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Carboplatin Taxol Avastin in Ovarian Cancer (OVCA)

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT00129727
Recruitment Status : Completed
First Posted : August 12, 2005
Results First Posted : June 1, 2016
Last Update Posted : June 1, 2016
Women and Infants Hospital of Rhode Island
Information provided by (Responsible Party):
Richard Thomas Penson, Massachusetts General Hospital

Brief Summary:

Study Design: This ia a Phase II study.

Subjects: Patients with chemotherapy naive epithelial ovarian cancer; or fallopian, primary peritoneal and papillary serous mullerian tumors will be recruited.

Carboplatin and Taxol (paclitaxel) will be administered concurrently with bevacizumab after surgery for 6-8 cycles every 21 (q21) days. Bevacizumab will be omitted in the first cycle, immediately post-operatively. This will be followed by one year of bevacizumab q21.

Outcomes: Outcomes include toxicity, response rate, and progression free survival.

Condition or disease Intervention/treatment Phase
Ovarian Cancer Drug: Paclitaxel Drug: Carboplatin Drug: Bevacizumab Phase 2

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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 62 participants
Intervention Model: Single Group Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: Phase II Evaluation of Carboplatin, Paclitaxel and Bevacizumab as First Line Chemotherapy and Consolidation for Advanced Ovarian Cancer
Study Start Date : June 2005
Actual Primary Completion Date : February 2009
Actual Study Completion Date : February 2009

Arm Intervention/treatment
Experimental: Phase II
Paclitaxel carboplatin bevacizumab
Drug: Paclitaxel
Given intravenously
Other Name: Taxol

Drug: Carboplatin
Given intravenously
Other Name: CBDCA

Drug: Bevacizumab
Given intravenously
Other Name: Avastin

Primary Outcome Measures :
  1. PFS [ Time Frame: Median PFS in months - up to 5 years ]
    Progression Free Survival: To examine the toxicity, estimate the objective response rate, and progression free survival measured in months of carboplatin, paclitaxel, and bevacizumab followed by single agent bevacizumab as consolidation for advanced mullerian cancer

Secondary Outcome Measures :
  1. Response Rate (RECIST-1) [ Time Frame: 5 years ]
    To estimate the objective response rate of carboplatin, paclitaxel, and bevacizumab. Evaluate toxicity.

  2. Toxicity [ Time Frame: 60 months ]
    Per CTCAE (Common Toxicity Criteria for Adverse Events) number of participants who experienced toxicity on the study

Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   Female
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • Patients 18 years of age or older.
  • Histological diagnosis of epithelial ovarian carcinoma, fallopian tube cancer, primary peritoneal carcinoma or papillary serous mullerian carcinoma.
  • Previous attempted surgical debulking.
  • Stage IC or greater.
  • Performance status 0-2 by the ECOG scale.
  • Peripheral neuropathy < grade 2.
  • Life expectancy must be >= 6 months.
  • Patients must be informed of the investigational nature of the study and sign an informed consent form.

Exclusion Criteria:

  • History of serious systemic disease, including: myocardial infarction within the last 6 months; uncontrolled hypertension (blood pressure of >160/110 mmHg on medication); unstable angina; New York Heart Association (NYHA) Grade II or greater congestive heart failure; unstable symptomatic arrhythmia requiring medication (subjects with chronic atrial arrhythmia, i.e., atrial fibrillation or paroxysmal supraventricular tachycardia are eligible); or peripheral vascular disease (Grade II or greater). Prior history of thrombotic events and stroke are also included as exclusion criteria.
  • Neutrophil count <1,500/mm3; platelet count <100,000/m3.
  • Alkaline phosphatase or bilirubin > 1.5 x upper limit of normal (ULN); SGOT > 5 x ULN.
  • Calculated creatinine clearance < 50 ml/min.
  • Prior chemotherapy or radiotherapy.
  • Inadequate surgical cytoreduction such that interval cytoreductive surgery could materially improve prognosis. Patients are not permitted to have interval cytoreductive surgery on study.
  • Concurrent invasive malignancy. (Patients with concurrent superficial endometrioid endometrial carcinoma are eligible, if their endometrial carcinoma is superficial or invades less than 50% of the thickness of the myometrium.)
  • Uncontrolled hypertension (defined as a Grade 4 event that has failed to resolve with observation or treatment) or bleeding diathesis.
  • Evidence of tumor involving major blood vessels on any prior computed tomography (CT) scan.
  • Surgical wound that has failed to close.
  • Prior treatment with an anti-angiogenic agent.
  • Any active bleeding.
  • Therapeutic anticoagulation (prophylactic very low dose warfarin is allowed [1mg by mouth (p.o.) once daily (qd) with International Normalized Ratio (INR) <1.2]).
  • Active psychiatric disease or neurologic symptoms requiring treatment (Grade I sensory neuropathy allowed).
  • Presence of central nervous system or brain metastases.
  • Proteinuria at baseline or clinically significant impairment of renal function. Subjects unexpectedly discovered to have > 1+ proteinuria at baseline should undergo a 24-hour urine collection, which must be an adequate collection and must demonstrate < 1g of protein/24 hr to allow participation in the study.
  • Dementia or significantly altered mental status that would prohibit the understanding and/or giving of informed consent.
  • Patients with known hypersensitivity to Cremophor EL.
  • Patients with active bacterial, viral or fungal infections
  • Patients receiving other investigational therapy.

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT00129727

Sponsors and Collaborators
Massachusetts General Hospital
Women and Infants Hospital of Rhode Island
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Principal Investigator: Richard T Penson, MRCP MD MGH

Additional Information:
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Responsible Party: Richard Thomas Penson, Clin Dir Med Gyn Onc, Massachusetts General Hospital Identifier: NCT00129727    
Other Study ID Numbers: 04-247
First Posted: August 12, 2005    Key Record Dates
Results First Posted: June 1, 2016
Last Update Posted: June 1, 2016
Last Verified: April 2016
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: Yes
Plan Description: Manuscript was published in JCO
Keywords provided by Richard Thomas Penson, Massachusetts General Hospital:
Additional relevant MeSH terms:
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Ovarian Neoplasms
Carcinoma, Ovarian Epithelial
Endocrine Gland Neoplasms
Neoplasms by Site
Ovarian Diseases
Adnexal Diseases
Genital Diseases, Female
Genital Neoplasms, Female
Urogenital Neoplasms
Endocrine System Diseases
Gonadal Disorders
Neoplasms, Glandular and Epithelial
Neoplasms by Histologic Type
Albumin-Bound Paclitaxel
Antineoplastic Agents, Phytogenic
Antineoplastic Agents
Tubulin Modulators
Antimitotic Agents
Mitosis Modulators
Molecular Mechanisms of Pharmacological Action
Antineoplastic Agents, Immunological
Angiogenesis Inhibitors
Angiogenesis Modulating Agents
Growth Substances
Physiological Effects of Drugs