Body Surface Area-based vs Concentration-based Dosing of Cisplatin for Hyperthermic Intraperitoneal Chemotherapy (HIPEC) in Women With Advanced Ovarian Cancer

NCT ID: NCT05406674

Last Updated: 2025-07-20

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

ACTIVE_NOT_RECRUITING

Clinical Phase

PHASE2

Total Enrollment

40 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-06-15

Study Completion Date

2027-12-31

Brief Summary

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Cytoreductive surgery (CRS) with the addition of hyperthermic intraperitoneal chemotherapy (HIPEC) is used in current clinical practice in selected patients with advanced ovarian cancer. Clinical evidence for the benefit of HIPEC in ovarian cancer comes from the pivotal phase 3 OVHIPEC trial. Worldwide, two established strategies exist for dosing of HIPEC protocols, which follow either a body surface area (BSA)-based or a concentration-based approach. Since both strategies result in different exposure to intra-peritoneal chemotherapy, we aim to compare the pharmacokinetics and safety of both strategies.

Detailed Description

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Conditions

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FIGO Stage III Ovarian Cancer Peritoneal Cancer Fallopian Tube Carcinoma

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Patients in Arm A are treated with interval cytoreductive surgery (with no more than 1 cm residual disease) and cispaltin-based HIPEC with a dosage of 100 mg/m2.

Patients in Arm B are treated with interval cytoreductive surgery (with no more than 1 cm residual disease) and cisplatin- based HIPEC with a dosage of 40 mg/L perfusate.
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Arm A

Patients in Arm A are treated with interval cytoreductive surgery (with no more than 1 cm residual disease) and cispaltin-based HIPEC with a dosage of 100 mg/m2

Group Type ACTIVE_COMPARATOR

Cisplatin 100 mg/m2

Intervention Type DRUG

Cisplatin 100 mg/m2 milligram(s)/square meter

Arm B

Patients in Arm B are treated with interval cytoreductive surgery (with no more than 1 cm residual disease) and cisplatin- based HIPEC with a dosage of 40 mg/L perfusate.

Group Type EXPERIMENTAL

Cisplatin 40 mg/l

Intervention Type DRUG

Cisplatin 40 mg/I milligram(s)/litre

Interventions

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Cisplatin 100 mg/m2

Cisplatin 100 mg/m2 milligram(s)/square meter

Intervention Type DRUG

Cisplatin 40 mg/l

Cisplatin 40 mg/I milligram(s)/litre

Intervention Type DRUG

Other Intervention Names

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LO1XA NDC 16729-288 SUB07483MIG PL 20075/0123 LO1XA NDC 16729-288 SUB07483MIG PL 20075/0123

Eligibility Criteria

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Inclusion Criteria

1. signed and written informed consent
2. age ≥ 18 years
3. patients eligible for interval cytoreductive surgery

1. histological proven FIGO stage III primary high grade serous ovarian, fallopian tube, or extra-ovarian cancer
2. when only cytology is performed to confirm the diagnosis ovarian carcinoma, immunohistochemistry should be performed including keratin 7, keratin 20, p53, PAX8
3. neo-adjuvant chemotherapy consists of (at least) 3 courses of carboplatin/paclitaxel
4. following 2 cycles of chemotherapy no progression should occur
4. treated with optimal or complete interval cytoreductive surgery
5. fit for major surgery, WHO performance status 0-2
6. adequate bone marrow function (hemoglobin level \>5.5 mmol/L; leukocytes \>3 x 109/L; platelets \>100 x 109 /L)
7. adequate hepatic function (ALT, AST and bilirubin \<2.5 times upper limit of normal)
8. adequate renal function (creatinine clearance ≥ 60 ml/min using Cockcroft-Gault formula or 24-hour measurement or ml/min/1,73 m2 using MDRD or CKD-EPI)
9. able to understand the patient information

Exclusion Criteria

1. history of previous malignancy treated with chemotherapy
2. opting for fertility-sparing surgery
Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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The Netherlands Cancer Institute

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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W. van Driel, MD PhD

Role: PRINCIPAL_INVESTIGATOR

NKI-AvL

Locations

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Antoni van Leeuwenhoek (NKI-AVL)

Amsterdam, , Netherlands

Site Status

UMCU

Utrecht, , Netherlands

Site Status

Countries

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Netherlands

Other Identifiers

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N21CCI

Identifier Type: -

Identifier Source: org_study_id

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