade 5 CTCAE 3.0 Arm II (Placebo)
n=31 Participants
Number of patients on arm II who experienced a grade 5 event using CTCAE 3.0
Number of Participants With Adverse Events According to Grade as Determined by NCI CTCAE v.3.0
Pain
3 Participants
1 Participants
0 Participants
0 Participants
0 Participants
2 Participants
2 Participants
0 Participants
0 Participants
0 Participants
Number of Participants With Adverse Events According to Grade as Determined by NCI CTCAE v.3.0
Allergy/Immunology
1 Participants
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
1 Participants
0 Participants
0 Participants
0 Participants
Number of Participants With Adverse Events According to Grade as Determined by NCI CTCAE v.3.0
Constitutional Symptoms
1 Participants
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
1 Participants
0 Participants
0 Participants
0 Participants
Number of Participants With Adverse Events According to Grade as Determined by NCI CTCAE v.3.0
Cardiac
1 Participants
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
Number of Participants With Adverse Events According to Grade as Determined by NCI CTCAE v.3.0
Dermatology/Skin
2 Participants
0 Participants
0 Participants
0 Participants
0 Participants
1 Participants
0 Participants
0 Participants
0 Participants
0 Participants
Number of Participants With Adverse Events According to Grade as Determined by NCI CTCAE v.3.0
Endocrine
1 Participants
0 Participants
0 Participants
0 Participants
0 Participants
2 Participants
1 Participants
0 Participants
0 Participants
0 Participants
Number of Participants With Adverse Events According to Grade as Determined by NCI CTCAE v.3.0
Gastrointestinal
1 Participants
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
1 Participants
0 Participants
0 Participants
0 Participants
Number of Participants With Adverse Events According to Grade as Determined by NCI CTCAE v.3.0
Renal/Genitourinary
2 Participants
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
Number of Participants With Adverse Events According to Grade as Determined by NCI CTCAE v.3.0
Hemorrhage/Bleeding
3 Participants
0 Participants
0 Participants
0 Participants
0 Participants
1 Participants
0 Participants
0 Participants
0 Participants
0 Participants
Number of Participants With Adverse Events According to Grade as Determined by NCI CTCAE v.3.0
Blood/Bone Marrow
5 Participants
2 Participants
0 Participants
0 Participants
0 Participants
3 Participants
1 Participants
0 Participants
0 Participants
0 Participants
Number of Participants With Adverse Events According to Grade as Determined by NCI CTCAE v.3.0
Infection
0 Participants
0 Participants
1 Participants
0 Participants
0 Participants
0 Participants
1 Participants
0 Participants
0 Participants
0 Participants
Number of Participants With Adverse Events According to Grade as Determined by NCI CTCAE v.3.0
Metabolic/Laboratory
2 Participants
0 Participants
0 Participants
0 Participants
0 Participants
2 Participants
0 Participants
0 Participants
0 Participants
0 Participants
Number of Participants With Adverse Events According to Grade as Determined by NCI CTCAE v.3.0
Neurology
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
1 Participants
0 Participants
0 Participants
0 Participants
0 Participants
Number of Participants With Adverse Events According to Grade as Determined by NCI CTCAE v.3.0
Pulmonary/Upper Respiratory
1 Participants
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
0 Participants
Number of Participants With Adverse Events According to Grade as Determined by NCI CTCAE v.3.0
Sexual/Reproductive Function
3 Participants
0 Participants
0 Participants
0 Participants
0 Participants
1 Participants
0 Participants
0 Participants
0 Participants
0 Participants

SECONDARY outcome

Timeframe: Time of surgery (4 to 6 weeks after entry)

Population: All eligible, treated patients with an evaluable sample.

Outcome measures

Outcome measures
Measure
Arm I (Levenorgestrel)
n=32 Participants
Levenorgestrel (0.15 mg/day) for 4 to 6 weeks for 4 to 6 weeks
Arm II (Placebo)
n=30 Participants
Placebo for 4 to 6 weeks
Grade 3 CTCAE v 3.0 Arm 1 (Levonorgestrel)
Number of patients on arm 1 who experienced a grade 3 event using CTCAE v 3.0
Grade 4 CTCAE v3.0 Arm 1 Levonorgestrel)
Number of patients on arm ! who experienced a grade 4 event using CTCAE v. 3.0
Grade 5 CTCAE v3.0 Arm I (Levonorgestrel)
Number of patients on arm I who experienced a grade 5 event using CTCAE v. 3.0
Grade 1 CTCAE 3.0 Arm II (Placebo)
Number of patients on arm II who experienced a grade 1 event using CTCAE v.30
Grade 2 CTCAE 3.0 Arm II (Placebo)
Number of patients on arm II who experienced a grade 2 event using CTCAE 3.0
Grade 3 CTCAE 3.0 Arm II (Placebo)
Number of patients on arm II who experienced a grade 3 event using CTCAE 3.0
Grade 4 CTCAE 3.0 Arm II (Placebo)
Number of patients on arm II who experienced a grade 4 event using CTCAE 3.0
Grade 5 CTCAE 3.0 Arm II (Placebo)
Number of patients on arm II who experienced a grade 5 event using CTCAE 3.0
Proportion of Proliferation as Measured by Ki-67
.003 Proportion of cells exhibiting Ki-67
Interval 0.0 to 0.008
.008 Proportion of cells exhibiting Ki-67
Interval 0.002 to 0.028

SECONDARY outcome

Timeframe: Baseline to time of surgery (4 to 6 weeks)

Population: All eligible, treated and evaluable for Transforming Growth factor-beta

Outcome measures

Outcome measures
Measure
Arm I (Levenorgestrel)
n=29 Participants
Levenorgestrel (0.15 mg/day) for 4 to 6 weeks for 4 to 6 weeks
Arm II (Placebo)
n=20 Participants
Placebo for 4 to 6 weeks
Grade 3 CTCAE v 3.0 Arm 1 (Levonorgestrel)
Number of patients on arm 1 who experienced a grade 3 event using CTCAE v 3.0
Grade 4 CTCAE v3.0 Arm 1 Levonorgestrel)
Number of patients on arm ! who experienced a grade 4 event using CTCAE v. 3.0
Grade 5 CTCAE v3.0 Arm I (Levonorgestrel)
Number of patients on arm I who experienced a grade 5 event using CTCAE v. 3.0
Grade 1 CTCAE 3.0 Arm II (Placebo)
Number of patients on arm II who experienced a grade 1 event using CTCAE v.30
Grade 2 CTCAE 3.0 Arm II (Placebo)
Number of patients on arm II who experienced a grade 2 event using CTCAE 3.0
Grade 3 CTCAE 3.0 Arm II (Placebo)
Number of patients on arm II who experienced a grade 3 event using CTCAE 3.0
Grade 4 CTCAE 3.0 Arm II (Placebo)
Number of patients on arm II who experienced a grade 4 event using CTCAE 3.0
Grade 5 CTCAE 3.0 Arm II (Placebo)
Number of patients on arm II who experienced a grade 5 event using CTCAE 3.0
Patients With High Expression of Transforming Growth Factor-beta 1
6 Participants
3 Participants

OTHER_PRE_SPECIFIED outcome

Timeframe: Surgical specimen (4-6 weeks after entry)

Population: Patients with evaluable slides

The median proportion of cells that are considered to be apoptotic are counted in the fallopian tube tissue sample, among the total number of cells available in the sample slide

Outcome measures

Outcome measures
Measure
Arm I (Levenorgestrel)
n=32 Participants
Levenorgestrel (0.15 mg/day) for 4 to 6 weeks for 4 to 6 weeks
Arm II (Placebo)
n=30 Participants
Placebo for 4 to 6 weeks
Grade 3 CTCAE v 3.0 Arm 1 (Levonorgestrel)
Number of patients on arm 1 who experienced a grade 3 event using CTCAE v 3.0
Grade 4 CTCAE v3.0 Arm 1 Levonorgestrel)
Number of patients on arm ! who experienced a grade 4 event using CTCAE v. 3.0
Grade 5 CTCAE v3.0 Arm I (Levonorgestrel)
Number of patients on arm I who experienced a grade 5 event using CTCAE v. 3.0
Grade 1 CTCAE 3.0 Arm II (Placebo)
Number of patients on arm II who experienced a grade 1 event using CTCAE v.30
Grade 2 CTCAE 3.0 Arm II (Placebo)
Number of patients on arm II who experienced a grade 2 event using CTCAE 3.0
Grade 3 CTCAE 3.0 Arm II (Placebo)
Number of patients on arm II who experienced a grade 3 event using CTCAE 3.0
Grade 4 CTCAE 3.0 Arm II (Placebo)
Number of patients on arm II who experienced a grade 4 event using CTCAE 3.0
Grade 5 CTCAE 3.0 Arm II (Placebo)
Number of patients on arm II who experienced a grade 5 event using CTCAE 3.0
Median Proportion Cells That Are Apoptotic in Fallopian Tube Tissue
.205 proportion of total cells
Interval 0.07 to 0.395
.079 proportion of total cells
Interval 0.01 to 0.25

Adverse Events

Arm I (Levenorgestrel)

Serious events: 0 serious events
Other events: 16 other events
Deaths: 0 deaths

Arm II (Placebo)

Serious events: 0 serious events
Other events: 14 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Arm I (Levenorgestrel)
n=33 participants at risk
Levenorgestrel (0.15 mg/day) for 4 to 6 weeks for 4 to 6 weeks
Arm II (Placebo)
n=31 participants at risk
Placebo for 4 to 6 weeks
Immune system disorders
Allergy/Immunology - Other
3.0%
1/33 • Study Treatment - 4 - 6 weeks from enrollment
0.00%
0/31 • Study Treatment - 4 - 6 weeks from enrollment
Immune system disorders
Rhinitis
0.00%
0/33 • Study Treatment - 4 - 6 weeks from enrollment
3.2%
1/31 • Study Treatment - 4 - 6 weeks from enrollment
Blood and lymphatic system disorders
Neutrophils
3.0%
1/33 • Study Treatment - 4 - 6 weeks from enrollment
0.00%
0/31 • Study Treatment - 4 - 6 weeks from enrollment
Blood and lymphatic system disorders
Blood/Bone Marrow - Other
0.00%
0/33 • Study Treatment - 4 - 6 weeks from enrollment
3.2%
1/31 • Study Treatment - 4 - 6 weeks from enrollment
Blood and lymphatic system disorders
Leukocytes
0.00%
0/33 • Study Treatment - 4 - 6 weeks from enrollment
6.5%
2/31 • Study Treatment - 4 - 6 weeks from enrollment
Blood and lymphatic system disorders
Hemoglobin
18.2%
6/33 • Study Treatment - 4 - 6 weeks from enrollment
9.7%
3/31 • Study Treatment - 4 - 6 weeks from enrollment
Cardiac disorders
Hypertension
3.0%
1/33 • Study Treatment - 4 - 6 weeks from enrollment
0.00%
0/31 • Study Treatment - 4 - 6 weeks from enrollment
General disorders
Sweating
3.0%
1/33 • Study Treatment - 4 - 6 weeks from enrollment
0.00%
0/31 • Study Treatment - 4 - 6 weeks from enrollment
General disorders
Fever
0.00%
0/33 • Study Treatment - 4 - 6 weeks from enrollment
3.2%
1/31 • Study Treatment - 4 - 6 weeks from enrollment
Skin and subcutaneous tissue disorders
Acne
6.1%
2/33 • Study Treatment - 4 - 6 weeks from enrollment
0.00%
0/31 • Study Treatment - 4 - 6 weeks from enrollment
Skin and subcutaneous tissue disorders
Dermatology/Skin - Other
0.00%
0/33 • Study Treatment - 4 - 6 weeks from enrollment
3.2%
1/31 • Study Treatment - 4 - 6 weeks from enrollment
Endocrine disorders
Hot Flashes
3.0%
1/33 • Study Treatment - 4 - 6 weeks from enrollment
6.5%
2/31 • Study Treatment - 4 - 6 weeks from enrollment
Endocrine disorders
Hyperthyroidism
0.00%
0/33 • Study Treatment - 4 - 6 weeks from enrollment
3.2%
1/31 • Study Treatment - 4 - 6 weeks from enrollment
Gastrointestinal disorders
Flatulence
0.00%
0/33 • Study Treatment - 4 - 6 weeks from enrollment
3.2%
1/31 • Study Treatment - 4 - 6 weeks from enrollment
Gastrointestinal disorders
Distention
0.00%
0/33 • Study Treatment - 4 - 6 weeks from enrollment
3.2%
1/31 • Study Treatment - 4 - 6 weeks from enrollment
Gastrointestinal disorders
Constipation
3.0%
1/33 • Study Treatment - 4 - 6 weeks from enrollment
0.00%
0/31 • Study Treatment - 4 - 6 weeks from enrollment
Vascular disorders
Hemorrhage, Gu - Vagina
9.1%
3/33 • Study Treatment - 4 - 6 weeks from enrollment
3.2%
1/31 • Study Treatment - 4 - 6 weeks from enrollment
Infections and infestations
Infection - Other
3.0%
1/33 • Study Treatment - 4 - 6 weeks from enrollment
0.00%
0/31 • Study Treatment - 4 - 6 weeks from enrollment
Infections and infestations
Inf Unknown Anc: Bronchus
0.00%
0/33 • Study Treatment - 4 - 6 weeks from enrollment
3.2%
1/31 • Study Treatment - 4 - 6 weeks from enrollment
Infections and infestations
Inf Unknown Anc: Urinary Tract Nos
3.0%
1/33 • Study Treatment - 4 - 6 weeks from enrollment
0.00%
0/31 • Study Treatment - 4 - 6 weeks from enrollment
Infections and infestations
Inf Unknown Anc: Colon
3.0%
1/33 • Study Treatment - 4 - 6 weeks from enrollment
0.00%
0/31 • Study Treatment - 4 - 6 weeks from enrollment
Metabolism and nutrition disorders
Hypocalcemia
3.0%
1/33 • Study Treatment - 4 - 6 weeks from enrollment
3.2%
1/31 • Study Treatment - 4 - 6 weeks from enrollment
Metabolism and nutrition disorders
Hyperglycemia
3.0%
1/33 • Study Treatment - 4 - 6 weeks from enrollment
0.00%
0/31 • Study Treatment - 4 - 6 weeks from enrollment
Metabolism and nutrition disorders
Hypokalemia
0.00%
0/33 • Study Treatment - 4 - 6 weeks from enrollment
3.2%
1/31 • Study Treatment - 4 - 6 weeks from enrollment
Nervous system disorders
Dizziness
0.00%
0/33 • Study Treatment - 4 - 6 weeks from enrollment
3.2%
1/31 • Study Treatment - 4 - 6 weeks from enrollment
General disorders
Pain: Chest /Thorax Nos
3.0%
1/33 • Study Treatment - 4 - 6 weeks from enrollment
0.00%
0/31 • Study Treatment - 4 - 6 weeks from enrollment
General disorders
Pain: Head/Headache
6.1%
2/33 • Study Treatment - 4 - 6 weeks from enrollment
6.5%
2/31 • Study Treatment - 4 - 6 weeks from enrollment
General disorders
Pain: Back
0.00%
0/33 • Study Treatment - 4 - 6 weeks from enrollment
3.2%
1/31 • Study Treatment - 4 - 6 weeks from enrollment
General disorders
Pain: Bladder
3.0%
1/33 • Study Treatment - 4 - 6 weeks from enrollment
0.00%
0/31 • Study Treatment - 4 - 6 weeks from enrollment
General disorders
Pain: Abdominal Pain Nos
3.0%
1/33 • Study Treatment - 4 - 6 weeks from enrollment
3.2%
1/31 • Study Treatment - 4 - 6 weeks from enrollment
Respiratory, thoracic and mediastinal disorders
Dyspnea
3.0%
1/33 • Study Treatment - 4 - 6 weeks from enrollment
0.00%
0/31 • Study Treatment - 4 - 6 weeks from enrollment
Renal and urinary disorders
Urinary Retention
3.0%
1/33 • Study Treatment - 4 - 6 weeks from enrollment
0.00%
0/31 • Study Treatment - 4 - 6 weeks from enrollment
Renal and urinary disorders
Urinary Frequency
3.0%
1/33 • Study Treatment - 4 - 6 weeks from enrollment
0.00%
0/31 • Study Treatment - 4 - 6 weeks from enrollment
Reproductive system and breast disorders
Sexual/Reproductive Function: Other
3.0%
1/33 • Study Treatment - 4 - 6 weeks from enrollment
3.2%
1/31 • Study Treatment - 4 - 6 weeks from enrollment
Reproductive system and breast disorders
Vaginal Discharge
6.1%
2/33 • Study Treatment - 4 - 6 weeks from enrollment
0.00%
0/31 • Study Treatment - 4 - 6 weeks from enrollment

Additional Information

Linda Gedeon for James Kauderer, MA

NRG Oncology

Phone: 716-845-1169

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place