MITO-2: A Study Comparing 2 Chemotherapy Regimens (Carboplatin/Liposomal Doxorubicin vs Carboplatin/Paclitaxel) in Patients With Ovarian Cancer

Phase 3

Active, not recruiting

• Conditions: Ovarian Cancer
• Interventions: Drug: liposomal doxorubicin; Drug: carboplatin; Drug: paclitaxel

• Registration Number: NCT00326456
• Lead Sponsor: National Cancer Institute, Naples

Brief Summary

The purpose of this study is to compare the effectiveness (progression free survival) of the experimental combination of carboplatin + liposomal doxorubicin with the standard combination of carboplatin + paclitaxel in first line treatment of patients with ovarian cancer.

Secondary objectives are to evaluate overall survival, quality of life, objective response rate, and toxicity.

Detailed Description

Ovarian cancer is the second most frequent and the most deadly gynaecologic cancer. The high mortality rate is due to the late diagnosis of this malignancy that often develops without symptoms, as well as to limited results in treatment of the disease. Patients may respond well initially to chemotherapy, but the vast majority of patients will experience a progression of the disease. The poor long term results in the standard treatment available today for first-line chemotherapy of ovarian cancer make research into new, more beneficial treatment strategies necessary. The proven efficacy of liposomal doxorubicin in second line treatment, where it is the first drug to have shown some significant benefit in terms of survival, and the possibility of easily combining it with full doses and normal use of carboplatin, encourages the testing of the effectiveness of the combination of carboplatin and liposomal doxorubicin in first line treatment.

Patients enrolled into this study will be randomly assigned to one of two treatment groups:

· Standard therapy consisting of 6 cycles of chemotherapy:

* carboplatin AUC 5 given intravenously on day 1 every 3 weeks AND

* paclitaxel 175 mg/m2 given intravenously on day 1 every 3 weeks

OR

· Experimental therapy consisting of 6 cycles of chemotherapy:

* carboplatin AUC 5 given intravenously on day 1 every 3 weeks AND

* liposomal doxorubicin 30 mg/m2 given intravenously on day 1 every 3 weeks

Study Timeline

• Study Start: 2003-01-01
• Study First Submitted: 2006-05-15
• Study First Submitted QC: 2006-05-15
• Study First Posted: 2006-05-16
• Status Verified: 2023-03
• Last Update Submitted: 2023-03-23
• Last Update Posted: 2023-03-27
• Primary Completion: 2023-12
• Study Completion: 2023-12

Recruitment & Eligibility

• Status: ACTIVE_NOT_RECRUITING
• Sex: Female
• Target Recruitment: 820

Inclusion Criteria

• Cytologic / histologic diagnosis of stage Ic-IV ovarian cancer
• Indication for chemotherapy treatment
• Age 75 years or less
• Life expectancy of at least 3 months

Read More

Exclusion Criteria

• Previous or concomitant malignant neoplasia (not including basocellular or spinocellular skin carcinoma or in-situ carcinoma of the uterine cervix, provided they are being adequately treated)
• Performance status (ECOG) > 2
• Previous chemotherapy treatment
• Heart disease (heart failure, myocardial heart attack within 6 months prior to randomization, atrioventricular block of any degree, serious arrhythmia)
• Leukocytes < 4000/mm3, neutrophils < 2000/mm3, platelets < 100000/mm3
• Impaired renal function (creatinine > 1.25 times the upper normal limit) or liver function (SGOT or SGPT > 1.25 times the upper normal limit)
• Present or suspected hemorrhagic syndromes
• Uncooperative and/or unreliable patients
• Patient's inability to access the center
• Refusal of informed consent

Read More

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
carboplatin and liposomal doxorubicin	liposomal doxorubicin	-
carboplatin and liposomal doxorubicin	carboplatin	-
carboplatin and paclitaxel	carboplatin	-
carboplatin and paclitaxel	paclitaxel	-

Primary Outcome Measures

Name	Time	Method
Progression free survival	at 2 years

Secondary Outcome Measures

Name	Time	Method
quality of life	at baseline and every 3 weeks during treatment
overall survival	4 years
adverse events	every 3 weeks during chemotherapy	according to CTCAE criteria
objective response rate	at 9 and 18 weeks after starting study therapy

Trial Locations

Locations (38)

CHC Maternidade Bissaya-Barreto, Gynecology Unit; 🇵🇹 Coimbra, Portugal

Ospedale di Bentivoglio; 🇮🇹 Bentivoglio, BO, Italy

Azienda Ospedaliera S. Giuseppe Moscati, U.O. di Oncologia Medica; 🇮🇹 Monteforte Irpino, AV, Italy

Clinica Malzoni, Reparto di Ginecologia Oncologica; 🇮🇹 Avellino, AV, Italy

Ospedale Regionale Miulli, Divisione Medicina Interna Sezione Oncologica; 🇮🇹 Acquaviva delle Fonti, BA, Italy

IRCCS Oncologico Bari, Oncologia Medica; 🇮🇹 Bari, BA, Italy

Ospedale Riuniti di Bergamo, U.O. di Ostetricia e Ginecologia; 🇮🇹 Bergamo, BG, Italy

Istituto Oncologico di Bari, U.O. di Oncologia Medica e Sperimentale; 🇮🇹 Bari, BA, Italy

Ospedale Fatebenefratelli, U.O. di Oncologia; 🇮🇹 Benevento, BN, Italy

Ospedale Bellari, U.O. di Oncologia; 🇮🇹 Bologna, BO, Italy

Ospedale di Budrio; 🇮🇹 Budrio, BO, Italy

Policlinico Universitario, Oncologia Medica II; 🇮🇹 Cagliari, CA, Italy

Università Cattolica del Sacro Cuore, Dipartimento di Oncologia; 🇮🇹 Campobasso, CB, Italy

Ospedale Mariano Santo, U.O. di Oncologia Medica; 🇮🇹 Cosenza, CS, Italy

Ospedale Cannizzaro, Divisione di Ostetricia e Ginecologia; 🇮🇹 Catania, CT, Italy

Azienda Ospedaliera Universitaria Acrispedale Sant'Anna; 🇮🇹 Ferrara, FE, Italy

Ospedale Pierantoni, Divisione di Oncologia Medica; 🇮🇹 Forli', FO, Italy

Azienda Ospedaliera Carlo Poma, Divisione di Oncologia ed Ematologia; 🇮🇹 Mantova, MN, Italy

Ospedale Ramazzini, Day Hospital Oncologico; 🇮🇹 Carpi, MO, Italy

Policlinico Universitario P. Giaccone; 🇮🇹 Palermo, PA, Italy

Ospedale S. Massimo, Day Hospital Oncologico; 🇮🇹 Penne, PE, Italy

Casa di Cura La Maddalena S.p.A., Dipartimento Oncologico; 🇮🇹 Palermo, PA, Italy

Ospedale M. Ascoli; 🇮🇹 Palermo, PA, Italy

Centro di Riferimento Oncologico, Divisione di Oncolgia Medica C; 🇮🇹 Aviano, PN, Italy

Azienda Ospedaliera S. Maria degli Angeli, Servizio di Oncologia; 🇮🇹 Pordenone, PN, Italy

Ospedale Civile di Faenza, Divisione di Oncologia Medica; 🇮🇹 Faenza, RA, Italy

Azienda Ospedaliera Bianchi Melacrino Morelli Ospedale Riuniti, Divisione di Oncologia Medica; 🇮🇹 Reggio Calabria, RE, Italy

Ospedale degli Infermi, U.O. Oncologia Medica; 🇮🇹 Rimini, RI, Italy

Ospedale Civile Umberto I, Day Hospital Oncoematologico; 🇮🇹 Nocera Inferiore, SA, Italy

Ospedale S. Chiara, U.O. di Oncologia Medica; 🇮🇹 Trento, TN, Italy

Ospedale S. Anna, Day Hospital Oncologico Divisione A; 🇮🇹 Torino, TO, Italy

Ospedale S. Bortolo ULSS 6, U.O. di Oncologia Medica; 🇮🇹 Vicenza, VI, Italy

Azienda Ospedaliera D. Cotugno; 🇮🇹 Napoli, Italy

Istituto Nazionale dei Tumori , Divisione di Oncologia Medica B; 🇮🇹 Napoli, Italy

Ospedale S. Giovanni Calibita Gatebenefratelli; 🇮🇹 Roma, Italy

Istituto Nazionale dei Tumori, Divisione di Oncologia Medica C; 🇮🇹 Napoli, Italy

Istituto Regina Elena, Divisione di Oncologia Medica; 🇮🇹 Roma, Italy

Istanbul University Medical Oncology; 🇹🇷 Istanbul, Turkey