Carboplatin With or Without Gemcitabine in Treating Patients With Advanced Ovarian Epithelial Cancer That Has Not Responded to Previous Chemotherapy
| Status: | Completed |
|---|---|
| Conditions: | Ovarian Cancer, Cancer |
| Therapuetic Areas: | Oncology |
| Healthy: | No |
| Age Range: | 18 - 120 |
| Updated: | 4/21/2016 |
| Start Date: | September 1999 |
| End Date: | October 2006 |
A Randomized Phase III Study Comparing Gemcitabine Plus Carboplatin Versus Carboplatin Monotherapy in Patients With Advanced Epithelial Ovarian Carcinoma Who Failed First-Line Platinum-Based Therapy
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 may kill more tumor cells. It is
not yet known if carboplatin is more effective with or without gemcitabine for ovarian
epithelial cancer.
PURPOSE: Randomized phase III trial to compare the effectiveness of carboplatin with or
without gemcitabine in treating patients who have advanced ovarian epithelial cancer that
has not responded to previous chemotherapy.
so they stop growing or die. Combining more than one drug may kill more tumor cells. It is
not yet known if carboplatin is more effective with or without gemcitabine for ovarian
epithelial cancer.
PURPOSE: Randomized phase III trial to compare the effectiveness of carboplatin with or
without gemcitabine in treating patients who have advanced ovarian epithelial cancer that
has not responded to previous chemotherapy.
OBJECTIVES:
- Compare time to progression in patients with advanced ovarian epithelial carcinoma who
failed prior first-line platinum-based therapy when treated with carboplatin with or
without gemcitabine.
- Compare response rate, duration of response, and survival time of patients treated with
these regimens.
- Compare the toxicity of these treatment regimens in these patients.
- Compare quality of life of patients treated with these regimens.
OUTLINE: This is a randomized, open-label, multicenter study. Patients are stratified
according to progression-free time (6-12 months vs more than 12 months), type of prior
first-line therapy, and bidimensionally measurable disease (yes vs no). Patients are
randomized to one of two treatment arms.
- Arm I: Patients receive carboplatin IV over 30-60 minutes on day 1 and gemcitabine IV
over 30-60 minutes on days 1 and 8.
- Arm II: Patients receive carboplatin IV as in arm I. Treatment in both arms repeats
every 3 weeks for up to 6-8 courses in the absence of disease progression or
unacceptable toxicity.
Quality of life is assessed at baseline, before each subsequent chemotherapy course, and at
50 days after study.
Patients are followed at 50 days, every 2 months for 1 year, and then every 3 months for 1
year.
PROJECTED ACCRUAL: A total of 350 patients will be accrued for this study.
- Compare time to progression in patients with advanced ovarian epithelial carcinoma who
failed prior first-line platinum-based therapy when treated with carboplatin with or
without gemcitabine.
- Compare response rate, duration of response, and survival time of patients treated with
these regimens.
- Compare the toxicity of these treatment regimens in these patients.
- Compare quality of life of patients treated with these regimens.
OUTLINE: This is a randomized, open-label, multicenter study. Patients are stratified
according to progression-free time (6-12 months vs more than 12 months), type of prior
first-line therapy, and bidimensionally measurable disease (yes vs no). Patients are
randomized to one of two treatment arms.
- Arm I: Patients receive carboplatin IV over 30-60 minutes on day 1 and gemcitabine IV
over 30-60 minutes on days 1 and 8.
- Arm II: Patients receive carboplatin IV as in arm I. Treatment in both arms repeats
every 3 weeks for up to 6-8 courses in the absence of disease progression or
unacceptable toxicity.
Quality of life is assessed at baseline, before each subsequent chemotherapy course, and at
50 days after study.
Patients are followed at 50 days, every 2 months for 1 year, and then every 3 months for 1
year.
PROJECTED ACCRUAL: A total of 350 patients will be accrued for this study.
DISEASE CHARACTERISTICS:
- Histologically confirmed ovarian epithelial carcinoma not amenable to curative
surgery or radiotherapy
- Evidence of recurrence or progression 6 months after discontinuation of prior
first-line platinum-containing regimen
- No tumor of borderline malignancy
- Evaluable disease outside previously irradiated area
- No CNS metastases
PATIENT CHARACTERISTICS:
Age:
- 18 and over
Performance status:
- ECOG 0-2
Life expectancy:
- At least 12 weeks
Hematopoietic:
- Neutrophil count at least 1,500/mm3
- Platelet count at least 100,000/mm3
Hepatic:
- Not specified
Renal:
- Glomerular filtration rate greater than 50 mL/min
Other:
- No concurrent active infection
- No other primary malignancy except carcinoma in situ of the cervix or adequately
treated basal cell skin cancer
- No other concurrent serious systemic disorder
PRIOR CONCURRENT THERAPY:
Biologic therapy:
- Not specified
Chemotherapy:
- See Disease Characteristics
- No more than 1 prior platinum-based chemotherapy regimen
- No prior gemcitabine
- No other concurrent cytotoxic or antineoplastic treatment
Endocrine therapy:
- At least 3 weeks since prior hormonal therapy
- Concurrent hormone replacement therapy allowed
- Concurrent steroid antiemetics allowed
Radiotherapy:
- See Disease Characteristics
- At least 3 weeks since prior radiotherapy (limited to the small pelvis)
- Concurrent palliative radiotherapy to nontarget lesions allowed
Surgery:
- See Disease Characteristics
Other:
- At least 3 weeks since other prior investigational agents
We found this trial at
2
sites
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