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A Study Comparing the Combination of YONDELIS and DOXIL/CAELYX With DOXIL/CAELYX for the Treatment of Advanced-Relapsed Epithelial Ovarian, Primary Peritoneal, or Fallopian Tube Cancer

Phase 1
Conditions
Ovarian cancer
MedDRA version: 20.0 Level: LLT Classification code 10033130 Term: Ovarian cancer NOS System Organ Class: 100000004864
Therapeutic area: Diseases [C] - Cancer [C04]
Registration Number
EUCTR2012-004808-34-PL
Lead Sponsor
Janssen-Cilag International NV
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
ot Recruiting
Sex
Not specified
Target Recruitment
576
Inclusion Criteria

- Histologically proven advanced-relapsed epithelial ovarian, primary peritoneal, or fallopian tube cancer
- Eastern Cooperative Oncology Group (ECOG) performance status grade of 0 or 1
- Received first-line treatment with a platinum-based regimen and had no evidence of disease progression for 6 months after the last dose
- Received second-line treatment with a platinum-based regimen, with progression of disease after attaining a complete response (CR) or partial response (PR)
-progression of disease based on imaging after the second-line platinum-based regimen (individuals treated with a DOXIL-containing regimen as a second-line therapy are eligible if subsequent disease progression occurs >=9 months from the first dose)
- Evidence of measurable disease at screening as evaluated by Response Evaluation Criteria in Solid Tumors (RECIST) (Version 1.1)
- Criterion modified per amendment: per Amendment 6, subjects no longer need to be able to receive intravenous (IV) dexamethasone or an equivalent IV corticosteroid
- Have a known BRCA 1/2 mutation status (for participants who do not have a known BRCA 1/2 status at screening, a blood sample will be collected to determine the status with the results available prior to randomization
- Laboratory values within protocol -defined parameters
- Have left ventricular ejection fraction by multigated acquisition scan (MUGA) scan or 2D-ECHO within normal limits for the institution
- Have side effects (except alopecia) of prior treatment resolved to at least Grade 1 according to the National Cancer Institute – Common Terminology Criteria of Adverse Events (NCI-CTCAE) (Version 4.0)
- Have a negative urine or serum pregnancy test at screening
- Agrees to protocol-defined use of effective contraception

Please refer to protocol for full inclusion criteria

Are the trial subjects under 18? no
Number of subjects for this age range:
F.1.2 Adults (18-64 years) yes
F.1.2.1 Number of subjects for this age range 582
F.1.3 Elderly (>=65 years) yes
F.1.3.1 Number of subjects for this age range 582

Exclusion Criteria

- Diagnosis of ovarian carcinoma with mucinous histology
- Had more than 2 prior lines of chemotherapy
- Criterion modified per amendment: per Amendment 6, subjects who had a Prior exposure to trabectedin or hypersensitivity to any of the excipients will not be excluded from receiving single-agent DOXIL
- Prior treatment with doxorubicin or other anthracycline at cumulative doses greater than 300 mg/m2 (calculated using doxorubicin equivalent doses: 1 mg doxorubicin = 1 mg Doxil= 1.8 mg epirubicin = 0.3 mg mitoxantrone = 0.25 mg idarubicin)
- Criterion modified per amendment: per Amendment 6, subjects unwilling or unable to have a central venous catheter placed will not be excluded from receiving single-agent DOXIL
- Pregnant or breast-feeding
- Less than 3 weeks from radiation therapy, experimental therapy, hormonal therapy, prior chemotherapy, or biological therapy
- History of another neoplastic disease (except non-metastatic basal cell carcinoma or squamous cell carcinoma of the skin or cervical carcinoma in situ adequately treated) unless in remission for 5 years
- Known allergies, hypersensitivity, or intolerance to Doxil, dexamethasone, or their excipients
- Known history of central nervous system metastasis
- Known significant chronic liver disease, such as cirrhosis or active hepatitis (potential participants who test positive for hepatitis B surface antigen or hepatitis C antibodies are allowed provided they do not have active disease requiring antiviral therapy)
- Had a myocardial infarct within 6 months before enrollment, New York Heart Association (NYHA) Class II or greater heart failure, uncontrolled angina, severe uncontrolled ventricular arrhythmias, clinically significant pericardial disease, or electrocardiographic evidence of acute ischemic or active conduction system abnormalities
- Has any of the following medical conditions: uncontrolled diabetes, psychiatric disorder (including dementia) that prevents compliance with protocol, uncontrolled seizures, newly diagnosed deep vein thrombosis, active systemic infection that is likely to interfere with study procedure or results
- Has any condition that, in the opinion of the investigator, would compromise the well-being of the participant or the study or prevent the participant from meeting or performing study requirements

Please refer to protocol for full exclusion criteria

Study & Design

Study Type
Interventional clinical trial of medicinal product
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Secondary Outcome Measures
NameTimeMethod
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