ClinicalTrials.gg
Status unknownNCT00954174Updated Sep 30, 2021Results posted

Paclitaxel and Carboplatin or Ifosfamide in Treating Patients With Newly Diagnosed, Persistent or Recurrent Uterine, Ovarian, Fallopian Tube, or Peritoneal Cavity Cancer

A Phase 3 interventional study of Carboplatin and Ifosfamide in Mixed Mesodermal (Mullerian) Tumor, Ovarian Carcinosarcoma and Recurrent Fallopian Tube Carcinoma, sponsored by GOG Foundation. Status unknown at 538 sites in 2 countries. Open to female participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2021-09-30.

Sponsored by GOG Foundation · Phase 3, Interventional, and Treatment

The sponsor has not verified this record recently (last verified Sep 2021), so the status shown — last known as Active, not recruiting — may be out of date.
Phase
Phase 3
Study type
Interventional
Enrollment
637
Allocation
Randomized
Ages
18 Years and older
Sex
Female
01

Study summary

This randomized phase III trial studies paclitaxel and carboplatin see how well they work compared with paclitaxel and ifosfamide in treating patients with fallopian tube, or peritoneal cavity cancer that is newly diagnosed, persistent, or has come back (recurrent). Drugs used in chemotherapy, such as paclitaxel, carboplatin, and ifosfamide, work in different ways to stop the growth of tumor cells, either by killing the cells, by stopping them from dividing, or by stopping them from spreading. It is not yet known whether paclitaxel is more effective when given with carboplatin or ifosfamide in treating patients with uterine, ovarian, fallopian tube, or peritoneal cavity cancer.

Read the detailed description

PRIMARY OBJECTIVES:

I. To determine if treatment with combination paclitaxel and carboplatin (TC) chemotherapy does not result in an inferior death rate when compared to ifosfamide, mesna, and paclitaxel chemotherapy.

SECONDARY OBJECTIVES:

I. To determine if treatment with combination paclitaxel and carboplatin (TC) chemotherapy does not result in an inferior progression-free survival when compared to ifosfamide, mesna, and paclitaxel chemotherapy.

II. To determine if acute toxicity, specifically physician-assessed neurotoxicity and infection, associated with combination paclitaxel and carboplatin chemotherapy is reduced compared to that of ifosfamide, mesna, and paclitaxel chemotherapy.

III. To determine if treatment with combination paclitaxel and carboplatin chemotherapy is associated with superior patient-reported quality of life and neurotoxicity scores compared to that of ifosfamide, mesna, and paclitaxel chemotherapy.

TERTIARY OBJECTIVES:

I. To bank formalin-fixed, paraffin-embedded (FFPE) tumor tissue and deoxyribonucleic acid (DNA) extracted from whole blood for future research.

OUTLINE: Patients are randomized to 1 of 2 treatment arms.

ARM I: Patients receive paclitaxel intravenously (IV) over 3 hours followed by carboplatin IV over 30-60 minutes on day 1.

ARM II: Patients receive ifosfamide IV over 1 hour on days 1-3 followed by paclitaxel as in Arm I.

In both arms, treatment repeats every 21 days for 6-10 courses in the absence of disease progression or unacceptable toxicity.

After completion of study treatment, patients are followed up every 3 months for 2 years, every 6 months for 3 years, and then annually thereafter.

02

Conditions studied

  • Mixed Mesodermal (Mullerian) Tumor
  • Ovarian Carcinosarcoma
  • Recurrent Fallopian Tube Carcinoma
  • Recurrent Ovarian Carcinoma
  • Recurrent Primary Peritoneal Carcinoma
  • Stage I Ovarian Cancer AJCC v6 and v7
  • Stage IA Fallopian Tube Cancer AJCC v6 and v7
  • Stage IA Ovarian Cancer AJCC v6 and v7
  • Stage IA Uterine Sarcoma AJCC v7
  • Stage IB Fallopian Tube Cancer AJCC v6 and v7
  • Stage IB Ovarian Cancer AJCC v6 and v7
  • Stage IB Uterine Sarcoma AJCC v7
  • Stage IC Fallopian Tube Cancer AJCC v6 and v7
  • Stage IC Ovarian Cancer AJCC v6 and v7
  • Stage IC Uterine Sarcoma AJCC v7
  • Stage II Ovarian Cancer AJCC v6 and v7
  • Stage IIA Fallopian Tube Cancer AJCC v6 and v7
  • Stage IIA Ovarian Cancer AJCC V6 and v7
  • Stage IIA Uterine Sarcoma AJCC v7
  • Stage IIB Fallopian Tube Cancer AJCC v6 and v7
  • Stage IIB Ovarian Cancer AJCC v6 and v7
  • Stage IIB Uterine Sarcoma AJCC v7
  • Stage IIC Fallopian Tube Cancer AJCC v6 and v7
  • Stage IIC Ovarian Cancer AJCC v6 and v7
  • Stage IIIA Fallopian Tube Cancer AJCC v7
  • Stage IIIA Ovarian Cancer AJCC v6 and v7
  • Stage IIIA Primary Peritoneal Cancer AJCC v7
  • Stage IIIA Uterine Sarcoma AJCC v7
  • Stage IIIB Fallopian Tube Cancer AJCC v7
  • Stage IIIB Ovarian Cancer AJCC v6 and v7
  • Stage IIIB Primary Peritoneal Cancer AJCC v7
  • Stage IIIB Uterine Sarcoma AJCC v7
  • Stage IIIC Fallopian Tube Cancer AJCC v7
  • Stage IIIC Ovarian Cancer AJCC v6 and v7
  • Stage IIIC Primary Peritoneal Cancer AJCC v7
  • Stage IIIC Uterine Sarcoma AJCC v7
  • Stage IV Fallopian Tube Cancer AJCC v6 and v7
  • Stage IV Ovarian Cancer AJCC v6 and v7
  • Stage IV Primary Peritoneal Cancer AJCC v7
  • Stage IVA Uterine Sarcoma AJCC v7
  • Stage IVB Uterine Sarcoma AJCC v7
  • Uterine Carcinosarcoma
03

In context

Carcinosarcoma

60 studies on the registry are indexed under Carcinosarcoma; 12 are open to participants now.

This study's enrollment of 637 is above the median of 48 across 52 interventional studies indexed under Carcinosarcoma.

Browse Carcinosarcoma studies →

Lead sponsor

GOG Foundation is the lead sponsor of 18 studies on the registry; 4 are 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

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Patients must have newly diagnosed stage I-IV, persistent or recurrent (including unstaged) uterine carcinosarcoma (malignant mixed mullerian tumor-MMMT or with ovarian, fallopian tube or peritoneal carcinosarcoma and an enrollment date prior to 10/21/2013; pathology confirmed by site/institutional pathologist prior to enrollment) and be chemotherapy naïve as directed against their carcinosarcoma; unstaged patients (patients who have not had hysterectomy or ovarian surgery) are eligible and should be included as "unstaged" if the only histologic (pathology) documentation of the disease is a or curettage of the uterus; if these patients have documented disease, it should be assigned the appropriate stage (III/IV)
  • Patients may have received prior external beam radiation therapy and/or vaginal brachytherapy; patients should be at least 4 weeks from the completion of external beam radiotherapy prior to beginning protocol chemotherapy; patients do not need to be delayed if receiving vaginal brachytherapy only
  • Gynecologic Oncology Group (GOG) performance status 0, 1, or 2
  • Patients must have recovered from the effects of recent surgery, radiotherapy, or other therapy
  • Patients must be free of active infection requiring antibiotics
  • Any hormonal therapy directed at the malignant tumor must be discontinued at least one week prior to beginning protocol chemotherapy; continuation of hormone replacement therapy is permitted
  • count greater than or equal to 100,000/mcL
  • (ANC) greater than or equal to 1,500/mcL equivalent to (CTCAE) version (v)3.0 grade 1
  • Creatinine less than or equal to 1.5 times (ULN), CTCAE v3.0 grade 1
  • less than or equal to 1.5 times ULN (CTCAE v3.0 grade 1)
  • Serum glutamic oxaloacetic transaminase () less than or equal to 2.5 times ULN (CTCAE v3.0 grade 1)
  • Alkaline phosphatase less than or equal to 2.5 times ULN (CTCAE v3.0 grade 1)
  • Serum albumin should be equal to or greater than 3 g/dL
  • Neuropathy (sensory and motor) less than or equal to CTCAE v3.0 grade 1
  • Patients must have signed an approved and authorization permitting release of personal health information
  • Patients of must have a negative serum pregnancy test prior to study entry and be practicing an effective form of
  • Patients may have or non-measurable disease; measurable disease is defined as at least one lesion that can be accurately measured in at least one dimension (longest dimension to be recorded); each lesion must be >= 20 mm when measured by conventional techniques, including palpation, plain x-ray, computed tomography (CT), and magnetic resonance imaging (MRI), or >= 10 mm when measured by spiral CT; measurable disease patients must have at least one "target lesion" to be used to assess progression on this protocol as defined by (RECIST); tumors within a previously irradiated field will be designated as "non-target" lesions unless progression is documented or a biopsy is obtained to confirm persistence at least 90 days following completion of radiation therapy

Exclusion criteria

Exclusion Criteria:

  • Patients who have received prior cytotoxic chemotherapy for management of uterine or ovarian carcinosarcoma
  • Patients with a history of other invasive or with a concomitant invasive malignancy, with the exception of non-melanoma skin cancer, if there is any evidence of other malignancy being present within the last five years; patients are also ineligible if their previous cancer treatment contraindicates this protocol therapy
  • Patients for whom radiotherapy is planned after or during chemotherapy prior to progression of cancer
  • Patients with known to Escherichia (E.) coli-derived drug preparations (pegfilgrastim and filgrastim [G-CSF])
  • Patients with a known hypersensitivity to mesna or other thiol compounds
  • For enrollment prior to 10/21/2013, patients who are not proven to have carcinosarcoma of the uterus, fallopian tube, peritoneum or ovary; for enrollment after 10/21/2013, patients who are not biopsy proven to have carcinosarcoma of the uterus
Terms in these criteria, in plain language(16)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Biopsy and archival tissue

A biopsy takes a small piece of tissue to examine. “Archival tissue” is a sample already taken, for example at diagnosis, and kept by the hospital.

Whether a stored sample will do depends on when it was taken, how much there is and what the study needs. Ask whether the study accepts your stored sample or needs a new biopsy.

Metastases

Cancer that has spread from where it began to other parts of the body. “Metastatic” cancer is cancer that has spread this way.

Adjuvant and neoadjuvant

Neoadjuvant treatment is given before the main treatment (usually surgery), often to shrink a tumour. Adjuvant treatment is given after it, to lower the chance of the cancer coming back.

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

Absolute neutrophil count (ANC)

The number of neutrophils, white blood cells that help fight infection, in a given amount of blood. Too few raises the risk of infection.

It is a count, not a percentage of the white cells. Limits are written in units that mean the same: ≥ 1.5 × 10⁹/L is ≥ 1,500 per mm³ (µL). Each lab has its own reference range.

CTCAE grade

The US National Cancer Institute’s scale of how severe an adverse event is — any unwanted medical event during a study, such as a symptom, an illness or an abnormal test result, whether or not a treatment caused it. Whether it did is judged separately.

1
Mild.
2
Moderate.
3
Severe.
4
Life-threatening.
5
Death due to the event.

“Side effects of earlier treatment resolved to grade 1 or less” means they have settled to mild or gone.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Measurable disease

The amount of disease can be tracked with a defined measurement, so the study can see whether it shrinks or grows. It might be a tumour measured on a scan or, in some blood cancers such as myeloma, a marker measured in blood or urine.

The criteria or the study team say which measurement counts — having no tumour visible on a scan does not by itself rule you out.

RECIST

The standard rules for measuring tumours on CT or MRI scans, to tell whether a cancer is shrinking, stable or growing during treatment.

“Measurable disease per RECIST 1.1” usually means at least one tumour 10 mm or more at its longest on a CT scan, or a lymph node 15 mm or more across its short axis.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

05

Study design

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

Study arms

  • Experimental
    Arm I (paclitaxel, carboplatin)

    Patients receive paclitaxel IV over 3 hours followed by carboplatin IV over 30-60 minutes on day 1.

    Drug: Carboplatin · Drug: Paclitaxel · Other: Quality-of-Life Assessment

  • Experimental
    Arm II (paclitaxel, ifosfamide)

    Patients receive ifosfamide IV over 1 hour on days 1-3 followed by paclitaxel as in Arm I.

    Drug: Ifosfamide · Drug: Paclitaxel · Other: Quality-of-Life Assessment

Interventions

  • Given IV

    Also known as: Blastocarb, Carboplat, Carboplatin Hexal, Carboplatino, Carboplatinum, Carbosin, Carbosol, Carbotec, CBDCA, Displata, Ercar, JM-8, Nealorin, Novoplatinum, Paraplatin, Paraplatin AQ, Paraplatine, Platinwas, Ribocarbo

  • Given IV

    Also known as: Asta Z 4942, Asta Z-4942, Cyfos, Holoxan, Holoxane, Ifex, IFO, IFO-Cell, Ifolem, Ifomida, Ifomide, Ifosfamidum, Ifoxan, IFX, Iphosphamid, Iphosphamide, Iso-Endoxan, Isoendoxan, Isophosphamide, Mitoxana, MJF 9325, MJF-9325, Naxamide, Seromida, Tronoxal, Z 4942, Z-4942

  • Given IV

    Also known as: Anzatax, Asotax, Bristaxol, Praxel, Taxol, Taxol Konzentrat

  • OtherQuality-of-Life Assessment

    Ancillary studies

    Also known as: Quality of Life Assessment

06

What researchers measure

Primary outcomes

  1. Overall Survival

    Measured in months from randomization to last contact or death. Primary analysis was restricted to the eligible uterine carcinosarcoma cohort.

    Time frame: From date of randomization until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 115 months.

Secondary outcomes

  1. Duration of Progression-free Survival

    Measured in months from randomization to last contact or the earlier of the date of progression or death.

    Time frame: Approximately 9 years and 7 months

  2. Incidence of Adverse Events as Assessed by CTCAE Version 3.0

    Maximum grade experienced among all treated and eligible patients. The grades are described by severity. Grade 1 is the lowest (most mild) and Grade 5 being death (most severe). Adverse events were analyzed across cohorts since disease site was considered independent of AEs.

    Time frame: Patients were assessed for adverse events during active protocol treatment and up to 30 days after the last cycle of treatment on the protocol.

  3. Patient-Reported Quality of Life (QOL) - Baseline

    Patient reported quality of life was measured with the Treatment Outcome Index (TOI) of the Functional Assessment of Cancer Therapy for endometrial cancer (FACT-En TOI). The FACT-En TOI is a scale for assessing general QOL of endometrial cancer patients. The FACT-En TOI score ranges 0-120 with a large score suggesting better QOL. Quality of Life was analyzed across cohorts since disease site was considered independent of Quality of Life.

    Time frame: Baseline - Prior to study treatment

  4. Patient Reported Quality of Life (QOL) - Post Baseline

    Patient reported quality of life was measured with the Treatment Outcome Index (TOI) of the Functional Assessment of Cancer Therapy for endometrial cancer (FACT-En TOI). The FACT-En TOI is a scale for assessing general QOL of endometrial cancer patients. The FACT-En TOI score ranges 0-120 with a large score suggesting better QOL. Quality of Life was analyzed across cohorts since disease site was considered independent of Quality of Life.

    Time frame: Prior to cycle 3, Prior to cycle 6, 30 weeks post cycle 1.

  5. Patient Reported Peripheral Neuropathy Symptoms - Baseline

    Patient reported peripheral neuropathy symptoms was measured with the Functional Assessment of Cancer Therapy/Gynecologic Oncology Group - neurotoxicity subscale (short version) (FACT/GOG-Ntx subscale). The FACT/GOG-Ntx subscale contains 11 items. Each item was scored using a 5-point scale (0=not at all; 1=a little bit; 2=somewhat; 3=quite a bit; 4=very much). . The Ntx score ranges 0-44 with a large score suggesting less peripheral neuropathy symptoms. Quality of Life was analyzed across cohorts since disease site was considered independent of Quality of Life.

    Time frame: Baseline (Pre cycle 1)

  6. Patient-reported Peripheral Neuropathy Symptoms - Post Baseline

    Patient reported peripheral neuropathy symptoms was measured with the Functional Assessment of Cancer Therapy/Gynecologic Oncology Group - neurotoxicity subscale (short version) (FACT/GOG-Ntx subscale). The FACT/GOG-Ntx subscale contains 11 items. Each item was scored using a 5-point scale (0=not at all; 1=a little bit; 2=somewhat; 3=quite a bit; 4=very much). The Ntx score ranges 0-44 with a large score suggesting less peripheral neuropathy symptoms.Quality of Life was analyzed across cohorts since disease site was considered independent of Quality of Life.

    Time frame: Prior to cycle 3, Prior to cycle 6, 30 weeks post cycle 1

07

Results

Posted Aug 10, 2020

Participant flow

A total of 637 subjects were enrolled between 08/17/2009 and 3/24/14. Enrollment initially included uterine carcinosarcoma and was expanded to ovarian carcinosarcoma in June 2010 and then to include fallopian tube and peritoneal carcinosarcoma in October 2013. The primary analysis was restricted to patients with uterine carcinosarcoma.

Participant flow — Overall Study
MilestoneRegimen I - Uterine Carcinsarcoma SubjectsRegimen II - Uterine Carcinsarcoma SubjectsRegimen III - Non-uterine Carcinsarcoma SubjectsRegimen IV - Non-uterine Carcinsarcoma Subjects
Started2682685150
Completed1421452725
Not completed1261232425
Withdrew: Adverse event282349
Withdrew: Death4200
Withdrew: Lack of efficacy322286
Withdrew: Withdrawal by subject141043
Withdrew: Medical reason4210
Withdrew: Ineligible404774
Withdrew: Never treated41703

Outcome measures

PrimaryOverall Survival

Measured in months from randomization to last contact or death. Primary analysis was restricted to the eligible uterine carcinosarcoma cohort.

Time frame:
From date of randomization until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 115 months.
Reported as:
Median · months
Overall Survival
monthsRegimen I- Uterine Carcinsarcoma SubjectsRegimen II - Uterine Carcinsarcoma Subjects
Overall Survival37.3 (25.7 to 49.0)29 (21.9 to 43.1)
SecondaryDuration of Progression-free Survival

Measured in months from randomization to last contact or the earlier of the date of progression or death.

Time frame:
Approximately 9 years and 7 months
Reported as:
Median · months
Duration of Progression-free Survival
monthsRegimen I - Uterine Carcinsarcoma SubjectsRegimen II - Uterine Carcinsarcoma SubjectsRegimen III - Non-uterine Carcinsarcoma SubjectsRegimen IV - Non-uterine Carcinsarcoma Subjects
Duration of Progression-free Survival16.3 (13.0 to 18.9)11.7 (10.1 to 17.3)14.6 (8.1 to 16.4)10.3 (8.5 to 19.0)
SecondaryIncidence of Adverse Events as Assessed by CTCAE Version 3.0

Maximum grade experienced among all treated and eligible patients. The grades are described by severity. Grade 1 is the lowest (most mild) and Grade 5 being death (most severe). Adverse events were analyzed across cohorts since disease site was considered independent of AEs.

Time frame:
Patients were assessed for adverse events during active protocol treatment and up to 30 days after the last cycle of treatment on the protocol.
Reported as:
Count of participants · Participants
Incidence of Adverse Events as Assessed by CTCAE Version 3.0
ParticipantsRegimen I - Uterine and Non-Uterine SubjectsRegimen II - All Uterine and Non-Uterine Subjects
Grade 133
Grade 22280
Grade 310797
Grade 413061
Grade 563
SecondaryPatient-Reported Quality of Life (QOL) - Baseline

Patient reported quality of life was measured with the Treatment Outcome Index (TOI) of the Functional Assessment of Cancer Therapy for endometrial cancer (FACT-En TOI). The FACT-En TOI is a scale for assessing general QOL of endometrial cancer patients. The FACT-En TOI score ranges 0-120 with a large score suggesting better QOL. Quality of Life was analyzed across cohorts since disease site was considered independent of Quality of Life.

Time frame:
Baseline - Prior to study treatment
Reported as:
Mean · units on a scale (time point)
Patient-Reported Quality of Life (QOL) - Baseline
units on a scale (time point)Regimen I - Uterine and Non-Uterine SubjectsRegimen II - Uterine and Non-Uterine Subjects
Patient-Reported Quality of Life (QOL) - Baseline96.2 ± 1.197.5 ± 1.2
SecondaryPatient Reported Quality of Life (QOL) - Post Baseline

Patient reported quality of life was measured with the Treatment Outcome Index (TOI) of the Functional Assessment of Cancer Therapy for endometrial cancer (FACT-En TOI). The FACT-En TOI is a scale for assessing general QOL of endometrial cancer patients. The FACT-En TOI score ranges 0-120 with a large score suggesting better QOL. Quality of Life was analyzed across cohorts since disease site was considered independent of Quality of Life.

Time frame:
Prior to cycle 3, Prior to cycle 6, 30 weeks post cycle 1.
Reported as:
Least squares mean · units on a scale (time point)
Patient Reported Quality of Life (QOL) - Post Baseline
units on a scale (time point)Regimen I - Uterine and Non-Uterine SubjectsRegimen II - Uterine and Non-Uterine Subjects
Pre-cycle 393.3 ± 0.993.3 ± 1.0
Pree-cycle 691.6 ± 1.191.6 ± 1.1
30 weeks post cycle 198.0 ± 1.197.6 ± 1.3
SecondaryPatient Reported Peripheral Neuropathy Symptoms - Baseline

Patient reported peripheral neuropathy symptoms was measured with the Functional Assessment of Cancer Therapy/Gynecologic Oncology Group - neurotoxicity subscale (short version) (FACT/GOG-Ntx subscale). The FACT/GOG-Ntx subscale contains 11 items. Each item was scored using a 5-point scale (0=not at all; 1=a little bit; 2=somewhat; 3=quite a bit; 4=very much). . The Ntx score ranges 0-44 with a large score suggesting less peripheral neuropathy symptoms. Quality of Life was analyzed across cohorts since disease site was considered independent of Quality of Life.

Time frame:
Baseline (Pre cycle 1)
Reported as:
Mean · units on a scale-baseline
Patient Reported Peripheral Neuropathy Symptoms - Baseline
units on a scale-baselineRegimen I - Uterine and Non-Uterine SubjectsRegimen II - Uterine and Non-Uterine Subjects
Patient Reported Peripheral Neuropathy Symptoms - Baseline40.2 ± 0.341.0 ± 0.3
SecondaryPatient-reported Peripheral Neuropathy Symptoms - Post Baseline

Patient reported peripheral neuropathy symptoms was measured with the Functional Assessment of Cancer Therapy/Gynecologic Oncology Group - neurotoxicity subscale (short version) (FACT/GOG-Ntx subscale). The FACT/GOG-Ntx subscale contains 11 items. Each item was scored using a 5-point scale (0=not at all; 1=a little bit; 2=somewhat; 3=quite a bit; 4=very much). The Ntx score ranges 0-44 with a large score suggesting less peripheral neuropathy symptoms.Quality of Life was analyzed across cohorts since disease site was considered independent of Quality of Life.

Time frame:
Prior to cycle 3, Prior to cycle 6, 30 weeks post cycle 1
Reported as:
Least squares mean · units on a scale
Patient-reported Peripheral Neuropathy Symptoms - Post Baseline
units on a scaleRegimen I - Uterine and Non-Uterine SubjectsRegimen II - Uterine and Non-Uterine Subjects
Prior to cycle 337.2 ± 0.437.0 ± 0.5
Prior to cycle 634.1 ± 0.634.2 ± 0.6
30 weeks post cycle 134.8 ± 0.634.9 ± 0.6

Adverse events

Collected over Measured within 6 months of enrollment; through all cycles of chemotherapy and up to 30 days after the last cycle of chemotherapy. Up to 10 cycles of chemotherapy were allowed. Cycles were to be repeated every 3 weeks.. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Regimen I - Uterine and Non-uterine Carcinosarcoma160/272 (58.8%)80/268 (29.9%)268/268 (100%)
Regimen II - Uterine and Non-uterine Carcinsarcoma Subjects160/267 (59.9%)68/247 (27.5%)244/247 (98.8%)
Most frequent serious events
Showing 10 of 81
Most frequent serious events
EventRegimen I - Uterine and Non-uterine CarcinosarcomaRegimen II - Uterine and Non-uterine Carcinsarcoma Subjects
NeutrophilsBlood and lymphatic system disorders32/26812/247
DehydrationGastrointestinal disorders6/2683/247
ConfusionNervous system disorders0/2685/247
Thrombosis/Thrombus/EmbolismVascular disorders2/2684/247
Pain: Chest /Thorax NosGeneral disorders0/2683/247
Renal FailureRenal and urinary disorders1/2683/247
NauseaGastrointestinal disorders3/2680/247
Febrile NeutropeniaInfections and infestations3/2682/247
Pain: Abdominal Pain NosGeneral disorders3/2680/247
HemoglobinBlood and lymphatic system disorders1/2682/247
Most frequent other events
Showing 10 of 291
Most frequent other events
EventRegimen I - Uterine and Non-uterine CarcinosarcomaRegimen II - Uterine and Non-uterine Carcinsarcoma Subjects
HemoglobinBlood and lymphatic system disorders249/268232/247
NeutrophilsBlood and lymphatic system disorders245/268116/247
LeukocytesBlood and lymphatic system disorders239/268164/247
FatigueGeneral disorders192/268177/247
Hair Loss/Alopecia (Scalp Or Body)Skin and subcutaneous tissue disorders190/268171/247
PlateletsBlood and lymphatic system disorders178/268137/247
Neuropathy-SensoryNervous system disorders178/268158/247
NauseaGastrointestinal disorders132/268131/247
ConstipationGastrointestinal disorders129/268119/247
DiarrheaGastrointestinal disorders77/26855/247

Baseline characteristics

Eligible patients

Age, Customized
Age, Customized(Participants)Regimen I - Uterine Carcinsarcoma SubjectsRegimen II - Uterine Carcinsarcoma SubjectsRegimen III - Non-uterine Carcinsarcoma SubjectsRegimen IV - Non-uterine Carcinsarcoma SubjectsTotal
20-29 years03003
30-39 years11204
40-49 years1283225
50-59 years46451218121
60-69 years1111111515252
70-89 years58531211134
Sex: Female, Male
Sex: Female, Male(Participants)Regimen I - Uterine Carcinsarcoma SubjectsRegimen II - Uterine Carcinsarcoma SubjectsRegimen III - Non-uterine Carcinsarcoma SubjectsRegimen IV - Non-uterine Carcinsarcoma SubjectsTotal
Female2282214446539
Male00000
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Regimen I - Uterine Carcinsarcoma SubjectsRegimen II - Uterine Carcinsarcoma SubjectsRegimen III - Non-uterine Carcinsarcoma SubjectsRegimen IV - Non-uterine Carcinsarcoma SubjectsTotal
Hispanic or Latino482317
Not Hispanic or Latino2152064240503
Unknown or Not Reported970319
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Regimen I - Uterine Carcinsarcoma SubjectsRegimen II - Uterine Carcinsarcoma SubjectsRegimen III - Non-uterine Carcinsarcoma SubjectsRegimen IV - Non-uterine Carcinsarcoma SubjectsTotal
American Indian or Alaska Native21003
Asian992424
Native Hawaiian or Other Pacific Islander00000
Black or African American667244146
White1501333736356
More than one race00000
Unknown or Not Reported161210
08

Study locations

538 sites
  • University of Alabama at Birmingham Cancer Center
    Birmingham, Alabama 35233, United States
  • University of South Alabama Mitchell Cancer Institute
    Mobile, Alabama 36688, United States
  • Saint Joseph's Hospital and Medical Center
    Phoenix, Arizona 85013, United States
  • Mayo Clinic Hospital in Arizona
    Phoenix, Arizona 85054, United States
  • Mayo Clinic in Arizona
    Scottsdale, Arizona 85259, United States
  • University of Arizona Cancer Center-Orange Grove Campus
    Tucson, Arizona 85704, United States
  • Banner University Medical Center - Tucson
    Tucson, Arizona 85719, United States
  • University of Arizona Cancer Center-North Campus
    Tucson, Arizona 85719, United States
  • Baptist Memorial Hospital and Fowler Family Cancer Center - Jonesboro
    Jonesboro, Arkansas 72401, United States
  • Providence Saint Joseph Medical Center/Disney Family Cancer Center
    Burbank, California 91505, United States
  • John Muir Medical Center-Concord Campus
    Concord, California 94520, United States
  • UC San Diego Moores Cancer Center
    La Jolla, California 92093, United States
  • Kaiser Permanente Los Angeles Medical Center
    Los Angeles, California 90027, United States
  • Los Angeles County-USC Medical Center
    Los Angeles, California 90033, United States
  • USC / Norris Comprehensive Cancer Center
    Los Angeles, California 90033, United States
  • Cedars Sinai Medical Center
    Los Angeles, California 90048, United States
  • UCLA / Jonsson Comprehensive Cancer Center
    Los Angeles, California 90095, United States
  • Palo Alto Medical Foundation-Gynecologic Oncology
    Mountain View, California 94040, United States
  • Gynecologic Oncology Associates-Newport Beach
    Newport Beach, California 92663, United States
  • Saint Joseph Hospital - Orange
    Orange, California 92868, United States
  • UC Irvine Health/Chao Family Comprehensive Cancer Center
    Orange, California 92868, United States
  • Stanford Cancer Institute Palo Alto
    Palo Alto, California 94304, United States
  • Sutter Roseville Medical Center
    Roseville, California 95661, United States
  • Sutter Medical Center Sacramento
    Sacramento, California 95816, United States
  • University of California Davis Comprehensive Cancer Center
    Sacramento, California 95817, United States
  • UCSF Medical Center-Mount Zion
    San Francisco, California 94115, United States
  • Olive View-University of California Los Angeles Medical Center
    Sylmar, California 91342, United States
  • John Muir Medical Center-Walnut Creek
    Walnut Creek, California 94598, United States
  • The Medical Center of Aurora
    Aurora, Colorado 80012, United States
  • University of Colorado Hospital
    Aurora, Colorado 80045, United States
  • Boulder Community Hospital
    Boulder, Colorado 80301, United States
  • Rocky Mountain Cancer Centers-Boulder
    Boulder, Colorado 80304, United States
  • Penrose-Saint Francis Healthcare
    Colorado Springs, Colorado 80907, United States
  • Rocky Mountain Cancer Centers-Penrose
    Colorado Springs, Colorado 80907, United States
  • Porter Adventist Hospital
    Denver, Colorado 80210, United States
  • Colorado Blood Cancer Institute
    Denver, Colorado 80218, United States
  • Presbyterian - Saint Lukes Medical Center - Health One
    Denver, Colorado 80218, United States
  • Rocky Mountain Cancer Centers-Midtown
    Denver, Colorado 80218, United States
  • SCL Health Saint Joseph Hospital
    Denver, Colorado 80218, United States
  • Rocky Mountain Cancer Centers-Rose
    Denver, Colorado 80220, United States
  • Rose Medical Center
    Denver, Colorado 80220, United States
  • Western States Cancer Research NCORP
    Denver, Colorado 80222, United States
  • Mercy Medical Center
    Durango, Colorado 81301, United States
  • Mountain Blue Cancer Care Center - Swedish
    Englewood, Colorado 80113, United States
  • Swedish Medical Center
    Englewood, Colorado 80113, United States
  • Mountain Blue Cancer Care Center
    Golden, Colorado 80401, United States
  • Saint Mary's Hospital and Regional Medical Center
    Grand Junction, Colorado 81501, United States
  • North Colorado Medical Center
    Greeley, Colorado 80631, United States
  • Rocky Mountain Cancer Centers-Greenwood Village
    Greenwood Village, Colorado 80111, United States
  • Rocky Mountain Cancer Centers-Lakewood
    Lakewood, Colorado 80228, United States
  • Saint Anthony Hospital
    Lakewood, Colorado 80228, United States
  • Littleton Adventist Hospital
    Littleton, Colorado 80122, United States
  • Rocky Mountain Cancer Centers-Sky Ridge
    Lone Tree, Colorado 80124, United States
  • Sky Ridge Medical Center
    Lone Tree, Colorado 80124, United States
  • Longmont United Hospital
    Longmont, Colorado 80501, United States
  • Rocky Mountain Cancer Centers-Longmont
    Longmont, Colorado 80501, United States
  • McKee Medical Center
    Loveland, Colorado 80539, United States
  • Parker Adventist Hospital
    Parker, Colorado 80138, United States
  • Rocky Mountain Cancer Centers-Parker
    Parker, Colorado 80138, United States
  • Saint Mary Corwin Medical Center
    Pueblo, Colorado 81004, United States
  • Rocky Mountain Cancer Centers - Pueblo
    Pueblo, Colorado 81008, United States
  • North Suburban Medical Center
    Thornton, Colorado 80229, United States
  • SCL Health Lutheran Medical Center
    Wheat Ridge, Colorado 80033, United States
  • Hartford Hospital
    Hartford, Connecticut 06102, United States
  • Smilow Cancer Hospital Care Center at Saint Francis
    Hartford, Connecticut 06105, United States
  • The Hospital of Central Connecticut
    New Britain, Connecticut 06050, United States
  • Yale University
    New Haven, Connecticut 06520, United States
  • Eastern Connecticut Hematology and Oncology Associates
    Norwich, Connecticut 06360, United States
  • Stamford Hospital/Bennett Cancer Center
    Stamford, Connecticut 06904, United States
  • Beebe Medical Center
    Lewes, Delaware 19958, United States
  • Christiana Care Health System-Christiana Hospital
    Newark, Delaware 19718, United States
  • MedStar Washington Hospital Center
    Washington, District of Columbia 20010, United States
  • Florida Gynecologic Oncology
    Fort Myers, Florida 33905, United States
  • Mayo Clinic in Florida
    Jacksonville, Florida 32224-9980, United States
  • Lakeland Regional Health Hollis Cancer Center
    Lakeland, Florida 33805, United States
  • Mercy Hospital
    Miami, Florida 33133, United States
  • AdventHealth Orlando
    Orlando, Florida 32803, United States
  • Orlando Health Cancer Institute
    Orlando, Florida 32806, United States
  • Piedmont Hospital
    Atlanta, Georgia 30309, United States
  • Northside Hospital
    Atlanta, Georgia 30342, United States
  • Augusta University Medical Center
    Augusta, Georgia 30912, United States
  • John B Amos Cancer Center
    Columbus, Georgia 31904, United States
  • Central Georgia Gynecologic Oncology
    Macon, Georgia 31201, United States
  • Memorial Health University Medical Center
    Savannah, Georgia 31404, United States
  • Lewis Cancer and Research Pavilion at Saint Joseph's/Candler
    Savannah, Georgia 31405, United States
  • Saint Alphonsus Cancer Care Center-Boise
    Boise, Idaho 83706, United States
  • Saint Joseph Regional Medical Center
    Lewiston, Idaho 83501, United States
  • Rush - Copley Medical Center
    Aurora, Illinois 60504, United States
  • Saint Joseph Medical Center
    Bloomington, Illinois 61701, United States
  • Illinois CancerCare-Bloomington
    Bloomington, Illinois 61704, United States
  • Graham Hospital Association
    Canton, Illinois 61520, United States
  • Illinois CancerCare-Canton
    Canton, Illinois 61520, United States
  • Illinois CancerCare-Carthage
    Carthage, Illinois 62321, United States
  • Memorial Hospital
    Carthage, Illinois 62321, United States
  • Northwestern University
    Chicago, Illinois 60611, United States
  • John H Stroger Jr Hospital of Cook County
    Chicago, Illinois 60612, United States
  • Rush University Medical Center
    Chicago, Illinois 60612, United States
  • University of Chicago Comprehensive Cancer Center
    Chicago, Illinois 60637, United States
  • Decatur Memorial Hospital
    Decatur, Illinois 62526, United States
  • Heartland Cancer Research NCORP
    Decatur, Illinois 62526, United States

Showing the first 100 of 538 sites across 2 countries. Choose a country and city above to see the rest.

09

References and documents

Publications

  • Powell MA, Filiaci VL, Hensley ML, Huang HQ, Moore KN, Tewari KS, Copeland LJ, Secord AA, Mutch DG, Santin A, Warshal DP, Spirtos NM, DiSilvestro PA, Ioffe OB, Miller DS. Randomized Phase III Trial of Paclitaxel and Carboplatin Versus Paclitaxel and Ifosfamide in Patients With Carcinosarcoma of the Uterus or Ovary: An NRG Oncology Trial. J Clin Oncol. 2022 Mar 20;40(9):968-977. doi: 10.1200/JCO.21.02050. Epub 2022 Jan 10. PubMed 35007153 ↗

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Aug 2009 to primary completion in Mar 2019, 115 months.

Results were first posted in Aug 2020, 1 year 4 months after primary completion.

How these figures are worked out, and which studies are left out of them.

Registered
Aug 6, 2009
First posted
Aug 7, 2009
StartActual
Aug 17, 2009
Primary completionActual
Mar 30, 2019
Results first posted
Aug 10, 2020
Last update
Sep 30, 2021
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Sep 30, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT00954174
Lead sponsor
GOG Foundation
Responsible party
Sponsor
First posted
Aug 7, 2009
Start date
Aug 17, 2009
Primary completion
Mar 30, 2019
Results posted
Aug 10, 2020
Last update
Sep 30, 2021

Study contacts

Matthew A Powell
principal investigator · NRG Oncology

Oversight

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

Not currently enrolling

This study is status unknown, as verified in Sep 2021. You cannot join it, but the record below documents what was studied.

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Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

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Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Studies of the drugs tested here: Carboplatin · Ifosfamide

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