UMIN-CTR Clinical Trial

Unique ID issued by UMIN C000000183
Receipt number R000000254
Scientific Title Randomized Phase III Trial of Conventional Paclitaxel and Carboplatin Versus Dose Dense weekly Paclitaxel and Carboplatin in Patients With Newly Diagnosed Stage II-IV Mullerian Carcinoma (Ovarian Epithelial, Primary Peritoneal, or Fallopian Tube Cancer)
Date of disclosure of the study information 2005/09/15
Last modified on 2009/09/30 11:40:15

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Basic information

Public title

Randomized Phase III Trial of Conventional Paclitaxel and Carboplatin Versus Dose Dense weekly Paclitaxel and Carboplatin in Patients With Newly Diagnosed Stage II-IV Mullerian Carcinoma (Ovarian Epithelial, Primary Peritoneal, or Fallopian Tube Cancer)

Acronym

Randomized Trial of tri-weekly TJ vs. weekly TJ for Stage II-IV Mullerian Carcinoma

Scientific Title

Randomized Phase III Trial of Conventional Paclitaxel and Carboplatin Versus Dose Dense weekly Paclitaxel and Carboplatin in Patients With Newly Diagnosed Stage II-IV Mullerian Carcinoma (Ovarian Epithelial, Primary Peritoneal, or Fallopian Tube Cancer)

Scientific Title:Acronym

Randomized Trial of tri-weekly TJ vs. weekly TJ for Stage II-IV Mullerian Carcinoma

Region

Japan


Condition

Condition

Patients with stageII-IV Mullerian Carcinoma (Ovarian Epithelial,Primary Peritoneal,or Fallopian Tube Cancer)

Classification by specialty

Obstetrics and Gynecology

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

To compare progression-free survival of conventional paclitaxel and carboplatin vs weekly paclitaxel and carboplatin in patients with newly diagnosed stage II-IV ovarian epithelial, primary peritoneal, or fallopian tube cancer.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase

Phase III


Assessment

Primary outcomes

Progression-free Survival

Key secondary outcomes

Overall Suvival/Adverse event/Clinical Objective Response/Quality of life


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Active

Stratification

YES

Dynamic allocation

YES

Institution consideration

Institution is considered as adjustment factor in dynamic allocation.

Blocking

NO

Concealment

Central registration


Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

combination of paclitaxel and carboplatin
PTX180mg/m2, day1+CBDCA AUC6.0 day1 every 21 days for 6-9cycles

Interventions/Control_2

combination of paclitaxel and carboplatin
PTX80mg/m2 day1,8,15+CBDCA AUC6.0 day1 every 21 days for 6-9cycles

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

20 years-old <=

Age-upper limit


Not applicable

Gender

Female

Key inclusion criteria

I. Histologically confirmed stage II-IV ovarian epithelial, primary peritoneal, or fallopian tube cancer
II. No prior chemotherapy
III. Age: 20 and more
IV. Performance status: ECOG 0-2
V. 1) Absolute neutrophil count at least 1,500/mm3
2) Platelet count at least 100,000/mm3
3) Bilirubin less than 1.5mg/dL
4) SGOT less than 100 IU/l
5) Serum creatinine less than 1.5mg/dL
VI. Written informed consent

Key exclusion criteria

I. Patients with ovarian borderline tumor
II. Patients who have any evidence of the other cancer present within the last 5 years with the exception of carcinoma in situ or intramucosal cancer those are curable with local therapy
III. Patients with active infection or uncontrolled diabetes
IV. Patients with unstable angina, or those who have had a myocardial infarction within the past 6 months, or patients with serious arrythmia that requires medication
V. Patients who have a history of hypersensitivity to polyoxyethylated castor oil (Cremophor EL)

Target sample size

600


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Makoto Yasuda ,M.D.

Organization

The Jikei University School of Medicine

Division name

Department of Obsterics and Gynecology

Zip code


Address

3-19-18 Nishishinbashi,Minato-ku,Tokyo, 105-8461,Japan

TEL

03-3433-1111

Email



Public contact

Name of contact person

1st name
Middle name
Last name Noriyuki Katsumata ,M.D.

Organization

JGOG3016 Coordinating Office

Division name

National Cancer Center Hospital

Zip code


Address

5-1-1,Tsukiji,Chuo-ku,Tokyo,104-0045,Japan

TEL

03-3542-2511

Homepage URL

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

Email

nkatsuma@ncc.go.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

2005 Year 09 Month 15 Day


Related information

URL releasing protocol


Publication of results

Published


Result

URL related to results and publications

http://www.thelancet.com/journals/lancet/onlinefirst

Number of participants that the trial has enrolled


Results

631 of the 637 enrolled patients were eligible for treatment and were included in the ITT population (dose-dense regimen, n=312; conventional regimen, n=319). Median progression-free survival was longer in the dose-dense treatment group (28-0 months, 95% CI 22.3-35.4) than in the conventional treatment group (17.2 months, 15.7-21.1hazard ratio [HR] 0&#8226;71; 95% CI 0&#8226;58&#8212;0&#8226;88; p=0&#8226;0015). Overall survival at 3 years was higher in the dose-dense regimen group (72&#8226;1%) than in the conventional treatment group (65&#8226;1%; HR 0&#8226;75, 0&#8226;57&#8212;0&#8226;98; p=0&#8226;03). 165 patients assigned to the dose-dense regimen and 117 assigned to the conventional regimen discontinued treatment early. Reasons for participant dropout were balanced between the groups, apart from withdrawal because of toxicity, which was higher in the dose-dense regimen group than in the conventional regimen group (n=113 vs n=69). The most common adverse event was neutropenia (dose-dense regimen, 286 [92%] of 312; conventional regimen, 276 [88%] of 314). The frequency of grade 3 and 4 anaemia was higher in the dose-dense treatment group (214 [69%]) than in the conventional treatment group (137 [44%]; p<0&#8226;0001). The frequencies of other toxic effects were similar between groups.

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

2003 Year 04 Month 16 Day

Date of IRB


Anticipated trial start date

2003 Year 04 Month 01 Day

Last follow-up date

2007 Year 09 Month 01 Day

Date of closure to data entry

2007 Year 10 Month 01 Day

Date trial data considered complete

2007 Year 11 Month 01 Day

Date analysis concluded

2008 Year 05 Month 01 Day


Other

Other related information



Management information

Registered date

2005 Year 09 Month 12 Day

Last modified on

2009 Year 09 Month 30 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000000254


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name