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Ovarian CancerPhase 2TRACEIINCT03622931

Patients With Relapsed Ovarian Cancer (2nd and 3rd Line) Treated With Chemotherapy According to AGO Guidelines

A Phase 2 study testing Standard chemotherapy and Romiplostim in people with Ovarian Cancer, run by Gesellschaft fur Medizinische Innovation - Hamatologie und Onkologie mbH at 13 sites in Germany.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

To evaluate the safety of secondary chemotherapy induced thrombocytopenia (reduction in platelets which leads to bleeding) prophylaxis with romiplostim in ovarian cancer subjects receiving myelosuppressive (blood cell damaging) chemotherapy.It is anticipated that Romiplostim, when administered at an effective dose and… Read more about this study

Who is it for?
Ages 18 years and older, women only
Conditions the study is for
Ovarian Cancer
What is being tested?
Standard chemotherapy and Romiplostim
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
21 participants
Where
13 sitesGermany
Study dates
1 Feb 2014to 17 Jan 2019
Phase
Phase 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

Who may be able to join

  • Women ≥ 18 years of age
  • Before any study-specific procedure, the appropriate written informed consent must be obtained, according to ICH-GCP, and national/local regulation
  • ANC ≥ 1,000/μl, Hgb ≥ 9.5 g/dl, and platelet count ≥ 100 x 109/l on day 1 of the first on study cycle of the chemotherapy treatment (on-study cycle) (Thrombocytopenia have to be defined during a "qualifying cycle"; qualifying cycle could be the 1st or the 2nd cycle of the palliative chemotherapy; thrombocytopenia as evidenced by a platelet count < 50 x 109/l during the qualifying cycle of chemotherapy OR platelet count < 100 x 109/l on the planned starting day of the next cycle of chemotherapy (or 1-3 days before), requiring dose delay for platelet recovery.)
  • Subjects with histologically confirmed advanced or metastatic ovarian cancer, fallopian tube cancer, peritoneal carcinoma or ovarian carcinosarcoma who are receiving 2nd or further line chemotherapy consisting of one of the following regimens according to established dosing standards:
  • Topotecan, d 1-5, q3w
  • Gemcitabine, d1+8, q3w
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  • Carboplatin / paclitaxel, d1, q3w
  • Carboplatin d1 /gemcitabine, d1+d8, q3w
  • Carboplatin / pegylated liposomal doxorubicin, d1, q4w
  • Carboplatin d1 / gemcitabine, d1+d8, Avastin d1, q3w
  • Topotecan d1-5 + avastin, q3w
  • Carboplatin + paclitaxel + avastin, q3w
  • Thrombocytopenia as evidenced by a platelet count < 50 x 109/l during the qualifying cycle of chemotherapy OR platelet count < 100 x 109/l on the planned starting day of the next cycle of chemotherapy (or 1-3 days before), requiring dose delay for platelet recovery; qualifying cycle could be the 1st or the 2nd cycle of chemotherapy
  • Life expectancy ≥ 12 weeks at the time of screening
  • Ability to receive the same dose and schedule of chemotherapy during the first on study treatment cycle as was given in the qualifying cycle(s). (In case of grade 4 thrombocytopenia: a dose reduction to ≥75% of the previous dose schedule is allowed.)

Who cannot join

  • Previous treatment with PEG-rHuMGDF, recombinant human thrombopoietin (rHuTPO), romiplostim, eltrombopag, or another thrombopoietic protein
  • Past or current history of malignancies that affect the overall prognosis (Please note: patients with past or current malignancies not affecting the overall prognosis are allowed for enrollment)
  • Subjects, who have had a larger surgery within the last 2 weeks before entering this study
  • Active participation in any other clinical study
  • Subjects with an active infection; sepsis, disseminated intravascular coagulation, or any other condition (i.e. myelodysplastic syndrome {MDS}, immune thrombocytopenic purpura {ITP}, thrombotic thrombocytopenic purpura {TTP}, hemolytic uremic syndrome {HUS}) that may have exacerbated thrombocytopenia
  • History of unstable angina, CHF {NYHA >class II}, uncontrolled hypertension {diastolic >100mm HG}, uncontrolled cardiac arrhythmia, or recent (within 1 year of screening) myocardial infarction (MI)
Show all 17Show fewer
  • History of arterial thrombosis (e.g., stroke or transient ischemic attack) within 1 year of screening
  • History of pulmonary embolism or other venous thrombosis within 1 year of screening (except for catheter-related clots)
  • Receipt of any experimental therapy within the last 4 weeks prior to screening; subject is currently enrolled in, or has completed within the last 30 days, another investigational device or drug study (exception: PROVE study)
  • Receipt of a bone marrow or peripheral blood stem cell infusion (within 1 year of screening)
  • Positive Pregnancy test
  • breast feeding period
  • Reproductive potential and not using adequate highly effective methods of contraceptive precautions in the judgment of the investigator during treatment and for 6 month (male or female) after the end of treatment (adequate: oral contraceptives, intrauterine device or barrier method in conjunction with spermicidial jelly)
  • Known hypersensitivity to any recombinant E. Coli-derived product or any additives
  • Inability to comply with the protocol or missing written informed consent
  • Any psychological, familial, sociological or geographical condition potentially hampering compliance with the study protocol and follow-up schedule; those conditions should be discussed with the subject before registration in the trial.
  • Accommodation in an institution due to official or legal orders (§40 p.1 No. 4 AMG)

Trial locations and contacts

13 sites in 1 country.

13 sites in 1 country

Germany13 sites
  • Praxisklinik für Krebsheilkunde für Frauen Drs. Kittel /Klare / Wetzel

    Berlin, 10367

  • Charité Campus Virchow-Klinikum Universitätsmedizin Berlin

    Berlin, 13353

  • Ev. Waldkrankenhaus Spandau

    Berlin, 13589

  • Gynäkologisches Zentrum

    Bonn, 53111

  • Städtisches Klinikum Brandenburg

    Brandenburg, 14770

  • Gemeinschaftspraxis Dr. Lorenz, Hecker, Wesche

    Braunschweig, 38100

  • Klinikum Chemnitz GmbH

    Chemnitz, 09116

  • Universitätsklinik Carl Gustav Carus der Technischen Universität Dresden

    Dresden, 01307

  • Universitätsklinikum Jena

    Jena, 07743

  • Universitätsklinikum Schleswig-Holstein Campus Kiel

    Kiel, 24105

  • Universitätsmedizin der Johannes Gutenberg-Universität Mainz

    Mainz, 55131

  • Caritasklinik St. Theresia Saarbrücken

    Saarbrücken, 66113

  • Universitätsklinikum Tübingen

    Tübingen

Other trials in Germany

About this study

Official title: Double-blind, Placebo-controlled Multicenter Phase II Trial to Evaluate the Efficacy and Safety of Romiplostim for the Treatment of Chemotherapy-induced Thrombocytopenia in Subjects With Relapsed Ovarian Cancer (2nd or Further Line)

To evaluate the safety of secondary chemotherapy induced thrombocytopenia (reduction in platelets which leads to bleeding) prophylaxis with romiplostim in ovarian cancer subjects receiving myelosuppressive (blood cell damaging) chemotherapy.It is anticipated that Romiplostim, when administered at an effective dose and schedule, will be a well-tolerated treatment for subjects experiencing chemotherapy-induced thrombocytopenia.

Read the detailed description

Chemotherapy of recurrent ovarian cancer leads to severe thrombocytopenia in a considerable proportion of the patients, requiring treatment delays or dose reductions, and placing the patient at a high risk of bleeding complications. The amount of thrombocytopenia is highly schedule-dependent. In platinum-sensitive ovarian cancer that relapsed more than 6 months after end of primary therapy, a platinum containing reinduction therapy - the combination of paclitaxel/carboplatin, gemcitabine/carboplatin or PLD/carboplatin - is recommended according to the current AGO guidelines or recent ASCO presentations. Especially the latter two regimens often induce severe and even dose-limiting myelosuppression, including thrombocytopenia. Therefore, prophylaxis, or at least secondary prophylaxis of this toxicity is an important goal of supportive therapy. The use of platelet transfusions is limited by cost, supply problems, and associated risks, such as transfusion reactions, transmission of infection, and alloimmunization and platelet refractoriness. In contrast to the situation for the red and white blood cell compartments, the implementation of growth factor treatment in order to ameliorate the therapy of thrombocytopenia and its complications, is yet very limited. Romiplostim is an active second-generation thrombopoietic agent without safety problems due to immunogenicity, which proved to be beneficial in the treatment of immune thrombocytopenic purpura and myelodysplastic syndromes. The rationale of this trial is to obtain evidence that romiplostim can improve platelet counts/recovery in the treatment of recurrent ovarian cancer. Due to the fact, that the expected occurrence of severe thrombocytopenia and its complications may heavily depend on the selection of patient and their characteristics such as actually chosen treatment schedule, tumor stage, extent of metastasis, pre-treatment etc. a phase II design comparing the results to historical data or expectations is insufficient. A simple within-group control design, comparing subsequent cycles of the same patients with or without the supportive experimental drug may also be flawed, as "spontaneous" improvements after obviously unchanged chemotherapy are often observed. With some regimens, the first cycle proves to be generally more toxic than later ones. On the other hand, regimens may result in cumulative myelosuppression. A design including a randomized doubleblind control group is therefore warranted, moreover, as platelet counts represent a sensitive and valid surrogate marker for a clinical benefit. The current study will employ a model of secondary prophylaxis. The enrolment of subjects with grade 3 and/or 4 thrombocytopenia will facilitate an assessment of the ability of romiplostim to impact thrombocytopenia at clinically significant levels, which warrant the administration of platelet transfusions, dose reduction, and dose delay.

Conditions
Ovarian Cancer
Being tested
Standard chemotherapy, Romiplostim, Placebos
Keywords
ovarian, cancer, romiplostim, nplate
Medical subject headings
Ovarian Neoplasms, Neoplasms

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Standard chemotherapyDrug

    Chemotherapy

  • RomiplostimDrug

  • PlacebosDrug

Study groups in NCT03622931
Study groupRoleWhat they receive
the experimental armExperimentalstandard chemotherapy at 3/4-weekly intervals (cf. inclusion criteria) + romiplostim 750 μg sc once per week for up to 4 cycles
Receives: Drug: Standard chemotherapy; Drug: Romiplostim
the placebo armPlacebo comparatorstandard chemotherapy at 3/4-weekly intervals (cf. inclusion criteria) + placebo once per week for up to 4 cycles
Receives: Drug: Standard chemotherapy; Drug: Placebos

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Grade 3 and 4 thrombocytopenia

    Platelet Count (100 x 10^9/L) will be measured and the rate will be compared by Treatment Group

    Measured: At the end of Cycle 1 (each cycle is 28 days)

Secondary outcomes (10)
  1. Adverse events of grade 3/4

    Determine the rate of AE between the experimental arm and the placebo arm.

    Measured: At the end of Cycle 4 (each cycle is 28 days)

  2. Grade 3/4 thrombocytopenia

    The rate of AE between the experimental arm and the placebo arm will be determined

    Measured: on days 8, 11 or 12, 15

  3. Platelet Counts

    The average platelet nadir in each treatment Group will be considered

    Measured: on days 8, 11 or 12, 15

  4. Bleeding events

    The proportion of patients suffering from grade 1, 2, 3, or 4 bleeding Events will be considered

    Measured: At the end of Cycle 8 (each cycle is 28 days)

  5. Grade 1, 2, 3, or 4 thrombocytopenia (maximum NCI CTC grade by patient)

    Determine the proportion of subjects in each treatment group

    Measured: At the end of Cycle 8 (each cycle is 28 days)

  6. Grade 3/4 thrombocytopenia

    The duration will be considered

    Measured: At the end of Cycle 8 (each cycle is 28 days)

  7. Platelet transfusions

    The number of subjects in each treatment Group will be considered

    Measured: At the end of Cycle 8 (each cycle is 28 days)

  8. Platelet counts

    The platelet counts on study chemotherapy treatment cycles by treatment group will be considered.

    Measured: On day 22 of each Cycle till max. 8 Cycles (each cycle is 28 days)

  9. Counts of CT cycles

    The proportion of subjects able to receive all CT cycles on time by treatment group

    Measured: through study completion, an average of 8 month

  10. ADR/SADR of romiplostim

    Assess the reported ADR/SADR

    Measured: through study completion, an average of 8 month

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted9 Aug 2018
  2. Study start1 Feb 2014
  3. Primary completion1 Jan 2019
  4. Study completion17 Jan 2019

Why it stopped: due to lack of recruitment

Resources

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
Model description
74 patients (about 37 in the experimental and 37 in the placebo arm), evaluable for the principal efficacy endpoint, are required. These will be recruited from an expected number of 15 sites.
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
21 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03622931
Sponsor's protocol ID
T-RACE II
Acronym
TRACEII
Status last verified
Feb 2021
First submitted
18 Jan 2018
Last updated
8 Feb 2021
Results posted
No
Data monitoring committee
No

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Standard chemotherapy and Romiplostim in people with Ovarian Cancer, run by Gesellschaft fur Medizinische Innovation - Hamatologie und Onkologie mbH at 13 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?

The sponsor lists 15 inclusion and 17 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 8 Feb 2021. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 13 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. Some participants in this study may receive a placebo. 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?

The study was stopped early (reason given: due to lack of recruitment). Results are not available in the source record.

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?

Grade 3 and 4 thrombocytopenia (time frame: At the end of Cycle 1 (each cycle is 28 days)). 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 8 Feb 2021; AzTrials last refreshed its copy on 7 Nov 2026.

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