Intraperitoneal Chemotherapy Alone or in Combination With Bevacizumab for Ovarian Cancer With Peritoneal Adhesion

NCT ID: NCT03095001

Last Updated: 2017-04-13

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

70 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-06-01

Study Completion Date

2020-06-01

Brief Summary

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Background: Malignant peritoneal adhesion is a common complication and prognostic factor of ovarian cancer and other primary abdominal tumors. The incidence of peritoneal adhesion in advanced primary peritoneal tumor is 32-56%, which has increased by more than 10 times in the recent decade. Malignant peritoneal adhesion is closely associated with the morbidity and mortality of malignant intestinal obstruction. The peritoneal adhesion may aggravates the abdominal symptoms and reduce quality of life. Further, the peritoneal adhesion may impede treatment of primary tumor, such as operation or chemotherapy, lead to a poor prognosis.

Objective: This study aims to treat malignant peritoneal adhesion with the combination of antiangiogenic agent and chemotherapy, evaluate the efficacy and safety of intraperitoneal antiangiogenic agent plus chemotherapy. As explosive endpoints, we will examination the expression of VEGF-A in peritoneal cavity during the treatment.

Detailed Description

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Conditions

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Peritoneal Adhesion

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Investigators

Study Groups

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Intraperitoneal bevacizumab+ carboplatin

Intraperitoneal administration: intraperitoneal bevacizumab plus carboplatin every 3 weeks for 4-6 cycles

Systemic chemotherapy: paclitaxel, iv. every 3 weeks for 4-6 cycles

Group Type EXPERIMENTAL

Bevacizumab

Intervention Type DRUG

Bevacizumab 5mg/kg intraperitoneal administration every 3 weeks for 4-6 cycles

Carboplatin

Intervention Type DRUG

carboplatin AUC=5 intraperitoneal administration every 3 weeks 4-6 cycles

paclitaxel

Intervention Type DRUG

paclitaxel 175mg/m2, iv d1, every 3 weeks for 4-6 cycles

Intraperitoneal carboplatin

Intraperitoneal administration: intraperitoneal carboplatin every 3 weeks

Systemic chemotherapy: paclitaxel, iv. every 3 weeks for 4-6 cycles

Group Type ACTIVE_COMPARATOR

Carboplatin

Intervention Type DRUG

carboplatin AUC=5 intraperitoneal administration every 3 weeks 4-6 cycles

paclitaxel

Intervention Type DRUG

paclitaxel 175mg/m2, iv d1, every 3 weeks for 4-6 cycles

Interventions

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Bevacizumab

Bevacizumab 5mg/kg intraperitoneal administration every 3 weeks for 4-6 cycles

Intervention Type DRUG

Carboplatin

carboplatin AUC=5 intraperitoneal administration every 3 weeks 4-6 cycles

Intervention Type DRUG

paclitaxel

paclitaxel 175mg/m2, iv d1, every 3 weeks for 4-6 cycles

Intervention Type DRUG

Other Intervention Names

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Avastin

Eligibility Criteria

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Inclusion Criteria

1. Pathologically and radiologically confirmed stage IV or postoperative recurrence ovarian cancer.
2. Age of 18-70, Karnofsky score higher than 80.
3. No severe functional damage of major organ, normal liver and kidney function.
4. Peritoneal adhesion. (1) peritoneal adhesions diagnosed by microlaparoscopy or abdominal operations, and classification according to Nair criteria is performed. (1) must be met. (2) Peritoneal adhesion symptoms, intermittent abdominal pain, abdominal distension, nausea and vomiting, hard to pass stools or gas; (3) Peritoneal adhesion signs,abdominal distension, abdominal tenderness, reduced or absent bowel sounds; (4) B ultrasound or CT or MRI show peritoneal adhesion or adhesion-related complications.

Exclusion Criteria

1. Complete intestinal obstruction and suitable for surgery.
2. Patients known to be allergic to bevacizumab or any of the components of the drug.
3. Other ongoing anti-tumor treatment.
4. Heart disease with significant clinical symptoms, such as: congestive heart failure, coronary heart disease with symptom, arrhythmia hardly be controlled by drugs, myocardial infarction in 6 months, or heart failure
5. Active wound infection and a history of uncontrolled psychiatric illness.

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Minimum Eligible Age

18 Years

Maximum Eligible Age

70 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Chinese PLA General Hospital

OTHER

Sponsor Role lead

Responsible Party

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DuNan

Director of oncology

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Nan Du, PhD

Role: STUDY_DIRECTOR

PLA 304 hospital

Locations

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First Affiliated Hospital, Chinese PLA General Hospital

Beijing, Beijing Municipality, China

Site Status RECRUITING

Countries

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China

Central Contacts

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Nan Du, PhD

Role: CONTACT

Facility Contacts

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Hui Zhao, Phd

Role: primary

References

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Gaitskell K, Rogozinska E, Platt S, Chen Y, Abd El Aziz M, Tattersall A, Morrison J. Angiogenesis inhibitors for the treatment of epithelial ovarian cancer. Cochrane Database Syst Rev. 2023 Apr 18;4(4):CD007930. doi: 10.1002/14651858.CD007930.pub3.

Reference Type DERIVED
PMID: 37185961 (View on PubMed)

Other Identifiers

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Intraperitoneal bev

Identifier Type: -

Identifier Source: org_study_id

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