Phase 3 Trial Evaluating Hyperthermic Intraperitoneal Chemotherapy in Upfront Treatment of Stage IIIC Epithelial Ovarian Cancer

NCT01628380UNKNOWNPHASE3INTERVENTIONAL

Summary

Key Facts

Lead Sponsor

A.O. Ospedale Papa Giovanni XXIII

Enrollment

94

Start Date

2012-06-01

Completion Date

2018-06-01

Study Type

INTERVENTIONAL

Official Title

Stage IIIC Unresectable Epithelial Ovarian/Tubal Cancer With Partial or Complete Response After 1st Line Neoadjuvant Chemotherapy (3 Cycles CBDCA+Paclitaxel): a Phase 3 Prospective Randomized Study Comparing Cytoreductive Surgery + Hyperthermic Intraperitoneal Chemotherapy (CDDP+Paclitaxel) + 3 Cycles CBDCA+Paclitaxel vs Cytoreductive Surgery Alone + 3 Cycles CBDCA+Paclitaxel.

Interventions

Cytoreductive Surgery and HIPECCRS alone

Conditions

Ovarian Neoplasms

Eligibility

Age Range

18 Years – 70 Years

Sex

FEMALE

Inclusion Criteria:

* Female adult women (18 to 70 years old) patients, with EOC (FIGO stage IIIc) with a Fagotti modified Laparoscopic Scoring System ≥ 4 who will show a complete clinical response (cCR) or partial clinical response (cPR) after 3 cycles (Carboplatin+Paclitaxel) of neoadjuvant chemotherapy;
* performance status (ECOG) 0, 1 or 2;
* signed informed consent.

Exclusion Criteria:

* refusing to sign an informed consent;
* age \> 70 years and age \<18 years;
* BMI \> 35;
* impossibility of an adequate follow-up;
* presence of other active neoplasms;
* active infection or other concurrent medical condition that could interfere in the ability of patients to receive the proposed treatment according to protocol;
* extraabdominal metastases (Stage IV) ;
* performance status (ECOG)\>2;
* complete bowel obstruction;
* Abnormal bone marrow indices or renal and liver function;
* ASA IV or V.

Outcome Measures

Primary Outcomes

Disease free survival

Time frame: 2 years

Secondary Outcomes

postoperative morbidity and mortality

Time frame: 1 and 6 months

Time to Chemotherapy

percentage of patients in both arms completing the scheduled postoperative chemotherapy and time elapsed to start postoperative chemotherapy

Time frame: 3 months

Overall Survival

Time frame: 1, 3 and 5 years

Locations

Jena University Hospital, Jena, Germany

A.O. Papa Giovanni XXIII (former Ospedali Riuniti), Bergamo, Italy

A.O. Universitaria Policlinico S.Orsola-Malpighi Di Bologna - Bologna (Bo), Bologna, Italy

A.O. Universitaria Di Parma - Parma (Pr) Oncologia Chirurgica, Parma, Italy

POLICLINICO UNIVERSITARIO GEMELLI DI ROMA - ROMA (RM) GINECOLOGIA E OSTETRICIA Dipartimento per la Tutela della Salute della Donna e della Vita Nascente, Roma, Italy