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S0904: Docetaxel With or Without Vandetanib in Treating Patients With Persistent or Recurrent Ovarian Epithelial Cancer, Fallopian Tube Cancer, or Primary Peritoneal Cancer

Phase 2
Completed
Conditions
Fallopian Tube Cancer
Ovarian Cancer
Primary Peritoneal Cavity Cancer
Interventions
Registration Number
NCT00872989
Lead Sponsor
SWOG Cancer Research Network
Brief Summary

RATIONALE: Drugs used in chemotherapy, such as docetaxel, work in different ways to stop the growth of tumor cells, either by killing the cells or by stopping them from dividing. Vandetanib may stop the growth of tumor cells by blocking some of the enzymes needed for cell growth and by blocking blood flow to the tumor. It is not yet known whether docetaxel is more effective when given alone or together with vandetanib.

PURPOSE: This randomized phase II trial is studying docetaxel given together with or without vandetanib to see how well it works in treating patients with persistent or recurrent ovarian epithelial cancer, fallopian tube cancer, or primary peritoneal cancer.

Detailed Description

OBJECTIVES:

* To evaluate the clinical efficacy of docetaxel and vandetanib relative to docetaxel alone in patients with platinum-resistant, recurrent, refractory, or progressive/persistent ovarian epithelial, primary peritoneal, or fallopian tube cancer, as measured by progression-free survival.

* To evaluate the response rate (complete and partial) and duration of overall survival of these patients.

* To evaluate the response (complete and partial) and time to treatment failure after treatment with single agent vandetanib following progression on single agent docetaxel.

* To evaluate the frequency and severity of adverse events as assessed by Common Toxicity Criteria for Adverse Effects (CTCAE) v4.0.

* To evaluate the toxicity of single agent vandetanib following docetaxel as assessed by CTCAE v4.0.

OUTLINE: Patients are stratified according to prior treatment with antiangiogenesis agents (yes vs no). Patients are randomized to 1 of 2 treatment arms.

* Arm I: Patients receive docetaxel IV over 1 hour on day 1. Courses repeat every 21 days in the absence of disease progression or unacceptable toxicity. Patients who progress also receive oral vandetanib once daily on days 1-21. Courses repeat every 21 days in the absence of a second disease progression or unacceptable toxicity.

* Arm II: Patients receive docetaxel IV over 1 hour on day 1 and oral vandetanib once daily on days 1-21. Courses repeat every 21 days 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
129
Inclusion Criteria

Not provided

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Exclusion Criteria

Not provided

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Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Arm IdocetaxelPatients receive docetaxel IV over 1 hour on day 1. Courses repeat every 21 days in the absence of disease progression or unacceptable toxicity. Patients who progress also receive oral vandetanib once daily on days 1-21. Courses repeat every 21 days in the absence of a second disease progression or unacceptable toxicity.
Arm IIvandetanibPatients receive docetaxel IV over 1 hour on day 1 and oral vandetanib once daily on days 1-21. Courses repeat every 21 days in the absence of disease progression or unacceptable toxicity.
Arm IIdocetaxelPatients receive docetaxel IV over 1 hour on day 1 and oral vandetanib once daily on days 1-21. Courses repeat every 21 days in the absence of disease progression or unacceptable toxicity.
Arm IvandetanibPatients receive docetaxel IV over 1 hour on day 1. Courses repeat every 21 days in the absence of disease progression or unacceptable toxicity. Patients who progress also receive oral vandetanib once daily on days 1-21. Courses repeat every 21 days in the absence of a second disease progression or unacceptable toxicity.
Primary Outcome Measures
NameTimeMethod
Progression Free Survival (PFS)Disease assessments were performed every 6 weeks for as long as the patient remained on protocol, up to 5 years

From date of registration to date of first documentation of progression or symptomatic deterioration, or death due to any cause. Patients last known to be alive and progression free are censored at date of last contact.

Secondary Outcome Measures
NameTimeMethod
Number of Participants With a Complete Response, Partial Response, Stable Disease, or Increasing DiseaseDisease assessment for responses were performed every 6 weeks for as long as the patient remained on protocol treatment, up to 5 years.

Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.1) for target lesions and assessed by MRI: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), \>=30% decrease in the sum of the longest diameter of target lesions; Overall Response (OR) = CR + PR in conjunction with measured CA125 responses

Overall Survivalevery 3 months for two years and then every 6 months for 3 years

From date of registration to date of death due to any cause. Patients last known to be alive are censored at date of last contact.

Number of Patients With Gr 3 Through 5 Adverse Events That Are Related to Study DrugsToxicity assessment was evaluated before each treatment cycle (21 days), up to 5 years.

Adverse Events (AEs) are reported by CTCAE Version 3.0. Only adverse events that are possibly, probably or definitely related to study drug are reported.

Time to Treatment FailureDisease assessments were performed every 6 weeks for as long as the patient remained on protocol, up to 5 years.

Time to treatment failure after treatment with single agent vandetanib following progression on single agent docetaxel. Disease assessments were performed every 6 weeks for as long as the patient remained on protocol, up to 5 years.

Number of Participants With a Complete Response, Partial Response, Stable Disease, or Increasing Disease After Treatment With Single Agent Vandetanib Following Progression on Single Agent DocetaxelDisease assessments were performed every 6 weeks for as long as the patient remained on protocol, up to 5 years.

Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.1) for target lesions and assessed by MRI: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), \>=30% decrease in the sum of the longest diameter of target lesions; Overall Response (OR) = CR + PR in conjunction with measured CA125 responses

Trial Locations

Locations (137)

Sletten Cancer Institute at Benefis Healthcare

🇺🇸

Great Falls, Montana, United States

Montana Cancer Specialists at Montana Cancer Center

🇺🇸

Missoula, Montana, United States

Montana Cancer Center at St. Patrick Hospital and Health Sciences Center

🇺🇸

Missoula, Montana, United States

University of Chicago Cancer Research Center

🇺🇸

Chicago, Illinois, United States

Cancer Center of Kansas, PA - Dodge City

🇺🇸

Dodge City, Kansas, United States

Cancer Center of Kansas, PA - Wichita

🇺🇸

Wichita, Kansas, United States

Welch Cancer Center at Sheridan Memorial Hospital

🇺🇸

Sheridan, Wyoming, United States

Rocky Mountain Oncology

🇺🇸

Casper, Wyoming, United States

Straub Clinic and Hospital, Incorporated

🇺🇸

Honolulu, Hawaii, United States

Valley View Hospital Cancer Center

🇺🇸

Glenwood Springs, Colorado, United States

Montrose Memorial Hospital Cancer Center

🇺🇸

Montrose, Colorado, United States

Kapiolani Medical Center at Pali Momi

🇺🇸

Aiea, Hawaii, United States

OnCare Hawaii, Incorporated - Lusitana

🇺🇸

Honolulu, Hawaii, United States

Cancer Center of Kansas-Independence

🇺🇸

Independence, Kansas, United States

Lawrence Memorial Hospital

🇺🇸

Lawrence, Kansas, United States

Cancer Center of Kansas, PA - Newton

🇺🇸

Newton, Kansas, United States

Cancer Center of Kansas, PA - Parsons

🇺🇸

Parsons, Kansas, United States

Cancer Center of Kansas, PA - Winfield

🇺🇸

Winfield, Kansas, United States

Cancer Center of Kansas, PA - Kingman

🇺🇸

Kingman, Kansas, United States

Associates in Womens Health, PA - North Review

🇺🇸

Wichita, Kansas, United States

Cancer Center of Kansas, PA - Liberal

🇺🇸

Liberal, Kansas, United States

Maui Memorial Medical Center

🇺🇸

Wailuku, Hawaii, United States

Tammy Walker Cancer Center at Salina Regional Health Center

🇺🇸

Salina, Kansas, United States

Cancer Research Center of Hawaii

🇺🇸

Honolulu, Hawaii, United States

Via Christi Cancer Center at Via Christi Regional Medical Center

🇺🇸

Wichita, Kansas, United States

Greenebaum Cancer Center at University of Maryland Medical Center

🇺🇸

Baltimore, Maryland, United States

Cancer Center of Kansas, PA - Chanute

🇺🇸

Chanute, Kansas, United States

Cancer Center of Kansas, PA - Wellington

🇺🇸

Wellington, Kansas, United States

Munson Medical Center

🇺🇸

Traverse City, Michigan, United States

Tulane Cancer Center Office of Clinical Research

🇺🇸

Alexandria, Louisiana, United States

Caritas Holy Family Hospital

🇺🇸

Methuen, Massachusetts, United States

Regional Cancer Center at Singing River Hospital

🇺🇸

Pascagoula, Mississippi, United States

Billings Clinic - Downtown

🇺🇸

Billings, Montana, United States

Glacier Oncology, PLLC

🇺🇸

Kalispell, Montana, United States

CCOP - Wichita

🇺🇸

Wichita, Kansas, United States

Mecosta County Medical Center

🇺🇸

Big Rapids, Michigan, United States

Cancer Center of Kansas - Fort Scott

🇺🇸

Fort Scott, Kansas, United States

CCOP - Cancer Research for the Ozarks

🇺🇸

Springfield, Missouri, United States

Battle Creek Health System Cancer Care Center

🇺🇸

Battle Creek, Michigan, United States

University Medical Center of Southern Nevada

🇺🇸

Las Vegas, Nevada, United States

Pardee Memorial Hospital

🇺🇸

Hendersonville, North Carolina, United States

Bozeman Deaconess Cancer Center

🇺🇸

Bozeman, Montana, United States

CCOP - Nevada Cancer Research Foundation

🇺🇸

Las Vegas, Nevada, United States

Good Samaritan Hospital

🇺🇸

Dayton, Ohio, United States

CCOP - Montana Cancer Consortium

🇺🇸

Billings, Montana, United States

Tucker Center for Cancer Care at Orange Regional Medical Center

🇺🇸

Middletown, New York, United States

Great Falls Clinic - Main Facility

🇺🇸

Great Falls, Montana, United States

Kalispell Regional Medical Center

🇺🇸

Kalispell, Montana, United States

St. John's Regional Health Center

🇺🇸

Springfield, Missouri, United States

Queen's Cancer Institute at Queen's Medical Center

🇺🇸

Honolulu, Hawaii, United States

Hawaii Medical Center - East

🇺🇸

Honolulu, Hawaii, United States

OnCare Hawaii, Incorporated - Kuakini

🇺🇸

Honolulu, Hawaii, United States

Lacks Cancer Center at Saint Mary's Health Care

🇺🇸

Grand Rapids, Michigan, United States

Central Dupage Cancer Center

🇺🇸

Warrenville, Illinois, United States

Sutter Solano Medical Center

🇺🇸

Vallejo, California, United States

Charles F. Kettering Memorial Hospital

🇺🇸

Kettering, Ohio, United States

Providence Cancer Center at Providence Hospital

🇺🇸

Mobile, Alabama, United States

Arizona Cancer Center at University of Arizona Health Sciences Center

🇺🇸

Tucson, Arizona, United States

Alaska Regional Hospital Cancer Center

🇺🇸

Anchorage, Alaska, United States

NEA Medical Center - Stadium Boulevard

🇺🇸

Jonesboro, Arkansas, United States

USC/Norris Comprehensive Cancer Center and Hospital

🇺🇸

Los Angeles, California, United States

Roy and Patricia Disney Family Cancer Center at Providence Saint Joseph Medical Center

🇺🇸

Burbank, California, United States

Alta Bates Summit Comprehensive Cancer Center

🇺🇸

Berkeley, California, United States

Tibotec Therapeutics - Division of Ortho Biotech Products, LP

🇺🇸

Marysville, California, United States

Contra Costa Regional Medical Center

🇺🇸

Martinez, California, United States

Peninsula Medical Center

🇺🇸

Burlingame, California, United States

Highland General Hospital

🇺🇸

Oakland, California, United States

CCOP - Bay Area Tumor Institute

🇺🇸

Oakland, California, United States

University of California Davis Cancer Center

🇺🇸

Sacramento, California, United States

Doctors Medical Center - San Pablo Campus

🇺🇸

San Pablo, California, United States

Tahoe Forest Cancer Center

🇺🇸

Truckee, California, United States

Sutter Health - Western Division Cancer Research Group

🇺🇸

San Rafael, California, United States

San Luis Valley Regional Medical Center

🇺🇸

Alamosa, Colorado, United States

Shaw Regional Cancer Center

🇺🇸

Edwards, Colorado, United States

University of Colorado Cancer Center at UC Health Sciences Center

🇺🇸

Aurora, Colorado, United States

Castle Medical Center

🇺🇸

Kailua, Hawaii, United States

St. Francis Hospital and Health Centers - Beech Grove Campus

🇺🇸

Beech Grove, Indiana, United States

Reid Hospital & Health Care Services

🇺🇸

Richmond, Indiana, United States

Cancer Center of Kansas, PA - El Dorado

🇺🇸

El Dorado, Kansas, United States

Cancer Center of Kansas, PA - Salina

🇺🇸

Salina, Kansas, United States

Josephine Ford Cancer Center at Henry Ford Hospital

🇺🇸

Detroit, Michigan, United States

Butterworth Hospital at Spectrum Health

🇺🇸

Grand Rapids, Michigan, United States

Mercy General Health Partners

🇺🇸

Muskegon, Michigan, United States

Hematology-Oncology Centers of the Northern Rockies - Billings

🇺🇸

Billings, Montana, United States

Hulston Cancer Center at Cox Medical Center South

🇺🇸

Springfield, Missouri, United States

Big Sky Oncology

🇺🇸

Great Falls, Montana, United States

St. Vincent Healthcare Cancer Care Services

🇺🇸

Billings, Montana, United States

St. Peter's Hospital

🇺🇸

Helena, Montana, United States

Falck Cancer Center at Arnot Ogden Medical Center

🇺🇸

Elmira, New York, United States

Wayne Memorial Hospital, Incorporated

🇺🇸

Goldsboro, North Carolina, United States

Grandview Hospital

🇺🇸

Dayton, Ohio, United States

CCOP - Dayton

🇺🇸

Dayton, Ohio, United States

David L. Rike Cancer Center at Miami Valley Hospital

🇺🇸

Dayton, Ohio, United States

Samaritan North Cancer Care Center

🇺🇸

Dayton, Ohio, United States

Blanchard Valley Medical Associates

🇺🇸

Findlay, Ohio, United States

Clinton Memorial Hospital

🇺🇸

Wilmington, Ohio, United States

Wayne Hospital

🇺🇸

Greenville, Ohio, United States

UVMC Cancer Care Center at Upper Valley Medical Center

🇺🇸

Troy, Ohio, United States

Fox Chase Cancer Center - Philadelphia

🇺🇸

Philadelphia, Pennsylvania, United States

M. D. Anderson Cancer Center at University of Texas

🇺🇸

Houston, Texas, United States

U.T. Medical Center Cancer Institute

🇺🇸

Knoxville, Tennessee, United States

St. Joseph Cancer Center

🇺🇸

Bellingham, Washington, United States

Olympic Hematology and Oncology

🇺🇸

Bremerton, Washington, United States

Danville Regional Medical Center

🇺🇸

Danville, Virginia, United States

Minor and James Medical, PLLC

🇺🇸

Seattle, Washington, United States

Columbia Basin Hematology

🇺🇸

Kennewick, Washington, United States

Skagit Valley Hospital Cancer Care Center

🇺🇸

Mt. Vernon, Washington, United States

Harrison Poulsbo Hematology and Onocology

🇺🇸

Poulsbo, Washington, United States

Harborview Medical Center

🇺🇸

Seattle, Washington, United States

Fred Hutchinson Cancer Research Center

🇺🇸

Seattle, Washington, United States

Group Health Central Hospital

🇺🇸

Seattle, Washington, United States

Polyclinic First Hill

🇺🇸

Seattle, Washington, United States

University Cancer Center at University of Washington Medical Center

🇺🇸

Seattle, Washington, United States

Cancer Care Northwest - Spokane South

🇺🇸

Spokane, Washington, United States

Wenatchee Valley Medical Center

🇺🇸

Wenatchee, Washington, United States

Kapiolani Medical Center for Women and Children

🇺🇸

Honolulu, Hawaii, United States

El Camino Hospital Cancer Center

🇺🇸

Mountain View, California, United States

Alta Bates Summit Medical Center - Summit Campus

🇺🇸

Oakland, California, United States

Saint Francis Medical Center

🇺🇸

Cape Girardeau, Missouri, United States

California Pacific Medical Center - California Campus

🇺🇸

San Francisco, California, United States

St. Mary's Regional Cancer Center at St. Mary's Hospital and Medical Center

🇺🇸

Grand Junction, Colorado, United States

Chao Family Comprehensive Cancer Center at University of California Irvine Medical Center

🇺🇸

Orange, California, United States

Saint Anthony's Hospital at Saint Anthony's Health Center

🇺🇸

Alton, Illinois, United States

Kauai Medical Clinic

🇺🇸

Lihue, Hawaii, United States

Good Samaritan Regional Health Center

🇺🇸

Mount Vernon, Illinois, United States

CCOP - Grand Rapids

🇺🇸

Grand Rapids, Michigan, United States

Middletown Regional Hospital

🇺🇸

Franklin, Ohio, United States

Swedish Cancer Institute at Swedish Medical Center - First Hill Campus

🇺🇸

Seattle, Washington, United States

Midwest Hematology Oncology Group, Incorporated

🇺🇸

Saint Louis, Missouri, United States

Highland Hospital of Rochester

🇺🇸

Rochester, New York, United States

CCOP - St. Louis-Cape Girardeau

🇺🇸

Saint Louis, Missouri, United States

David C. Pratt Cancer Center at St. John's Mercy

🇺🇸

Saint Louis, Missouri, United States

United States Air Force Medical Center - Wright-Patterson

🇺🇸

Wright-Patterson Afb, Ohio, United States

Ruth G. McMillan Cancer Center at Greene Memorial Hospital

🇺🇸

Xenia, Ohio, United States

Evergreen Hematology and Oncology, PS

🇺🇸

Spokane, Washington, United States

Cancer Center of Kansas, PA - Medical Arts Tower

🇺🇸

Wichita, Kansas, United States

Cancer Center of Kansas, PA - Pratt

🇺🇸

Pratt, Kansas, United States

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