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Combination Chemotherapy in Treating Patients With Stage II, Stage III, or Stage IV Ovarian Cancer

This study has been completed.
Information provided by:
National Cancer Institute (NCI) Identifier:
First received: November 1, 1999
Last updated: August 9, 2013
Last verified: July 2002

RATIONALE: Drugs used in chemotherapy use different ways to stop cancer cells from dividing so they stop growing or die. Combining more than one drug may kill more cancer cells.

PURPOSE: Phase I/II trial to study the effectiveness of topotecan combined with carboplatin and paclitaxel in treating patients who have stage II, stage III, or stage IV ovarian cancer.

Condition Intervention Phase
Ovarian Cancer Drug: carboplatin Drug: paclitaxel Drug: topotecan hydrochloride Phase 2

Study Type: Interventional
Study Design: Primary Purpose: Treatment
Official Title: A Phase I/II Study to Determine the Maximum Tolerated Doses of Oral Topotecan, Carboplatin and Paclitaxel Administered Every 21 Days to Patients With Epithelial Ovarian Cancer Stages IIb, IIc, III and IV

Resource links provided by NLM:

Further study details as provided by National Cancer Institute (NCI):

Primary Outcome Measures:
  • Maximum tolerated dose and dose-limiting toxicity of topotecan
  • Toxic effects
  • Antitumor activity

Estimated Enrollment: 80
Study Start Date: September 1998
Study Completion Date: September 2005
Detailed Description:


  • Determine the maximum tolerated dose, dose-limiting toxicity, and quantitative and qualitative toxic effects of oral topotecan combined with intravenous carboplatin and paclitaxel in patients with stage IIB, IIC, III, or IV ovarian epithelial cancer. (phase I closed to accrual 12/21/00)
  • Evaluate the anti-tumor activity of this regimen in this patient population.

OUTLINE: This is a multicenter, dose-escalation study of topotecan.

Patients receive oral topotecan on days 1-5 and paclitaxel IV over 3 hours followed by carboplatin IV over 30 minutes on day 5. Courses repeat every 21 days for a maximum of 6 courses in the absence of disease progression or unacceptable toxicity.

  • Phase I: Cohorts of 3-6 patients receive escalating doses of topotecan until the maximum tolerated dose (MTD) is determined. The MTD is defined as the dose at which 2 of 6 patients experience dose-limiting toxicity. (phase I closed to accrual 12/21/00)
  • Phase II: An additional 50 patients receive up to 6 courses of treatment as in phase I at the MTD.

Patients are followed every 3 months for 2 years and then every 6 months for 3 years.

PROJECTED ACCRUAL: A total of 80 patients (30 in phase I and 50 in phase II) will be accrued for this study. (phase I closed to accrual 12/21/00)


Ages Eligible for Study:   18 Years and older   (Adult, Senior)
Sexes Eligible for Study:   Female
Accepts Healthy Volunteers:   No


  • Histologically confirmed stage IIB, IIC, III, or IV ovarian epithelial cancer
  • Measurable or evaluable lesion or microscopic residual disease after first surgery (phase II patients)
  • No brain and/or leptomeningeal metastases by CT scan or MRI unless asymptomatic without corticosteroid therapy



  • 18 and over

Performance status:

  • ECOG 0-2

Life expectancy:

  • At least 3 months


  • Hemoglobin at least 9.0 g/dL
  • WBC at least 3,500/mm3
  • Absolute neutrophil count at least 1,500/mm3
  • Platelet count at least 100,000/mm3


  • Bilirubin no greater than 1.5 times upper limit of normal (ULN) unless liver metastases present
  • Alkaline phosphatase no greater than 2 times ULN*
  • SGOT no greater than 2 times ULN* NOTE: *No greater than 5 times ULN if liver metastases present


  • Creatinine no greater than 1.5 times ULN
  • Creatinine clearance at least 60 mL/min


  • No symptomatic cardiac disease, including clinical congestive heart failure or arrhythmias requiring treatment
  • No myocardial infarction within the past 3 months


  • No other malignancy except basal or squamous cell skin cancer or carcinoma in situ of the cervix
  • No uncontrolled infection
  • No complete bowel obstruction or other condition that would affect GI absorption or motility
  • No concurrent medical condition for which treatment with platinum, taxane, or camptothecin analogues are contraindicated
  • No other concurrent medical conditions that would preclude study
  • No mental disease
  • No history of allergy to platinum or taxanes, including drugs containing cremophor (e.g., cyclosporine or vitamin K)
  • Not pregnant or nursing
  • Fertile patients must use effective contraception


Biologic therapy:

  • No concurrent immunotherapy


  • No prior camptothecin analogue
  • No prior chemotherapy for ovarian cancer
  • No other concurrent chemotherapy

Endocrine therapy:

  • See Disease Characteristics
  • No concurrent hormonal therapy other than estrogen replacement


  • No concurrent radiotherapy


  • See Disease Characteristics


  • At least 30 days or 5 half-lives since any prior investigational therapy
  • No other concurrent investigational therapy
  • No concurrent metoclopramide or cisapride
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its identifier: NCT00003732

Rigshospitalet - Copenhagen University Hospital
Copenhagen, Denmark, 2100
Sponsors and Collaborators
Rigshospitalet, Denmark
Study Chair: Svend Aage Engelholm, MD Rigshospitalet, Denmark
  More Information Identifier: NCT00003732     History of Changes
Other Study ID Numbers: DAN-104864/373
CDR0000066847 ( Registry Identifier: PDQ (Physician Data Query) )
Study First Received: November 1, 1999
Last Updated: August 9, 2013

Keywords provided by National Cancer Institute (NCI):
stage IIB ovarian epithelial cancer
stage IIC ovarian epithelial cancer
stage IIIA ovarian epithelial cancer
stage IIIB ovarian epithelial cancer
stage IIIC ovarian epithelial cancer
stage IV ovarian epithelial cancer

Additional relevant MeSH terms:
Ovarian Neoplasms
Endocrine Gland Neoplasms
Neoplasms by Site
Ovarian Diseases
Adnexal Diseases
Genital Diseases, Female
Genital Neoplasms, Female
Urogenital Neoplasms
Endocrine System Diseases
Gonadal Disorders
Albumin-Bound Paclitaxel
Antineoplastic Agents, Phytogenic
Antineoplastic Agents
Tubulin Modulators
Antimitotic Agents
Mitosis Modulators
Molecular Mechanisms of Pharmacological Action
Topoisomerase I Inhibitors
Topoisomerase Inhibitors
Enzyme Inhibitors processed this record on August 18, 2017