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Phase III Randomized Study of Doxorubicin, Cisplatin, Paclitaxel, and Filgrastim (G-CSF) Versus Tamoxifen and Megestrol in Patients With Stage III or IV or Recurrent Endometrial Cancer
Alternate Title Basic Trial Information Objectives Entry Criteria Expected Enrollment Outline Trial Contact Information Registry Information
Alternate Title
Combination Chemotherapy Compared With Hormone Therapy in Treating Patients With Recurrent, Stage III, or Stage IV Endometrial Cancer
Basic Trial Information
Phase | Type | Status | Age | Protocol IDs |
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Phase III | Treatment | Completed | Not specified | GOG-0189 NCT00016341 |
Objectives - Compare the progression-free survival and response of patients with stage III or IV or recurrent endometrial cancer treated with doxorubicin, cisplatin, paclitaxel, and filgrastim (G-CSF) vs tamoxifen and megestrol.
- Compare the survival of patients treated with these regimens.
- Determine if progesterone receptor status provides information on whether patients are more likely to benefit from chemotherapy.
- Compare the toxicity profiles of these treatment regimens in these patients.
- Compare the quality of life of patients treated with these regimens.
Entry Criteria Disease Characteristics:
- Histologically confirmed primary stage III or IV or recurrent endometrial
cancer
- Poor curative potential with radiotherapy or surgery (alone or in
combination)
- Measurable disease
- At least one lesion accurately measured in at least
one dimension
- At least 20 mm by conventional techniques, including
palpation, x-ray, CT
scan, or MRI
OR - At least 10 mm by spiral CT scan
- Disease in a previously irradiated field as sole site
of measurable disease
allowed only if clear progression after completion
of radiotherapy
- Estrogen receptor(ER)/progesterone receptor (PR) status of primary tumor
required
- ER/PR status of measurable tumor optional
Prior/Concurrent Therapy:
Biologic therapy: - Prior biologic therapy allowed
Chemotherapy: - No prior cytotoxic chemotherapy, including chemotherapy
for radiosensitization
Endocrine therapy: - No prior hormonal therapy for endometrial cancer
Radiotherapy: - See Disease Characteristics
- At least 4 weeks since prior radiotherapy involving the whole
pelvis or more than 50% of the spine
Surgery: - See Disease Characteristics
Other: - Concurrent cardiac conduction-altering medications such as
digitalis, beta blockers, or calcium channel blockers allowed at the
investigator's discretion
Patient Characteristics:
Age: Performance status: Life expectancy: Hematopoietic: - Platelet count at least 100,000/mm3
- Granulocyte count at least 1,500/mm3
Hepatic: - Bilirubin normal
- SGPT no greater than 3 times upper limit of normal
Renal: - Creatinine no greater than 1.6 mg/dL
Cardiovascular: - LVEF at least 50%
- No third-degree or complete heart block, unless pacemaker is
in place
- Other conduction abnormalities or cardiac dysfunction allowed
at the investigator's discretion
- No history of deep venous thrombosis
- No uncontrolled angina
Pulmonary: - No history of pulmonary embolus
Other: - No other malignancy within the past 5 years except nonmelanoma
skin cancer
- No concurrent medical illness that would preclude
study
- No serious uncontrolled infection
- No serious peripheral neuropathy
- No circumstances that would preclude study
compliance
- No sensitivity to E. coli-derived drug preparations
Expected Enrollment Approximately 630 patients will be accrued for this study within 42 months. Outline This is a randomized, cross-over, multicenter study. Patients are
stratified according to progesterone receptor status (negative vs positive).
Patients are randomized to 1 of 2 treatment arms. Quality of life is assessed at baseline, 6 weeks, time of progression,
and then after 6 weeks on cross-over therapy. Patients are followed every 3 months for 2 years, every 6 months for 3
years, and then annually thereafter.
Trial Contact Information
Trial Lead Organizations Gynecologic Oncology Group | | | Jeffrey Bloss, MD, Protocol chair | | Ph: 317-651-2677; 800-600-3606 |
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Registry Information | | Official Title | | Randomized Phase III Crossover Trial of Chemotherapy (Doxorubicin/Cisplatin/Paclitaxel and G-CSF) Versus Hormonal Therapy (Tamoxifen/Megestrol Acetate) in Patients with Stage III & IV or Recurrent Endometrial Cancer | | Trial Start Date | | 2001-05-07 | | Registered in ClinicalTrials.gov | | NCT00016341 | | Date Submitted to PDQ | | 2001-03-28 | | Information Last Verified | | 2007-06-08 | | NCI Grant/Contract Number | | CA27469 |
Note: The purpose of most clinical trials listed in this database is to test new cancer treatments, or new methods of diagnosing, screening, or preventing cancer. Because all potentially harmful side effects are not known before a trial is conducted, dose and schedule modifications may be required for participants if they develop side effects from the treatment or test. The therapy or test described in this clinical trial is intended for use by clinical oncologists in carefully structured settings, and may not prove to be more effective than standard treatment. A responsible investigator associated with this clinical trial should be consulted before using this protocol. Back to Top |
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