Stage III Ovarian CancerPhase 3HOTTNCT05659381
Heated Intraperitoneal Chemotherapy Followed by Niraparib for Ovarian, Primary Peritoneal and Fallopian Tube Cancer
A Phase 3 study testing Cisplatin and No treatment in people with Stage III Ovarian Cancer and Stage IV Ovarian Cancer, run by GOG Foundation at 59 sites in United States.
Trial summary
Patients will be registered prior to, during or at the completion of neoadjuvant chemotherapy given per standard institutional guidelines +/- bevacizumab on Day 1 every 21 days for 3-4 cycles. Read more about this study
- Who is it for?
- Ages 18 years and older, women only
- Conditions the study is for
- Stage III Ovarian Cancer, Stage IV Ovarian Cancer, Stage III Primary Peritoneal Cancer
- What is being tested?
- Cisplatin and No treatment
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 220 participants
- Where
- 59 sitesUnited States
- Study dates
- 8 Mar 2024to 1 Aug 2034
- Phase
- Phase 3
- Are there results?
- Not yet: the study is under way
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
- Patients must have a pathologic diagnosis of high grade serous or endometroid epithelial ovarian, fallopian tube, or primary peritoneal carcinoma, FIGO stage III or IV documented on CT scan/MRI, must be recommended and agree to undergo platinum-based neoadjuvant chemotherapy with or without physician choice bevacizumab (3-4 cycles allowed, with bevacizumab held for at least 28 days preoperatively) and are considered candidates for (and planned to have) interval cytoreductive surgery (iCRS) followed by chemotherapy and niraparib maintenance as determined by the enrolling investigator. Patients may continue bevacizumab after a minimum of 28 days post iCRS and during niraparib maintenance per local standard.
- Patients with stage IV disease must have complete response of extra-abdominal disease on preoperative imaging (e.g. pleural effusion, mediastinal, inguinal, supraclavicular lymphadenopathy, or other extra-abdominal metastases) or be deemed resectable with iCRS.
- Patients must have HRD/LOH positive tumors. Patients with germline or somatic BRCA or other similar mutations (RAD51C, RAD51D, BRIP1, BARD) are not required to have HRD/LOH testing. Patients without BRCA or germline mutations must have HRD/LOH testing using Myriad myChoice®/Foundation Medicine/Caris Life Sciences platforms. HRD test results must be available prior to registration to meet entry criteria.
- Patients must have R0 (no gross/visible residual disease) or R1 (gross/visible residual disease ≤ 1.0 cm in the longest diameter) following iCRS and prior to randomization.
- Patient must have adequate bone marrow and organ function:
- Bone marrow function:
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- Hemoglobin ≥ 8.5 g/dL. Absolute neutrophil count (ANC) ≥ 1,500/mm3. Platelets ≥ 100,000/mm3.
- Renal function:
- Creatinine ≤ 1.3mg/dl OR Calculated creatinine clearance (≥ 30 mL/min/1.73 m2) per National Kidney Foundation guidelines and NHANES III
- Hepatic function:
- Bilirubin ≤ 1.5 times ULN. ALT ≤ 3 times the ULN. AST ≤ 3 times the ULN.
- Neurologic function:
- Peripheral neuropathy ≤ CTC AE grade 2.
- Patients must have an ECOG performance status of 0 or 1.
- Patient must be age > 18.
- Patients must have a life expectancy > 3 months.
- Patients of childbearing potential must have a negative serum pregnancy test within 28 days prior to iCRS and must be practicing an effective form of contraception (with failure rate <1% per year) during the study period and for 6 months following the last dose of niraparib. Patients of childbearing potential must consent to pregnancy testing prior to receiving niraparib and monthly thereafter for the duration of the study.
- Patients are considered postmenopausal and not of child-bearing potential if they are free from menses for >1 year or surgically sterilized.
- Patients must have normal blood pressure (BP) or adequately treated and controlled hypertension based on local standard of care (systolic BP ≤ 140 mmHg and diastolic ≤ 90 mmHg) prior to starting niraparib.
- Patients receiving corticosteroids may continue as long as their dose is stable for at least 4 weeks prior to randomization.
- Patients must agree to not donate blood during the study or for 90 days after the last dose of study treatment.
- Patients with known human immunodeficiency virus (HIV) are allowed if they meet all the following criteria:
- Cluster of differentiation 4 ≥350/µL and viral load <400 copies/mL
- No history of acquired immunodeficiency syndrome-defining opportunistic infections within 12 months prior to enrollment
- No history of HIV associated malignancy for the past 5 years
- Concurrent antiretroviral therapy as per the most current National Institutes of Health (NIH) Guidelines for the Use of Antiretroviral Agents in Adults and Adolescents Living with HIV started >4 weeks prior to study enrollment
- Patient or a legally authorized representative must have signed an approved informed consent and authorization permitting the release of personal health information.
Who cannot join
- Patients with low-grade serous, clear cell, mucinous, non-epithelial ovarian cancers and borderline tumors.
- Patients who have received prior treatment for ovarian cancer other than the first 3-4 cycles of platinum based neoadjuvant chemotherapy. Prior neoadjuvant treatment with bevacizumab is allowed; bevacizumab must be held for 28 days prior to surgery.
- Patients whose tumors are HRD/LOH negative.
- Patients not eligible for iCRS based on evidence of progression of disease during neoadjuvant chemotherapy (documented on CT scan/MRI required within 35 days of iCRS).
- Patients not eligible for iCRS based on medical co-morbidities as per the enrolling investigator.
- Patients with stage IV disease without complete response of extra-abdominal disease on preoperative findings (e.g., pleural effusion, mediastinal, inguinal, supraclavicular lymphadenopathy, mesemchymal liver metastases or other extra-abdominal metastases) who are not deemed resectable with iCRS.
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- Patients with a history of Myelodysplastic Syndrome or Acute Myeloid Leukemia.
- Patients who are pregnant or lactating.
- Patients with a severe infection requiring IV antibiotics within 2 weeks of planned randomization.
- Patients with other uncontrolled, intercurrent medical conditions.
- Patient with metastatic disease to the central nervous system.
- Patient with uncontrolled insulin dependent diabetes or pre-existing renal condition.
- Patients with pre-existing hearing loss related to prior platinum-based chemotherapy.
- Patients with Prior Reversible Encephalopathy Syndrome (PRES).
- Patients with current active liver or biliary disease (with the exception of Gilbert's syndrome or asymptomatic gallstones, liver metastases or otherwise stable chronic liver disease per investigator assessment). Severe hepatic impairment patients should be excluded.
- Patients with any clinically significant gastrointestinal (GI) abnormalities that may alter absorption such as malabsorption syndrome or major resection of the stomach and/or bowels that is not related to ovarian cancer.
- Patients with clinically significant cardiovascular disease (e.g., significant cardiac conduction abnormalities, uncontrolled hypertension, myocardial infarction, uncontrolled cardiac arrhythmia or unstable angina <6 months to randomization, New York Heart Association Grade 2 or greater congestive heart failure, serious cardiac arrhythmia requiring medication, Grade 2 or greater peripheral vascular disease, and history of cerebrovascular accident within 6 months).
- Patients with an increased bleeding risk due to concurrent conditions (e.g., major injuries or major surgery within the past 28 days prior to study randomization and/or history of hemorrhagic stroke, transient ischemic attack, subarachnoid hemorrhage, or clinically significant hemorrhage within the past 3 months).
- Patients with known active hepatitis B (eg, hepatitis B surface antigen reactive) are excluded unless their HBV is stably controlled on nucleos(t)ide analogs (eg entecavir or tenofovir) which will be continued for the duration of the study.
- Patient has had investigational therapy administered within 4 weeks or within a time interval less than at least 5 half-lives of the investigational agent, whichever is longer, prior to study randomization.
- Patient has received a live vaccine within 30 days of study randomization. COVID-19 vaccines that do not contain live viruses are allowed at any time during the study.
- Patient has a diagnosis, detection, or treatment of another type of invasive cancer ≤ 2 years prior to initiating protocol therapy (except for basal or squamous cell carcinoma of the skin, cervical cancer in situ, and ductal cancer in situ (DCIS) that has been definitively treated).
- Patients must not have had radiotherapy encompassing > 20% of the bone marrow within 2 weeks of randomization; or any radiation therapy within 1 week prior to randomization.
Trial locations and contacts
59 sites in 1 country. Contact the study team or a site near you to ask about taking part.
59 sites in 1 country
United States59 sites, 59 recruiting
- Recruiting
Jefferson Abington Hospital
Abington, Pennsylvania, 19001
Lea Moukarzel, MD
- Recruiting
University of New Mexico Comprehensive Cancer Center
Albuquerque, New Mexico, 87102
Rebecca Baca, 505-272-4946, ReBaca@salud.unm.edu
Carolyn Muller, MD
- Recruiting
University of Colorado Hospital - Anshutz Cancer Pavilion
Aurora, Colorado, 80045
Lindsay J Wheeler Brubaker, MD
- Recruiting
Texas Oncology - Central South
Austin, Texas, 78758
Helen Eshed, MD
- Recruiting
UH Geauga Medical Center
Chardon, Ohio, 44024
Lauren Patrick, lauren.patrick@UHHospitals.org
Sarah Lynam, MD
- Recruiting
Medical University of South Carolina (Hollings Cancer Center)
Charleston, South Carolina, 29425
Carly Fecio, fecio@musc.edu
Brian Orr, orrb@musc.edu
- Recruiting
University of Cincinnati Medical Center
Cincinnati, Ohio, 45219
Caroline Billingsley, MD, billincn@ucmail.uc.edu
Caroline Billingsley, MD
- Recruiting
TriHealth Cancer Institute - Good Samaritan Hospital
Cincinnati, Ohio, 45220
Patrick Newbury, patrick_newbury@trihealth.com
Robert Neff, MD
- Recruiting
TriHealth Cancer Institute- Thomas Comprehensive Care Center
Cincinnati, Ohio, 45242
Patrick Newbury, Patrick_Newbury@trihealth.com
Robert Neff, MD
- Recruiting
University Hospitals Cleveland Medical Center
Cleveland, Ohio, 44106
Lauren Patrick, lauren.patrick@UHHospitals.org
Sarah Lynam, MD
- Recruiting
Cleveland Clinic
Cleveland, Ohio, 44195
Jacqueline Ludwig, ludwigj@ccf.org
Robert Debernardo Jr., MD
- Recruiting
Sylvester Comprehensive Cancer Center - The Lennar Foundation Medical Center
Coral Gables, Florida, 33146
Smita Bhukan, sxb9533@med.miami.edu
Patricia Rozas, px445@med.miami.edu
- Recruiting
University of Miami Hospital and Clinics - Deerfield Beach
Deerfield Beach, Florida, 33442
Smita Bhukan, sxb9533@med.miami.edu
Patricia Rozas, px445@med.miami.edu
- Recruiting
City of Hope
Duarte, California, 91010
Hesham Mahmoud, hmahmoud@coh.org
Thanh Dellinger, MD
- Recruiting
Duke Cancer Center
Durham, North Carolina, 27710
Karen Grace, karen.grace@duke.edu
Jennifer L McNally, MD
- Recruiting
Inova Schar Cancer Institute
Fairfax, Virginia, 22031
Adela Mahmutovic, adela.mahmutovic@inova.org
Leslie Randall, MD
- Recruiting
Hartford Hospital
Hartford, Connecticut, 06102
Amy Brown, MD, amy.brown@hhchealth.org
Amy Brown, MD
- Recruiting
Baylor College of Medicine Medical Center
Houston, Texas, 77030
Carolyn Thibodeaux, carolynt@bcm.edu
Anthony Costales, MD
- Recruiting
O'Quinn Medical Tower at McNair Campus
Houston, Texas, 77054
Carolyn Thibodeaux, carolynt@bcm.edu
Anthony Costales, MD
- Recruiting
Jefferson Hospital
Jefferson Hills, Pennsylvania, 15025
Siobhan Guyach, Siobhan.guyach@ahn.org
John Nakayama, MD
- Recruiting
University of Kansas Hospital
Kansas City, Kansas, 66160
KUCC Navigation, 913-588-3671, kucc_navigation@kumc.edu
Andrea Jewell, MD
- Recruiting
University of Kansas Medical Center MOB
Kansas City, Kansas, 66160
KUCC Navigation, 913-588-3671, kucc_navigation@kumc.edu
Andrea Jewell, MD
- Recruiting
University of Kansas Cancer Center
Kansas City, Missouri, 64116
KUCC Navigation, 913-588-3671, kucc_navigation@kumc.edu
Andrea Jewell, MD
- Recruiting
University of Kansas Cancer Center North
Kansas City, Missouri, 64154
KUCC Navigation, 913-588-3671, kucc_navigation@kumc.edu
Andrea Jewell, MD
- Recruiting
University of California San Diego Moores Cancer Center
La Jolla, California, 92037
Alexandrea Cronin, aocronin@health.ucsd.edu
Michael McHale, MD
- Recruiting
University of Kansas Cancer Center Lee's Summit
Lee's Summit, Missouri, 64064
KUCC Navigation, 913-588-3671, kucc_navigation@kumc.edu
Andrea Jewell, MD
- Recruiting
University of Kentucky Medical Center
Lexington, Kentucky, 40536
Ashley Walton-Robbins, Ashley.Walton-Robbins@uky.edu
Aneesha Carter, aneesha.carter@uky.edu
- Recruiting
SCC at Lake University
Mentor, Ohio, 44060
Lauren Patrick, lauren.patrick@UHHospitals.org
Sarah Lynam, MD
- Recruiting
University of Miami Hospital and Clinics
Miami, Florida, 33136
Smita Bhukan, sxb9533@med.miami.edu
Patricia Rozas, px445@med.miami.edu
- Recruiting
Miami Cancer Institute
Miami, Florida, 33176
Jacqueline Lebron, jacquelile@baptisthealth.net
John Diaz, MD
- Recruiting
Froedtert Memorial Lutheran Hospital & Medical College of Wisconsin
Milwaukee, Wisconsin, 53226
Subarna Paul, supaul@mcw.edu
Denise Uyar, MD
- Recruiting
Forbes Hospital
Monroeville, Pennsylvania, 15146
Siobhan Guyach, Siobhan.guyach@ahn.org
John Nakayama, MD
- Recruiting
Vanderbilt University Medical Center
Nashville, Tennessee, 37232
Krista Garbacz, krista.garbacz@vumc.org
Marta Crispens, MD
- Recruiting
Smilow Cancer Hospital at Yale- New Haven
New Haven, Connecticut, 06511
Lisa Baker
Vaagn Andikyan, MD
- Recruiting
Yale University School of Medicine
New Haven, Connecticut, 06520
Lisa Baker, lisa.baker@yale.edu
Elena Ratner, MD
- Recruiting
LSU Health New Orleans
New Orleans, Louisiana, 70112
Carla Laborde, cscion@lsuhsc.edu
Amelia Jernigan, MD
- Recruiting
University Medical Center New Orleans
New Orleans, Louisiana, 70112
Eileen Mederos, emede1@lsuhsc.edu
Amelia Jernigan, MD
- Recruiting
Memorial Sloan-Kettering Cancer Center
New York, New York, 10022
Bhavani Ramesh, rameshb@mskcc.org
Dennis Chi, MD
- Recruiting
Hoag Memorial Hospital Presbyterian
Newport Beach, California, 92663
Atessa Kiani, atessa.kiani@hoag.org
Alberto Mendivil, MD
- Recruiting
Virginia Oncology Associates
Norfolk, Virginia, 23502
Jenny Marks, jenny.marks@usoncology.com
Danielle Chau, MD
- Recruiting
UH Minoff Health Center at Chagrin Highlands
Orange, Ohio, 44122
Lauren Patrick, lauren.patrick@UHHospitals.org
Sarah Lynam, MD
- Recruiting
University of Kansas Cancer Center Overland Park
Overland Park, Kansas, 66210
KUCC Navigation, 913-588-3671, kucc_navigation@kumc.edu
Andrea Jewell, MD
- Recruiting
University of Kansas Indian Creek Breast Surgery
Overland Park, Kansas, 66211
KUCC Navigation, 913-588-3671, kucc_navigation@kumc.edu
Andrea Jewell, MD
- Recruiting
Stanford Ambulatory Surgery Center Lane Operating Room
Palo Alto, California, 94034
Amer Karam, MD
- Recruiting
Stanford Women's Cancer Center
Palo Alto, California, 94304
Amer Karam, MD
- Recruiting
Stanford Hospital
Palo Alto, California, 94305
Amer Karam, MD
- Recruiting
West Penn Hospital
Pittsburgh, Pennsylvania, 15224
Siobhan Guyach, Siobhan.guyach@ahn.org
John Nakayama, MD
- Recruiting
Sylvester Comprehensive Cancer Center - Plantation
Plantation, Florida, 33324
Smita Bhukan, sxb9533@med.miami.edu
Patricia Rozas, px445@med.miami.edu
- Recruiting
Duke Women's Cancer Care Raleigh
Raleigh, North Carolina, 27607
Jennifer L McNally, MD
- Recruiting
Mayo Clinic
Rochester, Minnesota, 55905
Carrie Langstraat, MD, langstraat.carrie@mayo.edu
Carrie Langstraat, MD
- Recruiting
Washington University School of Medicine
St Louis, Missouri, 63110
Tiara Redrick, tredrick@wustl.edu
Premal Thaker, MD
- Recruiting
Holy Name Medical Center
Teaneck, New Jersey, 07666
Marissa Van Orden, mvanorden@holyname.org
Sharyn Lewin
- Recruiting
West Chester Hospital
West Chester, Ohio, 45069
Caroline Billingsley, billincn@ucmail.uc.edu
Caroline Billingsley, MD
- Recruiting
St. John Medical Center
Westlake, Ohio, 44145
Lauren Patrick, lauren.patrick@UHHospitals.org
Sarah Lynam, MD
- Recruiting
University of Kansas Cancer Center Westwood
Westwood, Kansas, 66205
KUCC Navigation, 913-588-3671, kucc_navigation@kumc.edu
Andrea Jewell, MD
- Recruiting
University of Kansas Clinical Research Center
Westwood, Kansas, 66205
KUCC Navigation, 913-588-3671, kucc_navigation@kumc.edu
Andrea Jewell, MD
- Recruiting
Wexford Hospital
Wexford, Pennsylvania, 15090
Siobhan Guyach, Siobhan.guyach@ahn.org
John Nakayama, MD
- Recruiting
Asplundh Cancer Pavilion
Willow Grove, Pennsylvania, 19090
Lea Moukarzel, MD
- Recruiting
Lankenau Medical Center/Mainline Medical Center
Wynnewood, Pennsylvania, 19096
Jessica Burrell, BurrellJe@mlhs.org
David Holtz, holtzD@mlhs.org
About this study
Official title: GOG-3068: A Phase III Randomized Trial of Hyperthermic Intraperitoneal Chemotherapy (HIPEC) With Cisplatin Versus no HIPEC at the Time of Optimal Interval Cytoreductive Surgery Followed by Niraparib Maintenance in Patients With Homologous Recombinant Deficient (HRD +) Newly Diagnosed Stage III and IV Ovarian, Primary Peritoneal, and Fallopian Tube Cancer (Heated Ovarian Treatment Trial)
Patients will be registered prior to, during or at the completion of neoadjuvant chemotherapy given per standard institutional guidelines +/- bevacizumab on Day 1 every 21 days for 3-4 cycles. Registered patients who progress during neoadjuvant chemotherapy will not be eligible for iCRS and will be removed from the study.
Following completion of neoadjuvant chemotherapy, interval cytoreductive surgery (iCRS) will be performed in the usual fashion in both arms. Patients will be randomized at the time of iCRS (iCRS must achieve no gross residual disease or no disease >1.0 cm in largest diameter) to receive HIPEC or no HIPEC. Patients randomized to HIPEC Arm will receive a single dose of cisplatin (100mg/m2 IP over 90 minutes at 42 C) as HIPEC. After postoperative recovery patients will receive standard post-operative platinum-based combination chemotherapy. Patients randomized to surgery only (No HIPEC Arm) will receive postoperative standard chemotherapy after recovery from surgery.
Both groups will receive an additional 2-3 cycles of platinum-based combination chemotherapy per standard institutional guidelines +/- bevacizumab for a maximum total of 6 cycles of chemotherapy (neoadjuvant plus post-operative cycles) followed by niraparib individualized dosing +/- bevacizumab until progression or 36 months (if no evidence of disease).
- Conditions
- Stage III Ovarian Cancer, Stage IV Ovarian Cancer, Stage III Primary Peritoneal Cancer, Stage IV Primary Peritoneal Cancer, Stage III Fallopian Tube Cancer, Stage IV Fallopian Tube Cancer
- Being tested
- Cisplatin, No treatment
- Keywords
- HIPEC
- Medical subject headings
- Ovarian Neoplasms, Fallopian Tube Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
CisplatinDrug
Also called Platinol AQ
Cisplatin 100mg/m2 IP over 90 minutes at 42 degrees Celcius
No treatmentOther
No treatment with Cisplatin
| Study group | Role | What they receive |
|---|---|---|
| HIPEC | Experimental | Hyperthermic Intraperitoneal Chemotherapy (HIPEC) Cisplatin 100 mg/m2 IP over 90 minutes at 42 degrees C Receives: Drug: Cisplatin |
| No HIPEC | Active comparator | No treatment Receives: Other: No treatment |
What is being measured
The primary outcome is the main question the study is designed to answer.
Progression-free survival
Progression free survival in patients who receive a single treatment of intraoperative HIPEC with cisplatin vs. those who do not receive intraoperative HIPEC with cisplatin.
Measured: From enrollment until time of disease progression or death, whichever occurs first, or date of last contact if neither progression of death has occurred, assessed up to 8 years
Secondary outcomes (3)
Overall Survival
Overall survival stratified by:
- Stage at diagnosis (stage III vs. stage IV)
- Germline or somatic mutation (yes vs. no)
- Physician choice bevacizumab (yes vs. no)
- Residual disease (no gross/visible residual disease vs. gross/visible residual disease less than or equal to 1 cm in longest diameter
Measured: From enrollment to the time of death or date of last contact, assessed up to 8 years
Frequency and severity of adverse events
The frequency and severity of adverse events as defined by CTCAE version 5.0
Measured: Every 28 days up to 3 years
Progression Free Survival
Progression Free Survival stratified by:
- Stage at diagnosis (stage III vs. stage IV)
- Germline or somatic mutation (yes vs. no)
- Physician choice bevacizumab (yes vs. no)
- Residual disease (no gross/visible residual disease vs. gross/visible residual disease less than or equal to 1 cm in longest diameter
Measured: From the time of randomization until the date of first documented disease progression or death from any cause, whichever came first, assessed up to 8 years
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted21 Dec 2022
- Study start8 Mar 2024
- Primary completion1 Aug 2029 (estimated)
- Study completion1 Aug 2034 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Stage III 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
- 220 participants (estimated)
Sponsor and investigators
- Lead sponsor
- GOG Foundation
- Sponsor type
- Research network
- Collaborators
- GlaxoSmithKline
- Responsible party
- Sponsor
- Investigators
- Leslie Randall, MD, Study chair, GOG Foundation
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05659381
- Sponsor's protocol ID
- GOG-3068
- Other IDs
- 217908
- Acronym
- HOTT
- Status last verified
- Dec 2025
- First submitted
- 5 Dec 2022
- Last updated
- 16 Apr 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
Study at a glance
From the registry record, last updated by the sponsor on 16 Apr 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- GOG-3068: A Phase III Randomized Trial of Hyperthermic Intraperitoneal Chemotherapy (HIPEC) With Cisplatin Versus no HIPEC at the Time of Optimal Interval Cytoreductive Surgery Followed by Niraparib Maintenance in Patients With Homologous Recombinant Deficient (HRD +) Newly Diagnosed Stage III and IV Ovarian, Primary Peritoneal, and Fallopian Tube Cancer (Heated Ovarian Treatment Trial)
- ClinicalTrials.gov ID
- NCT05659381
- Acronym / sponsor ID
- HOTT / GOG-3068
- Conditions
- Stage III Ovarian Cancer, Stage IV Ovarian Cancer, Stage III Primary Peritoneal Cancer, Stage IV Primary Peritoneal Cancer, Stage III Fallopian Tube Cancer, Stage IV Fallopian Tube Cancer
- Keywords
- HIPEC
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Recruiting
- Enrolment
- 220 participants (estimated)
- Lead sponsor
- GOG FoundationResearch network
- Collaborators
- GlaxoSmithKline
- Study start
- 8 Mar 2024 (actual)
- Primary completion
- 1 Aug 2029 (estimated)
- Study completion
- 1 Aug 2034 (estimated)
- First posted
- 21 Dec 2022 (actual)
- 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.
Patients will be registered prior to, during or at the completion of neoadjuvant chemotherapy given per standard institutional guidelines +/- bevacizumab on Day 1 every 21 days for 3-4 cycles. Registered patients who progress during neoadjuvant chemotherapy will not be eligible for iCRS and will be removed from the study.
Following completion of neoadjuvant chemotherapy, interval cytoreductive surgery (iCRS) will be performed in the usual fashion in both arms. Patients will be randomized at the time of iCRS (iCRS must achieve no gross residual disease or no disease >1.0 cm in largest diameter) to receive HIPEC or no HIPEC. Patients randomized to HIPEC Arm will receive a single dose of cisplatin (100mg/m2 IP over 90 minutes at 42 C) as HIPEC. After postoperative recovery patients will receive standard post-operative platinum-based combination chemotherapy. Patients randomized to surgery only (No HIPEC Arm) will receive postoperative standard chemotherapy after recovery from surgery.
Both groups will receive an additional 2-3 cycles of platinum-based combination chemotherapy per standard institutional guidelines +/- bevacizumab for a maximum total of 6 cycles of chemotherapy (neoadjuvant plus post-operative cycles) followed by niraparib individualized dosing +/- bevacizumab until progression or 36 months (if no evidence of disease).
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| HIPEC | Experimental | Drug: CisplatinHyperthermic Intraperitoneal Chemotherapy (HIPEC) Cisplatin 100 mg/m2 IP over 90 minutes at 42 degrees C |
| No HIPEC | Active comparator | Other: No treatmentNo treatment |
Who may qualify
- Ages
- 18 years and older
- Sex
- Female only
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (27 listed)
- Patients must have a pathologic diagnosis of high grade serous or endometroid epithelial ovarian, fallopian tube, or primary peritoneal carcinoma, FIGO stage III or IV documented on CT scan/MRI, must be recommended and agree to undergo platinum-based neoadjuvant chemotherapy with or without physician choice bevacizumab (3-4 cycles allowed, with bevacizumab held for at least 28 days preoperatively) and are considered candidates for (and planned to have) interval cytoreductive surgery (iCRS) followed by chemotherapy and niraparib maintenance as determined by the enrolling investigator. Patients may continue bevacizumab after a minimum of 28 days post iCRS and during niraparib maintenance per local standard.
- Patients with stage IV disease must have complete response of extra-abdominal disease on preoperative imaging (e.g. pleural effusion, mediastinal, inguinal, supraclavicular lymphadenopathy, or other extra-abdominal metastases) or be deemed resectable with iCRS.
- Patients must have HRD/LOH positive tumors. Patients with germline or somatic BRCA or other similar mutations (RAD51C, RAD51D, BRIP1, BARD) are not required to have HRD/LOH testing. Patients without BRCA or germline mutations must have HRD/LOH testing using Myriad myChoice®/Foundation Medicine/Caris Life Sciences platforms. HRD test results must be available prior to registration to meet entry criteria.
- Patients must have R0 (no gross/visible residual disease) or R1 (gross/visible residual disease ≤ 1.0 cm in the longest diameter) following iCRS and prior to randomization.
- Patient must have adequate bone marrow and organ function:
Key exclusion criteria (23 listed)
- Patients with low-grade serous, clear cell, mucinous, non-epithelial ovarian cancers and borderline tumors.
- Patients who have received prior treatment for ovarian cancer other than the first 3-4 cycles of platinum based neoadjuvant chemotherapy. Prior neoadjuvant treatment with bevacizumab is allowed; bevacizumab must be held for 28 days prior to surgery.
- Patients whose tumors are HRD/LOH negative.
- Patients not eligible for iCRS based on evidence of progression of disease during neoadjuvant chemotherapy (documented on CT scan/MRI required within 35 days of iCRS).
- Patients not eligible for iCRS based on medical co-morbidities as per the enrolling investigator.
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 |
|---|---|---|
| CisplatinAlso: Platinol AQCisplatin 100mg/m2 IP over 90 minutes at 42 degrees Celcius | Drug | HIPEC |
| No treatmentNo treatment with Cisplatin | Other | No HIPEC |
Primary outcome
Progression-free survival
Time frame: From enrollment until time of disease progression or death, whichever occurs first, or date of last contact if neither progression of death has occurred, assessed up to 8 years
Progression free survival in patients who receive a single treatment of intraoperative HIPEC with cisplatin vs. those who do not receive intraoperative HIPEC with cisplatin.
3 secondary outcomes
Overall Survival
Time frame: From enrollment to the time of death or date of last contact, assessed up to 8 years
Frequency and severity of adverse events
Time frame: Every 28 days up to 3 years
Progression Free Survival
Time frame: From the time of randomization until the date of first documented disease progression or death from any cause, whichever came first, assessed up to 8 years
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 16 Apr 2026.
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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.
Leslie Randall, MD study chair
GOG Foundation
59 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 Cisplatin and No treatment in people with Stage III Ovarian Cancer and Stage IV Ovarian Cancer, run by GOG Foundation at 59 sites in United States.
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 27 inclusion and 23 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: looking for participants now, as of the sponsor's last update on 16 Apr 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 59 sites in United States. 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?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact Sarin Chhab (215-854-0770, schhab@gog.org), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Progression-free survival (time frame: From enrollment until time of disease progression or death, whichever occurs first, or date of last contact if neither progression of death has occurred, assessed up to 8 years). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
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 16 Apr 2026.