Ovarian Cancer Clinical Trial

Weekly Infusions of Paclitaxel in Treating Women With Stage III or Stage IV Ovarian Cancer Refractory to Paclitaxel and Platinum

Summary

RATIONALE: Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die. Giving the drugs in different ways may kill more tumor cells.

PURPOSE: Phase II trial to study the effectiveness of paclitaxel in treating women with stage III or stage IV ovarian cancer that is refractory to paclitaxel and platinum-based regimens.

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Full Description

OBJECTIVES: I. Determine the objective response rate of paclitaxel given as a weekly one hour infusion in patients with paclitaxel/platinum refractory stage III and IV ovarian cancer. II. Evaluate the safety of paclitaxel in this patient population. III. Assess the overall survival in these patients. IV. Assess quality of life in these patients.

OUTLINE: This is a multicenter, open label, nonrandomized study. Patients are administered paclitaxel as a one hour IV infusion every 7 days. Each cycle consists of four weeks. Treatment may be delayed for up to 2 weeks and there is no limit to the number of interruptions a patient may experience. Patients receive paclitaxel weekly until disease progression or unacceptable toxicity. Treatment is assessed every 3 cycles for one year and then every 6 months thereafter during study. Quality of life is assessed every cycle for the first 6 cycles, then every 3 cycles thereafter. Patients are followed every 3 months for survival.

PROJECTED ACCRUAL: There will be 100 patients accrued into this study.

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Eligibility Criteria

DISEASE CHARACTERISTICS: Histologically confirmed stage III or IV ovarian cancer that is refractory to an initial chemotherapy regimen that included a platinum agent plus paclitaxel - Epithelial ovarian cancer - Primary carcinoma of the peritoneum - Fallopian tube cancer Initial response to platinum and paclitaxel must have been one of the following: Progression or stable disease Response that lasted less than 3 months Response that lasted at least 3 months, but when retreated with both agents (in combination or as single agents) disease was refractory Measurable or evaluable disease Evaluable disease is defined by: CA-125 at least 100 units/mL AND CA-125 level must have at least doubled from baseline determination

PATIENT CHARACTERISTICS: Age: 18 and over Performance status: ECOG 0-2 Life expectancy: At least 3 months Hematopoietic: Absolute granulocyte count at least 1,500/mm3 Platelet count at least 100,000/mm3 Hepatic: Bilirubin no greater than 2 times upper limit of normal (ULN) AST or ALT no greater than 2.5 times ULN Renal: Creatinine no greater than 2.0 mg/dL Cardiovascular: No New York Heart Association Class III or IV heart disease No myocardial infarction within last 6 months No congestive heart failure No unstable angina No clinically significant pericardial effusion or arrhythmia Neurology: No current peripheral neuropathy of any etiology that is greater than grade 1 Other: No active serious infection or other serious underlying medical condition No prior significant allergic reactions to drugs containing Cremophor, such as teniposide, cyclosporin, or vitamin K Not pregnant or nursing Adequate contraception required of all fertile patients

PRIOR CONCURRENT THERAPY: Biologic therapy: At least 3 weeks since immunotherapy No concurrent immunotherapy Chemotherapy: Prior paclitaxel treatment must have been administered on a 3 week or greater schedule No other prior chemotherapy besides platinum and paclitaxel At least 3 weeks since acceptable chemotherapy Endocrine therapy: At least 3 weeks since hormonal therapy No concurrent hormonal therapy Radiotherapy: At least 3 weeks since radiotherapy No prior radiation to greater than 30% of bone marrow Surgery: At least 3 weeks since major surgery

Study is for people with:

Ovarian Cancer

Phase:

Phase 2

Estimated Enrollment:

100

Study ID:

NCT00003160

Recruitment Status:

Unknown status

Sponsor:

Theradex

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There are 18 Locations for this study

See Locations Near You

Oncology Center at Providence Park
Mobile Alabama, 36608, United States
Hematology Associates, Ltd.
Phoenix Arizona, 85013, United States
Highlands Oncology Group, P.A.
Fayetteville Arkansas, 72703, United States
Cancer Center of Santa Barbara
Santa Barbara California, 93105, United States
Good Samaritan Medical Center
West Palm Beach Florida, 33401, United States
Decatur Memorial Hospital Cancer Care Institute
Decatur Illinois, 62526, United States
Creighton University Cancer Center
Omaha Nebraska, 68131, United States
Jersey Shore Cancer Center
Neptune New Jersey, 07753, United States
Women's Health Center at Albany Medical Center
Albany New York, 12209, United States
Carolinas Medical Center
Charlotte North Carolina, 28232, United States
Akron General Medical Center
Akron Ohio, 44302, United States
Oncology/Hematology Care, Inc.
Cincinnati Ohio, 45219, United States
Cleveland Clinic Cancer Center
Cleveland Ohio, 44195, United States
Women's Cancer Center of Central PA, P.C.
Harrisburg Pennsylvania, 17105, United States
Women and Infants Hospital of Rhode Island
Providence Rhode Island, 02905, United States
Brookview Research, Inc.
Nashville Tennessee, 37203, United States
Harrington Cancer Center
Amarillo Texas, 79106, United States
Rockwood Clinic P.S.
Spokane Washington, 99202, United States

How clear is this clinincal trial information?

Study is for people with:

Ovarian Cancer

Phase:

Phase 2

Estimated Enrollment:

100

Study ID:

NCT00003160

Recruitment Status:

Unknown status

Sponsor:


Theradex

How clear is this clinincal trial information?

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