Two Therapeutic Strategies in First-line in Patients With Epithelial Advanced Ovarian Cancer
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: CC0 - Carboplatin (IV) - Paclitaxel (IV), CC0 - Cisplatin (IP) - Epirubicin (IV), CC>0 - Carboplatin (IV)- Paclitaxel (IV), CC>0 - Cisplatin (IP/IV)- Epirubicin (IV).
- Who it may be relevant to
- Registry conditions: Ovarian Cancer, Epithelial. Basic parameters: 18 years — 75 years · Female.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- France
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Official title
Randomized Study Assessing Two Strategies of First Line: a Strategy With Intraperitoneal Chemotherapy and a Strategy With Total Intravenous Strategy, in Patients With Epithelial Advanced Ovarian Cancer
Overview
CHIMOVIP is a study to determine the best therapeutic strategy in patient with ovarian advanced cancer.
Detailed description
This is a randomized phase II study, open-label and multicentric. After initial intervention (debulking surgery or diagnostic surgery) patient will randomized in the study according to Completeness of cytoreduction (CC) score (CC0 or CC\>1).
Interventions
- Drug CC0 - Carboplatin (IV) - Paclitaxel (IV)
(6 cycles) - Drug CC0 - Cisplatin (IP) - Epirubicin (IV)
(6 cycles) - Drug CC>0 - Carboplatin (IV)- Paclitaxel (IV)
* carboplatin (IV) - paclitaxel (IV) (3 cycles) * Interval surgery * Carboplatin (IV) - paclitaxel (IV) (3 cycles) - Drug CC>0 - Cisplatin (IP/IV)- Epirubicin (IV)
* Cisplatin (IV) - Epirubicin (IV) (3 cycles) * Interval surgery : * if CC0: Cisplatin (IP) - Epirubicin (IV) (3 cycles) * if CC\>0 Cisplatin (IV)- Epirubicin (IV) (3 cycles)
Primary outcome measures
- Pathological complete peritoneal response (pCR) [Time frame: 2-year]
Secondary outcome measures (7)
- Quality of life (QLQ -C30) assessment [Time frame: Up to 2-year (at inclusion, after 3 cycles and end of treatment)]
- Quality of life (QLQ-OV28) assessment [Time frame: Up to 2-year (at inclusion, after 3 cycles and end of treatment)]
- IPSS score [Time frame: Up to 2-year (at inclusion, after 3 cycles and end of treatment)]
- Number of patients with treatment-related adverse events as assessed by CTCAE version 4.03 [Time frame: 2-year]
- Event-free survival (EFS) [Time frame: At 5-year and 10-year]
- Objective response rate at the various surgical step [Time frame: Up to 2-year]
- Overall survival (OS) [Time frame: At 5-year and 10-year]
Eligibility criteria
Inclusion criteria
- Histologically confirmed advanced (FIGO stage III or IV) invasive epithelial ovarian cancer, primary peritoneal cancer, or fallopian-tube cancer. Pleural cytology has to be performed in patients with pleural effusion.
- Initial intervention : debulking surgery or diagnostic surgery in the 3 weeks before inclusion
- Age ≥18 and < 75 years old.
- Eastern Cooperative Oncology Group (ECOG) performance status ≤ 2 before surgery (ECOG ≤ 1 and Lee score < 6 in patients > 70 years old).
- Adequate blood count (test realized in the past 14 days before inclusion) : neutrophils > 1500/mm3, platelets > 150 000/mm3.
- Creatinine clearance MDRD ≥ 60 mL/min
- Registration in a national health care system (CMU included).
- Signed and dated informed consent.
Exclusion criteria
- FIGO stage IV extra-abdominal disease, with the exception of lymph nodes and pleural invasion.
- Patient having received previous chemotherapy for ovarian cancer.
- Left ventricular ejection fraction < 50% before chemotherapy initiation
- Other invasive cancer in the past 5 years (baso- and spinocellular cutaneous carcinoma with complete resection are accepted)
- Concomitant administration of prophylactic phenytoin or live attenuated viral vaccines such as yellow fever vaccine,
- Patients with known hypersensitivity to any component of study drug
- Patients without motivation or capacity to respect study requirements and constraints
- Pregnancy or breast feeding women
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- Randomized
- Model
- Parallel assignment
- Masking
- Open label
- Primary purpose
- Treatment
Study locations
France · 7 centers
- Centre Georges François Leclerc — Dijon
- Institut Hospitalier Franco-Britannique — Levallois-Perret
- Groupe Hospitalier Diaconesses Croix Saint Simon — Paris
- Hôpital Saint Antoine — Paris
- Hôpital Poissy Saint Germain — Poissy
- CHU Poitiers — Poitiers
- Centre Hospitalier Senlis — Senlis
Identifiers
NCT: NCT03025477 · RVT_2015_2