MedPath

Docetaxel, Trabectedin, and G-CSF or Pegfilgrastim in Treating Patients With Recurrent or Persistent Ovarian Epithelial Cancer, Primary Peritoneal Cavity Cancer, or Fallopian Tube Cancer

Phase 2
Completed
Conditions
Fallopian Tube Cancer
Ovarian Cancer
Primary Peritoneal Cavity Cancer
Registration Number
NCT00569673
Lead Sponsor
Gynecologic Oncology Group
Brief Summary

RATIONALE: Drugs used in chemotherapy, such as docetaxel and trabectedin, work in different ways to stop the growth of tumor cells, either by killing the cells or by stopping them from dividing. Colony-stimulating factors, such as G-CSF and pegfilgrastim, may help the immune system recover from the side effects of chemotherapy. Giving combination chemotherapy together with G-CSF or pegfilgrastim may kill more tumor cells.

PURPOSE: This phase II trial is studying the side effects and how well giving docetaxel and trabectedin together with G-CSF or pegfilgrastim works in treating patients with recurrent or persistent ovarian epithelial cancer, fallopian tube cancer, or primary peritoneal cavity cancer.

Detailed Description

OBJECTIVES:

Primary

* To estimate the antitumor activity of docetaxel plus trabectedin in patients with persistent or recurrent ovarian epithelial, fallopian tube, or primary peritoneal cavity cancer primarily through the frequency of objective tumor responses.

* To determine the nature and degree of toxicity of docetaxel plus trabectedin in this cohort of patients.

Secondary

* To estimate the progression-free survival and overall survival of patients treated with docetaxel and trabectedin.

OUTLINE: Patients receive docetaxel IV over 1 hour and trabectedin IV over 3 hours on day 1. Patients also receive pegfilgrastim subcutaneously (SC) on day 1 OR filgrastim (G-CSF) IV over 15-30 minutes or SC once daily beginning on day 1 and continuing until blood counts recover. Treatment repeats every 3 weeks in the absence of disease progression or unacceptable toxicity.

After completion of study treatment, patients are followed every 3 months for 2 years and then every 6 months for 3 years.

Recruitment & Eligibility

Status
COMPLETED
Sex
Female
Target Recruitment
71
Inclusion Criteria

Not provided

Exclusion Criteria

Not provided

Study & Design

Study Type
INTERVENTIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Objective Tumor Responseevery other cycle for the first 6 months; then every 3 months thereafter (up to 5 years)

Response is measured according to Response Evaluation Criteria in Solid Tumors Criteria (RECIST v 1.0):

Complete Response (CR) is disappearance of all target and non-target lesions and no evidence of new lesions documented by two disease assessments at least 4 weeks apart.

Partial Response (PR) is at least a 30% decrease in the sum of longest dimensions (LD) of all target measurable lesions taking as reference the baseline sum of LD.

Disease Progression is at least a 20% increase in the sum of LD of target lesions taking as references the smallest sum LD or the appearance of new lesions within 8 weeks of study entry.

Stable Disease is any condition not meeting the above criteria.

Indeterminate is defined as having no repeat tumor assessments following initiation of study therapy6

Number of Participants With Adverse Effects (Grade 3 or Higher) as Assessed by Common Terminology Criteria for Adverse Events (CTCAE) Version 3.0Prior to each cycle and 30 days after the last cycle (average of 5 months)
Secondary Outcome Measures
NameTimeMethod
Duration of Progression-free Survival and Overall Survivalup to 5 years

Trial Locations

Locations (37)

St. John's Regional Health Center

🇺🇸

Springfield, Missouri, United States

Abramson Cancer Center of the University of Pennsylvania

🇺🇸

Philadelphia, Pennsylvania, United States

Cleveland Clinic Cancer Center at Fairview Hospital

🇺🇸

Cleveland, Ohio, United States

Tunnell Cancer Center at Beebe Medical Center

🇺🇸

Lewes, Delaware, United States

St. Vincent Indianapolis Hospital

🇺🇸

Indianapolis, Indiana, United States

University of New Mexico Cancer Center

🇺🇸

Albuquerque, New Mexico, United States

Providence Saint Joseph Medical Center - Burbank

🇺🇸

Burbank, California, United States

Curtis and Elizabeth Anderson Cancer Institute at Memorial Health University Medical Center

🇺🇸

Savannah, Georgia, United States

Union Hospital Cancer Program at Union Hospital

🇺🇸

Elkton, Maryland, United States

CCOP - Christiana Care Health Services

🇺🇸

Newark, Delaware, United States

Case Comprehensive Cancer Center

🇺🇸

Cleveland, Ohio, United States

MetroHealth Cancer Care Center at MetroHealth Medical Center

🇺🇸

Cleveland, Ohio, United States

Blumenthal Cancer Center at Carolinas Medical Center

🇺🇸

Charlotte, North Carolina, United States

Cleveland Clinic Taussig Cancer Center

🇺🇸

Cleveland, Ohio, United States

Riverside Methodist Hospital Cancer Care

🇺🇸

Columbus, Ohio, United States

Mount Carmel Health - West Hospital

🇺🇸

Columbus, Ohio, United States

UPMC Cancer Center at Magee-Womens Hospital

🇺🇸

Pittsburgh, Pennsylvania, United States

David L. Rike Cancer Center at Miami Valley Hospital

🇺🇸

Dayton, Ohio, United States

Oklahoma University Cancer Institute

🇺🇸

Oklahoma City, Oklahoma, United States

Women and Infants Hospital of Rhode Island

🇺🇸

Providence, Rhode Island, United States

Huntsman Cancer Institute at University of Utah

🇺🇸

Salt Lake City, Utah, United States

Rosenfeld Cancer Center at Abington Memorial Hospital

🇺🇸

Abington, Pennsylvania, United States

Rush University Medical Center

🇺🇸

Chicago, Illinois, United States

Hinsdale Hematology Oncology Associates

🇺🇸

Hinsdale, Illinois, United States

Hillcrest Cancer Center at Hillcrest Hospital

🇺🇸

Mayfield Heights, Ohio, United States

Jonsson Comprehensive Cancer Center at UCLA

🇺🇸

Los Angeles, California, United States

George Bray Cancer Center at the Hospital of Central Connecticut - New Britain Campus

🇺🇸

New Britain, Connecticut, United States

UMASS Memorial Cancer Center - University Campus

🇺🇸

Worcester, Massachusetts, United States

Siteman Cancer Center at Barnes-Jewish Hospital - Saint Louis

🇺🇸

Saint Louis, Missouri, United States

Cancer Institute of New Jersey at Cooper - Voorhees

🇺🇸

Voorhees, New Jersey, United States

Alamance Cancer Center at Alamance Regional Medical Center

🇺🇸

Burlington, North Carolina, United States

Wake Forest University Comprehensive Cancer Center

🇺🇸

Winston-Salem, North Carolina, United States

Arthur G. James Cancer Hospital and Solove Research Institute at Ohio State University Medical Center

🇺🇸

Columbus, Ohio, United States

Lake/University Ireland Cancer Center

🇺🇸

Mentor, Ohio, United States

Carilion Gynecologic Oncology Associates

🇺🇸

Roanoke, Virginia, United States

Hulston Cancer Center at Cox Medical Center South

🇺🇸

Springfield, Missouri, United States

University of Wisconsin Paul P. Carbone Comprehensive Cancer Center

🇺🇸

Madison, Wisconsin, United States

© Copyright 2025. All Rights Reserved by MedPath