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CompletedNCT00052468AGO-OVAR9Updated Jun 25, 2014

Carboplatin/Paclitaxel +/-Gemcitabine in Treating Patients With Ovarian Epithelial or Fallopian Tube Cancer

A Phase 3 interventional study of TCG and TC in Fallopian Tube Cancer and Ovarian Cancer, sponsored by AGO Study Group. Completed at 17 sites in 4 countries. Open to female participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2014-06-25.

Sponsored by AGO Study Group · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
1,742
Allocation
Randomized
Ages
18 Years and older
Sex
Female
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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 carboplatin and paclitaxel combined with gemcitabine is more effective than carboplatin and paclitaxel alone in treating ovarian epithelial or fallopian tube cancer.

PURPOSE: This randomized phase III trial is studying carboplatin and paclitaxel combined with gemcitabine to see how well it works compared to paclitaxel and carboplatin alone in treating patients who have undergone surgery for ovarian epithelial or fallopian tube cancer.

Read the detailed description

OBJECTIVES:

  • Compare overall survival in patients with stage I-IV ovarian epithelial or fallopian tube cancer treated with adjuvant carboplatin and paclitaxel with or without gemcitabine.
  • Compare response rates, progression-free survival, and duration of response in patients treated with these regimens.
  • Compare toxic effects of these regimens in these patients.
  • Compare quality of life of patients treated with these regimens.

OUTLINE: This is a randomized, open-label, controlled, multicenter study. Patients are stratified according to FIGO stage (I-IIA vs IIB-IIIC and tumor no greater than 10 mm vs IIB-IIIC and tumor greater than 10 mm or IV), plan for interval surgical debulking (yes vs no), and participating center. Patients are randomized to 1 of 2 treatment arms.

  • Arm I: Patients receive carboplatin IV over 30-60 minutes and paclitaxel IV over 3 hours on day 1 and gemcitabine IV over 30-60 minutes on days 1 and 8.
  • Arm II: Patients receive carboplatin and paclitaxel as in arm I. Treatment in both arms repeats every 21 days for 6 to 10 courses in the absence of disease progression or unacceptable toxicity.

Some patients undergo interval debulking surgery.

Quality of life is assessed at baseline, after courses 3 and 6, and then at 3, 6, and 12 months after completion of study.

Patients are followed every 3 months for 2 years, every 6 months for up to 5 years, and then annually thereafter.

PROJECTED ACCRUAL: A total of 1,716 patients (858 per treatment arm) will be accrued for this study within 2 years.

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Conditions studied

  • Fallopian Tube Cancer
  • Ovarian Cancer

Keywords

  • stage I ovarian epithelial cancer
  • stage II ovarian epithelial cancer
  • stage III ovarian epithelial cancer
  • stage IV ovarian epithelial cancer
  • fallopian tube cancer
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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 1,742 is above the median of 60 across 2,030 interventional studies indexed under Ovarian Neoplasms.

Browse Ovarian Neoplasms studies →

Lead sponsor

AGO Study Group is the lead sponsor of 23 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
18 Years and older
Sexes eligible
Female
Accepts healthy volunteers
No

Eligibility criteria

DISEASE CHARACTERISTICS:

  • Histologically confirmed diagnosis of one of the following:

    • Ovarian epithelial cancer

      • FIGO stage IA/B G3, IC-IV
    • Fallopian tube cancer
    • Extra-ovarian papillary serous tumor
  • The following are ineligible:

    • Low malignant-potential ovarian tumors (borderline tumors)
    • Non-epithelial ovarian tumors
    • Mixed Mullerian tumors
  • Must have had definitive surgery within the past 6 weeks
  • No symptomatic brain metastases

PATIENT CHARACTERISTICS:

Age

  • 18 and over

Performance status

  • ECOG 0-2

Life expectancy

  • At least 6 months

Hematopoietic

  • WBC at least 3,000/mm\^3 OR
  • Absolute neutrophil count at least 1,500/mm\^3
  • Platelet count at least 100,000/mm\^3
  • Hemoglobin greater than 10 mg/dL

Hepatic

  • Bilirubin no greater than 2 times upper limit of normal

Renal

  • Glomerular filtration rate at least 50 mL/min

Cardiovascular

  • No congestive heart failure
  • No myocardial infarction within the past 6 months
  • No New York Heart Association class III or IV heart disease
  • No prior atrial or ventricular arrhythmias

Other

  • Not pregnant or nursing
  • Negative pregnancy test
  • Fertile patients must use effective contraception
  • No prior seizures or central nervous system disorder
  • No prior severe hypersensitivity reaction to products containing Cremophor EL (e.g., cyclosporine or vitamin K)
  • No known hypersensitivity to compounds chemically related to carboplatin, gemcitabine, or paclitaxel
  • No preexisting motor or sensory neuropathy greater than grade 1
  • No other malignancy within the past 5 years except:

    • Malignancies cured by surgery alone
    • Carcinoma in situ of the cervix
    • Adequately treated basal cell skin cancer
  • No complete bowel obstruction
  • No other concurrent severe medical condition that would preclude study participation
  • No dementia or significantly altered mental status that would preclude study participation
  • No concurrent severe active infection
  • Geographically accessible for treatment and follow-up

PRIOR CONCURRENT THERAPY:

Biologic therapy

  • No concurrent immunotherapy

Chemotherapy

  • No prior chemotherapy
  • No other concurrent chemotherapy

Endocrine therapy

  • No concurrent hormonal therapy except:

    • Hormone replacement therapy
    • Antiemetic steroids

Radiotherapy

  • No prior radiotherapy
  • No concurrent radiotherapy

Surgery

  • See Disease Characteristics
  • Recovered from prior surgery

Other

  • No other concurrent antineoplastic agents
  • No other concurrent investigational drugs
  • No other concurrent clinical trial enrollment
05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Factorial assignment
Masking
None (open label)
Enrollment
1,742 participants (actual)

Study arms

  • Experimental
    TCG

    Paclitaxel 175 mg/m2 day 1, Carboplatin AUC 5 day 1, Gemcitabine 800 mg/m2 day 1 + 8, q 21 days / 6 - 10 courses

    Drug: TCG

  • Active comparator
    TC

    Paclitaxel 175 mg/m2 day 1, Carboplatin AUC 5 day 1, q 21 days / 6 - 10 courses

    Drug: TC

Interventions

  • DrugTCG

    Also known as: Paclitaxel/Carboplatin/Gemcitabine

  • DrugTC

    Also known as: Paclitaxel/Carboplatin

06

What researchers measure

Primary outcomes

  1. Overall Survival

    Survival time is calculated from the date of enrollment into the study until the date of death from any cause

    Time frame: Whole Study Period

Secondary outcomes

  1. Progression Free Survival

    The progression-free survival is calculated for all patients from the date of enrollment until the date of first progressive disease or death, whichever occurs first

    Time frame: Whole Study Period

Other outcomes

  1. Quality of Life

    Time frame: Whole Study Period

07

Study locations

17 sites
  • Herlev Hospital - University Hospital of Copenhagen
    Copenhagen, DK2730, Denmark
  • Hotel Dieu de Paris
    Paris, 75181, France
  • Zentralkrankenhaus
    Bremen, D-28205, Germany
  • Evangelisches Krankenhaus
    Dusseldorf, DOH-40217, Germany
  • Universitaetsklinikum Essen
    Essen, D-45122, Germany
  • Staedtische Kliniken Frankfurt am Main - Hoechst
    Frankfurt, D-65929, Germany
  • Frauenklinik der MHH
    Hannover, 30659, Germany
  • Vincentius Krankenhaus
    Karlsruhe, D-76137, Germany
  • University Hospital Schleswig-Holstein - Kiel Campus
    Kiel, D-24105, Germany
  • Universitaetsklinkum Magdeburg der Otto-von-Guericke-Universitaet Magdeburg
    Magdeburg, 39108, Germany
  • Klinik und Poliklinik fuer Frauenheilkunde und Geburtshilfe - Universitaetsklinikum Muenster
    Muenster, D-48129, Germany
  • Klinikum Grosshadern der Ludwig-Maximilians Universitaet Muenchen
    Munich, D-81377, Germany
  • Klinikum Rechts Der Isar - Technische Universitaet Muenchen
    Munich, D-81675, Germany
  • Universitaetsklinikum Tuebingen
    Tuebingen, D-72076, Germany
  • Universitaet Ulm
    Ulm, D-89075, Germany
  • Dr. Horst-Schmidt-Kliniken
    Wiesbaden, D-65199, Germany
  • Norwegian Radium Hospital
    Oslo, N-0310, Norway
08

References and documents

Publications

  • du Bois A, Herrstedt J, Hardy-Bessard AC, Muller HH, Harter P, Kristensen G, Joly F, Huober J, Avall-Lundqvist E, Weber B, Kurzeder C, Jelic S, Pujade-Lauraine E, Burges A, Pfisterer J, Gropp M, Staehle A, Wimberger P, Jackisch C, Sehouli J. Phase III trial of carboplatin plus paclitaxel with or without gemcitabine in first-line treatment of epithelial ovarian cancer. J Clin Oncol. 2010 Sep 20;28(27):4162-9. doi: 10.1200/JCO.2009.27.4696. Epub 2010 Aug 23. PubMed 20733132 ↗
  • Machelon V, Gaudin F, Camilleri-Broet S, Nasreddine S, Bouchet-Delbos L, Pujade-Lauraine E, Alexandre J, Gladieff L, Arenzana-Seisdedos F, Emilie D, Prevot S, Broet P, Balabanian K. CXCL12 expression by healthy and malignant ovarian epithelial cells. BMC Cancer. 2011 Mar 16;11:97. doi: 10.1186/1471-2407-11-97. PubMed 21410972 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 25, 2014, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT00052468
Lead sponsor
AGO Study Group
Collaborators
Nordic Society of Gynaecological Oncology - Clinical Trials Unit, GERCOR - Multidisciplinary Oncology Cooperative Group
Responsible party
Sponsor
First posted
Jan 27, 2003
Start date
Aug 2002
Primary completion
Jul 2009
Completion
Jan 2011
Last update
Jun 25, 2014

Study contacts

Andreas du Bois, MD, PhD
study chair · Dr. Horst-Schmidt-Kliniken
J. Herrstedt
study chair · Copenhagen County Herlev University Hospital
E. Pujade-Lauraine, MD, PhD
study chair · Hotel Dieu de Paris

Oversight

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

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