The Efficacy of Hyperthermic Intraperitoneal Chemotherapy to Ovarian Cancer Patients With Homologous Recombination Repair Defect and Residual: a Prospective Cohort Study

NCT ID: NCT05265117

Last Updated: 2023-02-17

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

Total Enrollment

310 participants

Study Classification

OBSERVATIONAL

Study Start Date

2022-04-01

Study Completion Date

2025-03-30

Brief Summary

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Ovarian cancer is associated with the highest mortality of all gynecologic cancers. In patients with newly diagnosed advanced ovarian cancer after platinum-containing chemotherapy plus bevacizumab therapy, maintenance therapy with olaparib plus bevacizumab significantly prolongs progression-free survival (PFS) in the intended population and is recommended by guidelines. However, study shows those homologous recombinant repair defect (HRD) but Breast Cancer Susceptibility Gene(BRCA) wild type have limited benefit from maintenance therapy with olaparib plus bevacizumab when surgery is with residual(no-R0).

Can hyperthermic intraperitoneal chemotherapy(HIPEC) improve the benefits of first-line maintenance therapy in patients with non-R0 resection, HRD? The cohort study will enroll 310 patients with HRD and no-R0 resection who conduct HIPEC during primary treatment and then have olaparib plus bevacizumab as maintenance. Follow-up period is 30 months. The primary endpoint is PFS.

Detailed Description

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Conditions

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Ovarian Cancer

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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HIPEC

HIPEC is given after primary debulking surgery or interval debulking.

HIPEC

Intervention Type PROCEDURE

HIPEC is given after primary or interval debulking surgery.

CONTROL

No HIPEC

No interventions assigned to this group

Interventions

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HIPEC

HIPEC is given after primary or interval debulking surgery.

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Age 18-70 years
* Eastern Cooperative Oncology Group (ECOG) score 0-1
* Adequate kidney function (blood creatinine 58-96µmol/L)
* Adequate haematological function (haemoglobin ≥110g/L, leucocytes ≥4.0×109/L, neutrophils ≥2.0×109/L, platelets≥100×109/L)
* Adequate liver function (serum total bilirubin 3.4-22.2µmol/L, alanine aminotransferase (ALT) 7-40U/L, aspartate aminotransferase (AST) 13-35U/L, AST/ALT ≤1.5
* surgery with residual
* eligible to the maintenance therapy of olaparib plus bevacizumab

Exclusion Criteria

* Expected life span ≤8 weeks
* Complicated with any other known malignancies
* Patients with dysfunction of swallow and digestion
* Patients who had received any kind of poly adenosinediphosphate-ribose polymerase(PARP)inhibitor
* refractory hypertension
Minimum Eligible Age

18 Years

Maximum Eligible Age

70 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Sun Yat-Sen Memorial Hospital of Sun Yat-Sen University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Sun Yat-sen Memorial Hospital, Sun Yat-sen University

Guangzhou, Guangdong, China

Site Status RECRUITING

Countries

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China

Central Contacts

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Miao Fang Wu

Role: CONTACT

13828494674

Other Identifiers

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2021-KY-073

Identifier Type: -

Identifier Source: org_study_id

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