- ICH GCP
- Registro degli studi clinici negli Stati Uniti
- Sperimentazione clinica NCT00002568
Combination Chemotherapy With or Without Surgery in Treating Patients With Stage III Ovarian Epithelial Cancer
A PHASE III RANDOMIZED STUDY OF CISPLATIN (NSC #119875) AND TAXOL (PACLITAXEL) (NSC #125973) WITH INTERVAL SECONDARY CYTOREDUCTION VERSUS CISPLATIN AND PACLITAXEL IN PATIENTS WITH SUBOPTIMAL STAGE III & IV EPITHELIAL OVARIAN CARCINOMA
RATIONALE: Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die. Combining more than one drug or combining chemotherapy with surgery may kill more tumor cells.
PURPOSE: Randomized phase III trial to compare the effectiveness of combination chemotherapy consisting of paclitaxel and cisplatin with or without surgery in treating patients with stage III ovarian epithelial cancer.
Panoramica dello studio
Stato
Condizioni
Intervento / Trattamento
Descrizione dettagliata
OBJECTIVES: I. Determine whether secondary cytoreductive surgery improves the progression-free interval and survival in patients with suboptimally resected stage III ovarian epithelial carcinoma treated with paclitaxel/cisplatin. II. Determine the morbidity of secondary cytoreductive surgery in these patients. III. Assess prospectively the quality of life (QOL) of these patients and determine whether secondary cytoreductive surgery affects QOL.
OUTLINE: Randomized study. Following treatment on Regimen A, patients with stable or objective response are randomized to Arms I and II. Regimen A: 2-Drug Combination Chemotherapy. Paclitaxel (Bristol-Myers), Taxol, NSC-125973; Cisplatin, CDDP, NSC-119875. Arm I: Surgery followed by 2-Drug Combination Chemotherapy. Laparotomy with resection of residual disease; followed by Taxol/CDDP. Arm II: 2-Drug Combination Chemotherapy. Taxol; CDDP.
PROJECTED ACCRUAL: Approximately 470 patients will be entered over 20 months to provide 400 evaluable patients.
Tipo di studio
Iscrizione (Anticipato)
Fase
- Fase 3
Contatti e Sedi
Luoghi di studio
-
-
Alabama
-
Birmingham, Alabama, Stati Uniti, 35294
- University of Alabama Comprehensive Cancer Center
-
-
Arizona
-
Phoenix, Arizona, Stati Uniti, 85006-2726
- CCOP - Greater Phoenix
-
-
California
-
Los Angeles, California, Stati Uniti, 90033-0800
- USC/Norris Comprehensive Cancer Center
-
Los Angeles, California, Stati Uniti, 90095-1781
- Jonsson Comprehensive Cancer Center, UCLA
-
Orange, California, Stati Uniti, 92868
- Chao Family Comprehensive Cancer Center
-
Palo Alto, California, Stati Uniti, 94304
- Women's Cancer Center
-
Stanford, California, Stati Uniti, 94305-5408
- Stanford University Medical Center
-
-
Colorado
-
Denver, Colorado, Stati Uniti, 80262
- University of Colorado Cancer Center
-
-
District of Columbia
-
Washington, District of Columbia, Stati Uniti, 20307-5000
- Walter Reed Army Medical Center
-
Washington, District of Columbia, Stati Uniti, 20007
- Lombardi Cancer Center, Georgetown University
-
-
Florida
-
Tampa, Florida, Stati Uniti, 33612
- H. Lee Moffitt Cancer Center and Research Institute
-
-
Georgia
-
Atlanta, Georgia, Stati Uniti, 30322
- Emory University Hospital - Atlanta
-
-
Hawaii
-
Honolulu, Hawaii, Stati Uniti, 96813
- MBCCOP - Hawaii
-
-
Illinois
-
Chicago, Illinois, Stati Uniti, 60612
- Rush-Presbyterian-St. Luke's Medical Center
-
-
Indiana
-
Indianapolis, Indiana, Stati Uniti, 46202-5265
- Indiana University Cancer Center
-
-
Iowa
-
Iowa City, Iowa, Stati Uniti, 52242
- University of Iowa Hospitals and Clinics
-
-
Kentucky
-
Lexington, Kentucky, Stati Uniti, 40536-0084
- Albert B. Chandler Medical Center, University of Kentucky
-
-
Maryland
-
Baltimore, Maryland, Stati Uniti, 21231
- Johns Hopkins Oncology Center
-
-
Massachusetts
-
Worcester, Massachusetts, Stati Uniti, 01655
- University of Massachusetts Memorial Medical Center
-
-
Michigan
-
Ann Arbor, Michigan, Stati Uniti, 48106
- CCOP - Ann Arbor Regional
-
Detroit, Michigan, Stati Uniti, 48201
- Barbara Ann Karmanos Cancer Institute
-
-
Minnesota
-
Minneapolis, Minnesota, Stati Uniti, 55455
- University of Minnesota Cancer Center
-
-
Mississippi
-
Jackson, Mississippi, Stati Uniti, 39216-4505
- University of Mississippi Medical Center
-
-
Missouri
-
Saint Louis, Missouri, Stati Uniti, 63110
- Washington University School of Medicine
-
-
New Jersey
-
Camden, New Jersey, Stati Uniti, 08103
- Cooper Hospital/University Medical Center
-
Morristown, New Jersey, Stati Uniti, 07962-1956
- Morristown Memorial Hospital
-
-
New York
-
Albany, New York, Stati Uniti, 12208
- Cancer Center of Albany Medical Center
-
Brooklyn, New York, Stati Uniti, 11203
- State University of New York Health Science Center at Brooklyn
-
Manhasset, New York, Stati Uniti, 11030
- North Shore University Hospital
-
New York, New York, Stati Uniti, 10021
- Memorial Sloan-Kettering Cancer Center
-
Rochester, New York, Stati Uniti, 14642
- University of Rochester Cancer Center
-
Stony Brook, New York, Stati Uniti, 11790-7775
- State University of New York Health Sciences Center - Stony Brook
-
-
North Carolina
-
Chapel Hill, North Carolina, Stati Uniti, 27599-7295
- Lineberger Comprehensive Cancer Center, UNC
-
Durham, North Carolina, Stati Uniti, 27710
- Duke Comprehensive Cancer Center
-
Winston-Salem, North Carolina, Stati Uniti, 27157-1082
- Comprehensive Cancer Center of Wake Forest University Baptist Medical Center
-
-
Ohio
-
Cincinnati, Ohio, Stati Uniti, 45219
- Barrett Cancer Center, The University Hospital
-
Cleveland, Ohio, Stati Uniti, 44195
- Cleveland Clinic Taussig Cancer Center
-
Cleveland, Ohio, Stati Uniti, 44106-5065
- Ireland Cancer Center
-
Columbus, Ohio, Stati Uniti, 43210
- Arthur G. James Cancer Hospital - Ohio State University
-
-
Oklahoma
-
Oklahoma City, Oklahoma, Stati Uniti, 73190
- University of Oklahoma College of Medicine
-
-
Oregon
-
Portland, Oregon, Stati Uniti, 97213
- CCOP - Columbia River Program
-
-
Pennsylvania
-
Abington, Pennsylvania, Stati Uniti, 19001
- Abington Memorial Hospital
-
Hershey, Pennsylvania, Stati Uniti, 17033
- Milton S. Hershey Medical Center
-
Philadelphia, Pennsylvania, Stati Uniti, 19111
- Fox Chase Cancer Center
-
Philadelphia, Pennsylvania, Stati Uniti, 19104
- University of Pennsylvania Cancer Center
-
Philadelphia, Pennsylvania, Stati Uniti, 19107
- Kimmel Cancer Center of Thomas Jefferson University - Philadelphia
-
-
South Carolina
-
Charleston, South Carolina, Stati Uniti, 29425-0721
- Medical University of South Carolina
-
Spartanburg, South Carolina, Stati Uniti, 29303
- CCOP - Upstate Carolina
-
-
Tennessee
-
Memphis, Tennessee, Stati Uniti, 38117
- CCOP - Baptist Cancer Institute
-
Nashville, Tennessee, Stati Uniti, 37203
- Brookview Research, Inc.
-
-
Texas
-
Dallas, Texas, Stati Uniti, 75235-9154
- Simmons Cancer Center - Dallas
-
Houston, Texas, Stati Uniti, 77030-4009
- University of Texas - MD Anderson Cancer Center
-
-
Virginia
-
Charlottesville, Virginia, Stati Uniti, 22908
- Cancer Center, University of Virginia HSC
-
-
Washington
-
Seattle, Washington, Stati Uniti, 98195-6043
- University of Washington Medical Center
-
Tacoma, Washington, Stati Uniti, 98405
- Tacoma General Hospital
-
-
Criteri di partecipazione
Criteri di ammissibilità
Età idonea allo studio
- Bambino
- Adulto
- Adulto più anziano
Accetta volontari sani
Sessi ammissibili allo studio
Descrizione
DISEASE CHARACTERISTICS: Histologically confirmed primary ovarian epithelial cancer Stage III disease, i.e.: Greater than 1 cm residual intraperitoneal disease following exploratory laparotomy with maximum debulking Laparoscopic resection alone insufficient The following histologies are eligible: Serous adenocarcinoma Transitional cell carcinoma Mucinous adenocarcinoma Undifferentiated carcinoma Clear cell adenocarcinoma Mixed epithelial carcinoma Adenocarcinoma Endometrioid tumor Adenocarcinoma NOS Malignant Brenner's tumor No unclassified ovarian cancer (i.e., unexplored tumors thought to be of ovarian origin or tumors not verified as arising from ovarian stroma) No borderline (grade 0) or "probably malignant" carcinoma Measurable disease preferred Patients eligible for this protocol are also eligible for protocol GOG-136
PATIENT CHARACTERISTICS: Age: Any age Performance status: GOG 0-2 Hematopoietic: WBC at least 3,000/mm3 Absolute granulocyte count at least 1,500/mm3 Platelet count at least 100,000/mm3 Hepatic: Bilirubin no more than 1.5 times normal ALT, AST, and GGT no more than 3 times normal Alkaline phosphatase no more than 3 times normal LDH no more than 3 times normal Renal: Creatinine no more than 2.0 mg/dL Cardiovascular: No history of congestive heart failure No myocardial infarction within 6 months No unstable angina Other: No septicemia or severe infection No acute hepatitis No severe gastrointestinal bleeding No second malignancy within 5 years except nonmelanomatous skin cancer Not pregnant or nursing Effective contraception required of fertile patients
PRIOR CONCURRENT THERAPY: Biologic therapy: Not specified Chemotherapy: No prior cytotoxic chemotherapy Endocrine therapy: Not specified Radiotherapy: No prior radiotherapy Surgery: See Disease Characteristics No more than 6 weeks since staging surgery
Piano di studio
Come è strutturato lo studio?
Dettagli di progettazione
- Scopo principale: Trattamento
- Assegnazione: Randomizzato
Collaboratori e investigatori
Sponsor
Collaboratori
Investigatori
- Cattedra di studio: Peter G. Rose, MD, The Cleveland Clinic
Pubblicazioni e link utili
Pubblicazioni generali
- Farley JH, Tian C, Rose GS, Brown CL, Birrer M, Maxwell GL. Race does not impact outcome for advanced ovarian cancer patients treated with cisplatin/paclitaxel: an analysis of Gynecologic Oncology Group trials. Cancer. 2009 Sep 15;115(18):4210-7. doi: 10.1002/cncr.24482.
- Winter WE 3rd, Maxwell GL, Tian C, Sundborg MJ, Rose GS, Rose PG, Rubin SC, Muggia F, McGuire WP; Gynecologic Oncology Group. Tumor residual after surgical cytoreduction in prediction of clinical outcome in stage IV epithelial ovarian cancer: a Gynecologic Oncology Group Study. J Clin Oncol. 2008 Jan 1;26(1):83-9. doi: 10.1200/JCO.2007.13.1953. Epub 2007 Nov 19.
- Rose PG, Java JJ, Salani R, Geller MA, Secord AA, Tewari KS, Bender DP, Mutch DG, Friedlander ML, Van Le L, Method MW, Hamilton CA, Lee RB, Wenham RM, Guntupalli SR, Markman M, Muggia FM, Armstrong DK, Bookman MA, Burger RA, Copeland LJ. Nomogram for Predicting Individual Survival After Recurrence of Advanced-Stage, High-Grade Ovarian Carcinoma. Obstet Gynecol. 2019 Feb;133(2):245-254. doi: 10.1097/AOG.0000000000003086. Erratum In: Obstet Gynecol. 2019 Apr;133(4):830.
- von Gruenigen VE, Huang HQ, Gil KM, Gibbons HE, Monk BJ, Rose PG, Armstrong DK, Cella D, Wenzel L. A comparison of quality-of-life domains and clinical factors in ovarian cancer patients: a Gynecologic Oncology Group study. J Pain Symptom Manage. 2010 May;39(5):839-46. doi: 10.1016/j.jpainsymman.2009.09.022.
- Winter WE 3rd, Maxwell GL, Tian C, Carlson JW, Ozols RF, Rose PG, Markman M, Armstrong DK, Muggia F, McGuire WP; Gynecologic Oncology Group Study. Prognostic factors for stage III epithelial ovarian cancer: a Gynecologic Oncology Group Study. J Clin Oncol. 2007 Aug 20;25(24):3621-7. doi: 10.1200/JCO.2006.10.2517.
- van der Burg ME, Vergote I; Gynecological Cancer Group of the EORTC. The role of interval debulking surgery in ovarian cancer. Curr Oncol Rep. 2003 Nov;5(6):473-81. doi: 10.1007/s11912-003-0008-8.
- Wenzel L, Huang HQ, Monk BJ, Rose PG, Cella D. Quality-of-life comparisons in a randomized trial of interval secondary cytoreduction in advanced ovarian carcinoma: a Gynecologic Oncology Group study. J Clin Oncol. 2005 Aug 20;23(24):5605-12. doi: 10.1200/JCO.2005.08.147.
Studiare le date dei record
Studia le date principali
Inizio studio
Completamento primario (Effettivo)
Date di iscrizione allo studio
Primo inviato
Primo inviato che soddisfa i criteri di controllo qualità
Primo Inserito (Stima)
Aggiornamenti dei record di studio
Ultimo aggiornamento pubblicato (Stima)
Ultimo aggiornamento inviato che soddisfa i criteri QC
Ultimo verificato
Maggiori informazioni
Termini relativi a questo studio
Parole chiave
Termini MeSH pertinenti aggiuntivi
Altri numeri di identificazione dello studio
- CDR0000063600
- GOG-152
Queste informazioni sono state recuperate direttamente dal sito web clinicaltrials.gov senza alcuna modifica. In caso di richieste di modifica, rimozione o aggiornamento dei dettagli dello studio, contattare register@clinicaltrials.gov. Non appena verrà implementata una modifica su clinicaltrials.gov, questa verrà aggiornata automaticamente anche sul nostro sito web .