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Combination Chemotherapy in Treating Patients With Stage III or Stage IV Ovarian Epithelial or Primary Peritoneal Cancer

Phase 1
Completed
Conditions
Ovarian Cancer
Primary Peritoneal Cavity Cancer
Registration Number
NCT00005026
Lead Sponsor
Gynecologic Oncology Group
Brief Summary

RATIONALE: Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die. Combining more than one drug may kill more tumor cells.

PURPOSE: Phase I trial to study the effectiveness of combination chemotherapy in treating patients who have stage III or stage IV ovarian epithelial or primary peritoneal cancer.

Detailed Description

OBJECTIVES: I. Determine the feasibility of administering multiple courses of carboplatin and topotecan without excessive dose modification or course delay in patients with previously untreated ovarian epithelial or primary peritoneal carcinoma. II. Describe the response rate and progression-free interval in these patients with this treatment regimen. III. Determine pharmacokinetic and pharmacodynamic parameters related to the sequence of carboplatin and topotecan administration in these patients.

OUTLINE: Patients are assigned to one of three treatment regimens. Regimen I: Patients receive carboplatin IV over 30 minutes on day 1 followed by topotecan IV over 30 minutes on days 1-3. Treatment continues every 21 days for 4 courses in the absence of disease progression or unacceptable toxicity. Patients then receive paclitaxel IV over 3 hours followed by carboplatin IV over 30 minutes on day 1. Treatment continues every 21 days for 4 courses in the absence of disease progression or unacceptable toxicity. Regimen II: Patients receive topotecan IV over 30 minutes on days 1-3 followed by carboplatin IV over 30 minutes on day 3. Treatment continues every 21 days for 4 courses in the absence of disease progression or unacceptable toxicity. Patients then receive paclitaxel IV over 3 hours followed by carboplatin IV over 30 minutes on day 1. Treatment continues every 21 days for 4 courses in the absence of disease progression or unacceptable toxicity. Regimen III: Patients receive topotecan IV over 30 minutes on days 1-5 followed by carboplatin IV over 30 minutes on day 5. Treatment continues every 21 days for 4 courses in the absence of disease progression or unacceptable toxicity. Patients then receive paclitaxel IV over 3 hours followed by carboplatin IV over 30 minutes on day 1. Treatment continues every 21 days for 4 courses in the absence of disease progression or unacceptable toxicity. Patients are followed at 1 month and then every 3 months for 1 year.

PROJECTED ACCRUAL: A total of 15-80 patients will be accrued for this study within 2 years.

Recruitment & Eligibility

Status
COMPLETED
Sex
Female
Target Recruitment
Not specified
Inclusion Criteria

Not provided

Exclusion Criteria

Not provided

Study & Design

Study Type
INTERVENTIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (47)

Rush-Presbyterian-St. Luke's Medical Center

πŸ‡ΊπŸ‡Έ

Chicago, Illinois, United States

University of Chicago Cancer Research Center

πŸ‡ΊπŸ‡Έ

Chicago, Illinois, United States

Indiana University Cancer Center

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Indianapolis, Indiana, United States

Memorial Sloan-Kettering Cancer Center

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New York, New York, United States

Barbara Ann Karmanos Cancer Institute

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Detroit, Michigan, United States

Duke Comprehensive Cancer Center

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Durham, North Carolina, United States

University of Oklahoma College of Medicine

πŸ‡ΊπŸ‡Έ

Oklahoma City, Oklahoma, United States

Walter Reed Army Medical Center

πŸ‡ΊπŸ‡Έ

Washington, District of Columbia, United States

Jonsson Comprehensive Cancer Center, UCLA

πŸ‡ΊπŸ‡Έ

Los Angeles, California, United States

Albert B. Chandler Medical Center, University of Kentucky

πŸ‡ΊπŸ‡Έ

Lexington, Kentucky, United States

CCOP - Montana Cancer Consortium

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Billings, Montana, United States

University of Mississippi Medical Center

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Jackson, Mississippi, United States

Tufts University School of Medicine

πŸ‡ΊπŸ‡Έ

Boston, Massachusetts, United States

North Shore University Hospital

πŸ‡ΊπŸ‡Έ

Manhasset, New York, United States

University of Pennsylvania Cancer Center

πŸ‡ΊπŸ‡Έ

Philadelphia, Pennsylvania, United States

Fox Chase Cancer Center

πŸ‡ΊπŸ‡Έ

Philadelphia, Pennsylvania, United States

Kimmel Cancer Center of Thomas Jefferson University - Philadelphia

πŸ‡ΊπŸ‡Έ

Philadelphia, Pennsylvania, United States

University of Alabama at Birmingham Comprehensive Cancer Center

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Birmingham, Alabama, United States

University of Colorado Cancer Center

πŸ‡ΊπŸ‡Έ

Denver, Colorado, United States

Ellis Fischel Cancer Center

πŸ‡ΊπŸ‡Έ

Columbia, Missouri, United States

Tom Baker Cancer Center - Calgary

πŸ‡¨πŸ‡¦

Calgary, Alberta, Canada

University of Massachusetts Memorial Medical Center

πŸ‡ΊπŸ‡Έ

Worcester, Massachusetts, United States

Cooper Hospital/University Medical Center

πŸ‡ΊπŸ‡Έ

Camden, New Jersey, United States

Cancer Center of Albany Medical Center

πŸ‡ΊπŸ‡Έ

Albany, New York, United States

State University of New York Health Science Center at Brooklyn

πŸ‡ΊπŸ‡Έ

Brooklyn, New York, United States

State University of New York Health Sciences Center - Stony Brook

πŸ‡ΊπŸ‡Έ

Stony Brook, New York, United States

University of Texas - MD Anderson Cancer Center

πŸ‡ΊπŸ‡Έ

Houston, Texas, United States

Barrett Cancer Center, The University Hospital

πŸ‡ΊπŸ‡Έ

Cincinnati, Ohio, United States

Ireland Cancer Center

πŸ‡ΊπŸ‡Έ

Cleveland, Ohio, United States

Cleveland Clinic Taussig Cancer Center

πŸ‡ΊπŸ‡Έ

Cleveland, Ohio, United States

Arthur G. James Cancer Hospital - Ohio State University

πŸ‡ΊπŸ‡Έ

Columbus, Ohio, United States

Brookview Research, Inc.

πŸ‡ΊπŸ‡Έ

Nashville, Tennessee, United States

Abington Memorial Hospital

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Abington, Pennsylvania, United States

Tacoma General Hospital

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Tacoma, Washington, United States

Community Hospital of Los Gatos

πŸ‡ΊπŸ‡Έ

Los Gatos, California, United States

Tampa Bay Cancer Consortium

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Saint Petersburg, Florida, United States

University of Rochester Cancer Center

πŸ‡ΊπŸ‡Έ

Rochester, New York, United States

Milton S. Hershey Medical Center

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Hershey, Pennsylvania, United States

Simmons Cancer Center - Dallas

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Dallas, Texas, United States

Cancer Center at the University of Virginia

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Charlottesville, Virginia, United States

Fred Hutchinson Cancer Research Center

πŸ‡ΊπŸ‡Έ

Seattle, Washington, United States

Washington University School of Medicine

πŸ‡ΊπŸ‡Έ

Saint Louis, Missouri, United States

Lineberger Comprehensive Cancer Center, UNC

πŸ‡ΊπŸ‡Έ

Chapel Hill, North Carolina, United States

Comprehensive Cancer Center at Wake Forest University

πŸ‡ΊπŸ‡Έ

Winston-Salem, North Carolina, United States

H. Lee Moffitt Cancer Center and Research Institute

πŸ‡ΊπŸ‡Έ

Tampa, Florida, United States

Radiation Oncology Branch

πŸ‡ΊπŸ‡Έ

Bethesda, Maryland, United States

Medical University of South Carolina

πŸ‡ΊπŸ‡Έ

Charleston, South Carolina, United States

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