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Abraxane Plus Carboplatin for Recurrent Platinum-Sensitive Ovarian Cancer

Primary Purpose

Ovarian Cancer, Fallopian Tube Cancer, Primary Peritoneal Cancer

Status
Completed
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
Abraxane
Sponsored by
Southeastern Gynecologic Oncology
About
Eligibility
Locations
Outcomes
Full info

About this trial

This is an interventional treatment trial for Ovarian Cancer focused on measuring recurrent, ovarian, cancer, platinum sensitive

Eligibility Criteria

undefined - undefined (Child, Adult, Older Adult)FemaleDoes not accept healthy volunteers

Inclusion Criteria:

  1. Histologically or cytologically confirmed recurrent epithelial ovarian or primary peritoneal carcinoma. Patient will have been staged at diagnosis according to FIGO Classification.
  2. Measurable Disease by RECIST Criteria (defined by the presence of at least 1 measurable lesion (see Section 7.7.1 for definition of measurable lesions) or elevated CA-125 in the absence of measurable disease. A pre-treatment sample of CA-125 will be collected within 2 weeks before treatment is started. A pre-treatment sample of CA-125 should be at least twice the upper limit of normal.
  3. Patients must have disease recurrence 6 months or more after completion of front-line platinum and paclitaxel-containing regimen. Duration of response from prior therapy and prior consolidation therapy will be documented in case report forms for descriptive analysis.
  4. Patients must have received at least 3 cycles of a front-line taxane and platinum-containing regimen prior to entry on this study.
  5. Patients must have a documented complete clinical response on front-line therapy.
  6. Patients must be disease-free from prior malignancies for more than 5 years with the exception of curatively-treated basal cell or squamous cell carcinoma of the skin or carcinoma in situ of the cervix.
  7. Life expectancy of > 6 months.
  8. ECOG (Zubrod) performance status 0-2.
  9. Age >18 years.
  10. Patient has the following blood counts at Baseline:

    • ANC > 1.5 x 10-9 c/L;
    • platelets > 100 x 10-9 c/L;
    • Hgb > 9 g/dL.
  11. Patient has the following blood chemistry levels at Baseline:

    • AST (SGOT), ALT (SGPT) < 1.5x upper limit of normal range (ULN);
    • total bilirubin NORMAL;
    • alkaline phosphatase < 2.5x ULN
    • creatinine < 1.5 mg/dL.
  12. Patient or his/her legally authorized representative or guardian has been informed about the nature of the study, and has agreed to participate in the study, and signed the Informed Consent form prior to participation in any study-related activities.

Exclusion Criteria:

  1. Patients who have received more than one prior chemotherapy regimen.
  2. Evidence of active brain metastases, including leptomeningeal involvement. Prior evidence of brain metastasis permitted only if treated and stable off therapy for at least 1 month.
  3. Patient has pre-existing peripheral neuropathy of grade >/= 2 (per National Cancer Institute [NCI] Common Terminology Criteria for Adverse Events version 3.0 [CTCAE].
  4. Patients receiving concurrent or intervening other chemotherapy, hormonal (for treatment of ovarian carcinoma), immunotherapy, or radiotherapy.
  5. Patient has a clinically significant concurrent illness.
  6. Patient is, in the Investigator's opinion, unlikely to be able to complete the study through the End of Study (EOS) visit.
  7. Patient has a history of allergy or hypersensitivity to the study drug.
  8. Patient has serious medical risk factors involving any of the major organ systems such that the investigator considers it unsafe for the patient to receive an experimental research drug.
  9. Patient is enrolled in any other clinical protocol or investigational trial.
  10. Patients of childbearing potential, not practicing adequate contraception.

Sites / Locations

  • Southeastern Gynecologic Oncology

Outcomes

Primary Outcome Measures

Response Rate

Secondary Outcome Measures

Time to Response
Duration of Response
Overall Survival
Progression Free Survival
Safety
Tolerability

Full Information

First Posted
April 26, 2007
Last Updated
October 7, 2011
Sponsor
Southeastern Gynecologic Oncology
Collaborators
Celgene Corporation
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1. Study Identification

Unique Protocol Identification Number
NCT00466986
Brief Title
Abraxane Plus Carboplatin for Recurrent Platinum-Sensitive Ovarian Cancer
Official Title
A Phase II, Non-Randomized Study of Abraxane Plus Carboplatin in Patients With Recurrent Platinum-Sensitive Ovarian or Primary Peritoneal Cancer
Study Type
Interventional

2. Study Status

Record Verification Date
October 2011
Overall Recruitment Status
Completed
Study Start Date
November 2005 (undefined)
Primary Completion Date
October 2011 (Actual)
Study Completion Date
October 2011 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Southeastern Gynecologic Oncology
Collaborators
Celgene Corporation

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The purpose of this study is to determine if the combination of Abraxane and Carboplatin together will improve the chances of controlling recurrent ovarian/fallopian tube/peritoneal cancer.
Detailed Description
Current best practice recommends Carboplatin combined with Taxol in the treatment of Ovarian cancer. Taxol is paclitaxel in the solvent Cremophor-El and the solvent has been associated with significant side effects e.g. anaphylaxis and hypersensitivity. this requires the routine use of premedication with antihistamines and steroids. Abraxane by contrast is Cremophor-El free and is protein bound. This has 2 advantages over Taxol. No need for routine premedications Increased drug entry into cells facilitating greater potential for anti-tumor activity. Schedule: Carboplatin day1 every 28days. Abraxane day1,8,15 every 28days.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Ovarian Cancer, Fallopian Tube Cancer, Primary Peritoneal Cancer
Keywords
recurrent, ovarian, cancer, platinum sensitive

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
40 (Anticipated)

8. Arms, Groups, and Interventions

Intervention Type
Drug
Intervention Name(s)
Abraxane
Intervention Description
Carboplatin day1 every 28days. Abraxane day1,8,15 every 28days
Primary Outcome Measure Information:
Title
Response Rate
Time Frame
5 years
Secondary Outcome Measure Information:
Title
Time to Response
Time Frame
5 years
Title
Duration of Response
Time Frame
5 years
Title
Overall Survival
Time Frame
5 years
Title
Progression Free Survival
Time Frame
5 years
Title
Safety
Time Frame
5 years
Title
Tolerability
Time Frame
5 years

10. Eligibility

Sex
Female
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Histologically or cytologically confirmed recurrent epithelial ovarian or primary peritoneal carcinoma. Patient will have been staged at diagnosis according to FIGO Classification. Measurable Disease by RECIST Criteria (defined by the presence of at least 1 measurable lesion (see Section 7.7.1 for definition of measurable lesions) or elevated CA-125 in the absence of measurable disease. A pre-treatment sample of CA-125 will be collected within 2 weeks before treatment is started. A pre-treatment sample of CA-125 should be at least twice the upper limit of normal. Patients must have disease recurrence 6 months or more after completion of front-line platinum and paclitaxel-containing regimen. Duration of response from prior therapy and prior consolidation therapy will be documented in case report forms for descriptive analysis. Patients must have received at least 3 cycles of a front-line taxane and platinum-containing regimen prior to entry on this study. Patients must have a documented complete clinical response on front-line therapy. Patients must be disease-free from prior malignancies for more than 5 years with the exception of curatively-treated basal cell or squamous cell carcinoma of the skin or carcinoma in situ of the cervix. Life expectancy of > 6 months. ECOG (Zubrod) performance status 0-2. Age >18 years. Patient has the following blood counts at Baseline: ANC > 1.5 x 10-9 c/L; platelets > 100 x 10-9 c/L; Hgb > 9 g/dL. Patient has the following blood chemistry levels at Baseline: AST (SGOT), ALT (SGPT) < 1.5x upper limit of normal range (ULN); total bilirubin NORMAL; alkaline phosphatase < 2.5x ULN creatinine < 1.5 mg/dL. Patient or his/her legally authorized representative or guardian has been informed about the nature of the study, and has agreed to participate in the study, and signed the Informed Consent form prior to participation in any study-related activities. Exclusion Criteria: Patients who have received more than one prior chemotherapy regimen. Evidence of active brain metastases, including leptomeningeal involvement. Prior evidence of brain metastasis permitted only if treated and stable off therapy for at least 1 month. Patient has pre-existing peripheral neuropathy of grade >/= 2 (per National Cancer Institute [NCI] Common Terminology Criteria for Adverse Events version 3.0 [CTCAE]. Patients receiving concurrent or intervening other chemotherapy, hormonal (for treatment of ovarian carcinoma), immunotherapy, or radiotherapy. Patient has a clinically significant concurrent illness. Patient is, in the Investigator's opinion, unlikely to be able to complete the study through the End of Study (EOS) visit. Patient has a history of allergy or hypersensitivity to the study drug. Patient has serious medical risk factors involving any of the major organ systems such that the investigator considers it unsafe for the patient to receive an experimental research drug. Patient is enrolled in any other clinical protocol or investigational trial. Patients of childbearing potential, not practicing adequate contraception.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Benidict B Benigno, MD
Organizational Affiliation
Southeastern Gynecologic Oncology
Official's Role
Principal Investigator
Facility Information:
Facility Name
Southeastern Gynecologic Oncology
City
Atlanta
State/Province
Georgia
ZIP/Postal Code
30342
Country
United States

12. IPD Sharing Statement

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Abraxane Plus Carboplatin for Recurrent Platinum-Sensitive Ovarian Cancer

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