Ovarian Cancer Clinical Trial
Official title:
A Phase I Study of Liposomal Doxorubicin (Doxil) and Prolonged Etoposide As Second Line Therapy in Ovarian, Tubal and Peritoneal Carcinoma
RATIONALE: Drugs used in chemotherapy use different ways to stop tumor cells from dividing
so they stop growing or die. Combining more than one drug may kill more tumor cells.
PURPOSE: Phase I trial to study the effectiveness of combination chemotherapy consisting of
liposomal doxorubicin and etoposide in treating patients who have recurrent or persistent
ovarian, fallopian tube, or peritoneal cancer.
OBJECTIVES: I. Determine the optimal dose of doxorubicin HCl liposomal and prolonged oral
etoposide in patients with recurrent or persistent ovarian, tubal, and peritoneal carcinoma.
II. Determine the nature and degree of toxicity of this therapy in these patients. III.
Evaluate the response rate of patients with measurable disease.
OUTLINE: This is a dose escalation, multicenter study of etoposide and doxorubicin HCl
liposome. Patients receive doxorubicin HCl liposome IV over 1 hour on day 1, followed by
oral etoposide for 8-14 days beginning on day 2. For patients who achieve partial or
complete response, treatment repeats every 4 weeks for 1 year in the absence of disease
progression or unacceptable toxicity. For patients with stable disease, treatment repeats
every 4 weeks for 6 months. In the absence of dose limiting toxicity (DLT) in the first 3
patients treated, subsequent cohorts of 3-6 patients each receive doses of etoposide for
more prolonged periods. After 14 days of oral etoposide, the dose of doxorubicin HCl
liposome is escalated. The maximum tolerated dose is defined as the dose preceding that at
which 2 of 6 patients experience DLT. Patients are followed every 3 months for 1 year, then
until death.
PROJECTED ACCRUAL: A total of 24 patients will be accrued for this study within 1 year.
;
Primary Purpose: Treatment
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