CClinicalTrials.gg
RecruitingNCT04063527Updated Aug 30, 2019

Phase III Trial of Stage I Ovarian Cancer After Surgery

A Phase 3 interventional study of adjuvant chemotherapy in Epithelial Ovarian Cancer, sponsored by Japanese Gynecologic Oncology Group. Recruiting at 103 sites in 2 countries. Open to female participants aged 20 Years and older. Per ClinicalTrials.gov, last updated 2019-08-30.

Sponsored by Japanese Gynecologic Oncology Group · Phase 3, Interventional, and Treatment

From the registry’s dates

  • Registered 7 years after the study started (first participant enrolled Jul 2012, registered Aug 2019).
  • Started Jul 2012; still recruiting 14 years 2 months later.
Phase
Phase 3
Study type
Interventional
Enrollment
360
Allocation
Randomized
Ages
20 Years and older
Sex
Female
01

Study summary

To compare the Overall survival of adjuvant chemotherapy versus observation in stage I epithelial ovarian cancer after comprehensive staging surgery

Read the detailed description

Based on the following adjustment factors, patients will be randomly assigned in a 1:1 ratio to adjuvant chemotherapy or observation groups.

  1. Histologic type: clear cell adenocarcinoma/mucinous adenocarcinoma vs. serous adenocarcinoma/other histologic types
  2. Facility where a subject is enrolled
  3. International Federation of Gynecology and Obstetrics(FIGO) clinical staging: Stage Ia/ Ib vs. Stage Ic(b)

Group A: adjuvant chemotherapy group (standard treatment group):

While one of the following treatments will be performed, the number of cycles is entrusted to the treatment policy of each facility.

Paclitaxel plus Carboplatin (TC) therapy; Paclitaxel (PTX) 175 mg/m2 + Carboplatin(CBDCA) area under curve(AUC) 6 q3weeks day1, 3 to 6 cycles Docetaxel plus Carboplatin (DC) therapy; Docetaxel(DTX) 70 mg/m2 + CBDCA AUC 6 q3weeks day1, 3 to 6 cycles

After the start of TC therapy, switching from PTX to DTX due to an adverse event is permitted.

Group B: observation group (study treatment group): Observation only, no adjuvant chemotherapy administered.

02

Conditions studied

  • Epithelial Ovarian Cancer

Keywords

  • epithelial ovarian cancer
  • FIGO stage I
  • staging surgery
  • adjuvant chemotherapy
03

In context

Ovarian Neoplasms

2,695 studies on the registry are indexed under Ovarian Neoplasms; 727 are open to participants now.

This study's planned enrollment of 360 is above the median of 60 across 2,030 interventional studies indexed under Ovarian Neoplasms.

Browse Ovarian Neoplasms studies →

Lead sponsor

Japanese Gynecologic Oncology Group is the lead sponsor of 2 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
20 Years and older
Sexes eligible
Female
Accepts healthy volunteers
No

Inclusion criteria

  1. Patients with a diagnosis of histopathologically epithelial ovarian cancer
  2. FIGO Stages Ia(Grade2/3, clear cell carcinoma), Ib(Grade2/3, clear cell carcinoma) and Ic(b)(all degree of differentiation and all histologic type)
  3. Patients with a diagnosis of advanced stage by comprehensive staging or restaging laparotomy.
  4. Patients who received comprehensive staging surgery (basic surgical techniques (total hysterectomy, bilateral salpingo-oophorectomy, and omentectomy) as well as peritoneal cytology, multiple biopsies of the peritoneum ([Peritoneal biopsy] see details below), retroperitoneal lymph node dissection (see details below [Retroperitoneal lymph node dissection]).

    However, for the following cases, it is eligible as a condition to record on the official document.

    • Peritoneal biopsy: peritoneal metastasis is not recognized by macroscopic and palpation in the stipulated site, and the case that biopsy has not been performed.
    • Retroperitoneal lymph node dissection: the case that lymph nodes of the stipulated range has been dissected however the prescribed number has not been reached.
  5. Age: 20 or older
  6. Performance status (PS):0-1
  7. Case with initial therapy for postoperative primary lesion
  8. Patient possible to receive the first study treatment within 8 weeks after the comprehensive staging surgery
  9. Reasonable organ function
  10. Patient must have signed informed consent.

Exclusion criteria

Exclusion Criteria:

  1. FIGO Stages Ic(a), Ic(1) and Ic(2)
  2. Patients containing sarcoma elements
  3. Patients with any signs of interstitial pneumonia or pulmonary fibrosis by chest radiography and CT
  4. Patients with serious complications
  5. Patients with active infection
  6. Patients with intestinal paralysis or intestinal obstruction
  7. Patients who have a synchronous malignancy or who have been progression-free less than 5 years for a metachronous malignancy
  8. Patients with previous chemotherapy or radiation therapy
  9. Patients with serious drug hypersensitivity
  10. Patients with peripheral motor/sensory neuropathy [grade2,3,4 Common Terminology Criteria for Adverse Events (CTCAE) 4.0]
  11. Patients who have had a hypersensitivity reaction to polyoxyethylated or hydrogenated castor oil
  12. Patients with positive HBsAg. Patients with more than 2.1 log/copies ml based on fixed Hepatitis B virus (HBV)-DNA who are positive with either antigen-positive Hepatitis B (HBs), anti-hepatitis B core antigen or anti-hepatitis B surface antigen.
  13. Patients who are inappropriate to enter this study with any safety reasons, judged by the treating physician
05

Study design

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

Study arms

  • Active comparator
    Standard therapy

    combination of paclitaxel and carboplatin

    Drug: adjuvant chemotherapy

  • No intervention
    Observation

    Observation

Interventions

  • Drugadjuvant chemotherapy

    combination of paclitaxel and carboplatin

    Also known as: paclitaxel and carboplatin

06

What researchers measure

Primary outcomes

  1. Overall survival

    1. In surviving patients, cut off will be on the last date the patient is confirmed to be alive. 2. If a patient is lost to follow-up, cut off will be on the last date the patient is confirmed to be alive before being lost to follow-up.

    Time frame: From date of randomization until the date of death from any cause, assessed up to 60 months

Secondary outcomes

  1. Relapse-free survival

    1. If relapse is diagnosed through imaging, it is considered an event on the "test date" on which a "definite diagnosis" is obtained and not the test date that showed a "suspected relapse on an image." If a relapse is clinically diagnosed, not just through imaging, it is considered an event on the date on which relapse is diagnosed. 2. Progression observed by CA-125 only shall not be handled as an event in this study.

    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 60 months

07

Study locations

103 of 103 sites recruiting
  • Aichi Medical University Hospital
    Nagakute-shi, Aichi 480-1195, Japan
    Recruiting
  • Tosei General Hospital
    Seto-shi, Aichi 489-8642, Japan
    Recruiting
  • Fujita Health University Hospital
    Toyoake-shi, Aichi 470-1193, Japan
    Recruiting
  • Hirosaki University School of Medicine & Hospital
    Hirosaki-shi, Aomori 036-8563, Japan
    Recruiting
  • The Jikei University School of Medicine Kashiwa Hospital
    Kashiwa-shi, Chiba 277-8567, Japan
    Recruiting
  • National Cancer Center Hospital East
    Kashiwa-shi, Chiba 277-8577, Japan
    Recruiting
  • Ehime University Hospital
    Onsen-gun, Ehime 791-0295, Japan
    Recruiting
  • Kyusyu Medical Center
    Fukuoka-shi, Fukuoka 810-8563, Japan
    Recruiting
  • Kyusyu Cancer Center
    Fukuoka-shi, Fukuoka 811-1395, Japan
    Recruiting
  • Kyushu University Hospital
    Fukuoka-shi, Fukuoka 812-8582, Japan
    Recruiting
  • Kurume University Hospital
    Kurume-shi, Fukuoka 830-0011, Japan
    Recruiting
  • Gifu University Hospital
    Gifu-shi, Gifu 501-1194, Japan
    Recruiting
  • Gunma University Hospital
    Maebashi, Gunma 371-8511, Japan
    Recruiting
  • Gunma Prefectural Cancer Center
    Ōta, Gunma 373-8550, Japan
    Recruiting
  • JA Hiroshima General Hospital
    Hatsukaichi-shi, Hiroshima 738-8503, Japan
    Recruiting
  • Hiroshima City Hiroshima Citizens Hospital
    Hiroshima-shi, Hiroshima 730-8518, Japan
    Recruiting
  • Hiroshima Prefectural Hospital
    Hiroshima-shi, Hiroshima 734-8530, Japan
    Recruiting
  • Miyoshi Central Hospital
    Miyoshi-shi, Hiroshima 728-8502, Japan
    Recruiting
  • Hospital Hakodate Hokkaido
    Hakodate-shi, Hokkaido 041-8680, Japan
    Recruiting
  • JA Sapporo-Kosei general Hospital
    Sapporo-shi, Hokkaido 060-0033, Japan
    Recruiting
  • Hokkaido University Hospita
    Sapporo-shi, Hokkaido 060-8648, Japan
    Recruiting
  • Hyogo Cancer Center
    Akashi-shi, Hyogo 673-8558, Japan
    Recruiting
  • Kansai Rosai Hospital
    Amagasaki-shi, Hyogo 660-8511, Japan
    Recruiting
  • Japanese Red Cross Society Himeji Hospital
    Himeji-shi, Hyogo 670-8540, Japan
    Recruiting
  • University of Tsukuba Hospital
    Tsukuba-shi, Ibaraki 305-8576, Japan
    Recruiting
  • Iwate Medical University Hospital
    Morioka-shi, Iwate 020-8505, Japan
    Recruiting
  • Kagoshima University Medical And Dental Hospital
    Kagoshima-shi, Kagoshima 890-8520, Japan
    Recruiting
  • Kagoshima City Hospital
    Kagoshima-shi, Kagoshima 890-8760, Japan
    Recruiting
  • Tokai University Hospital
    Isehara-shi, Kanagawa 259-1143, Japan
    Recruiting
  • St.Marianna University School of Medicine Hospital
    Kawasaki-shi, Kanagawa 216-8511, Japan
    Recruiting
  • Kitasato University Hospital
    Sagamihara, Kanagawa 252-0374, Japan
    Recruiting
  • Yokohama Municipal Citizen's Hospital
    Yokohama-shi, Kanagawa 240-8555, Japan
    Recruiting
  • Yokohama City University Hospital
    Yokohama, Kanagawa 236-0004, Japan
    Recruiting
  • Yokohama Minami Kyosai Hospital
    Yokohama, Kanagawa 236-0037, Japan
    Recruiting
  • Kanagawa Cancer Center
    Yokohama, Kanagawa 241-8515, Japan
    Recruiting
  • Kobe City Medical Center General Hospital
    Kobe-shi, Kobe 650-0047, Japan
    Recruiting
  • Kumamoto University Hospital
    Kumamoto-shi, Kumamoto 860-8556, Japan
    Recruiting
  • Japanese Red Cross Kyoto Daiichi Hospital
    KYoto-shi, Kyoto 605-0981, Japan
    Recruiting
  • Ise Red Cross Hospital
    Ise-shi, Mie 516-8512, Japan
    Recruiting
  • JA Matsuzaka Central Hospital
    Matsuzaka, Mie 515-8566, Japan
    Recruiting
  • Mie University Hospital
    Tsu, Mie 514-8507, Japan
    Recruiting
  • Tohoku University Hospital
    Sendai-shi, Miyagi 980-8574, Japan
    Recruiting
  • Shinshu University Hospital
    Matsumoto-shi, Nagano 390-8621, Japan
    Recruiting
  • Nagasaki University Hospital
    Nagasaki-shi, Nagasaki 852-8501, Japan
    Recruiting
  • Aichi Cancer Center
    Nagoya-shi, Nagoya 464-8681, Japan
    Recruiting
  • Nara Prefecture General Medical Center
    Nara-shi, Nara 630-8581, Japan
    Recruiting
  • Niigata University Medical and Dental Hospital
    Niigata-shi, Niigata 951-8520, Japan
    Recruiting
  • Niigata Cancer Center Hospital
    Niigata-shi, Niigata 951-8566, Japan
    Recruiting
  • Oita University Hospital
    Yufu, Oita 879-5593, Japan
    Recruiting
  • Hospital University of the Ryukyus
    Nakagami-gun, Okinawa 903-0215, Japan
    Recruiting
  • Tomishiro Central Hospital
    Tomishiro-shi, Okinawa 901-0243, Japan
    Recruiting
  • Okinawa Prefectural Chubu Hospital
    Uruma-shi, Okinawa 904-2293, Japan
    Recruiting
  • Kaizuka City Hospital
    Kaizuka, Osaka 597-0015, Japan
    Recruiting
  • Osaka International Cancer Center
    Osaka-shi, Osaka 537-8511, Japan
    Recruiting
  • Osaka City University Hospital
    Osaka-shi, Osaka 545-0051, Japan
    Recruiting
  • Sakai City Medical Center
    Sakai, Osaka 593-8304, Japan
    Recruiting
  • Osaka University Hospital
    Suita-shi, Osaka 565-0871, Japan
    Recruiting
  • Osaka Medical College Hospital
    Takatsuki-shi, Osaka 569-8686, Japan
    Recruiting
  • Kindai University Hospital
    Ōsaka-sayama-shi, Osaka 589-8511, Japan
    Recruiting
  • Saitama Medical University International Medical Center
    Hidaka-shi, Saitama 350-1241, Japan
    • Keiichi Fujiwara · Contact · 81-42-984-4531
    • fujiwara@saitama-med.ac.jp · Contact
    Recruiting
  • Saitama Cancer Center
    Ina, Saitama 362-0806, Japan
    Recruiting
  • Koshigaya Municipal Hospital
    Koshigaya-shi, Saitama 343-0023, Japan
    Recruiting
  • Dokkyo Medical University Saitama Medical Center
    Koshigaya-shi, Saitama 343-8555, Japan
    Recruiting
  • National Defense Medical College Hospital
    Tokorozawa-shi, Saitama 359-8513, Japan
    Recruiting
  • Saitama National Hospital
    Wako, Saitama 351-0102, Japan
    Recruiting
  • Sapporo Medical University Hospital
    Sapporo-shi, Sapporo 060-8543, Japan
    Recruiting
  • Shikoku Cancer Center
    Matsuyama-shi, Shikoku 791-0280, Japan
    Recruiting
  • Shimane University Hospital
    Izumo, Shimane 693-8501, Japan
    Recruiting
  • Shizuoka Cancer Center
    Nagaizumi-chō, Shizuoka 411-8777, Japan
    Recruiting
  • Japanese Red Cross Shizuoka Hospital
    Shizuoka-shi, Shizuoka 420-0853, Japan
    Recruiting
  • Dokkyo Medical University Hospital
    Mibu, Tochgi 321-0293, Japan
    Recruiting
  • Jichi Medical University Hospital
    Shimotsuke-shi, Tochigi 329-0498, Japan
    Recruiting
  • Tokushima University Hospital
    Tokushima-shi, Tokushima 770-8503, Japan
    Recruiting
  • Tokyo Women's Medical University Medical Center East
    Arakawa, Tokyo 116-8567, Japan
    Recruiting
  • Tokyo Medical And Dental University University Hospital of Medicine
    Bunkyō-Ku, Tokyo 113-8510, Japan
    Recruiting
  • Nippon Medical School Hospital
    Bunkyō-Ku, Tokyo 113-8603, Japan
    Recruiting
  • The University of Tokyo Hospital
    Bunkyō-Ku, Tokyo 113-8655, Japan
    Recruiting
  • Tokyo Metropolitan Cancer and Infectious diseases Center Komagome Hospital
    Bunkyō-Ku, Tokyo 113-8677, Japan
    Recruiting
  • Sasaki Faundation Kyoundo Hospital
    Chiyoda, Tokyo 101-0062, Japan
    Recruiting
  • Tokyo Metropolitan Tama Medical Center
    Fuchu-shi, Tokyo 183-8524, Japan
    Recruiting
  • The Jikei University Katsushika Medical Center
    Katsushika-ku, Tokyo 125-8506, Japan
    Recruiting
  • The Jikei University Daisan Hospital
    Komae-shi, Tokyo 201-8601, Japan
    Recruiting
  • The Cancer Institute Hospital
    Koto-Ku, Tokyo 135-8550, Japan
    Recruiting
  • Toho University Ohashi Medical Center
    Meguro-ku, Tokyo 153-8515, Japan
    Recruiting
  • The Jikei University Hospital
    Minato-ku, Tokyo 105-8461, Japan
    Recruiting
  • Keio University Hospital
    Shinjuku-ku, Tokyo 160-8582, Japan
    Recruiting
  • Tokyo Women's Medical University Hospital
    Shinjuku-Ku, Tokyo 162-8666, Japan
    Recruiting
  • Kosei General Hospital
    Suginami, Tokyo 166-0012, Japan
    Recruiting
  • Tachikawa Hospital
    Tachikawa-shi, Tokyo 190-8531, Japan
    Recruiting
  • Tottori Prefectural Central Hospital
    Tottori-shi, Tottori 680-0901, Japan
    Recruiting
  • Tottori University Hospital
    Yonago-shi, Tottori 683-8504, Japan
    Recruiting
  • Yamagata University Hospital
    Yamagata-shi, Yamagata 990-9585, Japan
    Recruiting
  • Tokuyama Central Hospital
    Shunan-shi, Yamaguchi 745-8522, Japan
    Recruiting
  • Yamaguchi Red Cross Hospital
    Yamaguchi-shi, Yamaguchi 753-8519, Japan
    Recruiting
  • Nagano Municipal Hospital
    Nagano, 381-8551, Japan
    Recruiting
  • Saiseikai Nagasaki Hospital
    Nagasaki, 850-0003, Japan
    Recruiting
  • Saga University Hospital
    Saga, 849-8501, Japan
    Recruiting
  • Jichi Medical University Saitama Medical Center
    Saitama, 330-8503, Japan
    Recruiting
  • National Cancer Center
    Ilsandong, Goyang 10408, Korea, Republic of
    Recruiting
  • Gachon University Gil Medical Center
    Namdong, Incheon 21565, Korea, Republic of
    Recruiting

Showing the first 100 of 103 sites across 2 countries.

08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 30, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT04063527
Lead sponsor
Japanese Gynecologic Oncology Group
Collaborators
Korean Gynecologic Oncology Group
Responsible party
Sponsor
First posted
Aug 21, 2019
Start date
Jul 20, 2012
Primary completion
Oct 1, 2029 (estimated)
Completion
Feb 1, 2030 (estimated)
Last update
Aug 30, 2019

Study contacts

Hiroshi Tanabe, M.D.
Contact
htanabe@east.ncc.go.jp
81-4-7133-1111
Hiroshi Tanabe, M.D.
study chair · National Cancer Center Hospital East

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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