Ovarian CancerPhase 3SALVOVARNCT06476184
Utility of Adjusting Chemotherapy Dose & Dosing Schedule With the SALVage Weekly Dose-dense Regimen in Patients With Poor Prognostic OVARian Cancers Based on the Tumor Unfavorable Primary Chemosensitivity and Incomplete Debulking Surgery
A Phase 3 study testing Carboplatin and Paclitaxel in people with Ovarian Cancer, run by ARCAGY/ GINECO GROUP at 76 sites in 4 countries.
Trial summary
SALVOVAR will be a pragmatic open-label multicenter randomized phase III trial (ratio 1:1) comparing the efficacy of the salvage weekly dose-dense regimen with those of the continuation of the standard regimen. 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
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 250 participants
- Where
- 76 sitesin 4 countries
- Study dates
- 30 Jul 2024to Jun 2028
- 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
- Histologically confirmed high-grade epithelial (serous, endometrioid, or carcinosarcoma with a ≥30% epithelial tumor component) ovarian, primary peritoneal, or fallopian-tube carcinoma
- Adult patient aged ≥ 18 years old
- Advanced stage III or IV disease
- Treated with 3 to 4 neo-adjuvant cycles of standard 3-weekly carboplatin-paclitaxel regimen in first-line setting, and characterized by:
- Unfavorable standardized KELIMTM score < 1.0 calculated with the KELIMTM academic tool and available for free on internet site (https://www.biomarker-kinetics.org/CA-125-neo) (poor primary chemosensitivity)
- Not amenable to complete interval debulking surgery (incomplete interval debulking surgery attempt, or disease not operated at all because considered not amenable to complete surgery by surgeon) Of note, a pre-screening inclusion before the start of neo-adjuvant chemotherapy is encouraged as a way of prospectively assessing the CA-125 longitudinal kinetics and surgery evaluation, and subsequently selecting the patients for the randomization sequence
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- ECOG performance status 0 or 1 (see appendix 2)
- Adequate organ and bone marrow function for weekly-dense chemotherapy: red blood cells (baseline Hemoglobin ≥8 g/dL without red blood cell transfusion within 3 weeks before the blood work), white blood cells (Absolute neutrophil count (ANC) ≥1500 cells/mm3) and platelets (Platelet count ≥100,000/mm3),
- Adequate renal and liver functions
- Aspartate aminotransferase (AST) and alanine aminotransferase (ALT) ≤2.5 × upper limit of normal (ULN), or ≤5 × ULN in context of liver metastases
- Total bilirubin ≤1.5 × ULN (patients with Gilbert's are eligible if total bilirubin ≤3 × ULN)
- Albumin ≥3 g/dL
- Creatinine clearance ≥40 mL/min/1.73 m2 (measured or estimated, ideally with CKD-EPI formula on https://www.kidney.org/professionals/kdoqi/gfr_calculator)
- Patients who gave its written informed consent to participate to the study
- Patients affiliated to a social insurance regime
- Patients willing and able to comply with the protocol for the duration of the study including undergoing treatment and scheduled visits and examinations including follow up
- Non-inclusion Criteria:
- Low-grade endometrioid, clear cell, mucinous, or sarcomatous histology, or mixed tumors containing any of these histologies, or low-grade or borderline ovarian tumor. Contraindication to the drugs assessed in the SALVOVAR trial (carboplatin, paclitaxel, GCSF)
- Previous treatment with bevacizumab during initial standard neo-adjuvant chemotherapy
- Has primary platinum-refractory disease, defined as disease that has progressed during the neo-adjuvant chemotherapy
- Patients with concomitant cancer, except: adequately treated non-melanoma skin cancer, curatively treated in-situ cancer of the cervix, or other solid tumors curatively treated with no evidence of disease for ≥ 5 years
- Treatment with other investigational agents in clinical trials during the randomized chemotherapy phase for both arms.
- Clinically significant uncontrolled condition(s) which, in the opinion of the Investigator, may confound the results of the trial or interfere with the patient's safety or participation, including but not limited to:
- Unstable angina.
- Myocardial infarction within 6 months of first dose.
- Uncontrolled and/or severe concomitant diseases (uncontrolled hypertension, ≥ Grade 3 (per CTCAE v5.0) arrhythmia, heart failure, cirrhosis).
- Active infectious disease requiring IV therapy (bacteria, viruses) within 2 weeks of first dose.
- Gastric-outlet obstruction.
- Small bowel obstruction (SBO) defined as computed tomography (CT) scan showing: Dilated loops of small bowel ≤12 weeks of study entry, symptomatic ascites/effusions requiring paracentesis or thoracentesis ≤30 days of study entry.
- Known psychiatric disorder that would interfere with trial compliance.
- Pregnant or lactating patients or patients expecting to conceive children within the projected duration of the trial.
- Patient deprived of liberty, under guardianship, or under curatorship.
Who cannot join
None listed.
Trial locations and contacts
76 sites in 4 countries. Contact the study team or a site near you to ask about taking part.
76 sites in 4 countries
France50 sites, 50 recruiting
- Recruiting
ICO Paul Papin
Angers, 49055
Sophie ABADIE-LACOURTOISIE
- Recruiting
CH d'Avignon
Avignon, 84902
Nathan AOUIZERAT
- Recruiting
Sainte-Catherine Institut du Cancer Avignon-Provence
Avignon, 84918
Julien GRENIER
- Recruiting
Hôpital de la Côte Basque
Bayonne, 64100
Thomas GRELLETY
- Recruiting
CHRU Besançon - Hôpital Jean Minjoz
Besançon, 25030
Laura MANSI
- Recruiting
Institut Bergonié
Bordeaux, 33076
Coriolan LEBRETON
- Recruiting
CHU de BREST - Hôpital Cavale Blanche
Brest, 29200
Laura DEIANA
- Recruiting
Centre François Baclesse
Caen, 14076
Florence JOLY
- Recruiting
Centre d'Oncologie et de Radiothérapie 37 (ROC37)
Chambray-lès-Tours, 37170
Pierre COMBE
- Recruiting
Centre Hospitalier de Cholet
Cholet, 49300
Sylvère GUILLEMOIS
- Recruiting
Centre Jean Perrin
Clermont-Ferrand, 63011
Laure VACHER
- Not yet recruiting
Centre Hospitalier Alpes Leman
Contamine-sur-Arve, 74130
Mansour RASTKHAH
- Recruiting
Centre Hospitalier Intercommunal de Créteil
Créteil, 94010
Zineb SELLAM-CHORFI
- Recruiting
Centre Georges François Leclerc
Dijon, 21079
Jean-David FUMET
- Recruiting
CHU de Dijon
Dijon, 21079
Marie CHAIX
- Recruiting
Groupe Hospitalier Mutualiste de Grenoble
Grenoble, 38028
Elise BONNET
- Recruiting
Hôpital André Mignot
Le Chesnay, 78157
Marie-Sophie THIS
- Not yet recruiting
CHRU de Lille
Lille, 59000
Yohan KERBAGE
- Recruiting
Centre Oscar Lambret
Lille, 59020
Stéphanie BECOURT
- Recruiting
CHU de Limoges - Hôpital Dupuytren
Limoges, 87042
Laurence VENAT-BOUVET
- Not yet recruiting
Hôpital de la Croix Rousse
Lyon, 69229
Sophie DUPLOMB
- Recruiting
Centre Léon Bérard
Lyon, 69373
Philippe TOUSSAINT
- Recruiting
Hôpital Privé Jean Mermoz
Lyon, 69373
Olfa DERBEL MILED
- Not yet recruiting
Hôpital de la Timone
Marseille, 13005
Marie MEURER
- Recruiting
CHRU de Montpellier - Hôpital Saint-Eloi
Montpellier, 34059
Clothilde LINDET-BOURGEOIS
- Recruiting
ICM Val d'Aurelle
Montpellier, 34298
Stanislas QUESADA
- Recruiting
Centre Azuréen de Cancérologie
Mougins, 06250
Rémy LARGILLIER
- Recruiting
Hôpital Privé du Confluent
Nantes, 44202
Cyriac BLONZ
- Recruiting
Centre Antoine Lacassagne
Nice, 06189
Philippe FOLLANA
- Recruiting
Institut de Cancérologie du Gard - CHU de Nîmes
Nîmes, 30029
Frédéric FITENI
- Recruiting
Groupe Hospitalier Diaconesses - Croix Saint-Simon
Paris, 75012
Frédéric SELLE
- Recruiting
Hôpital Cochin
Paris, 75014
Sixtine DE PERCIN
- Recruiting
Hôpital Européen George Pompidou
Paris, 75015
Claire GERVAIS
- Recruiting
Institut Curie
Paris, 75248
Manuel RODRIGUES
- Recruiting
Centre Hospitalier Général de Pau
Pau, 64046
Kevin BOURCIER
- Recruiting
HCL - Centre Hospitalier Lyon Sud
Pierre-Bénite, 69495
Benoit YOU
- Not yet recruiting
Hôpital de Poissy-Saint-Germain-en-Laye
Poissy, 78303
Gabriela TOSSEN
- Recruiting
Institut Jean Godinot
Reims, 51056
- Recruiting
Centre Eugène Marquis
Rennes, 35042
Thibault DE LA MOTTE ROUGE
- Not yet recruiting
Hôpital Privé de la Loire
Saint-Etienne, 42100
Romain RIVOIRARD
- Recruiting
Institut de Cancérologie de l'Ouest - ICO
Saint-Herblain, 44805
Dominique BERTON
- Recruiting
CHU Saint-Etienne - Pôle de Cancérologie
Saint-Priest-en-Jarez, 42271
Pauline CORBAUX
- Recruiting
ICANS - Institut de cancérologie Strasbourg Europe
Strasbourg, 67033
Lauriane EBERST
- Recruiting
CHU Strasbourg - Hôpital de Hautepierre
Strasbourg, 67098
Lauriane EBERST
- Recruiting
Hôpital Foch
Suresnes, 92151
Asmahane BENMAZIANE
- Not yet recruiting
Hôpitaux du Léman - site Thonon-les-Bains
Thonon-les-Bains, 74203
Fanny POMMERET
- Recruiting
Oncopole Claudius Régaud - IUCT Oncopole
Toulouse, 31059
Gwénaël FERRON
- Recruiting
Clinique Pasteur
Toulouse, 31300
Mathilde MARTINEZ
- Recruiting
Centre Hospitalier de Valence
Valence, 26953
Rim BATTI
- Recruiting
Gustave Roussy
Villejuif, 94805
Alexandra LEARY
Japan16 sites, 16 recruiting
- Not yet recruiting
The University of Tokyo Hospital
Bunkyō City
Mayuyo MORI
- Recruiting
Fukushima Medical University Hospital
Fukushima
Shu SOEDA
- Recruiting
Saitama Medical University International Medical Center
Hidaka
Akira YABUNO
- Not yet recruiting
Hirosaki University Hospital
Hirosaki
Yoshihito YOKOYAMA
- Recruiting
The Jikei University Kashiwa Hospital
Kashiwa
Kunihiro TAKANO
- Recruiting
St. Marianna University Hospital
Kawasaki
Nao SUZUKI
- Not yet recruiting
Dokkyo Medical University Saitama Medical Center
Koshigaya
Hamada Yoshinobu
- Not yet recruiting
Kurume University Hospital
Kurume
Shin NISHIO
- Recruiting
Nagoya University Hospital
Nagoya
Nobuhisa YOSHIKAWA
- Recruiting
Kindai University Hospital
Sayama
Hidekatsu NAKAI
- Recruiting
Tohoku University Hospital
Sendai
Shogo SHIGETA
- Not yet recruiting
Osaka Medical and Pharmaceutical University Hospital
Takatsuki
Masahide OHMICHI
- Not yet recruiting
The Cancer Institute Hospital Of JFCR
Tokyo
Hiroyuki KANAO
- Not yet recruiting
The Jikei University Daisan Hospital
Tokyo
Kyosuke YAMOTO
- Recruiting
The Jikei University Hospital
Tokyo
Aikou OKAMOTO
- Not yet recruiting
The Jikei University Katsushika Medical Center
Tokyo
Motoaki SAITO
Italy6 sites, 6 recruiting
- Not yet recruiting
Azienda Ospedaliero-Universitaria Ss.Antonio E Biagio E C.Arrigo Alessandria
Alessandria, 15121
Giulia Gallizzi
- Recruiting
Azienda Ospedaliero-Universitaria Di Bologna IRCCS Istituto Di Ricerca E Di Cura A Carattere Scientifico
Bologna, 40138
Claudio Zamagni
- Not yet recruiting
Careggi University Hospital
Florence, 50134
Maria Cristina Petrella
- Not yet recruiting
Alessandro Manzoni Hospital
Lecco, 23900
Federica Villa
- Recruiting
Istituto Europeo Di Oncologia S.r.l.
Milan, 20141
Gabriella Maria Parma
- Not yet recruiting
Azienda Ulss 3 Serenissima
Venice, 30174
Alessandra Baldoni
Netherlands4 sites, 4 recruiting
- Not yet recruiting
Het Nederlands Kanker Instituut-Antoni van Leeuwenhoek Ziekenhuis Stichting
Amsterdam, 1066 CX
Willemien VAN DRIEL
- Not yet recruiting
Leids Universitair Medisch Centrum (LUMC)
Leiden, 2333 ZA
Judith KROEP
- Not yet recruiting
Radboud University Medical Center
Nijmegen, 6525 GA
Petronella OTTEVANGER
- Not yet recruiting
Erasmus Universitair Medisch Centrum Rotterdam (Erasmus MC)
Rotterdam, 3015 GJ
Ingrid BOERE
About this study
Official title: A Pragmatic Randomized Phase III Trial to Assess the Utility of Adjusting Chemotherapy Dose & Dosing Schedule With the SALVage Weekly Dose-dense Regimen in Patients With Poor Prognostic OVARian Cancers Based on the Tumor Unfavorable Primary Chemosensitivity and Incomplete Debulking Surgery
SALVOVAR will be a pragmatic open-label multicenter randomized phase III trial (ratio 1:1) comparing the efficacy of the salvage weekly dose-dense regimen with those of the continuation of the standard regimen.
Read the detailed description
SALVOVAR is a pragmatic open-label multicenter randomized phase III trial (ratio 1:1) comparing the efficacy of the salvage weekly dose-dense regimen with those of the continuation of the same standard regimen as given during neo-adjuvant period. The randomization will be stratified on the main clinical prognostic factors assumed to impact the efficacy of the assessed arms and the overall survival:
- Bevacizumab: planned administration: Yes, vs No
- BRCA mutation: planned administration: Yes, vs No/Unknown
- KELIMTM strate within unfavorable KELIM subgroup: very unfavorable < 0.7, vs moderately unfavorable [0.7-1.0[
The trial will be pragmatic, as it aims at confirming the superiority of the adjusted chemotherapy compared to the continuation of the standard chemotherapy in routine clinical practice, in a population of ovarian cancer patients close to the real-life clinical activity with few selection criteria.
- Conditions
- Ovarian Cancer
- Being tested
- Carboplatin, Paclitaxel
- Keywords
- chemotherapy, poor prognostic, unfavorable primary chemosensitivity, incomplete debulking surgery, KELIM
- Medical subject headings
- Ovarian Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
CarboplatinDrug
Patients will be randomized 1:1:
- Experimental arm: Densification of the chemotherapy administration dose and dosing schedule of carboplatin-paclitaxel (carboplatin AUC 5 every 3 weeks on day 1 and paclitaxel 80 mg/m2 every week, on day 1, day 8, and day 15, with 3 week-cycles) for 3 cycles
- Standard arm: Continuation of the same 3-weekly carboplatin-paclitaxel, as administered during the neo-adjuvant chemotherapy
PaclitaxelDrug
Patients will be randomized 1:1:
- Experimental arm: Densification of the chemotherapy administration dose and dosing schedule of carboplatin-paclitaxel (carboplatin AUC 5 every 3 weeks on day 1 and paclitaxel 80 mg/m2 every week, on day 1, day 8, and day 15, with 3 week-cycles) for 3 cycles
- Standard arm: Continuation of the same 3-weekly carboplatin-paclitaxel, as administered during the neo-adjuvant chemotherapy
| Study group | Role | What they receive |
|---|---|---|
| Experimental arm | Experimental | Densification of the chemotherapy administration dose and dosing schedule of carboplatin-paclitaxel (carboplatin AUC 5 every 3 weeks on day 1 and paclitaxel 80 mg/m2 every week, on day 1, day 8, and day 15, with 3 week-cycles) for 3 cycles
+/- combined with daily sub-cutaneous administrations of GCSF 30 MUI days 3 to 5, \& 10 to 12, \& 17 to 19 (at investigator discretion, as per standard of care). Receives: Drug: Carboplatin; Drug: Paclitaxel |
| Standard | Active comparator | Continuation of the same 3-weekly carboplatin-paclitaxel, as administered during the neo-adjuvant chemotherapy
+/- combined with peg-GCSF or GCSF daily sub-cutaneous administrations, at investigator discretion, as per standard of care. Receives: Drug: Carboplatin; Drug: Paclitaxel |
What is being measured
The primary outcome is the main question the study is designed to answer.
Percentage of patients operated with late complete debulking surgery
To demonstrate the superiority in terms of efficacy of a densification of the chemotherapy with the salvage weekly dose-dense carboplatin-paclitaxel regimen compared to the continuation of the standard 3-weekly carboplatin-paclitaxel, in ovarian cancer patients found to have a poor prognostic disease (characterized by a poor chemosensitivity, with an unfavorable KELIMTM score < 1.0, and a disease not amenable to complete interval debulking surgery) after 3 cycles of standard neo-adjuvant chemotherapy.
Measured: From the date of randomization until patients operated with late complete debulking surgery, assessed up 100 days
Overall survival (OS)
To demonstrate the superiority in terms of efficacy of a densification of the chemotherapy with the salvage weekly dose-dense carboplatin-paclitaxel regimen compared to the continuation of the standard 3-weekly carboplatin-paclitaxel, in ovarian cancer patients found to have a poor prognostic disease (characterized by a poor chemosensitivity, with an unfavorable KELIMTM score < 1.0, and a disease not amenable to complete interval debulking surgery) after 3 cycles of standard neo-adjuvant chemotherapy.
Measured: From the date of randomization until death due to any cause, assessed up to 5 years
Secondary outcomes (9)
Percentage of patients operated with late complete debulking surgery, regardless of the number of chemotherapy cycles received
To compare the efficacy, in term of percentage of patients operated with late complete debulking surgery, between the salvage weekly dose-dense regimen and the standard regimen, regardless of the number of chemotherapy cycles received.
Measured: from the date of randomization until objective tumor progression based on RECIST 1.1, or death due to any cause, whichever occurs first assessed up to 3 years
Overall response rate according to RECIST V1.1 in the whole population
To compare the efficacy of the salvage weekly dose-dense regimen with those of the standard regimen in terms of:
- Radiological response after 3 cycles of treatment, based on the best radiological response using RECIST criteria
- Progression-free survival
Measured: from the date of randomization until objective tumor progression based on RECIST 1.1, or death due to any cause, whichever occurs first assessed up to 3 years
Progression-free survival in the whole population
To compare the efficacy of the salvage weekly dose-dense regimen with those of the standard regimen in terms of:
- Radiological response after 3 cycles of treatment, based on the best radiological response using RECIST criteria
Measured: from the date of randomization until objective tumor progression based on RECIST 1.1, or death due to any cause, whichever occurs first assessed up to 3 years
Percentage of patients treated with a subsequent maintenance treatment with a PARP inhibitor (%) in the whole population
To assess the impact of the adjustment to the salvage weekly dose-dense regimen on the rate of subsequent prescription of PARP inhibitors (since these drugs are indicated in patients with complete or partial response to platinum-based chemotherapy) in terms of survival.
Measured: from the date of randomization until objective tumor progression based on RECIST 1.1, or death due to any cause, whichever occurs first assessed up to 3 years
Progression-free survival and overall survival in these patients compared to those not treated with PARP inhibitor
To assess the impact of the adjustment to the salvage weekly dose-dense regimen on the rate of subsequent prescription of PARP inhibitors (since these drugs are indicated in patients with complete or partial response to platinum-based chemotherapy) in terms of survival.
Measured: from the date of randomization until objective tumor progression based on RECIST 1.1, or death due to any cause, whichever occurs first assessed up to 3 years
To assess the impact of adding bevacizumab to chemotherapy (salvage or standard arm) on the efficacy outcomes In the population of patients treated with bevacizumab: - Overall response rate according to RECIST V1.1
To assess the impact of adding bevacizumab to chemotherapy (salvage or standard arm) on the efficacy outcomes
Measured: from the date of randomization until objective tumor progression based on RECIST 1.1, or death due to any cause, whichever occurs first assessed up to 3 years
Adverse events graded according to the NCI Common Terminology Criteria Adverse Event Version 5.0
To compare the safety profiles of the salvage weekly dose-dense chemotherapy arm with those of the standard 3-weekly carboplatin-paclitaxel with/without bevacizumab, based on the observed adverse-events
Measured: from the date of randomization until objective tumor progression based on RECIST 1.1, or death due to any cause, whichever occurs first assessed up to 3 years
To assess the impact of adding bevacizumab to chemotherapy on the efficacy outcomes In the population of patients treated with bevacizumab: - Progression-free survival & overall survival according to RECIST V1.1
To assess the impact of adding bevacizumab to chemotherapy (salvage or standard arm) on the efficacy outcomes
Measured: from the date of randomization until objective tumor progression based on RECIST 1.1, or death due to any cause, whichever occurs first assessed up to 3 years
To assess the impact of adding bevacizumab to chemotherapy on the efficacy outcomes In the population of patients treated with bevacizumab: - Percentage of patients operated with a late complete debulking surgery (%)
To assess the impact of adding bevacizumab to chemotherapy (salvage or standard arm) on the efficacy outcomes
Measured: from the date of randomization until objective tumor progression based on RECIST 1.1, or death due to any cause, whichever occurs first assessed up to 3 years
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted26 Jun 2024
- Study start30 Jul 2024
- Primary completionJun 2027 (estimated)
- Study completionJun 2028 (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
- Model description
- Patients will be randomized 1:1: * Experimental arm: Densification of the chemotherapy administration dose and dosing schedule of carboplatin-paclitaxel (carboplatin AUC 5 every 3 weeks on day 1 and paclitaxel 80 mg/m2 every week, on day 1, day 8, and day 15, with 3 week-cycles) for 3 cycles +/- combined with daily sub-cutaneous administrations of GCSF (Granulocyte Colony-Stimulating Factor) 30 MUI days 3 to 5, \& 10 to 12, \& 17 to 19 (at investigator discretion, as per standard of care) * Standard arm: Continuation of the same 3-weekly carboplatin-paclitaxel, as administered during the neo-adjuvant chemotherapy +/- combined with peg-GCSF or GCSF daily sub-cutaneous administrations, at investigator discretion, as per standard of care. Of note, bevacizumab addition in both arms is required in countries where it is available as per standard of care, according to country health coverage policy.
- Masking
- None (open label)
- Enrolment
- 250 participants (estimated)
Sponsor and investigators
- Lead sponsor
- ARCAGY/ GINECO GROUP
- Sponsor type
- University, hospital or other
- Collaborators
- Horizon 2020 - European Commission
- Responsible party
- Sponsor
- Investigators
- Benoit YOU, Principal investigator, HCL - Centre Hospitalier Lyon Sud
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06476184
- Sponsor's protocol ID
- 2023-508260-30-01
- Other IDs
- RECF-005636, 2023
- Acronym
- SALVOVAR
- Status last verified
- Aug 2026
- First submitted
- 5 Jun 2024
- Last updated
- 4 Aug 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
Publications
Chator C, Yanaihara N, Chabaud S, Parma GM, Dima AL, Clamp A, Ferron G, Kroep JR, Leary A, Cibula D, Fiteni F, Bruchim I, Serrier H, Carroll S, Belmont AS, Peron J, You B. SALVOVAR: a pragmatic randomized phase III trial comparing the SALVage weekly dose-dense regimen to the standard 3-weekly regimen in patients with poor prognostic OVARian cancers. Ther Adv Med Oncol. 2025 Dec 23;17:17588359251396777. doi: 10.1177/17588359251396777. eCollection 2025.
PubMed 41466844
Study at a glance
From the registry record, last updated by the sponsor on 4 Aug 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Pragmatic Randomized Phase III Trial to Assess the Utility of Adjusting Chemotherapy Dose & Dosing Schedule With the SALVage Weekly Dose-dense Regimen in Patients With Poor Prognostic OVARian Cancers Based on the Tumor Unfavorable Primary Chemosensitivity and Incomplete Debulking Surgery
- ClinicalTrials.gov ID
- NCT06476184
- Acronym / sponsor ID
- SALVOVAR / 2023-508260-30-01
- Conditions
- Ovarian Cancer
- Keywords
- chemotherapy, poor prognostic, unfavorable primary chemosensitivity, incomplete debulking surgery, KELIM
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Recruiting
- Enrolment
- 250 participants (estimated)
- Lead sponsor
- ARCAGY/ GINECO GROUPUniversity, hospital or other
- Collaborators
- Horizon 2020 - European Commission
- Study start
- 30 Jul 2024 (actual)
- Primary completion
- Jun 2027 (estimated)
- Study completion
- Jun 2028 (estimated)
- First posted
- 26 Jun 2024 (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.
SALVOVAR will be a pragmatic open-label multicenter randomized phase III trial (ratio 1:1) comparing the efficacy of the salvage weekly dose-dense regimen with those of the continuation of the standard regimen.
Detailed description
SALVOVAR is a pragmatic open-label multicenter randomized phase III trial (ratio 1:1) comparing the efficacy of the salvage weekly dose-dense regimen with those of the continuation of the same standard regimen as given during neo-adjuvant period. The randomization will be stratified on the main clinical prognostic factors assumed to impact the efficacy of the assessed arms and the overall survival:
- Bevacizumab: planned administration: Yes, vs No
- BRCA mutation: planned administration: Yes, vs No/Unknown
- KELIMTM strate within unfavorable KELIM subgroup: very unfavorable < 0.7, vs moderately unfavorable [0.7-1.0[
The trial will be pragmatic, as it aims at confirming the superiority of the adjusted chemotherapy compared to the continuation of the standard chemotherapy in routine clinical practice, in a population of ovarian cancer patients close to the real-life clinical activity with few selection criteria.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
- Model description
- Patients will be randomized 1:1: * Experimental arm: Densification of the chemotherapy administration dose and dosing schedule of carboplatin-paclitaxel (carboplatin AUC 5 every 3 weeks on day 1 and paclitaxel 80 mg/m2 every week, on day 1, day 8, and day 15, with 3 week-cycles) for 3 cycles +/- combined with daily sub-cutaneous administrations of GCSF (Granulocyte Colony-Stimulating Factor) 30 MUI days 3 to 5, \& 10 to 12, \& 17 to 19 (at investigator discretion, as per standard of care) * Standard arm: Continuation of the same 3-weekly carboplatin-paclitaxel, as administered during the neo-adjuvant chemotherapy +/- combined with peg-GCSF or GCSF daily sub-cutaneous administrations, at investigator discretion, as per standard of care. Of note, bevacizumab addition in both arms is required in countries where it is available as per standard of care, according to country health coverage policy.
| Arm | Type | Receives |
|---|---|---|
| Experimental arm | Experimental | Drug: Carboplatin, Drug: PaclitaxelDensification of the chemotherapy administration dose and dosing schedule of carboplatin-paclitaxel (carboplatin AUC 5 every 3 weeks on day 1 and paclitaxel 80 mg/m2 every week, on day 1, day 8, and day 15, with 3 week-cycles) for 3 cycles +/- combined with daily sub-cutaneous administrations of GCSF 30 MUI days 3 to 5, \& 10 to 12, \& 17 to 19 (at investigator discretion, as per standard of care). |
| Standard | Active comparator | Drug: Carboplatin, Drug: PaclitaxelContinuation of the same 3-weekly carboplatin-paclitaxel, as administered during the neo-adjuvant chemotherapy +/- combined with peg-GCSF or GCSF daily sub-cutaneous administrations, at investigator discretion, as per standard of care. |
Who may qualify
- Ages
- 18 years and older
- Sex
- Female only
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (32 listed)
- Histologically confirmed high-grade epithelial (serous, endometrioid, or carcinosarcoma with a ≥30% epithelial tumor component) ovarian, primary peritoneal, or fallopian-tube carcinoma
- Adult patient aged ≥ 18 years old
- Advanced stage III or IV disease
- Treated with 3 to 4 neo-adjuvant cycles of standard 3-weekly carboplatin-paclitaxel regimen in first-line setting, and characterized by:
- ECOG performance status 0 or 1 (see appendix 2)
Key exclusion criteria (0 listed)
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 |
|---|---|---|
| CarboplatinPatients will be randomized 1:1: * Experimental arm: Densification of the chemotherapy administration dose and dosing schedule of carboplatin-paclitaxel (carboplatin AUC 5 every 3 weeks on day 1 and paclitaxel 80 mg/m2 every week, on day 1, day 8, and day 15, with 3 week-cycles) for 3 cycles * Standard arm: Continuation of the same 3-weekly carboplatin-paclitaxel, as administered during the neo-adjuvant chemotherapy | Drug | Experimental arm, Standard |
| PaclitaxelPatients will be randomized 1:1: * Experimental arm: Densification of the chemotherapy administration dose and dosing schedule of carboplatin-paclitaxel (carboplatin AUC 5 every 3 weeks on day 1 and paclitaxel 80 mg/m2 every week, on day 1, day 8, and day 15, with 3 week-cycles) for 3 cycles * Standard arm: Continuation of the same 3-weekly carboplatin-paclitaxel, as administered during the neo-adjuvant chemotherapy | Drug | Experimental arm, Standard |
Primary outcome
Percentage of patients operated with late complete debulking surgery
Time frame: From the date of randomization until patients operated with late complete debulking surgery, assessed up 100 days
To demonstrate the superiority in terms of efficacy of a densification of the chemotherapy with the salvage weekly dose-dense carboplatin-paclitaxel regimen compared to the continuation of the standard 3-weekly carboplatin-paclitaxel, in ovarian cancer patients found to have a poor prognostic disease (characterized by a poor chemosensitivity, with an unfavorable KELIMTM score < 1.0, and a disease not amenable to complete interval debulking surgery) after 3 cycles of standard neo-adjuvant chemotherapy.
Overall survival (OS)
Time frame: From the date of randomization until death due to any cause, assessed up to 5 years
To demonstrate the superiority in terms of efficacy of a densification of the chemotherapy with the salvage weekly dose-dense carboplatin-paclitaxel regimen compared to the continuation of the standard 3-weekly carboplatin-paclitaxel, in ovarian cancer patients found to have a poor prognostic disease (characterized by a poor chemosensitivity, with an unfavorable KELIMTM score < 1.0, and a disease not amenable to complete interval debulking surgery) after 3 cycles of standard neo-adjuvant chemotherapy.
9 secondary outcomes
Percentage of patients operated with late complete debulking surgery, regardless of the number of chemotherapy cycles received
Time frame: from the date of randomization until objective tumor progression based on RECIST 1.1, or death due to any cause, whichever occurs first assessed up to 3 years
Overall response rate according to RECIST V1.1 in the whole population
Time frame: from the date of randomization until objective tumor progression based on RECIST 1.1, or death due to any cause, whichever occurs first assessed up to 3 years
Progression-free survival in the whole population
Time frame: from the date of randomization until objective tumor progression based on RECIST 1.1, or death due to any cause, whichever occurs first assessed up to 3 years
Percentage of patients treated with a subsequent maintenance treatment with a PARP inhibitor (%) in the whole population
Time frame: from the date of randomization until objective tumor progression based on RECIST 1.1, or death due to any cause, whichever occurs first assessed up to 3 years
Progression-free survival and overall survival in these patients compared to those not treated with PARP inhibitor
Time frame: from the date of randomization until objective tumor progression based on RECIST 1.1, or death due to any cause, whichever occurs first assessed up to 3 years
To assess the impact of adding bevacizumab to chemotherapy (salvage or standard arm) on the efficacy outcomes In the population of patients treated with bevacizumab: - Overall response rate according to RECIST V1.1
Time frame: from the date of randomization until objective tumor progression based on RECIST 1.1, or death due to any cause, whichever occurs first assessed up to 3 years
Adverse events graded according to the NCI Common Terminology Criteria Adverse Event Version 5.0
Time frame: from the date of randomization until objective tumor progression based on RECIST 1.1, or death due to any cause, whichever occurs first assessed up to 3 years
To assess the impact of adding bevacizumab to chemotherapy on the efficacy outcomes In the population of patients treated with bevacizumab: - Progression-free survival & overall survival according to RECIST V1.1
Time frame: from the date of randomization until objective tumor progression based on RECIST 1.1, or death due to any cause, whichever occurs first assessed up to 3 years
To assess the impact of adding bevacizumab to chemotherapy on the efficacy outcomes In the population of patients treated with bevacizumab: - Percentage of patients operated with a late complete debulking surgery (%)
Time frame: from the date of randomization until objective tumor progression based on RECIST 1.1, or death due to any cause, whichever occurs first assessed up to 3 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 4 Aug 2026.
- Derived from this study: PubMed 41466844Chator C, Yanaihara N, Chabaud S, Parma GM, Dima AL, Clamp A, Ferron G, Kroep JR, Leary A, Cibula D, Fiteni F, Bruchim I, Serrier H, Carroll S, Belmont AS, Peron J, You B. SALVOVAR: a pragmatic randomized phase III trial comparing the SALVage weekly dose-dense regimen to the standard 3-weekly regimen in patients with poor prognostic OVARian cancers. Ther Adv Med Oncol. 2025 Dec 23;17:17588359251396777. doi: 10.1177/17588359251396777. eCollection 2025.
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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.
Benoit YOU principal investigator
HCL - Centre Hospitalier Lyon Sud
76 sites in 4 countries: 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 ARCAGY/ GINECO GROUP at 76 sites in 4 countries.
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 32 inclusion and 0 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 4 Aug 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 76 sites in France, Japan, Italy, Netherlands. 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 Marine COGNAT (+33 1 84 85 20 20, salvovar.trial@arcagy.org), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Percentage of patients operated with late complete debulking surgery (time frame: From the date of randomization until patients operated with late complete debulking surgery, assessed up 100 days). 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 NCT06476184, 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 4 Aug 2026.