Fallopian Tube CancerPhase 3NCT00263822
Erlotinib or Observation in Treating Patients Who Have Undergone First-Line Chemotherapy for Ovarian Cancer, Peritoneal Cancer, or Fallopian Tube Cancer
A Phase 3 study testing erlotinib hydrochloride in people with Fallopian Tube Cancer and Ovarian Cancer, run by European Organisation for Research and Treatment of Cancer - EORTC at 92 sites in 8 countries.
Trial summary
RATIONALE: Erlotinib may stop the growth of tumor cells by blocking some of the enzymes needed for cell growth. Sometimes after treatment, the tumor may not need additional treatment until it progresses. In this case, observation may be sufficient. Read more about this study
- Who is it for?
- Ages 18 years and older, women only
- Conditions the study is for
- Fallopian Tube Cancer, Ovarian Cancer, Primary Peritoneal Cavity Cancer
- What is being tested?
- erlotinib hydrochloride
- How many people
- 835 participants
- Where
- 92 sitesin 8 countries
- Study dates
- Sep 2005to Feb 2008
- Phase
- Phase 3
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- Women only
- No healthy volunteers
- Adult, Older adult
DISEASE CHARACTERISTICS:
- Histologically confirmed ovarian epithelial, primary peritoneal, or fallopian tube cancer meeting 1 of the following criteria:
- High-risk stage I disease, as defined by grade 3, aneuploid grade 1 or 2, or clear cell disease
- Stage II, III, or IV disease
- Completed first-line therapy within the past 6 weeks
- Received a platinum derivative (carboplatin or cisplatin) alone or in combination with other agents for 6-9 courses
- Must have achieved complete response/no evidence of disease, partial response, or stabilization of disease after therapy
- No adenocarcinoma of unknown origin
- No known brain metastases or leptomeningeal disease
PATIENT CHARACTERISTICS:
Performance status
- ECOG 0-1
Life expectancy
- Not specified
Hematopoietic
- Platelet count ≥ 100,000/mm^3
- WBC ≥ 2,000/mm^3
Hepatic
- AST and ALT ≤ 2.5 times upper limit of normal (ULN) (≤ 5 times ULN in patients with known liver metastases)
- Bilirubin ≤ 1.5 times ULN
- Alkaline phosphatase ≤ 5 times ULN except in patients with known bone metastases
- PT and PTT ≤ 1.5 times ULN
Renal
- Creatinine ≤ 2 times ULN
Cardiovascular
- No myocardial infarction within past 6 months
- No second- or third-degree heart block without pacemaker
Gastrointestinal
- No active peptic ulcer disease
- No gastrointestinal tract disease that would interfere with ability to take oral medications, affect absorption, or require parenteral nutrition
- No uncontrolled inflammatory bowel disease (e.g., Crohn's disease or ulcerative colitis)
Other
- Not pregnant or nursing
- Negative pregnancy test
- Fertile patients must use effective contraception
- No significant dermatologic disease
- No inflammatory changes to the surface of the eye
- No history of allergic reaction to compounds of similar chemical composition as erlotinib
- No other significant medical condition or neurologic or psychiatric disorder
- No other malignancy within the past 5 years except adequately treated basal cell or squamous cell skin cancer or cone-biopsied carcinoma in situ of the cervix
- No psychiatric illness or familial, geographic, or social situation that would preclude study compliance
PRIOR CONCURRENT THERAPY:
Biologic therapy
- No prior therapy targeting epidermal growth factor receptor
- No concurrent immunotherapy
Chemotherapy
- See Disease Characteristics
- See Surgery
- No concurrent chemotherapy
Endocrine therapy
- No concurrent hormonal therapy
Radiotherapy
- No prior radiotherapy unless completed more than 5 years ago AND outside the abdomen/pelvis
Surgery
- Interval debulking surgery after 3 courses of chemotherapy and second-look surgery at the end of chemotherapy allowed as per study EORTC-55971/NCIC OV13/Chorus
Other
- No other prior or concurrent investigational agents
- No other concurrent anticancer treatment
- Concurrent participation in study EORTC-55971/NCIC-OV13/Chorus allowed
Trial locations and contacts
92 sites in 8 countries.
92 sites in 8 countries
France36 sites
Centre Hospitalier de L' Agglomeration Montargoise
Amilly, 45207
Centre Hospitalier General
Amilly, 45207
Centre Hospital General Robert Ballanger
Aulnay-sous-Bois, 93602
Centre Hospitalier Regional de Besancon - Hopital Jean Minjoz
Besançon, 25030
Institut Bergonie
Bordeaux, 33076
Clinique Tivoli
Bordeaux, F-33000
Polyclinique Bordeaux Nord Aquitaine
Boucher, 33300
Centre Regional Francois Baclesse
Caen, 14076
Centre Hospitalier Regional de Chambery
Chambéry, 73011
Centre Jean Perrin
Clermont-Ferrand, 63011
Hopital Louis Pasteur
Colmar, 68024
Centre Hospitalier de Dax
Dax, 40107
Clinique Pasteur
Évreux, 27000
Centre Hospitalier de Gap
Gap, 05007
Centre Hospitalier Departemental
La Roche-sur-Yon, F-85025
Clinique Victor Hugo
Le Mans, F-72000
Centre Hospitalier Bretagne Sud
Lorient, 56322
Centre Leon Berard
Lyon, 69373
Hopital Saint Joseph
Marseille, 13008
Centre Hospitalier General de Mont de Marsan
Mont-de-Marsan, 40000
Centre Hospitalier General Andre Boulloche
Montbéliard, 25209
Centre Hospitalier de Montlucon
Montluçon, 03109
Centre Regional de Lutte Contre le Cancer - Centre Val d'Aurelle
Montpellier, 34298
Hotel Dieu de Paris
Paris, 75181
Institut Curie Hopital
Paris, 75248
Polyclinique Francheville
Périgueux, 24004
Centre Hospitalier Lyon Sud
Pierre-Bénite, 69495
CHU Poitiers
Poitiers, 86021
Institut Jean Godinot
Reims, 51056
Centre Eugene Marquis
Rennes, 35042
Clinique Armoricaine De Radiologie
Saint-Brieuc, F-22015
Centre Paul Strauss
Strasbourg, 67065
Hopitaux Universitaire de Strasbourg
Strasbourg, 67091
Centre Hospitalier Universitaire Bretonneau de Tours
Tours, 37044
Centre Hospitalier Valence
Valence, 26000
Centre Alexis Vautrin
Vandœuvre-lès-Nancy, 54511
United Kingdom25 sites
Bronglais District General Hospital
Aberystwyth, Wales, SY23 1ER
Stoke Mandeville Hospital
Aylesbury-Buckinghamshire, England, HP21 8AL
North Devon District Hospital
Barnstaple, England, EX31 4JB
Royal United Hospital
Bath, England, BA1 3NG
City Hospital - Birmingham
Birmingham, England, B18 7QH
Velindre Cancer Center at Velindre Hospital
Cardiff, Wales, CF14 2TL
Cumberland Infirmary
Carlisle, England, CA2 7HY
Queen Elizabeth Hospital
Gateshead, England, NE9 6SX
Gartnavel General Hospital
Glasgow, Scotland, G12 0YN
Ipswich Hospital
Ipswich, England, IP4 5PD
University College Hospital
London, England, NW1 2BU
Mid Kent Oncology Centre at Maidstone Hospital
Maidstone, England, ME16 9QQ
Queen Elizabeth The Queen Mother Hospital
Margate, England, CT9 4AN
Clatterbridge Centre for Oncology
Merseyside, England, CH63 4JY
James Cook University Hospital
Middlesbrough, England, TS4 3BW
St. Mary's Hospital
Newport, England, PO30 5TG
Mount Vernon Cancer Centre at Mount Vernon Hospital
Northwood, England, HA6 2RN
Norfolk and Norwich University Hospital
Norwich, England, NR4 7UY
Royal Preston Hospital
Preston, England, PR2 9HT
Royal Shrewsbury Hospital
Shrewsbury, England, SY3 8XQ
Wexham Park Hospital
Slough, Berkshire, England, SL2 4HL
Southampton General Hospital
Southampton, England, SO16 6YD
Staffordshire General Hospital
Stafford, England, ST16 3SA
South West Wales Cancer Institute
Swansea, Wales, SA2 8QA
Yeovil District Hospital
Yeovil, England, BA21 4AT
Australia9 sites
Royal Brisbane and Women's Hospital
Brisbane, Queensland, 4029
Royal Women's Hospital
Carlton, Victoria, 3053
Frankston Hospital
Frankston, Victoria, 3199
Sir Charles Gairdner Hospital - Nedlands
Nedlands, Western Australia, 6009
Prince of Wales Private Hospital
Randwick, New South Wales, 2031
Tamworth Base Hospital
Tamworth, New South Wales, 2340
Manning Base Hospital
Taree, New South Wales, 2430
Newcastle Mater Misericordiae Hospital
Waratah, New South Wales, 2298
Murray Valley Private Hospital and Cancer Treatment Centre
Wodonga, Victoria, 3690
Italy8 sites
Centro di Riferimento Oncologico - Aviano
Aviano, 33081
Ospedale Sant Anna
Como, 22100
Ospedale Santa Maria Goretti
Latina, 04100
Ospedale Niguarda Ca'Granda
Milan, 20162
Ospedale San Gerardo
Monza, 20052
Universita di Torino
Turin, 10126
Azienda Sanitaria Ospedaliera Ordine Mauriziano
Turin, 10128
Ospedale di Circolo e Fondazione Macchi
Varese, 21100
Netherlands6 sites
Netherlands Cancer Institute - Antoni van Leeuwenhoek Hospital
Amsterdam, 1066 CX
Onze Lieve Vrouwe Gasthuis
Amsterdam, 1091 HA
Martini Ziekenhuis
Groningen
Leiden University Medical Center
Leiden, 2300 RC
Universitair Medisch Centrum St. Radboud - Nijmegen
Nijmegen, NL-6500 HB
Erasmus MC - Sophia Children's Hospital
Rotterdam, 3015 GJ
Spain5 sites
Institut d'Oncologia Corachan
Barcelona, 08017
Hospital Universitario San Carlos
Madrid, 28040
Hospital Universitario 12 de Octubre
Madrid, 28041
Hospital Universitario Central de Asturias
Oviedo, 33006
Instituto Valenciano De Oncologia
Valencia, 46009
Austria2 sites
Landeskrankenhaus Klagenfurt
Klagenfurt, 9026
A.o. Bezirkskrankenhaus Kufstein
Kufstein, 6330
About this study
Official title: A Randomized, Multicenter, Phase III Study of Erlotinib Versus Observation in Patients With no Evidence of Disease Progression After First Line, Platinum-Based Chemotherapy For High-Risk Ovarian Epithelial, Primary Peritoneal, or Fallopian Tube Cancer
RATIONALE: Erlotinib may stop the growth of tumor cells by blocking some of the enzymes needed for cell growth. Sometimes after treatment, the tumor may not need additional treatment until it progresses. In this case, observation may be sufficient. It is not yet known whether erlotinib is more effective than observation after first-line chemotherapy in treating patients with ovarian cancer, peritoneal cancer, or fallopian tube cancer.
PURPOSE: This randomized phase III trial is studying erlotinib to see how well it works compared to observation in treating patients who have undergone first-line chemotherapy for ovarian cancer, peritoneal cancer, or fallopian tube cancer.
Read the detailed description
OBJECTIVES:
Primary
- Compare the benefits, in terms of progression-free survival, of maintenance therapy comprising erlotinib vs observation in patients with responding or stable disease after first-line, platinum-based chemotherapy for high-risk stage I or stage II-IV ovarian epithelial, primary peritoneal, or fallopian tube cancer.
Secondary
- Compare the overall survival of patients treated with these regimens.
- Determine the safety of erlotinib in these patients.
- Compare the quality of life of patients treated with these regimens.
OUTLINE: This is a randomized, multicenter study. Patients are stratified according to disease stage (I-II vs III-IV), participating center, age (≤ 65 vs > 65), response to first-line therapy (no evidence of disease/complete response vs partial response vs stable disease), and first-line therapy (platinum-based vs platinum/taxane combination vs platinum-based triplet). Patients are randomized to 1 of 2 treatment arms.
- Arm I: Patients receive oral erlotinib once daily for up to 2 years in the absence of disease progression or unacceptable toxicity.
- Arm II: Patients undergo observation as per standard of care. Quality of life is assessed at baseline and then every 3 months for up to 2 years.
After completion of study treatment, patients are followed periodically.
PROJECTED ACCRUAL: A total of 830 patients will be accrued for this study.
- Being tested
- erlotinib hydrochloride
- Keywords
- stage I ovarian epithelial cancer, stage II ovarian epithelial cancer, stage III ovarian epithelial cancer, stage IV ovarian epithelial cancer, primary peritoneal cavity cancer, fallopian tube cancer
- Medical subject headings
- Fallopian Tube Neoplasms, Ovarian Neoplasms, Carcinoma, Ovarian Epithelial
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
erlotinib hydrochlorideDrug
What is being measured
The primary outcome is the main question the study is designed to answer.
Progression-free survival
Secondary outcomes (4)
Overall survival
Adverse event profile
Quality of life
Cutaneous toxicity (rash or acne [papulo-pustular rash])
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted9 Dec 2005 (estimated)
- Study startSep 2005
- Primary completionFeb 2008
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Fallopian Tube CancerStudies of the same condition, open and under way.
- More trials run by European Organisation for Research and Treatment of Cancer - EORTCThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Masking
- None (open label)
- Enrolment
- 835 participants (actual)
Sponsor and investigators
- Sponsor type
- Research network
- Responsible party
- Sponsor
- Investigators
- Antonio Jimeno, Study chair, Hospital Universitario 12 de Octubre
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00263822
- Sponsor's protocol ID
- EORTC-55041
- Other IDs
- EORTC-55041, EUDRACT-2004-004333-34
- Status last verified
- Aug 2013
- First submitted
- 7 Dec 2005
- Last updated
- 27 Aug 2013
- Results posted
- No
Publications
Vergote IB, Jimeno A, Joly F, Katsaros D, Coens C, Despierre E, Marth C, Hall M, Steer CB, Colombo N, Lesoin A, Casado A, Reinthaller A, Green J, Buck M, Ray-Coquard I, Ferrero A, Favier L, Reed NS, Cure H, Pujade-Lauraine E. Randomized phase III study of erlotinib versus observation in patients with no evidence of disease progression after first-line platin-based chemotherapy for ovarian carcinoma: a European Organisation for Research and Treatment of Cancer-Gynaecological Cancer Group, and Gynecologic Cancer Intergroup study. J Clin Oncol. 2014 Feb 1;32(4):320-6. doi: 10.1200/JCO.2013.50.5669. Epub 2013 Dec 23.
PubMed 24366937
Study at a glance
From the registry record, last updated by the sponsor on 27 Aug 2013. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Randomized, Multicenter, Phase III Study of Erlotinib Versus Observation in Patients With no Evidence of Disease Progression After First Line, Platinum-Based Chemotherapy For High-Risk Ovarian Epithelial, Primary Peritoneal, or Fallopian Tube Cancer
- ClinicalTrials.gov ID
- NCT00263822
- Acronym / sponsor ID
- EORTC-55041
- Keywords
- stage I ovarian epithelial cancer, stage II ovarian epithelial cancer, stage III ovarian epithelial cancer, stage IV ovarian epithelial cancer, primary peritoneal cavity cancer, fallopian tube cancer
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 835 participants (actual)
- Lead sponsor
- European Organisation for Research and Treatment of Cancer - EORTCResearch network
- Study start
- Sep 2005
- Primary completion
- Feb 2008 (actual)
- First posted
- 9 Dec 2005 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
RATIONALE: Erlotinib may stop the growth of tumor cells by blocking some of the enzymes needed for cell growth. Sometimes after treatment, the tumor may not need additional treatment until it progresses. In this case, observation may be sufficient. It is not yet known whether erlotinib is more effective than observation after first-line chemotherapy in treating patients with ovarian cancer, peritoneal cancer, or fallopian tube cancer.
PURPOSE: This randomized phase III trial is studying erlotinib to see how well it works compared to observation in treating patients who have undergone first-line chemotherapy for ovarian cancer, peritoneal cancer, or fallopian tube cancer.
Detailed description
OBJECTIVES:
Primary
- Compare the benefits, in terms of progression-free survival, of maintenance therapy comprising erlotinib vs observation in patients with responding or stable disease after first-line, platinum-based chemotherapy for high-risk stage I or stage II-IV ovarian epithelial, primary peritoneal, or fallopian tube cancer.
Secondary
- Compare the overall survival of patients treated with these regimens.
- Determine the safety of erlotinib in these patients.
- Compare the quality of life of patients treated with these regimens.
OUTLINE: This is a randomized, multicenter study. Patients are stratified according to disease stage (I-II vs III-IV), participating center, age (≤ 65 vs > 65), response to first-line therapy (no evidence of disease/complete response vs partial response vs stable disease), and first-line therapy (platinum-based vs platinum/taxane combination vs platinum-based triplet). Patients are randomized to 1 of 2 treatment arms.
- Arm I: Patients receive oral erlotinib once daily for up to 2 years in the absence of disease progression or unacceptable toxicity.
- Arm II: Patients undergo observation as per standard of care. Quality of life is assessed at baseline and then every 3 months for up to 2 years.
After completion of study treatment, patients are followed periodically.
PROJECTED ACCRUAL: A total of 830 patients will be accrued for this study.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Masking
- None (open label)
Who may qualify
- Ages
- 18 years and older
- Sex
- Female only
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| erlotinib hydrochloride | Drug | – |
Primary outcome
Progression-free survival
4 secondary outcomes
Overall survival
Adverse event profile
Quality of life
Cutaneous toxicity (rash or acne [papulo-pustular rash])
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 27 Aug 2013.
- Derived from this study: PubMed 24366937Vergote IB, Jimeno A, Joly F, Katsaros D, Coens C, Despierre E, Marth C, Hall M, Steer CB, Colombo N, Lesoin A, Casado A, Reinthaller A, Green J, Buck M, Ray-Coquard I, Ferrero A, Favier L, Reed NS, Cure H, Pujade-Lauraine E. Randomized phase III study of erlotinib versus observation in patients with no evidence of disease progression after first-line platin-based chemotherapy for ovarian carcinoma: a European Organisation for Research and Treatment of Cancer-Gynaecological Cancer Group, and Gynecologic Cancer Intergroup study. J Clin Oncol. 2014 Feb 1;32(4):320-6. doi: 10.1200/JCO.2013.50.5669. Epub 2013 Dec 23.
Related trials for Fallopian Tube Cancer
RecruitingPhase 2
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RecruitingPhase 3
Torvutatug Samrotecan Plus Bevacizumab as First-line Maintenance in Non-Homologous Recombination Deficiency (Non-HRD) Positive Advanced Epithelial Ovarian Cancer
Epithelial Ovarian Cancer
RecruitingPhase 2
At-Home Cancer Directed Therapy Versus in Clinic for the Treatment of Patients With Advanced Cancer
Advanced Anal Carcinoma, Advanced Biliary Tract Carcinoma
RecruitingObservational study
Clonal Hematopoiesis and Therapy-Emergent Myeloid Neoplasms in Patients With Cancers, CHANCES Study
Recurrent Fallopian Tube Carcinoma, Recurrent Ovarian Carcinoma
RecruitingPhase 2
Sacituzumab Govitecan With Bevacizumab Compared to Usual Chemotherapy (Carboplatin, Pegylated Liposomal Doxorubicin and Bevacizumab) for Treating Recurrent Platinum-Sensitive Ovarian Cancer After PARP Inhibitor Maintenance Therapy
Recurrent Platinum-Sensitive Fallopian Tube Endometrioid Adenocarcinoma, Recurrent Platinum-Sensitive Fallopian Tube High Grade Serous Adenocarcinoma
Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Antonio Jimeno study chair
Hospital Universitario 12 de Octubre
92 sites in 8 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing erlotinib hydrochloride in people with Fallopian Tube Cancer and Ovarian Cancer, run by European Organisation for Research and Treatment of Cancer - EORTC at 92 sites in 8 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 27 Aug 2013. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 92 sites in France, United Kingdom, Australia, Italy, Netherlands and 3 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Progression-free survival. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT00263822, which also lists 1 linked publication.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 27 Aug 2013.