ClinicalTrials.gg
RecruitingNCT02639650Updated Jun 3, 2022

Study of Paclitaxel Plus Cisplatin as the First-line Chemotherapy in High Risk Gestational Trophoblastic Tumor

A Phase 3 interventional study of Etoposide and actinomycin D in Gestational Trophoblastic Neoplasms, sponsored by Weiguo Lv. Recruiting at 1 site in China. Open to female participants aged Up to 60 Years. Per ClinicalTrials.gov, last updated 2022-06-03.

Sponsored by Weiguo Lv · Phase 3, Interventional, and Treatment

From the registry’s dates

  • Primary completion was expected by Mar 2024, 2 years 8 months ago, but the record still lists the study as recruiting.
  • Started Mar 2016; still recruiting 10 years 8 months later.

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Phase
Phase 3
Study type
Interventional
Enrollment
214
Allocation
Randomized
Ages
Up to 60 Years
Sex
Female
01

Where this study stands

Counted across the records on this site · 2026-11-13

Among 12 studies in Gestational Trophoblastic Disease with a site in China — 8 open to participants now, 9 under way, 1 of them phase 3. Gestational Trophoblastic Disease · China.

Planned enrollment
4th of 11
214 · median 70
Started
2016
the only one that year
Phase 3
2 of 12
1 open now
Registered
2nd of 12
by date
Lead sponsor
1 of 12
Weiguo Lv

Among the 12 studies in Gestational Trophoblastic Disease with a site in China, this one is the 4th largest by planned enrollment of the 11 interventional ones that give a count, is the only one that started in 2016, is one of 2 in phase 3, and was the 2nd registered.

Gestational Trophoblastic Disease

57 studies on the registry are indexed under Gestational Trophoblastic Disease; 16 are open to participants now.

Browse Gestational Trophoblastic Disease studies →

Open to participants now

8 of the 12 studies in Gestational Trophoblastic Disease with a site in China are open now. Recruiting first, the newest first:

2 more — sign in →

All 8 open studies →

A study can be open while its sites in China have not opened yet or have stopped. Only those recruiting at a site in China →

Who these studies take

Of the 14 Gestational Trophoblastic Disease studies recruiting now, 6 (43%) set no upper age limit and 8 (57%) stop at 75 or younger; 6 take children under 18; none take healthy volunteers.

This study: Up to 60 Years · female · no healthy volunteers.

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02

Study summary

This clinical trial is designed to study the effect and safety of paclitaxel plus cisplatin as the first-line regimen in the treatment of high risk gestational trophoblastic tumor.

Read the detailed description

Gestational trophoblastic tumor (GTN) is a group of malignant tumors derived from placental trophoblastic cells, most of which occur in women of reproductive age. The survival rate of patients with score of 7 or more points, or WHO Ⅳ period for high-risk patients was of 60% to 80%. However, due to severe toxic reactions, long treatment time, loss of optimal reproductive age and increased costs, and treatment failure caused by chemotherapy resistance, high-risk GTN is still one of the tumors seriously affecting the life health and quality of life of young women.

First-line chemotherapy recommended by FIGO is regimen of EMA - CO with corresponding side effects and adverse factors in the following aspects as relatively higer incidence of myelosupression, VP - 16 being associated with a second tumor, especially leukemia, and a definite effect of cyclophosphamide on the failure ovarian function Taxol (Taxol) is the most widely used and most effective broad-spectrum anti-tumor drug in gynecological malignant tumors at present, and T (paclitaxel) +P (platinum drugs) scheme is the first-line chemotherapy scheme in ovarian cancer patients at present. According to references, TP also has effects on resistant and refactory high risk GTN patients.

Given relatively simple operation way of TP chemotherapy, and the effect of chemotherapy in recurrence and high-risk refractory GTN performance,this prospective multicenter randomized controlled clinical research was to study the effect and safety of paclitaxel plus cisplatin as the first-line regimen in the treatment of high risk gestational trophoblastic tumor compared with EMA-CO.

03

Conditions studied

  • Gestational Trophoblastic Neoplasms

Keywords

  • gestational trophoblastic tumor
  • paclitaxel
  • cisplatin
  • carboplatin
  • chemotherapy
04

Who can participate

Ages eligible
Up to 60 Years
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 who International Federation of Gynecology and Obstetrics (FIGO) Stage I, II, or III criteria for high-risk gestational trophoblastic neoplasia (GTN) and stage Ⅳ cases
  • World Health Organization(WHO) risk score ≥7, and less than 13
  • Age≤60 years; female, Chinese women
  • Initial treatment is chemotherapy
  • Performance status: score≥60
  • Laboratory tests: WBC≥3.5×10(9)/L, ≥1.5×10(9)/L, ≥80×10(9)/L, serum ≤ 1.5 times the , transaminase≤ 1.5 times the upper limit of normal,blood urea nitrogen, Cr≤ normal
  • Provide written .

Exclusion criteria

Exclusion Criteria:

  • Patients with unconfirmed diagnosis of GTN
  • Patients with placental-site trophoblastic tumor (PSTT) or epithelioid trophoblastic tumor (ETT)
  • WHO risk score less than 7
  • With severe or uncontrolled internal disease, unable to receive chemotherapy
  • Concurrently participating in other clinical trials
  • Unable or unwilling to sign informed consents
  • Unable or unwilling to abide by protocol
Terms in these criteria, in plain language(6)

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.

Karnofsky performance status (KPS)

A 0–100 scale of how well someone can carry out everyday activities. 100 is no complaints and no signs of illness; 70 is able to look after yourself but not to work or keep up normal activity; 50 is needing considerable help and frequent medical care.

Studies often ask for 60 or 70 and above. Your doctor gives the score.

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.

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.

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.

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.

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.

05

Study design

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

Study arms

  • Active comparator
    control group

    etoposide, methotrexate ,actinomycin D,vincristine, cyclophosphamide(EMA-CO), two weeks a cycle

    Drug: Etoposide · Drug: actinomycin D · Drug: methotrexate · Drug: vincristine · Drug: cyclophosphamide

  • Experimental
    study group

    paclitaxel + cisplatin or carboplatin,two weeks a cycle

    Drug: Paclitaxel · Drug: Cisplatin · Drug: Carboplatin

Interventions

  • etoposide 100mg/m2 ivgtt started at the first day of cycle, two weeks a cycle

    Also known as: VP-16

  • actinomycin D 500ug ivgtt, started at the first day of cycle, two weeks a cycle

    Also known as: ACTD, Sanamycin

  • methotrexate 100mg/m2, 200mg/m2, ivgtt, tetrahydrofolic acid (FA) 15mg q12h\*4(24h after methotrexate injection),started at the first day of cycle, two weeks a cycle

    Also known as: MTX

  • vincristine 1mg/m2 started at the 8th day of cycle, two weeks a cycle

    Also known as: VCR

  • cyclophosphamide 600mg/m2, started at the 8th day of cycle, two weeks a cycle

    Also known as: CTX

  • paclitaxel 135mg/m2, started at the first day of cycle, two weeks a cycle

    Also known as: Taxol

  • cisplatin 50mg/m2, started at the first day of cycle, two weeks a cycle

    Also known as: DDP

  • carboplatin area under curve (AUC)=4-5, started at the first day of cycle, two weeks a cycle,as a substitute drug for cisplatin

    Also known as: CBP

06

What researchers measure

Primary outcomes

  1. complete remission rate in firstline treatment

    We may calculate the rate of complete response and the rate of treatment failure at the preliminary end point of the trail.

    Time frame: 3 years

Secondary outcomes

  1. Severity of adverse events as assessed by the WHO

    We calculate the adverse events during and after chemotherapy.

    Time frame: 3 years

  2. Overall Survival Rate (OR)

    We calculate the overall survival rate of high risk GTN patients after chemotherapy.

    Time frame: 3 years

  3. Ovarian functional evaluation

    We may test serum level of anti-mullerian hormone (AMH) every 6 months and the time of menstrual cycle resuming after chemotherapy.

    Time frame: every 6 months up to 3 years

  4. The pregnancy rate

    To calculate the pregnancy rate in an actuarial manner using the Kaplan-Meier method at the end of the trail

    Time frame: 3 years

07

Study locations

1 of 1 sites recruiting
08

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Started Mar 2016 (actual). Primary completion is estimated for Mar 2024, 96 months after the start.

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

Registered
Dec 13, 2015
First posted
Dec 24, 2015
StartActual
Mar 1, 2016
Primary completionEst.
Mar 1, 2024
CompletionEst.
Mar 1, 2026
Last update
Jun 3, 2022
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.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
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 Jun 3, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT02639650
Lead sponsor
Weiguo Lv
Collaborators
Shandong University, Huazhong University of Science and Technology, First Affiliated Hospital of Zhongshan Medical University
Responsible party
Weiguo Lv (Vice-President, Women's Hospital School Of Medicine Zhejiang University) — Sponsor-investigator
First posted
Dec 24, 2015
Start date
Mar 1, 2016
Primary completion
Mar 1, 2024 (estimated)
Completion
Mar 1, 2026 (estimated)
Last update
Jun 3, 2022

Study contacts

Lu Weiguo, Doctor
Contact
lbwg@zju.edu.cn
86-13588819218
View the source record on ClinicalTrials.gov ↗

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Studies of the drugs tested here: Paclitaxel · Cisplatin

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