ADVANCED OVARIAN CARCINOMA MedDRA version: 21.1 Level: PT Classification code 10054913 Term: Serous cystadenocarcinoma ovary System Organ Class: 10029104 - Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Diagnosis of advanced epithelial ovarian cancer (FIGO stage III B-IV) 2. high tumor load assessed by laparoscopy according to the Fagotti’s score (PIV 8-12) 3. age between 18 and 80 4. Performance Status (ECOG) = 2, an adequate respiratory, hepatic, cardiac, bone marrow, liver and renal function (Creatinine Clearance > 60 mL/min according to Cockroft formula) 5. sBRCA-wt 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 150 F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range 60
Exclusion criteria
Exclusion criteria: 1. FIGO stages IA-IIIA ii 2. any histology but high grade serous 3. hepatic dysfunction defined as a Model for End-Stage Liver Disease score of 10 or greater, renal dysfunction defined as serum creatinine of 2.0 mg/dL or greater 4. history of any type of cancer in the past 5 years 5. concomitant other malignancies 6. pregnancy or lactation 7. refusal to provide written informed consent.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: Overall, we want to find out whether up front treatments could be associated with different survival outcomes according to the BRCA mutational status. To demonstrate the efficacy of PDS versus NACT for increasing the PFS.;Secondary Objective: •Median OS •Quality of life assessment •Optimal cytoreduction rate • Time to starting second-line chemotherapy •General immune status and tumor-derived apoptotic body generation •Biomarkers •Radiomics features.;Primary end point(s): PFS;Timepoint(s) of evaluation of this end point: 5 years | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): • OS • QoL • Cytoreduction rate • Time to starting second-line chemotherapy • General immune status and tumor-derived apoptotic body generation • Biomarkers • Radiomics features.;Timepoint(s) of evaluation of this end point: 5 years. | — |
Countries
Italy
Contacts
FONDAZIONE POLICLINICO GEMELLI