Ovarian CarcinomaPhase 2PGANCT01936974
(PGA) for Platinum-resistant/Refractory, Paclitaxel-Pretreated Recurrent Ovarian and Peritoneal Carcinoma
A Phase 2 study testing Gemcitabine, Bevacizumab and Carboplatin in people with Ovarian Carcinoma and Fallopian Tube Carcinoma, run by Western Regional Medical Center at 1 site in United States.
Trial summary
To evaluate progression-free survival with two chemotherapy regimens on platinum-resistant/refractory ovarian and peritoneal carcinoma Read more about this study
- Who is it for?
- Ages 18 years and older, women only
- Conditions the study is for
- Ovarian Carcinoma, Fallopian Tube Carcinoma, Peritoneal Carcinoma
- What is being tested?
- Gemcitabine, Bevacizumab and Carboplatin
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 7 participants
- Where
- 1 siteUnited States
- Study dates
- Sep 2013to Aug 2015
- Phase
- Phase 2
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
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
- Patients ≥ 18 years of age with histologically confirmed, recurrent epithelial ovarian, fallopian tube, or primary peritoneal cancer
- Disease progression during or within 6 months of previous platinum-based chemotherapy including the following 4 categories:
- Primary platinum-refractory: Previously untreated patients who do not achieve at least a partial response to platinum-based chemotherapy
- Primary platinum-resistant: Previously untreated patients who have achieved at least a partial response to platinum-based chemotherapy but experience a relapse within a period of 6 months of its conclusion
- Secondary platinum-refractory: Previously treated patients have a relapse 6 months after the conclusion of chemotherapy, but fail to achieve at least a partial response
- Secondary platinum-resistant: Previously treated patients have a relapse 6 months after the conclusion of chemotherapy, achieve at least a partial response with platinum-based therapy as 2nd-line therapy, but experience relapse within 6 months
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- Eastern Cooperative Oncology Group (ECOG) performance status score ≤ 2 and a life expectancy >3 months.
- Absolute neutrophil count > 1500 mm^3, platelet count ≥ 100×10^9 L, hemoglobin ≥ 8.5 g/dL
- Serum creatinine ≤1.5 times the upper limit of the normal range, total bilirubin ≤ 2 mg/dL, AST/ALT ≤ 5 times the upper limit of normal range
- No remaining grade 2 or higher toxicity from prior cancer therapies unless judged to be clinically insignificant by the Principal Investigator
- At least three (3) weeks from prior chemotherapy
Who cannot join
- Inadequate renal function with a calculated creatinine clearance less than 51 mL/min
- Uncontrolled cardiac disease, congestive heart failure, angina, or hypertension
- Myocardial infarction or unstable angina within 2 months of treatment
- Known human immunodeficiency virus (HIV) infection or chronic active Hepatitis B or C (patients are NOT required to be tested for the presence of such viruses prior to therapy on this protocol)
- Thrombotic or embolic events such as a cerebrovascular accident including transient ischemic attacks, pulmonary embolism within the past 6 months
- Bleeding diathesis or significant coagulopathy
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- Pulmonary hemorrhage/bleeding event ≥ CTCAE Grade 2 within 4 weeks of first dose of study drug
- Any other hemorrhage/bleeding event ≥ CTCAE Grade 3 within 4 weeks of first dose of study drug
- History of fistula, GI perforation, or intrabdominal abscess
- Serious non-healing wound, ulcer, or bone fracture
- clinical signs or symptoms of GI obstruction and/or requirement for parenteral hydration or nutrition
- Known CNS disease except for treated brain metastasis
- Known platinum drug allergy
- Prior treatment with Platinum + Gemcitabine + Avastin, Gemcitabine + Avastin or Gemcitabine alone
- Prior treatment with more than three (3) lines of chemotherapy including adjuvant chemotherapy
- Major surgery, open biopsy or significant traumatic injury within 4 weeks of first study drug
- Inability to complete informed consent process and adhere to the protocol treatment plan and follow-up requirements
- Concurrent severe illness such as active infection, or psychiatric illness/social situations that would limit safety and compliance with study requirements
Trial locations and contacts
1 site in 1 country.
United States1 site
Western Regional Medical Center
Goodyear, Arizona, 85338
About this study
Official title: Platinum-Gemcitabine-Avastin (PGA) for Platinum-resistant/Refractory, Paclitaxel-Pretreated Recurrent Ovarian and Peritoneal Carcinoma
To evaluate progression-free survival with two chemotherapy regimens on platinum-resistant/refractory ovarian and peritoneal carcinoma
Read the detailed description
This study will evaluate progression-free survival (PFS)for the regimen of gemcitabine and bevacizumab with or without a platinum agent on platinum-resistant/refractory ovarian and peritoneal carcinoma
- Being tested
- Gemcitabine, Bevacizumab, Carboplatin, Cisplatin, Oxaliplatin
- Medical subject headings
- Ovarian Neoplasms, Fallopian Tube Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
GemcitabineDrug
Also called Gemzar
Patient to receive gemzar
BevacizumabDrug
Also called Avastin
Patient to receive avastin
CarboplatinDrug
Also called Paraplatin
Patient to receive carboplatin
CisplatinDrug
Also called Platinol
Patient to receive cisplatin
OxaliplatinDrug
Also called Eloxatin
Patient to receive Oxaliplatin
| Study group | Role | What they receive |
|---|---|---|
| Platinum, Gemcitabine and Bevacizumab | Experimental | Platinum:
1. Carboplatin* on day 1
*If a patient is allergic to carboplatin, then give
2. Cisplatin** on day 1
**If a patient is allergic to cisplatin and carboplatin, then give
3. Oxaliplatin on day 1
Gemcitabine on day 1 only
Bevacizumab on day 1 Receives: Drug: Gemcitabine; Drug: Bevacizumab; Drug: Carboplatin; Drug: Cisplatin; Drug: Oxaliplatin |
| Gemcitabine and Bevacizumab | Active comparator | Gemcitabine on days 1 and 8
Bevacizumab on day 1 Receives: Drug: Gemcitabine; Drug: Bevacizumab |
What is being measured
The primary outcome is the main question the study is designed to answer.
Progression-free Survival
Evaluate progression-free survival between the two regimens.
Measured: One Year
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted6 Sep 2013 (estimated)
- Study startSep 2013
- Primary completionAug 2015
- Study completionAug 2015
Why it stopped: PI Decision
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Other trials for Ovarian CarcinomaStudies 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 2
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind
- Who is masked
- Participant
- Enrolment
- 7 participants (actual)
Sponsor and investigators
- Lead sponsor
- Western Regional Medical Center
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
- Investigators
- Jordan Waypa, FNP, Study director, Western Regional Medical Center
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01936974
- Sponsor's protocol ID
- 13-27
- Acronym
- PGA
- Status last verified
- Jan 2018
- First submitted
- 3 Sep 2013
- Last updated
- 20 Feb 2018
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
Study at a glance
From the registry record, last updated by the sponsor on 20 Feb 2018. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Platinum-Gemcitabine-Avastin (PGA) for Platinum-resistant/Refractory, Paclitaxel-Pretreated Recurrent Ovarian and Peritoneal Carcinoma
- ClinicalTrials.gov ID
- NCT01936974
- Acronym / sponsor ID
- PGA / 13-27
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- TerminatedReason stopped: PI Decision
- Enrolment
- 7 participants (actual)
- Lead sponsor
- Western Regional Medical CenterUniversity, hospital or other
- Study start
- Sep 2013
- Primary completion
- Aug 2015 (actual)
- Study completion
- Aug 2015 (actual)
- First posted
- 6 Sep 2013 (estimated)
- Results
- Posted 25 Oct 2017
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
To evaluate progression-free survival with two chemotherapy regimens on platinum-resistant/refractory ovarian and peritoneal carcinoma
Detailed description
This study will evaluate progression-free survival (PFS)for the regimen of gemcitabine and bevacizumab with or without a platinum agent on platinum-resistant/refractory ovarian and peritoneal carcinoma
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (participant)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Platinum, Gemcitabine and Bevacizumab | Experimental | Drug: Gemcitabine, Drug: Bevacizumab, Drug: Carboplatin, Drug: Cisplatin, Drug: OxaliplatinPlatinum: 1. Carboplatin* on day 1 *If a patient is allergic to carboplatin, then give 2. Cisplatin** on day 1 **If a patient is allergic to cisplatin and carboplatin, then give 3. Oxaliplatin on day 1 Gemcitabine on day 1 only Bevacizumab on day 1 |
| Gemcitabine and Bevacizumab | Active comparator | Drug: Gemcitabine, Drug: BevacizumabGemcitabine on days 1 and 8 Bevacizumab on day 1 |
Who may qualify
- Ages
- 18 years and older
- Sex
- Female only
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (11 listed)
- Patients ≥ 18 years of age with histologically confirmed, recurrent epithelial ovarian, fallopian tube, or primary peritoneal cancer
- Disease progression during or within 6 months of previous platinum-based chemotherapy including the following 4 categories:
- Eastern Cooperative Oncology Group (ECOG) performance status score ≤ 2 and a life expectancy >3 months.
- Absolute neutrophil count > 1500 mm^3, platelet count ≥ 100×10^9 L, hemoglobin ≥ 8.5 g/dL
- Serum creatinine ≤1.5 times the upper limit of the normal range, total bilirubin ≤ 2 mg/dL, AST/ALT ≤ 5 times the upper limit of normal range
Key exclusion criteria (18 listed)
- Inadequate renal function with a calculated creatinine clearance less than 51 mL/min
- Uncontrolled cardiac disease, congestive heart failure, angina, or hypertension
- Myocardial infarction or unstable angina within 2 months of treatment
- Known human immunodeficiency virus (HIV) infection or chronic active Hepatitis B or C (patients are NOT required to be tested for the presence of such viruses prior to therapy on this protocol)
- Thrombotic or embolic events such as a cerebrovascular accident including transient ischemic attacks, pulmonary embolism within the past 6 months
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 |
|---|---|---|
| GemcitabineAlso: GemzarPatient to receive gemzar | Drug | Gemcitabine and Bevacizumab, Platinum, Gemcitabine and Bevacizumab |
| BevacizumabAlso: AvastinPatient to receive avastin | Drug | Gemcitabine and Bevacizumab, Platinum, Gemcitabine and Bevacizumab |
| CarboplatinAlso: ParaplatinPatient to receive carboplatin | Drug | Platinum, Gemcitabine and Bevacizumab |
| CisplatinAlso: PlatinolPatient to receive cisplatin | Drug | Platinum, Gemcitabine and Bevacizumab |
| OxaliplatinAlso: EloxatinPatient to receive Oxaliplatin | Drug | Platinum, Gemcitabine and Bevacizumab |
Primary outcome
Progression-free Survival
Time frame: One Year
Evaluate progression-free survival between the two regimens.
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 20 Feb 2018.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
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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.
Jordan Waypa, FNP study director
Western Regional Medical Center
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing Gemcitabine, Bevacizumab and Carboplatin in people with Ovarian Carcinoma and Fallopian Tube Carcinoma, run by Western Regional Medical Center at 1 site in United States.
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 11 inclusion and 18 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: stopped early, as of the sponsor's last update on 20 Feb 2018. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in United States. 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 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?
Yes. Results are posted in the registry (first posted 25 Oct 2017). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
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 (time frame: One Year). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
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 20 Feb 2018.