Gemcitabine and Docetaxel in Treating Patients With Relapsed or Refractory Ovarian Epithelial or Peritoneal Cancer



Status:Active, not recruiting
Conditions:Ovarian Cancer, Cancer, Cancer, Cancer
Therapuetic Areas:Oncology
Healthy:No
Age Range:18 - 120
Updated:4/21/2016
Start Date:February 2004
End Date:December 2016

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Phase II Trial of Weekly Gemcitabine and Docetaxel Combination Therapy for Relapsed Ovarian or Peritoneal Cancer

RATIONALE: Drugs used in chemotherapy, such as gemcitabine and docetaxel, work in different
ways to stop the growth of tumor cells, either by killing the cells or by stopping them from
dividing. Giving more than one drug (combination chemotherapy) may kill more tumor cells.

PURPOSE: This phase II trial is studying how well giving gemcitabine together with docetaxel
works in treating patients with relapsed or refractory ovarian epithelial or peritoneal
cancer.

OBJECTIVES:

Primary

- Determine the response rate in patients with platinum-sensitive or -resistant relapsed
or refractory ovarian epithelial or peritoneal cavity cancer treated with gemcitabine
and docetaxel.

Secondary

- Determine the toxicity of this regimen in these patients.

- Determine the overall survival of patients treated with this regimen.

- Determine the time to treatment failure and progression-free survival of patients
treated with this regimen.

OUTLINE: This is a multicenter study. Patients are stratified according to response to prior
treatment with a platinum-containing regimen (platinum-resistant disease vs
platinum-sensitive disease).

Patients receive gemcitabine IV over 30 minutes and docetaxel IV over 30 minutes on days 1
and 8. Courses repeat every 21 days in the absence of disease progression or unacceptable
toxicity. Patients achieving a complete response (CR) receive 3 additional courses beyond CR
(≥ 6 total courses of treatment).

PROJECTED ACCRUAL: Approximately 36-62 patients (19-29 for stratum I [platinum-resistant
disease] and 17-33 for stratum II [platinum-sensitive disease]) will be accrued for this
study.

DISEASE CHARACTERISTICS:

- Histologically confirmed ovarian epithelial or peritoneal cavity cancer

- Relapsed or refractory disease after prior first-line therapy with a
platinum-containing regimen

- Platinum-sensitive or -resistant disease

- Platinum resistance is defined as relapsed or progressive disease within 6
months after completion of a platinum-containing regimen

- Measurable or evaluable disease

- Evaluable disease is defined as CA 125 > 70 U/mL that has doubled from a
baseline determination confirmed by ≥ 2 separate blood samples taken > 4 weeks
apart OR other evidence demonstrating progressive disease after initial
treatment regimen

PATIENT CHARACTERISTICS:

Age

- 18 and over

Performance status

- ECOG 0-2

Life expectancy

- Not specified

Hematopoietic

- WBC ≥ 3,000/mm^3

- Absolute neutrophil count ≥ 1,500/mm^3

- Platelet count ≥ 100,000/mm^3

- Hemoglobin ≥ 8.0 g/dL

Hepatic

- Bilirubin normal

- Meets 1 of the following criteria:

- AST or ALT normal AND alkaline phosphatase (AP) ≤ 5 times upper limit of normal
(ULN)

- AST or ALT ≤ 1.5 times ULN AND AP ≤ 2.5 times ULN

- AST or ALT ≤ 5 times ULN AND AP normal

Renal

- Creatinine clearance > 30 mL/min

- Creatinine < 2.5 mg/dL

Cardiovascular

- No congestive heart failure

- No second or third degree heart block

- No myocardial infarction within the past 3 months

Other

- Not pregnant or nursing

- Negative pregnancy test

- Fertile patients must use effective contraception

- No peripheral neuropathy > grade 1

- No other malignancy within the past 2 years except adequately treated skin cancer or
carcinoma in situ of the cervix

- No history of severe hypersensitivity reaction to drugs formulated with polysorbate
80

PRIOR CONCURRENT THERAPY:

Biologic therapy

- Not specified

Chemotherapy

- See Disease Characteristics

- Prior paclitaxel allowed

- No more than 1 prior chemotherapy regimen

- First-line platinum-based chemotherapy followed by consolidation therapy in the
setting of a clinical and serologic complete response is considered 1 regimen

- No prior gemcitabine or docetaxel

Endocrine therapy

- Not specified

Radiotherapy

- At least 4 weeks since prior radiotherapy and recovered

Surgery

- Not specified

Other

- More than 28 days since prior and no other concurrent investigational drugs for this
cancer

- No other concurrent treatment or alternative therapy for this cancer
We found this trial at
4
sites
4100 John R
Detroit, Michigan 48201
800-527-6266
Barbara Ann Karmanos Cancer Institute Karmanos is based in southeast Michigan, in midtown Detroit, and...
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Detroit, MI
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Annandale, Virginia 22003
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Annandale, VA
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300 W 10th Ave
Columbus, Ohio 43210
(800) 293-5066
Arthur G. James Cancer Hospital and Solove Research Institute at Ohio State University Medical Center...
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Columbus, OH
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18101 Oakwood Blvd
Dearborn, Michigan 48124
(313) 593-8620
Oakwood Cancer Center at Oakwood Hospital and Medical Center In today's health care environment, a...
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Dearborn, MI
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