TC or BEP in Treating Patients With Ovarian Malignant Sex Cord-Stromal Tumors

Ovarian Cancer Clinical Trial

— SCST-01  

Official title:

A Multicenter, Prospective, Randomized Trial Comparing Paclitaxel and Carboplatin or Bleomycin, Etoposide and Cisplatin in the Treatment of Ovarian Malignant Sex Cord-Stromal Tumors

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT02429700
• Other study ID #: SCST-01
• Status: Recruiting
• Phase: Phase 3
• Start date: April 2015
• Est. completion date: May 2030

Study information

• Verified date: April 2023
• Source: Shandong University
• Contact: Beihua Kong, MD. PhD.
• Phone: +8618560081888
• Email: kongbeihua[@]sdu.edu.cn
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Investigators will conduct the trial to determine whether paclitaxel and cisplatin (PT) has the same curative effects and less adverse effects than bleomycin, etoposide and cisplatin(BEP) among newly diagnosed ovarian malignant sex cord-stromal tumor patients after surgery.

Description:

PRIMARY OBJECTIVES:

To assess the activity of paclitaxel and carboplatin with respect to progression free survival (using bleomycin, etoposide, and cisplatin [BEP] as a reference) for newly diagnosed ovarian malignant sex cord-stromal tumors.

SECONDARY OBJECTIVES:

1. To estimate the toxicity of paclitaxel and carboplatin, and bleomycin, etoposide, and cisplatin in this patient population.

2. To estimate overall survival for paclitaxel and carboplatin relative to that of BEP.

3. To evaluate response rate in the subset of patients with measurable disease.

OUTLINE: This is a multicenter study. Patients are randomized to 1 of 2 treatment arms.

ARM 1: Patients receive paclitaxel IV over 3 hours and carboplatin IV over 1 hour on day 1. Treatment repeats every 21 days for 4-6 courses in the absence of disease progression or unacceptable toxicity.

ARM 2: Patients receive bleomycin IM daily for days 1-3, etoposide IV daily for days 1-5, cisplatin IV for days 1-5. Treatment repeats every 21 days for 3 or 4* courses in the absence of disease progression or unacceptable toxicity.

NOTE: *Patients who have good risk will have 3 courses and those who have poor risks will have 4 courses.

Patients undergo blood sample collection at baseline and periodically during study for laboratory biomarker analysis.

After completion of study therapy, patients are followed up every 3 months for 2 years, every 6 months for 3 years, and then annually thereafter.

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 132
• Est. completion date: May 2030
• Est. primary completion date: May 2025
• Accepts healthy volunteers: No
• Gender: Female
• Age group: 14 Years to 65 Years

Eligibility

Inclusion Criteria:

• Age=65 years; female, Chinese women;

• Histologically confirmed ovarian stromal tumor, including the following cell types:

• Granulosa cell tumor

• Granulosa cell-theca cell tumor

• Sertoli-Leydig cell tumor (androblastoma)

• Steroid (lipid) cell tumor

• Gynandroblastoma

• Unclassified sex cord-stromal tumor

• Sex cord tumor with annular tubules

• Newly diagnosed, stage IIA-IVB disease;

• Has undergone initial surgery (for diagnosis, staging, or cytoreduction) within the past 8 weeks.

• May or may not have measurable residual disease.

• Laboratory tests: WBC=4×10(9)/L, NEU=2×10(9)/L, PLT=80×10(9)/L, serum bilirubin= 1.5 times the upper limit of normal, transaminase= 1.5 times the upper limit of normal, BUN, Cr= normal

• Performance status: Karnofsky score=60;

• Provide written informed consent.

Exclusion Criteria:

• With severe or uncontrolled internal disease, unable to receive surgery and/or unsuitable for chemotherapy;

• History of organ transplantation, immune diseases;

• History of serious mental illness, a history of brain dysfunction;

• Drug abuse or a history of drug abuse;

• Suffering from other malignancies;

• Concurrently participating in other clinical trials

• Unable or unwilling to sign informed consents;

• Unable or unwilling to abide by protocol.

Related Conditions & MeSH terms

• Ovarian Cancer
• Ovarian Neoplasms
• Ovarian Sex Cord Stromal Tumor

Intervention

Drug:
• Paclitaxel
Patients receive paclitaxel 175mg/? IV over 3 hours on day 1. Treatment repeats every 21 days for 4-6 courses in the absence of disease progression or unacceptable toxicity.
• Carboplatin
and carboplatin AUC 5-6 IV over 1 hour on day 1. Treatment repeats every 21 days for 4-6 courses in the absence of disease progression or unacceptable toxicity.
• Bleomycin
Bleomycin 30000IU IM per day for 3 days every 3 weeks for 3-4 cycles.
• Etoposide
Etoposide 100mg/? IV per day for 5 days every 3 weeks for 3-4 cycles.
• Cisplatin
Cisplatin 20mg/? IV per day for 5 days every 3 weeks for 3-4 cycles in the absence of disease progression or unacceptable toxicity.

Locations

Country	Name	City	State
China	Qilu Hospital of Shandong University	Jinan	Shandong

Sponsors (4)

Lead Sponsor	Collaborator
Beihua Kong	Huazhong University of Science and Technology, Sun Yat-sen University, Zhejiang University

Country where clinical trial is conducted

China, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Progression-free survival	PFS was definite as the time from randomization to disease recurrence (including death from recurrence if it was the first manifestation of recurrence), death without recurrence.	Date of randomization, and death due to any cause, assessed up to 5 years
Secondary	Chemotherapy related adverse effects in two arms		Up to 5 years
Secondary	Tumor response rate	The relationship of treatment to tumor response rate will be assessed using logistic regression models adjusted for age and stratification factor (measurable disease status).	Up to 5 years
Secondary	Overall survival	The relationship of treatment to overall survival will be assessed using the proportional hazards model.	Up to 5 years