Ovarian CancerPhase 3MITO-7NCT00660842
Study Comparing Weekly Versus Every 3 Week Chemotherapy in Patients With Ovarian Cancer
A Phase 3 study testing carboplatin and paclitaxel in people with Ovarian Cancer, run by National Cancer Institute, Naples at 28 sites in Italy.
Trial summary
The purpose of this study is to study efficacy and the effects on quality of life in women with ovarian cancer treated with a weekly schedule of chemotherapy with carboplatin and paclitaxel compared to those treated with standard every 3 weeks schedule of the same chemotherapy. Read more about this study
- Who is it for?
- Ages 18 years and older, women only
- Conditions the study is for
- Ovarian Cancer
- What is being tested?
- carboplatin and paclitaxel
- Type of treatment
- Injection or infusion, Surgery or procedure
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 800 participants
- Where
- 28 sitesItaly
- Study dates
- Nov 2008to Nov 2024
- 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
Who may be able to join
- Cytologic or histologic diagnosis of ovarian carcinoma of the ovary, fallopian tube or primary peritoneal carcinoma, stage IC-IV
- Indication for chemotherapy
- Age > 18 years
- Life expectancy of at least 3 months
Who cannot join
- Previous or concomitant malignant malignancy (excluding adequately treated baso-or squamocellular carcinoma of the skin and carcinoma in situ of the cervix, and synchronous endometrioid carcinoma Stage Ib or less for the uterus, with ovarian tumor Stage II or higher)
- Performance Status (ECOG) > or = 3.
- Previous chemotherapy
- Heart disease (congestive heart failure, myocardial infarction within 6 months from study entry, atrioventricular block of any grade, severe arrhythmias)
- Neutrophils < 2000 x mm3, platelets < 100000 x mm3
- Inadequate renal function (creatinine > or = 1.25 x normal values) or liver function (ALT or AST > or = 1.25 x normal values)
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- Present or suspected hemorrhagic syndromes
- Inability to comply with protocol and follow-up
- Inability to access study site for clinical visits
- Refusal of informed consent
Trial locations and contacts
28 sites in 1 country.
28 sites in 1 country
Italy28 sites
Ospedale Mazzoni
Ascoli Piceno
Centro di Riferimento Oncologico, Divisione di Oncolgia Medica C
Aviano, PN, 33081
IRCCS Oncologico Bari, Oncologia Medica
Bari, BA, 70126
Policlinico Universitario
Bari
Universita di Bari Policinico I Clinical Ostetrica e Ginecologica
Bari
Ospedale Fatebenefratelli, U.O. di Oncologia
Benevento, BN, 82100
Azienda Ospedaliera G. Rummo
Benevento, BN
Ospedale Fatebenefratelli
Benevento
Ospedale Riuniti di Bergamo, U.O. di Ostetricia e Ginecologia
Bergamo, BG, 24128
Ospedale Senatore Antonio Perrino
Brindisi
Università Cattolica del Sacro Cuore, Dipartimento di Oncologia
Campobasso, CB, 86100
Universita Cattolica del Sacro Cuore
Campobasso
Ospedale A. Manzoni
Lecco
Azienda Ospedaliera C. Poma
Mantua, MN, 46100
Istituto Nazionale Tumori
Milan
A.O. Univeristaria Policlinico
Modena
Azienda Ospedaliera D. Cotugno
Naples, 80131
Istituto Nazionale dei Tumori , Oncologia Medica - Dipartimento Uro-Ginecologico
Naples, 80131
Università Federico II, Cattedra di Oncologia Medica
Naples
Azienda Ospedaliera V. Cervello
Palermo, PA
Ospedale S. Massimo, Day Hospital Oncologico
Penne, PE, 65017
Ospedale Silvestrini
Perugia
Ospedale Civile S. Spirito
Pescara
A.O. S. Maria degli Angeli
Pordenone
Ospedale S. Giovanni Calibita Fatebenefratelli, UO di Oncologia
Roma
Ospedale S. Chiara
Trento, TN, 38100
A.O. di Udine S. Maria della Misericordia
Udine
Ospedale S. Bortolo ULSS 6, U.O. di Oncologia Medica
Vicenza, VI, 36100
About this study
Official title: Weekly Versus Every 3 Week Carboplatin and Paclitaxel in Patients With Ovarian Cancer: a Phase III Randomized Multicenter Study
The purpose of this study is to study efficacy and the effects on quality of life in women with ovarian cancer treated with a weekly schedule of chemotherapy with carboplatin and paclitaxel compared to those treated with standard every 3 weeks schedule of the same chemotherapy.
Read the detailed description
The standard first-line treatment of ovarian cancer is combination chemotherapy with carboplatin and paclitaxel, given every 3 weeks. Researchers are looking at new ways of giving chemotherapy to make it more tolerable and more effective. One way is by giving the chemotherapy more often in smaller doses. This approach can be associated with fewer or less troubling side effects. Some chemotherapy drugs such as paclitaxel have been shown to also be more active when given once a week rather than once every 3 week schedule.
- Conditions
- Ovarian Cancer
- Being tested
- carboplatin, paclitaxel
- Keywords
- quality of life, weekly therapy, neurotoxicity
- Medical subject headings
- Ovarian Neoplasms, Neurotoxicity Syndromes
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
carboplatinProcedure or surgery
AUC 6 IV day 1 every 21 days
paclitaxelDrug
175 mg/m2 IV day 1 every 21 days
carboplatinDrug
AUC 2 IV every week
paclitaxelDrug
60mg/m2 IV every week
| Study group | Role | What they receive |
|---|---|---|
| A | Experimental | weekly chemotherapy Receives: Drug: carboplatin; Drug: paclitaxel |
| B | Active comparator | every 3 weeks chemotherapy Receives: Procedure: carboplatin; Drug: paclitaxel |
What is being measured
The primary outcome is the main question the study is designed to answer.
quality of life
Measured: weekly for the first 9 weeks of therapy, then every 3 weeks until the completion of therapy
progression free survival
Measured: every 6 months
Secondary outcomes (6)
overall survival
Measured: 24 months
response rate
Measured: after 9 and 18 weeks of therapy
toxicity
Measured: weekly during therapy
describe the frequency and duration of symptoms in 12 months preceding ovarian cancer diagnosis
Measured: at study entry
describe time intervals of prediagnostic sentinel events (onset of persistent symptoms, first physician visit, diagnosis of ovarian cancer)
Measured: at study entry
describe patients' pathway to diagnosis of ovarian cancer according to modified Andersen's model of 'total patient delay'
Measured: at study entry
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted17 Apr 2008 (estimated)
- Study startNov 2008
- Primary completionNov 2024 (estimated)
- Study completionNov 2024 (estimated)
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 Ovarian CancerStudies of the same condition, open and under way.
- 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
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 800 participants (estimated)
Sponsor and investigators
- Lead sponsor
- National Cancer Institute, Naples
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
- Investigators
- Sandro Pignata, M.D., Ph.D., Principal investigator, National Cancer Institute, NaplesFrancesco Perrone, M.D., Ph.D., Principal investigator, National Cancer Institute, NaplesMarilina Piccirillo, M.D.,, Principal investigator, National Cancer Institute, NaplesCiro Gallo, M.D., Ph.D., Principal investigator, University of Campania Luigi Vanvitelli
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00660842
- Sponsor's protocol ID
- MITO-7
- Other IDs
- 2008-001754-40, 2008
- Acronym
- MITO-7
- Status last verified
- Mar 2023
- First submitted
- 15 Apr 2008
- Last updated
- 24 Mar 2023
- Results posted
- No
- Data monitoring committee
- No
Publications
Pignata S, Scambia G, Katsaros D, Gallo C, Pujade-Lauraine E, De Placido S, Bologna A, Weber B, Raspagliesi F, Panici PB, Cormio G, Sorio R, Cavazzini MG, Ferrandina G, Breda E, Murgia V, Sacco C, Cinieri S, Salutari V, Ricci C, Pisano C, Greggi S, Lauria R, Lorusso D, Marchetti C, Selvaggi L, Signoriello S, Piccirillo MC, Di Maio M, Perrone F; Multicentre Italian Trials in Ovarian cancer (MITO-7); Groupe d'Investigateurs Nationaux pour l'Etude des Cancers Ovariens et du sein (GINECO); Mario Negri Gynecologic Oncology (MaNGO); European Network of Gynaecological Oncological Trial Groups (ENGOT-OV-10); Gynecologic Cancer InterGroup (GCIG) Investigators. Carboplatin plus paclitaxel once a week versus every 3 weeks in patients with advanced ovarian cancer (MITO-7): a randomised, multicentre, open-label, phase 3 trial. Lancet Oncol. 2014 Apr;15(4):396-405. doi: 10.1016/S1470-2045(14)70049-X. Epub 2014 Feb 28.
PubMed 24582486
Study at a glance
From the registry record, last updated by the sponsor on 24 Mar 2023. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Weekly Versus Every 3 Week Carboplatin and Paclitaxel in Patients With Ovarian Cancer: a Phase III Randomized Multicenter Study
- ClinicalTrials.gov ID
- NCT00660842
- Acronym / sponsor ID
- MITO-7 / MITO-7
- Conditions
- Ovarian Cancer
- Keywords
- quality of life, weekly therapy, neurotoxicity
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Unknown status
- Enrolment
- 800 participants (estimated)
- Lead sponsor
- National Cancer Institute, NaplesUniversity, hospital or other
- Study start
- Nov 2008 (actual)
- Primary completion
- Nov 2024 (estimated)
- Study completion
- Nov 2024 (estimated)
- First posted
- 17 Apr 2008 (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.
The purpose of this study is to study efficacy and the effects on quality of life in women with ovarian cancer treated with a weekly schedule of chemotherapy with carboplatin and paclitaxel compared to those treated with standard every 3 weeks schedule of the same chemotherapy.
Detailed description
The standard first-line treatment of ovarian cancer is combination chemotherapy with carboplatin and paclitaxel, given every 3 weeks. Researchers are looking at new ways of giving chemotherapy to make it more tolerable and more effective. One way is by giving the chemotherapy more often in smaller doses. This approach can be associated with fewer or less troubling side effects. Some chemotherapy drugs such as paclitaxel have been shown to also be more active when given once a week rather than once every 3 week schedule.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| A | Experimental | Drug: carboplatin, Drug: paclitaxelweekly chemotherapy |
| B | Active comparator | Procedure: carboplatin, Drug: paclitaxelevery 3 weeks chemotherapy |
Who may qualify
- Ages
- 18 years and older
- Sex
- Female only
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (4 listed)
- Cytologic or histologic diagnosis of ovarian carcinoma of the ovary, fallopian tube or primary peritoneal carcinoma, stage IC-IV
- Indication for chemotherapy
- Age > 18 years
- Life expectancy of at least 3 months
Key exclusion criteria (10 listed)
- Previous or concomitant malignant malignancy (excluding adequately treated baso-or squamocellular carcinoma of the skin and carcinoma in situ of the cervix, and synchronous endometrioid carcinoma Stage Ib or less for the uterus, with ovarian tumor Stage II or higher)
- Performance Status (ECOG) > or = 3.
- Previous chemotherapy
- Heart disease (congestive heart failure, myocardial infarction within 6 months from study entry, atrioventricular block of any grade, severe arrhythmias)
- Neutrophils < 2000 x mm3, platelets < 100000 x mm3
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 |
|---|---|---|
| carboplatinAUC 6 IV day 1 every 21 days | Procedure or surgery | B |
| paclitaxel175 mg/m2 IV day 1 every 21 days | Drug | B |
| carboplatinAUC 2 IV every week | Drug | A |
| paclitaxel60mg/m2 IV every week | Drug | A |
Primary outcome
quality of life
Time frame: weekly for the first 9 weeks of therapy, then every 3 weeks until the completion of therapy
progression free survival
Time frame: every 6 months
6 secondary outcomes
overall survival
Time frame: 24 months
response rate
Time frame: after 9 and 18 weeks of therapy
toxicity
Time frame: weekly during therapy
describe the frequency and duration of symptoms in 12 months preceding ovarian cancer diagnosis
Time frame: at study entry
describe time intervals of prediagnostic sentinel events (onset of persistent symptoms, first physician visit, diagnosis of ovarian cancer)
Time frame: at study entry
describe patients' pathway to diagnosis of ovarian cancer according to modified Andersen's model of 'total patient delay'
Time frame: at study entry
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 24 Mar 2023.
- Results publication: PubMed 24582486Pignata S, Scambia G, Katsaros D, Gallo C, Pujade-Lauraine E, De Placido S, Bologna A, Weber B, Raspagliesi F, Panici PB, Cormio G, Sorio R, Cavazzini MG, Ferrandina G, Breda E, Murgia V, Sacco C, Cinieri S, Salutari V, Ricci C, Pisano C, Greggi S, Lauria R, Lorusso D, Marchetti C, Selvaggi L, Signoriello S, Piccirillo MC, Di Maio M, Perrone F; Multicentre Italian Trials in Ovarian cancer (MITO-7); Groupe d'Investigateurs Nationaux pour l'Etude des Cancers Ovariens et du sein (GINECO); Mario Negri Gynecologic Oncology (MaNGO); European Network of Gynaecological Oncological Trial Groups (ENGOT-OV-10); Gynecologic Cancer InterGroup (GCIG) Investigators. Carboplatin plus paclitaxel once a week versus every 3 weeks in patients with advanced ovarian cancer (MITO-7): a randomised, multicentre, open-label, phase 3 trial. Lancet Oncol. 2014 Apr;15(4):396-405. doi: 10.1016/S1470-2045(14)70049-X. Epub 2014 Feb 28.
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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.
Sandro Pignata, M.D., Ph.D. principal investigator
National Cancer Institute, Naples
Francesco Perrone, M.D., Ph.D. principal investigator
National Cancer Institute, Naples
Marilina Piccirillo, M.D., principal investigator
National Cancer Institute, Naples
28 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing carboplatin and paclitaxel in people with Ovarian Cancer, run by National Cancer Institute, Naples at 28 sites in Italy.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 4 inclusion and 10 exclusion criteria. 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: status not confirmed, as of the sponsor's last update on 24 Mar 2023. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 28 sites in Italy. 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?
Results are not available in the source record.
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?
quality of life (time frame: weekly for the first 9 weeks of therapy, then every 3 weeks until the completion of therapy). The study lists 2 primary outcomes in all. 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 NCT00660842, 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 24 Mar 2023.