Advanced Ovarian Cancer
Conditions
Brief summary
Neoadjuvant chemotherapy is alternative treatment option to upfront cytoreductive surgery to treat advanced ovarian cancer. Paclitaxel plus carboplatin is most frequently selected chemotherapeutic regimen for neoadjuvant chemotherapy. Docetaxel had similar therapeutic efficacy compared to paclitaxel in adjuvant chemotherapy trials in ovarian cancer. However, docetaxel had more favorable toxicity profile. Therefore, the investigators aimed to evaluate the efficacy of docetaxel plus carboplatin as neoadjuvant chemotherapy in patients with advanced ovarian cancer.
Interventions
Docetaxel 75mg/m2BAS, q 3 weeks, 3 cycles
Carboplatin AUC 5, q 3 weeks, 3 cycles
Sponsors
Study design
Eligibility
Inclusion criteria
* Advanced epithelial, tubal, or primary peritoneal cancer * Cancer cells in paracentesis, thoracentesis, or laparoscopic surgery * Less probability of complete cytoreduction * Age: 20-80 years * GOG performance status: 0-3 * Adequate organ function Bone marrow: ANC ≥ 1,500mm3, Platelet ≥ 100,000/mm3, Hb ≥ 10.0 g/dl Kidney: Creatinine ≤ 1.25 × UNL Liver: AST, ALT ≤ × 2.5 UNL (in case of liver metastasis, AST, ALT ≤ × 5 UNL), alkaline phosphatase ≤ 5 x UNL, bilirubin ≤ 1.5 mg/ mm3
Exclusion criteria
* Previous chemotherapy or pelvic radiation therapy * Final diagnosis is other malignancies * Coincidental Other malignancies within 5 years except carcinoma in situ of uterine cervix * History of severe allergy * Pregnancy, lactating woman * Uncontrolled medial disease * Bowel obstruction requiring immediate surgery * Etc.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Response rate | 1 month after completion of study treatment |
Secondary
| Measure | Time frame |
|---|---|
| Number of Participants with Adverse Events as a Measure of Safety and Tolerability | Before each chemotherapy, an average of 3 week |
| Disease-free survival | 2 years after completion of study treatment |
| Overall survival | 2 years after completion of study treatment |
| The number of participants who achieved optimal cytoreduction | 1 month after completion of study treatment |
Countries
South Korea