Study of Adding Cetuximab to Chemotherapy for the Treatment of Advanced and/or Recurrent Cervical Cancer

NCT ID: NCT00997009

Last Updated: 2023-11-14

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

PHASE2

Total Enrollment

108 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-10-31

Study Completion Date

2024-12-31

Brief Summary

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This study aims to assess the activity of a combination of cetuximab (weekly) with carboplatin + paclitaxel (every three weeks) comparing it to chemotherapy alone in terms of event-free survival (EFS).

Detailed Description

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The poor long-term results in the standard treatment of chemotherapy for cervical cancer make research into new, more beneficial treatment strategies necessary. Cetuximab is a new type of drug that blocks the epidermal growth factor receptor (anti-EFGR), and has shown significant activity in other cancers (colon, head and neck) where expression of EGFR is high. Cervical cancer cells express EGFR in a very high proportion of cases, especially in recurrent or resistant disease. This study evaluates the activity of the addition of cetuximab to full doses of carboplatin and paclitaxel.

Conditions

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Cervical 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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Arm A

chemotherapy plus cetuximab

Group Type EXPERIMENTAL

paclitaxel

Intervention Type DRUG

175 mg/m2 IV day 1, every 21 days

carboplatin

Intervention Type DRUG

AUC 5 IV day 1 every 21 days

cetuximab

Intervention Type DRUG

400 mg/m2 IV, one week before starting carboplatin and paclitaxel; then 250 mg/m2 IV day 1, weekly

Arm B

chemotherapy

Group Type ACTIVE_COMPARATOR

paclitaxel

Intervention Type DRUG

175 mg/m2 IV day 1, every 21 days

carboplatin

Intervention Type DRUG

AUC 5 IV day 1 every 21 days

Interventions

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paclitaxel

175 mg/m2 IV day 1, every 21 days

Intervention Type DRUG

carboplatin

AUC 5 IV day 1 every 21 days

Intervention Type DRUG

cetuximab

400 mg/m2 IV, one week before starting carboplatin and paclitaxel; then 250 mg/m2 IV day 1, weekly

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Advanced and/or metastatic cervical cancer patients untreated or having failed only one previous chemotherapy (with at least 6 months of progression free interval, with or without concomitant or sequential radiotherapy).
* At baseline, presence of at least one measurable target lesion (a lesion that can be accurately measured in at least one dimension i.e. longest diameter at least 20 mm with conventional CT scan or at least 10 mm with spiral CT scan according to RECIST Criteria).
* Not amenable to surgery and/or radiotherapy.
* PS 0-1 according to ECOG.
* Age \>18.
* Life expectancy of at least 3 months.
* Adequate organ functions

* Hematopoietic: Leukocytes \> 3,000/mm3; Absolute neutrophil count \> or = 1,500/mm3; Platelets count \> or = 100,000/mm3; Hemoglobin \> or = 9 g/dL
* Hepatic: AST and ALT \< or = 3 times upper limit of normal (ULN)\*; Alkaline phosphatase \< or = 3 times ULN\*; Bilirubin \< or = 1.5 times ULN

\*: \< or = 5 times ULN if liver metastases are present
* Renal: Creatinine clearance \> or = 45 mL/min
* No other invasive malignancy within the past 5 years except non-melanoma skin cancer.
* All radiology studies must be performed within 28 days prior to randomization.
* Absence of any psychological, familial, sociological or geographical conditions potentially hampering compliance with the study protocol and follow-up schedule.
* Written informed consent.

Exclusion Criteria

* Pregnant (potentially fertile patients must use contraceptive measures to avoid pregnancy during and for at least 3 months after study participation and must have a negative serum pregnancy test at baseline).
* Patients should not be breast-feeding during treatment and for 2 months following the end of treatment.
* More than one previous chemotherapy line.
* Active infection requiring antibiotics.
* Symptomatic peripheral neuropathy \>grade 2 according to the CTCAE.
* Congestive heart failure or angina pectoris even if it is medically controlled. Previous history of myocardial infarction within 1 year from study entry, uncontrolled high risk hypertension or arrhythmia.
* Known hypersensitivity to the study drugs or to drugs with similar chemical structures.
* Concurrent treatment with other experimental drugs.
* Participation in another clinical trial with any investigational drug within 30 days prior to study screening.
Minimum Eligible Age

18 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

Alessandro Morabito, M.D.,

Role: PRINCIPAL_INVESTIGATOR

National Cancer Institute, Naples

Ciro Gallo, M.D., Ph.D.

Role: PRINCIPAL_INVESTIGATOR

University of Campania Luigi Vanvitelli

Locations

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Ospedale Senatore Antonio Perrino

Brindisi, , Italy

Site Status

Ospedale Oncologico A. Businco

Cagliari, , Italy

Site Status

Universita Cattolica del Sacro Cuore

Campobasso, , Italy

Site Status

Istituto Romagnolo per lo Studio e la Cura dei Tumori

Meldola, , Italy

Site Status

Istituto Nazionale Tumori

Milan, , Italy

Site Status

A.O. Unversitaria Policlinico

Modena, , Italy

Site Status

Istituto Nazionale dei Tumori , Oncologia Medica - Dipartimento Uro-Ginecologico

Napoli, , Italy

Site Status

A.O. Universitaria Federico II

Napoli, , Italy

Site Status

Seconda Università di Napoli

Napoli, , Italy

Site Status

Istituto Oncologico Veneto

Padua, , Italy

Site Status

Ospedale Silvestrini

Perugia, , Italy

Site Status

Istituto Regina Elena

Roma, , Italy

Site Status

Universita Cattolica del Sacro Cuore

Roma, , Italy

Site Status

Ospedale S. Chiara

Trento, , Italy

Site Status

A.O. di Udine S. Maria della Misericordia

Udine, , Italy

Site Status

Countries

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Italy

Other Identifiers

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2009-010099-74

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

MITO CERV 2

Identifier Type: -

Identifier Source: org_study_id

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