First-line Intraperitoneal Cisplatin and Etoposide Chemotherapy for Ovarian Cancer

NCT ID: NCT01669226

Last Updated: 2016-12-19

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

215 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-04-30

Study Completion Date

2016-07-31

Brief Summary

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The purpose of this study is to evaluate the role of an additional intraperitoneal chemotherapy with cisplatin and etoposide in bulky advanced epithelial ovarian cancer.

Detailed Description

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This exploratory trial is to compare the efficacy of sequential chemotherapy, intraperitoneal chemotherapy followed by intravenous chemotherapy, versus intravenous chemotherapy alone in the first-line therapy for ovarian cancer.

Conditions

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Bulky Stage IIIC and IV Epithelial Ovarian Cancer Fallopian Tube Cancer Primary Peritoneal Carcinoma

Keywords

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Ovarian Cancer intraperitoneal chemotherapy

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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Regimen B, PEip and TCiv therapy

Weekly IP cisplatin plus etoposide followed by IV paclitaxel plus carboplatin or docetaxel plus carboplatin

Group Type EXPERIMENTAL

PEip (weekly) and TCiv

Intervention Type DRUG

IP: cisplatin 50mg/m2 and etoposide 100mg/m2, weekly, 4 times; 14 days later IV: paclitaxel 175mg/m2 plus carboplatin AUC 5 or docetaxel 60-75mg/m2 plus carboplatin AUC 5

Regimen A: Standard TCiv therapy

IV paclitaxel plus carboplatin or docetaxel plus carboplatin

Group Type ACTIVE_COMPARATOR

TCiv

Intervention Type DRUG

IV: paclitaxel 175mg/m2 plus carboplatin AUC 5 or docetaxel 60-75mg/m2 plus carboplatin AUC 5

Interventions

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PEip (weekly) and TCiv

IP: cisplatin 50mg/m2 and etoposide 100mg/m2, weekly, 4 times; 14 days later IV: paclitaxel 175mg/m2 plus carboplatin AUC 5 or docetaxel 60-75mg/m2 plus carboplatin AUC 5

Intervention Type DRUG

TCiv

IV: paclitaxel 175mg/m2 plus carboplatin AUC 5 or docetaxel 60-75mg/m2 plus carboplatin AUC 5

Intervention Type DRUG

Other Intervention Names

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platinum VP 16 taxane taxane platinum

Eligibility Criteria

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Inclusion Criteria

* Age ≥18 years to ≤ 75 years.
* Epithelial ovarian cancer with pathology confirmed stage IIIc or IV, expect for lymph node metastasis alone
* Optimal cytoreductive surgery, including hysterectomy, bilateral salpinges-oophorectomy, omentectomy, and resection of all metastatic lesions, with a residual disease no more than 1cm
* Available to receive intraperitoneal chemotherapy 5-10 days postoperative, or no more than postoperative 14 days for those with bowel resection.
* ECOG performance 0-2.
* No more than 3 cycles of chemotherapy prior to surgery.
* Laboratory testing within 7 days of registration: hematopoietic: absolute neutrophil count greater than 1,500/mm3; Platelet count greater than 100,000/mm3. Hepatic: bilirubin less than 1.25 times upper limit of normal (ULN); Bilirubin \< 2.0, SGPT less than 2 times ULN. Renal: creatinine less than 1.6 mg/dL, OR creatinine clearance greater than 40 mL/min.
* Comply with intraperitoneal chemotherapy and follow-up.
* Written informed consent.

Exclusion Criteria

* Low-malignant potential ovarian tumor.
* Laboratory testing insufficiency. Hemoglobin \< 10 g/dL. Renal insufficiency with serum creatinine \> 1.6.
* Bone marrow dysfunction: absolute neutrophil count less than 1,500/mm3; Platelet count less than 80,000/mm3.
* Active infection.
* Clinically significant gastrointestinal abnormalities.
* Active coronary artery disease, cerebrovascular disease, restrictive or obstructive pulmonary disease, or congestive heart failure.
* Other condition that could interfere with provision of informed consent, compliance to study procedures, or follow-up.
* Prior invasive malignancies within the last 5 years showing activity of disease.
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Fudan University

OTHER

Sponsor Role collaborator

Shanghai Jiao Tong University School of Medicine

OTHER

Sponsor Role collaborator

Shanghai Zhongshan Hospital

OTHER

Sponsor Role collaborator

Shanghai Gynecologic Oncology Group

OTHER_GOV

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Rongyu Zang, MD,PhD

Role: PRINCIPAL_INVESTIGATOR

Shanghai Gynecologic Oncology Group

Locations

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Zhongda Hospital Southeast University

Nanjing, Jiangsu, China

Site Status

Suzhou Municipal Hospital

Suzhou, Jiangsu, China

Site Status

Wuxi Cancer Hospital

Wuxi, Jiangsu, China

Site Status

Shanghai Zhongshan Hospital

Shanghai, Shanghai Municipality, China

Site Status

Ren Ji Hospital Affiliated to Shanghai JiaoTong University School of Medicine

Shanghai, Shanghai Municipality, China

Site Status

Shanghai Frist Maternity and Infant Hospital Affiliated to Tongji University

Shanghai, Shanghai Municipality, China

Site Status

Fudan University Cancer Hospital

Shanghai, , China

Site Status

Countries

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China

References

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Shi T, Jiang R, Pu H, Yang H, Tu D, Dai Z, Cai Y, Zhang Y, Cheng X, Jia H, Tu R, Wang H, Tang J, Luan Y, Cai S, Zang R; SGOG-OV/AICE Investigators. Survival benefits of dose-dense early postoperative intraperitoneal chemotherapy in front-line therapy for advanced ovarian cancer: a randomised controlled study. Br J Cancer. 2019 Aug;121(5):425-428. doi: 10.1038/s41416-019-0543-1. Epub 2019 Aug 6.

Reference Type DERIVED
PMID: 31383985 (View on PubMed)

Related Links

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http://www.ShanghaiGOG.org

Shanghai Gynecologic Oncology Group

Other Identifiers

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SGOG OV1

Identifier Type: OTHER

Identifier Source: secondary_id

V01-2009-03

Identifier Type: -

Identifier Source: org_study_id