Ovarian CancerPhase 2MITO-11NCT01644825
Weekly Paclitaxel With or Without Pazopanib in Platinum Resistant or Refractory Ovarian Cancer
A Phase 2 study testing paclitaxel and pazopanib in people with Ovarian Cancer, run by National Cancer Institute, Naples at 20 sites in Italy.
Trial summary
The purpose of this study is to evaluate the safety and activity of adding pazopanib to weekly chemotherapy with paclitaxel for patients with ovarian cancer that is resistant or refractory to treatment with platinum based therapy. Read more about this study
- Who is it for?
- Ages 18 to 75 years, women only
- Conditions the study is for
- Ovarian Cancer
- What is being tested?
- paclitaxel and pazopanib
- Type of treatment
- Pill or oral medicine, Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 72 participants
- Where
- 20 sitesItaly
- Study dates
- Dec 2010to 29 Dec 2015
- Phase
- Phase 2
- 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 to 75 years
- Women only
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Cytologic / histologic diagnosis of stage IC-IV ovarian cancer
- Disease progressed during first line chemotherapy or disease relapsed within 6 months after the last platinum treatment
- Disease evaluable by RECIST or Ca 125 GCIG criteria
- No residual peripheral neurotoxicity from previous chemotherapy treatment
- PS 0-1
- Aged at least 18 and not greater than 75 years.
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- Life expectancy of at least 3 months
- Able to swallow and retain oral medication
- Written informed consent prior to performance of study specific procedures or assessments
- Ability and willingness to comply with treatment and follow up assessments and procedures
Who cannot join
- • Previous or concomitant malignant neoplasia (not including basocellular or spinocellular skin carcinoma or in-situ carcinoma of the uterine cervix, provided they are being adequately treated)
- Previous treatment with weekly paclitaxel
- More than 2 previous chemotherapy treatments
- Serious heart disease, including heart failure, atrioventricular block of any degree, serious arrhythmia or history of any one or more of the following cardiovascular conditions within the past 6 months: cardiac angioplasty or stenting, myocardial infarction, unstable angina, symptomatic peripheral vascular disease, coronary artery by-pass graft surgery, class II, III or IV congestive heart failure as defined by the New York Heart Association (NYHA)
- Hemoglobin < 9 g/dL, neutrophils < 1500/mm3, platelets < 100000/mm3
- Impairment of renal function (patients should have 2 functioning kidneys): creatinine 1.5 times the upper normal limit - UNL; calculated creatinine clearance < 50 mL/min; urine protein to creatinine ratio > or = 1: then, a 24-hour urine protein must be assessed and subject must have a 24-hour urine protein value <1gr to be eligible
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- Impairment of liver function (SGOT or SGPT > or = 2.5 UNL, alkaline phosphatase > 2.5 ULN, total bilirubin > 1.5 times the UNL)
- Prothrombin time (PT) or international normalized ratio (INR) or activated partial thromboplastin time (PTT) > 1.2 times the UNL
- Pregnancy, breast feeding, or inadequate contraception
- Unable to discontinue prohibited medications (see protocol section 6.7)
- Clinically significant gastrointestinal abnormalities which might interfere with oral dosing, including but not limited to malabsorption syndrome, major resection of the stomach or small bowel that could affect drug absorption, active peptic ulcer disease, inflammatory bowel disease, ulcerative colitis, other gastrointestinal conditions with increased risk of perforation, history of abdominal fistula, gastrointestinal perforation, or intra-abdominal abscess within 28 days prior to beginning study treatment, signs or symptoms of GI obstruction
- Any unstable or serious concurrent condition
- Prolongation of corrected QT interval (QTc) >480 ms
- History of cerebrovascular accident, pulmonary embolism or untreated deep venous thrombosis (DVT) within the past 6 months
- Macroscopic hematuria
- Major surgery or trauma within 30 days
- Hypertension uncontrolled with adequate therapy (systolic blood pressure (BP) of > or = 140mmHg, or diastolic BP of > or = 90mmHg)
- Any ongoing toxicity from prior anti-cancer therapy that is >Grade 1 and/or that is progressing in severity
- Present or suspected haemorrhagic syndromes
- Patients' inability to access the centre due to area of residence
Trial locations and contacts
20 sites in 1 country.
20 sites in 1 country
Italy20 sites
Osp. Regionale Mulli
Acquaviva delle Fonti
Ospedale San donato
Arezzo
A.O. G. Rummo
Benevento
Ospedale Bellaria
Bologna
Ospedale Senatore Antonio Perrino
Brindisi
A.O. Garibaldi Nesimadi Catania
Catania
Ospedale Civile di Faenza
Faenza
A.O.U. Arcispedale Sant'Anna di Ferrara
Ferrara
Ospedale Fabrizio Spaziani della ASL di Frosinone
Frosinone
Ospedale Umbero I
Lugo
Istituto Nazionale Tumori
Milan
A.O. Univeristaria Policlinico
Modena
Istituto Nazionale dei Tumori , Oncologia Medica - Dipartimento Uro-Ginecologico
Naples, 80131
Seconda Universita di Napoli
Naples
Ospedale Silvestrini
Perugia
Ospedale S. Maria delle Croci AUSL di Ravenna
Ravenna
A.O. Bainchi Melacrino Morelli Osp. Riuniti
Reggio Calabria
Ospedale degli Infermi, P.O. Ospedale Civile
Rimini
Policlinico Umberto I
Roma
Policlinico Universitario Gemelli Università Cattolica del Sacro Cuore
Roma
About this study
Official title: MITO-11: A Randomized Multicentre Phase II Trial With Pazopanib and Weekly Paclitaxel vs Weekly Paclitaxel in Platinum Resistant or Refractory Ovarian Cancer
The purpose of this study is to evaluate the safety and activity of adding pazopanib to weekly chemotherapy with paclitaxel for patients with ovarian cancer that is resistant or refractory to treatment with platinum based therapy.
- Conditions
- Ovarian Cancer
- Being tested
- paclitaxel, pazopanib
- Keywords
- platinum resistant, platinum refractory
- Medical subject headings
- Ovarian Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
paclitaxelDrug
80 mg/m2 IV days 1, 8, 15 every 28 days
pazopanibDrug
orally, 800 mg orally daily
| Study group | Role | What they receive |
|---|---|---|
| paclitaxel and pazopanib | Experimental | Not described Receives: Drug: paclitaxel; Drug: pazopanib |
| paclitaxel | Active comparator | Not described Receives: Drug: paclitaxel |
What is being measured
The primary outcome is the main question the study is designed to answer.
progression free survival
Measured: 6 months from randomization
Secondary outcomes (3)
number of patients with objective response
Measured: at 2 months and 4 months after randomization
worst grade toxicity per patient
Measured: at end of each 28 day cycle of therapy
overall survival
Measured: one year from randomization
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted19 Jul 2012 (estimated)
- Study startDec 2010
- Primary completionMay 2014
- Study completion29 Dec 2015
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (2)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 2
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 72 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, NaplesCiro Gallo, M.D., Ph.D., Principal investigator, University of Campania Luigi Vanvitelli
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01644825
- Sponsor's protocol ID
- MITO-11
- Other IDs
- 2009-016151-21, 2009
- Acronym
- MITO-11
- Status last verified
- Apr 2018
- First submitted
- 17 Jul 2012
- Last updated
- 9 Apr 2018
- Results posted
- No
- Data monitoring committee
- No
Publications
Pignata S, Lorusso D, Scambia G, Sambataro D, Tamberi S, Cinieri S, Mosconi AM, Orditura M, Brandes AA, Arcangeli V, Panici PB, Pisano C, Cecere SC, Di Napoli M, Raspagliesi F, Maltese G, Salutari V, Ricci C, Daniele G, Piccirillo MC, Di Maio M, Gallo C, Perrone F; MITO 11 investigators. Pazopanib plus weekly paclitaxel versus weekly paclitaxel alone for platinum-resistant or platinum-refractory advanced ovarian cancer (MITO 11): a randomised, open-label, phase 2 trial. Lancet Oncol. 2015 May;16(5):561-8. doi: 10.1016/S1470-2045(15)70115-4. Epub 2015 Apr 14.
PubMed 25882986Gaitskell K, Rogozinska E, Platt S, Chen Y, Abd El Aziz M, Tattersall A, Morrison J. Angiogenesis inhibitors for the treatment of epithelial ovarian cancer. Cochrane Database Syst Rev. 2023 Apr 18;4(4):CD007930. doi: 10.1002/14651858.CD007930.pub3.
PubMed 37185961
Study at a glance
From the registry record, last updated by the sponsor on 9 Apr 2018. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- MITO-11: A Randomized Multicentre Phase II Trial With Pazopanib and Weekly Paclitaxel vs Weekly Paclitaxel in Platinum Resistant or Refractory Ovarian Cancer
- ClinicalTrials.gov ID
- NCT01644825
- Acronym / sponsor ID
- MITO-11 / MITO-11
- Conditions
- Ovarian Cancer
- Keywords
- platinum resistant, platinum refractory
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 72 participants (estimated)
- Lead sponsor
- National Cancer Institute, NaplesUniversity, hospital or other
- Study start
- Dec 2010 (actual)
- Primary completion
- May 2014 (actual)
- Study completion
- 29 Dec 2015 (actual)
- First posted
- 19 Jul 2012 (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 evaluate the safety and activity of adding pazopanib to weekly chemotherapy with paclitaxel for patients with ovarian cancer that is resistant or refractory to treatment with platinum based therapy.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| paclitaxel and pazopanib | Experimental | Drug: paclitaxel, Drug: pazopanib |
| paclitaxel | Active comparator | Drug: paclitaxel |
Who may qualify
- Ages
- 18 to 75 years
- Sex
- Female only
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (10 listed)
- Cytologic / histologic diagnosis of stage IC-IV ovarian cancer
- Disease progressed during first line chemotherapy or disease relapsed within 6 months after the last platinum treatment
- Disease evaluable by RECIST or Ca 125 GCIG criteria
- No residual peripheral neurotoxicity from previous chemotherapy treatment
- PS 0-1
Key exclusion criteria (20 listed)
- • Previous or concomitant malignant neoplasia (not including basocellular or spinocellular skin carcinoma or in-situ carcinoma of the uterine cervix, provided they are being adequately treated)
- Previous treatment with weekly paclitaxel
- More than 2 previous chemotherapy treatments
- Serious heart disease, including heart failure, atrioventricular block of any degree, serious arrhythmia or history of any one or more of the following cardiovascular conditions within the past 6 months: cardiac angioplasty or stenting, myocardial infarction, unstable angina, symptomatic peripheral vascular disease, coronary artery by-pass graft surgery, class II, III or IV congestive heart failure as defined by the New York Heart Association (NYHA)
- Hemoglobin < 9 g/dL, neutrophils < 1500/mm3, platelets < 100000/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 |
|---|---|---|
| paclitaxel80 mg/m2 IV days 1, 8, 15 every 28 days | Drug | paclitaxel, paclitaxel and pazopanib |
| pazopaniborally, 800 mg orally daily | Drug | paclitaxel and pazopanib |
Primary outcome
progression free survival
Time frame: 6 months from randomization
3 secondary outcomes
number of patients with objective response
Time frame: at 2 months and 4 months after randomization
worst grade toxicity per patient
Time frame: at end of each 28 day cycle of therapy
overall survival
Time frame: one year from randomization
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 9 Apr 2018.
- Background: PubMed 25882986Pignata S, Lorusso D, Scambia G, Sambataro D, Tamberi S, Cinieri S, Mosconi AM, Orditura M, Brandes AA, Arcangeli V, Panici PB, Pisano C, Cecere SC, Di Napoli M, Raspagliesi F, Maltese G, Salutari V, Ricci C, Daniele G, Piccirillo MC, Di Maio M, Gallo C, Perrone F; MITO 11 investigators. Pazopanib plus weekly paclitaxel versus weekly paclitaxel alone for platinum-resistant or platinum-refractory advanced ovarian cancer (MITO 11): a randomised, open-label, phase 2 trial. Lancet Oncol. 2015 May;16(5):561-8. doi: 10.1016/S1470-2045(15)70115-4. Epub 2015 Apr 14.
- Derived from this study: PubMed 37185961Gaitskell K, Rogozinska E, Platt S, Chen Y, Abd El Aziz M, Tattersall A, Morrison J. Angiogenesis inhibitors for the treatment of epithelial ovarian cancer. Cochrane Database Syst Rev. 2023 Apr 18;4(4):CD007930. doi: 10.1002/14651858.CD007930.pub3.
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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
Ciro Gallo, M.D., Ph.D. principal investigator
University of Campania Luigi Vanvitelli
20 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing paclitaxel and pazopanib in people with Ovarian Cancer, run by National Cancer Institute, Naples at 20 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 10 inclusion and 20 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: finished, as of the sponsor's last update on 9 Apr 2018. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 20 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 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
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 (time frame: 6 months from randomization). 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 NCT01644825, which also lists 2 linked publications.
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 9 Apr 2018.