Ovarian Cancer
Conditions
Brief summary
Determination of progression free survival after 12 months of FU Determination of total survival, response and quality of life
Detailed description
In Germany there are two established therapy regimes for platin sensitive ovarian cancer: the combination of carboplatin and paclitaxel as well as the combination of carboplatin with gemcitabine. Choice of therapy is individual due to missing randomized comparisons between the regimes. Topotecan has shown good efficacy in second-line therapy of ovarian cancer as well as a good, especially, non-hematoxic toxicity profile. Several phase II-studies have demonstrated a synergistic effect of topotecan in combination with carboplatin exhibiting good efficacy and tolerability. It shall be tested in this randomized phase III-study if the combination of topotecan and carboplatin shows improvement of progression-free survival in comparison to the standard regimes.
Interventions
Topotecan: 0,75 mg/m²/d, day 1-3, and Carboplatin: AUC 5 (after Cockroft and Gault Formula) on day 3 after Topotecan, q 21d
Sponsors
Study design
Eligibility
Inclusion criteria
* Women ≥18 years of age with platinum-sensitive recurrent ovarian cancer occurring at least six months after completion of primary standard therapy are eligible * Patients with measurable or assessable lesions or CA-125 ≥ 2x ULN an Eastern Co-operative Oncology Group (ECOG) performance status ≤ 2 * All patients will provide written informed consent
Exclusion criteria
* Patients with more than two chemotherapies in their history * Progress less than six months after completion of primary standard therapy * Simultaneous or planned radiation * Any known hypersensitivity to topotecan, carboplatin, paclitaxel or gemcitabine * Patients with infection * Patients who are pregnant or breast feeding
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| progression-free survival | after 1 year-follow-up |
Secondary
| Measure | Time frame |
|---|---|
| overall survival, efficacy and tolerability of the regimes and quality of life | during study and follow-up |
Countries
Germany