Interval Cytoreductive Surgery With or Without HIPEC for Ovarian Cancer (FOCUS / KOV-HIPEC-04)
FOCUS / KOV-04
Phase III Randomized Trial of HIPEC in Primary Stage Three & Four Primary Ovarian Cancer After Interval Cytoreductive Surgery (FOCUS, KOV-04)
1 other identifier
interventional
520
1 country
10
Brief Summary
Primary stage III-IV epithelial ovarian cancer randomizing between interval cytoreductive surgery with or without hyperthermic intraperitoneal chemotherapy (HIPEC)
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for phase_3 ovarian-cancer
Started May 2023
Typical duration for phase_3 ovarian-cancer
10 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 12, 2023
CompletedFirst Posted
Study publicly available on registry
April 25, 2023
CompletedStudy Start
First participant enrolled
May 31, 2023
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 31, 2027
ExpectedStudy Completion
Last participant's last visit for all outcomes
December 31, 2030
February 13, 2026
June 1, 2025
4.6 years
April 12, 2023
February 11, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Overall survival (OS)
From randomization to the date of death from any cause, assessed up to 5 years
Secondary Outcomes (8)
Progression-free survival (PFS)
From randomization to time of first progression or death from any cause, whichever came first, assessed up to 5 years
Cancer-specific survival
From randomization to the date of death due to ovarian cancer, assessed up to 5 years
Time to first subsequent therapy (TFST)
from the last day of the last cycle of a prior regimen of chemotherapy to the first day of the first cycle of the subsequent chemotherapy, assessed up to 5 years
Treatment-related adverse events
From randomization up to the end of treatment plus 4 weeks
Health-related quality of life (EORTC-QLQ-C30)
Over the 5 year surveillance period
- +3 more secondary outcomes
Study Arms (2)
HIPEC
EXPERIMENTALInterval cytoreductive surgery with HIPEC
No HIPEC
NO INTERVENTIONInterval cytoreductive surgery without HIPEC
Interventions
Hyperthermic intraperitoneal chemotherapy (HIPEC) with cisplatin 75mg/m2 after interval cytoreductive surgery
Eligibility Criteria
You may qualify if:
- Signed and written informed consent,
- Patients ≥18, \<80 years old,
- Diagnosed with histologically confirmed FIGO stage III-IV primary epithelial ovarian cancer, fallopian tube cancer, or primary peritoneal cancer treated with three cycles of neoadjuvant chemotherapy,
- Treated with interval complete cytoreduction, or cytoreduction with no more than 2.5 mm depth of residual disease,
- A life expectancy \> 3 months as clinically judged,
- Adequate organ function for cytoreductive surgery and HIPEC,
- Women who are medically unable to conceive or who are of childbearing potential, agree to follow contraceptive guidelines during treatment and,
- Patients can also consent to the provision of clinical information for secondary use, such as future biomedical research. However, in the future, subjects can participate in the main trial even if they do not intend to participate in sharing clinical information.
You may not qualify if:
- Diagnosed with non-epithelial ovarian carcinoma or borderline ovarian tumor
- Patients who have not undergone neoadjuvant chemotherapy,
- Interval cytoreduction with more than 2.5 mm depth of residual disease,
- A life expectancy ≤3 months as clinically judged,
- Patients with myelodysplastic syndrome (MDS)/acute myeloid leukemia (AML) or with features suggestive of MDS/AML,
- Patients with active central nervous system metastasis and carcinoma meningitis or patients who have been previously treated for brain metastases must be in a stable state in radiology,
- Patients with antibacterial, antifungal, or antiviral infections requiring systemic treatment (administration of parenteral antibiotics),
- Active tuberculosis that is not controlled within 1 month of treatment,
- Patients diagnosed with a psychiatric disorder or substance abuse disorder that would interfere with your ability to cooperate with the trial,
- Patients with any contraindications to the use of cisplatin (i.e., hypersensitivity to cisplatin),
- Patients with a history of allogeneic tissue/solid organ transplantation or bone marrow transplantation or a history of double umbilical cord transplantation or,
- History or current evidence of any condition, therapy, or laboratory abnormality that may confound the results of the study, or interfere with the patient's participation, in the opinion of the treating investigator.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (10)
Chungnam National University Hospital
Sejong, Chungcheongnam-do, South Korea
Chungnam National University Sejong Hospital
Sejong, Chungcheongnam-do, South Korea
Ilsan CHA University Hospital
Goyang-si, Gyeonggi-do, South Korea
National Cancer Center
Goyang-si, Gyeonggi-do, South Korea
Ajou University Hospital
Suwon, Gyeonggi-do, South Korea
Pusan National University Hospital
Pusan, South Korea
Pusan National University Yangsan Hospital
Pusan, South Korea
Asan Medical Center
Seoul, South Korea
Ewha Womans University Mokdong Hospital
Seoul, South Korea
Severance Hospital
Seoul, South Korea
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- phase 3
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- PARTICIPANT
- Masking Details
- Enrolled patients are unaware of which group they have been assigned to.
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER GOV
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Principal Researcher
Study Record Dates
First Submitted
April 12, 2023
First Posted
April 25, 2023
Study Start
May 31, 2023
Primary Completion (Estimated)
December 31, 2027
Study Completion (Estimated)
December 31, 2030
Last Updated
February 13, 2026
Record last verified: 2025-06
Data Sharing
- IPD Sharing
- Will not share