Unique ID issued by UMIN | UMIN000059243 |
---|---|
Receipt number | R000067688 |
Scientific Title | Prospective cohort study of Paclitaxel plus Carboplatin plus Bevacizumab Therapy as First Line Chemotherapy for Advanced Ovarian Clear cell Carcinoma |
Date of disclosure of the study information | 2025/10/01 |
Last modified on | 2025/09/30 14:45:42 |
Prospective cohort study of Paclitaxel plus Carboplatin plus Bevacizumab Therapy as First Line Chemotherapy for Advanced Ovarian Clear cell Carcinoma
Prospective cohort study of Paclitaxel plus Carboplatin plus Bevacizumab Therapy as First Line Chemotherapy for Advanced Ovarian Clear cell Carcinoma
Prospective cohort study of Paclitaxel plus Carboplatin plus Bevacizumab Therapy as First Line Chemotherapy for Advanced Ovarian Clear cell Carcinoma
JGOG3033
Japan |
Advanced ovarian clear cell carcinoma
Obstetrics and Gynecology |
Malignancy
NO
We investigate the efficacy and safety of the combination chemotherapy of paclitaxal, carboplarin and bevacizumab in patients with advanced ovarian clear cell carcinoma (stage III/IV).
Safety,Efficacy
Confirmatory
Pragmatic
progression-free survaival
Overall survival, survival rate, response rate, adverse effects
Observational
18 | years-old | <= |
Not applicable |
Female
1. Patients with newly diagnosed, histologically confirmed ovarian clear cell carcinoma, FIGO stage III - IV. All patients underwent appropriate surgical procedures, including diagnostic laparoscopy, to obtain tissue for histopathological confirmation of ovarian clear cell carcinoma. In cases with mixed histology, clear cell carcinoma accounted for the predominant component (>50%). A central pathological review was not performed. Immunohistochemical evaluation for WT1 (negative), p53 (negative), and Napsin A (positive) was performed for confirmation, although it was not required.
2. Patients scheduled to receive combination chemotherapy with paclitaxel and carboplatin plus bevacizumab, who have provided informed consent for treatment. In cases where bevacizumab is contraindicated, up to two cycles of paclitaxel - carboplatin chemotherapy without bevacizumab are permitted. Patients who do not receive bevacizumab within three cycles will be excluded from the primary analysis of this study.
3. Patients aged 18 years or older.
4. Patients with an Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 2.
5. Patients with adequate organ function.
6. Patients who have provided written informed consent to participate in this clinical trial.
7. Patients who are able to initiate chemotherapy within 6 weeks after primary surgery.
1. Patients with contraindications specific to bevacizumab, including active pulmonary hemorrhage, cerebral hemorrhage, congenital bleeding diathesis, coagulation disorders, a history of cerebral infarction, active deep vein thrombosis (DVT), pulmonary embolism (PE), uncontrolled hypertension (>= grade 3), or proteinuria (>= grade 3, urine protein-to-creatinine ratio [UPC] >= 3.5).
Active DVT or PE is defined as symptomatic thrombosis or non-organized thrombosis under anticoagulation therapy (i.e., cases not controlled with anticoagulation).
2. Patients who are scheduled to receive PARP inhibitors alone as maintenance therapy following first-line chemotherapy.
3. Patients with a history of obstructive bowel disease, including subileus, or underlying conditions such as diverticulitis, enteric fistula, gastrointestinal perforation, or intra-abdominal abscess; patients with evident rectosigmoid invasion on pelvic examination; or patients with radiologically confirmed bowel invasion or clinical symptoms of bowel obstruction on CT imaging.
Patients in whom the invasive lesion involving the rectosigmoid or other bowel sites has been surgically resected are eligible.
4. Patients with a history of hypersensitivity to any agents used in combination with bevacizumab.
5. Patients with a history of abdominal radiotherapy.
6. Patients with a history of hemoptysis (>= 2.5 mL of fresh blood).
7. Patients with severe infections at the time of enrollment.
8. Patients deemed by the investigator to be unsuitable for participation in this study.
50
1st name | Shinichi |
Middle name | |
Last name | Tate |
Japanese Gynecologic Oncology Group
Japanese Gynecologic Oncology Group
162-0825
4F, Komatsu Building, 6-22 Kagurazaka, Shinjuku-ku, Tokyo, Japan
03-5206-1982
info@jgog.gr.jp
1st name | S |
Middle name | |
Last name | Tate |
Japanese Gynecologic Oncology Group
Japanese Gynecologic Oncology Group
162-0825
4F, Komatsu Building, 6-22 Kagurazaka, Shinjuku-ku, Tokyo, Japan
03-5206-1982
info@jgog.gr.jp
Chiba University Hospital
None
Other
Tohoku University Hospital Institutional Review Board
1-1 Seiryo-machi, Aoba-ku, Sendai-shi, Miyagi, Japan
022-717-7251
muneaki.shimada.b7@tohoku.ac.jp
NO
2025 | Year | 10 | Month | 01 | Day |
Unpublished
Preinitiation
2025 | Year | 09 | Month | 30 | Day |
2025 | Year | 10 | Month | 01 | Day |
2030 | Year | 09 | Month | 30 | Day |
Age
Performance Status (PS)
Germline BRCA pathogenic variant
HRD testing
Ovarian cancer clinical information
Immunohistochemistry (IHC)
Thrombosis
Use of anticoagulation therapy (Yes/No)
Tumor markers
Assessment of ascites on CT
Neoadjuvant chemotherapy
Primary surgery / Primary debulking surgery (PDS)
Adjuvant chemotherapy
PARP inhibitor administration
(PAOLA regimen)
Response assessment under the PAOLA regimen
Details of first recurrence
Treatment at first recurrence
Cancer gene panel testing / Comprehensive genomic profiling (CGP)
Postoperative complications after cytoreductive surgery
Bevacizumab adverse events
Occurrence of second primary malignancies
2025 | Year | 09 | Month | 30 | Day |
2025 | Year | 09 | Month | 30 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000067688