The objective of this study is to compare the efficacy and safety of CAELYX versus Paclitaxel HCl in patients with epithelial ovarian carcinoma following failure of first-line, platinum-based chemotherapy. The primary endpoint is time to progression (TTP) following treatment with either CAELYX or Paclitaxel HCl; the secondary endpoints are response rates, time to response, duration of response,quality of life assessment, and survival following treatment with either CAELYX or Paclitaxel HCl. Up to a total of 438 protocol-eligible patients with epithelial ovarian carcinoma following failure of first-line, platinum-based chemotherapy will be enrolled in order to obtain 350 evaluable patients.
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Inclusion Criteria: * Histologically proven (i.e., not borderline) epithelial ovarian carcinoma * Measurable disease * Recurrence of disease or disease progression indicative of failure of first-line platinum-based chemotherapy * Disease-free from prior malignancies for \>5 years with the exception of curatively treated basal cell or squamous cell carcinoma of the skin or carcinoma in situ of the cervix * Adequate renal creatinine (\<2.5 mg/dL (\<220 μmol/L)) \& liver function (aspartate amino transferase (AST) and alanine amino transferase (ALT) \<2 x upper limit of normal, alkaline phosphatase \<2.0 x upper limit of normal, except if attributed to tumor, and bilirubin \< upper limit of normal) Exclusion Criteria: * Pregnant or breast feeding * Life expectancy of \<3 months * Prior radiation therapy to more than one-third of hematopoietic sites within 30 days prior to first dose of study drug * Prior therapy with DOXIL or paclitaxel * Prior chemotherapy within 28 days of first dose of study drug (or 42 days if subject has received a nitrosourea or mitomycin) * Treated with high dose therapy supported by bone marrow or peripheral stem cell transplantation at any time