Status:

RECRUITING

Phase III Trial of Stage I Ovarian Cancer After Surgery

Lead Sponsor:

Japanese Gynecologic Oncology Group

Collaborating Sponsors:

Korean Gynecologic Oncology Group

Conditions:

Epithelial Ovarian Cancer

Eligibility:

FEMALE

20+ years

Phase:

PHASE3

Brief Summary

To compare the Overall survival of adjuvant chemotherapy versus observation in stage I epithelial ovarian cancer after comprehensive staging surgery

Detailed Description

Based on the following adjustment factors, patients will be randomly assigned in a 1:1 ratio to adjuvant chemotherapy or observation groups. 1. Histologic type: clear cell adenocarcinoma/mucinous ade...

Eligibility Criteria

Inclusion

  • Patients with a diagnosis of histopathologically epithelial ovarian cancer
  • FIGO Stages Ia(Grade2/3, clear cell carcinoma), Ib(Grade2/3, clear cell carcinoma) and Ic(b)(all degree of differentiation and all histologic type)
  • Patients with a diagnosis of advanced stage by comprehensive staging or restaging laparotomy.
  • Patients who received comprehensive staging surgery (basic surgical techniques (total hysterectomy, bilateral salpingo-oophorectomy, and omentectomy) as well as peritoneal cytology, multiple biopsies of the peritoneum (\[Peritoneal biopsy\] see details below), retroperitoneal lymph node dissection (see details below \[Retroperitoneal lymph node dissection\]).
  • However, for the following cases, it is eligible as a condition to record on the official document.
  • Peritoneal biopsy: peritoneal metastasis is not recognized by macroscopic and palpation in the stipulated site, and the case that biopsy has not been performed.
  • Retroperitoneal lymph node dissection: the case that lymph nodes of the stipulated range has been dissected however the prescribed number has not been reached.
  • Age: 20 or older
  • Performance status (PS):0-1
  • Case with initial therapy for postoperative primary lesion
  • Patient possible to receive the first study treatment within 8 weeks after the comprehensive staging surgery
  • Reasonable organ function
  • Patient must have signed informed consent.

Exclusion

  • FIGO Stages Ic(a), Ic(1) and Ic(2)
  • Patients containing sarcoma elements
  • Patients with any signs of interstitial pneumonia or pulmonary fibrosis by chest radiography and CT
  • Patients with serious complications
  • Patients with active infection
  • Patients with intestinal paralysis or intestinal obstruction
  • Patients who have a synchronous malignancy or who have been progression-free less than 5 years for a metachronous malignancy
  • Patients with previous chemotherapy or radiation therapy
  • Patients with serious drug hypersensitivity
  • Patients with peripheral motor/sensory neuropathy \[grade2,3,4 Common Terminology Criteria for Adverse Events (CTCAE) 4.0\]
  • Patients who have had a hypersensitivity reaction to polyoxyethylated or hydrogenated castor oil
  • Patients with positive HBsAg. Patients with more than 2.1 log/copies ml based on fixed Hepatitis B virus (HBV)-DNA who are positive with either antigen-positive Hepatitis B (HBs), anti-hepatitis B core antigen or anti-hepatitis B surface antigen.
  • Patients who are inappropriate to enter this study with any safety reasons, judged by the treating physician

Key Trial Info

Start Date :

July 20 2012

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

February 1 2030

Estimated Enrollment :

360 Patients enrolled

Trial Details

Trial ID

NCT04063527

Start Date

July 20 2012

End Date

February 1 2030

Last Update

August 30 2019

Active Locations (103)

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Page 1 of 26 (103 locations)

1

Aichi Medical University Hospital

Nagakute-shi, Aichi-ken, Japan, 480-1195

2

Tosei General Hospital

Seto-shi, Aichi-ken, Japan, 489-8642

3

Fujita Health University Hospital

Toyoake-shi, Aichi-ken, Japan, 470-1193

4

Hirosaki University School of Medicine & Hospital

Hirosaki-shi, Aomori, Japan, 036-8563