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HIPEC for Platinum-Resistant Recurrent Ovarian Cancer (KOV-HIPEC-02)

Primary Purpose

Epithelial Ovarian Cancer

Status
Recruiting
Phase
Phase 3
Locations
Korea, Republic of
Study Type
Interventional
Intervention
HIPEC
Sponsored by
National Cancer Center, Korea
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Epithelial Ovarian Cancer focused on measuring Ovarian cancer, Hyperthermic intraperitoneal chemotherapy, HIPEC, Recurrent ovarian cancer

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)FemaleDoes not accept healthy volunteers
  • Inclusion Criteria:

    • Patients ≥18 years old,
    • Patients with Eastern Cooperative Oncology Group (ECOG) Performance status 0-2,
    • Patients diagnosed with histologically confirmed epithelial ovarian cancer, fallopian tube cancer, or primary peritoneal cancer,
    • Resistant to platinum-based chemotherapy (Platinum-refractory or resistant disease)
    • Resectable intraperitoneal disease based on previous clinical history and recent image finding,
    • A life expectancy > 3 months as clinically judged,
    • Women who are medically unable to conceive or who are of childbearing potential, agree to follow contraceptive guidelines during treatment,
    • Patient can also consent to the provision of clinical information for secondary use such as future biomedical research. However, in the future, subjects can participate in the main trial even if they do not intend to participate in sharing clinical information and,
    • Adequate organ function for cytoreductive surgery and HIPEC
  • Exclusion criteria:

    • Non-epithelial ovarian carcinoma,
    • Borderline ovarian tumor,
    • Patients who are not appropriate for surgical and HIPEC procedures based on previous surgery or clinical findings, including severe intestinal adhesions, obstruction, or abdominal fistula,
    • Patients with myelodysplastic syndrome (MDS)/acute myeloid leukemia (AML) or with features suggestive of MDS/AML,
    • Patients which extra-abdominal disease is a major disease or is expected to cause of death,
    • Patients with active central nervous system metastasis and carcinoma meningitis or patients who have been previously treated for brain metastases must be in a stable state in radiology,
    • Patients with antibacterial, antifungal, or antiviral infections requiring systemic treatment (administration of parenteral antibiotics),
    • Active tuberculosis that is not controlled within 1 month of treatment,
    • Patient diagnosed with a psychiatric disorder or substance abuse disorder that would interfere with your ability to cooperate with the trial,
    • Patients who have not undergone hysterectomy and have a positive urine pregnancy test result within 14 days prior to clinical trial assignment, even if the urine pregnancy test result is negative at screening,
    • Pregnant or lactating women,
    • Patients with any contraindications to the use of doxorubicin or mitomycin (i.e., hypersensitivity to doxorubicin or mitomycin),
    • Patients with a history of allogeneic tissue/solid organ transplantation or bone marrow transplantation or a history of double umbilical cord transplantation or,
    • History or current evidence of any condition, therapy, or laboratory abnormality that may confound the results of the study, interfere with the patient's participation, in the opinion of the treating investigator.

Sites / Locations

  • Myong Cheol LimRecruiting

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

No Intervention

Arm Label

HIPEC

No HIPEC

Arm Description

Intraoperative Hyperthermic Intraperitoneal Chemotherapy (HIPEC) followed by physician-choice chemotherapy until disease progression.

Physician-choice chemotherapy from enrollment until disease progression.

Outcomes

Primary Outcome Measures

Progression-free survival (PFS)

Secondary Outcome Measures

Overall survival (OS)
cancer-specific survival
Treatment-related adverse events
assessed by CTCAE ver.5.0
Health-related quality of life (QLQ C30)
assessed by EEuropean Organisation for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire-Score 30 (QLQ-C30)
Health-related quality of life (QLQ OV28)
assessed by European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire-Ovarian Cancer Module (QLQ-OV28)
Health-related quality of life (EQ-5D-5L)
assessed by the 5-level EQ-5D version (EQ-5D-5L)
Cost-effectiveness analysis
assessed by Quality-Adjusted Live Years (QALYs)

Full Information

First Posted
March 3, 2022
Last Updated
May 31, 2023
Sponsor
National Cancer Center, Korea
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1. Study Identification

Unique Protocol Identification Number
NCT05316181
Brief Title
HIPEC for Platinum-Resistant Recurrent Ovarian Cancer
Acronym
KOV-HIPEC-02
Official Title
Randomized Phase III Trial of Hyperthermic Intraperitoneal Chemotherapy (HIPEC) for Platinum-Resistant Recurrent Ovarian Cancer
Study Type
Interventional

2. Study Status

Record Verification Date
May 2023
Overall Recruitment Status
Recruiting
Study Start Date
April 7, 2022 (Actual)
Primary Completion Date
December 31, 2024 (Anticipated)
Study Completion Date
December 31, 2029 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
National Cancer Center, Korea

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
Yes
Product Manufactured in and Exported from the U.S.
Yes

5. Study Description

Brief Summary
Platinum-resistant recurrent epithelial ovarian cancer randomizing with or without hyperthermic intraperitoneal chemotherapy (HIPEC)
Detailed Description
The objective of this trial (KOV-HIPEC-02) is to prove the survival benefit of HIPEC with doxorubicin and mitomycin (trial arm) compared to physician-choice chemotherapy (control arm) in patients with platinum-resistant recurrent epithelial ovarian cancer.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Epithelial Ovarian Cancer
Keywords
Ovarian cancer, Hyperthermic intraperitoneal chemotherapy, HIPEC, Recurrent ovarian cancer

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Model Description
Randomized controlled, open-label, multicenter phase III trial
Masking
None (Open Label)
Allocation
Randomized
Enrollment
140 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
HIPEC
Arm Type
Experimental
Arm Description
Intraoperative Hyperthermic Intraperitoneal Chemotherapy (HIPEC) followed by physician-choice chemotherapy until disease progression.
Arm Title
No HIPEC
Arm Type
No Intervention
Arm Description
Physician-choice chemotherapy from enrollment until disease progression.
Intervention Type
Procedure
Intervention Name(s)
HIPEC
Intervention Description
HIPEC perfusion, doxorubicin 35mg/m2 & mitomycin 15 mg/m2, 41.5'C, 90 min.
Primary Outcome Measure Information:
Title
Progression-free survival (PFS)
Time Frame
From randomization to time of first progression or death from any cause, whichever came first, assessed up to 5 years
Secondary Outcome Measure Information:
Title
Overall survival (OS)
Time Frame
From randomization to the date of death from any cause, assessed up to 5 years
Title
cancer-specific survival
Time Frame
From randomization to the date of death due to ovarian cancer, assessed up to 5 years
Title
Treatment-related adverse events
Description
assessed by CTCAE ver.5.0
Time Frame
From randomization up to the end of treatment plus 6 weeks
Title
Health-related quality of life (QLQ C30)
Description
assessed by EEuropean Organisation for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire-Score 30 (QLQ-C30)
Time Frame
Over the 5 year surveillance period
Title
Health-related quality of life (QLQ OV28)
Description
assessed by European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire-Ovarian Cancer Module (QLQ-OV28)
Time Frame
Over the 5 year surveillance period
Title
Health-related quality of life (EQ-5D-5L)
Description
assessed by the 5-level EQ-5D version (EQ-5D-5L)
Time Frame
Over the 5 year surveillance period
Title
Cost-effectiveness analysis
Description
assessed by Quality-Adjusted Live Years (QALYs)
Time Frame
At time of completion of 5-year surveillance period

10. Eligibility

Sex
Female
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Patients ≥18 years old, Patients with Eastern Cooperative Oncology Group (ECOG) Performance status 0-2, Patients diagnosed with histologically confirmed epithelial ovarian cancer, fallopian tube cancer, or primary peritoneal cancer, Resistant to platinum-based chemotherapy (Platinum-refractory or resistant disease) Resectable intraperitoneal disease based on previous clinical history and recent image finding, A life expectancy > 3 months as clinically judged, Women who are medically unable to conceive or who are of childbearing potential, agree to follow contraceptive guidelines during treatment, Patient can also consent to the provision of clinical information for secondary use such as future biomedical research. However, in the future, subjects can participate in the main trial even if they do not intend to participate in sharing clinical information and, Adequate organ function for cytoreductive surgery and HIPEC Exclusion criteria: Non-epithelial ovarian carcinoma, Borderline ovarian tumor, Patients who are not appropriate for surgical and HIPEC procedures based on previous surgery or clinical findings, including severe intestinal adhesions, obstruction, or abdominal fistula, Patients with myelodysplastic syndrome (MDS)/acute myeloid leukemia (AML) or with features suggestive of MDS/AML, Patients which extra-abdominal disease is a major disease or is expected to cause of death, Patients with active central nervous system metastasis and carcinoma meningitis or patients who have been previously treated for brain metastases must be in a stable state in radiology, Patients with antibacterial, antifungal, or antiviral infections requiring systemic treatment (administration of parenteral antibiotics), Active tuberculosis that is not controlled within 1 month of treatment, Patient diagnosed with a psychiatric disorder or substance abuse disorder that would interfere with your ability to cooperate with the trial, Patients who have not undergone hysterectomy and have a positive urine pregnancy test result within 14 days prior to clinical trial assignment, even if the urine pregnancy test result is negative at screening, Pregnant or lactating women, Patients with any contraindications to the use of doxorubicin or mitomycin (i.e., hypersensitivity to doxorubicin or mitomycin), Patients with a history of allogeneic tissue/solid organ transplantation or bone marrow transplantation or a history of double umbilical cord transplantation or, History or current evidence of any condition, therapy, or laboratory abnormality that may confound the results of the study, interfere with the patient's participation, in the opinion of the treating investigator.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Myong Cheol Lim, MD, Ph.D
Phone
+820319201760
Email
mclim@ncc.re.kr
First Name & Middle Initial & Last Name or Official Title & Degree
Ji Hyun Kim, MD
Phone
+8201026835747
Email
jihyunkim@ncc.re.kr
Facility Information:
Facility Name
Myong Cheol Lim
City
Goyang-si
State/Province
Gyeonggi-do
ZIP/Postal Code
10408
Country
Korea, Republic of
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Myong Cheol Lim
Email
gynlim@gmail.com
First Name & Middle Initial & Last Name & Degree
Myong Cheol Lim

12. IPD Sharing Statement

Plan to Share IPD
Undecided

Learn more about this trial

HIPEC for Platinum-Resistant Recurrent Ovarian Cancer

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