Hycamtin Plus Carboplatin Versus Established Regimens for the Treatment of Ovarian Cancer Relapse (HECTOR)
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ClinicalTrials.gov Identifier: NCT00437307 |
Recruitment Status :
Completed
First Posted : February 21, 2007
Last Update Posted : September 22, 2016
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Determination of progression free survival after 12 months of FU
Determination of total survival, response and quality of life
Condition or disease | Intervention/treatment | Phase |
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Ovarian Cancer | Drug: Topotecan | Phase 3 |
In Germany there are two established therapy regimes for platin sensitive ovarian cancer: the combination of carboplatin and paclitaxel as well as the combination of carboplatin with gemcitabine. Choice of therapy is individual due to missing randomized comparisons between the regimes. Topotecan has shown good efficacy in second-line therapy of ovarian cancer as well as a good, especially, non-hematoxic toxicity profile. Several phase II-studies have demonstrated a synergistic effect of topotecan in combination with carboplatin exhibiting good efficacy and tolerability.
It shall be tested in this randomized phase III-study if the combination of topotecan and carboplatin shows improvement of progression-free survival in comparison to the standard regimes.
Study Type : | Interventional (Clinical Trial) |
Actual Enrollment : | 550 participants |
Allocation: | Randomized |
Intervention Model: | Parallel Assignment |
Masking: | None (Open Label) |
Primary Purpose: | Treatment |
Official Title: | Topotecan Plus Carboplatin im Vergleich Zur Standardtherapie (Paclitaxel Plus Carboplatin Oder Gemcitabin Plus Carboplatin) in Der Therapie Von Patientinnen Mit Platin-sensitivem Rezidivierten Epithelialen Ovarialkarzinom, Peritonealkarzinom Oder Tubenkarzinom |
Study Start Date : | March 2007 |
Actual Primary Completion Date : | July 2013 |
Actual Study Completion Date : | June 2015 |

Arm | Intervention/treatment |
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Active Comparator: 1
Topotecan: 0,75 mg/m²/d, Tage 1-3 und Carboplatin: AUC 5 (after Cockroft and Gault formula) am Tag 3 nach Topotecan, q 21d.
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Drug: Topotecan
Topotecan: 0,75 mg/m²/d, day 1-3, and Carboplatin: AUC 5 (after Cockroft and Gault Formula) on day 3 after Topotecan, q 21d
Other Name: Hycamtin |
No Intervention: 2
Paclitaxel 175 mg/m2/d, day 1 and Carboplatin: AUC 5 (after Cockroft and Gault formula), day 1, q21d OR gemcitabine 1000 mg/m2/d, day 1 and 8 and Carboplatin AUC 4 (after Cockroft and Gault formula), day 1, q 21d.
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- progression-free survival [ Time Frame: after 1 year-follow-up ]
- overall survival, efficacy and tolerability of the regimes and quality of life [ Time Frame: during study and follow-up ]

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Ages Eligible for Study: | 18 Years and older (Adult, Older Adult) |
Sexes Eligible for Study: | Female |
Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Women ≥18 years of age with platinum-sensitive recurrent ovarian cancer occurring at least six months after completion of primary standard therapy are eligible
- Patients with measurable or assessable lesions or CA-125 ≥ 2x ULN an Eastern Co-operative Oncology Group (ECOG) performance status ≤ 2
- All patients will provide written informed consent
Exclusion Criteria:
- Patients with more than two chemotherapies in their history
- Progress less than six months after completion of primary standard therapy
- Simultaneous or planned radiation
- Any known hypersensitivity to topotecan, carboplatin, paclitaxel or gemcitabine
- Patients with infection
- Patients who are pregnant or breast feeding

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT00437307
Germany | |
Charité Campus Virchow Klinikum | |
Berlin, Germany, 13353 |
Study Chair: | Jalid Sehouli | Charité Campus Vichow Klinikum |
Responsible Party: | North Eastern German Society of Gynaecological Oncology |
ClinicalTrials.gov Identifier: | NCT00437307 |
Other Study ID Numbers: |
3104000 |
First Posted: | February 21, 2007 Key Record Dates |
Last Update Posted: | September 22, 2016 |
Last Verified: | September 2016 |
Individual Participant Data (IPD) Sharing Statement: | |
Plan to Share IPD: | No |
Topotecan Ovarian Neoplasms Carcinoma, Ovarian Epithelial Endocrine Gland Neoplasms Neoplasms by Site Neoplasms Ovarian Diseases Adnexal Diseases Genital Diseases, Female Female Urogenital Diseases Female Urogenital Diseases and Pregnancy Complications Urogenital Diseases Genital Neoplasms, Female |
Urogenital Neoplasms Genital Diseases Endocrine System Diseases Gonadal Disorders Carcinoma Neoplasms, Glandular and Epithelial Neoplasms by Histologic Type Topoisomerase I Inhibitors Topoisomerase Inhibitors Enzyme Inhibitors Molecular Mechanisms of Pharmacological Action Antineoplastic Agents |