Women with newly diagnosed, suspected, advanced (compatible with FIGO stage III/IV) ovarian, primary peritoneal or fallopian tube cancer who fulfil other entry criteria, with clinical and/or imaging evidence of extrapelvic metastatic disease at presentation and serum CA 125/CEA ratio > 25 MedDRA version: 9.1 Level: LLT Classification code 10033131 Term: Ovarian carcinoma MedDRA version: 9.1 Level:
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Clinical and/or imaging evidence of a pelvic mass with extra-pelvic metastatic disease (compatible with FIGO stage III/IV) at presentation. Randomisation should be carried out within 4 weeks after obtaining clinical and/or imaging evidence of disease. Serum CA 125/CEA ratio > 25 [if the serum CA 125/CEA ? 25 and the serum CEA is above the upper limit of normal, the patient should undergo investigations to exclude gastrointestinal cancer] Patient planned to receive carboplatin-based chemotherapy Patient fit to undergo protocol treatment and follow-up No concomitant or previous malignancy likely to interfere with protocol treatments or comparisons. Patients may have received previous adjuvant chemotherapy for other malignancies e.g. breast or colorectal carcinoma if diagnosed over 5 years ago with no evidence of subsequent recurrence. Written informed consent of the patient Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range
Exclusion criteria
Exclusion criteria:
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: To evaluate the safety and efficacy of neoadjuvant chemotherapy i.e. chemotherapy given before and after primary surgery compared to standard surgery followed by chemotherapy;Secondary Objective: To evaluate overall (OS) and progression-free survival (PFS), safety and patient reported outcomes of quality of life (QoL).;Primary end point(s): Overall survival | — |
Countries
United Kingdom