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NCT00226915 · CITED IN SOURCE DOCUMENTS

Trial of Tri-weekly TJ Versus Weekly TJ for Stage II-IV Mullerian Carcinoma

An NCI or FDA source cites this study. A citation does not establish that it applies to an individual diagnosis.

Phase
PHASE3
Status at capture
COMPLETED
Registry last update
2020-02-17

The purpose of the study is to compare progression-free survival of conventional paclitaxel and carboplatin vs weekly paclitaxel and carboplatin in patients with newly diagnosed stage II-IV ovarian epithelial, primary peritoneal, or fallopian tube cancer.

Open the original ClinicalTrials.gov record → · Download preserved record

What did the study report?

Outcomes, safety and baseline populations are separate source sections. Quality-of-life measures appear under their original outcome titles.

No posted result sections were captured. Registered plans do not establish that a treatment works.

Who could take part
eligibility Criteria
Inclusion Criteria: * Histologically confirmed stage II-IV ovarian epithelial, primary peritoneal, or fallopian tube cancer * No prior chemotherapy * Age: 20 and more * Performance status: ECOG 0-3 * 1\) Absolute neutrophil count at least 1,500/mm3 2) Platelet count at least 100,000/mm3 3) Bilirubin less than 1.5mg/dL 4) SGOT less than 100 IU/l 5) Serum creatinine less than 1.5mg/dL * Written informed consent Exclusion Criteria: * Patients with ovarian borderline tumor * Patients who have any evidence of the other cancer present within the last 5 years with the exception of carcinoma in situ or intramucosal cancer that is curable with local therapy * Patients with active infection or uncontrolled diabetes * Patients with unstable angina, or those who have had a myocardial infarction within the past 6 months, or patients with serious arrythmia that requires medication * Patients who have a history of hypersensitivity to polyoxyethylated castor oil (Cremophor EL)
healthy Volunteers
false
minimum Age
20 Years
sex
FEMALE
std Ages
  1. ADULT
  2. OLDER_ADULT
Treatment arms and interventions
arm Groups
  1. description
    Drug: Paclitaxel 180mg/m2+CBDCA AUC6 q21 days x 6-9cycles
    intervention Names
    1. Drug: Paclitaxel+Carboplatin
    label
    1
    type
    ACTIVE_COMPARATOR
  2. description
    Drug: Paclitaxel 80mg/m2 weekly +CBDCA AUC6 q21 days x 6-9cycles
    intervention Names
    1. Drug: Paclitaxel+Carboplatin
    label
    2
    type
    EXPERIMENTAL
interventions
  1. arm Group Labels
    1. 1
    description
    Paclitaxel 180mg/m2+CBDCA AUC6 q21 days x 6-9cycles
    name
    Paclitaxel+Carboplatin
    type
    DRUG
  2. arm Group Labels
    1. 2
    description
    Paclitaxel 80mg/m2 weekly +CBDCA AUC6 q21 days x 6-9cycles
    name
    Paclitaxel+Carboplatin
    type
    DRUG
Study design
allocation
RANDOMIZED
intervention Model
PARALLEL
masking Info
masking
NONE
primary Purpose
TREATMENT
Enrollment
count
637
type
ACTUAL
Registered outcome plans (not posted results)
primary Outcomes
  1. description
    From the registration date, the earliest observed event from any of the following events 1. Death from any cause death date 2. The date of the first diagnostic imaging examination that confirmed exacerbation and recurrence. Clinical exacerbation diagnosis date if not based on diagnostic imaging 3. If none of the above events are observed, the most recent outpatient consultation date / in hospital
    measure
    Progression Free Suvaival
    time Frame
    During the protocol treatment then 18 months from the last day of the protocol treatment
secondary Outcomes
  1. description
    The period from the registration date to the date of death due to any cause. In the case of survivors, the final surviving confirmation date will be censored. In the case of untraceable cases, the last surviving confirmation date before tracking becomes impossible will be censored.
    measure
    Overall Survival
    time Frame
    During the protocol treatment then 18 months from the last day of the protocol treatment
  2. description
    QOL assessed by FACT-Taxane(Version 4A)
    measure
    QOL
    time Frame
    During the protocol treatment then 18 months
  3. description
    Adverse Event assessed by CTC(Version 2.0 Japanese version)
    measure
    Adverse Event
    time Frame
    During the protocol treatment then 18 months
Full study description
brief Summary
The purpose of the study is to compare progression-free survival of conventional paclitaxel and carboplatin vs weekly paclitaxel and carboplatin in patients with newly diagnosed stage II-IV ovarian epithelial, primary peritoneal, or fallopian tube cancer.
detailed Description
This is a randomized, multicenter study. Patients are stratified according to residual disease 1 cm or less vs more than 1cm, stage II vs III vs IV, and histology (clear cell or mucinous vs. serous or others). Patients are randomized to one of two treatment arms. Arm I: Patients receive paclitaxel IV over 3 hours and carboplatin IV over 60 minutes on day 1 for 6-9 cycles. Arm II: Patients receive paclitaxel IV over 1 hour days 1, 8, and 15 and carboplatin IV over 60 minutes on day 1 for 6-9 cycles. In both arms, cycles repeat 6 cycles every 21 days in the absence of disease progression or unacceptable toxicity. Additional 3 cycles are given if clinical partial or complete response after 6 cycles. PROJECTED ACCRUAL: A total 600 patients (300 per treatment arm) will be accrued for this study within 3 years. Assuming median progression-free survivals of 16 months and 21 months and a recruitment period of 3 years this can be achieved by recruiting 600 patients designed to have 80 % detect to a difference between the two arms at the two-sided 5% level of statistical significance.
Source references
references
  1. citation
    McGuire WP, Hoskins WJ, Brady MF, Kucera PR, Partridge EE, Look KY, Clarke-Pearson DL, Davidson M. Cyclophosphamide and cisplatin compared with paclitaxel and cisplatin in patients with stage III and stage IV ovarian cancer. N Engl J Med. 1996 Jan 4;334(1):1-6. doi: 10.1056/NEJM199601043340101.
    pmid
    7494563
    type
    BACKGROUND
  2. citation
    Citron ML, Berry DA, Cirrincione C, Hudis C, Winer EP, Gradishar WJ, Davidson NE, Martino S, Livingston R, Ingle JN, Perez EA, Carpenter J, Hurd D, Holland JF, Smith BL, Sartor CI, Leung EH, Abrams J, Schilsky RL, Muss HB, Norton L. Randomized trial of dose-dense versus conventionally scheduled and sequential versus concurrent combination chemotherapy as postoperative adjuvant treatment of node-positive primary breast cancer: first report of Intergroup Trial C9741/Cancer and Leukemia Group B Trial 9741. J Clin Oncol. 2003 Apr 15;21(8):1431-9. doi: 10.1200/JCO.2003.09.081. Epub 2003 Feb 13.
    pmid
    12668651
    type
    BACKGROUND
  3. citation
    Heintz AP, Odicino F, Maisonneuve P, Beller U, Benedet JL, Creasman WT, Ngan HY, Sideri M, Pecorelli S. Carcinoma of the ovary. J Epidemiol Biostat. 2001;6(1):107-38. No abstract available.
    pmid
    11385772
    type
    BACKGROUND
  4. citation
    Strnad CM, Grosh WW, Baxter J, Burnett LS, Jones HW 3rd, Greco FA, Hainsworth JD. Peritoneal carcinomatosis of unknown primary site in women. A distinctive subset of adenocarcinoma. Ann Intern Med. 1989 Aug 1;111(3):213-7. doi: 10.7326/0003-4819-111-3-213.
    pmid
    2502058
    type
    BACKGROUND
  5. citation
    Feuer GA, Shevchuk M, Calanog A. Normal-sized ovary carcinoma syndrome. Obstet Gynecol. 1989 May;73(5 Pt 1):786-92.
    pmid
    2704507
    type
    BACKGROUND
  6. citation
    Piccart MJ, Bertelsen K, James K, Cassidy J, Mangioni C, Simonsen E, Stuart G, Kaye S, Vergote I, Blom R, Grimshaw R, Atkinson RJ, Swenerton KD, Trope C, Nardi M, Kaern J, Tumolo S, Timmers P, Roy JA, Lhoas F, Lindvall B, Bacon M, Birt A, Andersen JE, Zee B, Paul J, Baron B, Pecorelli S. Randomized intergroup trial of cisplatin-paclitaxel versus cisplatin-cyclophosphamide in women with advanced epithelial ovarian cancer: three-year results. J Natl Cancer Inst. 2000 May 3;92(9):699-708. doi: 10.1093/jnci/92.9.699.
    pmid
    10793106
    type
    BACKGROUND
  7. citation
    Muggia FM, Braly PS, Brady MF, Sutton G, Niemann TH, Lentz SL, Alvarez RD, Kucera PR, Small JM. Phase III randomized study of cisplatin versus paclitaxel versus cisplatin and paclitaxel in patients with suboptimal stage III or IV ovarian cancer: a gynecologic oncology group study. J Clin Oncol. 2000 Jan;18(1):106-15. doi: 10.1200/JCO.2000.18.1.106.
    pmid
    10623700
    type
    BACKGROUND
  8. citation
    International Collaborative Ovarian Neoplasm Group. Paclitaxel plus carboplatin versus standard chemotherapy with either single-agent carboplatin or cyclophosphamide, doxorubicin, and cisplatin in women with ovarian cancer: the ICON3 randomised trial. Lancet. 2002 Aug 17;360(9332):505-15. doi: 10.1016/S0140-6736(02)09738-6.
    pmid
    12241653
    type
    BACKGROUND
  9. citation
    Alberts DS, Green S, Hannigan EV, O'Toole R, Stock-Novack D, Anderson P, Surwit EA, Malvlya VK, Nahhas WA, Jolles CJ. Improved therapeutic index of carboplatin plus cyclophosphamide versus cisplatin plus cyclophosphamide: final report by the Southwest Oncology Group of a phase III randomized trial in stages III and IV ovarian cancer. J Clin Oncol. 1992 May;10(5):706-17. doi: 10.1200/JCO.1992.10.5.706.
    pmid
    1569443
    type
    BACKGROUND
  10. citation
    Eisenhauer EA, ten Bokkel Huinink WW, Swenerton KD, Gianni L, Myles J, van der Burg ME, Kerr I, Vermorken JB, Buser K, Colombo N, et al. European-Canadian randomized trial of paclitaxel in relapsed ovarian cancer: high-dose versus low-dose and long versus short infusion. J Clin Oncol. 1994 Dec;12(12):2654-66. doi: 10.1200/JCO.1994.12.12.2654.
    pmid
    7989941
    type
    BACKGROUND
  11. citation
    Bois AD, Lueck HJ, Meier W, Moebus V, Costa SD, Bauknecht T, Richter B, Warm M, Schroeder W, Olbricht S, Nitz U, Jackisch C. Cisplatin/Paclitaxel Vs Carboplatin/Paclitaxel in Ovarian Cancer: Update of an Arbeitsgemeinschaft Gynaekologische Onkologie (AGO) Study Group Trial. American Society of Clinical Oncology 18:356a(Abstract 1374), 1999.
    type
    BACKGROUND
  12. citation
    Ozols R, Bundy B, Fowler J, Clarke-Pearson D, Mannel R, Hartenbach E , Baergen R. Randomized Phase III Study of Cisplatin (CIS)/Paclitaxel (PAC) Versus Carboplatin (CARBO)/PAC in Optimal Stage III Epithelial Ovarian Cancer (OC): A Gynecologic Oncology Group Trial (GOG 158). American Society of Clinical Oncology 18:356a(Abstract.1373), 1999.
    type
    BACKGROUND
see Also Links
  1. label
    Please refer "ongoing studies" (in Japanese)
Source notices and limitations
    Discovery and provenance
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        -stage clinical trials.</p></li><li>Patients with stage II ovarian cancer were enrolled in a Japanese Gynecology Oncology Group study (<a href="/clinicaltrials/NCT00226915">JGOG-3016</a> [NCT00226915]) that tested a weekly dosing schedule versus the conventional every-3-week dosing schedule in first-line ovarian cancer.[<a href=
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        /li><li>Patients with stage II ovarian cancer were enrolled in a Japanese Gynecology Oncology Group study (<a href="/clinicaltrials/NCT00226915">JGOG-3016</a> [NCT00226915]) that tested a weekly dosing schedule versus the conventional every-3-week dosing schedule in first-line ovarian cancer.[<a href="#cit/section_6.9">9</a>-<a
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      3. context exact
        ndex="-1">Evidence (dose-dense [weekly] treatment schedule):</p> <div class="pdq-content-list"><ol id="_849"><li>A JGOG trial (<a href="/clinicaltrials/NCT00226915">JGOG-3016</a> [NCT00226915]) accrued 637 patients and randomly assigned them to six to nine cycles of weekly (dose-dense) paclitaxel (80 mg/m<span class="sup
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        se [weekly] treatment schedule):</p> <div class="pdq-content-list"><ol id="_849"><li>A JGOG trial (<a href="/clinicaltrials/NCT00226915">JGOG-3016</a> [NCT00226915]) accrued 637 patients and randomly assigned them to six to nine cycles of weekly (dose-dense) paclitaxel (80 mg/m<span class="sup">2</span>) or to the standa
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        ng>52</strong> </td> </tr> <tr> <td rowspan="2"> <strong><a href="/clinicaltrials/NCT00226915">JGOG-3016 </a>(2002&#8211;2004)<span class="sup">e</span></strong> </td> <td> <strong>Paclitaxel (180 mg/m<s
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      source title
      Ovarian Epithelial, Fallopian Tube, and Primary Peritoneal Cancer Treatment (PDQ®)–Health Professional Version
      source update dates
      1. context
        Updated: May 14, 2025
        datetime
        2025-05-14T12:00:00Z
        display
        May 14, 2025

    Preserved source evidence · Not medical advice