Carboplatin, Paclitaxel and Gemcitabine Hydrochloride With or Without Bevacizumab After Surgery in Treating Patients With Recurrent Ovarian, Epithelial, Primary Peritoneal, or Fallopian Tube Cancer
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ClinicalTrials.gov Identifier: NCT00565851 |
Recruitment Status :
Active, not recruiting
First Posted : November 30, 2007
Results First Posted : December 14, 2020
Last Update Posted : May 7, 2024
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Study Type | Interventional |
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Study Design | Allocation: Randomized; Intervention Model: Parallel Assignment; Masking: None (Open Label); Primary Purpose: Treatment |
Conditions |
Clear Cell Adenocarcinoma Fallopian Tube Clear Cell Adenocarcinoma Fallopian Tube Endometrioid Adenocarcinoma Fallopian Tube Mucinous Adenocarcinoma Fallopian Tube Serous Adenocarcinoma Fallopian Tube Transitional Cell Carcinoma Fallopian Tube Undifferentiated Carcinoma Mucinous Adenocarcinoma Ovarian Brenner Tumor Ovarian Clear Cell Adenocarcinofibroma Ovarian Clear Cell Adenocarcinoma Ovarian Endometrioid Adenocarcinoma Ovarian Seromucinous Carcinoma Ovarian Serous Adenocarcinoma Ovarian Transitional Cell Carcinoma Ovarian Undifferentiated Carcinoma Primary Peritoneal Clear Cell Adenocarcinoma Primary Peritoneal Endometrioid Adenocarcinoma Primary Peritoneal Serous Adenocarcinoma Primary Peritoneal Transitional Cell Carcinoma Primary Peritoneal Undifferentiated Carcinoma Recurrent Fallopian Tube Carcinoma Recurrent Ovarian Carcinoma Recurrent Primary Peritoneal Carcinoma Undifferentiated Carcinoma |
Interventions |
Biological: Bevacizumab Drug: Carboplatin Drug: Docetaxel Drug: Gemcitabine Hydrochloride Other: Laboratory Biomarker Analysis Drug: Paclitaxel Other: Quality-of-Life Assessment |
Enrollment | 1052 |
Recruitment Details | At the beginning of the study participants could be randomized to chemotherapy. On August 29, 2011 randomization to chemotherapy ended and participants could only be randomized to surgery. |
Pre-assignment Details |
Arm/Group Title | Arm I (no Surgery; Carboplatin and Paclitaxel) | Arm II (no Surgery; Carboplatin, Paclitaxel and Bevacizumab) | Arm III (Surgery; Carboplatin and Paclitaxel) | Arm IV (Surgery; Carboplatin, Paclitaxel and Bevacizumab) | Arm V (no Surgery; Carboplatin and Gemcitabine) | Arm VI (no Surgery; Carboplatin, Gemcitabine and Bevacizumab) | Arm VII (Surgery; Carboplatin and Gemcitabine) | Arm VIII (Surgery; Carboplatin, Gemcitabine and Bevacizumab) |
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Arm/Group Description | Patients receive paclitaxel IV over 3 hours or docetaxel IV over 1 hour and carboplatin over 30 minutes on day 1. Treatment repeats every 21 days. Patients are not in secondary cytoreductive surgery portion of study. | Patients receive chemotherapy as in arm I and bevacizumab IV over 30-90 minutes on day 1. Treatment repeats every 21 days. Patients are not in secondary cytoreductive surgery portion of study. | Patients receive paclitaxel IV over 3 hours or docetaxel IV over 1 hour and carboplatin over 30 minutes on day 1. Treatment repeats every 21 days. Patients receive secondary cytoreductive surgery. | Patients receive paclitaxel IV over 3 hours or docetaxel IV over 1 hour and carboplatin over 30 minutes on day 1. Treatment repeats every 21 days. Patients receive secondary cytoreductive surgery. | Patients receive carboplatin as in arm I. Patients receive gemcitabine. Treatment repeats every 21 days. Patients do not receive secondary cytoreductive surgery. | Patients receive carboplatin as in arm I and bevacizumab IV over 30-90 minutes on day 1. Patients receive gemcitabine. Treatment repeats every 21 days. Patients do not receive secondary cytoreductive surgery. | Patients receive carboplatin as in arm I. Patients receive gemcitabine. Treatment repeats every 21 days. Patients receive secondary cytoreductive surgery. | Patients receive carboplatin as in arm I and bevacizumab IV over 30-90 minutes on day 1. Patients receive gemcitabine. Treatment repeats every 21 days. Patients receive secondary cytoreductive surgery. |
Period Title: Surgical Assignment | ||||||||
Started | 316 | 456 | 33 | 165 | 6 | 34 | 5 | 37 |
Randomized - Yes Surgery | 0 | 0 | 33 | 165 | 0 | 0 | 5 | 37 |
Randomized - no Surgery | 33 | 172 | 0 | 0 | 6 | 34 | 0 | 0 |
Not Surgical Candidate | 283 | 284 | 0 | 0 | 0 | 0 | 0 | 0 |
Completed [1] | 313 | 454 | 31 | 154 | 6 | 34 | 5 | 35 |
Not Completed | 3 | 2 | 2 | 11 | 0 | 0 | 0 | 2 |
[1]
Includes participants who followed through with surgical assignment
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Period Title: Chemotherapy Assignment | ||||||||
Started | 316 | 456 | 33 | 165 | 6 | 34 | 5 | 37 |
Randomized to Chemo | 310 | 311 | 27 | 26 | 0 | 0 | 0 | 0 |
Pre-specified Chemo | 6 | 145 | 6 | 139 | 6 | 34 | 5 | 37 |
Completed | 307 | 433 | 30 | 129 | 6 | 31 | 5 | 34 |
Not Completed | 9 | 23 | 3 | 36 | 0 | 3 | 0 | 3 |
Reason Not Completed | ||||||||
Never Initiated Chemotherapy | 9 | 9 | 3 | 18 | 0 | 2 | 0 | 2 |
Still On Chemotherapy | 0 | 14 | 0 | 18 | 0 | 1 | 0 | 1 |
Arm/Group Title | Arm I (no Surgery; Carboplatin and Paclitaxel) | Arm II (no Surgery; Carboplatin, Paclitaxel and Bevacizumab) | Arm III (Surgery; Carboplatin and Paclitaxel) | Arm IV (Surgery; Carboplatin, Paclitaxel and Bevacizumab) | Arm V (no Surgery; Carboplatin and Gemcitabine) | Arm VI (no Surgery; Carboplatin, Gemcitabine and Bevacizumab)) | Arm VII (Surgery; Carboplatin and Gemcitabine) | Arm VIII (Surgery; Carboplatin, Gemcitabine and Bevacizumab)) | Total | |
---|---|---|---|---|---|---|---|---|---|---|
Arm/Group Description |
Patients receive paclitaxel IV over 3 hours or docetaxel IV over 1 hour and carboplatin over 30 minutes on day 1. Treatment repeats every 21 days. Patients are not in secondary cytoreductive surgery portion of study. Carboplatin: Given IV Docetaxel: Given IV Laboratory Biomarker Analysis: Correlative studies Paclitaxel: Given IV Quality-of-Life Assessment: Ancillary studies |
Patients receive chemotherapy as in arm I and bevacizumab IV over 30-90 minutes on day 1. Treatment repeats every 21 days. Patients are not in secondary cytoreductive surgery portion of study. Bevacizumab: Given IV Carboplatin: Given IV Docetaxel: Given IV Laboratory Biomarker Analysis: Correlative studies Paclitaxel: Given IV Quality-of-Life Assessment: Ancillary studies |
Patients receive paclitaxel IV over 3 hours or docetaxel IV over 1 hour and carboplatin over 30 minutes on day 1. Treatment repeats every 21 days. Patients receive secondary cytoreductive surgery. Carboplatin: Given IV Laboratory Biomarker Analysis: Correlative studies Paclitaxel: Given IV Quality-of-Life Assessment: Ancillary studies |
Patients receive paclitaxel IV over 3 hours or docetaxel IV over 1 hour and carboplatin over 30 minutes on day 1. Treatment repeats every 21 days. Patients receive secondary cytoreductive surgery. Bevacizumab: Given IV Carboplatin: Given IV Docetaxel: Given IV Laboratory Biomarker Analysis: Correlative studies Paclitaxel: Given IV Quality-of-Life Assessment: Ancillary studies |
Patients receive carboplatin as in arm I. Patients receive gemcitabine. Treatment repeats every 21 days. Patients do not receive secondary cytoreductive surgery. Carboplatin: Given IV Gemcitabine Hydrochloride: Given IV Laboratory Biomarker Analysis: Correlative studies Quality-of-Life Assessment: Ancillary studies |
Patients receive carboplatin as in arm I and bevacizumab IV over 30-90 minutes on day 1. Patients receive gemcitabine. Treatment repeats every 21 days. Patients do not receive secondary cytoreductive surgery. Bevacizumab: Given IV Carboplatin: Given IV Gemcitabine Hydrochloride: Given IV Laboratory Biomarker Analysis: Correlative studies Quality-of-Life Assessment: Ancillary studies |
Patients receive carboplatin as in arm I. Patients receive gemcitabine. Treatment repeats every 21 days. Patients receive secondary cytoreductive surgery. Carboplatin: Given IV Gemcitabine Hydrochloride: Given IV Laboratory Biomarker Analysis: Correlative studies Quality-of-Life Assessment: Ancillary studies |
Patients receive carboplatin as in arm I and bevacizumab IV over 30-90 minutes on day 1. Patients receive gemcitabine. Treatment repeats every 21 days. Patients receive secondary cytoreductive surgery. Bevacizumab: Given IV Carboplatin: Given IV Gemcitabine Hydrochloride: Given IV Laboratory Biomarker Analysis: Correlative studies Quality-of-Life Assessment: Ancillary studies |
Total of all reporting groups | |
Overall Number of Baseline Participants | 316 | 456 | 33 | 165 | 6 | 34 | 5 | 37 | 1052 | |
Baseline Analysis Population Description |
All patients enrolled
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Age, Continuous
Mean (Standard Deviation) Unit of measure: Years |
||||||||||
Number Analyzed | 316 participants | 456 participants | 33 participants | 165 participants | 6 participants | 34 participants | 5 participants | 37 participants | 1052 participants | |
60.9 (10.0) | 59.0 (10.3) | 58.7 (10.0) | 57.1 (10.5) | 72.1 (7.4) | 58.7 (8.2) | 60.7 (9.3) | 61.1 (9.5) | 59.4 (10.2) | ||
Age, Customized
Measure Type: Count of Participants Unit of measure: Participants |
Number Analyzed | 316 participants | 456 participants | 33 participants | 165 participants | 6 participants | 34 participants | 5 participants | 37 participants | 1052 participants |
< 40 years |
4 1.3%
|
14 3.1%
|
0 0.0%
|
7 4.2%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
25 2.4%
|
|
40 - 49 years |
40 12.7%
|
68 14.9%
|
6 18.2%
|
37 22.4%
|
0 0.0%
|
6 17.6%
|
1 20.0%
|
6 16.2%
|
164 15.6%
|
|
50 - 59 years |
102 32.3%
|
170 37.3%
|
11 33.3%
|
57 34.5%
|
1 16.7%
|
14 41.2%
|
1 20.0%
|
9 24.3%
|
365 34.7%
|
|
60 - 69 years |
111 35.1%
|
143 31.4%
|
10 30.3%
|
44 26.7%
|
0 0.0%
|
12 35.3%
|
2 40.0%
|
13 35.1%
|
335 31.8%
|
|
70 - 79 years |
52 16.5%
|
54 11.8%
|
6 18.2%
|
19 11.5%
|
5 83.3%
|
2 5.9%
|
1 20.0%
|
9 24.3%
|
148 14.1%
|
|
≥ 80 years |
7 2.2%
|
7 1.5%
|
0 0.0%
|
1 0.6%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
15 1.4%
|
|
Sex: Female, Male
Measure Type: Count of Participants Unit of measure: Participants |
||||||||||
Number Analyzed | 316 participants | 456 participants | 33 participants | 165 participants | 6 participants | 34 participants | 5 participants | 37 participants | 1052 participants | |
Female |
316 100.0%
|
456 100.0%
|
33 100.0%
|
165 100.0%
|
6 100.0%
|
34 100.0%
|
5 100.0%
|
37 100.0%
|
1052 100.0%
|
|
Male |
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
|
Ethnicity (NIH/OMB)
Measure Type: Count of Participants Unit of measure: Participants |
||||||||||
Number Analyzed | 316 participants | 456 participants | 33 participants | 165 participants | 6 participants | 34 participants | 5 participants | 37 participants | 1052 participants | |
Hispanic or Latino |
14 4.4%
|
22 4.8%
|
0 0.0%
|
6 3.6%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
4 10.8%
|
46 4.4%
|
|
Not Hispanic or Latino |
272 86.1%
|
409 89.7%
|
30 90.9%
|
155 93.9%
|
6 100.0%
|
34 100.0%
|
5 100.0%
|
32 86.5%
|
943 89.6%
|
|
Unknown or Not Reported |
30 9.5%
|
25 5.5%
|
3 9.1%
|
4 2.4%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
1 2.7%
|
63 6.0%
|
|
Race (NIH/OMB)
Measure Type: Count of Participants Unit of measure: Participants |
||||||||||
Number Analyzed | 316 participants | 456 participants | 33 participants | 165 participants | 6 participants | 34 participants | 5 participants | 37 participants | 1052 participants | |
American Indian or Alaska Native |
1 0.3%
|
5 1.1%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
6 0.6%
|
|
Asian |
39 12.3%
|
136 29.8%
|
6 18.2%
|
101 61.2%
|
0 0.0%
|
14 41.2%
|
1 20.0%
|
10 27.0%
|
307 29.2%
|
|
Native Hawaiian or Other Pacific Islander |
0 0.0%
|
1 0.2%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
1 0.1%
|
|
Black or African American |
15 4.7%
|
17 3.7%
|
1 3.0%
|
4 2.4%
|
1 16.7%
|
3 8.8%
|
1 20.0%
|
2 5.4%
|
44 4.2%
|
|
White |
255 80.7%
|
294 64.5%
|
26 78.8%
|
57 34.5%
|
5 83.3%
|
17 50.0%
|
3 60.0%
|
25 67.6%
|
682 64.8%
|
|
More than one race |
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
|
Unknown or Not Reported |
6 1.9%
|
3 0.7%
|
0 0.0%
|
3 1.8%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
12 1.1%
|
|
Region of Enrollment
Measure Type: Count of Participants Unit of measure: Participants |
Number Analyzed | 316 participants | 456 participants | 33 participants | 165 participants | 6 participants | 34 participants | 5 participants | 37 participants | 1052 participants |
South Korea |
20 6.3%
|
108 23.7%
|
4 12.1%
|
90 54.5%
|
0 0.0%
|
11 32.4%
|
0 0.0%
|
9 24.3%
|
242 23.0%
|
|
United States |
284 89.9%
|
324 71.1%
|
29 87.9%
|
67 40.6%
|
6 100.0%
|
23 67.6%
|
5 100.0%
|
28 75.7%
|
766 72.8%
|
|
Japan |
12 3.8%
|
24 5.3%
|
0 0.0%
|
7 4.2%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
43 4.1%
|
|
Russia |
0 0.0%
|
0 0.0%
|
0 0.0%
|
1 0.6%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
1 0.1%
|
|
Histology
Measure Type: Count of Participants Unit of measure: Participants |
Number Analyzed | 316 participants | 456 participants | 33 participants | 165 participants | 6 participants | 34 participants | 5 participants | 37 participants | 1052 participants |
Serous |
252 79.7%
|
383 84.0%
|
30 90.9%
|
142 86.1%
|
5 83.3%
|
30 88.2%
|
4 80.0%
|
35 94.6%
|
881 83.7%
|
|
Endometrioid |
25 7.9%
|
24 5.3%
|
0 0.0%
|
9 5.5%
|
1 16.7%
|
2 5.9%
|
0 0.0%
|
2 5.4%
|
63 6.0%
|
|
Clear Cell |
13 4.1%
|
14 3.1%
|
1 3.0%
|
5 3.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
33 3.1%
|
|
Mucinous |
2 0.6%
|
2 0.4%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
4 0.4%
|
|
Other |
24 7.6%
|
33 7.2%
|
2 6.1%
|
9 5.5%
|
0 0.0%
|
2 5.9%
|
1 20.0%
|
0 0.0%
|
71 6.7%
|
Name/Title: | Christopher Purdy on behalf of Austin Miller PhD |
Organization: | NRG Oncology |
Phone: | (716) 845-1300 ext 2296 |
EMail: | purdyc@nrgoncology.org |
Responsible Party: | National Cancer Institute (NCI) |
ClinicalTrials.gov Identifier: | NCT00565851 |
Other Study ID Numbers: |
NCI-2009-00587 NCI-2009-00587 ( Registry Identifier: CTRP (Clinical Trial Reporting Program) ) 09-0205 GOG-0213 CDR0000546714 GOG-0213 ( Other Identifier: NRG Oncology ) GOG-0213 ( Other Identifier: CTEP ) U10CA180868 ( U.S. NIH Grant/Contract ) U10CA027469 ( U.S. NIH Grant/Contract ) |
First Submitted: | November 29, 2007 |
First Posted: | November 30, 2007 |
Results First Submitted: | November 13, 2020 |
Results First Posted: | December 14, 2020 |
Last Update Posted: | May 7, 2024 |