UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000000499
Receipt number R000000604
Scientific Title Randomized Phase III Trial of Paclitaxel plus Carboplatin (TC) Therapy versus Irinotecan plus Cisplatin (CPT-P) Therapy as a First Line Chemotherapy for Clear Cell Carcinoma of the Ovary
Date of disclosure of the study information 2006/10/10
Last modified on 2018/08/13 12:23:07

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Basic information

Public title

Randomized Phase III Trial of Paclitaxel plus Carboplatin (TC) Therapy versus Irinotecan plus Cisplatin (CPT-P) Therapy as a First Line Chemotherapy for Clear Cell Carcinoma of the Ovary

Acronym

Phase III Trial of (TC) Therapy versus (CPT-P) Therapy for Clear Cell Carcinoma of the Ovary

Scientific Title

Randomized Phase III Trial of Paclitaxel plus Carboplatin (TC) Therapy versus Irinotecan plus Cisplatin (CPT-P) Therapy as a First Line Chemotherapy for Clear Cell Carcinoma of the Ovary

Scientific Title:Acronym

Phase III Trial of (TC) Therapy versus (CPT-P) Therapy for Clear Cell Carcinoma of the Ovary

Region

Japan Asia(except Japan) Europe


Condition

Condition

clear cell carcinoma of the ovary

Classification by specialty

Obstetrics and Gynecology

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

To compare the efficacy and safety of standard arm of paclitaxel plus carboplatin and experimental arm of irinotecan plus cisplatin in clear cell carcinoma of the ovary.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2

Pragmatic

Developmental phase

Phase III


Assessment

Primary outcomes

Progression - Free Survival

Key secondary outcomes

Overall Survival,Response Rate,Adverse Event


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -no one is blinded

Control

Active

Stratification

YES

Dynamic allocation

YES

Institution consideration

Institution is not considered as adjustment factor.

Blocking

NO

Concealment

Central registration


Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

Paclitaxel 175 mg/m2 day 1+ Carboplatin AUC 6 day 1 q 3 weeks 6 cycles

Interventions/Control_2

Irinotecan 60 mg/m2 day 1,8,15+ Cisplatin 60 mg/m2 day 1 q 4 weeks 6 cycles

Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

18 years-old <=

Age-upper limit


Not applicable

Gender

Female

Key inclusion criteria

1) Patients with a histological diagnosis of clear cell carcinoma of the ovary, FIGO Stages I to IV. All patients must have had appropriate surgery for ovarian carcinoma with appropriate tissue available for histological evaluation. In the case with concurrent presence of other histological cell types, clear cell histology must be dominant ( > 50%). The histological
diagnosis will be confirmed by a central pathology review (CPR) (Three pathology slides required.)
2) Age: 18 or older
3) ECOG Performance Status: 0 - 1
4) Reasonable organ function: Must be assessed within 14 days prior to randomization.
Absolute Neutrophil Count: 1,500 / mm3 or more
Platelet: 100,000 / mm3 or more
Renal Function: Serum creatinine should be 1.5 x institutional ULN or less. If patient has serum creatinine of 1 x ULN to 1.5 x ULN, she must have creatinine clearance > 60 ml/min
* Creatinine clearance should be calculated using the Modified Jelliffe formula
Hepatic Function: Bilirubin less than or equal to 1.5 x institutional ULN ( < CTCAE grade 1). AST (SGOT) and alkaline phosphatase less than or equal to 2.5 x institutional ULN ( < CTCAE grade 1).
Neurologic function: Neuropathy (sensory and motor) less than or equal to CTCAE grade 1.
5) Patient must have signed informed consent.
6) Patients must be enrolled within 6 weeks after comprehensive staging surgery.

Key exclusion criteria

1) Patients with a current diagnosis of epithelial ovarian tumor of low malignant potential
2) Patients with other malignancies including synchronous primary endometrial cancer or a past history of primary endometrial cancer
3) Patients who have received prior chemotherapy or radiation therapy to treat the current disease
4) Patients who received intraperitoneal chemotherapy at the time of operation
5) Patients with a prior diagnosis of malignancy are not eligible. Exceptions are:
- stage 0 endometrial cancer
- carcinoma in situ of the cervix
- non-melanoma skin cancer
- other malignancies curatively treated and > 5 years without evidence of recurrence
6) Patients who have received prior radiotherapy
Exceptions
Prior radiation for localized cancer of the breast, head and neck, or skin is permitted, provided that it was completed more than 5 years prior to registration, and the patient remains free of recurrent or metastatic disease.
7) Patients who have received prior chemotherapy.
Exceptions
Patients may have received prior adjuvant chemotherapy for localized breast cancer, provided that it was completed more than 5 years prior to registration, and that the patient remains free of recurrent or metastatic disease.
8,9,10) Patients with diarrhea greater than CTCAE grade1, active infection that requires antibiotics, ongoing gastrointestinal bleeding requiring blood product support
11) Patients with unstable angina or those who have had a myocardial infarction within the past six months.
Patients with evidence of abnormal cardiac conduction are eligible if their disease has been stable for the past six months.
12,13,14,16) Patients with bowel obstruction, interstitial pneumonitis, massive pleural effusion and/or ascites, known hypersensitivity to polyoxyethylated castor oil or any of four chemotherapeutic agents
15,17,18) Patients who are under treatment with Atazanavir, pregnant or lactating, would not permit completion of study or required follow-up.

Target sample size

662


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Toru Sugiyama ,M.D.,Ph.D.

Organization

Iwate Medical University, School of Medicine

Division name

Department of Obsterics and Gynecology

Zip code


Address

Uchimaru 19-1, Morioka, Iwate 020-8505 Japan

TEL

019-651-5111

Email

jgog3017@insti.kitasato-u.ac.jp


Public contact

Name of contact person

1st name
Middle name
Last name Toru Sugiyama ,M.D.,Ph.D.

Organization

GCIG/JGOG3017 Office

Division name

Iwate Medical University, School of Medicine, Department of Obsterics and Gynecology

Zip code


Address

Uchimaru 19-1, Morioka, Iwate 020-8505 Japan

TEL

019-651-5111

Homepage URL

http://www.jgog.gr.jp/

Email

jgog3017@insti.kitasato-u.ac.jp


Sponsor or person

Institute

Japanese Gynecologic Oncology Group

Institute

Department

Personal name



Funding Source

Organization

Japanese Gynecologic Oncology Group

Organization

Division

Category of Funding Organization

Non profit foundation

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization


Address


Tel


Email



Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2006 Year 10 Month 10 Day


Related information

URL releasing protocol

http://www.jgog.gr.jp/

Publication of results

Published


Result

URL related to results and publications

https://www.ncbi.nlm.nih.gov/pubmed/27400948

Number of participants that the trial has enrolled


Results

- The results from the final analysis did not show a marked difference in both
PFS and OS between the patients who received the [standard treatment] and those whoreceived the [experimental treatment].
- The characteristics of side effect of these two treatments differ significantly.

Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2006 Year 09 Month 18 Day

Date of IRB


Anticipated trial start date

2006 Year 10 Month 01 Day

Last follow-up date

2013 Year 03 Month 01 Day

Date of closure to data entry

2013 Year 06 Month 01 Day

Date trial data considered complete

2013 Year 06 Month 01 Day

Date analysis concluded

2013 Year 09 Month 01 Day


Other

Other related information



Management information

Registered date

2006 Year 10 Month 04 Day

Last modified on

2018 Year 08 Month 13 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000000604


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name