Weekly Infusions of Paclitaxel in Treating Women With Stage III or Stage IV Ovarian Cancer Refractory to Paclitaxel and Platinum
A Phase II Trial of Paclitaxel (Taxol) Administered as a Weekly One Hour Infusion in Patients With Taxol/Platinum-Refractory Stage III and IV Ovarian Cancer
RATIONALE: Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die. Giving the drugs in different ways may kill more tumor cells.
PURPOSE: Phase II trial to study the effectiveness of paclitaxel in treating women with stage III or stage IV ovarian cancer that is refractory to paclitaxel and platinum-based regimens.
연구 개요
상세 설명
OBJECTIVES: I. Determine the objective response rate of paclitaxel given as a weekly one hour infusion in patients with paclitaxel/platinum refractory stage III and IV ovarian cancer. II. Evaluate the safety of paclitaxel in this patient population. III. Assess the overall survival in these patients. IV. Assess quality of life in these patients.
OUTLINE: This is a multicenter, open label, nonrandomized study. Patients are administered paclitaxel as a one hour IV infusion every 7 days. Each cycle consists of four weeks. Treatment may be delayed for up to 2 weeks and there is no limit to the number of interruptions a patient may experience. Patients receive paclitaxel weekly until disease progression or unacceptable toxicity. Treatment is assessed every 3 cycles for one year and then every 6 months thereafter during study. Quality of life is assessed every cycle for the first 6 cycles, then every 3 cycles thereafter. Patients are followed every 3 months for survival.
PROJECTED ACCRUAL: There will be 100 patients accrued into this study.
연구 유형
등록 (예상)
단계
- 2 단계
연락처 및 위치
연구 장소
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Alabama
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Mobile, Alabama, 미국, 36608
- Oncology Center at Providence Park
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Arizona
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Phoenix, Arizona, 미국, 85013
- Hematology Associates, Ltd.
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Arkansas
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Fayetteville, Arkansas, 미국, 72703
- Highlands Oncology Group, P.A.
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California
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Santa Barbara, California, 미국, 93105
- Cancer Center of Santa Barbara
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Florida
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West Palm Beach, Florida, 미국, 33401
- Good Samaritan Medical Center
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Illinois
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Decatur, Illinois, 미국, 62526
- Decatur Memorial Hospital Cancer Care Institute
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Nebraska
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Omaha, Nebraska, 미국, 68131-2197
- Creighton University Cancer Center
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New Jersey
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Neptune, New Jersey, 미국, 07753
- Jersey Shore Cancer Center
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New York
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Albany, New York, 미국, 12209
- Women's Health Center at Albany Medical Center
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North Carolina
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Charlotte, North Carolina, 미국, 28232-2861
- Carolinas Medical Center
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Ohio
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Akron, Ohio, 미국, 44302
- Akron General Medical Center
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Cincinnati, Ohio, 미국, 45219
- Oncology/Hematology Care, Inc.
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Cleveland, Ohio, 미국, 44195
- Cleveland Clinic Cancer Center
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Pennsylvania
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Harrisburg, Pennsylvania, 미국, 17105-8700
- Women's Cancer Center of Central PA, P.C.
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Rhode Island
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Providence, Rhode Island, 미국, 02905
- Women and Infants Hospital of Rhode Island
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Tennessee
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Nashville, Tennessee, 미국, 37203
- Brookview Research, Inc.
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Texas
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Amarillo, Texas, 미국, 79106
- Harrington Cancer Center
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Washington
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Spokane, Washington, 미국, 99202
- Rockwood Clinic P.S.
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참여기준
자격 기준
공부할 수 있는 나이
건강한 자원 봉사자를 받아들입니다
연구 대상 성별
설명
DISEASE CHARACTERISTICS: Histologically confirmed stage III or IV ovarian cancer that is refractory to an initial chemotherapy regimen that included a platinum agent plus paclitaxel - Epithelial ovarian cancer - Primary carcinoma of the peritoneum - Fallopian tube cancer Initial response to platinum and paclitaxel must have been one of the following: Progression or stable disease Response that lasted less than 3 months Response that lasted at least 3 months, but when retreated with both agents (in combination or as single agents) disease was refractory Measurable or evaluable disease Evaluable disease is defined by: CA-125 at least 100 units/mL AND CA-125 level must have at least doubled from baseline determination
PATIENT CHARACTERISTICS: Age: 18 and over Performance status: ECOG 0-2 Life expectancy: At least 3 months Hematopoietic: Absolute granulocyte count at least 1,500/mm3 Platelet count at least 100,000/mm3 Hepatic: Bilirubin no greater than 2 times upper limit of normal (ULN) AST or ALT no greater than 2.5 times ULN Renal: Creatinine no greater than 2.0 mg/dL Cardiovascular: No New York Heart Association Class III or IV heart disease No myocardial infarction within last 6 months No congestive heart failure No unstable angina No clinically significant pericardial effusion or arrhythmia Neurology: No current peripheral neuropathy of any etiology that is greater than grade 1 Other: No active serious infection or other serious underlying medical condition No prior significant allergic reactions to drugs containing Cremophor, such as teniposide, cyclosporin, or vitamin K Not pregnant or nursing Adequate contraception required of all fertile patients
PRIOR CONCURRENT THERAPY: Biologic therapy: At least 3 weeks since immunotherapy No concurrent immunotherapy Chemotherapy: Prior paclitaxel treatment must have been administered on a 3 week or greater schedule No other prior chemotherapy besides platinum and paclitaxel At least 3 weeks since acceptable chemotherapy Endocrine therapy: At least 3 weeks since hormonal therapy No concurrent hormonal therapy Radiotherapy: At least 3 weeks since radiotherapy No prior radiation to greater than 30% of bone marrow Surgery: At least 3 weeks since major surgery
공부 계획
연구는 어떻게 설계됩니까?
디자인 세부사항
- 주 목적: 치료
공동 작업자 및 조사자
스폰서
수사관
- 연구 의자: Maurie Markman, MD, The Cleveland Clinic
연구 기록 날짜
연구 주요 날짜
연구 시작
연구 등록 날짜
최초 제출
QC 기준을 충족하는 최초 제출
처음 게시됨 (추정)
연구 기록 업데이트
마지막 업데이트 게시됨 (추정)
QC 기준을 충족하는 마지막 업데이트 제출
마지막으로 확인됨
추가 정보
이 연구와 관련된 용어
추가 관련 MeSH 약관
기타 연구 ID 번호
- CDR0000065955
- THERADEX-B97-3250
- BMS-TAX/MEN.03
- NCI-V97-1366
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