CT-2103 in Treating Patients With Recurrent or Persistent Ovarian Epithelial Cancer or Primary Peritoneal Cancer

Recurrent Ovarian Carcinoma Clinical Trial

Official title:

A Phase II Evaluation of CT-2103 in the Third-Line Treatment of Recurrent or Persistent Epithelial Ovarian or Primary Peritoneal Cancer

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT00045682
• Other study ID #: GOG-0186C
• Secondary ID: NCI-2012-02493CD
• Status: Completed
• Phase: Phase 2
• First received: September 6, 2002
• Last updated: July 12, 2017
• Start date: September 2002

Study information

• Verified date: July 2017
• Source: Gynecologic Oncology Group
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Phase II trial to study the effectiveness of CT-2103 in treating patients who have recurrent or persistent ovarian epithelial cancer or primary peritoneal cancer. Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die.

Description:

PRIMARY OBJECTIVES:

I. Determine the antitumor activity of polyglutamate paclitaxel (CT-2103) as third-line treatment for patients with recurrent or persistent ovarian epithelial or primary peritoneal cancer.

II. Determine the nature and degree of toxicity of this drug in these patients.

OUTLINE: This is a multicenter study.

Patients receive polyglutamate paclitaxel (CT-2103) IV over 10-20 minutes on day 1. Courses repeat every 21 days in the absence of disease progression or unacceptable toxicity.

Patients are followed every 3 months for 2 years, every 6 months for 3 years, and then annually thereafter.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 78
• Est. primary completion date: July 15, 2006
• Accepts healthy volunteers: No
• Gender: Female
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• Histologically confirmed recurrent or persistent ovarian epithelial cancer or primary peritoneal cancer after second-line therapy

• Received 1 prior platinum-based first-line chemotherapy regimen and 1 prior second-line (non-platinum, non-taxane) chemotherapy regimen

• At least 1 unidimensionally measurable lesion

• At least 20 mm by conventional techniques OR at least 10 mm by spiral CT scan

• At least 1 target lesion that has not previously been irradiated

• Ineligible for a higher priority GOG protocol (if one exists)

• Ineligible for the currently active phase II cytotoxic protocol for platinum-resistant disease

• Performance status - GOG 0-2

• Absolute neutrophil count at least 1,500/mm^3

• Platelet count at least 100,000/mm^3

• No active bleeding

• Bilirubin no greater than 1.5 times upper limit of normal (ULN)

• SGOT no greater than 2.5 times ULN

• Alkaline phosphatase no greater than 2.5 times ULN

• PT or PTT less than ULN

• Creatinine no greater than 1.5 times ULN

• No uncontrolled hypertension

• No uncompensated congestive heart failure

• No symptomatic coronary artery disease

• No myocardial infarction within the past 6 months

• No sensory or motor neuropathy greater than grade 1

• No active infection requiring antibiotics

• No other invasive malignancy within the past 5 years except nonmelanoma skin cancer

• Not pregnant or nursing

• Negative pregnancy test

• Fertile patients must use effective contraception

• At least 3 weeks since prior biological therapy or immunotherapy directed at the malignancy

• No prior polyglutamate paclitaxel (CT-2103)

• Recovered from prior chemotherapy

• At least 1 week since prior hormonal therapy directed at the malignancy

• Concurrent hormone replacement therapy allowed

• Recovered from prior radiotherapy

• No prior radiotherapy to more than 25% of bone marrow

• Recovered from prior surgery

• At least 3 weeks since other prior therapy directed at the malignancy

• No prior therapy for another malignancy that would preclude this study

• No concurrent amifostine or other protective reagents

Related Conditions & MeSH terms

• Carcinoma
• Ovarian Neoplasms
• Primary Peritoneal Carcinoma
• Recurrent Ovarian Carcinoma

Intervention

Drug:
• Paclitaxel Poliglumex
Given IV

Locations

Country	Name	City	State
United States	Gynecologic Oncology Group	Philadelphia	Pennsylvania

Sponsors (2)

Lead Sponsor	Collaborator
Gynecologic Oncology Group	National Cancer Institute (NCI)

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Frequency and duration of objective response		5 years
Primary	Frequency and severity of observed adverse effects		5 years
Primary	Survival time		5 years
Primary	Duration of progression-free interval		5 years
Secondary	Change in objective response		Baseline to 5 years
Secondary	Change in observed adverse effects		Baseline to 5 years