Surgical Complications Related to Primary or Interval Debulking in Ovarian Neoplasm

NCT01461850CompletedPHASE3INTERVENTIONAL

Summary

Key Facts

Lead Sponsor

Catholic University of the Sacred Heart

Enrollment

171

Start Date

2011-10-01

Completion Date

2014-11-30

Study Type

INTERVENTIONAL

Official Title

Surgical Complications Related to Primary or Interval Debulking in Ovarian Neoplasm

Interventions

Neoadjuvant chemotherapy + Interval Debulking SurgeryPrimary Debulking Surgery + Adjuvant Chemotherapy

Conditions

Stage IIIC Ovarian Cancer

Eligibility

Age Range

18 Years – 75 Years

Sex

FEMALE

Inclusion Criteria:

* Patients with suspected advanced ovarian cancer (FIGO stage IIIC)
* PIV ≥ 8, PIV ≤ 12
* Estimated life expectancy of at least 4 weeks.
* PS ≤ 2
* Appropriate respiratory, hepatic, cardiological, bone marrow and renal functions (Creatinine Clearance \> 60 mL/min according to Cockcroft formula)
* Patient capable of consent.

Exclusion Criteria:

* Pregnancy or breastfeeding.
* Non-appropriate respiratory, hepatic, cardiological, bone marrow and renal functions
* Large size mass reaching the xiphoid, occupying all the abdominal cavity and/or infiltrating the abdominal wall.
* Mesenteric retraction

Outcome Measures

Primary Outcomes

Evaluation and comparison of early surgical complications of primary surgery and Interval debulking surgery.

Early surgical complications: * Blood transfusion * Re-laparotomy * suture dehiscence of laparotomy. * Venous thrombosis * Haemorrhage * Death in the post-operative period * Digestive fistula * Urinary fistula * Lymphocyst * Fever * Infection * Pleural effusion * Pulmonary embolism * Pneumothorax * Pneumonia

Time frame: thirty days

Evaluation and comparison of late surgical complications of primary surgery and Interval debulking surgery

Late surgical complication: * Death for every reason. * Suture dehiscence of laparotomy with opening of the abdominal muscles * Fever due to lymphocystis infection

Time frame: six months

Evaluation of the progression free survival (PFS)

Time from randomization until recurrence of tumor or death from any cause.

Time frame: Thirty-six months

Secondary Outcomes

Overall Survival

Time from randomization until death from any cause.

Time frame: Thirty-six months

Evaluation of Quality of life

Quality of life will be assess using the EORTC quality of life questionnaire core-36 (QLQC-30) and the ovarian cancer-specific quality of life questionnaire (QLQ-Ov28). These will be complete at study entry, at the 4th cycle or before IDS (in arm A and arm B, respectively), at the 6th cycle, and 6 months after the last cycle of chemotherapy.

Time frame: 12 months

Locations

Catholic University of the Sacred Heart, Rome, Italy

Linked Investigators

Surgical Complications Related to Primary or Interval Debulking in Ovarian Neoplasm