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TerminatedNCT01175772Updated Jun 23, 2015

Maintenance Treatment for Ovarian Carcinoma in Remission by an Antiangiogenic Treatment Strategy

A Phase 2 interventional study of Cytophosphan, Celecoxib, Methotrexate in Ovarian Carcinoma, sponsored by HaEmek Medical Center, Israel. Terminated at 1 site in Israel. Open to female participants aged 20 Years to 80 Years. Per ClinicalTrials.gov, last updated 2015-06-23.

Sponsored by HaEmek Medical Center, Israel · Phase 2, Interventional, and Treatment

Why this study was terminated
Due to change in the national policy of medications
Phase
Phase 2
Study type
Interventional
Enrollment
6
Allocation
Not applicable
Ages
20 Years to 80 Years
Sex
Female
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Study summary

Preclinical studies showed that metronomic chemotherapy can induce tumor regression secondary to apoptosis of the tumor blood vessels. This effect was increased by combining metronomic chemotherapy with anti-angiogenic drugs. Metronomic chemotherapy has already proved clinical effects too, especially on patients with breast or prostate carcinoma. This study is aimed to test the efficacy of an experimental metronomic chemotherapy regimen in a cohort of patients with ovarian cancer. Patients will receive the proposed regimen as maintenance treatment following response induction by the conventional maximal tolerated dose (MTD) regimen of Carboplatin and Paclitaxel. Our regimen will include Cytophosphan combined with two agents which are expected to act as indirect angiogenic inhibitors: (a) celecoxib, as a selective COX-2 inhibitor and (b) low-dose Methotrexate, as successfully practiced for suppressing the inflammatory manifestations of rheumatoid arthritis. All components of our regimen will be administered orally and continuously for one year based on the hypothesis that its anti-angiogenic properties will be able to suppress the recovery of residual disease, thus extending the time to progression (TTP), and possibly the overall survival as well.

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Conditions studied

  • Ovarian Carcinoma

Keywords

  • Ovary
  • Carcinoma
  • Maintenance
  • Metronomic
  • Chemotherapy
  • Time to Progression
  • overall survival
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In context

Carcinoma

6,745 studies on the registry are indexed under Carcinoma; 1,163 are open to participants now.

This study's enrollment of 6 is below the median of 45 across 5,174 interventional studies indexed under Carcinoma.

Browse Carcinoma studies →

Lead sponsor

HaEmek Medical Center, Israel is the lead sponsor of 228 studies on the registry; 12 are open to participants now.

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

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Who can participate

Ages eligible
20 Years to 80 Years
Sexes eligible
Female
Accepts healthy volunteers
No

Inclusion criteria

  1. Histologic proof of papillary-serous ovarian cancer or 1ary peritoneal carcinomatosis.
  2. Histological grade III.
  3. Original disease in stage III.
  4. ECOG performance status: 0-2.
  5. Age: 20-80 years.
  6. Previous chemotherapy with paclitaxel and carboplatin (only).
  7. Previous cyto-reductive surgery.
  8. Clinical Complete Response (both physically and by imaging).
  9. CA 125 should be either normalized (in at least 50 patients) or while still in decreasing values at monthly measurements.
  10. CBC at normal values or with any toxicity at a grade limited to I by NCIC-CTC.
  11. Liver and renal functions \< 1.5 upper normal limits (UNL) by SMA.
  12. The patient's signature on the informed consent.

Exclusion criteria

Exclusion Criteria:

  1. Mucinous type ovarian carcinoma.
  2. Histological Grade I-II.
  3. Current continuous treatment by steroids or by NSAIDs, or by anti-coagulants for "non protocol" reasons.
  4. Previous history of active peptic ulcer.
  5. Current participation in any other treatment study.
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Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
6 participants (actual)

Study arms

  • Experimental
    Metronomic Chemoterapy

    Maintenance Treatment for Ovary Carcinoma by Metronomic Chemotherapy

    Drug: Cytophosphan, Celecoxib, Methotrexate

Interventions

  • DrugCytophosphan, Celecoxib, Methotrexate

    Metronomic Chemotherapy as maintenance treatment for patients with Ovarian Cancer * Cytophosphan tab 50 mg -1x1 per day, continuous * Celecoxib tab 200 mg - 1x2 per day, continuous * Methotrexate tab 2.5 mg - 1x2 per day, 2 days weekly

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What researchers measure

Primary outcomes

  1. Time to Progression

    Median time to progression of the cohort will be compared with equivalent measure in the literature.

    Time frame: 18 months

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Study locations

1 site
  • HaEmek Medical Center
    Afula, 18101, Israel
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 23, 2015, 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
NCT01175772
Lead sponsor
HaEmek Medical Center, Israel
Responsible party
Sponsor
First posted
Aug 5, 2010
Start date
Aug 2010
Primary completion
Apr 2013
Completion
Apr 2013
Last update
Jun 23, 2015

Study contacts

David Loven, M.D.
study director · HaEmek Medical Center, Oncology Unit

Oversight

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

Not currently enrolling

This study is terminated, as verified in Jun 2015. You cannot join it, but the record below documents what was studied.

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