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A trial to find out whether maintenance hormonal therapy after chemotherapy and surgery can increase survival of estrogen receptor or progesterone receptor positive high grade ovarian cancer patients.

A phase III randomized study of first line maintenance Hormonal therapy versus observation in patients with estrogen or progesterone receptor positive High grade epithelial Ovarian cancer after completion of primary treatment with surgery and platinum based chemotherapy - H2O

Status
Recruiting
Phases
Phase 3
Study type
Interventional
Source
CTRI
Registry ID
CTRI/2023/06/053500
Enrollment
253
Registered
2023-06-02
Start date
Unknown
Completion date
Unknown
Last updated
2026-03-30

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Health Condition 1: C569- Malignant neoplasm of unspecifiedovary

Interventions

Intervention1: T. Letrozole 2.5 mg once a day: Oral T Letrozole 2.5mg OD Supportive Care -Oral calcium 500mg OD and alendronate 70mg once a week These will be continued as maintenance till disease pr

Sponsors

Tata Memorial Centre
Lead Sponsor

Eligibility

Inclusion criteria

Inclusion criteria: Inclusion criteria 1. Age at least 18 years at diagnosis 2. ECOG performance status 0-2 ,post treatment completion and before randomization 3. High grade ovarian cancer 4. FIGO stage III/IV epithelial ovarian cancer 5. Patients who have undergone primary or interval debulking surgery (total abdominal hysterectomy, bilateral salpingo-oophorectomy, omentectomy) and completed at least 6 cycles of platinum based chemotherapy 6. Written, signed, informed consent 7. Post 3-6 weeks of treatment completion blood parameters-Hb >8gm/dl, ANC greater than or equal to 1.5 x 10 9/L, platelets greater than 100 x 10 9/L, Creatinine less than or equal to 1.5 x ULN, total bilirubin less than or equal to 1.2 mg/dl, AST and ALT less than or equal to 2.5 x ULN.

Exclusion criteria

Exclusion criteria: Exclusion criteria: 1. No h/o any other invasive malignancy (prior or current). 2. Unable to take hormonal therapy orally. 3. Contraindication to Letrozole-known hypersensitivity to letrozole, its active substance, or to any of the excipients. 4. Patients on maintenance Bevacizumab or PARP inhibitors

Design outcomes

Primary

MeasureTime frame
To determine progression free survival (PFS) in patients with ER/PR Allred total score â?¥6.Timepoint: Progression free survival (PFS) will be calculated from date of randomisation to date of progression, death or date of last follow up, whichever is earlier Progression will be defined radiologically as per RECIST 1.1.

Secondary

MeasureTime frame
Tertiary Outcomes For patients with ER/PR ATS6 , PFS and OS will be calculatedTimepoint: PFS will be calculated from date of randomisation to date of progression, death or date of last follow up, whichever is earlier.Similay for the same patients Overall survival (OS) will be determined as time from randomisation to death due to any cause or date of last follow up;To evaluate overall survival (OS) in patients with ER/PR Allred total score â?¥6.Timepoint: Overall survival (OS) will be determined as time from randomisation to death due to any cause or date of last follow up. ;To assess toxicities using CTCAE v 5.0 in patients with ER/PR Allred total score â?¥6.Timepoint: At each clinical follow up 3 monthly or earlier if symptomatic;QOL of all study patients will be documented as per the FACT O v 4 at pre-specified timesTimepoint: QOL of all study patients will be documented as per the FACT O v 4 at pre-specified times i.e .just after randomization and at follow up at 6,12,18,24 months

Countries

India

Contacts

Public ContactDr Jaya Ghosh

Tata Memorial Centra

archana_jaya_ghosh@yahoo.co.in9769997881

Outcome results

None listed

Source: CTRI (via WHO ICTRP) · Data processed: Apr 4, 2026