The Efficacy of Hyperthermic Intraperitoneal Chemotherapy to Ovarian Cancer Patients With Homologous Recombination Repair Defect and Residual: a Prospective Cohort Study
1 other identifier
observational
310
1 country
1
Brief Summary
Ovarian cancer is associated with the highest mortality of all gynecologic cancers. In patients with newly diagnosed advanced ovarian cancer after platinum-containing chemotherapy plus bevacizumab therapy, maintenance therapy with olaparib plus bevacizumab significantly prolongs progression-free survival (PFS) in the intended population and is recommended by guidelines. However, study shows those homologous recombinant repair defect (HRD) but Breast Cancer Susceptibility Gene(BRCA) wild type have limited benefit from maintenance therapy with olaparib plus bevacizumab when surgery is with residual(no-R0). Can hyperthermic intraperitoneal chemotherapy(HIPEC) improve the benefits of first-line maintenance therapy in patients with non-R0 resection, HRD? The cohort study will enroll 310 patients with HRD and no-R0 resection who conduct HIPEC during primary treatment and then have olaparib plus bevacizumab as maintenance. Follow-up period is 30 months. The primary endpoint is PFS.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for all trials
Started Apr 2022
Typical duration for all trials
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
March 2, 2022
CompletedFirst Posted
Study publicly available on registry
March 3, 2022
CompletedStudy Start
First participant enrolled
April 1, 2022
CompletedPrimary Completion
Last participant's last visit for primary outcome
March 30, 2025
CompletedStudy Completion
Last participant's last visit for all outcomes
March 30, 2025
CompletedFebruary 17, 2023
February 1, 2022
3 years
March 2, 2022
February 16, 2023
Conditions
Outcome Measures
Primary Outcomes (1)
PFS
from the date of recruitment to the time of recurrence, assessed up to 30 months
Secondary Outcomes (2)
overall survival
from the date of recruitment to the time of death from any cause, assessed up to 30 months
adverse effect
from the date of recruitment up to 30 months
Study Arms (2)
HIPEC
HIPEC is given after primary debulking surgery or interval debulking.
CONTROL
No HIPEC
Interventions
Eligibility Criteria
high-grade serous ovarian cancer, International Federation of Gynecology and Obstetrics stage III-IV,HRD but BRCA wild type, chemotherapy regimen contains platinum and bevacizumab and then olaparib plus bevacizumab will be given as the maintenance therapy.
You may qualify if:
- Age 18-70 years
- Eastern Cooperative Oncology Group (ECOG) score 0-1
- Adequate kidney function (blood creatinine 58-96µmol/L)
- Adequate haematological function (haemoglobin ≥110g/L, leucocytes ≥4.0×109/L, neutrophils ≥2.0×109/L, platelets≥100×109/L)
- Adequate liver function (serum total bilirubin 3.4-22.2µmol/L, alanine aminotransferase (ALT) 7-40U/L, aspartate aminotransferase (AST) 13-35U/L, AST/ALT ≤1.5
- surgery with residual
- eligible to the maintenance therapy of olaparib plus bevacizumab
You may not qualify if:
- Expected life span ≤8 weeks
- Complicated with any other known malignancies
- Patients with dysfunction of swallow and digestion
- Patients who had received any kind of poly adenosinediphosphate-ribose polymerase(PARP)inhibitor
- refractory hypertension
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Sun Yat-sen Memorial Hospital, Sun Yat-sen University
Guangzhou, Guangdong, China
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Central Study Contacts
Study Design
- Study Type
- observational
- Observational Model
- COHORT
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
March 2, 2022
First Posted
March 3, 2022
Study Start
April 1, 2022
Primary Completion
March 30, 2025
Study Completion
March 30, 2025
Last Updated
February 17, 2023
Record last verified: 2022-02
Data Sharing
- IPD Sharing
- Will not share