Cervical CancerPhase 1/2NCT00032162
Liposomal Doxorubicin and Carboplatin in Treating Patients With Gynecologic Cancer
A Phase 1/2 study testing carboplatin and pegylated liposomal doxorubicin hydrochloride in people with Cervical Cancer and Endometrial Cancer, run by AGO Study Group at 19 sites in Germany.
Trial summary
RATIONALE: Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die. Combining more than one drug may kill more tumor cells. PURPOSE: Phase I/II trial to study the effectiveness of combining liposomal doxorubicin with carboplatin in treating patients who have… Read more about this study
- Who is it for?
- Ages 18 years and older, women only
- Conditions the study is for
- Cervical Cancer, Endometrial Cancer, Fallopian Tube Cancer
- What is being tested?
- carboplatin and pegylated liposomal doxorubicin hydrochloride
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 63 participants
- Where
- 19 sitesGermany
- Study dates
- Aug 2001to May 2005
- Phase
- Phase 1/2
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- Women only
- No healthy volunteers
- Adult, Older adult
DISEASE CHARACTERISTICS:
- Histologically or cytologically confirmed fallopian tube cancer, Muellerian mixed tumor, endometrial cancer, uterine sarcoma, ovarian cancer with sarcoma parts, or cervical cancer
- No ovarian epithelial cancer
PATIENT CHARACTERISTICS:
Age:
- 18 and over
Performance status:
- ECOG 0-2 OR
- Karnofsky 70-100%
Life expectancy:
- At least 3 months
Hematopoietic:
- Absolute neutrophil count at least 1,500/mm3
- Platelet count at least 100,000/mm3
- Hemoglobin greater than 10.0 g/dL
Hepatic:
- Bilirubin no greater than 1.25 times upper limit of normal
Renal:
- Glomerular filtration rate at least 60 mL/min
Cardiovascular:
- No atrial or ventricular arrhythmias
- No congestive heart failure even if stabilized on medication
- No New York Heart Association class III or IV heart disease
- No myocardial infarction within the past 6 months
Other:
- No pre-existing sensory or motor neuropathy grade 2 or greater
- No active infection
- No other serious medical condition that would preclude study
- Not pregnant
- Negative pregnancy test
- Fertile patients must use effective contraception
PRIOR CONCURRENT THERAPY:
Biologic therapy:
- At least 4 weeks since prior immunotherapy
Chemotherapy:
- No more than 1 prior chemotherapy regimen for the malignancy
- No other concurrent chemotherapy
Endocrine therapy:
- Prior hormonal therapy within the past 10 days allowed
- No concurrent hormonal therapy
Radiotherapy:
- At least 6 weeks since prior radiotherapy to no more than 25% of bone marrow
Surgery:
- Not specified
Other:
- At least 30 days since prior experimental agents
- No other concurrent therapies that would preclude study
- No concurrent participation in another study
Trial locations and contacts
19 sites in 1 country.
19 sites in 1 country
Germany19 sites
Universitaetsklinikum Charite
Berlin, D-10117
Zentralkrankenhaus
Bremen, D-28205
Medizinische Klinik I
Dresden, D-01307
Universitaetsklinik Duesseldorf
Düsseldorf, D-40225
Evangelisches Krankenhaus
Düsseldorf, DOH-40217
Klinikum der J.W. Goethe Universitaet
Frankfurt, 60596
Staedtisches Krankenhaus FFM-Hoechst
Frankfurt am Main, 65929
Universitaetsklinik Goettingen
Göttingen, D-37075
Klinik Fuer Innere Medizin Hematology/Oncology, Ernst Moritz Armdt Universitaet
Greifswald, D-17487
Frauenklinik der MHH
Hanover, 30659
Vincentius Krankenhaus
Karlsruhe, D-76137
Christian-Albrechts University of Kiel
Kiel, D-24105
Klinik der Otto - v. - Guericke - Universitat
Magdeburg, 39108
Klinikum Grosshadern
Munich (Muenchen), D-81377
Klinikum Rechts Der Isar/Technische Universitaet Muenchen
Munich (Muenchen), D-81675
Klinik und Poliklinik fuer Kinderheilkunde
Münster, D-48129
Universitaetsklinikum Tuebingen
Tübingen, D-72076
Universitaet Ulm
Ulm, D-89075
Dr. Hors t- Schmidt - Kliniken
Wiesbaden, D-65199
About this study
Official title: Phase I/II Trial, Dose Finding Combination Chemotherapy With PegLiposomal Doxorubicin (PLD) And Carboplatin In Patients With Gynecologic Tumors
RATIONALE: Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die. Combining more than one drug may kill more tumor cells.
PURPOSE: Phase I/II trial to study the effectiveness of combining liposomal doxorubicin with carboplatin in treating patients who have gynecologic cancer.
Read the detailed description
OBJECTIVES:
- Determine the maximum tolerated dose of doxorubicin HCl liposome when administered with carboplatin in patients with gynecological tumors.
- Determine the dose-limiting toxicity of this regimen in these patients.
- Determine the kind, frequency, severity, and duration of adverse events in patients treated with this regimen.
OUTLINE: This is a multicenter, dose-escalation study of doxorubicin HCl liposome.
Patients receive doxorubicin HCl liposome IV over 60 minutes followed by carboplatin IV over 30 minutes on day 1. Treatment repeats every 28 days for 6 courses.
Cohorts of 3-6 patients receive escalating doses of doxorubicin HCl liposome until the maximum tolerated dose (MTD) is determined. The MTD is defined as the dose preceding that at which at least 2 of 3 or 2 of 6 patients experience dose-limiting toxicity. Once the MTD is determined, additional patients are accrued and treated at the MTD as above.
Patients are followed at 4-6 weeks and then every 3 months thereafter.
PROJECTED ACCRUAL: A total of 12-24 patients will be accrued for this study within 1 year.
- Being tested
- carboplatin, pegylated liposomal doxorubicin hydrochloride
- Keywords
- stage III cervical cancer, recurrent cervical cancer, stage IB cervical cancer, stage IIB cervical cancer, stage IVB cervical cancer, stage IA cervical cancer, stage IIA cervical cancer, stage IVA cervical cancer, stage I endometrial carcinoma, stage II endometrial carcinoma, stage III endometrial carcinoma, stage IV endometrial carcinoma, recurrent endometrial carcinoma, fallopian tube cancer, stage I uterine sarcoma, stage II uterine sarcoma, stage III uterine sarcoma, stage IV uterine sarcoma, recurrent uterine sarcoma, ovarian sarcoma
- Medical subject headings
- Uterine Cervical Neoplasms, Endometrial Neoplasms, Fallopian Tube Neoplasms, Ovarian Neoplasms, Sarcoma
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
carboplatinDrug
AUC 6 q4w
pegylated liposomal doxorubicin hydrochlorideDrug
20/30/40 mg/qm q4w Dose finding study
| Study group | Role | What they receive |
|---|---|---|
| PLD | Experimental | dose finding study of PLD in combination with Carboplatin Receives: Drug: carboplatin; Drug: pegylated liposomal doxorubicin hydrochloride |
What is being measured
The primary outcome is the main question the study is designed to answer.
DL DLT
Measured: DLT during first 3 cycles
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted27 Jan 2003 (estimated)
- Study startAug 2001
- Primary completionMay 2005
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Cervical CancerStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 1/2
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 63 participants (actual)
Sponsor and investigators
- Lead sponsor
- AGO Study Group
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
- Investigators
- Andreas du Bois, MD, PhD, Study chair, Dr. Horst-Schmidt-Kliniken
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00032162
- Sponsor's protocol ID
- CDR0000069262
- Other IDs
- AGOSG-AGO-GYN-2, EU-20147
- Status last verified
- May 2012
- First submitted
- 8 Mar 2002
- Last updated
- 31 May 2012
- Results posted
- No
- Data monitoring committee
- Yes
Publications
du Bois A, Pfisterer J, Burchardi N, Loibl S, Huober J, Wimberger P, Burges A, Stahle A, Jackisch C, Kolbl H; Arbeitsgemeinschaft Gynaekologische Onkologie Studiengruppe Ovarialkarzinom; Kommission Uterus. Combination therapy with pegylated liposomal doxorubicin and carboplatin in gynecologic malignancies: a prospective phase II study of the Arbeitsgemeinschaft Gynaekologische Onkologie Studiengruppe Ovarialkarzinom (AGO-OVAR) and Kommission Uterus (AGO-K-Ut). Gynecol Oncol. 2007 Dec;107(3):518-25. doi: 10.1016/j.ygyno.2007.08.008. Epub 2007 Oct 25.
PubMed 17910981
Study at a glance
From the registry record, last updated by the sponsor on 31 May 2012. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Phase I/II Trial, Dose Finding Combination Chemotherapy With PegLiposomal Doxorubicin (PLD) And Carboplatin In Patients With Gynecologic Tumors
- ClinicalTrials.gov ID
- NCT00032162
- Acronym / sponsor ID
- CDR0000069262
- Keywords
- stage III cervical cancer, recurrent cervical cancer, stage IB cervical cancer, stage IIB cervical cancer, stage IVB cervical cancer, stage IA cervical cancer, stage IIA cervical cancer, stage IVA cervical cancer
- Phase
- Phase 1/2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 63 participants (actual)
- Lead sponsor
- AGO Study GroupUniversity, hospital or other
- Study start
- Aug 2001
- Primary completion
- May 2005 (actual)
- First posted
- 27 Jan 2003 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
RATIONALE: Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die. Combining more than one drug may kill more tumor cells.
PURPOSE: Phase I/II trial to study the effectiveness of combining liposomal doxorubicin with carboplatin in treating patients who have gynecologic cancer.
Detailed description
OBJECTIVES:
- Determine the maximum tolerated dose of doxorubicin HCl liposome when administered with carboplatin in patients with gynecological tumors.
- Determine the dose-limiting toxicity of this regimen in these patients.
- Determine the kind, frequency, severity, and duration of adverse events in patients treated with this regimen.
OUTLINE: This is a multicenter, dose-escalation study of doxorubicin HCl liposome.
Patients receive doxorubicin HCl liposome IV over 60 minutes followed by carboplatin IV over 30 minutes on day 1. Treatment repeats every 28 days for 6 courses.
Cohorts of 3-6 patients receive escalating doses of doxorubicin HCl liposome until the maximum tolerated dose (MTD) is determined. The MTD is defined as the dose preceding that at which at least 2 of 3 or 2 of 6 patients experience dose-limiting toxicity. Once the MTD is determined, additional patients are accrued and treated at the MTD as above.
Patients are followed at 4-6 weeks and then every 3 months thereafter.
PROJECTED ACCRUAL: A total of 12-24 patients will be accrued for this study within 1 year.
Study design
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| PLD | Experimental | Drug: carboplatin, Drug: pegylated liposomal doxorubicin hydrochloridedose finding study of PLD in combination with Carboplatin |
Who may qualify
- Ages
- 18 years and older
- Sex
- Female only
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| carboplatinAUC 6 q4w | Drug | PLD |
| pegylated liposomal doxorubicin hydrochloride20/30/40 mg/qm q4w Dose finding study | Drug | PLD |
Primary outcome
DL DLT
Time frame: DLT during first 3 cycles
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 31 May 2012.
- Results publication: PubMed 17910981du Bois A, Pfisterer J, Burchardi N, Loibl S, Huober J, Wimberger P, Burges A, Stahle A, Jackisch C, Kolbl H; Arbeitsgemeinschaft Gynaekologische Onkologie Studiengruppe Ovarialkarzinom; Kommission Uterus. Combination therapy with pegylated liposomal doxorubicin and carboplatin in gynecologic malignancies: a prospective phase II study of the Arbeitsgemeinschaft Gynaekologische Onkologie Studiengruppe Ovarialkarzinom (AGO-OVAR) and Kommission Uterus (AGO-K-Ut). Gynecol Oncol. 2007 Dec;107(3):518-25. doi: 10.1016/j.ygyno.2007.08.008. Epub 2007 Oct 25.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Andreas du Bois, MD, PhD study chair
Dr. Horst-Schmidt-Kliniken
19 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 1/2 study testing carboplatin and pegylated liposomal doxorubicin hydrochloride in people with Cervical Cancer and Endometrial Cancer, run by AGO Study Group at 19 sites in Germany.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 31 May 2012. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 19 sites in Germany. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this combined phase mean?
Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.
Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
DL DLT (time frame: DLT during first 3 cycles). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT00032162, which also lists 1 linked publication.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 31 May 2012.