ovarian cancer ovarian cancer
Conditions
Interventions
Irinotecan (50 mg/m2) is administrated intravenously over 90 minutes on Days 1 and 8, followed by gemcitabine at the tailored dose over 30 minutes. The doses of irinotecan and gemcitabine increase or
D0 6 0 8 2 8
chemotherapy
Sponsors
Koga Kaori
Eligibility
Sex/Gender
Female
Inclusion criteria
Inclusion criteria: (1) Patients with histologically proven ovarian cancer who has the resistant or refractory for paclitaxel and carboplatin combination therapy in thier previous therapy (2) Patients had recieved less than four previous chemotherapy. (3) Age more than twenty years old (4) Patient has a duration of 3 weeks or more from the end of the previous treatment. (Patients has a duration of 4 weeks or more if previous regimen was triweekly CBDCA/PTX.) (5) Patient had Eastern Cooperative Oncolog y Group (ECOG) performance status 0 or 1 and had be expected to alive more than three months. (6) Adequate bone marrow function ( WBCs >=2,000/mm3, Neutrophil >=1,500/mm3, platelets >= 100,000/mm3), hepatic function (AST(GOT)=<90 U/I, ALT(GPT) 63 U/l =< 63 U/l ) and renal function ( serum creatinine =< 1.0 mg /dl, urea nitrogen =< 25 mg /dl), total bilirubin =< 1.0 mg /dl , Electrocardiogram; normal or slig ht change in normal range (7) Patients gave informed written consent. (8) Patients without hypersensivity reaction of bev acizumab, gemcitabine and irinotecan.
Exclusion criteria
Exclusion criteria: 1. Patients had contraindications to bevacizumab (Patients who received surgery within 28 days, who had active pulmonary hemorrhage, cerebral hemorrhage, congenital bleeding diathesis, coagulopathy, history of cerebral infarction, active deep vein thrombosis, pulmonary embolism, uncontrolled hypertension (grade 3 or higher), proteinuria (Grade >= 3, UPC >= 3.5)) 2.Patients with homozygous for UGT1A1*6 or UGT1A1*28 and Patients with heterozygous for UGT1A1*6 and UGT1A1*28 3. New York Heart Association (NYHA) Class II or greater congestive heart failure, or serious arrhythmias requiring medication for treatment. (We are able to enroll patients with hypertension-associated left ventricular hypertrophy, mild left ventricular overload, and mild right bundle branch block.) 4. Known history of hypersensitivity to bevacizumab, gemcitabine and irinotecan 5. Known history of myocardial infarction within 6 months prior to the enrollment. 6. Patients with liver cirrhosis or interstitial pneumonia 7. Patients with g astrointestinal fresh bleeding required with blood transfusion repeatedly 8. Patients with psychic disturbance required with the treatment or in the treatment with an antipsychotic drug 9. Patients with uncontrolled diabetes 10. History of bowel obstruction, including sub-occlusive disease 11. Multiple primary cancers. 12. Patients who are inappropriate to enter this study with any safety reasons,judg ed by the treating physician.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Progression free survival | — |
Secondary
| Measure | Time frame |
|---|---|
| Efficacy of bevacisumab combined chemotherapy with gemcitabine and irinotecan Overall survival Adverse effect | — |
Contacts
Public ContactKyoko Nishikimi
Chiba University Hospital
Outcome results
None listed