Doxorubicin and Carboplatin in Treating Patients With Recurrent Ovarian Cancer

NCT ID: NCT00562185

Last Updated: 2017-11-20

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

WITHDRAWN

Clinical Phase

PHASE1/PHASE2

Study Classification

INTERVENTIONAL

Study Start Date

2008-05-31

Study Completion Date

2009-03-31

Brief Summary

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RATIONALE: Drugs used in chemotherapy, such as doxorubicin and carboplatin, work in different ways to stop the growth of tumor cells, either by killing the cells or by stopping them from dividing. Giving doxorubicin together with carboplatin may kill more tumor cells.

PURPOSE: This phase I and phase II trial is studying the side effects and best dose of carboplatin when given together with doxorubicin to see how well it works in treating patients with recurrent ovarian cancer.

Detailed Description

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OBJECTIVES:

Primary

* To determine the maximum tolerated dose and safety of intravenous doxorubicin hydrochloride and intraperitoneal carboplatin in patients with platinum-sensitive recurrent ovarian cancer.
* To evaluate the feasibility of this regimen in these patients.

Secondary

* To evaluate the response rate and progression-free survival of patients with recurrent ovarian cancer who have had no more than two prior salvage regimens.

OUTLINE: This is a phase I dose-escalation study of carboplatin followed by a phase II study.

* Phase I: Patients receive doxorubicin hydrochloride IV over 1 hour followed by carboplatin intraperitoneally on day 1 until the maximum tolerated dose is achieved. Treatment repeats every 28 days for 6 courses in the absence of disease progression or unacceptable toxicity.
* Phase II: Patients receive doxorubicin hydrochloride as in phase I and carboplatin at the maximum tolerated dose as in phase I.

After completion of study treatment, patients are followed every 4 weeks for 1 year.

PROJECTED ACCRUAL: A total of 61 patients (18 patients in phase I and 43 patients in phase II) will be accrued for this study.

Conditions

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Ovarian Cancer

Keywords

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recurrent ovarian epithelial cancer ovarian sarcoma recurrent ovarian germ cell tumor ovarian stromal cancer

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Interventions

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carboplatin

Intervention Type DRUG

doxorubicin hydrochloride

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* GOG performance status 0, 1, or 2
* Life expectancy \> 6 months
* Absolute neutrophil count ≥ 1,500/uL
* Platelet count ≥ 100,000/uL
* Hemoglobin \> 9.0 g/dL
* Creatinine ≤ 2.0 mg/dL
* Bilirubin ≤ 1.5 x upper limit of normal (ULN)
* SGOT and alkaline phosphatase ≤ 3 x ULN
* Neuropathy (sensory and motor) ≤ CTCAE grade 1


* See Disease Characteristics
* At least 6 months since prior adjuvant regimen
* At least 4 weeks since prior salvage treatment
* May have received secondary cytoreduction for recurrent ovarian cancer
* May have received prior intraperitoneal therapy for ovarian cancer
* May have received no more than 2 prior platinum and taxane-based regimens
* May have received prior intraperitoneal platinum during front-line treatment

Exclusion Criteria

* GOG performance status 3 or 4
* Pregnant or breastfeeding
* History of hypersensitivity reactions attributed to a conventional formulation of doxorubicin hydrochloride or the components of DOXIL®
* Abnormal LVEF as determined by gated cardiac radionucleotide scan (MUGA)
* Septicemia or severe infection
* Acute hepatitis or severe gastrointestinal bleeding
* Any of the following:

* Unstable angina
* Myocardial infarction within the past 6 months
* NYHA class II-IV heart failure
* Uncontrolled angina
* Severe uncontrolled ventricular arrhythmias
* Clinically significant pericardial disease
* Electrocardiographic evidence of acute ischemic or active conduction system abnormalities

* Patients with evidence of abnormal cardiac conduction (e.g., bundle branch block or heart block) are eligible if their disease has been stable for the past six months
* Other invasive malignancies within the past 5 years except for nonmelanoma skin cancer

PRIOR CONCURRENT THERAPY:


* Prior anthracycline dose exceeding 360 mg/m\^2 for doxorubicin hydrochloride (including DOXIL®) or 720 mg/m\^2 for epirubicin hydrochloride
* Prior radiotherapy
* Prior intraperitoneal carboplatin or cisplatin as salvage treatment for recurrent ovarian cancer
* Concurrent amifostine or other protective agents
Minimum Eligible Age

18 Years

Maximum Eligible Age

120 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Ortho Biotech Clinical Affairs, L.L.C.

INDUSTRY

Sponsor Role collaborator

University of Texas Southwestern Medical Center

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Jayanthi S. Lea, MD

Role: STUDY_CHAIR

Simmons Cancer Center

Locations

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Simmons Comprehensive Cancer Center at University of Texas Southwestern Medical Center - Dallas

Dallas, Texas, United States

Site Status

Countries

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United States

Other Identifiers

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SCCC-04E07

Identifier Type: -

Identifier Source: secondary_id

SCCC-062007-043

Identifier Type: -

Identifier Source: secondary_id

ORTHO-SCCC-04E07

Identifier Type: -

Identifier Source: secondary_id

CDR0000574034

Identifier Type: -

Identifier Source: org_study_id