S0904: Docetaxel With or Without Vandetanib in Treating Patients With Persistent or Recurrent Ovarian Epithelial Cancer, Fallopian Tube Cancer, or Primary Peritoneal Cancer
Fallopian Tube Cancer, Ovarian Cancer, Primary Peritoneal Cavity Cancer
About this trial
This is an interventional treatment trial for Fallopian Tube Cancer focused on measuring recurrent ovarian epithelial cancer, recurrent fallopian tube cancer, recurrent primary peritoneal cavity cancer
Eligibility Criteria
DISEASE CHARACTERISTICS:
Histologically confirmed ovarian epithelial, fallopian tube, or primary peritoneal carcinoma
- Recurrent, refractory, or progressive/persistent disease
- Measurable or non-measurable disease documented by CT scan of the abdomen and pelvis
Must have received 1 prior platinum-based chemotherapy regimen for management of primary disease containing carboplatin, cisplatin, or other organoplatinum compound
Initial treatment may have included any of the following:
- High-dose therapy
- Consolidation therapy
- Non-cytotoxic agent therapy
- Extended therapy administered after surgical or non-surgical assessment
- Additional cytotoxic regimen for recurrent, refractory, or progressive/persistent disease, including re-treatment with primary treatment regimen
- No more than 3 prior regimens for recurrent, refractory, persistent, or progressive disease.
PATIENT CHARACTERISTICS:
- Zubrod performance status 0-2
- Absolute neutrophil count (ANC) ≥ 1,500/mcl
- Platelet count ≥ 100,000/mcl
- Serum creatinine normal OR calculated creatinine clearance ≥ 30 mL/min
- Urine protein:creatinine ratio < 1
- Bilirubin ≤ 1.5 times upper limit of normal (ULN)
- aspartate aminotransferase - alanine aminotransferase (AST or ALT) ≤ 2.5 times ULN (≤ 5 times ULN if liver metastases are present)
- Alkaline phosphatase ≤ 2.5 times ULN (≤ 5 times ULN if liver metastases are present)
- Not pregnant or nursing
- Negative pregnancy test
- Fertile patients must use effective contraception during and for ≥ 6 months after completion of vandetanib therapy
- No neuropathy ≥ grade 2 CTCAE v4.0
- No active infection requiring systemic or intravenous antibiotics
- No significant traumatic injury within the past 28 days
No significant cardiovascular disease, including any of the following:
- Uncontrolled hypertension (i.e., systolic blood pressure [BP] > 140 mm Hg or diastolic BP > 90 mm Hg) within the past 28 days
- Myocardial infarction superior vena cava syndrome, or New York Heart Association (NYHA) class II-IV heart disease within the past 3 months
- Presence of left bundle branch block
- Congenital long QT syndrome or first degree relative with unexplained sudden death < 40 years of age
- QT interval with Bazett's correction that is unmeasurable or ≥ 480 msec by screening ECG
History of symptomatic arrhythmia (i.e., multifocal premature ventricular contractions, bigeminy, trigeminy, ventricular tachycardia, or uncontrolled atrial fibrillation) requiring treatment (≥ CTCAE grade 3) or asymptomatic sustained ventricular tachycardia
- Atrial fibrillation controlled on medication allowed
PRIOR CONCURRENT THERAPY:
- See Disease Characteristics
- Recovered from all prior therapy (except alopecia) to NCI CTCAE v3.0 grade ≤ 1
No prior vandetanib
- Treatment with other anti-vascular endothelial growth factor (VEGF) targeted therapy allowed
No prior docetaxel or any non-cytotoxic therapy (excluding hormonal therapy) for recurrent disease, regardless of whether it was part of primary treatment
- Prior docetaxel as part of front-line cytotoxic regimen (including maintenance therapy) allowed as long as no disease progression on or within 6 months after receiving docetaxel
At least 7 days since prior hormonal therapy for the malignant tumor
- Concurrent hormone replacement therapy for menopausal symptoms allowed
- At least 28 days since other prior therapy for the malignant tumor, including immunologic agents
- More than 7 days since prior minor surgical procedures, fine needle aspirates, or core biopsies
- More than 14 days since prior and no concurrent potent inducers of cytochrome P450 3A4 (CYP3A4) function
More than 14 days since prior and no concurrent medications having a risk of causing Torsades de Pointes or risk of QTc prolongation
- Patients receiving a drug that has a risk of QTc prolongation must not have QTc ≥ 460 msec
- More than 28 days since prior investigational agents for any purpose
- More than 28 days since prior and no concurrent major surgical procedure or open biopsy
More than 5 years since prior chemotherapy for abdominal or pelvic tumor, except treatment of ovarian, fallopian tube, or primary peritoneal cancer
- Prior adjuvant chemotherapy for localized breast cancer allowed, provided it was completed more than 3 years prior to study, and the patient remains free of recurrent or metastatic disease
More than 5 years since prior radiotherapy to any portion of the abdominal cavity or pelvis, except for the treatment of ovarian, fallopian tube, or primary peritoneal cancer
- Prior radiotherapy for localized cancer of the breast, head and neck, or skin allowed, provided it was completed more than 3 years prior to study, and the patient remains free of recurrent or metastatic disease
No prior radiation to more than 25% of marrow-bearing areas
- More than 28 days since prior radiotherapy
- No other concurrent investigational or commercial agents
Sites / Locations
- Providence Cancer Center at Providence Hospital
- Alaska Regional Hospital Cancer Center
- Arizona Cancer Center at University of Arizona Health Sciences Center
- NEA Medical Center - Stadium Boulevard
- Alta Bates Summit Comprehensive Cancer Center
- Roy and Patricia Disney Family Cancer Center at Providence Saint Joseph Medical Center
- Peninsula Medical Center
- USC/Norris Comprehensive Cancer Center and Hospital
- Contra Costa Regional Medical Center
- Tibotec Therapeutics - Division of Ortho Biotech Products, LP
- El Camino Hospital Cancer Center
- Highland General Hospital
- Alta Bates Summit Medical Center - Summit Campus
- CCOP - Bay Area Tumor Institute
- Chao Family Comprehensive Cancer Center at University of California Irvine Medical Center
- University of California Davis Cancer Center
- California Pacific Medical Center - California Campus
- Doctors Medical Center - San Pablo Campus
- Sutter Health - Western Division Cancer Research Group
- Tahoe Forest Cancer Center
- Sutter Solano Medical Center
- San Luis Valley Regional Medical Center
- University of Colorado Cancer Center at UC Health Sciences Center
- Shaw Regional Cancer Center
- Valley View Hospital Cancer Center
- St. Mary's Regional Cancer Center at St. Mary's Hospital and Medical Center
- Montrose Memorial Hospital Cancer Center
- Kapiolani Medical Center at Pali Momi
- Cancer Research Center of Hawaii
- OnCare Hawaii, Incorporated - Lusitana
- Queen's Cancer Institute at Queen's Medical Center
- Straub Clinic and Hospital, Incorporated
- Hawaii Medical Center - East
- OnCare Hawaii, Incorporated - Kuakini
- Kapiolani Medical Center for Women and Children
- Castle Medical Center
- Kauai Medical Clinic
- Maui Memorial Medical Center
- Saint Anthony's Hospital at Saint Anthony's Health Center
- University of Chicago Cancer Research Center
- Good Samaritan Regional Health Center
- Central Dupage Cancer Center
- St. Francis Hospital and Health Centers - Beech Grove Campus
- Reid Hospital & Health Care Services
- Cancer Center of Kansas, PA - Chanute
- Cancer Center of Kansas, PA - Dodge City
- Cancer Center of Kansas, PA - El Dorado
- Cancer Center of Kansas - Fort Scott
- Cancer Center of Kansas-Independence
- Cancer Center of Kansas, PA - Kingman
- Lawrence Memorial Hospital
- Cancer Center of Kansas, PA - Liberal
- Cancer Center of Kansas, PA - Newton
- Cancer Center of Kansas, PA - Parsons
- Cancer Center of Kansas, PA - Pratt
- Cancer Center of Kansas, PA - Salina
- Tammy Walker Cancer Center at Salina Regional Health Center
- Cancer Center of Kansas, PA - Wellington
- Associates in Womens Health, PA - North Review
- Cancer Center of Kansas, PA - Medical Arts Tower
- Cancer Center of Kansas, PA - Wichita
- CCOP - Wichita
- Via Christi Cancer Center at Via Christi Regional Medical Center
- Cancer Center of Kansas, PA - Winfield
- Tulane Cancer Center Office of Clinical Research
- Greenebaum Cancer Center at University of Maryland Medical Center
- Caritas Holy Family Hospital
- Battle Creek Health System Cancer Care Center
- Mecosta County Medical Center
- Josephine Ford Cancer Center at Henry Ford Hospital
- Butterworth Hospital at Spectrum Health
- CCOP - Grand Rapids
- Lacks Cancer Center at Saint Mary's Health Care
- Mercy General Health Partners
- Munson Medical Center
- Regional Cancer Center at Singing River Hospital
- Saint Francis Medical Center
- Midwest Hematology Oncology Group, Incorporated
- CCOP - St. Louis-Cape Girardeau
- David C. Pratt Cancer Center at St. John's Mercy
- CCOP - Cancer Research for the Ozarks
- St. John's Regional Health Center
- Hulston Cancer Center at Cox Medical Center South
- CCOP - Montana Cancer Consortium
- St. Vincent Healthcare Cancer Care Services
- Hematology-Oncology Centers of the Northern Rockies - Billings
- Billings Clinic - Downtown
- Bozeman Deaconess Cancer Center
- Big Sky Oncology
- Great Falls Clinic - Main Facility
- Sletten Cancer Institute at Benefis Healthcare
- St. Peter's Hospital
- Glacier Oncology, PLLC
- Kalispell Regional Medical Center
- Montana Cancer Specialists at Montana Cancer Center
- Montana Cancer Center at St. Patrick Hospital and Health Sciences Center
- University Medical Center of Southern Nevada
- CCOP - Nevada Cancer Research Foundation
- Falck Cancer Center at Arnot Ogden Medical Center
- Tucker Center for Cancer Care at Orange Regional Medical Center
- Highland Hospital of Rochester
- Wayne Memorial Hospital, Incorporated
- Pardee Memorial Hospital
- Grandview Hospital
- Good Samaritan Hospital
- David L. Rike Cancer Center at Miami Valley Hospital
- Samaritan North Cancer Care Center
- CCOP - Dayton
- Blanchard Valley Medical Associates
- Middletown Regional Hospital
- Wayne Hospital
- Charles F. Kettering Memorial Hospital
- UVMC Cancer Care Center at Upper Valley Medical Center
- Clinton Memorial Hospital
- United States Air Force Medical Center - Wright-Patterson
- Ruth G. McMillan Cancer Center at Greene Memorial Hospital
- Fox Chase Cancer Center - Philadelphia
- U.T. Medical Center Cancer Institute
- M. D. Anderson Cancer Center at University of Texas
- Danville Regional Medical Center
- St. Joseph Cancer Center
- Olympic Hematology and Oncology
- Columbia Basin Hematology
- Skagit Valley Hospital Cancer Care Center
- Harrison Poulsbo Hematology and Onocology
- Harborview Medical Center
- Minor and James Medical, PLLC
- Fred Hutchinson Cancer Research Center
- Group Health Central Hospital
- Swedish Cancer Institute at Swedish Medical Center - First Hill Campus
- Polyclinic First Hill
- University Cancer Center at University of Washington Medical Center
- Cancer Care Northwest - Spokane South
- Evergreen Hematology and Oncology, PS
- Wenatchee Valley Medical Center
- Rocky Mountain Oncology
- Welch Cancer Center at Sheridan Memorial Hospital
Arms of the Study
Arm 1
Arm 2
Experimental
Experimental
Arm I
Arm II
Patients receive docetaxel IV over 1 hour on day 1. Courses repeat every 21 days in the absence of disease progression or unacceptable toxicity. Patients who progress also receive oral vandetanib once daily on days 1-21. Courses repeat every 21 days in the absence of a second disease progression or unacceptable toxicity.
Patients receive docetaxel IV over 1 hour on day 1 and oral vandetanib once daily on days 1-21. Courses repeat every 21 days in the absence of disease progression or unacceptable toxicity.