A Multi-Institutional Phase II Study of Cyclophosphamide, Paclitaxel, Cisplatin With G-CSF for Patients With Newly Diagnosed Advanced Stage Ovarian Cancer

Sponsor
National Cancer Institute (NCI) (NIH)
Overall Status
Completed
CT.gov ID
NCT00001426
Collaborator
(none)
66
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Study Details

Study Description

Brief Summary

A supra-additive cytotoxic effect was seen when CAI and paclitaxel were given to human ovarian cancer cells sequentially in tissue culture. We have demonstrated that CAI given for 8 days followed by paclitaxel is reasonably well tolerated and that paclitaxel administration causes a dose-dependent increase in CAI plasma concentration. CAI is a cytostatic drug and continuous exposure is needed. This study will evaluate the combination of continuously administered CAI with three-weekly paclitaxel.

Condition or Disease Intervention/Treatment Phase
Phase 2

Detailed Description

A supra-additive cytotoxic effect was seen when CAI and paclitaxel were given to human ovarian cancer cells sequentially in tissue culture. We have demonstrated that CAI given for 8 days followed by paclitaxel is reasonably well tolerated and that paclitaxel administration causes a dose-dependent increase in CAI plasma concentration. CAI is a cytostatic drug and continuous exposure is needed. This study will evaluate the combination of continuously administered CAI with three-weekly paclitaxel.

Study Design

Study Type:
Interventional
Actual Enrollment :
66 participants
Primary Purpose:
Treatment
Official Title:
A Multi-Institutional Phase II Study of Cyclophosphamide, Paclitaxel, Cisplatin With G-CSF for Patients With Newly Diagnosed Advanced Stage Ovarian Cancer
Study Start Date :
Feb 3, 1995
Actual Primary Completion Date :
Oct 15, 2007
Actual Study Completion Date :
Nov 7, 2013

Outcome Measures

Primary Outcome Measures

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    N/A and Older
    Sexes Eligible for Study:
    Female
    Accepts Healthy Volunteers:
    No
    • INCLUSION CRITERIA:

    All patients must have biopsy proven, newly diagnosed epithelial ovarian cancer, primary epithelial fallopian tube cancer, or peritoneal surface carcinoma. Histopathologic diagnosis must be confirmed in the pathology department of the treating institution prior to initiation of therapy. Diagnosis will be confirmed in the Laboratory of Pathology, National Cancer Institute. This confirmation is not necessary prior to entering the patient onto protocol.

    Patients must have FIGO stage III or IV disease and will undergo attempted surgical debulking prior to the initiation of chemotherapy.

    Patients must be able to begin therapy within 6 weeks of staging laparotomy and should have an indwelling venous access device placed. A double lumen catheter is preferred.

    Performance status of less than or equal to ECOG 2.

    Patients must be able to give written informed consent and express a willingness to meet all of the expected requirements of the protocol.

    All patients must be registered by calling the Orkand Corporation at 301-402-1732 between the hours of 8:30 AM and 5:00 PM EST; Eligibility criteria will be queried.

    EXCLUSION CRITERIA:

    Evidence CNS involvement (patients with normal clinical exam will not require a head CT scan or MRI).

    History of myocardial infarction or unstable dysrhythmia within 1 month of study entry.

    Creatinine clearance of less than 60 cc/min, ANC less than 1000/cm3, platelet count less than 1000,000/cm3.

    History of active GI bleeding within the last 30 days.

    Prior therapy other than surgery for this malignancy.

    Abnormal PT, PTT, and bilirubin. SGOT greater than or equal to 3 times the upper limit of normal.

    Previous history of invasive malignancy.

    Patients with ureteral obstruction must have this corrected prior to starting therapy.

    Patients with germ cell, mixed Muellerian and borderline histologies are specifically excluded.

    Contacts and Locations

    Locations

    Site City State Country Postal Code
    1 National Institutes of Health Clinical Center, 9000 Rockville Pike Bethesda Maryland United States 20892

    Sponsors and Collaborators

    • National Cancer Institute (NCI)

    Investigators

    • Principal Investigator: Elise C Kohn, M.D., National Cancer Institute (NCI)

    Study Documents (Full-Text)

    None provided.

    More Information

    Publications

    Responsible Party:
    , ,
    ClinicalTrials.gov Identifier:
    NCT00001426
    Other Study ID Numbers:
    • 950055
    • 95-C-0055
    • NCT00019045
    First Posted:
    Nov 4, 1999
    Last Update Posted:
    Apr 5, 2018
    Last Verified:
    Nov 7, 2013

    Study Results

    No Results Posted as of Apr 5, 2018