Surgery and Niraparib in Secondary Recurrent Ovarian Cancer (SOC-3 Trial)

NCT ID: NCT03983226

Last Updated: 2022-03-18

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

RECRUITING

Clinical Phase

PHASE2

Total Enrollment

167 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-10-18

Study Completion Date

2026-12-31

Brief Summary

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This is a Phase II, open-label, multicenter, randomized umbrella study to evaluate the efficacy of cytoreductive surgery and Niraparib maintenance in participants with platinum-sensitive secondary recurrent ovarian cancer. Cohort 1 will focus on participants without prior use of PARP inhibitor, and without prior secondary cytoreduction (SCR) when first recurrence. Cohort 2 will focus on participants with prior use of PARP inhibitor, but without prior SCR when first recurrence. Cohort 3 will focus on participants with SCR when first recurrence, but without prior use of PARP inhibitor.

Detailed Description

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This exploratory trial is to compare the efficacy of secondary cytoreductive surgery followed by chemotherapy and Niraparib maintenance, versus chemotherapy alone followed by Niraparib maintenance in patients with platinum-sensitive secondary recurrent ovarian cancer.

Conditions

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Ovarian Cancer Recurrent Fallopian Tube Cancer Primary Peritoneal Carcinoma

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

randomized umbrella clinical trial
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Surgery

Intervention:

Procedure: Maximum effort cytoreductive surgery combined with Niraparib maintenance Drug: Platinum-based chemotherapy and Niraparib

Group Type EXPERIMENTAL

Surgery

Intervention Type PROCEDURE

Tumor debulking surgery (surgery in recurrent ovarian disease)

carboplatin/taxane, carboplatin/gemcitabine, cisplatin/gemcitabine, liposome doxorubicin/carboplatin...

Intervention Type DRUG

Salvage chemotherapy

Niraparib

Intervention Type DRUG

Niraparib maintenance therapy

No surgery

Intervention: Drug: Platinum-based chemotherapy and Niraparib

Group Type ACTIVE_COMPARATOR

carboplatin/taxane, carboplatin/gemcitabine, cisplatin/gemcitabine, liposome doxorubicin/carboplatin...

Intervention Type DRUG

Salvage chemotherapy

Niraparib

Intervention Type DRUG

Niraparib maintenance therapy

Interventions

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Surgery

Tumor debulking surgery (surgery in recurrent ovarian disease)

Intervention Type PROCEDURE

carboplatin/taxane, carboplatin/gemcitabine, cisplatin/gemcitabine, liposome doxorubicin/carboplatin...

Salvage chemotherapy

Intervention Type DRUG

Niraparib

Niraparib maintenance therapy

Intervention Type DRUG

Other Intervention Names

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secondary cytoreduction third-line therapy maintenance therapy

Eligibility Criteria

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Inclusion Criteria

* Age ≥18 years to ≤ 75 years
* Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 2
* Patients with platinum-sensitive, secondary relapsed epithelial ovarian, primary peritoneal, or fallopian tube cancer.
* Front-line or second-line treatment may have included maintenance therapy (i.e. bevacizumab, PARP inhibitor)

* Cohort 1 and Cohort 3: No prior use of PARP inhibitor.
* Cohort 2: Prior use of PARP inhibitor.
* Cohort 3: No prior use of PARP inhibitor.
* Secondary cytoreductive surgery (SCR) when first recurrence

* Cohort 1 and Cohort 2: Never received SCR
* Cohort 2: Never received SCR
* Cohort 3: Received SCR
* Assessed by the experienced surgeons, complete resection of all recurrent disease is possible. Single or localized lesions identified by CT, or MRI, or positron emission tomography/computed tomography (PET/CT). PI and Co-PI reach consensus if extensive lesions or carcinomatosis.
* It can be included if single lesion outside the peritoneal cavity can be resected.
* No more than 3 disease lesions by central-reviewed PET/CT imaging if the participated center has never participated in any surgical trials on ovarian cancer before.
* Patients who have given their signed and written informed consent and their consent.

Exclusion Criteria

* Patients with borderline tumors as well as non-epithelial tumors.
* Patients for interval-debulking, or for second- or third-look surgery, or palliative surgery planned.
* Impossible to assess the resectability. Radiological signs suggesting complete resection is impossible.
* Patients who have received more than two previous regimen of chemotherapy (maintenance is not considered a third regimen).
* Third relapse or more.
* Patients with second or other malignancies who have been treated by surgery, if the treatment might interfere with the treatment of relapsed ovarian cancer or if major impact on prognosis is expected.
* Progression during chemotherapy or recurrence within 6 months after second-line platinum-based therapy
* Any contradiction not allowing surgery and/or chemotherapy and/or or Niraparib
* Accompanied by hypoxia serious chronic obstructive pulmonary disease
* Uncontrolled hypertension, cerebrovascular accident/ Stroke, myocardial infarct, unstable angina, untreated thrombosis, chronic congestive heart failure, or serious arrhythmia in need of medicine.
* Severe hepatitis, history of liver disease, nephrotic syndrome, renal insufficiency
* Active ulcer history, abdominal wall fistula, perforation of gastrointestinal tract, or Intra-abdominal abscess, or simultaneously apply treatment/prevent ulcers therapy.
* Uncontrolled diabetes
* Uncontrolled epilepsy need long-term antiepileptic treatment.
* Any medication induced considerable risk of surgery, e.g. estimated bleeding due to oral anticoagulating agents.
* ≥3 grade anemia, neutropenia or thrombocytopenia due to chemotherapy, and lasted for more than 4 weeks
* Patients with a known hypersensitivity to Niraparib or any of the excipients of the product.
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

Zhejiang Cancer Hospital

OTHER

Sponsor Role collaborator

Sun Yat-sen University

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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Tingyan Shi, M.D., Ph.D.

Role: PRINCIPAL_INVESTIGATOR

Shanghai Gynecologic Oncology Group

Rongyu Zang, M.D., Ph.D.

Role: STUDY_CHAIR

Shanghai Gynecologic Oncology Group

Locations

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Fudan University Shanghai Zhongshan Hospital

Shanghai, Shanghai Municipality, China

Site Status RECRUITING

Sun Yat-sen University Cancer Center

Guangzhou, , China

Site Status NOT_YET_RECRUITING

Zhejiang Cancer Hospital

Hangzhou, , China

Site Status NOT_YET_RECRUITING

Fudan University

Shanghai, , China

Site Status NOT_YET_RECRUITING

Shanghai Jiao Tong University

Shanghai, , China

Site Status NOT_YET_RECRUITING

Countries

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China

Central Contacts

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Rong Jiang, M.D.

Role: CONTACT

+862164041990

Yuting Luan, R.N.

Role: CONTACT

+862164041990

Facility Contacts

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Rong Jiang, MD

Role: primary

+862164041990

Yuting Luan, RN

Role: backup

+862164041990

Yanling Feng

Role: primary

Wen Gao

Role: primary

Wei Jiang

Role: primary

Wei Bao

Role: primary

References

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Shi T, Yin S, Zhu J, Zhang P, Liu J, Zhu Y, Wu S, Chen X, Wang X, Teng Y, Zhu T, Yu A, Zhang Y, Feng Y, Huang H, Bao W, Li Y, Jiang W, Zhang P, Li J, Ai Z, Zhang W, Jia H, Zhang Y, Jiang R, Zhang J, Gao W, Luan Y, Zang R. A phase II trial of cytoreductive surgery combined with niraparib maintenance in platinum-sensitive, secondary recurrent ovarian cancer: SGOG SOC-3 study. J Gynecol Oncol. 2020 May;31(3):e61. doi: 10.3802/jgo.2020.31.e61.

Reference Type DERIVED
PMID: 32319233 (View on PubMed)

Related Links

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http://www.ShanghaiGOG.org

Shanghai Gynecologic Oncology Group

Other Identifiers

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SGOG OV-05

Identifier Type: OTHER

Identifier Source: secondary_id

SGOG OV5

Identifier Type: -

Identifier Source: org_study_id

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