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pfront debulking surgery versus neoadjuvant chemotherapy in ovarian cancer

Phase 3
Completed
Conditions
Topic: National Cancer Research Network
Subtopic: Gynaecological Cancer
Disease: Ovary
Cancer
Ovarian cancer
Registration Number
ISRCTN67331344
Lead Sponsor
European Organisation for Research and Treatment of Cancer (EORTC) (Belgium)
Brief Summary

2008 results in: http://www.ncbi.nlm.nih.gov/pubmed/18258715

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
Female
Target Recruitment
65
Inclusion Criteria

1. Histologically proven stage IIIC or IV ovarian epithelial carcinoma, peritoneal carcinoma, or fallopian tube carcinoma
2. If biopsy is not available, evidence of adenocarcinoma by fine needle aspiration allowed if all of the following are true:
2.1. Presence of pelvic ovarian mass
2.2. Omental cake or other metastasis larger than 2 cm in the upper abdomen and/or regional lymph node metastasis
2.3. CA 125/carcinoembryonic antigen ratio greater than 25 (if ratio less than 25, barium enema or colonoscopy AND gastroscopy or radiological examination of the stomach must be negative for primary tumor)
2.4. Normal mammography (if CA 125/carcinoembryonic antigen ratio less than 25)
3. Tumor greater than 2 cm, excluding ovaries, on laparoscopy or CT scan
4. No brain or leptomeningeal metastases
5. No other prior procedures except diagnostic biopsy by laparotomy or laparoscopy
6. Performance status: World Health Organisation (WHO) performance status 0 - 2
7. WBC greater than 3,000/mm3
8. Platelet count greater than 100,000/mm3
9. Bilirubin less than 1.25 times upper limit of normal (ULN)
10. Creatinine less than 1.25 times ULN
11. No other serious disabling diseases contraindicating primary cytoreductive surgery or primary platin-based chemotherapy
12. No other prior primary malignancies except carcinoma in situ of the cervix or basal cell carcinoma of the skin
13. No psychological, familial, sociological, or geographical condition potentially preventing protocol compliance or follow-up
14. Aged between 18 - 50 years

Exclusion Criteria

1. No other serious disabling diseases contraindicating for primary cytoreductive surgery or primary platin based chemotherapy
2. No other prior primary malignancies, except for carcinoma in situ of the cervix and basal carcinoma of the skin
3. Absence of any psychological, familial, sociological or geographical condition potentially preventing compliance with the study protocol and follow-up schedule

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Overall crude survival
Secondary Outcome Measures
NameTimeMethod
1. Progression-free survival<br>2. Quality of life according to the EORTC questionnaire QLQ-C30<br>3. To assess the different treatment complications in relation to treatment arm
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