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CompletedNCT00003644Updated Jun 4, 2019Results posted

Carboplatin Plus Paclitaxel With or Without Continued Low-Dose Paclitaxel in Treating Patients With Early-Stage Ovarian Cancer

A Phase 3 interventional study of carboplatin and paclitaxel in Ovarian Cancer, sponsored by Gynecologic Oncology Group. Completed at 151 sites in 2 countries. Open to female participants aged Up to 120 Years. Per ClinicalTrials.gov, last updated 2019-06-04.

Sponsored by Gynecologic Oncology Group · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
571
Allocation
Randomized
Ages
Up to 120 Years
Sex
Female
01

Study summary

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. It is not yet known whether receiving combined carboplatin and paclitaxel plus continued low-dose paclitaxel is more effective than carboplatin and paclitaxel alone for early-stage ovarian cancer.

PURPOSE: This randomized phase III trial is studying carboplatin and paclitaxel alone too see how well they work compared to carboplatin and paclitaxel together with continued low-dose paclitaxel in treating patients with early-stage ovarian cancer.

Read the detailed description

OBJECTIVES:

  • Compare the progression-free interval and overall survival of patients with early stage ovarian epithelial cancer treated with carboplatin and paclitaxel with or without low-dose paclitaxel.
  • Assess the frequency and severity of toxic effects of these regimens in these patients.

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

  • Arm I: Patients receive paclitaxel IV over 3 hours followed by carboplatin IV over 30 minutes. Treatment repeats every 21 days for 3 courses. Four weeks after the completion of paclitaxel and carboplatin, patients receive low-dose paclitaxel IV over 1 hour once a week for 24 weeks.
  • Arm II: Patients receive paclitaxel IV over 3 hours followed by carboplatin IV over 30 minutes. Treatment repeats every 21 days for 3 courses. Patients then undergo observation.

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

PROJECTED ACCRUAL: A total of 500 patients will be accrued for this study within 5.5 years.

02

Conditions studied

  • Ovarian Cancer

Keywords

  • stage I ovarian epithelial cancer
  • stage II ovarian epithelial cancer
  • ovarian undifferentiated adenocarcinoma
  • ovarian mixed epithelial carcinoma
  • ovarian serous cystadenocarcinoma
  • ovarian mucinous cystadenocarcinoma
  • ovarian endometrioid adenocarcinoma
  • ovarian clear cell cystadenocarcinoma
  • Brenner tumor
03

In context

Ovarian Neoplasms

2,695 studies on the registry are indexed under Ovarian Neoplasms; 727 are open to participants now.

This study's enrollment of 571 is above the median of 60 across 2,030 interventional studies indexed under Ovarian Neoplasms.

Browse Ovarian Neoplasms studies →

Lead sponsor

Gynecologic Oncology Group is the lead sponsor of 181 studies on the registry; 1 is open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
Up to 120 Years
Sexes eligible
Female
Accepts healthy volunteers
No

Eligibility criteria

DISEASE CHARACTERISTICS:

  • Histologically confirmed ovarian epithelial cancer of one of the following histologic cell types:

    • Serous adenocarcinoma
    • Malignant Brenner's tumor
    • Mucinous adenocarcinoma
    • Endometrioid
    • Adenocarcinoma
    • Clear cell adenocarcinoma
    • Undifferentiated carcinoma
    • Transitional cell
    • Mixed epithelial carcinoma
    • Adenocarcinoma - not otherwise specified
  • Meets 1 of the following criteria:

    • Stage Ia or Ib, grade 3 or clear cell
    • Stage Ic or II, all grades/histologies
  • Complete surgical staging
  • No tumors of low malignant potential (borderline tumors)

PATIENT CHARACTERISTICS:

Age:

  • Not specified

Performance status:

  • GOG 0-3

Life expectancy:

  • Not specified

Hematopoietic:

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

Hepatic:

  • Bilirubin no greater than 1.5 times normal
  • Alkaline phosphatase no greater than 3 times normal
  • SGOT no greater than 3 times normal

Renal:

  • Creatinine no greater than 2.0 mg/dL

Other:

  • No other invasive malignancies within the past 5 years except nonmelanoma skin cancer
  • No major systemic medical illness expected to affect survival
  • Body surface area no greater than 2.0

PRIOR CONCURRENT THERAPY:

Biologic therapy:

  • Not specified

Chemotherapy:

  • Not specified

Endocrine therapy:

  • Not specified

Radiotherapy:

  • Not specified

Surgery:

  • See Disease Characteristics

Other:

  • No prior treatment for this malignancy except surgical staging
  • No prior anticancer therapy that would preclude study participation
05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
571 participants (actual)

Study arms

  • Experimental
    Carboplatin, paclitaxel, low dose paclitaxel

    carboplatin, paclitaxel followed by low dose paclitaxel 4 weeks later

    Drug: carboplatin · Drug: paclitaxel

  • Active comparator
    Carboplatin, paclitaxel

    carboplatin, paclitaxel

    Drug: carboplatin · Drug: paclitaxel

Interventions

  • Drugcarboplatin
  • Drugpaclitaxel
06

What researchers measure

Primary outcomes

  1. Progression-free Survival

    The percent of participants with disease recurrence within 5 years

    Time frame: Up to 5 years

  2. Overall Survival

    Number of deaths during study and follow up.

    Time frame: up to 96 months

  3. Number of Participants With Adverse Events Grade 3 or Greater

    Toxicities, Grade 3 or greater (CTC version 2.0) by treatment arm for all treated participants

    Time frame: Throughout study treatment lasting up to 24 weeks

07

Results

Posted Apr 17, 2019

Participant flow

GOG 0175 accrued 571 patients from September 1998 to December 2006.

Participant flow — Overall Study
MilestonePaclitaxel + Carboplatin Followed 4 Weeks Later by PaclitaxelPaclitaxel + Carboplatin Followed by Observation
Started289282
Completed274268
Not completed1514

Outcome measures

PrimaryProgression-free Survival

The percent of participants with disease recurrence within 5 years

Time frame:
Up to 5 years
Reported as:
Number · percentage of participants
Progression-free Survival
percentage of participantsPaclitaxel + Carboplatin Followed 4 Weeks Later by PaclitaxelPaclitaxel + Carboplatin Followed by Observation
Progression-free Survival20.4 (15.9 to 25.9)23.2 (18.4 to 28.9)
PrimaryOverall Survival

Number of deaths during study and follow up.

Time frame:
up to 96 months
Reported as:
Count of participants · Participants
Overall Survival
ParticipantsPaclitaxel + Carboplatin Followed 4 Weeks Later by PaclitaxelPaclitaxel + Carboplatin Followed by Observation
Overall Survival4453
PrimaryNumber of Participants With Adverse Events Grade 3 or Greater

Toxicities, Grade 3 or greater (CTC version 2.0) by treatment arm for all treated participants

Time frame:
Throughout study treatment lasting up to 24 weeks
Reported as:
Count of participants · Participants
Number of Participants With Adverse Events Grade 3 or Greater
ParticipantsGrade 3 & Above Toxicity Paclitaxel + Carboplatin x 24 CyclesGrade 3 & Above Toxicity Paclitaxel + Carboplatin x 3 Cycles
Leukopenia7486
Thrombocytopenia1216
Neutropenia203196
Anemia42
Other hematologic74
Allergy87
Cardiovascular127
Coagulation02
Constitutional77
Dermatologic23
Gastrointestinal1211
Genitourinary/Renal13
Hemorrhage10
Hepatic11
Infection/Fever1511
Metabolic105
Musculoskeletal30
Peripheral Neuropathy122
Other Neurologic58
Ocular/Visual10
Pain1512
Pulmonary10

Adverse events

Collected over Up to 24 weeks. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Paclitaxel + Carboplatin Followed 4 Weeks Later by Paclitaxel44/274 (16.1%)7/274 (2.6%)271/274 (98.9%)
Paclitaxel + Carboplatin Followed by Observation53/268 (19.8%)5/268 (1.9%)265/268 (98.9%)
Most frequent serious events
Showing 10 of 14
Most frequent serious events
EventPaclitaxel + Carboplatin Followed 4 Weeks Later by PaclitaxelPaclitaxel + Carboplatin Followed by Observation
Abdominal PainGeneral disorders2/2740/268
Chest PainGeneral disorders0/2741/268
NauseaGastrointestinal disorders1/2741/268
VomitingGastrointestinal disorders1/2741/268
Cardiac ArrythmiaCardiac disorders0/2741/268
Fever with NeutropeniaInvestigations0/2741/268
Death due to DiseaseNeoplasms benign, malignant and unspecified (incl cysts and polyps)0/2741/268
Urinary Tract Infection With E.Coli BacteremiaInfections and infestations1/2740/268
Irritable bowel syndromeGastrointestinal disorders1/2740/268
Venous ThrombosisVascular disorders1/2740/268
Most frequent other events
Showing 10 of 25
Most frequent other events
EventPaclitaxel + Carboplatin Followed 4 Weeks Later by PaclitaxelPaclitaxel + Carboplatin Followed by Observation
NeutropeniaBlood and lymphatic system disorders255/274247/268
LeukopeniaBlood and lymphatic system disorders247/274236/268
AnemaBlood and lymphatic system disorders219/274209/268
DermatologicSkin and subcutaneous tissue disorders215/274183/268
GastrointestinalGastrointestinal disorders193/274180/268
ConstitutionalGeneral disorders182/274159/268
PainGeneral disorders164/274150/268
Peripheral neurologicNervous system disorders156/274108/268
ThrombocytopeniaBlood and lymphatic system disorders122/274109/268
NeurologicNervous system disorders73/27450/268

Baseline characteristics

Age, Customized
Age, Customized(Participants)Paclitaxel + Carboplatin Followed 4 Weeks Later by PaclitaxelPaclitaxel + Carboplatin Followed by ObservationTotal
Less than 40 years222143
40-49 years6656122
50-59 years8898186
60-69 years6457121
>=70 years343670
Sex: Female, Male
Sex: Female, Male(Participants)Paclitaxel + Carboplatin Followed 4 Weeks Later by PaclitaxelPaclitaxel + Carboplatin Followed by ObservationTotal
Female274268542
Male000
08

Study locations

151 sites
  • University of Alabama at Birmingham Comprehensive Cancer Center
    Birmingham, Alabama 35294, United States
  • Banner Thunderbird Medical Center
    Glendale, Arizona 85306, United States
  • Banner Good Samaritan Medical Center
    Phoenix, Arizona 85006, United States
  • CCOP - Western Regional, Arizona
    Phoenix, Arizona 85006, United States
  • Highlands Oncology Group - Fayetteville
    Fayetteville, Arkansas 72703, United States
  • Washington Regional Medical Center
    Fayetteville, Arkansas 72703, United States
  • Alta Bates Comprehensive Cancer Center
    Berkeley, California 94704, United States
  • Peninsula Medical Center
    Burlingame, California 94010, United States
  • Marin Cancer Institute at Marin General Hospital
    Greenbrae, California 94904, United States
  • Sutter Health - Western Division Cancer Research Group
    Greenbrae, California 94904, United States
  • Todd Cancer Institute at Long Beach Memorial Medical Center
    Long Beach, California 90801, United States
  • Kaiser Permanente Medical Center - Los Angeles
    Los Angeles, California 90027, United States
  • Jonsson Comprehensive Cancer Center at UCLA
    Los Angeles, California 90095-1781, United States
  • Chao Family Comprehensive Cancer Center at University of California Irvine Medical Center
    Orange, California 92868, United States
  • University of California Davis Cancer Center
    Sacramento, California 95817, United States
  • California Pacific Medical Center - California Campus
    San Francisco, California 94118, United States
  • Torrance Memorial Medical Center
    Torrance, California 90509, United States
  • Colorado Gynecologic Oncology Group P.C.
    Aurora, Colorado 80010, United States
  • North Colorado Medical Center
    Greeley, Colorado 80631, United States
  • McKee Medical Center
    Loveland, Colorado 80539, United States
  • Helen and Harry Gray Cancer Center at Hartford Hospital
    Hartford, Connecticut 06102-5037, United States
  • CCOP - Christiana Care Health Services
    Newark, Delaware 19713, United States
  • University of Miami Sylvester Comprehensive Cancer Center
    Miami, Florida 33136, United States
  • Florida Hospital Cancer Institute at Florida Hospital Orlando
    Orlando, Florida 32803-1273, United States
  • H. Lee Moffitt Cancer Center and Research Institute at University of South Florida
    Tampa, Florida 33612-9497, United States
  • Curtis & Elizabeth Anderson Cancer Institute at Memorial Health University Medical Center
    Savannah, Georgia 31403-3089, United States
  • Rush-Copley Cancer Care Center
    Aurora, Illinois 60507, United States
  • Robert H. Lurie Comprehensive Cancer Center at Northwestern University
    Chicago, Illinois 60611-3013, United States
  • University of Illinois Cancer Center
    Chicago, Illinois 60612-7243, United States
  • University of Chicago Cancer Research Center
    Chicago, Illinois 60637-1470, United States
  • Evanston Northwestern Healthcare - Evanston Hospital
    Evanston, Illinois 60201-1781, United States
  • Hinsdale Hematology Oncology Associates
    Hinsdale, Illinois 60521, United States
  • Joliet Oncology-Hematology Associates, Limited - West
    Joliet, Illinois 60435, United States
  • Carle Cancer Center at Carle Foundation Hospital
    Urbana, Illinois 61801, United States
  • CCOP - Carle Cancer Center
    Urbana, Illinois 61801, United States
  • Elkhart General Hospital
    Elkhart, Indiana 46515, United States
  • Indiana University Cancer Center
    Indianapolis, Indiana 46202-5289, United States
  • Howard Community Hospital at Howard Regional Health System
    Kokomo, Indiana 46904, United States
  • Center for Cancer Therapy at LaPorte Hospital and Health Services
    La Porte, Indiana 46350, United States
  • Saint Anthony Memorial Health Centers
    Michigan City, Indiana 46360, United States
  • CCOP - Northern Indiana CR Consortium
    South Bend, Indiana 46601, United States
  • Memorial Hospital of South Bend
    South Bend, Indiana 46601, United States
  • Saint Joseph Regional Medical Center
    South Bend, Indiana 46617, United States
  • Holden Comprehensive Cancer Center at University of Iowa
    Iowa City, Iowa 52242, United States
  • Cancer Center of Kansas, PA - Chanute
    Chanute, Kansas 66720, United States
  • Cancer Center of Kansas, PA - Dodge City
    Dodge City, Kansas 67801, United States
  • Cancer Center of Kansas, PA - El Dorado
    El Dorado, Kansas 67042, United States
  • Kansas Masonic Cancer Research Institute at the University of Kansas Medical Center
    Kansas City, Kansas 66160-7357, United States
  • Cancer Center of Kansas, PA - Kingman
    Kingman, Kansas 67068, United States
  • Southwest Medical Center
    Liberal, Kansas 67901, United States
  • Cancer Center of Kansas, PA - Newton
    Newton, Kansas 67114, United States
  • Cancer Center of Kansas, PA - Parsons
    Parsons, Kansas 67357, United States
  • Cancer Center of Kansas, PA - Pratt
    Pratt, Kansas 67124, United States
  • Cancer Center of Kansas, PA - Salina
    Salina, Kansas 67042, United States
  • Cancer Center of Kansas, PA - Wellington
    Wellington, Kansas 67152, United States
  • Associates in Womens Health, PA - North Review
    Wichita, Kansas 67203, United States
  • Cancer Center of Kansas, PA - Medical Arts Tower
    Wichita, Kansas 67208, United States
  • Cancer Center of Kansas, PA - Wichita
    Wichita, Kansas 67214, United States
  • CCOP - Wichita
    Wichita, Kansas 67214, United States
  • Via Christi Cancer Center at Via Christi Regional Medical Center
    Wichita, Kansas 67214, United States
  • Cancer Center of Kansas, PA - Winfield
    Winfield, Kansas 67156, United States
  • Cancer Resource Center at King's Daughters Medical Center
    Ashland, Kentucky 41101, United States
  • Markey Cancer Center at University of Kentucky Chandler Medical Center
    Lexington, Kentucky 40536-0293, United States
  • James Graham Brown Cancer Center at University of Louisville
    Louisville, Kentucky 40202, United States
  • Tulane Cancer Center
    Alexandria, Louisiana 71315-3198, United States
  • Woman's Hospital
    Baton Rouge, Louisiana 70815, United States
  • Greater Baltimore Medical Center Cancer Center
    Baltimore, Maryland 21204, United States
  • Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins
    Baltimore, Maryland 21231-2410, United States
  • Tufts-NEMC Cancer Center
    Boston, Massachusetts 02111, United States
  • Baystate Regional Cancer Program at D'Amour Center for Cancer Care
    Springfield, Massachusetts 01199, United States
  • UMASS Memorial Cancer Center - University Campus
    Worcester, Massachusetts 01655, United States
  • Barbara Ann Karmanos Cancer Institute
    Detroit, Michigan 48201-1379, United States
  • Borgess Medical Center
    Kalamazoo, Michigan 49001, United States
  • West Michigan Cancer Center
    Kalamazoo, Michigan 49007-3731, United States
  • Bronson Methodist Hospital
    Kalamazoo, Michigan 49007, United States
  • Lakeland Cancer Care Center at Lakeland Hospital - St. Joseph
    Saint Joseph, Michigan 49085, United States
  • University of Minnesota Medical Center & Children's Hospital - Fairview
    Minneapolis, Minnesota 55455, United States
  • University of Mississippi Medical Center
    Jackson, Mississippi 39216, United States
  • Ellis Fischel Cancer Center at University of Missouri - Columbia
    Columbia, Missouri 65203, United States
  • CCOP - Kansas City
    Kansas City, Missouri 64131, United States
  • Siteman Cancer Center at Barnes-Jewish Hospital
    Saint Louis, Missouri 63110, United States
  • St. John's Regional Health Center
    Springfield, Missouri 65804, United States
  • Hulston Cancer Center at Cox Medical Center South
    Springfield, Missouri 65807, United States
  • Cancer Resource Center - Lincoln
    Lincoln, Nebraska 68510, United States
  • CCOP - Missouri Valley Cancer Consortium
    Omaha, Nebraska 68106, United States
  • Methodist Cancer Center at Methodist Hospital - Omaha
    Omaha, Nebraska 68114, United States
  • Norris Cotton Cancer Center at Dartmouth-Hitchcock Medical Center
    Lebanon, New Hampshire 03756-0002, United States
  • Fox Chase Virtua Health Cancer Program at Virtua Memorial Hospital Marlton
    Marlton, New Jersey 08053, United States
  • Cancer Institute of New Jersey at Cooper - Voorhees
    Voorhees, New Jersey 08043, United States
  • Fox Chase Virtua Health Cancer Program at Virtua West Jersey
    Voorhees, New Jersey 08043, United States
  • University of New Mexico Cancer Research and Treatment Center
    Albuquerque, New Mexico 87131-5636, United States
  • SUNY Downstate Medical Center
    Brooklyn, New York 11203, United States
  • Roswell Park Cancer Institute
    Buffalo, New York 14263-0001, United States
  • NYU Cancer Institute at New York University Medical Center
    New York, New York 10016, United States
  • Stony Brook University Cancer Center
    Stony Brook, New York 11794-8174, United States
  • Randolph Hospital
    Asheboro, North Carolina 27203-5400, United States
  • Lineberger Comprehensive Cancer Center at University of North Carolina - Chapel Hill
    Chapel Hill, North Carolina 27599-7295, United States
  • Blumenthal Cancer Center at Carolinas Medical Center
    Charlotte, North Carolina 28232-2861, United States
  • Duke Comprehensive Cancer Center
    Durham, North Carolina 27710, United States
  • Moses Cone Regional Cancer Center at Wesley Long Community Hospital
    Greensboro, North Carolina 27403-1198, United States

Showing the first 100 of 151 sites across 2 countries.

09

References and documents

Publications

  • Mannel RS, Brady MF, Kohn EC, Hanjani P, Hiura M, Lee R, Degeest K, Cohn DE, Monk BJ, Michael H. A randomized phase III trial of IV carboplatin and paclitaxel x 3 courses followed by observation versus weekly maintenance low-dose paclitaxel in patients with early-stage ovarian carcinoma: a Gynecologic Oncology Group Study. Gynecol Oncol. 2011 Jul;122(1):89-94. doi: 10.1016/j.ygyno.2011.03.013. Epub 2011 May 6. PubMed 21529904 ↗
10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 4, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT00003644
Lead sponsor
Gynecologic Oncology Group
Collaborators
National Cancer Institute (NCI), SWOG Cancer Research Network
Responsible party
Sponsor
First posted
Jan 27, 2003
Start date
Oct 1998
Primary completion
Mar 2010
Results posted
Apr 17, 2019
Last update
Jun 4, 2019

Study contacts

Robert S. Mannel, MD
study chair · University of Oklahoma College of Medicine
David S. Alberts, MD
study chair · University of Arizona

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Mar 2016. You cannot join it, but the record below documents what was studied.

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