Epithelial Ovarian CancerPhase 3NCT00989131
Study of Paclitaxel in Patients With Ovarian Cancer
A Phase 3 study testing Paclical® and Taxol® in people with Epithelial Ovarian Cancer and Primary Peritoneal Cancer, run by Oasmia Pharmaceutical AB at 84 sites in 16 countries.
Trial summary
RATIONALE: Paclitaxel is one of the most widely used human anticancer agents. Paclitaxel has a low degree of solubility and Cremophor EL is typically used as the solubiliser. Cremophor EL is known to cause hypersensitivity reactions that can be life-threatening. Read more about this study
- Who is it for?
- Ages 18 years and older, women only
- Conditions the study is for
- Epithelial Ovarian Cancer, Primary Peritoneal Cancer, Fallopian Tube Cancer
- What is being tested?
- Paclical® and Taxol®
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 789 participants
- Where
- 84 sitesin 16 countries
- Study dates
- Feb 2009to Oct 2013
- Phase
- Phase 3
- 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
Who may be able to join
- Histological or cytological confirmed epithelial ovarian cancer, primary peritoneal cancer or fallopian tube cancer.
- Patients relapsing > 6 months after end of first line or second line treatment including platinum based therapy. Prior therapy and duration of response will be documented in the CRF for descriptive analysis.
- CA 125 >2 x upper normal limit (UNL) documented at two occasions, with more than one week interval, according to appendix I, patient groups A and B, measurable/non- measurable disease.
- Age > 18 years
- Eastern Cooperative Oncology Group (ECOG) performance score 0-2
- Life expectancy >12 weeks
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- Patient has blood counts at baseline of:
- Absolute neutrophil count (ANC) >1,5 x 109 / L.
- Platelet count >100 x 109 / L
- Haemoglobin (Hb) ≥9g/dl (can be post transfusion)
- Alanine Aminotransferase (ALT) and/or Aspartate Aminotransferase (AST) < 2 x UNL
- Total bilirubin ≤1.5 x UNL.
- Adequate renal function defined as serum creatinine < 2.0 mg/dl or 177μmol/l.
- Alkaline phosphatase (ALP) < 2.5 x UNL
- Signed informed consent obtained
Who cannot join
- Patient has peripheral neuropathy of grade ≥ 2 per NCI-CTCAE version 3.0
- Surgical procedure due to progressive disease within 4 weeks of any of the CA-125 measurements
- Patient receiving concurrent hormonal, immuno-, or radiotherapy. Treatment must have stopped for at least 4 weeks before start of drug treatment (Day 1, Cycle 1).
- Bowel obstruction at screening
- Tumours of other origin or histology
- Patient of child-bearing potential, not practising adequate contraception, or pregnant or lactating women
Show all 9Show fewer
- Patient has a history of severe allergy or severe hypersensitivity to study drugs
- Any uncontrolled medical problem that in the opinion of the investigator would preclude safe administration of the study drugs, e.g. heart, lung or kidney disease, suspicion of brain metastasis or mental disorder to make the patient unable to participate in the study
- Participation in an investigational drug study within 4 weeks prior to study treatment (Day 1, Cycle 1)
Trial locations and contacts
84 sites in 16 countries.
84 sites in 16 countries
Russia26 sites
State Medical Institution, Arkhankelsk Regional Clinical Oncology Center
Arkhangelsk, 163045
State Medical Institution, Altai Regional Oncology Center
Barnaul, 65 60 49
Chelyabinsk Regional Clinical Oncology Center
Chelyabinsk, 454087
Clinical Oncology Center
Kazan', 420029
State Treatment and Prevention Institution, Kirov Regional Clinical Oncology Center
Kirov, 610021
State Medical Institution "Clinical Oncology Center #1" under the Ministry of Health of Krasnodar Region
Krasnodar, 350040
State Medical Institution, Regional Oncology Center #2, Surgery department
Magnitogorsk, 455001
State Institution, Moscow City Oncology Hospital #62
Moscow, Krasnogorsky Region
N.N. Blokhin Cancere Research Center under the Russian Academy of Medical Sciences
Moscow, 115478
Federal State Institution, Central Clinical Hospital with Outpatient Unit under the Russian Presidential Administration
Moscow, 121356
Federal State Institution "Privolzhskiy District Medical Center of Federal Bio-medical Agency"
Nizhny Novgorod, 603109
State Medical Institution of the Omsk Region, Clincial Oncology center
Omsk, 644013
State Medical Institution "Orenburg Regional Clinical Oncology Center"
Orenburg, 460021,
State Medicinal Institution, Reginal oncology center
Penza, 440071
State Medical Institution "Republic Oncology Center"
Petrozavodsk, 18500
Pyatigorsk Affiliate of State Medical Institution, Stavropol Regional Clinical Oncology Center
Pyatigorsk, 357500
State Medical Institution "Leningrad Regional Oncology Center"
Saint Petersburg, 191104,
Federal State Medical Institution, N.N. Petrov Research Institute of Oncology under the Federal Agency for High-Tech Medical Care of the Russian Federation, Oncogynecology Department
Saint Petersburg, 197758
St Petersburg State Medical Institution, City clinical oncology center
Saint Petersburg, 198255
Samara Regional Clinical Oncology Center
Samara, 443066
State Medical Institution, Oncology Center #2 under the Krasnodar Region Healthcare Department
Sochi, 354057
State Medical Institution "Stavropol Regional Clinical Oncology Center"
Stavropol, Stavropol Kray, 355047,
State Medical Institution, Tambov Regional Oncology Center #2
Tambov, 392013
State Medical Institution, Voronezh Regional Clinical Oncology Center
Voronezh, 394000
State Medical Institution of the Yaroslavl, Region Clinical Oncology Center
Yaroslavl, 150054
State Budget-funded Medical Institution of Sverdlovsk Region "Sverdlovsk Regional Oncology Center"
Yekaterinburg, 620036
Ukraine16 sites
Cherkassy Regional Oncological Centre
Cherkassy, 18009
Cherkassy Regional Oncological Centre
Chernivtsy
KZ, City Clinical Hospital #19 City oncology Center
Dnipro, 49100
Multi-profile clinical hospital#4
Dnipropetrovsk, 46102
Donetsk Regional Antitumor Center
Donetsk, 83092
Ivano-Frankivsk Regional Oncology Center
Ivano-Frankivsk, Medychna Str.17, 76018
Kharkiv Regional Clinical Oncology
Kharkiv, Lisoparkivska Str 4, 610 70
"S.P. Grygoryev Institute of Medical Radiology of the Academy of Medical Science of Ukraine
Kharkiv, 61024
Kherson Reginal Oncological Center
Kherson, 73000
DU, National Institute of Cancer, Department of Oncogynecology
Kiev, 03022
Kiev City Oncology center
Kiev, 03115
Kyiv Regional Oncology Center
Kyiv, Bagautivska Str. 1, 04107
Lugansk Regional Oncology Center
Luhansk, 91047
Odessa City Oncological Center
Odesa
Sumy Regional Onclolgy Center
Sumy, 40005
Ternopil Regional Oncology Hospital
Ternopil
Hungary5 sites
Kaposi Mór Megyei Kórház, Onkológiai Tanszék
Kaposvár, 7400
B.-A.-Z. Megyei Kórház és Egyetemi Oktató Kórház, Észak-Kelet Magyarországi Regionális Klinikai Farmakológiai Központ
Miskolc, 3526
Szabolcs-Szatmár-Bereg Megyei Önkormányzat Jósa András Oktató Kórháza, Onkoradiológia
Nyíregyháza, 4400
Veszprém Megyei Csolnoky Ferenc Kórház-Rendelőintézet ZRT
Veszprém, 8200
Zala Megyei Kórház, Onkológia
Zalaegerszeg, 8900
Sweden5 sites
Divisionen för Onkologi , Sahlgrenska Universitetssjukhuset
Gothenburg, 413 45
Onkologikliniken, Universitetssjukhuset Linköping
Linköping, 581 85
Onkologiska Kliniken, Universitetssjukhuset Lund
Lund, 221 85
Kliniken för Gynekologisk Onkologi, Regionsjukhuset
Örebro, 701 85
Gyn-Onkologiska kliniken, Norrlands universitetssjukhus
Umeå, 901 85
Belarus4 sites
Gomel Regional Clincial Oncology Center
Homyel, 246012
Minsk City Clinical Oncology Hospital
Minsk, 220013
Alexandrov National Cancer Center of Belarus
Minsk, 223040
Vitebsk Regional Clinical Oncology Center
Vitebsk, 210603
Czechia4 sites
Onkologická klinika, Fakultní nemocnice Královské Vinohrady
Olomouc, 775 20
Onkologické a radioterapeutické oddělení, Fakultní nemocnice Plzeň
Pilsen, 30100
Radioterapeutická a onkologická klinika, Fakultní nemocnice Královské Vinohrady
Prague, 100 34
Ústav radiační onkologie, Fakultní nemocnice Na Bulovce
Prague, 180 81
Romania4 sites
Cluj CF University Hospital
Cluj-Napoca, 400015
Constanta Clinical County Hospital
Constanța, 900591
MEDITECH SRL, ORIZONT Polyclinic
Craiova, Dolj, 200535
County Clinical Emergency Hospital Oradea
Oradea, Bihor County, 410167
Serbia4 sites
Institut za onkologiju i radiologiju Srbije, Klinika za medikalnu onkologiju
Belgrade, 11000
Institut za onkologiju Vojvodine, Klinika za operativnu onkologiju
Kamenitz, 21204
Klinički Bolnički Centar Kragujevac, Centar za onkologiju i radioterapiju
Kragujevac, 34000
Klinički Centar Niš, Klinika za onkologiju
Niš, 18000
Bulgaria3 sites
Regional Oncology Dispensary
Shumen, 9700
Hospital for a Active Treatment, Tsaritsa Yoanna
Sofia, 1540
Regional Oncology Dispensary
Stara Zagora, 6000
Croatia3 sites
Klinički Bolnički Centar Rijeka
Rijeka, 51 000
Klinički Bolnički Centar Split
Split, 21 000
Klinikčki Bolnički Centar Zagreb
Zagreb, 10 000
Slovakia3 sites
Onkologicke oddelenie, FNsP F. D. Roosevelta
Banska Bysterica, 975 17
Interne oddelenie, Narodny onkologicky ustav
Bratilslava, 83310
Crimean Republicann Oncology Dispensary
Simferopol, 95017
Finland2 sites
Kuopion Yliopistollinen Sairaala, Naisten Klinikka
Kuopio, 702 10
Turun Yliopistollinen Keskussairaala, Naisten Klinikka,
Turku, 205 20
Lithuania2 sites
Kaunas Medical University Hospital, Oncology Clinic
Kaunas, 50009
Institute of Oncology, Vilnius University
Vilnius, 08 660
About this study
Official title: An Open, Randomized, Multicenter Study in Patients With Recurrent Epithelian Cancer, Primary Peritoneal Cancer or Fallopian Tube Cancer to Compare the Efficay and Safety of Paclitaxel (Micellar) Nanoparticles and Paclitaxel (Cremophor® EL)
RATIONALE: Paclitaxel is one of the most widely used human anticancer agents. Paclitaxel has a low degree of solubility and Cremophor EL is typically used as the solubiliser. Cremophor EL is known to cause hypersensitivity reactions that can be life-threatening. As Paclical® does not contain Cremophor EL, hypersensitivity reactions can be expected to be less.
PURPOSE: To study the efficay and safety of two different formulations of paclitaxel, Paclical® and Taxol®.
- Being tested
- Paclical®, Taxol®
- Keywords
- Ovarian Cancer
- Medical subject headings
- Carcinoma, Ovarian Epithelial, Fallopian Tube Neoplasms, Ovarian Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Paclical®Drug
250 mg/m2 of Paclical® is given as a one-hour IV infusion, followed by carboplatin, on day 1 of each 21 day cycle.
Number of Cycles: 6. Cycle 2-6 will be given with 3 weeks interval between treatments.
Taxol®Drug
175 mg/m2 of Taxol® is given as 3 hour IV infusion, followed by carboplatin on day 1 of each 21 day cycle.
Number of Cycles: 6. Cycle 2-6 will be given with 3 weeks interval between treatments.
| Study group | Role | What they receive |
|---|---|---|
| Paclitaxel, micellar (Paclical®) | Experimental | Not described Receives: Drug: Paclical® |
| Paclitaxel, CrEL (Taxol®) | Active comparator | Not described Receives: Drug: Taxol® |
What is being measured
The primary outcome is the main question the study is designed to answer.
Progression free survival (PFS).
Change in Area under the curve of CA 125
Incidence and severity of hypersensitivity reactions
Secondary outcomes (5)
Nadir and time to nadir of CA 125 during and after treatment
T½ of CA 125
Safety and tolerability
Response rate using CA 125
Overall survival
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted2 Oct 2009 (estimated)
- Study startFeb 2009
- Primary completionOct 2013
- Study completionOct 2013
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 Epithelial Ovarian 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 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 789 participants (actual)
Sponsor and investigators
- Lead sponsor
- Oasmia Pharmaceutical AB
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Ignace Vergote, Prof., Principal investigator, Division of Gynaecological Oncology, Department of Obstetrics and Gynaecology, University Hospitals Leuven, Belgium
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00989131
- Sponsor's protocol ID
- OAS-07OVA
- Status last verified
- Feb 2014
- First submitted
- 28 Sep 2009
- Last updated
- 4 Feb 2014
- Results posted
- No
- Data monitoring committee
- Yes
Publications
Vergote I, Bergfeldt K, Franquet A, Lisyanskaya AS, Bjermo H, Heldring N, Buyse M, Brize A. A randomized phase III trial in patients with recurrent platinum sensitive ovarian cancer comparing efficacy and safety of paclitaxel micellar and Cremophor EL-paclitaxel. Gynecol Oncol. 2020 Feb;156(2):293-300. doi: 10.1016/j.ygyno.2019.11.034. Epub 2019 Dec 9.
PubMed 31826802
Study at a glance
From the registry record, last updated by the sponsor on 4 Feb 2014. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- An Open, Randomized, Multicenter Study in Patients With Recurrent Epithelian Cancer, Primary Peritoneal Cancer or Fallopian Tube Cancer to Compare the Efficay and Safety of Paclitaxel (Micellar) Nanoparticles and Paclitaxel (Cremophor® EL)
- ClinicalTrials.gov ID
- NCT00989131
- Acronym / sponsor ID
- OAS-07OVA
- Keywords
- Ovarian Cancer
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 789 participants (actual)
- Lead sponsor
- Oasmia Pharmaceutical ABIndustry (pharma, biotech, devices)
- Study start
- Feb 2009
- Primary completion
- Oct 2013 (actual)
- Study completion
- Oct 2013 (actual)
- First posted
- 2 Oct 2009 (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: Paclitaxel is one of the most widely used human anticancer agents. Paclitaxel has a low degree of solubility and Cremophor EL is typically used as the solubiliser. Cremophor EL is known to cause hypersensitivity reactions that can be life-threatening. As Paclical® does not contain Cremophor EL, hypersensitivity reactions can be expected to be less.
PURPOSE: To study the efficay and safety of two different formulations of paclitaxel, Paclical® and Taxol®.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Paclitaxel, micellar (Paclical®) | Experimental | Drug: Paclical® |
| Paclitaxel, CrEL (Taxol®) | Active comparator | Drug: Taxol® |
Who may qualify
- Ages
- 18 years and older
- Sex
- Female only
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (15 listed)
- Histological or cytological confirmed epithelial ovarian cancer, primary peritoneal cancer or fallopian tube cancer.
- Patients relapsing > 6 months after end of first line or second line treatment including platinum based therapy. Prior therapy and duration of response will be documented in the CRF for descriptive analysis.
- CA 125 >2 x upper normal limit (UNL) documented at two occasions, with more than one week interval, according to appendix I, patient groups A and B, measurable/non- measurable disease.
- Age > 18 years
- Eastern Cooperative Oncology Group (ECOG) performance score 0-2
Key exclusion criteria (9 listed)
- Patient has peripheral neuropathy of grade ≥ 2 per NCI-CTCAE version 3.0
- Surgical procedure due to progressive disease within 4 weeks of any of the CA-125 measurements
- Patient receiving concurrent hormonal, immuno-, or radiotherapy. Treatment must have stopped for at least 4 weeks before start of drug treatment (Day 1, Cycle 1).
- Bowel obstruction at screening
- Tumours of other origin or histology
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 |
|---|---|---|
| Paclical®250 mg/m2 of Paclical® is given as a one-hour IV infusion, followed by carboplatin, on day 1 of each 21 day cycle. Number of Cycles: 6. Cycle 2-6 will be given with 3 weeks interval between treatments. | Drug | Paclitaxel, micellar (Paclical®) |
| Taxol®175 mg/m2 of Taxol® is given as 3 hour IV infusion, followed by carboplatin on day 1 of each 21 day cycle. Number of Cycles: 6. Cycle 2-6 will be given with 3 weeks interval between treatments. | Drug | Paclitaxel, CrEL (Taxol®) |
Primary outcome
Progression free survival (PFS).
Change in Area under the curve of CA 125
Incidence and severity of hypersensitivity reactions
5 secondary outcomes
Nadir and time to nadir of CA 125 during and after treatment
T½ of CA 125
Safety and tolerability
Response rate using CA 125
Overall survival
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 4 Feb 2014.
- Derived from this study: PubMed 31826802Vergote I, Bergfeldt K, Franquet A, Lisyanskaya AS, Bjermo H, Heldring N, Buyse M, Brize A. A randomized phase III trial in patients with recurrent platinum sensitive ovarian cancer comparing efficacy and safety of paclitaxel micellar and Cremophor EL-paclitaxel. Gynecol Oncol. 2020 Feb;156(2):293-300. doi: 10.1016/j.ygyno.2019.11.034. Epub 2019 Dec 9.
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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.
Ignace Vergote, Prof. principal investigator
Division of Gynaecological Oncology, Department of Obstetrics and Gynaecology, University Hospitals Leuven, Belgium
84 sites in 16 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Paclical® and Taxol® in people with Epithelial Ovarian Cancer and Primary Peritoneal Cancer, run by Oasmia Pharmaceutical AB at 84 sites in 16 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 15 inclusion and 9 exclusion criteria. 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 4 Feb 2014. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 84 sites in Russia, Ukraine, Hungary, Sweden, Belarus and 11 more countries. 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 phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
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?
Progression free survival (PFS).. The study lists 3 primary outcomes in all. 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 NCT00989131, 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 4 Feb 2014.