Efficacy Study of Chemotherapy to Treat Ovarian Cancer Recurrence by Prolonging the Platinum Free Interval
MITO-8
Liposomal Doxorubicin Versus Carboplatin/Paclitaxel in Patients With Ovarian Cancer Recurrence Between 6 and 12 Months After Previous Platinum Based Therapy: Phase III Randomized Multicenter Study Amendment Title Protocol Version 2.0: Phase III International Multicenter Randomized Study Testing the Effect on Survival of Prolonging Platinum-free Interval in Patients With Ovarian Cancer Recurring Between 6 and 12 Months After Previous Platinum Based Chemotherapy.
2 other identifiers
interventional
215
3 countries
40
Brief Summary
This study aims to test the hypothesis that the artificial prolongation of the platinum-free interval with a non-platinum treatment will improve the effectiveness of overall therapy in patients with ovarian cancer progression occurring 6-12 months after first-line treatment with a platinum-derivative.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for phase_3 ovarian-cancer
Started Nov 2008
Longer than P75 for phase_3 ovarian-cancer
40 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
April 8, 2008
CompletedFirst Posted
Study publicly available on registry
April 14, 2008
CompletedStudy Start
First participant enrolled
November 1, 2008
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2023
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2023
CompletedNovember 13, 2023
March 1, 2023
15.1 years
April 8, 2008
November 9, 2023
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
overall survival
18 months
Secondary Outcomes (4)
progression free survival
18 months
changes in quality of life
9 months
number of objective responses
6 months
worst grade toxicity for each patient
6 months
Study Arms (2)
non platinum based chemotherapy
EXPERIMENTALa non platinum based therapy (corresponding to stealth liposomal doxorubicin, or topotecan, or gemcitabine,or any other drug approved in clinical practice for the treatment of patients with ovarian cancer after previous platinum-based chemotherapy) followed by a platinum based chemotherapy at disease progression
platinum based chemotherapy
ACTIVE COMPARATORplatinum based chemotherapy (corresponding to the combination of carboplatin + paclitaxel, or carboplatin + gemcitabine for patients with significant but lower than grade 3 neuropathy at baseline) followed by a non platinum based chemotherapy at disease progression
Interventions
stealth liposomal doxorubicin 40 mg/m2 IV day 1 every 28 days
carboplatin AUC 5 IV day 1 every 21 days
paclitaxel 175 mg/m2 IV day 1 every 21 days
dosing and schedule according to Institutional guidelines
1000 mg/m2 on days 1,8,15 every 28 days
Eligibility Criteria
You may qualify if:
- Histological or cytological diagnosis of ovarian cancer
- Disease recurrence between 6 and 12 months after a first-line platinum based therapy
- Indication for chemotherapy, but no more than 2 previous lines of previous therapy
- Life expectancy of more than 3 months
You may not qualify if:
- Previous or concomitant malignant malignancy (excluding adequately treated baso-or squamocellular carcinoma of the skin and carcinoma in situ of the cervix)
- ECOG Performance Status at least 3
- Previous treatment with stealth liposomal doxorubicin
- Residual peripheral neuropathy Grade 3 or higher
- Heart disease (congestive heart failure, myocardial infarction within 6 months from study entry, atrioventricular block of any grade, severe arrhythmias)
- Neutrophils \< 2000 x mm3, platelets \< 100000 x mm3
- Inadequate renal function (creatinine no greater than 1.25 x normal values) or liver function (ALT or AST no greater than 1.25 x normal values)
- Present or suspected hemorrhagic syndromes
- Inability to comply with protocol and follow-up
- Inability to access study site for clinical visits
- Refusal of informed consent
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (40)
AZ Groeninge
Kortrijk, Belgium
UZ Gasthusiberg
Leuven, Belgium
CHC-Clinique St-Joseph
Liège, Belgium
Clinique & Maternité Sainte-Elisabeth
Namur, Belgium
AZ Nikolaas
Sint-Niklaas, Belgium
Charité Campus Virchow-Klinkum
Berlin, Germany
Kliniken essen Mitte-Evang Huyssens Stiftung/Knappschaft
Essen, Germany
Universitatsklinikum
Essen, Germany
Universitatsklinikum
Freiburg im Breisgau, Germany
Gynecology, Albertinen Krankenhaus
Hamburg, Germany
Universitatskilinikum Schleswig-Holstein
Kiel, Germany
Frauenklinik
Marburg, Germany
Klinikum rechts der Isar der Technischen Universitat
München, Germany
Azienda Ospedaliera V. Cervello
Palermo, PA, Italy
Ospedale S. Massimo, Day Hospital Oncologico
Penne, PE, 65017, Italy
Centro di Riferimento Oncologico, Divisione di Oncolgia Medica C
Aviano, PN, 33081, Italy
Ospedale Mazzoni
Ascoli Piceno, Italy
Policlinico Universitario
Bari, Italy
Universita di Bari Policinico I Clinical Ostetrica e Ginecologica
Bari, Italy
Ospedale Fatebenefratelli
Benevento, Italy
Ospedale Senatore Antonio Perrino
Brindisi, Italy
Universita Cattolica del Sacro Cuore
Campobasso, Italy
Ospedale Renzetti di Lanciano
Lanciano, Italy
Ospedale A. Manzoni
Lecco, Italy
Istituto Romagnolo per lo Studio e la Cura dei Tumori
Meldola, Italy
Istituto Europeo di Oncologia
Milan, Italy
Ospedale San Raffaele
Milan, Italy
Ospedale S. Gerardo
Monza, Italy
Istituto Nazionale dei Tumori , Oncologia Medica - Dipartimento Uro-Ginecologico
Napoli, 80131, Italy
Ospedale Silvestrini
Perugia, Italy
Ospedale Civile S. Spirito
Pescara, Italy
A.O. Bianchi Melacrino Morelli Ospedale Riuniti
Reggio Calabria, Italy
Arcispedale S. Maria Nuova
Reggio Emilia, Italy
Ospedale degli Infermi, U.O. Oncologia Medica
Rimini, Italy
Ospedale S. Giovanni Calibita Fatebenefratelli, UO di Oncologia
Roma, Italy
Universita Cattolica del Sacro Cuore
Roma, Italy
A.O. Ordine Mauriziano
Torino, Italy
Ospedale S. Chiara
Trento, Italy
A.O. di Udine S. Maria della Misericordia
Udine, Italy
Ospedale Del Ponte
Varese, Italy
Related Publications (1)
Piccirillo MC, Scambia G, Bologna A, Signoriello S, Vergote I, Baumann K, Lorusso D, Murgia V, Sorio R, Ferrandina G, Sacco C, Cormio G, Breda E, Cinieri S, Natale D, Mangili G, Pisano C, Cecere SC, Di Napoli M, Salutari V, Raspagliesi F, Arenare L, Bergamini A, Bryce J, Daniele G, Gallo C, Pignata S, Perrone F. Quality-of-life analysis of the MITO-8, MaNGO, BGOG-Ov1, AGO-Ovar2.16, ENGOT-Ov1, GCIG study comparing platinum-based versus non-platinum-based chemotherapy in patients with partially platinum-sensitive recurrent ovarian cancer. Ann Oncol. 2018 May 1;29(5):1189-1194. doi: 10.1093/annonc/mdy062.
PMID: 29462248DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Sandro Pignata, M.D., Ph.D.
National Cancer Institute, Naples
- PRINCIPAL INVESTIGATOR
Francesco Perrone, M.D., Ph.D.
National Cancer Institute, Naples
- PRINCIPAL INVESTIGATOR
Marilina Piccirillo, M.D.
National Cancer Institute, Naples
- PRINCIPAL INVESTIGATOR
Ciro Gallo, M.D., Ph.D.
University of Campania Luigi Vanvitelli
Study Design
- Study Type
- interventional
- Phase
- phase 3
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- CROSSOVER
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
April 8, 2008
First Posted
April 14, 2008
Study Start
November 1, 2008
Primary Completion
December 1, 2023
Study Completion
December 1, 2023
Last Updated
November 13, 2023
Record last verified: 2023-03