CRS & HIPEC for Platinum-Resistant Recurrent Ovarian Cancer (KOV-02R, RECOVER)

NCT ID: NCT05316181

Last Updated: 2025-01-31

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

PHASE3

Total Enrollment

140 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-04-07

Study Completion Date

2029-12-31

Brief Summary

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Platinum-resistant recurrent epithelial ovarian cancer randomizing with or without cytoreductive surgery + hyperthermic intraperitoneal chemotherapy (HIPEC): KOV-02R, RECOVER

Detailed Description

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The objective of this trial (KOV-HIPEC-02R) is to prove the survival benefit of HIPEC with doxorubicin and mitomycin (trial arm) compared to physician-choice chemotherapy (control arm) in patients with platinum-resistant recurrent epithelial ovarian cancer.

Conditions

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Epithelial Ovarian Cancer Platinum Resistant Recurrent Ovarian HIPEC Mitomycin Cytoreductive Surgery

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Randomized controlled, open-label, multicenter phase III trial
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Cytoreductive surgery and HIPEC

Cytoreductive surgery + Hyperthermic Intraperitoneal Chemotherapy (HIPEC) followed by physician-choice chemotherapy until disease progression.

Group Type EXPERIMENTAL

HIPEC

Intervention Type PROCEDURE

HIPEC perfusion, doxorubicin 35mg/m2 \& mitomycin 15 mg/m2, 41.5'C, 90 min.

No HIPEC

Physician-choice chemotherapy from enrollment until disease progression.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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HIPEC

HIPEC perfusion, doxorubicin 35mg/m2 \& mitomycin 15 mg/m2, 41.5'C, 90 min.

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Patients ≥18 years old,
* Patients with Eastern Cooperative Oncology Group (ECOG) Performance status 0-2,
* Patients diagnosed with histologically confirmed epithelial ovarian cancer, fallopian tube cancer, or primary peritoneal cancer,
* Resistant to platinum-based chemotherapy (Platinum-refractory or resistant disease)
* Resectable intraperitoneal disease based on previous clinical history and recent image finding,
* A life expectancy \> 3 months as clinically judged,
* Women who are medically unable to conceive or who are of childbearing potential, agree to follow contraceptive guidelines during treatment,
* Patient can also consent to the provision of clinical information for secondary use such as future biomedical research. However, in the future, subjects can participate in the main trial even if they do not intend to participate in sharing clinical information and,
* Adequate organ function for cytoreductive surgery and HIPEC

Exclusion Criteria

* Non-epithelial ovarian carcinoma,
* Borderline ovarian tumor,
* Patients who are not appropriate for surgical and HIPEC procedures based on previous surgery or clinical findings, including severe intestinal adhesions, obstruction, or abdominal fistula,
* Patients with myelodysplastic syndrome (MDS)/acute myeloid leukemia (AML) or with features suggestive of MDS/AML,
* Patients which extra-abdominal disease is a major disease or is expected to cause of death,
* Patients with active central nervous system metastasis and carcinoma meningitis or patients who have been previously treated for brain metastases must be in a stable state in radiology,
* Patients with antibacterial, antifungal, or antiviral infections requiring systemic treatment (administration of parenteral antibiotics),
* Active tuberculosis that is not controlled within 1 month of treatment,
* Patient diagnosed with a psychiatric disorder or substance abuse disorder that would interfere with your ability to cooperate with the trial,
* Patients who have not undergone hysterectomy and have a positive urine pregnancy test result within 14 days prior to clinical trial assignment, even if the urine pregnancy test result is negative at screening,
* Pregnant or lactating women,
* Patients with any contraindications to the use of doxorubicin or mitomycin (i.e., hypersensitivity to doxorubicin or mitomycin),
* Patients with a history of allogeneic tissue/solid organ transplantation or bone marrow transplantation or a history of double umbilical cord transplantation or,
* History or current evidence of any condition, therapy, or laboratory abnormality that may confound the results of the study, interfere with the patient's participation, in the opinion of the treating investigator.
Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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National Cancer Center, Korea

OTHER_GOV

Sponsor Role lead

Responsible Party

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Myong Cheol Lim

Principal investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Myong Cheol Lim

Goyang-si, Gyeonggi-do, South Korea

Site Status RECRUITING

Ewha Womans University Mokdong Hospital

Seoul, , South Korea

Site Status RECRUITING

Korea University Anam hospital

Seoul, , South Korea

Site Status RECRUITING

Countries

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South Korea

Central Contacts

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Myong Cheol Lim, MD, Ph.D

Role: CONTACT

+820319201760

Ji Hyun Kim, MD

Role: CONTACT

+8201026835747

Facility Contacts

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Myong Cheol Lim

Role: primary

References

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Kim JH, Park E, Park SY, Lim MC. A randomized, multicenter, open-label phase III trial of cytoreductive surgery and hyperthermic intraperitoneal chemotherapy in platinum-resistant recurrent ovarian cancer: a rationale and study design of the KOV-HIPEC-02 trial. Int J Gynecol Cancer. 2025 Apr;35(4):101630. doi: 10.1016/j.ijgc.2025.101630. Epub 2025 Jan 9.

Reference Type DERIVED
PMID: 39955184 (View on PubMed)

Other Identifiers

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NCC2021-0334

Identifier Type: -

Identifier Source: org_study_id

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