Status:
COMPLETED
Carboplatin in Treating Patients With Stage IC-IV Ovarian, Fallopian Tube, or Primary Peritoneal Cancer
Lead Sponsor:
NHS Greater Glasgow and Clyde
Conditions:
Fallopian Tube Cancer
Ovarian Cancer
Eligibility:
FEMALE
18+ years
Phase:
PHASE3
Brief Summary
RATIONALE: Drugs used in chemotherapy, such as carboplatin, work in different ways to stop the growth of tumor cells, either by killing the cells or by stopping them from dividing. PURPOSE: This rand...
Detailed Description
OBJECTIVES: Primary * Compare progression-free survival of patients with stage IC-IV ovarian epithelial, fallopian tube, or primary peritoneal cancer treated with flat-dose vs intra-patient dose-esc...
Eligibility Criteria
Inclusion
- DISEASE CHARACTERISTICS:
- Histologically confirmed ovarian epithelial, fallopian tube, or primary peritoneal cancer\*
- Stage IC-IV disease
- Peritoneal carcinomatosis\* (ovarian-type) must not be a mucin-secreting tumor
- Stage IC patients must have malignant cells in ascitic fluid or peritoneal washings, tumor on the surface of the ovary, or preoperative capsule rupture NOTE: \* Histologic confirmation of a primary source in the ovary is not required.
- If biospy is not available, cytology showing an adenocarcinoma is allowed provided the following criteria is met:
- Patient has a pelvis (ovarian) mass AND all of the following:
- Omental cake or other metastasis is larger than 2 cm in the upper abdomen and/or regional lymph node metastasis irrespective of size OR stage IV disease
- Serum CA 125/CEA ratio \> 25 or barium enema (or colonoscopy) and gastroscopy (or radiological examination of the stomach) are negative for the presence of a primary tumor and normal mammography within 6 weeks prior to study randomization
- Initial cytoreductive laparotomy or biopsy required within the past 8 weeks
- Cytoreductive surgery may or may not have been successful during staging laparotomy
- No mixed mesodermal tumors
- No borderline ovarian tumors or tumors termed "possibly malignant"
- No adenocarcinoma of unknown origin, if histologically confirmed to be a mucin-secreting tumor
- Considered unsuitable for or unwilling to receive platinum-taxane combination therapy
- No concurrent endometrial cancer
- PATIENT CHARACTERISTICS:
- Age
- 18 and over
- Performance status
- ECOG 0-3
- Life expectancy
- Not specified
- Hematopoietic
- Absolute neutrophil count ≥ 1,500/mm\^3
- Platelet count ≥ 100,000/mm\^3
- Hepatic
- Bilirubin normal
- AST and ALT ≤ 2.5 times upper limit of normal (ULN)
- Alkaline phosphatase ≤ 5 times ULN
- Renal
- Creatinine clearance ≥ 30 mL/min
- Obstructive hydronephrosis as a cause of borderline (i.e., creatinine clearance 30-45 mL/min) renal function must be treated before study entry
- Cardiovascular
- No hypertension
- No ischemic heart disease
- No myocardial infarction within the past 6 months
- No congestive heart failure
- Other
- Not pregnant or nursing
- Fertile patients must use effective contraception
- No symptomatic peripheral neuropathy ≥ grade 2
- No uncontrolled infection
- No other severe and/or uncontrolled medical condition
- No other malignancy within the past 5 years except curatively treated carcinoma in situ of the cervix or basal cell skin cancer
- PRIOR CONCURRENT THERAPY:
- Biologic therapy
- Not specified
- Chemotherapy
- No prior chemotherapy
- No other concurrent cytotoxic chemotherapy until progressive disease occurs
- Endocrine therapy
- Not specified
- Radiotherapy
- No prior radiotherapy
- Surgery
- See Disease Characteristics
Exclusion
Key Trial Info
Start Date :
March 1 2004
Trial Type :
INTERVENTIONAL
Allocation :
ESTIMATED
End Date :
July 1 2010
Estimated Enrollment :
1300 Patients enrolled
Trial Details
Trial ID
NCT00098878
Start Date
March 1 2004
End Date
July 1 2010
Last Update
August 7 2013
Active Locations (88)
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1
Sydney Heamatology and Oncology Clinics
Hornsby, New South Wales, Australia, 2077
2
Lismore Base Hospital
Lismore, New South Wales, Australia, 2480
3
Institute of Oncology at Prince of Wales Hospital
Randwick, New South Wales, Australia, 2031
4
Royal North Shore Hospital
St Leonards, New South Wales, Australia, 2065