Secondary Cytoreductive Surgery After Chemotherapy for Recurrent Epithelial Ovarian Cancer

Trial statusRecruiting
Trial phasePhase 2
Trial typeInterventional
Biological sexFemale
Age19-80
SponsorNational Cancer Center, Korea

About this trial

To compare outcomes between the CRS group and the control group in patients with recurrent epithelial ovarian cancer who have undergone chemotherapy

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Patients with histologically confirmed epithelial ovarian cancer, fallopian tube cancer, or primary peritoneal cancer.

Patients with recurrent ovarian cancer who have received platinum-based chemotherapy (3 or 4 cycles) and were deemed unsuitable for secondary cytoreductive surgery due to a negative AGO score according to the DESKTOP-III trial.

Patients with recurrent ovarian cancer who have responded to chemotherapy (Complete Response, Partial Response, or Stable Disease).

The patient's disease must have recurred after platinum-based therapy, and be defined as platinum-sensitive, meaning progression occurred more than 6 months (180 days) after the last administration of platinum-based therapy.

Disqualifiers

Patients with non-epithelial ovarian cancer or borderline ovarian tumors.

Patients with recurrent ovarian cancer who are not suitable for platinum-based chemotherapy.

Patients over 80 years of age.

Patients with a clinically assessed life expectancy of less than 3 months.

Trial design

Design model

Parallel

Treatments tested in this trial

  • Secondary Cytoreductive Surgery

    Procedure/Surgery

    Surgery will only be performed in patients assigned to the experimental arm of the study. The goal of secondary cytoreductive surgery is to achieve complete tumor reduction by removing all visible residual tumors (Complete cytoreduction with no macroscopic residual disease), and this effort should be the top priority.

Treatment groups

80 Participants
are divided into 2 treatment groups
Group A: No-Secondary Cytoreductive SurgeryNo intervention 0 interventions
Group B: Secondary Cytoreductive SurgeryExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Progression free survival (PFS)

From randomization to time of first progression or death

Time frame
From randomization to the date of first documented disease progression or death from any cause, whichever occurs first, assessed up to 5 years

Secondary outcomes

1

Overall survival

From randomization to death.

Time frame
From randomization to the date of death from any cause, assessed up to 5 years
2

Cancer specific survival

Cancer specific survival: From randomization to death from ovarian cancer

Time frame
From date of randomization until the date of death due to ovarian cancer, assessed up to 5 years
3

Adverse Event

Time frame
1 day after surgery, recovery period (3-5 weeks after surgery), up to 6 weeks after completion of chemotherapy
4

Health-related quality of life (EORTC-QLQ-C30)

The EORTC QLQ-C30 is a questionnaire to assess the overall quality of life of cancer patients. Participant responses to the questions are scored on a 7-point scale (1= Very poor to 7=Excellent). Using linear transformation, raw scores are standardized, so that scores range from 0 to 100. A higher score indicates a better overall health status.

Time frame
Over the 5 year surveillance period

Other outcomes

Sponsors and contacts

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