Paclitaxel With or Without Pazopanib Hydrochloride in Treating Patients With Persistent or Recurrent Ovarian Epithelial, Fallopian Tube, or Peritoneal Cavity Cancer
22 juillet 2019 mis à jour par: National Cancer Institute (NCI)
A Randomized Phase IIB Evaluation of Weekly Paclitaxel (NSC #673089) Plus Pazopanib (NSC #737754) Versus Weekly Paclitaxel Plus Placebo in the Treatment of Persistent or Recurrent Epithelial Ovarian, Fallopian Tube or Primary Peritoneal Carcinoma
This randomized phase II trial studies how well paclitaxel when given together with or without pazopanib hydrochloride works in treating patients with ovarian epithelial, fallopian tube, or peritoneal cavity cancer that is persistent or has come back.
Drugs used in chemotherapy, such as paclitaxel work in different ways to stop the growth of tumor cells, either by killing the cells, by stopping them from dividing, or by stopping them from spreading.
Pazopanib hydrochloride may stop the growth of tumor cells by blocking blood flow to the tumor or by blocking some of the enzymes needed for cell growth.
It is not yet known whether paclitaxel is more effective when given with or without pazopanib hydrochloride in treating ovarian epithelial, fallopian tube, and peritoneal cavity cancer.
Aperçu de l'étude
Statut
Complété
Les conditions
Description détaillée
PRIMARY OBJECTIVES:
I. To estimate the progression-free survival hazard ratio of the combination of weekly paclitaxel and pazopanib (pazopanib hydrochloride) compared to weekly paclitaxel and placebo in patients with persistent or recurrent ovarian, fallopian tube, or primary peritoneal cancer.
SECONDARY OBJECTIVES:
I. To determine the frequency and severity of adverse events as assessed by Common Terminology Criteria for Adverse Events (CTCAE).
II. To estimate and compare the proportion of patients responding to therapy by Response Evaluation Criteria in Solid Tumors (RECIST), cancer antigen 125 (CA125) response, the overall survival (OS), and the duration of response in each arm.
TERTIARY OBJECTIVES:
I. To explore the association between plasma cytokines and angiogenic markers and progression-free and overall survival.
II. To explore the association between single-nucleotide polymorphisms (SNPs) and progression-free and overall survival.
OUTLINE: Patients are randomized to 1 of 2 treatment arms.
ARM I: Patients receive paclitaxel intravenously (IV) over 1 hour on days 1, 8, and 15 and placebo orally (PO) daily on days 1-28.
ARM II: Patients receive paclitaxel as in Arm I and pazopanib hydrochloride PO daily on days 1-28.
In both arms, courses repeat every 28 days in the absence of disease progression or unacceptable toxicity.
After completion of study therapy, patients are followed up every 3 months for 2 years and then every 6 months for 3 years.
Type d'étude
Interventionnel
Inscription (Réel)
106
Phase
- Phase 2
Contacts et emplacements
Cette section fournit les coordonnées de ceux qui mènent l'étude et des informations sur le lieu où cette étude est menée.
Lieux d'étude
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Alabama
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Mobile, Alabama, États-Unis, 36688
- University of South Alabama Mitchell Cancer Institute
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Arizona
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Phoenix, Arizona, États-Unis, 85012
- Gynecologic Oncology Group of Arizona
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California
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Burbank, California, États-Unis, 91505
- Providence Saint Joseph Medical Center/Disney Family Cancer Center
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Newport Beach, California, États-Unis, 92663
- Gynecologic Oncology Associates-Newport Beach
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Connecticut
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Farmington, Connecticut, États-Unis, 06030
- University of Connecticut
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Hartford, Connecticut, États-Unis, 06105
- Smilow Cancer Hospital Care Center at Saint Francis
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Hartford, Connecticut, États-Unis, 06102
- Hartford Hospital
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New Britain, Connecticut, États-Unis, 06050
- The Hospital of Central Connecticut
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Delaware
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Lewes, Delaware, États-Unis, 19958
- Beebe Medical Center
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Newark, Delaware, États-Unis, 19718
- Christiana Care Health System-Christiana Hospital
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Florida
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Orlando, Florida, États-Unis, 32803
- Florida Hospital Orlando
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Saint Petersburg, Florida, États-Unis, 33701
- Women's Cancer Associates
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Georgia
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Gainesville, Georgia, États-Unis, 30501
- Northeast Georgia Medical Center-Gainesville
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Macon, Georgia, États-Unis, 31201
- Central Georgia Gynecologic Oncology
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Savannah, Georgia, États-Unis, 31404
- Memorial Health University Medical Center
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Hawaii
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Honolulu, Hawaii, États-Unis, 96813
- University of Hawaii Cancer Center
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Idaho
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Boise, Idaho, États-Unis, 83706
- Saint Alphonsus Cancer Care Center-Boise
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Illinois
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Chicago, Illinois, États-Unis, 60611
- Northwestern University
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Chicago, Illinois, États-Unis, 60612
- Rush University Medical Center
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Hinsdale, Illinois, États-Unis, 60521
- Sudarshan K Sharma MD Limted-Gynecologic Oncology
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Indiana
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Indianapolis, Indiana, États-Unis, 46202
- Indiana University/Melvin and Bren Simon Cancer Center
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Indianapolis, Indiana, États-Unis, 46260
- Saint Vincent Hospital and Health Care Center
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Iowa
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Ames, Iowa, États-Unis, 50010
- McFarland Clinic PC - Ames
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Des Moines, Iowa, États-Unis, 50309
- Iowa Methodist Medical Center
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Des Moines, Iowa, États-Unis, 50314
- Mercy Medical Center - Des Moines
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Des Moines, Iowa, États-Unis, 50309
- Medical Oncology and Hematology Associates-Des Moines
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Des Moines, Iowa, États-Unis, 50316
- Iowa Lutheran Hospital
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Des Moines, Iowa, États-Unis, 50309
- Iowa-Wide Oncology Research Coalition NCORP
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Des Moines, Iowa, États-Unis, 50314
- Medical Oncology and Hematology Associates-Laurel
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Kansas
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Chanute, Kansas, États-Unis, 66720
- Cancer Center of Kansas - Chanute
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Dodge City, Kansas, États-Unis, 67801
- Cancer Center of Kansas - Dodge City
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El Dorado, Kansas, États-Unis, 67042
- Cancer Center of Kansas - El Dorado
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Fort Scott, Kansas, États-Unis, 66701
- Cancer Center of Kansas - Fort Scott
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Independence, Kansas, États-Unis, 67301
- Cancer Center of Kansas-Independence
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Kingman, Kansas, États-Unis, 67068
- Cancer Center of Kansas-Kingman
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Liberal, Kansas, États-Unis, 67905
- Cancer Center of Kansas-Liberal
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Newton, Kansas, États-Unis, 67114
- Cancer Center of Kansas - Newton
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Parsons, Kansas, États-Unis, 67357
- Cancer Center of Kansas - Parsons
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Pratt, Kansas, États-Unis, 67124
- Cancer Center of Kansas - Pratt
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Salina, Kansas, États-Unis, 67401
- Cancer Center of Kansas - Salina
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Wellington, Kansas, États-Unis, 67152
- Cancer Center of Kansas - Wellington
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Wichita, Kansas, États-Unis, 67208
- Cancer Center of Kansas-Wichita Medical Arts Tower
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Wichita, Kansas, États-Unis, 67214
- Cancer Center of Kansas - Wichita
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Wichita, Kansas, États-Unis, 67208
- Associates In Womens Health
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Wichita, Kansas, États-Unis, 67214
- Wichita NCI Community Oncology Research Program
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Wichita, Kansas, États-Unis, 67214
- Via Christi Regional Medical Center
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Winfield, Kansas, États-Unis, 67156
- Cancer Center of Kansas - Winfield
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Maine
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Portland, Maine, États-Unis, 04102
- Maine Medical Center-Bramhall Campus
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Maryland
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Baltimore, Maryland, États-Unis, 21287
- Johns Hopkins University/Sidney Kimmel Cancer Center
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Baltimore, Maryland, États-Unis, 21215
- Sinai Hospital of Baltimore
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Baltimore, Maryland, États-Unis, 21204
- Greater Baltimore Medical Center
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Elkton, Maryland, États-Unis, 21921
- Union Hospital of Cecil County
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Massachusetts
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Burlington, Massachusetts, États-Unis, 01805
- Lahey Hospital and Medical Center
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Springfield, Massachusetts, États-Unis, 01199
- Baystate Medical Center
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Michigan
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Ann Arbor, Michigan, États-Unis, 48106
- Saint Joseph Mercy Hospital
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Ann Arbor, Michigan, États-Unis, 48106
- Michigan Cancer Research Consortium NCORP
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Battle Creek, Michigan, États-Unis, 49017
- Bronson Battle Creek
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Big Rapids, Michigan, États-Unis, 49307
- Spectrum Health Big Rapids Hospital
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Dearborn, Michigan, États-Unis, 48124
- Beaumont Hospital-Dearborn
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Detroit, Michigan, États-Unis, 48236
- Saint John Hospital and Medical Center
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Flint, Michigan, États-Unis, 48503
- Hurley Medical Center
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Grand Blanc, Michigan, États-Unis, 48439
- Genesys Regional Medical Center
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Grand Rapids, Michigan, États-Unis, 49503
- Spectrum Health at Butterworth Campus
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Grand Rapids, Michigan, États-Unis, 49503
- Mercy Health Saint Mary's
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Grand Rapids, Michigan, États-Unis, 49503
- Cancer Research Consortium of West Michigan NCORP
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Jackson, Michigan, États-Unis, 49201
- Allegiance Health
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Lansing, Michigan, États-Unis, 48912
- Sparrow Hospital
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Livonia, Michigan, États-Unis, 48154
- Saint Mary Mercy Hospital
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Muskegon, Michigan, États-Unis, 49444
- Mercy Health Mercy Campus
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Pontiac, Michigan, États-Unis, 48341
- Saint Joseph Mercy Oakland
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Port Huron, Michigan, États-Unis, 48060
- Lake Huron Medical Center
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Saginaw, Michigan, États-Unis, 48601
- Saint Mary's of Michigan
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Traverse City, Michigan, États-Unis, 49684
- Munson Medical Center
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Warren, Michigan, États-Unis, 48093
- Saint John Macomb-Oakland Hospital
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Mississippi
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Jackson, Mississippi, États-Unis, 39216
- University of Mississippi Medical Center
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Missouri
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Joplin, Missouri, États-Unis, 64804
- Freeman Health System
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Saint Louis, Missouri, États-Unis, 63110
- Washington University School of Medicine
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Springfield, Missouri, États-Unis, 65804
- Cancer Research for the Ozarks NCORP
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Springfield, Missouri, États-Unis, 65807
- CoxHealth South Hospital
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Springfield, Missouri, États-Unis, 65804
- Mercy Hospital Springfield
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Nebraska
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Omaha, Nebraska, États-Unis, 68114
- Nebraska Methodist Hospital
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Nevada
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Las Vegas, Nevada, États-Unis, 89169
- Women's Cancer Center of Nevada
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New Hampshire
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Lebanon, New Hampshire, États-Unis, 03756
- Dartmouth Hitchcock Medical Center
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New Jersey
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Camden, New Jersey, États-Unis, 08103
- Cooper Hospital University Medical Center
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New York
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Albany, New York, États-Unis, 12208
- Women's Cancer Care Associates LLC
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Stony Brook, New York, États-Unis, 11794
- Stony Brook University Medical Center
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North Carolina
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Chapel Hill, North Carolina, États-Unis, 27599
- UNC Lineberger Comprehensive Cancer Center
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Charlotte, North Carolina, États-Unis, 28204
- Novant Health Presbyterian Medical Center
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Ohio
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Akron, Ohio, États-Unis, 44304
- Summa Akron City Hospital/Cooper Cancer Center
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Cincinnati, Ohio, États-Unis, 45219
- University of Cincinnati/Barrett Cancer Center
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Cleveland, Ohio, États-Unis, 44106
- Case Western Reserve University
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Cleveland, Ohio, États-Unis, 44195
- Cleveland Clinic Foundation
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Cleveland, Ohio, États-Unis, 44111
- Cleveland Clinic Cancer Center/Fairview Hospital
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Columbus, Ohio, États-Unis, 43214
- Riverside Methodist Hospital
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Kettering, Ohio, États-Unis, 45429
- Kettering Medical Center
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Mayfield Heights, Ohio, États-Unis, 44124
- Hillcrest Hospital Cancer Center
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Mentor, Ohio, États-Unis, 44060
- Lake University Ireland Cancer Center
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Oklahoma
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Oklahoma City, Oklahoma, États-Unis, 73104
- University of Oklahoma Health Sciences Center
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Tulsa, Oklahoma, États-Unis, 74146
- Oklahoma Cancer Specialists and Research Institute-Tulsa
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Pennsylvania
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Abington, Pennsylvania, États-Unis, 19001
- Abington Memorial Hospital
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Philadelphia, Pennsylvania, États-Unis, 19104
- University of Pennsylvania/Abramson Cancer Center
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West Reading, Pennsylvania, États-Unis, 19611
- Reading Hospital
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Rhode Island
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Providence, Rhode Island, États-Unis, 02905
- Women and Infants Hospital
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South Carolina
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Greenville, South Carolina, États-Unis, 29605
- Greenville Health System Cancer Institute-Faris
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Greenville, South Carolina, États-Unis, 29615
- Greenville Health System Cancer Institute-Eastside
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Seneca, South Carolina, États-Unis, 29672
- Greenville Health System Cancer Institute-Seneca
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Spartanburg, South Carolina, États-Unis, 29307
- Greenville Health System Cancer Institute-Spartanburg
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Texas
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Dallas, Texas, États-Unis, 75390
- UT Southwestern/Simmons Cancer Center-Dallas
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Fort Worth, Texas, États-Unis, 76104
- Baylor All Saints Medical Center at Fort Worth
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Washington
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Bellingham, Washington, États-Unis, 98226
- PeaceHealth Medical Group PC
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Bremerton, Washington, États-Unis, 98310
- Harrison HealthPartners Hematology and Oncology-Bremerton
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Bremerton, Washington, États-Unis, 98310
- Harrison Medical Center
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Everett, Washington, États-Unis, 98201
- Providence Regional Cancer Partnership
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Mount Vernon, Washington, États-Unis, 98273
- Skagit Valley Hospital Regional Cancer Care Center
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Poulsbo, Washington, États-Unis, 98370
- Harrison HealthPartners Hematology and Oncology-Poulsbo
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Seattle, Washington, États-Unis, 98109
- Fred Hutchinson Cancer Research Center
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Seattle, Washington, États-Unis, 98109
- Seattle Cancer Care Alliance
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Seattle, Washington, États-Unis, 98195
- University of Washington Medical Center
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Seattle, Washington, États-Unis, 98112
- Kaiser Permanente Washington
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Seattle, Washington, États-Unis, 98104
- Pacific Gynecology Specialists
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Seattle, Washington, États-Unis, 98122-4307
- Swedish Medical Center-First Hill
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Seattle, Washington, États-Unis, 98133
- Northwest Hospital
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Sequim, Washington, États-Unis, 98384
- Olympic Medical Cancer Care Center
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Spokane, Washington, États-Unis, 99204
- Rockwood Cancer Treatment Center-DHEC-Downtown
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Spokane, Washington, États-Unis, 99202
- Cancer Care Northwest - Spokane South
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Tacoma, Washington, États-Unis, 98405
- MultiCare Tacoma General Hospital
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Tacoma, Washington, États-Unis, 98405
- Saint Joseph Medical Center
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Walla Walla, Washington, États-Unis, 99362
- Providence Saint Mary Regional Cancer Center
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Wenatchee, Washington, États-Unis, 98801
- Wenatchee Valley Hospital and Clinics
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Wisconsin
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Eau Claire, Wisconsin, États-Unis, 54701
- Marshfield Clinic Cancer Center at Sacred Heart
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Green Bay, Wisconsin, États-Unis, 54301
- Saint Vincent Hospital Cancer Center Green Bay
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Green Bay, Wisconsin, États-Unis, 54303
- Green Bay Oncology Limited at Saint Mary's Hospital
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Green Bay, Wisconsin, États-Unis, 54301-3526
- Green Bay Oncology at Saint Vincent Hospital
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Manitowoc, Wisconsin, États-Unis, 54221
- Holy Family Memorial Hospital
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Marinette, Wisconsin, États-Unis, 54143
- Bay Area Medical Center
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Marshfield, Wisconsin, États-Unis, 54449
- Marshfield Clinic
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Minocqua, Wisconsin, États-Unis, 54548
- Marshfield Clinic-Minocqua Center
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Rhinelander, Wisconsin, États-Unis, 54501
- Ascension Saint Mary's Hospital
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Rice Lake, Wisconsin, États-Unis, 54868
- Marshfield Clinic-Rice Lake Center
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Stevens Point, Wisconsin, États-Unis, 54481
- Ascension Saint Michael's Hospital
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Weston, Wisconsin, États-Unis, 54476
- Marshfield Clinic - Weston Center
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Wisconsin Rapids, Wisconsin, États-Unis, 54494
- Marshfield Clinic - Wisconsin Rapids Center
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Critères de participation
Les chercheurs recherchent des personnes qui correspondent à une certaine description, appelée critères d'éligibilité. Certains exemples de ces critères sont l'état de santé général d'une personne ou des traitements antérieurs.
Critère d'éligibilité
Âges éligibles pour étudier
18 ans et plus (Adulte, Adulte plus âgé)
Accepte les volontaires sains
Non
Sexes éligibles pour l'étude
Femelle
La description
Inclusion Criteria:
- Patients must have recurrent or persistent epithelial ovarian, fallopian tube, or primary peritoneal carcinoma; histologic documentation of the original primary tumor is required via the pathology report
Patients must have measurable disease or non-measurable (detectable) disease
- Measurable disease is defined as at least one lesion that can be accurately measured in at least one dimension (longest diameter to be recorded); each lesion must be greater than or equal to 10 mm when measured by computed tomography (CT), magnetic resonance imaging (MRI), or caliper measurement by clinical exam; or greater than or equal to 20 mm when measured by chest x-ray; lymph nodes must be greater than or equal to 15 mm in short axis when measured by CT or MRI
Non-measurable (detectable) disease in a patient is defined in this protocol as one who does not have measurable disease but has at least one of the following conditions:
- Ascites and/or pleural effusion attributed to tumor
- Solid and/or cystic abnormalities on radiographic imaging that do not meet RECIST 1.1 definitions for target lesions
- Patients with measurable disease must have at least one "target lesion" to be used to assess response on this protocol as defined by RECIST 1.1; tumors within a previously irradiated field will be designated as "non-target" lesions unless progression is documented or a biopsy is obtained to confirm persistence at least 90 days following completion of radiation therapy
- Patients must not be eligible for a higher priority Gynecology Oncology Group (GOG) protocol, if one exists; in general, this would refer to any active GOG phase III or Rare Tumor protocol for the same patient population; in addition, patients must not be eligible for the currently active phase II cytotoxic protocol in platinum resistant disease
- Patients who have received one prior regimen must have a GOG performance status of 0, 1, or 2
- Patients who have received two or three prior regimens must have a GOG performance status of 0 or 1
- Recovery from effects of recent surgery, radiotherapy, or chemotherapy
- Patients should be free of active infection requiring antibiotics (with the exception of uncomplicated urinary tract infection [UTI])
- Any hormonal therapy directed at the malignant tumor must be discontinued at least one week prior to registration
- Any other prior therapy directed at the malignant tumor, including chemotherapy, biological/targeted (non-cytotoxic) agents, and immunologic agents, must be discontinued at least three weeks prior to registration; chimeric or human or humanized monoclonal antibodies (including bevacizumab) or vascular endothelial growth factor (VEGF) receptor fusion proteins (including VEGF TRAP/aflibercept) must be discontinued for at least 12 weeks prior to registration
- At least 4 weeks must have elapsed since the patient underwent any major surgery (e.g., major: laparotomy, laparoscopy, thoracotomy, video-assisted thorascopic surgery [VATS]); there is no restriction on minor procedures (e.g., minor: central venous access catheter placement, ureteral stent placement or exchange, paracentesis, thoracentesis)
- Patients must have had one prior platinum-based chemotherapeutic regimen for management of primary disease containing carboplatin, cisplatin, or another organoplatinum compound; this initial treatment may have included intraperitoneal therapy, consolidation, biologic/targeted (non-cytotoxic) agents (e.g., bevacizumab), or extended therapy administered after surgical or non-surgical assessment; if patients were treated with paclitaxel for their primary disease, this can have been given weekly or every 3 weeks
- Patients are allowed to receive, but are not required to receive, two additional cytotoxic regimens for management of recurrent or persistent disease, with no more than 1 non-platinum, non-taxane regimen; treatment with weekly paclitaxel for recurrent or persistent disease is NOT allowed
- Patients are allowed to receive, but are not required to receive, biologic/targeted (non-cytotoxic) therapy as part of their primary treatment regimen
- Patients must have NOT received any biologic/targeted (non-cytotoxic) therapy targeting the VEGF and/or platelet-derived growth factor (PDGF) pathways for management of recurrent or persistent disease
- For the purposes of this study, poly (ADP-ribose) polymerase (PARP) inhibitors will be considered "cytotoxic"; patients are allowed to receive, but are not required to receive, PARP inhibitors for management of primary or recurrent/persistent disease (either alone or in combination with cytotoxic chemotherapy); PARP inhibitors will NOT count as a prior regimen when given alone
- Absolute neutrophil count (ANC) greater than or equal to 1,500/mcL
- Platelets greater than or equal to 100,000/mcL
- Hemoglobin greater than or equal to 9 g/dL
- Prothrombin time (PT) such that international normalized ratio (INR) is less than or equal to 1.5 x upper limit of normal (ULN) (or an in-range INR, usually between 2 and 3, if a patient is on a stable dose of therapeutic warfarin)
- Partial thromboplastin time (PTT) less than or equal to 1.5 x ULN
- Creatinine less than or equal to 1.5 x institutional ULN
- Urine protein should be screened by urinalysis; if urine protein is 2+ or higher, 24-hour urine protein should be obtained and the level must be < 1000 mg (< 1.0 g/24 hours [hrs]) for patient enrollment
- Bilirubin less than or equal to 1.5 x ULN
- Aspartate aminotransferase (AST) and alanine aminotransferase (ALT) less than or equal to 2.5 x ULN
- Subjects who have BOTH bilirubin greater than ULN and AST/ALT greater than ULN are not eligible
- Alkaline phosphatase less than or equal to 2.5 x ULN
- Patients must have normal baseline thyroid function tests (thyroid-stimulating hormone [TSH], T3, T4); a history of hypothyroidism and/or hyperthyroidism is allowed, as long as the patient has stable well-controlled thyroid function for a minimum of 2 months
- Neuropathy (sensory and motor) less than or equal to grade 1
- Patients of childbearing potential must have a negative pregnancy test prior to the study entry and be practicing an effective form of contraception; pregnant women are excluded from this study
- Patients must have signed an approved informed consent and authorization permitting the release of personal health information
Patients must be capable of taking and absorbing oral medications; a patient must be clear of the following:
- Any lesion, whether induced by tumor, radiation, or other conditions, which makes it difficult to swallow tablets
- Prior surgical procedures affecting absorption including, but not limited to major resection of stomach or small bowel
- Active peptic ulcer disease
- Malabsorption syndrome
- Any concomitant medications that are associated with a risk of corrected QT (QTc) prolongation and/or Torsades de Pointes should be discontinued or replaced with drugs that do not carry these risks, if possible; patients who must take medication with a risk of possible risk of Torsades de Pointes should be watched carefully for symptoms of QTc prolongation, such as syncope
- Patients with personal or family history of congenital long QTc syndrome are NOT eligible
- Strong inhibitors of cytochrome P-450 system (CYP)3A4 are prohibited
- Strong inducers of CYP3A4 are prohibited
- Concomitant use of agents with narrow therapeutic windows that are metabolized by CYP3A4, CYP2D6, or CYP2C8 is not recommended
Exclusion Criteria:
- Patients who have had previous treatment with pazopanib; patients who have had previous treatment with weekly paclitaxel for recurrent or persistent disease
- Patients with a history of other invasive malignancies, with the exception of non-melanoma skin cancer and other specific malignancies are excluded if there is any evidence of other malignancy being present within the last three years; patients are also excluded if their previous cancer treatment contraindicates this protocol therapy
- Patients who have received prior radiotherapy to any portion of the abdominal cavity or pelvis within the last three years are excluded; prior radiation for localized cancer of the breast, head and neck, or skin is permitted, provided that it was completed more than three years prior to registration, and the patient remains free of recurrent or metastatic disease
- Patients who have received prior chemotherapy for any abdominal or pelvic tumor OTHER THAN for the treatment of ovarian, fallopian tube, or primary peritoneal cancer within the last three years; patients may have received prior adjuvant chemotherapy for localized breast cancer, provided that it was completed more than three years prior to registration, and the patient remains free of recurrent or metastatic disease
Patients with clinically significant cardiovascular disease; this includes:
- Uncontrolled hypertension, defined as systolic greater than 140 mm Hg or diastolic greater than 90 mm Hg despite antihypertensive medications
- Congenital long QT syndrome or baseline QTc greater than 480 milliseconds
- Myocardial infarction or unstable angina within 6 months prior to registration
- New York Heart Association (NYHA) class II or greater congestive heart failure
History of serious ventricular arrhythmia (i.e., ventricular tachycardia or ventricular fibrillation) or serious cardiac arrhythmia requiring medication
- This does not include asymptomatic atrial fibrillation with controlled ventricular rate
- Patients who have received prior treatment with an anthracycline (including doxorubicin and/or liposomal doxorubicin) must have an echocardiogram assessment and are excluded if they have an ejection fraction less than 50%
- CTCAE grade 2 or greater peripheral vascular disease (at least brief [less than 24 hours] episodes of ischemia managed non-surgically and without permanent deficit)
- History of cardiac angioplasty or stenting within 6 months prior to registration
- History of coronary artery bypass graft surgery within 6 months prior to registration
- Arterial thrombosis within 6 months prior to registration
- Patients with serious non-healing wound, ulcer, or bone fracture; this includes history of abdominal fistula, gastrointestinal perforation or intra-abdominal abscess within 28 days prior to the first date of study treatment
- Patients with active bleeding or pathologic conditions that carry high risk of bleeding, such as known bleeding disorder, coagulopathy, or tumor involving major vessels
- Patients with history or evidence upon physical examination of central nervous system (CNS) disease, including primary brain tumor, seizures which are not controlled with non-enzyme inducing anticonvulsants, any brain metastases, or history of cerebrovascular accident (CVA, stroke), transient ischemic attack (TIA) or subarachnoid hemorrhage within six months prior to the first date of study treatment
- History of allergic reactions attributed to compounds of similar chemical or biologic composition to pazopanib
- Known human immunodeficiency virus (HIV)-positive subjects on combination antiretroviral therapy
Patients with any condition that may increase the risk of gastrointestinal bleeding or gastrointestinal perforation, including:
- Active peptic ulcer disease
- Known gastrointestinal intraluminal metastatic lesions (gastrointestinal serosa metastatic lesions are permitted)
- Inflammatory bowel disease (e.g., ulcerative colitis, Crohn's disease)
- Patients with clinical symptoms or signs of gastrointestinal obstruction
- Patients who require parenteral hydration and/or nutrition
- Patients who are pregnant or nursing
- History of hemoptysis in excess of 2.5 mL (½ teaspoon) within 8 weeks prior to first dose of pazopanib
- Uncontrolled intercurrent illness including, but not limited to, psychiatric illness/social situations that would limit compliance with study requirements
Plan d'étude
Cette section fournit des détails sur le plan d'étude, y compris la façon dont l'étude est conçue et ce que l'étude mesure.
Comment l'étude est-elle conçue ?
Détails de conception
- Objectif principal: Traitement
- Répartition: Randomisé
- Modèle interventionnel: Affectation parallèle
- Masquage: Double
Armes et Interventions
Groupe de participants / Bras |
Intervention / Traitement |
|---|---|
|
Comparateur placebo: Arm I (paclitaxel and placebo)
Patients receive paclitaxel IV over 1 hour on days 1, 8, and 15 and placebo PO daily on days 1-28.
Treatment repeats every 28 days in the absence of disease progression or unacceptable toxicity.
|
Études corrélatives
Bon de commande donné
Autres noms:
Étant donné IV
Autres noms:
|
|
Expérimental: Arm II (paclitaxel and pazopanib hydrochloride)
Patients receive paclitaxel as in arm I and pazopanib hydrochloride PO daily on days 1-28.
Treatment repeats every 28 days in the absence of disease progression or unacceptable toxicity.
|
Études corrélatives
Bon de commande donné
Autres noms:
Étant donné IV
Autres noms:
|
Que mesure l'étude ?
Principaux critères de jugement
Mesure des résultats |
Description de la mesure |
Délai |
|---|---|---|
|
Progression Free Survival
Délai: For those patients whose disease can be evaluated by physical examination, progression was assessed prior to each 21-day cycle. CT scan or MRI if used to follow lesion for measurable disease every other cycle, Up to 5 years
|
The time from randomization until disease progression, death, or date of last contact.
Endpoints are progression or death.
Patients who are not observed with an endpoint are censored.
Progression is defined using Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0), as a 20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a non-target lesion, or the appearance of new lesions
|
For those patients whose disease can be evaluated by physical examination, progression was assessed prior to each 21-day cycle. CT scan or MRI if used to follow lesion for measurable disease every other cycle, Up to 5 years
|
Mesures de résultats secondaires
Mesure des résultats |
Description de la mesure |
Délai |
|---|---|---|
|
Adverse Events as Assessed by CTCAE v.4
Délai: From baseline to 30 days after last dose of drug.
|
All grade 3 or greater Adverse Events (AEs) occurring during treatment and up to 30 days after stopping the study treatment are reported.
|
From baseline to 30 days after last dose of drug.
|
|
Proportion of Participants With Tumor Response by RECIST
Délai: Every other cycle for 6 months, then every 3 months until disease progression,Up to 5 years
|
Patients with Complete and Partial Tumor Response by RECIST 1.1.
Responses (CR and PR) require confirmation at greater than or equal to 4 weeks from initial documentation.
Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0) for target lesions and assessed by MRI: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), >=30% decrease in the sum of the longest diameter of target lesions; Overall Response (OR) = CR + PR.
|
Every other cycle for 6 months, then every 3 months until disease progression,Up to 5 years
|
|
Percentage of Participants With Tumor Response by CA-125
Délai: Prior to each cycle of treatment. Then follow-up every three months for 2 years and then every 6 months for 3 years, up to 5 years.
|
Response as evaluated by CA-125 levels.
Response is indicated if CA-125 reduced by 50% of the baseline measure.
|
Prior to each cycle of treatment. Then follow-up every three months for 2 years and then every 6 months for 3 years, up to 5 years.
|
|
Overall Survival (OS)
Délai: Every cycle while patient is receiving protocol therapy. Patients monitored for survival after off therapy every 3 months for 2 years, then every 6 months, up to 5 years
|
Overall survival
|
Every cycle while patient is receiving protocol therapy. Patients monitored for survival after off therapy every 3 months for 2 years, then every 6 months, up to 5 years
|
Autres mesures de résultats
Mesure des résultats |
Description de la mesure |
Délai |
|---|---|---|
|
Single-nucleotide Polymorphisms, Assessed Using the iPLEX Assay on the Sequenome MassARRAY Platform
Délai: Up to 5 years
|
Analyzed using deoxyribonucleic acid isolated from whole blood specimens.
|
Up to 5 years
|
Collaborateurs et enquêteurs
C'est ici que vous trouverez les personnes et les organisations impliquées dans cette étude.
Parrainer
Collaborateurs
Les enquêteurs
- Chercheur principal: Debra Richardson, NRG Oncology
Publications et liens utiles
La personne responsable de la saisie des informations sur l'étude fournit volontairement ces publications. Il peut s'agir de tout ce qui concerne l'étude.
Dates d'enregistrement des études
Ces dates suivent la progression des dossiers d'étude et des soumissions de résultats sommaires à ClinicalTrials.gov. Les dossiers d'étude et les résultats rapportés sont examinés par la Bibliothèque nationale de médecine (NLM) pour s'assurer qu'ils répondent à des normes de contrôle de qualité spécifiques avant d'être publiés sur le site Web public.
Dates principales de l'étude
Début de l'étude (Réel)
12 décembre 2011
Achèvement primaire (Réel)
27 janvier 2018
Achèvement de l'étude (Réel)
27 janvier 2018
Dates d'inscription aux études
Première soumission
8 novembre 2011
Première soumission répondant aux critères de contrôle qualité
8 novembre 2011
Première publication (Estimation)
10 novembre 2011
Mises à jour des dossiers d'étude
Dernière mise à jour publiée (Réel)
23 juillet 2019
Dernière mise à jour soumise répondant aux critères de contrôle qualité
22 juillet 2019
Dernière vérification
1 juillet 2019
Plus d'information
Termes liés à cette étude
Termes MeSH pertinents supplémentaires
- Processus pathologiques
- Tumeurs par type histologique
- Tumeurs
- Tumeurs, glandulaires et épithéliales
- Attributs de la maladie
- Carcinome
- Récurrence
- Mécanismes moléculaires de l'action pharmacologique
- Agents antinéoplasiques
- Modulateurs de tubuline
- Agents antimitotiques
- Modulateurs de mitose
- Agents antinéoplasiques phytogéniques
- Paclitaxel
- Paclitaxel lié à l'albumine
Autres numéros d'identification d'étude
- NCI-2011-03635 (Identificateur de registre: CTRP (Clinical Trial Reporting Program))
- U10CA180868 (Subvention/contrat des NIH des États-Unis)
- U10CA027469 (Subvention/contrat des NIH des États-Unis)
- CDR0000716028
- GOG-0186J (Autre identifiant: CTEP)
Ces informations ont été extraites directement du site Web clinicaltrials.gov sans aucune modification. Si vous avez des demandes de modification, de suppression ou de mise à jour des détails de votre étude, veuillez contacter register@clinicaltrials.gov. Dès qu'un changement est mis en œuvre sur clinicaltrials.gov, il sera également mis à jour automatiquement sur notre site Web .
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