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Status unknownNCT00045461Updated Aug 7, 2013

Combination Chemotherapy With or Without Whole-Body Hyperthermia in Treating Patients With Recurrent Ovarian Epithelial, Fallopian Tube, or Peritoneal Cancer

A Phase 2/3 interventional study of carboplatin and ifosfamide in Fallopian Tube Cancer, Ovarian Cancer and Primary Peritoneal Cavity Cancer, sponsored by Ludwig-Maximilians - University of Munich. Status unknown at 7 sites in 3 countries. Open to female participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2013-08-07.

Sponsored by Ludwig-Maximilians - University of Munich · Phase 2/3, Interventional, and Treatment

The sponsor has not verified this record recently (last verified Oct 2002), so the status shown — last known as Recruiting — may be out of date.
Phase
Phase 2/3
Study type
Interventional
Enrollment
241
Allocation
Randomized
Ages
18 Years to 65 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. Hyperthermia therapy kills tumor cells by heating them to several degrees above body temperature. Combining hyperthermia with chemotherapy may kill more tumor cells. It is not yet known if chemotherapy is more effective with or without whole-body hyperthermia therapy in treating gynecologic cancer.

PURPOSE: Randomized phase II/III trial to compare the effectiveness of chemotherapy with or without whole-body hyperthermia in treating patients who have recurrent ovarian epithelial, fallopian tube, or peritoneal cancer.

Read the detailed description

OBJECTIVES:

  • Compare the time to progressive disease in patients with recurrent ovarian epithelial, fallopian tube, or extraovarian peritoneal cancer treated with carboplatin and ifosfamide with or without whole body hyperthermia.
  • Compare the response rate, duration of response, and survival time of patients treated with these regimens.
  • Compare the effect on the presence of disseminated tumor cells in bone marrow in patients treated with these regimens.
  • Compare the toxicity of these regimens in these patients.
  • Assess quality of life of patients treated with these regimens.

OUTLINE: This is a phase II safety and efficacy study followed by a phase III randomized, open-label, multicenter study.

  • Phase II: Patients receive ifosfamide IV over 1 hour and carboplatin IV over 20 minutes on day 1. Patients also undergo whole body hyperthermia for at least 1 hour on day 1. Treatment repeats every 28 days for 6 courses in the absence of disease progression or unacceptable toxicity.
  • Phase III (after successful treatment of 15 patients in phase II): Patients are stratified according to disease-free interval (6-12 months vs more than 12 months), measurable disease (bidimensionally measurable vs measurable by other clinical means), and disease recurrence (first recurrence vs second or greater recurrence). Patients are randomized to 1 of 2 treatment arms.

    • Arm I: Patients receive ifosfamide, carboplatin, and whole body hyperthermia as in phase II.
    • Arm II: Patients receive ifosfamide and carboplatin as in arm I.
    • In both arms, treatment repeats every 28 days for 6 courses in the absence of disease progression or unacceptable toxicity.

Quality of life is assessed before each course, 4 weeks after the last course, and then every 3 months for 2 years.

Patients are followed at 4 weeks and then every 3 months for 2 years.

PROJECTED ACCRUAL: A total of 15 patients will be accrued for phase II of this study. A total of 226 patients (113 per treatment arm) will be accrued for phase III of this study within 2 years.

02

Conditions studied

  • Fallopian Tube Cancer
  • Ovarian Cancer
  • Primary Peritoneal Cavity Cancer

Keywords

  • recurrent ovarian epithelial cancer
  • recurrent fallopian tube cancer
  • stage IIIA fallopian tube cancer
  • stage IIIB fallopian tube cancer
  • stage IIIC fallopian tube cancer
  • stage IV fallopian tube cancer
  • recurrent primary peritoneal cavity cancer
  • stage IIIA primary peritoneal cavity cancer
  • stage IIIB primary peritoneal cavity cancer
  • stage IIIC primary peritoneal cavity cancer
  • stage IV primary peritoneal cavity cancer
  • stage IIIA ovarian epithelial cancer
  • stage IIIB ovarian epithelial cancer
  • stage IIIC ovarian epithelial cancer
  • stage IV ovarian epithelial cancer
03

In context

Fallopian Tube Neoplasms

720 studies on the registry are indexed under Fallopian Tube Neoplasms; 127 are open to participants now.

This study's planned enrollment of 241 is above the median of 52 across 589 interventional studies indexed under Fallopian Tube Neoplasms.

Browse Fallopian Tube Neoplasms studies →

Lead sponsor

Ludwig-Maximilians - University of Munich is the lead sponsor of 218 studies on the registry; 29 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 65 Years
Sexes eligible
Female
Accepts healthy volunteers
No

Eligibility criteria

DISEASE CHARACTERISTICS:

  • Histologically confirmed ovarian epithelial, fallopian tube, or extraovarian peritoneal cancer

    • Recurrent disease (any FIGO stage)
    • Not amenable to curative surgery or radiotherapy alone
  • Failed prior primary platinum-based therapy at least 6 months after therapy discontinuation
  • Measurable lesion by CT scan, MRI, chest x-ray, or sonography

    • Physical examination allowed for documenting lymph node and skin metastases
    • Physical gynecological examination allowed for well-defined palpable tumor lesions
    • Increase in CA 125 without any measurable tumor is not acceptable as indication of recurrence
  • No CNS metastases
  • No tumor of borderline malignancy

PATIENT CHARACTERISTICS:

Age

  • 18 to 65

Performance status

  • ECOG 0-2

Life expectancy

  • At least 24 weeks

Hematopoietic

  • Neutrophil count at least 1,500/mm3
  • Platelet count at least 100,000/mm3

Hepatic

  • Not specified

Renal

  • Creatinine clearance at least 60 mL/min
  • No chronic or acute renal failure

Cardiovascular

  • Cardiovascular function sufficient for hyperthermia treatment by stress-ECG
  • No cardiomyopathy with impaired ventricular function
  • No New York Heart Association class III or IV heart disease
  • No cardiac arrhythmias influencing LVEF and requiring medication
  • No myocardial infarction or angina pectoris within the past 6 months
  • No uncontrolled arterial hypertension

Pulmonary

  • Pulmonary function sufficient for hyperthermia treatment by pulmonary function tests

Other

  • No untreated endocrinological disease (e.g., hyperthyroidism or diabetes mellitus)
  • No other primary malignancy except carcinoma in situ of the cervix or adequately treated basal cell skin cancer
  • No contraindication against hyperthermia treatment (e.g., photodermatosis, history of malignant hyperthermia, or claustrophobia)
  • No hypersensitivity to carboplatin, ifosfamide, or any other study medication
  • Not pregnant or nursing

PRIOR CONCURRENT THERAPY:

Biologic therapy

  • Not specified

Chemotherapy

  • See Disease Characteristics
  • No concurrent cytotoxic or other antineoplastic therapy

Endocrine therapy

  • Concurrent hormone replacement therapy allowed
  • Concurrent steroid antiemetics allowed

Radiotherapy

  • See Disease Characteristics
  • At least 1 year since prior radiotherapy (tumoricidal dose) of the pelvis
  • Concurrent palliative local radiotherapy for painful (nonprogressive) existing lesion is allowed if other measurable sites are present
  • No concurrent radiotherapy to a second existing lesion

Surgery

  • See Disease Characteristics

Other

  • No prior form of hyperthermic therapy
  • At least 3 weeks since other medications as part of another clinical study
  • At least 3 weeks since prior investigational agents
  • At least 6 weeks since prior betablockers
  • No concurrent photosensitizing drugs
  • No concurrent betablockers
  • No other concurrent anticancer therapy
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Study design

Phase
Phase 2 / Phase 3
Primary purpose
Treatment
Allocation
Randomized
Masking
None (open label)
Enrollment
241 participants (estimated)

Interventions

  • Drugcarboplatin
  • Drugifosfamide
  • Procedurehyperthermia treatment
06

What researchers measure

Primary outcomes

  1. Time to progressive disease

  2. Response rate

  3. Duration of response

  4. Survival time

  5. Effects on the presence of disseminated tumor cells in bone marrow

  6. Toxicity

  7. Quality of life

07

Study locations

7 of 7 sites recruiting
  • Charite University Hospital - Campus Virchow Klinikum
    Berlin, D-13353, Germany
    Recruiting
  • Krankenhaus Nordwest
    Frankfurt, D-60488, Germany
    • Elke Jaeger, MD · Contact · 49-69-7601-3380
    Recruiting
  • University Medical Center Hamburg - Eppendorf
    Hamburg, D-20246, Germany
    Recruiting
  • Universitaets - Kinderklinik - Luebeck
    Luebeck, D-23538, Germany
    Recruiting
  • Kreiskrankenhaus Trostberg
    Trostberg, D-83308, Germany
    • A. Biedermann, MD · Contact · 0862-11-87-5020
    Recruiting
  • Peterfy Korhaz Szulo-Nobeteg Oztaly
    Budapest, 1076, Hungary
    • L. Kornya, MD · Contact · 36-1-322-3450
    Recruiting
  • Academisch Medisch Centrum at University of Amsterdam
    Amsterdam, 1105 AZ, Netherlands
    Recruiting
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 7, 2013, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT00045461
Lead sponsor
Ludwig-Maximilians - University of Munich
First posted
Jan 27, 2003
Start date
Jun 2000
Last update
Aug 7, 2013

Study contacts

Harald Sommer, MD
study chair · Ludwig-Maximilians - University of Munich
View the source record on ClinicalTrials.gov ↗

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